Hainan Province, Hainan Provincial People's Government On The Revision Of The Implementing Rules Of Regulation Of Urban Employee Basic Medical Insurance Decisions

Original Language Title: 海南省人民政府关于修改《海南省城镇从业人员基本医疗保险条例实施细则》的决定

Read the untranslated law here: http://www.chinalaw.gov.cn/article/fgkd/xfg/dfzfgz/201206/20120600369210.shtml

Hainan Province, Hainan Provincial people's Government on the revision of the implementing rules of regulation of urban employee basic medical insurance decisions

    (January 9, 2012, Hainan Province, the people's Government of the 72nd General session on January 10, 2012, Hainan Provincial people's Government announced order No. 236, come into force on the date of promulgation) provincial people's Government for decision of the basic medical insurance for urban workers in Hainan Province of the implementing rules of the regulations read as follows: First, article second paragraph is amended as: "no employees self-employed, not employers ' participation in basic medical insurance for non-full-time employees and other flexible employment personnel (hereinafter referred to as flexible employment) participating in basic medical insurance, insurance formalities in their personal capacity.

    ”

Second, second and third paragraphs of the fourth article is revised as follows: "employed in the town within the administrative area employers in the province of Taiwan, Hong Kong and Macau Chinese citizens among the residents shall, in accordance with the provisions of the Ordinance to have basic medical insurance. "Town in the administrative region of this province employers recruit foreigners according to law shall be in accordance with the regulations to have basic medical insurance. But has signed with the China social security bilateral or multilateral agreements state the nationality of the personnel in the province of employment, in accordance with the provisions of the agreement.

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Fifth Third, be modified to: "basic medical insurance registration and payment according to the following regulations:

"(A) the following units at the provincial social insurance agency for basic medical insurance registration, authorized payment amount, is imposed by the social insurance agency paid in Haikou city basic medical insurance premiums:

"1. in Haikou region directly under the Central Government, provincial authorities and institutions at or above the provincial level of the home, such as registration of private non-enterprise units, social organizations, foundations, law firms, accounting firms and other organizations; registered with the industrial and commercial administration departments at or above the provincial level enterprises, recruiting military forces of army staff unit.

"2. the railway and ocean shipping, trans-regional mobility, production of larger enterprises, voluntary at the provincial social insurance agencies participating in basic medical insurance and with the approval of the province, the social security administration.

"(B) employers in the Yangpu economic development zone in Yangpu, the social insurance agency for basic medical insurance registration, authorized payment amount, in the Yangpu economic development zone is imposed by the social insurance institution to pay basic medical insurance premiums.

"(C) any other employer in the host cities, counties, autonomous counties social insurance agency for basic medical insurance registration, authorized payment amount, is imposed by local social insurance institutions to pay basic medical insurance premiums. "(D) participating in basic medical insurance of flexible employment in the employment of the city or County, autonomous county social insurance agency for basic medical insurance registration, authorized payment amount, is imposed by local social insurance institutions to pay basic medical insurance premiums.

    ” Four, addition of an article, as the sixth article: "list of employer insurance practitioners in this unit should be public announcements, to social insurance institutions Declaration of the contribution base units total and the individuals contribution base should be separately signed by the legal representatives and employees confirmed.

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Five, add one, as the seventh: "contributory salary and contributions of the employers and their workers, by the social insurance agency in accordance with the provisions of the Ordinance for approval. "Social insurance agency is entitled to verify the employer's employee roster, payroll tables, basic insurance needs such as financial accounting and bookkeeping information, investigation and inspection charge units and individuals of the insurance payment, the payer entities and individuals according to law to punish violations.

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Article VI the sixth to eighth and amended as: "the insured depending on the period of contributions according to the following regulations:

"(A) before July 1, 2001, calculated in accordance with regulations of the State of a continuous length of service or working life, depending on the period of contributions.

"(B) flow across integrated areas provided the province above the county level organization, human resources and social security administrative departments or other authorized by the Department for a formal transfer procedures documentation, in accordance with the regulations before participating in basic medical insurance in line with State regulations seniority or length depending on the period of contributions.

"(C) Veterans participating in basic medical insurance according to state regulations, the military service period treated as a period of contributions.

"(D) the above six soldiers with disabilities before December 31, 2011, the calculation of continuous length of service or working years according to state regulations, depending on the period of contributions. "(E) farming systems the employer (not including administration and its affiliated institutions and companies) in China before December 31, 2008, the calculation of continuous length of service or working years according to state regulations, depending on the period of contributions.

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Seven, the eighth to tenth, is revised as follows: "employees shall not duplicate enjoy medical insurance, basic medical insurance for urban residents and new rural cooperative medical treatment. "Have participated in two or more basic medical insurance of an insured person, repeated access to the basic medical insurance fund to pay benefits, be recovered by the social insurance agency.

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Section eight, the tenth to 12th and amended as: "the insured employers in the province, unit to pay basic medical insurance rates for employees of the Unit 8% of their monthly wages, basic medical insurance for its employees pay rates for my monthly wage bill of 2%.

"In this province participated in the basic medical insurance of flexible employment personnel, according to the province's annual 6% pay monthly wage of employees on duty on basic medical insurance premiums.

