Social security medical insurance in Zhongshan City, Guangdong Province

Notice of Zhongshan Municipal People's Government on Printing and Distributing the Interim Measures of Zhongshan Municipality for Flexible Employees to Participate in Basic Medical Insurance Zhongfu [2003] 124 Torch District Management Committee, town government, sub-district offices and municipal units: The Interim Measures of Zhongshan Municipality for Flexible Employees to Participate in Basic Medical Insurance are hereby printed and distributed to you, please implement them carefully. September, 2003 1 1 Interim Measures of Zhongshan Municipality for Flexible Employees to Participate in the Basic Medical Insurance Article 1 In order to further improve the basic medical insurance system in our city, according to the Guiding Opinions of the General Office of the Ministry of Labor and Social Security on Urban Flexible Employees to Participate in the Basic Medical Insurance (No.[2003] 10 issued by the Labor and Social Security Department), and in combination with the actual situation of our city, this basic medical insurance is formulated. Article 2 These Measures shall apply to flexible employees who live in Zhongshan City and are not in agricultural registered permanent residence but have not reached the statutory retirement age. The term "flexible employees" as mentioned in these Measures includes part-time employees, short-term employees, dispatched employees, seasonal employees, part-time employees and employees in different places. Freelancers with legitimate economic income and laid-off workers from former state-owned municipal public enterprises may refer to these measures for insurance. Article 3 The measures for the participation of flexible employees in insurance are as follows: (1) Flexible employees who voluntarily participate in basic medical insurance may apply to the Municipal Social Insurance Fund Administration or the township labor and social security sub-bureaus (institutes) that offer flexible employees' business with their ID cards and household registration books, and go through the insurance procedures; (two) flexible employees can only participate in the basic medical insurance for the first time or participate in the insurance again in their personal capacity. Flexible employees who have participated in comprehensive basic medical insurance in their units before joining the insurance as individuals may choose to participate in comprehensive or inpatient basic medical insurance. To the basic medical insurance for hospitalization, you must apply before May 23 each year, pay according to the new insurance in June, and enjoy the new insurance benefits from July. Those who originally participated in the basic medical insurance for hospitalization can only participate in the original insurance. Anyone who participates in the basic medical insurance in this Municipality must also participate in social endowment insurance. Article 4 Flexible employees shall pay medical insurance premiums in full and continuously. Flexible employees who have participated in the city's basic medical insurance and stopped paying for some reason should go through the formalities of renewal and pay social insurance premiums in full within 3 months of the month of interruption, and the payment period can be calculated continuously; If the payment is interrupted for more than 3 months, it will be regarded as automatic suspension of insurance, and if I apply for renewal, it will be regarded as renewal. Fifth flexible employees to participate in the comprehensive basic medical insurance, according to the comprehensive basic medical insurance enterprise payment base 1 1%; To participate in the basic medical insurance in hospital, according to the basic medical insurance payment base of 2% to pay. Article 6 The insured person may choose to pay the medical insurance premium in one lump sum on a monthly, quarterly, semi-annual or annual basis, but not across social security years. Article 7 If the insured reaches the statutory retirement age and the continuous payment period reaches 15 years, he shall enjoy the corresponding medical insurance benefits according to the medical insurance types he participated in at retirement; When the insured reaches the statutory retirement age, if the continuous payment period is less than 15, the medical insurance premium shall be paid in one lump sum. For the insured who changed the medical insurance coverage many times during the insured period, if the medical insurance he participated in at the time of retirement is comprehensive basic medical insurance, the continuous payment period of medical insurance and the payment period of comprehensive basic medical insurance before retirement shall be calculated cumulatively; If the medical insurance participated in retirement is basic medical insurance for hospitalization, the continuous payment period of medical insurance shall be calculated according to the cumulative payment period of comprehensive basic medical insurance and basic medical insurance for hospitalization among the years of continuous payment of medical insurance premiums before retirement. Article 8 Employees who are insured for flexible employment shall enjoy medical insurance benefits according to the following provisions: (1) New employees who participate in basic medical insurance have a waiting period of six months, and after six months of continuous payment, they shall enjoy corresponding medical insurance benefits from the seventh month. However, the insured who participates in the comprehensive basic medical insurance can transfer the amount of personal account on a monthly basis from the next month. The medical waiting period is included in the continuous payment period of the insured; (two) the insured person shall enjoy the corresponding basic medical insurance, supplementary medical insurance and rescue treatment according to the types of insurance he participates in; (three) the list of drugs, the scope of diagnosis and treatment projects, the scope of service facilities and payment standards, diagnosis and treatment referral, remote diagnosis and treatment, etc., which are applicable to the insured, shall be implemented in accordance with the relevant provisions of the basic medical insurance in our city; (four) after the insured person enjoys the medical insurance benefits according to the regulations, and fails to pay the medical insurance premium, he will stop enjoying the medical insurance benefits from the next month; (five) the insured person who interrupts the payment cannot enjoy the corresponding medical insurance benefits during the interruption period; To participate in the comprehensive basic medical insurance, the interruption of payment for less than 3 months, can only make up the amount of personal account according to the month of payment. Article 9 The Municipal Labor and Social Security Bureau shall be responsible for the reference of these Measures:

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