STATE NEWS
REPUBLIC OF INDONESIA
| No. 1609, 2013 | MINISTRY OF FINANCE. The Iuran Fund. Health insurance. Provision. Thawing. Tata Cara. |
REGULATIONS OF THE REPUBLIC OF INDONESIA FINANCIAL MINISTER
NUMBER 205 /PMK.02/ 2013
ABOUT
ORDER THE PROVISIONING, THAWING, AND
HEALTH INSURANCE COVERAGE LIABILITY FUND
INCOME RECIPIENT OF THE GOVERNMENT
WITH THE GRACE OF THE ALMIGHTY GOD
FINANCE MINISTER OF THE REPUBLIC OF INDONESIA,
Weigh: a. that in order to host a health assurance program for the Government of the Government by the Health Social Security Organizing Board, the Minister of Finance as the State General Treasurer needs to set up the layout of the provision, the thawing, and the Liability for the IBM Cloud Service and the IBM Cloud Service offering.
B. that based on consideration as intended in the letter a, it is necessary to establish the Minister of Finance Regulation on the Provisioning Of The Provision, The Thawing, And The Accountability Of The Health Care Fund ' s Health Guarantee Of Income From The Government;
Remembering: 1. Law No. 8 of 1974 on the PoyPokok KeEmployees (State of the Republic of Indonesia Year 1974 Number 55, Additional Gazette of the Republic of Indonesia Number 3041) as amended by Law No. 43 of 1999 (Sheet) State of the Republic of Indonesia in 1999 No. 169, Additional Gazette of the Republic of Indonesia Number 3890);
2. Act Number 17 Year 2003 on State Finance (Sheet State Republic Of Indonesia In 2003 Number 47, Additional Sheet Of State Republic Of Indonesia Number 4286);
3. Act No. 1 Year 2004 on the State Treasury (State Sheet Indonesia 2004 Number 5, Additional Gazette Republic of Indonesia Number 4355);
4. Act No. 15 Year 2004 on Examination of State Management and Financial Responsibility (sheet of State of the Republic of Indonesia 2004 No. 66, Additional Gazette Republic of Indonesia Number 4400);
5. Law Number 40 of 2004 on the National Social Security System (State Sheet of the Republic of Indonesia Year 2004 Number 150, Additional Gazette Republic of Indonesia Number 4456);
6. Law No. 36 Year 2009 on Health (State Sheet of the Republic of Indonesia Year 2009 Number 144, Additional Sheet of State of Indonesia Republic No. 5063);
7. Law No. 24 Year 2011 on the Social Security Organizing Board (State of the Republic of Indonesia of 2011 Number 116, Additional Sheet of State of Indonesia Republic No. 5256);
8. Act No. 15 Year 2012 on Veterans of the Republic of Indonesia (Gazette Republic Of Indonesia 2012 Number 182, Additional Leaf Of State Republic Of Indonesia Number 5342); The Country Of Indonesia United States.
9. Government Regulation No. 45 Year 2013 on Tata cara Implementation of the Budget and State Shopping (State Sheet of Indonesia Year 2013 Number 103, Additional Gazette Republic of Indonesia Number 5423);
10. Presidential Regulation No. 5 of 1964 on Granting Awards/Allowance To Pioneers Of The National Movement/Independence (sheet Of State Of The Republic Of Indonesia 1964 Number 19, Additional Gazette Republic Of Indonesia Number 2636);
11. Presidential Regulation Number 12 Year 2013 on Health Guarantee (State Sheet of the Republic of Indonesia Year 2013 Number 29);
12. Finance Minister Regulation Number 190 /PMK.05/ 2012 on the Tata Way Payment In Order of implementation of the State Revenue and Shopping Budget;
13. Finance Minister Regulation Number 247 /PMK.02/ 2012 on Planning How Planning, Appropriation Allocation, And Enactment Of The Country's General Treasurer Budget Implementation Documents;
14. Financial Minister Regulation Number 171 /PMK.02/ 2013 on Drafting Guidelines And Passing Of The Budget Implementation Filling List;
DECIDED:
Establish: FINANCE MINISTERS 'REGULATIONS ON THE TERMS OF THE PROVISION, THE THAWING, AND THE ACCOUNTABILITY OF THE HEALTH CARE FUND' S HEALTH GUARANTEE FUND.
BAB I
UMUM CONDITIONS
Section 1
In Regulation of the Minister this is referred to:
1. Iuran Health Assurance Income from the Government that is next called the Health Guarantee is the contribution of funds through the State Revenue and Shopping Budget which the Government provides monthly for the implementation of the IBM Government. Health insurance for civil servants, soldiers of the Indonesian National Army, members of the Indonesian National Police, State Officials, Retired Recipients, Veterans, Independence, and Non-civil Service Employees.
