Job Recruitment Website - Social security inquiry - What are the five risks?

What are the five risks?

Do you mean the five risks in social insurance? Refers to the basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance. Enjoy pension insurance benefits. Pay endowment insurance 15 years or more and reach the legal retirement age: 1, you can enjoy endowment insurance benefits. Receive the basic pension according to the regulations on a monthly basis until death. 2. Death treatment. (1) Funeral expenses (2) One-time pension (3) Subsidies for immediate family members who meet the support conditions are paid monthly until the immediate family members who support them die. Note: Endowment insurance should be paid continuously as far as possible. According to the relevant documents, if the enterprise or the insured pays the basic old-age insurance premium intermittently (except those who are unemployed or fail to pay according to the relevant regulations during the period of receiving unemployment insurance benefits), the insured meets the conditions stipulated by the state for receiving pensions. When calculating the basic pension, the calculation base of the basic pension is pushed forward year by year to the average salary of employees in this city in the corresponding year according to the cumulative intermittent payment time (every 12 months of the cumulative intermittent payment time is counted as an intermittent payment year, and the shortage of 12 months is not counted). Medical insurance benefits 1, outpatient and emergency medical expenses in the year of employees (1 day) 2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan. 3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate; 4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application Form for Special Diseases of Beijing Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement; 5. Hospitalization ● Hospitalization deposit: For insured persons who meet the hospitalization conditions, the hospital will collect part of the deposit of the insured persons when they are hospitalized, and the amount of the deposit will be determined by the hospital according to the condition. If the dispatched personnel unit and the insured fail to pay the medical insurance premium in full and on time, the hospitalization deposit shall be paid in full by the dispatched personnel; ● Settlement period: every 90 days of hospitalization of insured persons is a settlement period; No more than 90 days, each hospitalization is a settlement period; ● Medical expenses incurred by patients with malignant tumor after outpatient radiotherapy and chemotherapy, renal dialysis and renal transplantation taking anti-rejection drugs, as well as mental patients who need to be hospitalized all the year round, shall be settled every 360 days; ● The medical expenses incurred by the insured for family sickbed treatment in designated community health service centers (stations) shall be settled once every 90 days; ● When the insured is discharged from the hospital or at the end of the treatment stage, it is necessary for the dispatched personnel to settle with the hospital the expenses that should be paid by the dispatched personnel at their own expense and out of their own pocket, and the medical expenses that should be paid by the basic medical insurance pooling fund and the large medical mutual fund should be reported by the hospital to the medical insurance center for review and settlement; ● When the insured person is hospitalized, he shall set the settlement method of medical expenses within the scope stipulated by the basic medical insurance, and set the deductible line and the maximum payment limit of the basic medical pooling fund; ● The first hospitalization of the deductible line 1.300 yuan, and the later hospitalization in 650 yuan, with a maximum payment limit of 50,000 yuan; For the part exceeding the maximum payment limit (excluding the part below Qifubiaozhun and the personal burden of the dispatched personnel), 70% will be paid by the mutual fund for large medical expenses, and 30% will be borne by the dispatched personnel. The maximum compensation for one year is 654.38+10,000 yuan. According to the hospital level and the amount of expenses in a settlement period, the settlement standard of hospitalization expenses is calculated by stages and paid cumulatively. (When the proportion is adjusted, the new standard should be applied. Note: Medical insurance is exempt from non-public traffic accidents. Unemployment insurance in unemployment insurance benefits has been paid continuously for more than 1 year, and the files are returned to the street. You can enjoy unemployment insurance benefits in the street. 1. Unemployment insurance: refers to the basic living expenses paid by the unemployment insurance agency to eligible unemployed people according to regulations, which is the most important unemployment insurance benefits. Unemployment insurance benefits shall be implemented according to relevant documents of Beijing; 2. Medical subsidy during the period of receiving unemployment insurance benefits: refers to the subsidy for medical expenses incurred by the unemployed during the period of receiving unemployment insurance benefits. According to relevant policies and regulations of Beijing; 3. Funeral subsidies for unemployed people who died during the period of receiving unemployment insurance benefits and pensions for their spouses and immediate family members shall be implemented in accordance with relevant regulations. In the event of an accident during the contract period, it is necessary to ask the enterprise for a description of the situation and affix the official seal of the enterprise, and apply for work-related injury identification as soon as possible (preferably within three working days). The following materials are required: 1, proof of initial treatment and diagnosis or hospitalization medical records; 2. Occupational disease diagnosis certificate (one original and one copy each); 3. If there is a traffic accident, provide a traffic brigade accident award or a traffic accident confirmation from the traffic department; 4. Copy of ID card; 5. The original labor contract within the validity period can be reimbursed for maternity-related expenses, including maternity allowance, maternity medical expenses, family planning surgery medical expenses, and other maternity-related expenses stipulated by the state and this Municipality. Maternity allowance is calculated according to the payment base of the month when female employees give birth divided by 30 and multiplied by the number of days of maternity leave. Maternity allowance is the salary of female employees during maternity leave. If the maternity allowance is lower than my salary standard, the difference will be made up by the enterprise. Maternity medical expenses include medical examination expenses, delivery expenses, operation expenses, hospitalization expenses and medicine expenses incurred by female employees due to pregnancy and childbirth. The medical expenses of family planning operation include the medical expenses incurred by employees due to family planning. Now it is required to pay medical insurance for 20 years, pay pension 15 years to qualify for pension, and enjoy medical insurance reimbursement after retirement.