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Zhenjiang medical insurance payment standard
1. Persons registered in or not registered in this city with residence permit in this city:
If the female is under 50 years old and the male is under 60 years old, the individual (including newborn) payment standard is 400 yuan;
For women over 50 years old (including 50 years old) and men over 60 years old (including 60 years old), the individual contributions will be halved, and the standard is 200 yuan, and the rest of the individual contributions will be subsidized by the government;
For residents over 70 years old, the individual contributions are fully subsidized by the government, and individuals do not need to pay.
2. The payment standard for new insured persons with foreign household registration and no residence permit in this city is 1 120 yuan.
3. In line with the social medical assistance objects recognized by the Civil Affairs Bureau, the Veterans Bureau, the Federation of Trade Unions and other departments, the part that individuals need to pay for participating in urban residents' medical insurance is paid by the municipal social medical assistance fund, and individuals do not need to pay.
First, the way to participate in insurance
Residents' medical insurance registration is the responsibility of the medical insurance department, and the local community (village) is the agency.
(a) the first insured and insured.
First-time insured persons and insured persons (once insured in previous years, but not insured in 2022) need to apply for insurance registration. Please bring your ID card or household registration book (residence permit) to the community (village) where your household registration (residence) is located to pay.
When a newborn is registered in a foreign country, it is also necessary to provide a local household registration book (residence permit) where one parent or at least one parent pays medical insurance for employees in our city, and go through the insurance formalities in the community (village) where the household registration (residence) is located.
(2) Renewal personnel (insurance payment in 2022)
In 2022, the insured payer can directly renew the payment through WeChat, Alipay, bank and on-site payment. On-site payers need to carry their ID cards (or social security cards).
Second, the mode of payment
The tax department is responsible for the payment of residents' medical insurance, and the specific payment methods are as follows:
2. Payment at the bank counter: the insured person brings his ID card or social security card to the rural commercial bank, Agricultural Bank of China and Jiangsu Bank to pay the fee;
3. On-site payment: The tax bureau entrusts all communities (villages) to use social security POS machines to collect fees.
legal ground
According to Articles 10, 19 and 80 of the Interim Measures for Social Medical Insurance in Zhenjiang:
1. The basic medical insurance premium is paid by the employer and the total wages of employees over 1 1.5%. Among them, the sum of the total wages of all employees of the employer in the previous year is the payment base, which is paid at the rate of 9%; On-the-job employees shall pay 2.5% of their total wages in the previous year (including 0.5% serious illness pooling fund), which shall be withheld and remitted by the employer from their wages.
2 insured units and employees must pay the basic medical insurance premium according to the regulations. However, individuals who participate in the basic medical insurance alone (including unemployed persons, self-employed persons and other urban personnel entrusted by socialized management institutions, the same below), units with a small number of employees (below 10) and their employees shall pay the basic medical insurance premium annually. The time limit for quarterly and annual payment is before the first month of each quarter 10 and before the annual 1 month 10. Employers and individuals shall pay in time.
3. If the employer and individual refuse to pay, default or underpay the medical insurance premium, the municipal medical insurance agency shall issue a notice of payment to the employer and individual, and the employer and individual must pay the medical insurance premium within 15 days from the date of service of the notice; If the payment is still overdue, the medical insurance benefits will be suspended, and a late fee of 2% will be charged on a daily basis from the date of default. At the same time, the labor and social security department shall give administrative punishment to the directly responsible person in charge and other responsible personnel in accordance with the Interim Regulations on the Collection and Payment of Social Insurance Fees. If the payment is overdue for 6 months without reason, it will be regarded as interruption of insurance. The employers and individuals who participate in the insurance again after the interruption of the insurance shall be regarded as the first time to participate in the insurance, and their basic medical insurance payment period shall be calculated according to the actual payment period.
According to the Detailed Rules for the Implementation of the Interim Measures for Social Medical Insurance in Zhenjiang City (article 0/3 of Town Zhengban/KLOC), the social medical insurance premium shall be collected by the medical insurance agency and the employer. When the employer's bank changes, it shall promptly report the change to the medical insurance agency. Employers with special circumstances can pay directly to medical insurance agencies.
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