2. The next Health Social Security Organizing Board called BPJS Health is a legal entity that is set up to host a health assurance program.
3. Civil Servants are the candidates for civil servants and civil servants as referred to in Law No. 8 of the Year 1974 on the PoyPokok Keemployers as amended by Law No. 43 of 1999.
4. Indonesian National Army servicemen who are henchmen are members of the Indonesian National Armed Forces as referred to in the 2004 Act No. 34 of the Indonesian National Army.
5. Members of the Indonesian National Police (Indonesian: Members of the Indonesian National Police) are a civil servant of the Indonesian National Police as referred to in the Law No. 2 of the Year 2002 of the State Police. Indonesia.
6. State officials are the leadership and members of the state agencies as referred to in the Basic Law of the Republic of Indonesia of the Republic of Indonesia in 1945 and the State Officials determined by the Act.
7. Pension Recipients are civil servants, Indonesian soldiers, members of the police, and state officials, who cease with the right to retire, and widows, widowers, or orphans from civil servants, TNI soldiers, members of Polri, and State officials who are the most important officers of the state of the country. Got a pension.
8. Veterans are Veterans as referred to in Act No. 15 of 2012 on Veterans of the Republic of Indonesia.
9. The Pioneer of Independence is the Declaration of Independence as referred to in the Presidential Regulation No. 5 of 1964 on Granting Award/Allowance To The Pioneering National Movement/Independence.
10. Non-State Government employees who are later abbreviated to PPNPN are non-permanent employees, honorary employees, special staff, and other employees whose income is paid from the State Budget and Shopping Budget.
11. PA BUN (S) PA BUN (S) PA BUN (S) is an organizational unit in the Finance Ministry environment specified by the Minister of Finance to exercise the authority and responsibilities of budgeting It comes from the Budget Office of the State General Treasurer.
12. The State of the Budget User power (CPA), which is later abbreviated to KPA BUN, is an official who obtained the power of the Budget User to carry out a portion of the authority and responsibilities of the use of the budget derived from Section Budget Treasurer of the State.
13. The Program is not authorized to use any of the following terms: The country.
14. PPSPM Authorized Signatory Officer (PPSPM) is an official who is authorized by the Anggaran/KPA User to conduct testing on the payment request and publish a payment order.
15. The upper limit of payment of dues is the highest number of limitations in the Health Guarantee payment.
BAB II
FUNDING PROVISION
Section 2
(1) Minister of Finance as the Budget User of the General Treasurer of State delegated to the Director General of the Treasury to establish the KPA BUN and other treasury officials.
(2) The designation of KPA BUN as referred to in paragraph (1) is ex officio.
(3) Other treasury officials as referred to in paragraph (1) include PPK and PPSPM.
(4) The authoring of other treasury officials as referred to in paragraph (1) is devolve to the KPA BUN.
Section 3
(1) BPJS Health proposes the need for Health Guarantee funds that are the Government ' s obligation of each year to the KPA BUN most slowly the first week of January.
(2) The amount of funding needs as referred to in paragraph (1) consists of:
a. the needs of the PNS health guarantee fund, the TNI Soldiers, the Polri Member, the Retired Receier, and the State Officials;
B. Veterans ' health insurance coverage and the Independence Day Fund; and
c. requirements of the PPNPN health guarantee fund.
(3) Based on the needs of the funds as referred to in paragraph (1), PPA BUN submitted a proposed Health Guarantee Iuran fund to the Finance Minister c.q. Director General of the Budget in accordance with the provisions of the laws regarding the management of The State Treasurer's budget.
(4) Based on the proposal as referred to in paragraph (3), the representative of the Directorate General of Budget, PPA BUN, and BPJS Health computed the needs of the Health Guarantee fund.
(5) The results of the calculation as referred to in paragraph (4) are poured in the news of the event signed by the representative of the Directorate General of the Budget, PPA BUN, and BPJS Health.
(6) Based on the news of the event as referred to in paragraph (5), the Directorate General of the Budget allocated the Health Guarantee fund in the State Budget Revenue and Shopping Draft.
Section 4
(1) Besaran the need for the health guarantee fund as referred to in Section 3 of the paragraph (2) the letter a is calculated based on:
a. earnings estimate consisting of principal salary/pension and family allowance;
B. estimates of the number of PNS, TNI Soldiers, Polri Members, Repension recipients, and State Officials; and
c. Terms of health care dues in accordance with the provisions of the rules of the law.
(2) Besaran the need for the health guarantee fund as referred to in Section 3 of the paragraph b (2) letter b is calculated based on:
a. Estimated earnings calculated by 45% (forty-five per hundred) of the principal IIIA principal PNS salary with a working period of 14 (fourteenth) years;
B. estimates of the number of Veterans and Independence Pioneers; and
c. Terms of health care dues in accordance with the provisions of the rules of the law.
