Qingdao Municipal People's Government of Shandong Province
Provisions of Qingdao Municipality on Basic Medical Insurance for Urban Workers
Decree number. Qingdao Municipal People's Government 176
The "provision" of basic medical insurance for urban workers in Qingdao has been considered and adopted at the 4th executive meeting of the Municipal People's Government on February 30, 2004, and is hereby promulgated and shall come into force as of February 30, 2005.
Mayor of Xia Geng
December 31st, 2004
Provisions of Qingdao Municipality on Basic Medical Insurance for Urban Workers
Chapter I General Provisions
Article 1 In order to ensure the basic medical care for urban workers and establish a basic medical insurance system adapted to the socialist market economic system, these Provisions are formulated in accordance with the relevant provisions of the state and the province and combined with the actual situation of this Municipality.
Article 2 These Provisions shall apply to enterprises, institutions, state organs, social organizations, private non-enterprise units, their employees and urban retirees within the administrative area of this Municipality.
The central, provincial and military units stationed in Qingdao, their employees and retirees shall participate in the basic medical insurance for urban workers (hereinafter referred to as the basic medical insurance) in accordance with these regulations.
The basic medical insurance measures for urban individual owners and their employees, freelancers, urban agricultural, industrial and commercial enterprises and their employees shall be formulated separately by the municipal labor and social security administrative department.
Article 3 The basic medical insurance premium shall be co-ordinated at the municipal level and implemented step by step. The basic medical insurance premiums of Shinan District, Shibei District, sifang district, Licang District, Laoshan District, Huangdao District and Chengyang District shall be included in the municipal overall planning as required; Jimo city, jiaozhou city, Jiaonan, Laixi, pingdu city, the basic medical insurance premiums, temporarily by the local social insurance agencies responsible for raising and management, timely into the city as a whole.
Fourth, establish a multi-level medical security system based on basic medical insurance, which combines large medical subsidies, unit supplementary medical insurance and social medical assistance.
Article 5 The following principles shall be adhered to in establishing the basic medical insurance system:
(a) the level of basic medical insurance should be compatible with the development level of productive forces in this Municipality;
(two) all urban employers and their employees and retirees should participate in the basic medical insurance and implement territorial management;
(three) the basic medical insurance premium shall be borne by both the employer and the employee;
(four) the basic medical insurance fund combines social pooling with individual accounts;
(five) the basic medical insurance fund is raised and used in accordance with the principle of fixed income and expenditure, balance of payments and slight balance.
Article 6 The municipal labor security administrative department shall be responsible for the management, supervision and inspection of the basic medical insurance in this Municipality. Social insurance agencies are responsible for the collection, management and payment of basic medical insurance funds.
Health, finance, price, auditing, food and drug supervision and other relevant departments shall do a good job in basic medical insurance according to their respective responsibilities.
Chapter II Raising and Payment of the Basic Medical Insurance Fund
Article 7 The employing unit shall truthfully declare and pay the basic medical insurance premium to the social insurance agency in accordance with the regulations.
Eighth basic medical insurance premiums paid by the employer and individual employees.
The employer takes the total wages of employees as the payment base. In 2005, the number of employers in Shinan District, Shibei District, sifang district and Licang District was 8%, and that in Laoshan District, Huangdao District and Chengyang District was 7%. In 2006, employers in seven districts accounted for 8%; Since 2007, employers in seven districts have paid 9%.
On-the-job employees take their salary income as the base of payment, which is withheld and remitted by the unit according to the proportion of 2%. Retirees don't pay their own fees.
Article 9 The basic medical insurance premium paid by the employer shall be paid by the enterprise from the employee welfare fund and labor insurance premium, and by the state organs, institutions, social organizations and private non-enterprise units from the social security fee.
Personal income tax is not levied on the basic medical insurance premiums paid by individual employees.
Article 10 When an employer transfers, divides, merges or goes bankrupt according to law, it shall give priority to paying off the unpaid basic medical insurance premium.
Eleventh new units shall, within 30 days after obtaining the business license or being approved to be established, go through the basic medical insurance registration formalities at the social insurance agency with the business license or registration certificate and other relevant certificates.
The employing unit shall, within 30 days after employment, go to the social insurance agency to handle the basic medical insurance for the employed personnel.
