(Adopted at the 82th ordinary meeting of the Government of the fertilities of 5 May 2011 by Decree No. 157 of 11 May 2011, published from 1 July 2011)

Chapter I General

Article 1, in order to regulate the basic health insurance relationship of the workers in the town, preserve the legitimate rights and interests of the insured units and individuals, guarantee basic medical care for the workers, raise the level of health for the workers, develop this approach in line with the provisions of the Social Insurance Act of the People's Republic of China, the State Department's Decision on the establishment of a basic health insurance system for urban workers.

Article 2, this approach applies to the supervision of the basic health insurance for urban workers within the city area.

The following units and personnel within the city area shall participate in the basic health insurance for their workers in the city, in accordance with the provisions of this scheme:

(i) National organs, enterprises, utilities and their employees;

(ii) Social groups, civil service units and their employees;

(iii) Retirement in accordance with national provisions in the user units participating in the basic health insurance for workers in the city, in accordance with this approach;

(iv) Other personnel who, according to the provisions, should participate in the basic health insurance for their workers in the city.

Individual businessmen with no-employed workers at the town level of this city, non-time practitioners who do not take part in the basic health insurance for the workers in the town, as well as other flexible employment personnel (hereinafter referred to as flexible employed persons) may participate in the basic health insurance for their workers in the town.

Article 3 is implemented through the participation of persons units and individuals in basic health insurance in the city in accordance with the principle of territorial management.

Article IV. The municipal labour security administration is the competent authority for the basic health insurance of workers in the city, whose health insurance agencies are specifically responsible for the basic health insurance of urban workers.

The relevant sectors such as health (pharmament), finance, levies, prices and auditing are responsible for the work related to basic health insurance for urban workers within their respective responsibilities.

Article 5

Article 6. The owner's unit and individuals have the obligation under the law to pay the basic medical insurance expenses of the worker in the town, who are entitled under the law to the basic medical treatment of the workers in the town.

Chapter II

Article 7. The user unit shall, within thirty days of the date of the establishment of the medical insurance institution and the local tax sector, conduct registration procedures and obtain social security cards for its employees within thirty days of the date of work.

Flexible workers who voluntarily participate in the basic health insurance of the urban workers should apply to the social insurance agencies for the registration of social insurance, pay the basic medical insurance expenses of the urban workers and receive social security cards.

Article 8

(i) The total annual salary of all employees in this unit shall be paid at a rate of eight per cent for the period from 1 July to 30 June, as a unit pay base for the period from 1 July to 30 June;

(ii) The average monthly salary of the individual worker as the personal contribution base for the period from 1 July to 30 June of the previous year, as at 2 per cent;

(iii) The number of contributions paid by the user unit shall not be less than the total amount of the unit's personal contributions;

(iv) The personal contributions base for the employee is less than 60 per cent of the average monthly salary for the full-time active employee, calculated at 60 per cent per cent per annum; more than three hundred per cent, excluding the contributions base;

(v) In addition to or decrease the number of participants, the unit and the personal contributions base are adjusted and determined in accordance with the actual salary of the individual and should be in compliance with the relevant provisions of paragraph 3, IV.

The newly established unit is insured and the number of contributory units and employees is determined in accordance with the actual salary of the employee and should be in line with the relevant provisions of the previous paragraph.

Flexible employed persons pay the basic medical insurance expenses of their urban workers at a rate of 10 per cent in the last year of their pay for the average monthly salary of their full-time workers, and the former unemployed have been able to voluntarily choose to pay the basic medical insurance expenses of their workers in accordance with 10 per cent or 6 per cent.

The total salary of the employee is calculated in accordance with the statistical calibre established by the State.

Article 9. units established prior to the establishment of the basic health insurance system for the urban workers in Japan in December 2002 shall participate in the basic health insurance for the urban workers effective 1 December 2002; after the above-mentioned time, the basic medical insurance for the urban workers shall be paid at a rate of 6 per cent of the total pay base for the period from 1 December 2002 to 1 December 2002.

