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Social security has been suspended for a month. Can I continue to pay medical insurance?
1, individual workers who participate in social insurance (including individual industrial and commercial households who participate in the insurance in the form of units, the same below) have been interrupted for 3 months in a row, and their participation in basic medical insurance is deemed to be interrupted, and the basic medical insurance premium will not be paid during the interruption period.
2, to participate in the basic old-age insurance for individual workers, the basic old-age insurance payment is interrupted, you can repay it within the year, and if the payment is interrupted for one year, it is allowed to repay it within three months (inclusive).
Payment process after medical insurance is broken:
1. If the insured fails to pay the medical insurance premium in full and on time as required, they will stop enjoying the medical insurance benefits from the month when they have never paid it in full and on time. If the payment is continued after the interruption, it must be based on the average salary of local employees in the previous year to make up all the arrears during the interruption.
2 overdue time is included in the continuous payment time, but you can't enjoy the payment treatment of the overall fund during the overdue period.
3, the insured to suspend the enjoyment of medical insurance benefits within 60 days (including 60 days) to pay medical insurance premiums, from the next month to enjoy the benefits of pooling funds to pay;
4. If the medical insurance benefits are suspended for more than 60 days to 180 days (including 180 days) to pay back the medical insurance, the benefits paid by the overall fund can only be enjoyed three months after the payment month;
5. If the medical insurance benefits are suspended for more than 180 days and the medical insurance premium is paid back, it will be calculated from the month of payment and enjoy the treatment paid by the overall fund after 6 months.
6. If the payment is not made after the interruption, it shall be deemed as re-participation in medical insurance, and the payment time before the interruption shall not be included in the continuous payment time.
Extended data:
First, Hangzhou social security payment standard
(a) by the insured units to apply for payment, payment base and proportion are determined according to the following standards:
1, the insured payer who belongs to the insured unit at the time of payment, and the payment base during the payment period of that year is determined according to my current payment base. The payment base of the previous year is determined by 100% of the average monthly salary of employees in the whole province in the previous year. Before the announcement of the average wage of employees in the province last year, it was determined according to the average wage of employees in the province last year;
2. If it is not the insured payer of the insured unit at the time of payment, the payment base shall be determined according to 100% of the average monthly salary of employees in the whole province in the previous year at the time of payment. Before the announcement of the average wage of employees in the province last year, it was determined according to the average wage of employees in the province last year;
3, the proportion of payment in accordance with the basic old-age insurance for employees to pay the proportion of individual implementation;
4. If the unit payment base is approved by the local tax and the labor relationship between the insured unit and the employee where the application for payment is made is consistent, the unit payment part of the current year will not be calculated when the payment is made. In other cases, the unit payment should be paid.
(two) if an individual applies for payment, the base and proportion of payment shall be determined according to the following standards:
The payment base is determined according to 100% of the average monthly salary of employees in the whole province in the previous year. Before the announcement of the average wage of employees in the province last year, it was determined according to the average wage of employees in the province last year.
The proportion of payment shall be implemented in accordance with the proportion of payment of basic old-age insurance units and individuals at the time of payment.
Second, pay the information needed for social security.
1, application form for payment of basic old-age insurance for employees in Hangzhou,
2. Labor contract or proof of salary payment. The following personnel also need to provide:
3. Persons who participate in endowment insurance or medical insurance of public institutions and enjoy medical subsidies for civil servants and are included in the staffing management of the staffing department: provide relevant materials approved by the staffing department;
References:
Hangzhou Social Security Bureau-Detailed Rules for the Collection and Payment of Social Insurance Fees in Hangzhou
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