The difference between the first file and the second file of Shenzhen social security non-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.

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

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

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.