(Adopted by the 21st ordinary meeting of the People's Government of the city of Hinterland on 30 September 2009, No. 14 of the Decree No. 14 of 18 October 2009 and No. 14 of the People's Government Order No.

Chapter I General

Article 1 establishes and improves the basic health insurance system for urban workers in order to guarantee basic medical care for their workers, and, in accordance with the relevant provisions of the national, self-government zones, develops this approach in the light of the actual provisions of this city.

Article 2

Article 3: The following units and personnel within the city's administration shall participate in the basic health insurance of the urban workers:

(i) Enterprises (including townships registered and operated in towns);

(ii) State organs, utilities, social groups;

(iii) Civil non-commercial units;

(iv) Individual economic organizations and their practitioners (over 8);

(v) External workers who have entered into labour contracts with the user units;

(vi) Flexible employment;

(vii) Other units and persons provided for in law, regulations.

In the town of Horizon and Huntland, the Eutonomous Regions are owned by businesses and by the Horizon and Special Railway Authority, in accordance with the principle of territorial management, to harmonize the basic health insurance for workers in the town.

Article IV Basic health insurance for urban workers is governed by municipal and flag district levels, which are gradually transitioned to urban integration within three years.

Article 5

In order to address the health costs incurred above the minimum payment for the basic health insurance fund, urban workers should participate in large-scale health insurance coverage for urban workers while attending basic health insurance.

Article 7. Civil servants of the State have access to health assistance policies based on their participation in basic health insurance.

In the context of participating in the basic health insurance, the participating enterprises may be able to establish additional health insurance for their workers. Complementary health insurance costs are covered by a total of 4 per cent of the salary, from the employee welfare fee and the portion of the underfundament of benefits, and are included at the cost after approval by the same financial sector. The Supplementary Health Insurance Fund is administered by the participating companies themselves.

Article 8. The municipal labour and social security sector is the administrative authority for the basic health insurance of workers in the city, and the municipal health insurance agencies are specifically responsible for this approach.

Sectors such as finance, tax, health, drug surveillance and material prices are coordinated with the implementation of basic health insurance for urban workers in line with their respective responsibilities.

Chapter II

Article 9. The user units shall conduct the basic health insurance declaration procedure with the municipal health insurance agency, with the provision of a licence or approval of the established document, the organization of agency codes, the opening of bank accounts, the roster of participants and the electronic file.

The participating units shall terminate in accordance with the law or change in the registration of the basic health insurance, and shall, within 30 working days of the date of the termination or modification, be transferred to the ISA for write-off or change procedures.

Article 10 The initial insured person pays the basic medical insurance fee at his monthly salary.

With socio-economic development, the payment rate for the basic health insurance rate is duly adjusted by the Government of the city.

Article 11. The annual wage income of the employee is less than 80 per cent of the average annual salary of the insured worker in the current city, 80 per cent of the average salary of the insured worker in the current city as a contribution base; more than 30 per cent of the average salary of the employee in the current city is not used as a contributory base.

Article 12 Basic health insurance expenses shall be paid by 15 a month or shall be paid in a quarterly and annual manner.

Article 13 Basic health insurance expenses are paid jointly by the insured units and the insured person according to the following criteria:

(i) The total annual salary of all workers in the insurance unit is based on a total of 6 per cent of the basic health insurance rate.

(ii) The unit of the insured person is based on his annual salary income and pays a basic health insurance fee of 2 per cent, which is paid by the unit from the salary.

(iii) An average salary of 80 per cent of the individual insured person in the current city for the employee is based on 8 per cent of the basic health insurance rate; or 80 per cent of the average salary of the insured employee in the current city, at 4.5 per cent, but not the establishment of an individual account.

Article 14. In the case of mergers, separation, transfer, lease, contracting, acceptance or succession units must prioritize the payment of the basic medical insurance expenses and interest. Insolvency is declared by law by the entrepreneur, it should be given priority to the payment of the basic medical insurance fees owed and, at the time of the liquidation of the assets, 80 per cent of the average salary of the occupants in the last year of the current market, the basic health insurance expenses of the current employee are reserved for one year.

Article 15. Individuals in the event of unemployment insurance treatment, while also enjoying the health insurance payment subsidy policy in accordance with the relevant provisions.

Article 16 provides that basic health insurance expenses cannot be paid, and no unit or individual shall be refused or paid for any reason.