If the registered items of the basic medical insurance of the employing unit change or the employing unit terminates according to law, it shall go through the formalities of change or cancellation of registration in accordance with the provisions.
Twelfth municipal finance in accordance with not less than 3? 5% is used to subsidize the basic medical insurance fund.
Chapter III Personal Accounts and Social Pooling Funds
Thirteenth basic medical insurance premiums paid by employers and employees, the social insurance agencies to establish individual accounts (hereinafter referred to as individual accounts) and social pooling funds.
Personal accounts include all the basic medical insurance premiums paid by employees and part of the basic medical insurance premiums paid by the unit. Personal accounts are temporarily included in the following provisions:
(a) employees under the age of 35, according to my payment of wages 2? Contains 3%;
(two) the age of employees over 35 years old and under 45 years old, according to my payment of wages 2? Including 7%;
(3) For employees over 45 years old, press 3? Including 5%;
(4) Retirees are included in 5% of their pensions. Among them, the monthly amount under 70 years old is lower than that of 60 yuan, which is included in 60 yuan; Those who are over 70 years old and whose monthly amount is lower than that of 70 yuan are included in 70 yuan.
The criteria for the inclusion of individual accounts shall be calculated and determined by the municipal labor and social security administrative department according to the principle that the basic medical insurance premiums paid by all insured units are included in individual accounts, accounting for about 35%, and shall be adjusted in a timely manner after being approved by the municipal government.
The basic medical insurance premium paid by the unit, after deducting the part included in the personal account, is all included in the social pooling fund.
Fourteenth personal accounts are used to pay for my outpatient medical expenses and hospitalization medical expenses in designated medical institutions and the expenses of purchasing medicines in designated pharmacies. The social pooling fund is mainly used to pay hospitalization medical expenses and large medical expenses for special disease outpatient clinics approved to be included in the scope of social pooling fund payment.
Fifteenth personal account funds owned by individuals, accumulation, cost overruns, can only be used for medical consumption in accordance with the provisions.
The funds included in the personal account shall be included by the social insurance agency on a monthly basis.
If the insured person dies and the personal account still has a balance, it can be inherited according to the regulations.
Sixteenth insured people in the city cross regional (city) flow, personal accounts along with the transfer. When the insured leaves the city, the balance of the personal account is transferred to the social insurance agency where the new labor relationship is located; If it cannot be transferred, the balance of personal account can be paid to me in one lump sum.
Seventeenth basic medical insurance fund bank interest method in accordance with the relevant provisions of the state, that is, the year to raise part of the deposit interest rate; The fund principal and interest carried forward from the previous year shall be calculated at the deposit rate of lump-sum deposit for 3 months; The deposited funds deposited in the social security financial special account shall bear interest at the 3-year zero deposit and lump-sum deposit rate not lower than the interest rate of this grade.
Chapter IV Basic Medical Insurance Benefits
Eighteenth employers and employees in accordance with the provisions of the basic medical insurance and payment, from the next month to enjoy the basic medical insurance benefits. Failing to pay the basic medical insurance premium as required, employees do not enjoy the basic medical insurance benefits.
Nineteenth the implementation of the basic medical insurance minimum payment period system. If the accumulated payment period of basic medical insurance for insured employees is 25 years for men and 20 years for women, individuals will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the regulations.
Before the implementation of the basic medical insurance system, the pension insurance payment period of the insured employees is regarded as the basic medical insurance payment period; After the implementation of the basic medical insurance system, the payment period is calculated according to the time when the basic medical insurance premium is actually paid. The sum of the payment years before and after the implementation of the basic medical insurance system is my accumulated payment years.
Employees who meet the retirement (post) conditions and go through retirement (post) procedures, but have not reached the minimum payment period of basic medical insurance, can pay in one lump sum. Among them, if the payment period is insufficient due to the unit's arrears, the unit and individual employees shall pay back according to the payment base and proportion of the unpaid year respectively; Due to other reasons, the payment period is insufficient, and the average salary of employees in the city above the year is the base, and the payment is made in accordance with the prescribed proportion. If you are dissatisfied with the payment period and do not make a one-time payment, you will not enjoy the basic medical insurance benefits after retirement and terminate the basic medical insurance relationship.