(3) Besaran the need for health insurance dues as referred to in Article 3 of the paragraph (2) the c is calculated based on:
a. earnings estimates after minus the income tax by paying attention to the dues of the dues as set out in the laws regarding the health guarantee;
B. estimated number of PPNPN; and
c. Terms of health care dues in accordance with the provisions of the rules of the law.
Section 5
The planning process, allocation assignment, and assigning of the Health Guarantee fund implementation document are executed in accordance with the provisions of the State General Treasurer ' s budget management.
Section 6
In the event of a policy that concerns a change in the number of citizens, the amount of income, and/or the amount of Health Guarantee resulting in being attached to the pagu which has been allocated in the State Budget and Shopping Budget, Its shortness can be met in the Budget and Change-State Shopping or the State Budget and the State Shopping of the next budget.
BAB III
FUND THAWING
Section 7
(1) In order of thawing of the Health Guarantee fund, BPJS Health delivers:
a. the name and signature specimen of the official given the authority to and on behalf of BPJS Health submitted and signed the Health Guarantee Iuran invoice document to KPA BUN; and
B. The BPJS Health account number that houses the fund-raising is what it means.
(2) In the event of a change of officials given the authority as referred to in paragraph (1) the letter a, BPJS Health relayed the name and sign of the signature of the replacement official who was authorized to the BUN.
Section 8
The Health Guarantee fund thawing that has been specified in the State Revenue and Shopping Budget is conducted each month based on estimates of participant data, earnings estimates, and dues-at rates.
Section 9
(1) BPJS Health each month delivering a Health Guarantee fund invoice letter to KPA BUN, with dilampiri:
a. list of Health Guarantee Iuran calculations according to the format as set forth in Annex I which is an inseparable part of this Minister's Regulation;
B. kuitansi/token received according to format as set forth in Annex II which is an inseparable part of this Minister Regulation; and
C. The Letter of Absolute Responsibility was signed by the BPJS Health official, as set forth in Annex III which is an integral part of the Minister's Regulation.
(2) The letter of invoice as referred to in paragraph (1) is delivered the slowest of dates 5 (five) each month.
(3) In terms of date 5 (five) is a day of holiday or day that is covered, a letter of invoice as referred to in paragraph (1) is delivered on the day of work before the 5th (five).
Section 10
(1) Based on the Health Guarantee fund invoice letter as referred to in Article 9, the PPK publishes and delivers a Direct Payment Request Letter (SPP-LS) to PPSPM with a dilampiri:
a. Letter of the Shopping Responsibility Statement of the PPK in format as set forth in Annex IV which is an integral part of the Regulation of this Minister; and
B. The receipts have been approved by the PPK.
(2) The SPP-LS as referred to in paragraph (1) are delivered to PPSPM at most 2 (two) business days after the supporting documents are fully received and correct from BPJS Health.
(3) In the event the PPK refuses or returns the bill because the invoice support document is not complete and is not correct, the PPK must specify in writing the reason of the rejection or return of such invoices at most 1 (one) business days after She's got a bill.
(4) In terms of PPK hinting, KPA BUN can carry out PPK duties.
Section 11
(1) Based on the SPP-LS as referred to in Section 10, PPSPM publishes and delivers the Direct Pay (SPM-LS) Letter to the State Treasury Service Office 2 (two) business days after the SPP-LS are fully accepted And it's right to be attached to a shopping and shopping affidavit.
(2) In case the PPSPM refuses or returns the SPP-LS because the SPP-LS is not complete and is not correct, the PPSPM must specify in writing the reason for the rejection or return of the SPP-LS at most 1 (one) business days after the receipt of SPP-LS.
(3) The delay of thawing of the Health Guarantee funds as a result of the delay of submission of invoices by BPJS Health as referred to in Article 9 of the paragraph (2) and paragraph (3) and/or as a result of the rejection or return process by PPK and/or PPSPM are the responsibility of BPJS Health.
Section 12
PPK and PPSPM complete the Health Guarantee fund bill as referred to in Article 10 and Section 11 by considering the time required for the thawing of funds from the state treasury account to the BPJS Health most slowly dated 10 (ten) each month.
Section 13
(1) KPA BUN and BPJS Health conduct reconciliation or recalculation of Health Guarantee funds that have been liqueled or charged with bills that should be submitted based on realization of income and/or realization of data A message.
(2) Reciliation or recalculation as referred to in paragraph (1) is performed every quarter.
(3) In the event of the outcome of reconciliation or recalculation as referred to in paragraph (1) indicates the amount of funds being thawed beyond the amount of funds that should be submitted based on the realization of the income and/or the realization of the participants ' data, The overage charges are calculated as the cut in the Order's Letter to pay the refund of the next quarterly invoice.
