Job Recruitment Website - Social security inquiry - What does the breakdown of social security reimbursement amount mean?
What does the breakdown of social security reimbursement amount mean?
I. Endowment insurance
1. Payment details
The enterprise payment base is 20%+ the individual payment base is 8%(20 1 1, the average in Zhengzhou is 273 1.58, and the contribution is 60%).
2. Monthly receipt:
Those who have paid more than 15 years can go to the social security bureau for retirement and receive a monthly pension.
A.? Basic pension = (last year's average monthly salary of employees in the whole province+my average payment index salary) ÷2× payment period × 1%
B.? Personal account pension = personal account storage amount ÷ personal account pension calculation and issuance months
C.? The sum of the above two items A+B is the monthly amount.
My average contribution index salary = last year's basic salary.
Personal account storage = personal pension insurance paid over the years+interest.
The number of months of personal account pension is as follows:
Two. unemployment insurance
1 payment details
2% of the enterprise's contribution base+65438+0% of the individual's contribution base (2011year, the average in Zhengzhou is 273 1.58, and the contribution is calculated as 60%).
2 collection conditions
(1) I terminate the employment against my will (that is, the company terminates or terminates the labor contract) and have a job application requirement (the employer's dismissal certificate must be provided).
(2) Pay unemployment insurance 12 months or more.
③ The Company shall handle the matter within 60 days after the dissolution or termination of the labor contract.
3. Time to receive unemployment benefits
Unemployed people who are re-employed during the period of receiving unemployment insurance benefits shall be recalculated within 4. The time limit for receiving unemployment insurance benefits can be combined with the time limit for receiving unemployment insurance benefits that should be received but have not yet been received, but the maximum time limit shall not exceed 24 months. Unemployed people who are re-employed less than one year after receiving unemployment insurance benefits may continue to apply for unemployment insurance benefits that they should receive but have not yet received.
(a) the cumulative payment time 1 year but less than 2 years, can receive 3 months of unemployment insurance;
(two) the cumulative payment time of more than 2 years but less than 3 years, you can receive unemployment insurance for 6 months;
(three) the cumulative payment time of more than 3 years but less than 4 years, can receive 9 months of unemployment insurance;
(four) the cumulative payment time of more than 4 years but less than 5 years, can receive 12 months of unemployment insurance;
(five) if the cumulative payment time is more than 5 years, it shall be calculated according to the method of issuing unemployment insurance benefits for one month every full year, and the number of additional months shall be determined. The longest period of receiving unemployment insurance benefits is not more than 24 months, and migrant workers are not more than 12 months.
4. Calculation method of unemployment benefits
(1) If the accumulated payment is less than five years, it will be paid at 75% of the minimum wage; If the accumulated payment is more than five years but less than ten years, it will be paid at 80% of the minimum wage; If the accumulated payment is more than ten years, it will be paid at 85% of the minimum wage.
(two) from the thirteenth month after receiving unemployment insurance benefits, if the accumulated payment is over five years but less than seventeen years, it will be paid at 75% of the minimum wage; If the accumulated payment is over seventeen years but less than twenty-two years, it shall be paid at 80% of the minimum wage; If the accumulated payment is over 22 years and less than 27 years, it will be paid at 85% of the minimum wage; If the accumulated payment is more than twenty-seven years, it shall be paid at 90% of the minimum wage.
(3) Farmers contract workers receive living allowance at 75% of the local minimum wage.
Three. maternity insurance
1. Payment details
The payment base of enterprises is1%(201/year, with an average of 273 1.58 yuan in Zhengzhou, accounting for 60% of the payment base).
2. Access conditions
-1, reporting conditions
(1) The insured person has continuously paid the basic medical insurance premium for more than 6 months (inclusive) on the date of production (subject to the date of delivery or the date of birth of the newborn), and paid the medical insurance premium on time one month before delivery. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for less than 6 months 12 months, it will be paid at 30% of the quota standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it shall be paid according to 100% of the quota standard.
(2) Employees who have given birth or performed family planning operations in line with the national family planning policy.
(3) The above conditions must be met at the same time.
2. Application materials
(1) Family planning certificate issued by the family planning department (original and photocopy)
(2) certificate of birth (death) of the baby issued by the medical department (original and photocopy)
(3) Female employees and family planning operation workers' ID cards (original and photocopy).