Twentieth social pooling funds to pay medical expenses to set the minimum threshold and the maximum payment limit. Qifubiaozhun refers to the amount of medical expenses paid by individual accounts or borne by individuals before the overall fund payment. The qifubiaozhun of the first, second and third level medical institutions are 500 yuan, 670 yuan and 840 yuan respectively.
If the patient is hospitalized for the first time in a medical year, the minimum payment standard shall be 100%; The second hospitalization, Qifubiaozhun by 50%; No qifubiaozhun will be set for the third and above hospitalization.
The outpatient medical expenses for special diseases shall be subject to quota or quota management, and Qifubiaozhun shall be set up separately within one medical year.
The maximum medical expenses paid by the social pooling fund for the insured within a medical year are 40,000 yuan.
A medical year starts from the date when the social pooling fund pays the first medical expenses 12 months.
The basic medical insurance Qifubiaozhun and the maximum payment limit shall be proposed by the municipal labor and social security administrative department according to the wage increase of employees and the income and expenditure of the basic medical insurance fund, and shall be adjusted in a timely manner after being approved by the municipal government.
Article 21 The medical expenses of the insured for hospitalization or outpatient treatment of special diseases shall be borne by social pooling funds and individuals in a certain proportion according to the cumulative calculation method of different grades: for the part below 5,000 yuan, the personal burden ratio is 12%, 14% and 65,438 in the first, second and third level medical institutions respectively. 5,000 yuan to 10000 yuan, and the personal burden ratio of the first, second and third-level medical institutions is 10%, 12% and14% respectively; 10000 yuan to 20000 yuan, personal burden10%; 20 thousand yuan to the maximum payment limit, personal burden of 5%. The rest is borne by the social pooling fund.
The proportion of retirees' hospitalization medical expenses is halved.
Twenty-second basic medical insurance drug scope, diagnosis and treatment items, medical service facilities standards and corresponding management measures, in accordance with the relevant provisions of the state and province.
On the premise of maintaining the balance of fund revenue and expenditure, the municipal labor and social security administrative department shall, jointly with the health, finance, price and other departments, timely adjust the drug list, diagnosis and treatment items, scope of medical service facilities and payment standards of the basic medical insurance to improve the basic medical security level of the insured.
Twenty-third the establishment of large Medicaid. The basic medical insurance insured pays a large amount of Medicaid per person per month according to the standard of 5 yuan. If the medical expenses that meet the scope of basic medical insurance payment exceed the maximum payment limit of social pooling fund, 90% will be paid by large Medicaid. In a medical year, the maximum payment of large Medicaid is 200,000 yuan.
The raising and payment standard of large Medicaid is proposed by the municipal labor and social security administrative department and adjusted after being approved by the municipal government.
Twenty-fourth workers due to work-related injuries and maternity medical expenses, the implementation of the relevant provisions of work-related injury insurance and maternity insurance, shall not be paid in the basic medical insurance fund.
Chapter V Medical Care of Relevant Personnel
Article 25 The medical treatment of retired personnel above Grade B, the old Red Army and disabled revolutionary soldiers (including the people's police) shall be implemented in accordance with the relevant provisions of the state, and the medical expenses shall be solved according to the original funding channels; Payment is indeed difficult, by the people's government at the same level to help solve.
Twenty-sixth national civil servants to participate in the basic medical insurance, in accordance with the relevant provisions of the state, province and city to enjoy Medicaid.
Twenty-seventh enterprises and institutions that do not implement unified management of financial revenue and expenditure should establish supplementary medical insurance. The specific implementation plan of supplementary medical insurance shall be discussed and decided by the employees (representatives) meeting of this unit and reported to the administrative department of labor security for the record. The part of supplementary medical insurance premiums within 4% of the total wages can be directly charged by the enterprise from the cost.
Supplementary medical insurance shall be managed by the unit in accordance with the relevant provisions or entrusted by relevant institutions. Medical expenses subsidies that are mainly used outside the scope of payment of the social pooling fund of the basic medical insurance for employees of this unit and insufficient payment in personal accounts are not included in personal accounts.
