Job Recruitment Website - Social security inquiry - Why doesn't social security pay medical insurance?
Why doesn't social security pay medical insurance?
First, the personal insurance information is wrong.
When participating in social security, you need to fill in personal insurance information, including name, ID number, contact information, etc. If this information is filled in incorrectly, it may lead to the situation that social security is paid and medical insurance is not paid. For example, if the ID number is incorrectly filled, the system may not be able to correctly match the personal medical insurance account, resulting in the failure of medical insurance payment. Therefore, when individuals participate in social security, they must carefully check the insurance information to ensure the accuracy and completeness of the information.
Second, the issue of payment channels.
The payment channels of social security and medical insurance may be different. Social security and medical insurance in some areas are paid separately and need to be paid through different channels. If individuals only pay through the social security payment channel and ignore the medical insurance payment channel, it will lead to the situation that social security is paid and medical insurance is not paid. Therefore, when individuals pay fees, they need to clearly understand the payment channels and regulations in their areas to ensure that the payment is completed as required.
Third, policy changes.
Social security and medical insurance policies may change with time and region. In some cases, policy changes may lead to changes in the payment methods and payment standards of social security and medical insurance. If individuals do not understand and adapt to these policy changes in time, they may pay social security or fail to pay medical insurance. Therefore, individuals need to pay attention to relevant policy trends and understand and adapt to policy changes in a timely manner.
To sum up:
The situation that social security pays medical insurance but doesn't pay it may be caused by many reasons, including the wrong information of individual participation, the problem of payment channels and policy changes. In order to avoid this situation, individuals need to carefully check the insurance information, understand the payment channels and policy provisions, and adapt to policy changes in time. At the same time, relevant departments should also strengthen publicity and guidance, improve individual awareness of insurance payment, and ensure the smooth payment of social security and medical insurance.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 60 provides that:
The employing unit shall declare itself and pay social insurance premiums in full and on time, and shall not postpone or reduce the payment except for legal reasons such as force majeure. The social insurance premiums that employees should pay shall be withheld and remitted by the employer, and the employer shall inform me of the details of paying social insurance premiums on a monthly basis.
Individual industrial and commercial households without employees, part-time employees who have not participated in social insurance in the employing units and other flexible employees can pay social insurance premiums directly to the social insurance premium collection agencies.
Article 63 provides that:
If the employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay or make up within a time limit.
If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance premium collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance premium collection agency may require the employer to provide guarantee and sign a deferred payment agreement.
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