The unemployed persons were registered by 30 April 2003 and the basic health insurance for the workers of the town should take place since May 2003 or when they took place, pay the basic medical insurance expenses for the workers of the town; and the unemployed were registered after 30 April 2003 (including that date) and should cease the month of receipt of the unemployment insurance or receive the basic medical insurance for the workers of the town. After the above-mentioned time, the basic medical insurance for the workers of the town may be paid at a rate of 6 per cent of the contributory base at the time of the repayment, in accordance with the rate of 6 per cent, to the basic medical insurance of the urban worker for the period from the basic medical insurance of the workers.

The payment period does not enjoy basic health insurance treatment.

Article 10 In conjunction with the basic health insurance for the workers in the town, the insured person shall participate in the medical care insurance and pay the medical insurance premium in accordance with the prescribed standards.

The medical assistance premiums for active workers and retirees in the unit are borne by the unit; the unit's in-service health insurance contributions are paid on a monthly basis and are paid by a unit for a period of 20 years at the time of the mandatory retirement age. Persons who have received medical treatment prior to the implementation of this scheme shall be paid by a unit for a one-time payment of the remaining annual medical insurance contributions.

The medical assistance rate for flexible employed persons is paid by individuals in conjunction with the payment of basic medical insurance expenses for urban workers; in the event of the mandatory retirement age, the individual should pay a one-time medical insurance premium for the twentieth year.

Article 11. The Medical Relief Fund is dedicated to paying more than the maximum amount paid by the Integrated Fund in the context of basic health insurance. The Medical Relief Fund is administered by the municipal health insurance agency and may also be administered by commercial insurance companies in accordance with the law.

The balance of payments of the Medical Relief Fund is governed by the principle of “relevant receipt and balance of payments”.

The municipal labour security administration can adjust the standards of medical insurance premiums in accordance with the actual situation of the Medical Relief Fund, after approval by the municipal government.

Article 12

(i) Agencies, social groups units are charged with social security payments that are recurrent;

(ii) The treasury unit is charged from the social security fee incurred by the cause;

(iii) Enterprise, civil service non-commercial units are charged from the employee welfare fee;

(iv) The basic health insurance expenses to be paid by the unemployed person during the receipt of the unemployment insurance scheme are charged from the unemployment insurance fund;

(iv) The payment of basic medical insurance expenses for the worker's workers from the employee's salary.

Article 13

The user units shall be paid in accordance with the amount of the medical insurance expenses to be paid by the medical insurance agency, in accordance with the monthly payment to the tax sector.

Article 14.

Chapter III Integrated Funds and Individual accounts

Article 15. The basic health insurance rate for urban workers paid by a person's unit and individuals constitutes the basic health insurance fund for urban workers.

The Basic Medical Insurance Fund for Town Employers is divided into the Integrated Fund and Personal Accounts Funds, which should be accounted for separately, managed separately, and may not be marginalized.

Article 16 Sources of the Integrated Fund include:

(i) The total amount of all insured persons units and personal contributions in the integrated area shall be deducted into the remainder of the individual accounts fund;

(ii) Social contributions;

(iii) Bank interest;

(iv) lauruna;

(v) Financial subsidies;

(vi) Other.

Article 17

(i) A person's unit and a worker's worker's worker's basic health insurance fee is all transferred to the personal accounts of the worker's health insurance.

(ii) The basic health insurance fee for the worker in the town, which is paid by the user's unit, may be transferred to the personal accounts of the employee's medical insurance in proportion to the different proportions, or to the establishment of the General Medical Integration Fund.

Prior to the absence of a general treatment system, the basic health insurance fees paid by the user's units are transferred to the personal accounts of the employee's medical insurance in accordance with the following provisions:

Unless than forty-five years of age, a 100 per cent of the employee's contributions base was transferred according to the employee's own pay base; over the age of forty-five years, five per cent of the employee's own contribution base.

Retires with basic health insurance treatment are classified into four per cent of the average monthly salary of their employees in the region.

(iii) Flexible employment personnel pay basic medical insurance expenses for their urban workers at a rate of 10 per cent, and, before the general treatment integration system was not established, they were transferred to the personal account in accordance with three-points of the contributory base.

Flexible workers do not have a medical insurance personal account in accordance with the six-point proportion of their basic health insurance payments.

The principals and interest in the personal accounts of the health insurance are owned by the individual for medical expenses incurred by him and cannot be diverted.

