Circular 09/2015/ttlt-Byt-Btc-Bca: Guidelines For Implementation Of Health Insurance For Workers, Students, Students And Relatives Of Officers, Non-Commissioned Officers, Soldiers In The People's Police

Original Language Title: Thông tư liên tịch 09/2015/TTLT-BCA-BYT-BTC: Hướng dẫn thực hiện bảo hiểm y tế đối với người lao động, học sinh, sinh viên và thân nhân sĩ quan, hạ sĩ quan, chiến sĩ trong Công an nhân dân

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MINISTRY OF HEALTH CARE-FINANCE MINISTRY
Number: 09 /2015/TTLT-BCA-BYT-BTC
THE SOCIALIST REPUBLIC OF VIETNAM.
Independence-Freedom-Happiness
Hanoi, 28 December 2015

FEDERAL INFORMATION

Guidelines for performing health insurance on workers, students, and students.

the student and the officer ' s body, the corporal, the soldier in - You're safe. n

__________________________

Base of Protocol 106 /2014/ND-CP - Oh. y 17/11/2014 rules out functions, duties, powers and organizational structure of the Ministry of Public Security;

Base of Protocol 63 /2012/NĐ-CP August 31, 2012 Energy The mission, the right. Yes. n and structure organization of the Ministry of Health;

Base of Decree Stain. 215 /2013/ND-CP 23/12/2013 rules the function, mandate, jurisdiction and organizational structure of the Ministry of Finance;

Base of Protocol 105 /2014/ND-CP November 15, 2014 rules out details and guidelines for the implementation of some of the provisions of the Health Insurance Law;

Minister of Public Security, Minister of Health, Minister of Finance issued a guide to conduct guidelines for health insurance on workers, students, students and relatives of the officer, corporal officer, corporal in C, C, and others. cell The people of the people,

Chapter I

GENERAL REGULATION

What? 1. The adjustment range

This information guidance on the subject, the closing level, the responsibilities of closing, the method of closing the health insurance and the level, the management of the health insurance card for the worker, student, student and the officer 's body, the corporal, the soldier in the People' s Public Security.

What? 2. Subject applies

1. This information applies to:

a) A contract worker, worker of the public, who was elected before the official was elected to the People's Public Security (later abbreviated as provisional citizenship);

b) Self-officer, corporal, soldier, soldier, soldier;

c) Learning the People ' s Public Culture School;

d) Civil system students; students who are foreigners who are studying at the School of Public Security are granted a scholarship from the state budget (later abbreviated as students as foreigners);

The Directorate, the Department of Command, the Ministry of Public Affairs, the People's Public Security School, Public Security, the Police Department of Fire and the Fire Department, the Central City, the business, the public affairs unit of the Ministry of Public Security (later abbreviated as Public Security, Geographer) method);

e) Social Security Agency;

g) The organization, personally involved in the implementation of health insurance for contract workers, public workers, temporary citizens, students, students and relatives of the officer, corporal officer, corporal, soldier and citizen.

2. This message does not apply to:

a) Subject to Regulation 1, paragraph 2 Article 3 This is learning, working, working or living abroad;

b) The subject of this 3-Article 3 This is subject to the object that entered the specified health insurance at paragraph 3 and point a 4 Article 1 of the No. 1. 41/2014/TTLT-BYT-BTC November 24, 2014 of the Ministry of Health, the Ministry of Finance directed the implementation of the health insurance (later abbreviated as Digital) 41/2014/TTLT-BYT-BTC);

c) The officer cadres, the soldier of the subject who participated in the prescribed health insurance at 1, 2, and points a, b, c, d, e, e, g, h, i, k, m and point o Clap 3, point a 4 (state supported 100% health insurance) Article 1 News 41/2014/TTLT-BYT-BTC.

Chapter II

SUBJECT, CLOSING LEVEL, CLOSING RESPONSIBILITY AND THE HEALTH INSURANCE METHOD

What? 3. The Subject to Health Insurance

1. Subject to the worker, the unit of the unit, local closure of health insurance

a) Citizens are proviviated before the official is drafted into the People ' s Public;

b) Public workers;

c) The worker who works under the contract does not specify a deadline, the contract has a period of three months or more.

