Job Recruitment Website - Social security inquiry - It doesn't matter how long the medical insurance can be cut off.
It doesn't matter how long the medical insurance can be cut off.
Medical insurance can be broken for three months;
1. No more than three months after the interruption: if the medical insurance of the insured is interrupted for no more than three months, the insurance period of the medical insurance will not expire; After that, you can continue to pay medical insurance fees, and the time before and after the interruption is combined.
2. Out of coverage for more than three months: If the insured's medical insurance has been out of coverage for more than three months, then the insured can only re-enroll.
After the medical insurance is broken off, the amount paid in front is not clear, and the payment period is not clear.
Although it will not be cleared directly after the gear is broken, if it takes too long, it will definitely affect the normal use of our medical insurance; If conditions permit, it is best to make up medical insurance.
What is the impact of breaking off medical insurance halfway?
1. If the insured fails to pay the medical insurance premium in full and on time as required, he will stop enjoying the medical insurance benefits from the month when he never paid it in full and on time.
2. If the payment is continued after the interruption, it must be based on the average salary of local employees in the previous year at the time of payment, and all the arrears during the interruption period shall be filled. Overdue time is included in the continuous payment time, but you can't enjoy the treatment of pooling funds during the overdue period;
3, the insured to suspend the enjoyment of medical insurance benefits within 60 days (including 60 days), continue to pay medical insurance premiums, from the next month to enjoy the benefits of the overall fund to pay;
4. Medical insurance benefits are suspended for more than 60 days to 180 days, including 180 days. If medical insurance is paid back, it will be counted from the month of payment, and after 3 months, it will enjoy the benefits paid by the overall fund;
5. If the medical insurance benefits are suspended for more than 180 days and the medical insurance premium is paid back, it will be calculated from the month of payment and enjoy the treatment paid by the overall fund after 6 months. If the payment is not made after the interruption, it will be regarded as re-participation in medical insurance, and the payment time before the interruption will not be included in the continuous payment time.
To sum up, medical insurance can be cut off for up to three months, and those who exceed three months can only re-participate. The medical insurance enrollment period will not expire: if the insured person is interrupted for less than 3 months in the medical insurance year (July 1 day of the current year to June 30 of the following year), the insurance can be renewed, and the continuous enrollment time before and after the interruption is combined (continuous payment). If it is more than 3 months, he can only re-enroll.
Legal basis:
Article 27 of People's Republic of China (PRC) Social Insurance Law
Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
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