The personal accounts of the medical insurance are counted on the interest rate of deposit for the same period.

Chapter IV Basic health insurance treatment

After the payment obligations of a person's unit and a worker, the individual of the employee received the basic health insurance treatment from the previous month. Employees' units and workers are not paid in full and on time, and workers are not entitled to basic health insurance treatment, and the medical expenses incurred during the period are borne by the user's units in the light of the basic health insurance policy; the payment of contributions by the user's units and employees shall be paid in accordance with the provisions, and the payment period shall not be treated with basic health insurance.

Flexible workers received basic health insurance treatment for urban workers after having paid their contributions in full for a period of six months. Of these, the unemployed were admitted to the basic health insurance treatment of the urban workers in a continuous manner, after the expiry of the unemployment insurance scheme, in a flexible employment capacity or in full payment.

Flexible workers should pay their basic health insurance costs in full monthly. Removal of contributions for a period of six months is to be sustained in order to compensate for the basic health insurance costs incurred during the break-down period, which can be recovered to the basic health insurance benefits of the urban worker; and the payment of the basic medical expenses incurred during the interruption shall be calculated on a cumulative basis by the flexible employed person. Removal of the payment for more than six months has been sustained, and the return to the basic medical treatment of urban workers for a period of six months after the end of the maintenance of insurance, the cumulative calculation of the payment of basic health insurance for urban workers, the cost of medical expenses incurred during the interruption and the payment of flexible employment personnel.

In accordance with article 20, the insured person is entitled to the basic health insurance treatment of retired persons for 25 years of age and 20 years for a cumulative pay period of up to 25 years for men. The age of work recognized by the State by 1 December 2002 or the period of payment for basic old-age insurance payments are considered to be the same time limit as the payment of the basic medical insurance expenses of the urban workers.

When the insured person conducts the retirement process, the cumulative payment period is less than the amount of the pay and shall be payable on a one-time basis. Of these, due to the inadequacy of contributions due to the use of a person's unit, it is the responsibility of the user unit to supplement it. Payments are calculated on the basis of six per cent of the average salary of the occupants at the time of retirement at the time of the insured person, and all the contributions are charged to the Integrated Fund. The payment period does not enjoy basic health insurance treatment.

Article 21 The insured person shall be entitled to basic health insurance treatment by having his or her social security card to the targeted medical institution in the city.

The medical expenses incurred in medical treatment and inpatient care are covered by the personal self-payments portion of the basic medical insurance for the workers in the town, which is paid by their medical insurance personal accounts and is not paid in part.

The personal accounts of the insured person may also be used for pharmaceuticals and medical equipment within the scope of the purchase of the purchase of the supply of the pharmacies.

Article 23. Medical expenses incurred at the time of the hospitalization of the insured person are covered by the Integrated Fund.

At this city level and at the secondary and tertiary hospitals, the standard for the payment of the Fund was $25,4 hundred and six hundred, respectively; in the same natural year, more than two times the standard of payment for the second integrated fund was $10, $25,100, and X, respectively. The medical costs below the standard of payment are paid by the individual insured persons.

More than the standard of payment for the Integrated Fund exceeds the maximum payment limit, which is shared by the Integrated Fund and individuals. The proportion of individuals covered is 10 per cent of the three-tier hospitals, 8 per cent in secondary hospitals, 6 per cent at the level and 6 per cent in the following hospitals; and the number of retirees and active workers up to 30 years of service; and the proportion of individuals. The Fund has a maximum payment limit of US$ 5 million over a natural year.

The standard of payment for the Integrated Fund and the maximum payment limit for a natural year are adjusted by the municipal labour security administration in accordance with the levels of economic development in the city.

Article 24

The costs incurred by participating in the use of opioid drugs at the time of hospitalization are paid in accordance with the provisions of the basic medical insurance for the urban workers.

The costs incurred by the insured person in using a subcategories of medicines and the medical treatment projects, medical facilities services that fall within the scope of the payment of basic medical insurance for the urban workers should be paid by the insured person for a portion of the remaining portion, in accordance with the provisions of the basic medical insurance for the workers.