Chapter III

Article 17 The Basic Health Insurance Fund for Urban Employers comprises the Integrated Fund and the Personal Account. The integrated funds and individual accounts are accounted for separately and cannot be convicted.

(i) Accompanied unit, whose basic health insurance payments are all transferred to the individual accounts in accordance with the Unidroit; the basic health insurance payments paid by the insurance unit are divided into two parts, partly for the establishment of an integrated fund and the other part of the individual accounts by proportion.

(ii) Individuals insured in the context of Unified accounts, whose basic health insurance expenses are paid in addition to the individual accounts, the remaining portion is classified into the Integrated Fund.

(iii) In accordance with the integrated inpatiently insured individual insured persons, the basic health insurance payments paid by them are fully transferred to the Integrated Fund and do not have an individual account.

Article 18

(i) The remaining portion of the individual accounts shall be deducted from the basic medical insurance fees paid by the insured unit and the individual insured person;

(ii) Inpatient health insurance payments paid by individual insured persons;

(iii) lanes, interest;

(iv) Financial subsidies and other funds.

Article 19 Integrated funds cover medical expenses incurred by insured persons in hospitalization or emergency care, as well as medical fees for special chronic illnesses approved, as well as medical treatment fees.

The basic health insurance of the urban workers is used for medicines, inspection, treatment of the directory of medicines, the directory of therapeutic projects and the coverage and payment criteria for the medical services facility beyond the prescribed pool of medical costs.

Article 20 defines the percentage of individual accounts in accordance with the same age as those who are in possession of the bond according to the United States dollar:

(i) The proportion of contributions paid by the participating units to the personal accounts, which are under the age of 45 years (including 45 years), is based on the number of annual salary incomes in person and are accounted for by 1 per cent; the age of 45 years and retirement, which is based on the annual salary income of the individual, by 1.2 per cent.

(ii) An average salary of 80 per cent of the individual insured person in the last year in this city is based on an average of 80 per cent of the employee's salary, up to 3 per cent of the age of 45 (including 5 years of age) and is converted into the personal account by 3.2 per cent below 45 years of age and retirement.

(iii) Retires are based on their annual pension or pension base and are converted into the personal accounts by 3.4 per cent.

The proportion of individual accounts is automatically adjusted by the age of the insured person.

Article 21 provides mainly for personal accounts:

(i) Medical fees incurred on medical expenses incurred and on-patient distributors' purchases of medicines at the targeted retail pharmacies;

(ii) Medical fees below the standard of payment for the Integrated Fund;

(iii) The standard of payment for the Integrated Fund is higher, with the maximum payment of medical expenses borne by himself;

(iv) The highest amount of medical fees paid by the Integrated Fund.

Article 22 Integrated Funds for Basic Health Insurance, Individual accounts are managed jointly by the municipal health insurance agency, including at the same level of financial exclusives, implements both income and expenditure lines, with no exception to any unit.

The municipal health insurance agencies are required to establish the pre-accounting system for the basic health insurance fund, the financial accounting system and the internal management system.

Article 23 Bank-based approach to the Integrated Fund for Basic Health Insurance: The basic health insurance fund raised during the year is paid at the life-saving rate; the last year's deposit interest rate is maintained at three months' time; the accumulated funds for depositing the financial exclusive recipient are not lower than that for the three-year period.

Article 24. The principal and interest of the individual accounts of the insured person is owned by the individual and may be transferred and inherited by law, but no cash and misappropriation shall be taken.

Article 25. The ISA Oversight Committee is responsible for monitoring the management and use of the health insurance fund.

Article 26 The insured person has the right to monitor the operation of the basic health insurance fund and has the right to consult the insured units and the health insurance agencies on the income and expenditure of the individual accounts.

Article 27 Medical fees for work injury, occupational illness, and childbirth expenditure are not included in the coverage of the basic health insurance fund, which is still being addressed by the source of funds.

Medical fees arising from non-natural diseases such as the scourge of cars, alcohol abuse and sparse are not paid by the basic health insurance fund.

Chapter IV Basic health insurance treatment

Twenty-eight persons participating in the basic health insurance of the urban workers reached the national legal retirement age, with the payment of the following-year limit and no payment of basic health insurance expenses.

