April 1 new social security regulations

First, unify the employee medical insurance policy for the first time and enjoy the treatment.

Insured employees (including flexible employees) participate in the basic medical insurance for employees for the first time and enjoy the basic medical insurance benefits for employees from the next month of payment. Among them, the "first insurance" only refers to the insured's first registration of basic medical insurance for employees, excluding the transfer of medical insurance relationship.

Two, clear employee medical insurance payment and treatment policy.

1, the insured unit must pay the employee's basic medical insurance premium in full and on time. From April of 1 year, the employees of the insured units (including the unemployed during the period of receiving unemployment benefits) will be suspended from paying fees, and they will be suspended from enjoying the benefits from the next month; From the month following the payment of arrears and late fees, the treatment will be resumed; The medical expenses incurred during the arrears period will not be reimbursed, and the medical insurance personal account will be paid normally.

From April 2 1 day, if the flexible employees (excluding the unemployed during the period of receiving unemployment benefits) suspend the payment of medical insurance premiums for employees, the payment will be suspended from the next month. If the payment is suspended for no more than 3 months, the treatment will be resumed from the second month after the normal payment, and the medical expenses incurred during the arrears period will not be reimbursed. If the payment is interrupted for more than 3 months, a waiting period of 3 months (including the month of payment) will be set after the normal payment. If flexible employees pay back the arrears during the interruption period, only the payment period will be calculated during the overdue period.

3. Normal payment means that the medical insurance premium of the current month should be paid on or before the current month and collected before the end of the current month, subject to the date of collection.

After the implementation of the new policy, the employer's responsibility for payment has increased. Due to the arrears, it will directly affect the medical insurance benefits of the insured employees. Tengzhou Medical Insurance Bureau reminds employers and insured persons to pay medical insurance premiums in full and on time, so as not to affect individual medical insurance benefits.