(4) Approval Form for Maternity Medical Certificate of Enterprise Employees
(5) Application form for family planning operation diagnosis of enterprise employees
(6) Application form for reimbursement of maternity medical expenses for enterprise employees
(7) the maternity insurance benefits of enterprise employees approved statement
(8) The Application Form for Maternity Insurance of Enterprise Employees for Medical Treatment in Different Places.
(9) original materials such as bills of maternity medical expenses, expense lists, outpatient medical records and discharge summaries;
3. Reimbursement method
Maternity insurance = maternity allowance+Medicaid allowance+medical expenses:
Maternity allowance is based on the average monthly salary of employees of the employer.
1, 3 months (90 days) for normal birth.
2. Late childbearing is 3.5 months (105 days).
3. Those who have given birth and have received the One-Child Certificate are counted as 4. 17 months (125 days).
4. Those who have given birth late and have received the One-Child Certificate are counted as 4.67 months (140 days).
Medicaid: based on the average monthly salary of enterprise employees in the previous year.
1, normal birth is 2 months.
2. Caesarean section or multiple births are calculated as 4 months.
Medicaid includes examination fee, delivery fee, operation fee, hospitalization fee and medicine fee. Exceeding the amount stipulated by the state shall be borne by the individual.
4. Male employees
Male workers can enjoy the following benefits by paying maternity insurance in full monthly.
Male spouses who receive the "One-Child Preferential Card" enjoy 10 days holiday, and are paid according to the unified salary of the unit in the month when the child is born.
Male spouse's holiday salary = unified salary paid by the unit in the current month ÷ 30 (days) × 10 (days).
Note: The processing time of maternity insurance allowance is:
Within five months after giving birth to children, the units where female employees and male spouses work shall apply for maternity insurance benefits respectively.
If a female employee fails to purchase maternity insurance and her spouse pays the full monthly fee, she will not enjoy maternity allowance, but only enjoy Medicaid.
Four. employment injury insurance
1. Payment details
The enterprise payment base is 0.5% (Zhengzhou 20 1 1 year is 27,365,438 yuan +0.58 yuan on average, which is paid at the base of 60%).
2. Access conditions
Pay work-related injury insurance in full and on time, and the employees are injured by accidents or suffer from occupational diseases due to work reasons.
3. Work injury treatment
Work-related injury treatment = work-related injury medical expenses+auxiliary equipment configuration expenses+one-time disability allowance+disability allowance+life care expenses.
Among them, the medical expenses for work-related injuries and the allocation of assistive devices are reimbursed according to the prescribed standards, and the one-time disability subsidy is reimbursed after the disability level is assessed. The first disability is my salary of 27 months, the second disability is my salary of 25 months, the third disability is my salary of 23 months, and the fourth disability is my salary of 2 1 month; Grade five disability is my salary 18 months, and grade six disability is my salary 16 months; Grade 7 disability is my salary 13 months, grade 8 disability is my salary 1 1 month, grade 9 disability is my salary for 9 months, and grade 10 disability is my salary for 7 months;
Enjoy the disability allowance from grade one to grade four, which is not lower than the minimum wage standard of this Municipality. The standard is: 90% of my salary for first-degree disability, 85% for second-degree disability, 80% for third-degree disability and 75% for fourth-degree disability. If the actual amount of disability allowance is lower than the local minimum wage standard, the industrial injury insurance fund will make up the difference;
Can not reach the level of disability, reimbursement of work-related injury medical expenses and wages.
Please refer to the Industrial Injury Social Insurance Law for specific treatment of industrial injuries.
5. Medical insurance
1. Payment details
Enterprise payment base 8% individual payment base 2% plus individual 10 yuan large medical mutual fund (in Zhengzhou, 20 1 1 year, the average is 273 1.58 yuan, and the payment is based on 60%).
2. Access conditions
Employees can enjoy basic medical insurance from the month when they receive their medical cards, and they can also enjoy retirement after paying 15 years.
3. Insurance benefits
Medical insurance is divided into two accounts,
1.? Personal account, personal account is used to pay for outpatient and emergency medical expenses, as well as to buy medicines at designated retail pharmacies.
2.? The whole fund,
3.? Reimbursement standard
The proportion of outpatient and emergency reimbursement is 50% for on-the-job employees and 50% for retired employees.
The reimbursement rate is 30%, 20% for people over 70 years old and 80% for reimbursement. The proportion of reimbursement for hospitalization is: 65%, 60% and 55% for the first, second and third-level designated medical institutions respectively. Personal commitment of other departments.
The above information is for reference only. Social insurance policies and regulations are adjusted once a year in July. Please refer to the social insurance law for specific implementation measures.
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