"Months salary of employees of the employer more than the province's average monthly wage of employees on duty for the last year more than 300% part of the basic medical insurance for employers and their workers are no longer paid. "In this province, the basic medical insurance for employers and their workers, flexible employees pay basic medical insurance rates, by provincial Social Security Administration Department, in conjunction with the provincial Finance Department within the range prescribed in the Ordinance, according to the province's annual wages of employees on duty changes and basic medical insurance fund balance is proposed adjustment programme, submitted to the provincial people's Government for approval later.

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    Article nine, the 11th to the 13th, and the article in the "paragraph" is amended as "fourth".

    Ten, the 12th to 14th, and this article in the "integrated region where the average monthly wage of fully employed staff" is amended as "the average monthly wage of employees on duty in the province."

    Article XI the 15th to 17th, and the deletion of the article "before May 31, 2009." 12, the addition of an article, as the 18th: "receiving unemployment insurance personnel participating in basic medical insurance payment years and unemployed participating in basic medical insurance payment years before accumulated, and since the month of payment of insured, according to the regulations of the corresponding basic medical insurance benefits, no longer qualify for medical benefits paid by unemployment insurance benefits. Enjoy the treatment period for the term of receiving unemployment insurance compensation.

    ” Under article 13, the 16th to 19th and amended as: "after the location of the insured is imposed by the social insurance agency and the social insurance institution, the social security administration and finance departments, has confirmed, it is unable to pay basic medical insurance in China difficult units, in their individual capacity to participate in the basic medical insurance, or after the provincial Government agreed to participate in the basic medical insurance for urban residents.

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Article 14, the 17th to 20th, is revised as follows: "participating in basic medical insurance in this province, accounted for in the way of personal account funds for:

"(A) the employer employee basic medical insurance premiums paid by individuals (including unemployment insurance fund for workers basic medical insurance premiums paid by personal contributions) all included in my personal account.

"(B) the basic medical insurance premiums paid by employers (including unemployment insurance fund for the unemployed to pay basic medical insurance premiums companies pay part of) the proportion of funds to personal accounts from social security administration authorities and the financial sector in the province within the regulations, in accordance with the provisions of the Ordinance and propose specific percentage of income and expenditure of the Fund, submitted to the provincial people's Government to determine. "The preceding paragraph (b) the provision of funds to personal accounts, under 30 years of age and 30 years of age until the age of 39 years, 40-49 years, 50 years to the statutory retirement age, compulsory retirement age to 69 years old and 70 years of age, authorized money counted towards the quota. Higher age groups insured by the insured individual account funds should be more than low ages. Annual Fund allocation of individual accounts, formulated by the province, the social security administration in conjunction with the provincial Finance Department, submitted to the provincial people's Government for approval before implementation.

    ” Section XV, the 20th to 23rd, and modify the second paragraph to read: "paid inclusion and manpower Fund clinic treating disease diseases and pay standards, by the social security administration of the province in conjunction with the financial and administrative departments of public health.

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Under article 16, the 21st to 24th and amended as: "the personnel participating in basic medical insurance in this province, and enjoy the benefits of funds paid in accordance with the following standards: "(A) the standard of paying funds. When they enjoy the funds to pay for treatment for the first time, standard of paying employees is 800 Yuan; retirees to 600 Yuan.

When it was again enjoying the solidarity fund to pay for treatment, no further payment standards.

"(B) Solidarity Fund annual cumulative maximum limit of 260,000 yuan.

"(Three) practitioners in up pay standard above, and highest paid limit following medical of share proportion for: in level medical institutions medical of, and manpower Fund paid proportion and personal burden proportion respectively is 90% and 10%; in two level medical institutions medical of, and manpower Fund paid proportion and personal burden proportion respectively is 88% and 12%; in three level medical institutions medical of, and manpower Fund paid proportion and personal burden proportion respectively is 85% and 15%.

"(D) retirees from the film fund 90%, born 10%. "Year of the basic medical insurance fund to pay standards, annual maximum limit and medical expenses proportion, by the social security administration of the province in conjunction with the provincial Finance Department within the range prescribed in the Ordinance, according to the province's annual wages of employees on duty changes and basic medical insurance fund balance is proposed adjustment programme, submitted to the provincial people's Government for approval before implementation.

    ” 17, the 22nd to 25th and amended as: "artificial organs, placed in the body material, disposable medical supplies, pool fund quotas paid, specific criteria by the social security administration of the province in conjunction with finance, development and reform, and health and other departments.


    18, the addition of an article, as the 40th: "cross-province long-distance medical treatment and settlement and the specific measures formulated by the province, the social security administration authorities and the provincial financial department. "The provincial social insurance agencies according to the provisions of the preceding paragraph approach with other provinces, autonomous regions and municipalities directly under the social insurance agencies, offsite medical cooperation agreement signed and submitted to the provincial social insurance administration departments.

    ” Article 19, the 38th to 41st and amended as: "social security card is administered in the personal accounts. Specific management measures shall be formulated separately by the Social Security Administration Department of the province.

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    20, by deleting section 40th.

    Section 21, by deleting the 41st.

    22, will be the basic medical insurance for urban workers in Hainan Province in the rules for the implementation of other provisions of the Bill "social security administration" is amended as "social security administration", "accounts" is amended as "account", "employee" is amended as "in-service practitioners."

This decision shall come into force as of the date of. Implementing rules of the basic medical insurance for urban employees, Hainan Province, corresponding amendments shall be made according to this decision, republished.