2. Subject due to state budget closing health insurance

a) The officer of the officer, the corporal who is working, the corporal, the duty soldier, the Public Security student who is studying at the schools in and outside of the People's Public Security, which is an active citizen from the state budget (later abbreviated as cadet, war, etc.) ), including:

-The father, the mother of the cadre, the soldier; the father, the mother of wife or husband of staff, the soldier; the legal rearing of the cadre, the soldier, of the wife or husband of staff, the warrior;

-Wife or husband, soldier.

-Son, the legal adoption of the cadre, the warrior who is not 18 years old; the son, the legitimate adoption of the cadres, the warrior from the age of 18 or older but disabled, the ability to labor in accordance with the rule of law;

-The other member of the family that cadres, the soldier who is responsible for raising the rule of marriage law and the family who is not 18 years old or from age 18 or older, is disabled, losing the ability to labor under the rule of law.

b) Learn the People ' s Public Culture School;

c) Students who are foreigners are studying at the School of Public Security, which is granted a scholarship from the state budget.

3. The subject of a state budget that supports the health insurance is a civil service student who is studying at the Public Security School.

What? 4. Level, responsibility for closing health insurance

1. For the specified object at Article 1 Article 3 This Information is closed, the responsibility for closing the health insurance is as follows:

a) The monthly closing level by 4.5% of monthly wages by rank and office allowable allowable allowable annuation (for workers making wage-wage regimes specified by the State) or 4.5% of the monthly wage in the labor contract. (for the labourers who pay wages, public money according to the employer ' s regulation); in it, the Public Security, the local closed 2/3, the worker plays a third;

For workers who have benefited from the state budget, the amount of medical insurance is in the responsibility of the unit of Public Security, local and from the state budget.

For the business, the public career unit is obtained, and the amount of health insurance is accounted for by the law of accounting.

b) During the time the labourers took a break in the enjoyment of the birth degree according to the law of social insurance, the monthly close to 4.5% of the worker's monthly wages prior to the maternity leave and the organization of the Social Insurance closed;

c) During the time of the labourers taking a 14-day term of pain in the month under the rule of law on social insurance, it is not a health insurance, but is still entitled to the benefits of health insurance;

d) During the time the labourers were detained, held or suspended only by work to investigate, considering whether or not to violate the law, the monthly close by 4.5% of 50% of the worker ' s wages was entitled to the regulation. of the law. In case the authorities concluded that it was not a violation of the law, the worker had to pursue health insurance on the number of paid salaries.

2. Subject to regulation at Clause 2 This Wednesday is a monthly closing of 4.5% of the base salary and due to the state budget closed, the amount of state budget closed is determined by the level of health insurance and the base salary corresponding to the shelf life. write on the health insurance card. When the State regulates health insurance, the amount of the state budget is adjusted from the date of the adoption of health insurance, the new base salary.

3. Subject to regulation at Clause 3 This is a month's monthly closing rate of 4.5% of the base salary; in that, the state budget supports a minimum of 30% of the health insurance closing, the rest due to the self-closed student.

What? 5. The method of closing the health insurance What?

1. For the specified object at Clause 1 This April, monthly, Unit Security, Local closing health insurance for the worker and extracts the payment of health insurance from the worker ' s wages to file at the same time, slowest on the last day. The same month for the health insurance agency that contracts the health insurance card.

2. For the specified object at the point b 1 Article 4 This Privacy, Local Security, local offer of the Provincial Social Insurance, the Central City of Central (later abbreviated as Provincial Social Insurance) reports Vietnam Social Insurance level Medical insurance.

3. For the specified object at Clause 2 This Privacy, first quarter of the year, the unit, locality transfer at least 85% of the cost of closing the health insurance premiums for the Social Insurance Department of the Health Insurance card. At the end of December 31, the year ended the payment, transferring the cost of the year's health insurance.