The proportion of the expenses incurred in the medical treatment projects, medical facilities services, which are covered by the basic medical insurance payments for the workers in the town, is determined by the municipal labour security administration.

Article 25 Medical expenses incurred are combined in the form of hospitalization by the insured person's emergency medical care agency outside the scope of the city.

Unless the Integrated Fund for Medical Costs is not paid, it should be sent within three days of the entry into the compound (no holidays).

Medical expenses incurred in emergency, rescue, retention, and access to the hospital treatment are paid by a patient or by the unit in which medical care is closed for a period of 30 days after the end of the medical period, by the patient or his close relatives to the IMS;

Article 26

The medical costs incurred in referrals to differentiation hospitals are paid by a patient or by the head of the unit, within thirty days of the end of the medical treatment, settled by a patient or his close relatives to the municipal health insurance agency; expenses incurred in the context of the basic health insurance in the city are paid by a person for 10 per cent, with the remainder being settled in accordance with the standard of hospitalization at the third level of the city.

The Integrated Fund is not paid without the consent of the municipal health insurance agency.

Article 27, who is in possession of the prescribed illness, is subject to a request for medical treatment by the municipal health insurance agency, which is jointly organized by the CSA and is treated by the participant in a natural year. In a natural year for medical treatment, the medical costs are treated in excess of the standard portion of the Integrated Fund, which is settled by the insured person and the targeted medical institution.

Article 28, whose work is required for more than one year of continuous work outside the scope of the city, may apply for the treatment of the basic health insurance of the urban workers.

After the retirement of the insured person, permanent residence outside the scope of the city may apply for the treatment of the basic health insurance of the urban worker.

Article 29 shall not be subject to the following acts of deceiving the basic health insurance treatment of urban workers or of a basic health insurance fund for urban workers:

(i) The use of false identity certificates or the construction of labour relations to participate in the basic health insurance for urban workers;

(ii) Screening with hospitals to cover inpatients that do not meet the standards of hospitalization;

(iii) The transfer of social security cards to others;

(iv) Social security cards that are forged or used by others;

(v) Failing, singlingering medical bills and medical instruments, the capital health insurance fund for malfeasing and taking off-headed urban workers;

(vi) Removal of medicines, medical kits and medical materials paid by the Integrated Fund for Basic Medical Insurance of Town Employers;

(vii) Recurrent participation in basic health insurance in different integrated areas;

(viii) Other sets of basic health insurance funds for urban workers.

Article 31 shall not be subject to the following acts of deceiving the basic health insurance treatment of urban workers or of a basic health insurance fund for urban workers:

(i) The inclusion of persons not covered by the basic health insurance coverage of urban workers in the basic health insurance coverage of urban workers;

(ii) Structural labour relations and the basic health insurance for urban workers for sick persons who are completely or most of the victims of labour capacity;

(iii) Provision of false material resulting in loss of the basic health insurance fund for urban workers;

(iv) Other acts resulting in loss of the basic health insurance fund for urban workers.

Article 31 Medical expenses incurred by the insured person in the following circumstances shall not be paid by the Integrated Fund:

(i) Damage caused by work;

(ii) Female workers;

(iii) Medical care outside the country;

(iv) Transport accidents, medical accidents, etc., should be borne by third parties;

(v) The burden of public health should be borne by public health.

Medical costs should be borne by third parties in accordance with the law, and third parties are not paid or unable to determine third parties, paid by the Integrated Fund and are entitled to seek compensation to third parties after the Fund began payments.

Chapter V Management of basic health insurance services

The basic health insurance for urban workers is governed by medical institutions and retail pharmacies.

The targeted medical institutions and retail pharmacies are reasonably determined by the municipal labour security administration in accordance with the principles of reasonable B, total control, selection, agreement management.

The new customized retail pharmacies were established through tendering. Specific approaches are developed by the municipal labour security administration with the municipal health administration authorities.

In the context of this urban area, medical institutions authorized by the health administration and obtained the Medical Agency's Licence, as well as military medical institutions authorized by the military authorities and eligible for external services in the case of the health administration, may be granted to the municipal labour security administration for the eligibility of the medical establishment for basic medical care for the workers.

The basic health insurance services for urban workers can be employed after the confirmation of compliance and the agreement with the municipal health insurance agency.

