Four joint releases about the basic medical insurance for staged employees

State Administration of Taxation of the Ministry of Finance of the Ministry of Finance of the National Development and Reform Commission of the National Medical Insurance Bureau

Notice on the payment of the basic medical insurance unit payment of the employee

Medical Insurance Distribution [2022] No. 21

The people's governments of all provinces, autonomous regions, and municipalities directly under the Central Government, Xinjiang Production and Construction Corps:

In order to implement the decision -making and deployment of the Party Central Committee and the State Council, to effectively protect the basic people's livelihood, and help enterprises to relieve difficulties, with the consent of the State Council, the work notice of the basic medical insurance (hereinafter referred to as employee medical insurance) units in stages is as follows.

I. Purchase policy to implement staged employee medical insurance units for small and medium -sized enterprises. The accumulated fund deposit of the overall fund can be paid more than 6 months. Since July 2022, the individual industrial and commercial households who participate in small and medium -sized enterprises and the individual industrial and commercial households who are insured in the form of units will be paid for 3 months. Exempted stretches. Social organizations, foundation, social service agencies, law firms, accounting firms and other social organizations are implemented with reference.

2. Ensure that the treatment of the insured during the slow payment period should be enjoyed. Small and medium -sized enterprises pay for the payment of employee medical insurance units, which will not affect the company's participants in the medical expenses for medical treatment normally. During the slow payment period, the medical expenses that are in accordance with the insured of the relevant enterprises shall be reimbursed in a timely manner, and the due report shall be reimbursed in a timely manner to ensure that the level of basic medical insurance reimbursement shall remain stable and not decreased.

Third, comprehensively implement the "exemption and enjoy" passage model. Eligible small and medium -sized enterprises can enjoy the payment policy of slow payment units without applying for a slow payment application. All localities should do a good job of policy promotion in accordance with the actual situation, clarify the operation process, and actively disclose to the society. Specific standards for small and medium -sized enterprises refer to the "Notice on Printing and Distributing the Standards for Planning of SMEs" (the Ministry of Industry and Information Technology Union Enterprise [2011] No. 300) and other strokes. List. If the existing data can determine the type of enterprise type, if the existing data cannot meet the needs of the company's planning type, the enterprise may issue a written commitment to the approved payment department. It is necessary to strengthen departmental collaboration, optimize working links, innovate service methods, reduce corporate affairs, and do a good job of personal rights and interests to ensure that the rights and interests of the insured are not affected.

Fourth, effectively protect the legitimate rights and interests of relevant enterprises. During the slow payment period, small and medium -sized enterprises shall fulfill the obligation to withdraw the personal payment of employees in accordance with the law, apply for information on medical insurance premiums for employees normally, ensure that employees continue to participate in insurance, and continue to record personal rights and interests. If the insured has a resignation, the treatment of the retirees of the employee's medical insurance, and the transfer of relationship transfer, the enterprise shall pay for the employee medical insurance unit that will be paid slowly. If a company has a cancellation, it shall pay the slow payment before canceling.

Fifth, do a good job of scheduling statistical analysis to ensure the smooth implementation of the slow payment policy. All localities should strengthen the scheduling of slow payment information, do a good job of statistical monitoring, and submit the monthly summary of information on the monthly summary. It is necessary to effectively strengthen fund management, strengthen fund operation analysis, control the risk of operation and control, and ensure the security of the fund. It is necessary to establish an information communication and sharing mechanism. Medical security, taxation and other departments should do a good job of sharing basic business information such as enterprises and employees' insurance payment, enterprise slow payment and other basic business information, and strengthen the work of departmental work.

All localities should improve their political standing, unify their ideological understanding, and organize implementation to ensure that the implementation of the payment policies of employees' medical insurance units is in place. Medical security, development reform, finance, taxation and other departments at all levels must effectively perform their duties, strengthen communication and cooperation, improve the working mechanism, and do a good job of policies. If there are situations and problems in the execution, report it in time.

National Development and Reform Commission of the State Medical Insurance Bureau

State Taxation of the Ministry of Finance

June 30, 2022

Source: National Medical Insurance Bureau

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