The social insurance agency shall obtain the data needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide it in a timely and truthful manner. The social insurance agency shall establish a complete file for the employer in a timely manner, accurately record the social insurance data such as those who participate in social insurance and pay fees, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.
The social insurance agency shall timely, completely and accurately record the personal rights and interests participating in social insurance, the payment paid by the employer and the social insurance benefits, and regularly send the personal rights and interests records to me free of charge.
Employers and individuals can inquire about payment and social insurance treatment records from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.
laws and regulations
People's Republic of China (PRC) insurance law
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits. Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.
Medical institutions shall provide reasonable and necessary medical services for the insured. Article 34 The state determines the differential rates of different industries according to the degree of industrial injury risk, and determines the rate grades of different industries according to the use of industrial injury insurance funds and the incidence of industrial injuries. Industry differential rates and intra-industry rates shall be formulated by the administrative department of social insurance of the State Council, and promulgated and implemented after being approved by the State Council.
Social insurance agencies shall determine the employer's payment rate according to the employer's use of work-related injury insurance funds, the incidence of work-related injuries and the level of industry rates.