Article 34 quantified medical institutions have been revoked by the health administration authorities of the licence for the operation of the medical agency and the final medical service agreement is automatically terminated.

Changes in the address of targeted medical institutions, separations, mergers, commissioning or being cancelled, closures are automatically terminated.

The names of targeted medical institutions, the subject matter of treatment and changes in the major medical treatment project, the user, the bed or the hospital hierarchy shall be subject to written changes in requests, changes in data original and photocopy, within thirty days of the processing of changes by the health administration authorities.

Article XV should comply with the following provisions:

(i) Establish specialized health insurance management and health insurance windows;

(ii) The use of a unified health insurance mark;

(iii) Execution of walls, medical treatment, sale, vouchers, referrals, a drug-using service system and provision of medical day-to-day search services;

(iv) Implementation of the directory of essential medical insurance for urban workers, therapeutic projects, the scope of medical services facilities and the payment standards;

(v) Distinction, reasonable inspection, reasonable use of medicines and reasonable fees;

(vi) Exclusive medical accounting and management.

Article 36 quantified medical institutions and their staff shall not be subjected to the following acts in the delivery of basic medical services for urban workers:

(i) Incorporate medical costs for persons who are not eligible for basic medical insurance treatment for urban workers in the coverage of the basic health insurance fund for urban workers;

(ii) Incorporating costs outside the payment of the Basic Medical Insurance Fund for Town Employers into the coverage of the Basic Medical Insurance Fund for Town Employers;

(iii) In violation of the regular nature of clinical treatment techniques, the hospitalization of patients who are not subject to a medical examination or are incompatible with accommodation;

(iv) In violation of the regular nature of clinical treatment techniques, a continuing inpatient treatment process will be divided into two or more inpatient hospitals;

(v) The use of false propaganda, or the inpatientation of insured persons by means of commitments that relief should be paid by individuals, the provision of cash, in kind;

(vi) In violation of the hospitalization management provisions established by the health administration authorities, inpatient procedures have been taken but the patient is not allowed to receive treatment;

(vii) Failing medical instruments;

(viii) Restatement of medical costs;

(ix) Inpatient hospitalization with patients;

(x) Medical will be incompatible with actual inspection, treatment and inspection, treatment and treatment;

(xi) Violations of family planning or price management provisions;

(xii) Other acts of fraud or of a basic health insurance fund for urban workers.

With the signing of a targeted medical treatment agreement with the municipal health insurance agency, the retail pharmacies may engage in the basic health insurance services of the urban workers.

The fixed-point retail pharmacies may be resigned after the expiry of the mandatory medical service agreement during the targeted medical service agreement.

Article 338 retail pharmacies should be equipped with specialist (and) supervisors and ensure the availability and quality of basic medical care for urban workers, control the cost of pharmaceutical services and facilitate access to pharmacies.

Article 39 of the customized retail pharmacies and their staff shall not be subjected to the following actions in the delivery of basic medical services for the urban workers:

(i) The distribution of ( sold) medicines by prescription;

(ii) The sale of commodities that are not covered by the individual accounts of health insurance for medicines and medical equipment that fall within the scope of the payments of the individual accounts;

(iii) Provision of personal accounts for insured persons;

(iv) Other sets of basic health insurance funds for urban workers.

Article 40 The municipal health insurance agency should regularly publish the list of medical and retail pharmacies that are eligible for entry.

The targeted medical institutions and the retail pharmacies should fly the targeted brands of the uniform format.

Chapter VI

Article 40 of the Basic Medical Insurance Fund for Town Employers is incorporated into the Financial Excellence of the Social Security Fund, with two line managements of income and expenditure, dedicated to funds and no units and individuals may be diverted.

Article 42 The municipal health insurance agency and the targeted medical institutions carry out medical expenses in accordance with the principle of “relevant and balance-of-payments” and, in due course, the municipal government subsidy.

Article 43 imposes a predetermined system and the financial accounting system of the Social Insurance Fund.

The municipal health insurance institutions should establish an integrated fund overrun early warning reporting system. When the Integrated Fund takes over common expenditure, the IMS should carefully analyse the causes, propose preventive measures and report to the municipal labour security administration and the municipal government in a timely manner.