4. For the specified object at paragraph 3 Article 3 This is the closing of the health insurance in accordance with the following regulation:

a) The residents of the Public Security School are responsible for collecting the health insurance coverage of the responsibility of the student 's or one-year student' s responsibility for the provincial social insurance. The amount of health insurance is determined by the level of health insurance and the base salary at the time of the health insurance. As the State regulates the health insurance shutdown, the base salary is subject to participation and the state budget does not have to close the disparities due to the regulation of health insurance, the base salary for the rest of the time that the subject has closed. health care;

b) A six-month period, the provincial social insurance aggregation of the number of medical insurance cards issued, the proceeds of the object, and the amount of state money supported by the Vietnam Social Insurance to sum up, sending the Ministry of Finance to transfer funds into the Health Insurance Fund.

Chapter III

LEVEL, MANAGE HEALTH INSURANCE

What? 6. Level cards, tags, numbers, values, dead-shelf life use of health insurance cards

1. The provincial social insurance where the Public Security Council is located, the local government provides a medical insurance card level on the subject of regulation at Article 3 of this Privacy.

2. The health insurance card, the number code on the health insurance card implemented by the regulation of the Social Insurance of Vietnam.

3. The timing of the health insurance card has the value of using the prescribed implementation at paragraph 3 Article 16 The amended Law, which adds some of the provisions of the Health Insurance Law and regulations at the point c 1 Article 5 The number of federated 41/2014/TTLT-BYT-BTC.

4. The shelf life on the health insurance card performs as specified at the point of paragraph c 1 Article 5 The number of federated information 41/2014/TTLT-BYT-BTC.

What? 7. Health insurance card order

1. Health Insurance Card Mining

The officer, corporal officer, duty soldier, citizen public officer representing relatives, workers, public workers, temporary citizens, students of the public culture of Public Security, students who are foreigners and students of the civil school civil school. The people who have the responsibility to declare a medical insurance card (model 01-BK, sample 02-BK) are submitted to the direct management unit.

Each member of the staff, the soldier is only given a medical insurance card. In the case of a patient of many cadres, soldiers (or men in the army, or who works as a salary factor as to the military, students who are primarily able to enjoy the costs of the state budget) perform the following manifest as follows:

a) The patient is with the cadres, the soldiers, the cadres, the soldiers in charge; if not, or at the same, or at the same staff, the soldier is in charge of the order: son, daughter, daughter, son-in-law, son-in-law. in the order of the eldest son ever,

b) The client has both the father and the mother who is the officer, the soldier, or one of the officers, the other soldier, the soldier, who works as a partner, who is responsible for the duty of the military.

c) The case does not follow the order specified above, the officer, who has a favorable condition, but must report a clear reason and is responsible for the manifest contents.

2. Health Insurance card offer profile

Following the adoption of a medical insurance card statement issued by the direct unit of the transfer, the Company's cadres of the unit of the unit, which is the site of the list of subjects participating in health insurance (Form 01-DS). For the subject of regulation at Clause 1 Article 3 This Privacy is closing social insurance in the People's Public Security, the list must be confirmed by the Social Security Insurance (Form 02-DS). The Public Security Agency's cadre agency, local authorities responsible for the filing of the Health Insurance Card Provincial Social Insurance scheme, records include:

a) the release of the health insurance card;

b) The list of health insurance participants;

c) The text offers the health insurance card of the unit, local.

3. For a 10-day period of work, since the date of receiving the application of the application of the health insurance card of the unit, local, provincial social insurance is responsible for granting health insurance cards and transferring the health insurance card to the unit, local.

What? 8. Level again, swap for health insurance

1. The case is reissued, exchange of the health insurance card implemented by regulation at Article 18 of the amended Law, which complements some of the provisions of the Health Insurance Law, Article 19 Health Insurance Law.