Twenty-eighth unemployed personal account balance can continue to use, no longer enjoy the basic medical insurance benefits. During the period of enjoying unemployment insurance benefits, the relevant provisions of unemployment insurance shall be implemented.
Article 29 The medical expenses incurred by ordinary college students who used to enjoy free medical care shall still be allocated by the financial department according to the prescribed standards, and shall be managed by their schools.
The medical expenses for employees to support their immediate family members are still solved according to the original method.
Chapter VI Management of Medical Services
Article 30 Designated medical institutions and pharmacies for basic medical insurance shall be determined by the administrative department of labor security in accordance with the principles of market competition, openness, fairness and convenience for the insured, and social insurance agencies shall sign service agreements with them to clarify their respective rights and obligations.
Measures for the qualification examination and management of designated medical institutions and pharmacies in the basic medical insurance shall be formulated by the municipal labor and social security administrative department in conjunction with the departments of health, food and drug supervision, finance and price.
Thirty-first health administrative departments should guide the designated medical institutions of basic medical insurance to strengthen internal management, supervise the designated medical institutions to implement the provisions of basic medical insurance, standardize medical service behavior, and improve the quality of medical service.
Thirty-second food and drug supervision departments should strengthen the management and supervision of designated medical institutions and designated pharmacies to use or sell all kinds of drugs to ensure the safety of insured patients.
Thirty-third price departments should strengthen the management and supervision of basic medical insurance drugs, diagnosis and treatment items and service facilities charges, and reasonably control the price level.
Article 34 Designated medical institutions shall establish and improve the internal management system of medical insurance, strictly implement the basic medical insurance policies and regulations and medical service agreements, strictly implement the basic medical insurance drug list, diagnosis and treatment items, the scope of medical service facilities and payment standards, strictly control the basic expenses outside medical insurance coverage, and provide quality medical services for insured patients.
The administrative department of labor and social security and the social insurance agency have the right to consult the prescriptions, medical records, doctor's orders, diagnosis and treatment reports, receipts and other relevant materials of designated medical institutions for the diagnosis and treatment of insured patients, and have the right to supervise and inspect the implementation of the relevant provisions of medical insurance by designated pharmacies. Designated medical institutions and pharmacies should actively cooperate. The social insurance agency shall not pay the medical, service or drug expenses that exceed the limits prescribed by the designated medical institutions.
Designated medical institutions and pharmacies have the right to supervise the work of the administrative departments of labor security and social insurance agencies, put forward opinions and suggestions, and report the disciplinary actions of their staff to the relevant departments.
Thirty-fifth basic medical insurance participants enjoy the following rights:
(a) holding a personal labor and social security card, you can go to the designated medical institutions and pharmacies in this Municipality for medical treatment and medicine purchase in accordance with the relevant provisions;
(two) the right to know about the medical services provided by designated medical institutions;
(3) Having the right to sign and approve the expenses beyond the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and payment standards;
(4) Have the right to inquire about personal insurance information and medical consumption information.
Thirty-sixth basic medical insurance participants shall bear the following obligations:
(a) comply with the relevant provisions of the basic medical insurance and the relevant rules and regulations of designated medical institutions;
(two) with the designated medical institutions for treatment, in accordance with the provisions of the settlement of medical expenses;
(three) shall not lend the personal basic medical insurance card, labor and social security card to others;
(4) Those who meet the discharge conditions shall not delay discharge.
Article 37 Where a person who enjoys the basic medical insurance benefits needs to be referred or transferred to another hospital, an application shall be made by the designated medical institution, and the referral and transfer for treatment shall be approved by the social insurance agency. Without the approval of referral, referral for treatment or failing to provide valid reimbursement credentials and other relevant certification materials, social insurance agencies will not be reimbursed.
Article 38 The settlement of medical expenses between social insurance agencies and designated medical institutions shall be based on the principle that the basic medical insurance fund shall be supported by fixed income, with total amount control and flexible settlement as the mainstay, with fixed settlement, single disease settlement and project settlement combined, and linked with the quality of medical services.
The social insurance agency shall conscientiously fulfill the medical service agreement and settle the medical and drug expenses with the designated medical institutions and pharmacies on a monthly basis.
Chapter VII Management and Supervision of the Basic Medical Insurance Fund
Thirty-ninth basic medical insurance funds to implement two lines of revenue and expenditure, into the financial account management, earmarking. No unit or individual may occupy or misappropriate.
