Job Recruitment Website - Social security inquiry - The difference between non-deep households and deep households.

The difference between non-deep households and deep households.

Legal analysis: 1, the payment ratio is different.

The first file: Shenzhen employees who participate in the first file of basic medical insurance will be paid monthly according to the standard of 8% of their total monthly salary, of which the employer will pay 6% and the individual will pay 2%.

The second file: Shenzhen employees who participated in the second file of basic medical insurance paid 0.7% of the average monthly salary of employees in this city in the previous year, of which the employer paid 0.5% and the individual paid 0.2%.

2. The distribution of medical insurance premium is different.

The first file: if the insured pays the basic medical insurance premium at 8%, it will be included in the personal account at 5% of the payment base every month; At least 45 years of age, 5.6% of the payment base will be included in the personal account on a monthly basis; The rest of the first payment of basic medical insurance will enter the serious illness pooling fund to pay the medical expenses stipulated in these measures.

The second file: the second and third files of basic medical insurance collected by the municipal social insurance institutions are included in the community outpatient co-ordination fund according to 0.2% of the average monthly salary of employees in this city in the previous year, 1 yuan is included in the adjustment fund, and the rest are included in the serious illness co-ordination fund.

3. The scope of medical consultation is different

The first file: the insured in the first file of basic medical insurance goes to the designated medical institutions in the city for medical treatment.

Level II: The second-level participants of basic medical insurance go to the selected community health center for medical treatment, and with the consent of the settlement hospital, they can go to other designated community health centers under the same settlement hospital for medical treatment; Hospitalization and outpatient serious illness in the city designated medical institutions for medical treatment.

Outpatient referral, outpatient referral and hospitalization referral of the secondary insured of basic medical insurance shall be subject to the consent of the original settlement hospital. Referral should be referred step by step or referred to the medical institutions with specialties at the same level in the city, and the transfer hospital should issue a referral certificate to the hospital receiving the referral.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 4 Employers and individuals in People's Republic of China (PRC) shall pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services. Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.

Seventy-fourth social insurance agencies through business handling, statistics, investigation and other means to obtain the data needed for social insurance work, the relevant units and individuals should provide timely and truthful.

The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.

The social insurance agency shall timely, completely and accurately record the individual's contributions to social insurance, the employer's contributions and the enjoyment of social insurance benefits and other personal rights and interests records, and regularly send the personal rights and interests records to me free of charge.

Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.