Article 44, when the basic health insurance fund for urban workers was raised during the year, was paid at the rate of the life-saving term; the last year's surplus fund was relocated to the bank's deposit interest rate at three months; the deposit funds deposited into the financial exclusive recipient of the Social Security Fund were deposited with the payment of the savings interest rate, which was not less than the amount of the post interest rate.

Article 42 of the municipal labour security administration and the fiscal sector are responsible for the supervision of the basic health insurance fund for urban workers, and the municipal audit department is responsible for auditing the payments and management of the basic health insurance fund for urban workers in the health insurance offices and targeted medical institutions.

The Social Insurance Fund Supervisory Committee established by law carries out social oversight of the Basic Medical Insurance Fund for Town Employers.

The municipal health insurance agencies should regularly publish the collection and use of basic health insurance fees for the workers in the town and the integrated fund.

Chapter VII Legal responsibility

Article 46 does not pay in full and on time the basic medical insurance expenses of the workers in the town, which is paid by the Medical Insurance Agency for a period of limitation or replenishment and receive a five-year lag from the date of payment, and whichever is less than three times the amount paid by the municipal labour security administration.

Article 47 quantify medical institutions and their staff members violate article 36 of this scheme, which is subject to a fine of the basic health insurance fund of the urban labour security administration to be released by the administrative order of the dismissal of the vetting of the basic health insurance fund for the town's employees, whichever is more than five times the amount of a fine, lifting the agreement on the medical insurance services of the targeted medical institutions; granting administrative downgradation, removal of the person directly responsible and other direct responsibilities, and imposing a fine of one thousand dollars; and the competent and the competent and other directly responsible personnel are authorized to discharge their duties under the law.

Removal of the qualifications of the targeted medical institutions, the municipal labour security administration will no longer be admissible within two years for the unit's targeted medical institutions.

Article 48 Eighteen-point retail shops and their staff members violate the provisions of article 39 of this scheme, and the basic health insurance fund for urban workers who have been recovered by the municipal labour security administration, which is charged with a fine of more than five times the amount, lifting the agreement on the medical insurance services of the pharmacies; the competent and other direct responsibilities that are directly responsible are eligible for the operation, which is legally suspended.

Removal of the eligibility of the fixed-point retail pharmacies is not permitted to participate in tendering activities for the new establishment of customized retail pharmacies within two years.

Article 49, in violation of article 30 of this scheme, the municipal health insurance agency terminated the basic health insurance relationship of the insured person; the basic health insurance pension for the urban worker who was ordered by the municipal labour security administration to deceive it, was charged with a fine of up to five times the amount; the penalties for the direct responsible supervisors and other direct responsibilities could be imposed by more than 100 million dollars.

In violation of article 29 of this scheme, the CSMU should be responsible for the releasing of the basic health insurance fund for urban workers, which is subject to a fine of up to five times the amount of the FDW and, in the case of circumstances, the suspension of the basic health insurance treatment of the insured person in the town for more than twenty-four months, the medical expenses incurred during the suspension are borne by himself.

Article 50 of the Municipal Health Insurance Agency and its staff are in the process of invoking private fraud, incapacity, or using bribes and work, resulting in loss of the basic health insurance fund, recovery of economic losses, and distributing directly responsible supervisors and their direct responsibilities under the law.

Chapter VIII

In accordance with the relevant provisions, the treatment of expatriate, old-age medical insurance is unchanged.

Article 53 allows eligible enterprises to establish supplementary health insurance based on the basic health insurance of their workers in the town, which supplements the health insurance fees from within four per cent of their total salary, from the employee welfare fee; and the portion of the under-representation of benefits, which is approved by the same level of finance.

Article 54 provides for the cause of the CFA, which is included in the same financial budget, and shall not be drawn from the Basic Health Insurance Fund for Town Employers.

The question of the specific application of this approach is explained by the municipal labour security administration.

Article 56 is implemented in the light of this approach by long, fertile and fertile.

Article 57 of this approach is implemented effective 1 July 2011, and the provisional provision on basic health insurance for fertilized urban workers, issued by the Government of the city on 14 November 2000 (No. 82 of the Municipal Government Order).