Article 40 Social insurance agencies shall be responsible for the preparation of the draft budget and final accounts of basic medical insurance, the collection and payment of basic medical insurance funds, the settlement and payment of medical expenses, the accounting of basic medical insurance funds, the arrangement of the balance deposit period of basic medical insurance funds, and the recording and management of individual medical accounts.
The social insurance agency shall establish and improve the internal management system, strengthen the revenue and expenditure management of the basic medical insurance fund, and accept the supervision and inspection of the administrative departments such as auditing, finance and labor security.
The business funds required by the social insurance agency shall be arranged by the financial budget and shall not be drawn from the fund.
Article 41 The administrative department of labor and social security shall be responsible for supervising and inspecting the collection, management and use of the basic medical insurance fund, and examining the draft budget and final accounts of the basic medical insurance fund prepared by the social insurance agency.
The administrative department of labor and social security shall regularly announce the collection of medical insurance funds to the public and accept the supervision of the insured and the society.
Forty-second financial departments are responsible for the accounting of the financial accounts of the medical insurance fund, and examine and approve the budget and final accounts of the basic medical insurance fund.
Article 43 The auditing department shall be responsible for auditing the fund income and expenditure and management of social insurance agencies according to law.
Forty-fourth basic medical insurance fund revenue and expenditure management, shall regularly report to the municipal social insurance fund supervision committee.
Forty-fifth the establishment of designated medical institutions supervision and assessment system. The administrative department of labor and social security shall, jointly with the departments of health, finance and price, assess the implementation of basic medical insurance policies and regulations and service agreements by designated medical institutions, and reward or punish them according to the assessment results.
Forty-sixth to establish a reward system for reporting. The labor and social security department shall set up and make public the telephone number and complaint mailbox for supervision and reporting of basic medical insurance. The insured person may report the situations listed in Articles 52, 53, 54 and 55 of these Provisions to the labor and social security department.
The labor and social security department shall promptly investigate and verify the cases reported by the insured employees, and give a written reply to the complainant within 15 days.
If the acts of designated medical institutions, designated pharmacies and insured persons in violation of the provisions are reported and verified, the informants may be rewarded according to the proportion of a fine of 20%.
The reporting institution shall keep confidential the informants.
Forty-seventh the establishment of the city's urban workers' basic medical insurance leading group, composed of the person in charge of the municipal government and the person in charge of the relevant departments, to organize the study of medical insurance related policies and coordinate the handling of relevant issues in the operation of medical insurance.
Article 48 A supervision committee on the basic medical insurance for urban workers in the city shall be established, and the representatives of the Municipal People's Congress, the relevant responsible persons of CPPCC, the representatives of the Municipal People's Congress, members of CPPCC, employers, trade unions, employees and medical experts shall be invited to participate, and the work reports on medical insurance shall be heard regularly, so as to supervise the municipal departments of labor security, finance, health, food and drug supervision to perform their duties of basic medical insurance, price control and audit, and put forward opinions and suggestions on improving the basic medical insurance policy to the municipal party committee and municipal government.
Chapter VIII Legal Liability
Article 49 If the employing unit violates the relevant financial, accounting and statistical laws and regulations and the relevant provisions of the state, forges, fabricates or intentionally destroys the relevant account books, or fails to keep accounts truthfully, so that the basic medical insurance payment base cannot be determined, it shall be punished in accordance with the relevant provisions; If a crime is constituted, criminal responsibility shall be investigated according to law.
Article 50 If the employer fails to register, change or cancel the registration of the basic medical insurance in accordance with the provisions, or fails to declare the amount of the basic medical insurance premium that should be paid in accordance with the provisions, the administrative department of labor security shall order it to make corrections within a time limit; If the circumstances are serious, the directly responsible person in charge and other directly responsible personnel may be fined more than 5000 yuan 1000 yuan; If the circumstances are particularly serious, a fine of more than 5000 yuan 10000 yuan may be imposed.
