How to apply for social security holdover?

The application process of social security holdover is as follows:

1, eligible enterprises apply to the insurance agency, and the agency will examine and determine the payment ability and conduct preliminary examination, and the municipal social security center will summarize and review it, and then report it to the municipal human resources department for examination and approval;

2. During the epidemic prevention and control period, all online applications will be implemented. Eligible enterprises, before the 20th of each month, fill in the Application Form for Holding Over Social Insurance Fees for Small and Medium-sized Enterprises due to Epidemic, build official seals, generate a PDF version, and apply to the social insurance agency that collects social insurance fees by email or mail. Among them, those who pay social insurance premiums in counties shall apply to the county social insurance agencies and report to the municipal social insurance agencies;

3 enterprises that pay social insurance premiums in the municipal social insurance agencies shall report directly to the municipal social insurance agencies.

The difference between social security one two three crotch is as follows:

1, the principle of medical treatment is different:

(1) The first-level insured person goes to any designated medical institution in the city for medical treatment;

(2) Filing the insured, the outpatient service is treated in the bound community health service center, the hospitalization is treated in any designated medical institution in this city, and the outpatient service is seriously ill in the prescribed medical institution;

(3) Three-level insured persons shall seek medical treatment in the outpatient department of the bound community health center, and seriously ill inpatients and outpatients shall seek medical treatment in the prescribed medical institutions.

2, general outpatient treatment is different:

(1) Class I enrollment: Personal account is used to pay the medical expenses within the scope of the insured's general outpatient medical insurance catalogue. The personal account of the basic medical expenses of community health centers pays 70%, and the overall fund pays 30% according to the regulations;

(2) Second Insured/Third Insured:

Belong to class A drugs and class B drugs, respectively, by the community outpatient fund according to the proportion of 80% and 60% payment; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-grade and third-grade insured within a medical insurance year shall not exceed 1000 yuan.

3, hospitalization is different:

(1) First-class insured: 95% or 90% of the basic medical expenses and local supplementary medical expenses above the deductible line shall be paid as required.

(2) Second-class insured/third-class insured: you can be hospitalized in the settlement hospital bound to the social rehabilitation center, or you can refer to the designated hospital through the settlement hospital. The reimbursement rates of basic medical expenses and local supplementary medical expenses above the hospitalization deductible line are: 85% in first-class hospitals, 80% in second-class hospitals and 75% in third-class hospitals.

Legal basis: Article 7 of People's Republic of China (PRC) Social Insurance Law.

The administrative department of social insurance in the State Council is responsible for the national social insurance management, and other relevant departments in the State Council are responsible for the relevant social insurance work within their respective functions and duties.

The social insurance administrative department of the local people's government at or above the county level shall be responsible for the social insurance management within its administrative area, and other relevant departments of the local people's government at or above the county level shall be responsible for the relevant social insurance work within their respective functions and duties.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.