(4) In the event of a result of reconciliation or recounting as referred to in paragraph (1) deners the amount of funds being cascated less than the amount of funds that should be submitted based on the realization of the income and/or the realization of the participants ' data, The lack of such payment is added to the next quarterly invoice submission.
(5) In the first quarter of the following year, the KPA BUN and BPJS Healthcare conduct a reconciliation or recalculation of the Health Guarantee Fund which has been liqueled or charged in the previous budget year with the supposed invoice. is submitted based on the realization of the income and/or realization of the membership data.
(6) In the event of the outcome of reconciliation or recalculation as referred to in paragraph (5) indicates the amount of funds being thawed beyond the amount of funds that should be submitted based on the realization of the income and/or the realization of the participants ' data, The excess of such payments is mandatory immediately to the State Kas by BPJS Health as set forth in the provisions of the country's acceptance of non-tax.
(7) In the event of a result of reconciliation or recounting as referred to in paragraph (5) shows the amount of funds being casted less than the amount of funds that should be submitted based on the realization of the income and/or the realization of the participants ' data, The lack of such payment is proposed to be budgeed through the Budget and Budget-state Shopping and the State Shopping and the subsequent budget of the year's budget.
(8) The results of reconciliation or recounting as referred to in verse (1) and verse (5) must be poured in the news of the event as set forth in Annex V which is an inseparable part of the Regulation of this Minister.
BAB IV
DANA ' S LIABILITY
Section 14
(1) KPA BUN is responsible for the distribution of Health Guarantee Iuran funds from the State Kas to BPJS Healthcare.
(2) The terms of the account accountability as referred to in paragraph (1) are executed in accordance with the provisions of the rules of the law.
Section 15
(1) The BPJS Health is solely responsible for the use of the Health Guarantee Iuran funds it receives.
(2) The use of the funds as referred to in paragraph (1) is audited by an independent auditor.
(3) The results of the audit as referred to in paragraph (2) are delivered to the KPA BUN and the minister who organizes governance matters in the field of finance.
Section 16
(1) In the course of implementation of the health assurance program for the beneficiaries of the Government, the KPA BUN and the Directorate General of the Budget carry out the monitoring and evaluation of the financial aspects at least 1 times in 1 (one) years.
(2) The results of monitoring and evaluation execution as referred to in paragraph (1) may be used by KPA BUN, the Directorate General of the Budget, and the associated agencies as input materials in the budgeting and implementation of Iuran fund-raising. Health Guarantates on the Budget and State Shopping of the Change and/or the State Budget Office of the next budget.
BAB V
OTHER PROVISIONS
Section 17
BPJS Health provides access database network access in order to monitor the implementation of the Health Guarantee fund payment for income receivers from the Government.
Section 18
(1) In the first semester of 2014, KPA BUN and BPJS Health do reconciliation or recalculation of the State Budget Revenue and Shopping Budget that its activities are carried out by PT Askes (Persero) which has been liqueled or charged at The 2013 budget.
(2) In the event of the outcome of reconciliation or recalculation as referred to in paragraph (1) indicates the amount of funds being thawed beyond the amount of funds that should be submitted based on the realization of the income and/or realization of the participants ' data, The excess of such payments is mandatory immediately to the State Kas by BPJS Health as set forth in the provisions of the country's acceptance of non-tax.
(3) In the event of a result of reconciliation or recounting as referred to in paragraph (1) shows the amount of funds being thawed out of less than the amount of funds that are supposed to be submitted based on the realization of income and/or the realization of the participants ' data, The lack of such payment is proposed to be budgeed through the Budget and Budget-state Shopping and the State Shopping and the subsequent budget of the year's budget.
BAB VI
CLOSING PROVISIONS
Section 19
At the time the Regulation of the Minister is in effect, the Regulation of the Minister of Finance Number 35 /PMK.02/ 2011 on the Order of Calculating, Provisioning, Thawing, And Liability Of The APBN Fund That Its Activities Are Performed By PT Askes (Persero) as it has been was amended with the Finance Minister Regulation Number 40 /PMK.02/2013, revoked and declared unapplicable.
Section 20
The Minister ' s Rule came into force on January 1, 2014.
In order for everyone to know it, order the invitational of the Minister's Regulation with its placement in the News of the Republic of Indonesia.
Set in Jakarta
on December 31, 2013
FINANCE MINISTER
REPUBLIC OF INDONESIA,
MUHAMAD CHATIB BASRI
Promulgated in Jakarta
on December 31, 2013
MINISTER OF LAW AND HUMAN RIGHTS
REPUBLIC OF INDONESIA,
AMIR SYAMSUDIN
Attachment:
bn1609-2013
