Attention!
It's about your health insurance
Employees' medical insurance participation and treatment enjoyment
There are major changes!
↓↓↓
Scratch the point!
Linyi City further optimized and adjusted the insurance payment policy
And the health insurance relationship transfer continuation regulations
According to the Notice of the Provincial Medical Insurance Bureau, the Provincial Department of Finance, and the Provincial Taxation Bureau on Further Regulating issues Related to the Payment of Basic Medical Insurance Participation and Treatment (Lu Medical Insurance Fa [2021] No. 54), from April 1, 2022, the following optimization and adjustments have been made to the city's insurance payment policies and transfer and continuation regulations:
Optimize the payment policy for resident medical insurance
Newborns who go through the basic medical insurance participation procedures and pay fees within 6 months from the date of birth shall enjoy the basic medical insurance treatment from the date of birth; if it is more than 6 months, they shall enjoy the basic medical insurance treatment from the next month of payment; if it is more than 12 months, it shall be implemented in accordance with the corresponding policies for ordinary residents to pay and enjoy the benefits. Low-income people such as low-income insurance recipients, special hardship cases, and people who have returned to poverty participate in basic resident medical insurance, and there is no waiting period for treatment and enjoyment.
Standardize the minimum payment period for employee medical insurance
The cumulative minimum contributory period for insured employees to enjoy the basic medical insurance treatment of retirees is 30 years for male employees and 25 years for female employees. The accumulated payment period includes the actual payment period of basic medical insurance and the deemed payment period. The specific determination of the deemed payment period is determined with reference to the relevant policies of endowment insurance and medical insurance. Those who have reached the statutory retirement age and have not reached the minimum payment period for basic medical insurance for employees may enjoy the basic medical insurance treatment of retirees after making a one-time payment in accordance with the regulations; they may also continue to pay the fees on a monthly basis to the minimum payment period, during which they can enjoy the basic medical insurance treatment according to the incumbents.
Abolish the limit on the actual payment period of the medical insurance relationship transfer and continuation of the employee in the province
Where the basic medical insurance relationship of the employee is transferred across the co-ordination areas in the province, the limit on the actual payment period of the basic medical insurance in the place of transfer shall no longer be implemented. Where the basic medical insurance relationship of insured employees is transferred from outside the province to our province, the provisions on the actual payment period of the place of transfer shall continue to be implemented.
Unified employee payment base "cap guarantee bottom line" implementation time
After the Provincial Human Resources and Social Security Department, together with the Provincial Medical Security Bureau, issues an announcement on the average wage (hereinafter referred to as the average wage) of employed personnel in urban units of all calibers in the province, from the next month of the announcement date, the basic medical insurance payment base will be adjusted according to the average wage of the announcement; before the month of the announcement (including the month of the announcement), the basic medical insurance payment base "cap guarantee bottom line" will continue to be implemented according to the average salary announced in the previous year.
Standardize the provisions on the transfer and continuation of medical insurance relationships
If an insured employee is mobile employed in a districted city within the province, there is no need to handle the transfer and continuation of the basic medical insurance relationship, and the relevant medical insurance agency shall directly handle the increase or decrease of the number of employees; if the insured employees handle the transfer and continuation of the basic medical insurance relationship across the overall planning areas and provinces within the province, it shall be issued in accordance with the "General Office of the Ministry of Finance of the State Medical Insurance Bureau Office<基本医疗保险关系转移接续暂行办法>" The Notice (Medical Insurance Office [2021] No. 43) regards the scope of the transfer and continuation of the basic medical insurance relationship, the application for transfer and continuation, the formalities, the treatment connection, etc., and the application is submitted through the national unified medical insurance information platform or the window of the handling agency to realize the online handling of the basic medical insurance relationship transfer and continuation business. The time limit for handling within the province has been shortened to 9 working days, and the time limit for inter-provincial transfer processing has been shortened to 15 working days, so as to achieve "inter-provincial communication".
diffusion! Know-it-all!
▌Source: Langya News Network