Nanjiang county social security payment standard

According to "medical insurance bureau, Sichuan Province, Sichuan Provincial Department of Finance, People's Republic of China (PRC) State Taxation Bureau forwarded to Sichuan Provincial Taxation Bureau.

Notice of the General Office of the People's Government of Sichuan Province on Improving the Implementation Opinions of the Medical Insurance Assistance System for Serious and Serious Diseases (Sichuan Office Regulation [2022] No.6) "Bazhong Medical Security Bureau and other seven departments on printing and distributing

Notice (Ba Jian Bao Fa [2021] No.25), Notice of Bazhong Medical Security Bureau and other six departments on doing a good job in the basic medical insurance for urban and rural residents in 2023 (Ba Jian Bao Fa [2022] No.31), Notice of Nanjiang County People's Government on doing a good job in the basic medical insurance for urban and rural residents in 2023

First, the insured object

(1) Persons who have the household registration of urban and rural residents in Xingma Town and have not participated in the basic medical insurance for employees should participate in the medical insurance for residents in their household registration or residence. Non-Xingma town urban and rural residents (including Hong Kong, Macao and Taiwan residents) can participate in residents' medical insurance at the domicile of Xingma town.

(two) students in primary and secondary schools and kindergartens in cities and towns shall participate in the medical insurance for residents where the school is located. Insurance is organized by the school in a unified way, and in principle, it is insured as a whole.

(3) Migrant workers, short-term seasonal workers, employees in new forms of employment and other flexible employees who have difficulties in participating in employee medical insurance may participate in residents' medical insurance, but they may not be re-insured.

(four) within 90 days after the birth of the newborn, the guardian shall go to the medical insurance window of the newborn's domicile or residence township or community convenience service center to register and pay the basic medical insurance premium of the year of birth.

Second, the funding standard.

In 2023, urban and rural residents in the county will participate in residents' medical insurance, and individual contributions and financial subsidies will be combined. The individual payment standard is 350 yuan/person, and the financial subsidy funds at all levels are implemented according to the provisions of the higher authorities.

(1) Individual ordinary residents pay 350 yuan/person.

(2) individual payment standard for key personnel: the individual payment of the extremely poor personnel is fully funded by the finance; The minimum living security object and the monitoring object to prevent poverty return (i.e. unstable poverty-stricken households, poverty-prone marginal households and sudden severe hardship households) pay 87.5 yuan/person (financial subsidy 262.5 yuan/person); Individual contributions for stable poverty alleviation 175 yuan/person (financial subsidies 175 yuan/person). At the same time, those with the above-mentioned two categories and above will be subsidized according to the principle of high or low, and subsidies may not be repeated.

Third, the payment time.

The period for urban and rural residents to participate in centralized payment of basic medical insurance is from September 2022 10 to February 3, 20221day.

Fourth, the mode of payment

The basic medical insurance premium for urban and rural residents shall be unified by the government, coordinated by all parties and collected centrally. Take online and offline multi-channel and multi-way collection.

(1) Online payment channel. Payers can pay through Sichuan Electronic Taxation Bureau, WeChat, Alipay and tax-bank cooperative banks (Postal Savings Bank, rural credit cooperatives or rural commercial banks, Sichuan Tianfu Bank, Industrial and Commercial Bank of China, Agricultural Bank of China, China Construction Bank, etc.). ), such as mobile apps and self-service terminals.

(2) Offline payment channels. The payer can pay by swiping the card or scanning the code at the centralized collection point designated by the town (street), village (community) or school or at the counter of the tax-bank cooperative bank, or directly at the social security fee collection window of each tax service hall.

Urban and rural residents who paid for the first time and did not pay in the previous year need to go to the medical insurance handling window of the township (street) convenience service center where the household registration is located to apply for insurance registration before paying.

Verb (abbreviation for verb) enjoys treatment.

(1) If the insured pays the premium during the centralized payment period, the treatment period is 2023 10/day-February 2023 1 day. If the insured pays outside the centralized payment period, the waiting period for treatment is 3 months (medical expenses incurred after 3 months from the date of payment can be reimbursed).

(II) The payment standards for college graduates, ex-servicemen, ex-prisoners and people with new difficulties who do not meet the policy requirements after the centralized payment period and the treatment enjoyment period start will remain unchanged, and the treatment enjoyment period will last from the payment date to 65438+3 1 in February 2023.

(3) If the newborn pays the medical insurance premium of the year of birth within 90 days after birth, the treatment period is 65438+February 31from the date of birth to the date of birth; If the medical insurance premium of the birth year is paid for more than 90 days, the treatment period is from the date of payment to 65438+ February 3 of the birth year1.

(four) after June 30, 2023, the financial subsidies at all levels will be paid in full by individuals (except those that meet the policy requirements).

(five) after the insured enters the treatment enjoyment period, the individual payment part will not be refunded in principle. In case of death or repeated payment before the treatment enjoyment period, personal refund can be handled at the same time when the relevant residents' medical insurance participation relationship is terminated. The insured person shall apply to the tax department of the original place of payment, and apply for a refund after being audited by the medical insurance department.

Work requirements of intransitive verbs

(a) firmly hold the main responsibility. Insuring urban and rural residents is a major livelihood project, which has been included in the assessment of key objectives and tasks of governments at all levels. The village (community) committees should effectively improve their political positions, shoulder the main responsibilities, hold mobilization meetings in time, refine their tasks and innovate measures. The main leaders of the village (community) committees should personally grasp them, and other permanent cadres should do their best to pay for urban and rural residents' insurance. It is necessary to employ village (community) and village (community) cadres to go to households, give full play to the advantages of village community medical insurance service stations (points) and grid members close to the masses, and widely mobilize urban and rural residents to pay insurance premiums in families to ensure that the participation rate of ordinary residents reaches over 98% and that of key personnel reaches 100%.

(2) Strengthen publicity and guidance. Villages (communities) should make full use of dam meetings, village-to-village communication, electronic display screens, WeChat groups, cultural activities and posting notices in village groups and residential quarters in accordance with the overall requirements of "all insurance should be guaranteed", and extensively carry out publicity on urban and rural residents' participation in insurance, strive to achieve no blind spots and no omissions, and effectively improve the people's awareness of policies. It is necessary to implement the "double publicity" system for compulsory insurance, and sign a notice for those who voluntarily give up compulsory insurance.

(3) Strengthen coordination and cooperation. Relevant units in the town should take the initiative to carry out their duties, make overall arrangements, strengthen cooperation, and do a good job in the collection and payment of medical insurance for urban and rural residents. The town medical insurance office should do a good job in ensuring the medical insurance benefits of the insured, provide guidance and training to the village (community) medical insurance business personnel for urban and rural residents, and urge the village (community) to do a good job in medical insurance registration, information comparison and the implementation of the "double publicity" system; The town civil affairs office and the rural revitalization office should strengthen their business guidance to the grassroots, strictly identify key personnel, accurately push the information of key personnel, do a good job of comparing the data of key personnel's participation in insurance, mobilize the participation in insurance from point to area, and ensure that key personnel are fully insured; The office of the Town Commission for Discipline Inspection should follow up and urge the progress of the insurance payment work in various places, and notify the whole town of insufficient attention, poor promotion and poor completion.

(4) Strict receipt and payment discipline. Villages (communities) should standardize the collection agency behavior of centralized collection point staff and village (community) cadres, and prevent withholding premiums and bundling other fees to force a ride. In the process of insurance payment, if it is found that cadres defraud insurance money and damage the interests of insured persons, they will be investigated for serious responsibility according to discipline and law.