2. Record reissued, medical insurance card exchange

a) The proposed repetition, exchange of a citizen's health insurance card before officially being drafted into the People's Public Security, Public Security Workers, Workers, students, students (Form 01-N), or of officers, corporal officers, duty fighters, students, and others. The Civil Security Council represents the body of the body, the unit directly administered;

b) The old health insurance card (for the card exchange case);

c) The proposed repetition, exchange of the health insurance card attached to the list of the proposed reissue, exchange of the Health Insurance Card of the unit, local.

3. The reorder, exchange the health insurance card in accordance with the regulation at this Article 7.

During the seven-day period of work, since the date of receiving enough provisions at Clause 2 This, the Social Insurance reawaken, changes the health insurance card and transfers to the local, local, and local. In the meantime, card exchange, the health insurance participant is still entitled to the benefits of health insurance.

4. Dated fees, swap for health insurance

a) The level of resupply, card exchange and management, using a resupply fee, the exchange of cards is made as defined by the Ministry of Finance;

b) The organization of the officers ' cadres of the unit, local organization, refunds the health insurance card to transfer it to the Social Insurance agency to implement the grant, exchange for health insurance.

What? 9. recall, hold a medical insurance card

1. recall the health insurance card in the following circumstances:

a) The person with the name in the card does not continue to participate in health insurance (except for the sacrifice, from the ceiling);

b) Revoking The Patient's health insurance card when officers, soldiers, served in the People's Public Security (retired, transferred, discharged, disciplined, stripped of the title of Public Security title, forced to quit, forced to learn), the time of recovery was calculated from the day of the decision. the validity of the authorship of the authority;

c) Frauds in the granting of health insurance cards;

d) A duplicate medical insurance card, which is not correct.

2. The health insurance card is suspended in the case of a regulatory subject at Article 3 This is for someone else to borrow the card for medical treatment, healing.

Chapter IV

THE ORGANIZATION.

What? 10. The agency ' s responsibility, organization

1. Vietnam Social Insurance

a) The direction of, the guide, the organization that performs health insurance on the subject of regulation at this Article 3;

b) The Ministry of Finance Ministry grants the health insurance for civil service students in the Public Security Schools (the state is supported by the state). Ensure that the costs of closing the health insurance for the specified object at the point b 1 Article 4 This information;

c) Command of the Provincial Social Insurance:

-Execute the health insurance card level for the specified subject at Article 3 of this Information on the recommendation of the Unit Security, local;

-Before 30 September of the year, provided for the Social Security Insurance People's list of medical clinics, medical treatment of the disease, the initial medical insurance.

-Sign for medical treatment, cure for health insurance with an examination facility, treatment in and out of Public Health or Public Security, local has a medical clinic, cure for medical insurance to organize the disease, cure the person with a health insurance card; The funding, the bar, the cost of the clinic, the health insurance.

2. Social Security Social Security

a) presided over, in coordination with the research authorities, the proposal of the regime, health insurance policy; propaganda, disseminism, guidance, examination, timely resolution of the entanging in the organization performing health insurance;

b) Coordinated with the Department of Health, Directorate General of Logistics-Engineering, Ministry of Public Security guidelines for medical treatment, healing of patients with eligible medical treatment, medical insurance contracting, medical insurance, and social insurance;

c) October of the year announcing a list of eligible medical facilities to examine the disease, cure health insurance for a unit, local guide to regulation in Article 3 of this Information Registration is registered, treating the initial medical insurance according to the procedure. Oh,

3. Health Department, Directorate General of Logistics-Engineering, Ministry of Public Security

a) Chair, in collaboration with the research authorities, proposes the basis for examination of the disease, the initial treatment; drugs, supplies, medical engineering services; and distribution, distribution of facilities, and treatment in the People's Public Security. The propaganda co-ordination, disseminalization of policy, law on health insurance; examination of the implementation of the provisions of the law on health insurance of the health sector in the Public Security;

b) Host, in coordination with the Social Security Insurance People's Security Insurance report list of diseases, healing in the People's Public Security, which is eligible for medical treatment, medical insurance treatment for the Social Security of Vietnam to grant the number of medical clinics, cure health insurance. and directed, instruct the Provincial Social Insurance to implement a medical examination, cure health care.

