What if the employer does not pay medical insurance?

The specific solutions for employers not to pay medical insurance are as follows:

1, you can first negotiate with the employer to understand the specific situation and ask it to pay medical insurance for employees in time.

2. If negotiation fails, you can report to the local social security department and ask it to investigate and deal with the employer. The social security department will, in accordance with relevant laws, regulations and policies, punish the illegal units or make compulsory payment of medical insurance premiums.

3. If the employer still refuses to pay the medical insurance premium, the employee can solve it through legal channels, including bringing a lawsuit to the labor arbitration department or the court, asking the employer to compensate the employee for the losses suffered.

Information required for medical insurance reimbursement:

1. Everyone needs to bring their own valid ID card and social security card software;

2, the original certificate of disease diagnosis issued by the designated medical institutions;

3, outpatient medical records, inspection, test results report and other related medical information;

4, the original unified fee invoice of the tax department of medical institutions;

5, the original prescription issued by the hospital doctor and the computer printed list of outpatient expenses;

6. If the tax goods are purchased in a designated pharmacy, a unified sales invoice and an original list printed by computer need to be prepared;

7. If it is entrusted to others, the trustee shall also prepare the original valid ID card.

Medical insurance reimbursement process:

1. The agent needs to bring relevant materials, including the original ID card, the original medical card, the hospitalization certificate of the hospital, the discharge certificate, the charging documents during hospitalization, the corresponding medical records, inspection reports and other related materials, and apply for reimbursement at the social security agency;

2. After accepting the application, the regulatory authorities will review the application materials received, and after the approval, the settlement and payment will be completed on the same day;

3. The social security agency has passed the examination, and the applicant can receive reimbursement expenses with relevant documents. Under normal circumstances, under the condition of complete information, all the reimbursement work can be completed on the same day, without having to run a few more times.

To sum up, medical insurance is a basic right of employees, and employers may not refuse or illegally fail to pay medical insurance premiums. If the employer fails to pay medical insurance for employees according to the regulations, it will face legal responsibility and public condemnation. Therefore, employees are advised to pay attention to whether the employer has paid medical insurance for themselves, and communicate and negotiate with the employer in time to safeguard their legitimate rights and interests.

Legal basis:

Article 84 of the Social Insurance Law of People's Republic of China (PRC)

If the employer fails to apply for social insurance registration, the social insurance administrative department shall order it to make corrections within a time limit; If no correction is made within the time limit, the employer shall be fined more than one time and less than three times the amount of social insurance premiums payable, and the directly responsible person in charge and other directly responsible personnel shall be fined more than 500 yuan and less than 3,000 yuan.

Article 86

If the employer fails to pay the social insurance premium in full and on time, the social insurance premium collection agency shall order it to pay it within a time limit or make up for it, and from the date of default, an overdue fine of 5/10000 shall be added daily; Failing to pay within the time limit, the relevant administrative departments shall impose a fine of more than one time and less than three times the amount owed.