(i) Persons who were insured by 31 December 2004 are not less than 12 years for consecutive contributions;

(ii) Persons pre-insecution from 1 January 2005 to this scheme are not less than 15 years for consecutive contributions;

(iii) Persons insured after the implementation of this approach are not less than 20 years of continuous payment.

Article 29 retransfers to the basic health insurance for the workers of the town, with the age of the same pay. At the time of the mandatory retirement age, the age of military service was combined with the actual pay period, and the minimum payment rate was applied in accordance with article 28 of the scheme.

Article 33 Participating persons in the retirement process, whose contribution is not limited to the minimum contributory period provided for in article 28 of this scheme, shall be paid in accordance with the following criteria:

(i) Retirement of the insured person with an average salary of 80 per cent of the employed workers in the current city and 6 per cent of the basic health insurance fees remaining for the remainder of the year by the insured unit.

(ii) The retirement of an individual insured person with an average salary of 80 per cent of the employee in the current city, at 6 per cent of the basic health insurance expenses for the remainder of his/her one-time contribution.

Article 31 disbanded workers in labour relations with the former units and shall be subject to the renewal of the health insurance within six months of the dissolution of the labour relationship, which may be calculated on a continuing basis for the period of time. The failure to do so was seen as re-insecution.

Article 32 provides for the initial participation of individual insured persons and re-insecutors in the basic medical insurance for urban workers, with six months waiting period. Since the date of admission or re-entry, the basic health insurance treatment can be enjoyed by the remaining six months. Individual accounts were not divided during the waiting period.

Those involved in the movement of employment within the scope of the city do not have the waiting period, and the payment period is combined.

Article 33 sets out the criteria for payment of the Integrated Fund for Basic Health Insurance, the proportion of payments and the maximum payment limit, in accordance with the principle of receipt and balance of payments.

(i) The standard of payment for the first inpatient medical facility for the first year of the first inpatient medical facility is €500 for hospitals, such as 3x A, 3.0 for hospitals, tier II, etc. and US$ 150 for hospitals; and 20 per cent for each subsequent inpatient rate based on the first inpatient rate.

(ii) A maximum of $1.1 million for medical expenses paid within the Integrated Fund for Basic Health Insurance. More than 110,000 dollars is paid by the Fund, with a maximum annual payment limit of 120,000.

(iii) The above-mentioned standard of payment for the Integrated Fund, the largest portion of the maximum payment limit is paid in accordance with the proportion indicated in the table below and the rest is paid by the individual insured person.

 
Google 
* The present document was not edited before being sent to the United Nations translation services. 
Hospital medical costs - - traan - train - - trajectory - 
Equatorial Guinea 
AD-T -  -  -  -  - ACT - - ACT -  - ACT - ACT - ACT - ACT - ACT - ACT - ACT - 
Šimon pay criteria above - US$ 20000, 85 SH 87 SH 90 SH 87, 90 friends 95 
AD-T -  -  -  -  - ACT - - ACT -  - ACT - ACT - ACT - ACT - ACT - ACT - ACT - 
Marie NATIONAL LAW COMMISSION Sixty-first session 
AD-T -  -  -  -  - ACT - - ACT -  - ACT - ACT - ACT - ACT - ACT - ACT - ACT - 
Pierre 50001 above Sharif  87nistry 90 friends 90  Dominican Republic 
Cyclones - - - - - - - - - - - - - - smone - 

The standard of payment, the proportion of payments, the maximum payment limit is adjusted to the annual average wage changes and the fund balances.

During the hospitalization of the insured person, a medical treatment project for the payment of part of the medical treatment covered by the Pharmace and the basic health insurance was used by the medical directory, which was paid by a person by 10 per cent after the approval of the municipal health insurance agency, and the remainder was paid by the Integrated Health Insurance Fund and individuals by a prescribed proportion.

During the rescue period, the insured person may use blood products, eggs, but the approval process should be completed within 5 days to the municipal health insurance office. Its costs were paid by individuals for 20 per cent, while the remaining portion was paid by the Integrated Fund and by individuals.

A one-time special medical material is subject to a limited management. The one-time special medical material used during the hospitalization of the insured person was paid by a person for 10 per cent, while the remainder was paid by an integrated fund and by individual. More than $3000, the cost should be approved by the municipal health insurance agency.

Article XV limits the technical, equipment conditions, the diagnosis of unknown or cured difficulties is required to be transferred to other targeted medical institutions in the city for hospitalization, and the medical costs incurred before and after the referral are settled at a hospital fee.