4. Financial Bureau, Ministry of Public Security

Accounting, full assurance, timely funding of the state budget closed by the state budget for regulations stipulated at this Article 3 (except for the subject of civil systems); direct the financial agency, the local, local, file, and decision. The financial insurance finance is correct; examine the implementation of the health insurance regulations in the People's Public Security.

5. Unit security, local

a) The organization of propaganda, disseminology, guidance and implementation of health insurance for the subject of regulation at this Article 3;

b) November of every year, the contract liquour and the business settlement closes the health insurance for the year and signed with the Social Insurance agency to perform the next year's health insurance card level for the subject of regulation at Article 3 of this Privacy. At the same time, the report results on the implementation of the Civil Security Insurance and the Department of Public Finance;

c) In June of the year, the accounting for a budget implementation of the next year's health insurance for the subject of regulation at Article 3 of this Privacy (along with the collection, social insurance) of the year after the Public Security Insurance report and the Department of Finance, Ministry of Public Security;

d) Coordinated with the Social Insurance agency that carried out the procurement of health insurance cards under the regulation at 1 Article 9 of this Privacy; set up a list and sent with a medical insurance card that was revoked on Social Insurance where the health insurance card level for management, tracking;

In particular, the specific nature of the property, the unit, can be allocated to subordinate entities that implement the medical insurance card contract.

6. Department of Health

The presiding officer, in collaboration with the Provincial Social Insurance, instructs the facility to examine the disease, cure the health insurance organization that performs the disease, cure the disease, transfer the treatment line to the specified object at Article 3 of this Privacy.

What? 11. Effect of enforcement and provision Move forward

1. This message has been in effect since 11 February 2016.

2. Digital Federal Information 11 /2012/TTLT-BCA-BYT-BTC September 12, 2012 of the Ministry of Public Security, the Ministry of Health and the Ministry of Finance instructs health insurance on the body of the officer, the corporal, the soldier who is working in the People's Public Security Service to take effect since this date is effective.

3. The case of the reference text in this message is replaced or modified, supplemated by an alternate text or text that has been modified, added.

4. The transition clause

a) The organization of the disease, the treatment of health insurance; the cost payment of the disease, the treatment of health insurance; the management of the use of the health insurance fund on the subject of the health insurance participation in this Article 3 of this Information. 105 /2014/ND-CP And the Digital League. 41/2014/TTLT-BYT-BTC;

b) Since this Privacy Day is enforced, the Health Insurance Card Level Contract for the subject of regulation at Article 3 This Privacy between unit and local Security and Social Insurance continues to be made until the expiration of the deadline is in the contract;

c) Since this Privacy Day is enforced, the object's health insurance card for this Article 3 of this Privacy is issued by the Department of Social Insurance, and the shelf life continues to be used when going to the hospital, treating health insurance for the rest of the time. the record on the card;

d) The regulations on the level of closure, responsibility for the closure, the method of closing health insurance; the health insurance card level was implemented on 1 January 2015.

What? 12.

1. Director General of the Political Bureau of the People's Public Security, the Director General of Vietnam Social Insurance has a responsibility to guide, foreman, to examine this Privacy Policy.

2. Head of the agencies, units of the Ministry of Finance, Ministry of Health, Ministry of Public Security, Director of Public Security, Director of the Department of Fire and Rehabilitation Department, Central City, and organizations, individuals involved in the responsibility for the practice.

In the course of execution, if there is difficulty, entangriation, the Public Security of Units, localities, organizations, individuals with regard to the Ministry of Public Security, the Ministry of Health, the Ministry of Finance for timely guidance.

KT. Minister of the Ministry of Public Security
Chief.

KT. Minister of Health.
Chief.

KT. MINISTER OF FINANCE
Chief.

(signed)

(signed)

(signed)

The Prime Minister of the Sword

Mr. Lê Tuan

Fluorescent