The employer and its employees shall participate in the basic medical insurance in accordance with the regulations. Persons who meet the requirements of basic medical insurance are collectively referred to as insured persons.
The basic medical insurance management of urban flexible employees and employees of urban individual economic organizations shall be implemented in accordance with the relevant provisions of the basic medical insurance for urban flexible employees in this Municipality. Article 3 The basic medical insurance follows the principles of matching the level of fund-raising and security with the level of social development, matching the obligation of payment with the enjoyment of relevant benefits, providing basic medical security for the insured, and territorial management. Article 4 The Municipal People's Government shall uniformly lead and coordinate the work of basic medical insurance.
The municipal labor and social security administrative department is responsible for the management of the basic medical insurance in this Municipality, and organizes the implementation of these Provisions. The social insurance agency established by the municipal labor and social security administrative department is responsible for the basic medical insurance business such as the collection, management and payment of insurance benefits.
The basic medical insurance premium shall be collected by the local tax authorities in accordance with the local tax management system.
Audit, finance, health, drug supervision, price and trade union organizations and other departments and units shall assist in the implementation of these Provisions according to their respective responsibilities. Chapter II Basic Medical Insurance Fee Article 5 The employing unit shall, within 30 days from the date of its establishment, go through the basic medical insurance registration formalities at the social insurance agency to which it belongs; If the employer terminates or changes the medical insurance registration items according to law, it shall, within 30 days from the date of termination or change, go through the formalities for cancellation or change of medical insurance registration at the social insurance agency to which it belongs.
The employer who did not participate in the basic medical insurance before the implementation of these Provisions shall, within 30 days from the date of implementation of these Provisions, go through the registration formalities for the basic medical insurance at the social insurance agency to which it belongs.
The employer shall truthfully declare the number of insured persons and the payment of wages to the social insurance agency in accordance with the regulations. Article 6 The employing unit and its employees shall pay the basic medical insurance premium in full and on time; The basic medical insurance premium paid by employees shall be withheld by the employer. No unit or individual has the right to reduce or exempt the basic medical insurance premiums payable. Article 7 The basic medical insurance premium paid by the employer shall be collected through the channels prescribed by the state. Eighth basic medical insurance is divided into comprehensive medical insurance and hospitalization medical insurance. The employer shall, in principle, participate in comprehensive medical insurance; If there are special economic difficulties, with the approval of the municipal labor and social security administrative department, you may not participate in comprehensive medical insurance, but you must participate in hospitalization medical insurance. The specific standards and application approval procedures shall be formulated by the municipal labor and social security administrative department and implemented after being approved by the Municipal People's government.
The same employer can only participate in one of comprehensive medical insurance or hospitalization medical insurance. Article 9 Where an employer and its employees participate in comprehensive medical insurance, the employer shall pay the basic medical insurance premium for the employees according to 7% of the total monthly salary of the employees, and the employees shall pay the basic medical insurance premium according to 2% of the monthly salary.
Where the employing unit and its employees participate in the hospitalization medical insurance, the employing unit shall pay the basic medical insurance premium for the on-the-job employees according to 5% of the total monthly wages paid by the on-the-job employees of the unit, and the individual employees shall not pay the premium. Tenth insured persons from the next month after retirement, individuals no longer pay the basic medical insurance premium; The employing unit shall, in accordance with the proportion stipulated in Article 9 of these Provisions, continue to pay the basic medical insurance premium for the retired insured based on the average monthly payment salary of its employees. Eleventh employees' monthly salary exceeds 300% of the average monthly salary of employees in our city last year, and the basic medical insurance premium is exempted; If the monthly payment salary of employees is lower than 80% of the average monthly salary of employees in our city last year, the basic medical insurance premium will be levied according to 80% of the average monthly salary of employees in our city last year. Twelfth employers failed to provide effective information in a timely manner, resulting in the inability to verify the wages paid by their employees, the basic medical insurance premium is levied according to the average monthly salary of employees in our city last year. Article 13 During the period of receiving unemployment insurance benefits, the basic medical insurance premium paid by the original employer shall be transferred from the unemployment insurance fund in accordance with the prescribed proportion based on 80% of the average monthly salary of employees in our city last year; The basic medical insurance premium paid by the original individual shall be withheld from the individual unemployment insurance premium. Those who are not re-employed after receiving unemployment insurance can participate in the basic medical insurance for flexible employees in our city. Article 14 When the employing unit merges, the merging party must pay the basic medical insurance premium for the employees of the merged party according to the regulations; When leasing or contracting, all parties must clearly define the responsibility of paying the basic medical insurance premium. Article 15 When the employer terminates the assets verification, it shall pay off the basic medical insurance premium and late payment fee that should be paid in accordance with the relevant laws and regulations, and pay the basic medical insurance premium in advance for retirees (including retired personnel) and retirees who have left their posts (including retired personnel) in accordance with the following provisions:
(1) Prepayment base: based on the average monthly salary of employees in this Municipality in the previous year when the employing unit terminates its operation, the prepayment base will be increased year by year at an annual increase rate of 5%;
(2) Prepayment ratio: If you have participated in the basic medical insurance before the termination of operation, the prepayment ratio shall be determined according to the original form of participation and the provisions of Article 9 of these Provisions; If you did not participate in the basic medical insurance before terminating the operation, the proportion of advance payment shall be determined according to the actual economic situation in accordance with the provisions of Article 9 of these Provisions;
(3) Pre-delivery period: The pre-delivery period is calculated from the month after the employer goes through the pre-delivery formalities to the month when the insured reaches the age of 75. If the prepayment period is less than 5 years, it shall be calculated as 5 years. Among them, non-state-owned (including non-state-controlled) employers pay according to the actual service years of the insured in this unit. If the payment fails to reach the prescribed period, the insured shall be responsible for making up the difference.