The insured person is subject to the advice of the above-mentioned hospital, with the approval of the municipal health insurance agency for the transfer of more than the local hospitals to the basic health insurance threshold. The medical expenses incurred are in line with the coverage of the Integrated Health Insurance Fund, vouchers, social security cards, referrals, medical material or photocopy, cost summary, diagnostic certificates, medical expenses settlement vouchers to municipal health insurance. The proportion of payments made by the Integrated Fund for Basic Health Insurance decreased by 10 per cent on the basis of article 33, paragraph 1 (iii).

Article 36 Retirement and Participating Units are stationed for more than one year outside the long-term residence, with the choice of the basic health-care establishments of the two different levels on the local level as their medical-care-related hospital, and back-to-back of the municipal health insurance institution. Medical expenses incurred were incurred, with the relevant voucher to municipal health insurance agencies. The proportion of hospitalization payments is implemented in accordance with the standards of hospitalization in the city. The medical cost reimbursement rate is to be implemented in accordance with the standards for hospitalization in the field hospitals.

Article 337 is acutely affected by public visits or visits, and should be sent to higher-level public hospitals for medical treatment, and the relevant vouchers are available to the municipal health insurance institutions for reimbursement procedures. The medical reimbursement rate is implemented in accordance with the standards for hospitalization in the field hospitals.

Article 338 participated in the payment of basic medical insurance payments by the insured units and the insured person, which ceased the enjoyment of basic health insurance treatment and the division of personal accounts from the month of the payment; the contributions of the insured units and the insured persons within three months, the rehabilitation of basic health insurance treatment from the contributory month, the transfer of the individual accounts and the related medical fees incurred during the period of payment to the municipal health insurance agency for reimbursement.

In excess of 6 months for less than three months, the insured units and the insured persons were added to the personal accounts after the payment was made as required, and the contributions were calculated on a continuing basis and the medical costs incurred during the period owed were not paid.

Chapter V

The basic health insurance for urban workers is introduced in a special chronic treatment system. Those who seek special chronic treatment should be in line with the prescribed scope of the disease.

Article 40 There is no regular identification of persons who have been in contact with special chronic diseases. The regular identification of participants with special chronic illnesses.

Article 40 provides for the initial treatment of special chronic medical treatment for the medical treatment of medical treatment at the primary medical facility at three levels, diagnostic certificates for the medical establishment of the medical establishment at the medical facility, photocopy and related inspection findings, and completed the application for the treatment of special chronic illnesses for the basic medical care of workers in the town and city of Hitiv, with the approval of a medical agency after the first instance of the Medical Insurance Unit. Participating persons have two or more special chronic illnesses at the same time, in order to determine the recognition of the high standard of morbidity.

Following the receipt by the municipal health insurance agency of the declaration of the insured person, clinical medical experts should be organized to verify the uniformity of the material declared by the insured person and to issue the Special Chronic Psychotherapy Manual in accordance with conditions.

Special chronic treatment for patients has been identified and no longer valid for two years.

Article 43 The Special Chronic Psychiatric treatment staff, according to confirmed illnesses, are paid by the Integrated Fund in proportion to the required rate of payment of medical expenses. The special chronic medical treatment rate for the insured person and the cost of hospitalization for the sick, as well as the maximum annual maximum payment of the medical expenses for the medical treatment.

Chapter VI Basic health insurance services

Article 44 states that the basic health insurance for urban workers is administered by targeted medical institutions and targeted retail pharmacies. The municipal labour and social security administration authorities conduct eligibility reviews for the requesting medical institutions and retail pharmacies, review qualified certifications and conduct annual inspections of the qualifications of the targeted medical institutions and the targeted retail pharmacies.

Article 44XV regulates service agreements with targeted medical institutions and targeted retail pharmacies on the scope of services, the content of services, the quality of services, the treatment of pharmacies, as well as the clearance and control of pharmacies to clarify the responsibilities of both parties.

Article 46 may select any targeted medical institution to purchase medicines at any targeted retail shop.

Article 47 quantified medical institutions and customized retail pharmacies should use a computer-based health insurance management system that meets the standards of the central platform for the construction of gold works and health insurance.

Chapter VII Legal responsibility

Article 48 consists of one of the following acts, and the municipal labour and social security administrative authorities are responsible for the relocation of their period of time and the discontinuation of access to basic health insurance by the insured person and the recovery of losses by the municipal health insurance agency.

(i) The inclusion of non-basic health insurance personnel in the coverage of basic health insurance;

(ii) The gross salary of the minor worker, the unpaid or the payment of basic medical insurance fees on time;

(iii) Persons who have lost or most of their labour capacity will be subjected to medical insurance treatment on the basis of the new labour relations, by virtue of their participation in the basic health insurance of the urban workers;

(iv) Fering, redirecting medical instruments, vouchers, or forfeiture of various vouchers through improper means, vouchers, which are reported to be in possession of the basic health insurance fund;

(v) Transfer social security cards and referrals to other persons for the use or use of evidence from other persons, and Carre for medical treatment;

(vi) Other violations of the health insurance-related systems and provisions.

Article 49 quantified medical institutions and their staff have one of the following acts, the municipal labour and social security administrative authorities are responsible for the period of time being changed and fines of more than 500,000 dollars are recovered by the municipal health insurance agencies for the cost of deceiving from the basic health insurance fund; in the event of serious dismissal of the qualifications of the targeted medical institutions; in the form of an offence, legal responsibility is prosecuted.

(i) Inadequate identification certificates and social security cards leading to the inpatientization of others;

(ii) The medical costs incurred are not in accordance with the verification of unacceptably documented or documented;

(iii) Be used to deceive the basic health insurance fund by means such as retreating costs, collusion of pharmacies or medical treatment projects, false certificates or vouchers;

(iv) Medical emergencies in the form of counterfeiting, inpatienting inpatient hospitals and decepting health insurance funds;

(v) Other violations of basic health insurance provisions resulting in losses of the basic health insurance fund.

Article 50 is one of the actions of the fixed-point retail pharmacies and their staff, and the municipal labour and social security administrative authorities are responsible for the period of time being converted to a fine of up to 500,000 yen, recovering costs from the basic health insurance fund by the municipal health insurance institutions; in exceptional circumstances, eliminating the qualifications of the scheduled retail pharmacies; constituting a crime and bringing legal responsibility to justice.

(i) Inadequate the provision of ( sold) medicines or ultra-dose (opering) medicines by prescriptions, with unauthorized changes in the external distribution;

(ii) In violation of drug price policies, misleading breaks, resulting in loss of the basic health insurance fund;

(iii) Cash for personal accounts for insured persons;

(iv) Payment of other costs outside the scope of use in the personal accounts of the insured person;

(v) Other violations of basic health insurance provisions.

Article 50 of the Medical Insurance Agency and staff members have one of the following acts, which are administratively disposed of by their administrative authorities; constitutes an offence and hold legal responsibility in accordance with the law.

(i) To invest in private fraud and self-exploitation of health insurance funds in the review of the number of insured persons, the payment of medical insurance payments, the examination of medical fees and the settlement costs;

(ii) The loss of the health insurance fund due to negligence;

(iii) The use of its mandate and work to receive a bribe for private gain;

(iv) The non-representation of insured persons and targeted medical institutions, and the medical costs of targeted retail shops;

(v) Other violations.

Chapter VIII

The medical treatment of persons with disabilities in the driguez, the old army and the denunciation is unchanged, and medical costs are addressed on the basis of the source of funds, which are difficult to fund and are addressed by the same-ranking people's Government.

Article 53, paragraphs 1-6, provides for participation in the basic health insurance for the workers of the town, and the medical costs incurred are reimbursed by the civil service on the basis of the proportion of payments made under the basic medical insurance for the workers.

Article 54 of the municipal labour and social security administration can be based on this approach to develop a policy accompanying with the relevant sectors to inform the Government of the city of their approval.

flags should adapt their basic health insurance policies in a timely manner, in accordance with this approach.

Article 55 of this approach is explained by the Ministry of Labour and Social Security in the city of Hindu and Special.

Article 56 of this approach was implemented effective 1 December 2009, while the “Implementation of the Basic Health Insurance Scheme for Employers in the town of Hi and Hitil City” was published on 2 December 1999 and the Supplementary Provisions of the Basic Health Insurance Scheme for Employers in the town of Hithou and Hithou, published on 1 March 2002. Prior to the introduction of this approach, the provisions of the Government of the city relating to the health insurance of workers are inconsistent with the provisions of this scheme, which are prescribed by this approach.