Article 51 If the employer fails to pay the basic medical insurance premium in accordance with the regulations, the administrative department of labor security shall order it to pay within a time limit; In case of overdue payment, in addition to ordering to pay the unpaid amount, 2 yuan will be charged on a daily basis from the date of default. Those who fail to pay the fine within the time limit, and the directly responsible person in charge and other directly responsible personnel shall be fined from 5,000 yuan to 20,000 yuan.
Late fees are incorporated into the basic medical insurance fund.
Article 52 If an insured person commits one of the following acts of defrauding the basic medical insurance benefits or defrauding the basic medical insurance fund, the administrative department of labor security shall order him to return it, impose a fine of 1 times and less than 3 times, and suspend his basic medical insurance benefits for one year; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Lending my basic medical insurance card and labor and social security card to others for use;
(two) take improper means to defraud the basic medical insurance fund.
Article 53 If a designated medical institution with basic medical insurance and its staff members commit any of the following acts, the administrative department of labor security shall impose a fine of 5,000 yuan to 20,000 yuan on the designated medical institution, and a fine of 65,438 yuan to 0,000 yuan on the person directly responsible; If the circumstances are serious, the medical insurance business shall be suspended and ordered to make rectification within a time limit:
(a) to provide the insured with examination, treatment and medication services unrelated to the disease;
(two) the expenses within the scope of the basic medical insurance payment are transferred to the personal burden;
(3) Failing to prescribe medicine according to the limit, or taking a ride to prescribe medicine or change medicine;
(four) without the consent of the insured patients, the use of basic drugs outside medical insurance coverage, or to provide basic medical treatment projects and service facilities outside medical insurance coverage;
(5) limiting the hospitalization expenses of insured patients;
(6) Refusing hospitalization of insured patients without justifiable reasons;
(seven) other acts in violation of the provisions of the basic medical insurance management.
The designated medical institutions of basic medical insurance do not implement the provisions on drug prices and medical charges, and raise the charging standards, increase the charging items, decompose the charges and repeat the charges without authorization, and the administrative department of labor security shall order them to return; If the circumstances are serious, the medical insurance business shall be suspended and ordered to make rectification within a time limit.
Article 54 If a designated medical institution with basic medical insurance and its staff commit any of the following acts and defraud the basic medical insurance fund, the administrative department of labor and social security shall order it to be returned, and impose a fine of 1 times or more and less than 3 times, and suspend the medical personnel directly responsible for it for one year's basic medical insurance service qualification; If the circumstances are serious, its qualification as a designated medical institution shall be cancelled, and it shall not be re-designated within one year; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(a) the medical expenses of the non-insured object or the expenses not covered by the basic medical insurance are included in the scope of payment of the basic medical insurance fund, and the basic medical insurance fund is defrauded;
(two) beyond the scope of designated services, without authorization to undertake hospitalization, family beds, outpatient medical services for special diseases, defrauding the basic medical insurance fund;
(three) to cheat the basic medical insurance fund by means of hanging bed hospitalization or decomposing hospitalization;
(4) Forging medical documents to defraud the basic medical insurance fund;
(five) other serious violations of the basic medical insurance management regulations to defraud the basic medical insurance fund.
Article 55 If the designated pharmacies of basic medical insurance and their staff members commit any of the following acts, the administrative department of labor security shall impose a fine of more than 5,000 yuan and less than 20,000 yuan on the designated pharmacies, and impose a fine of more than 1000 yuan on the person directly responsible; If the circumstances are serious, the basic medical insurance business shall be suspended and rectified within a time limit; If the circumstances are serious, cancel its qualification as a designated pharmacy; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(a) not in strict accordance with the prescription dosage and compatibility of drugs;
(two) the daily necessities and other non drugs into the insured workers' labor and social security card payment scope;
(3) Failing to implement the relevant provisions on drug prices;
(four) other acts in violation of the provisions of the basic medical insurance management.
Fifty-sixth social insurance agencies and their staff in any of the following circumstances, the administrative department of labor security shall order it to make corrections, and give administrative sanctions to the directly responsible person in charge and other directly responsible personnel; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Failing to transfer medical insurance premiums into individual accounts and social pooling fund accounts in accordance with regulations;
(2) embezzling or misappropriating the basic medical insurance fund;
(three) in violation of the provisions on the management and use of the basic medical insurance fund, causing losses to the fund;
(four) examination and approval and payment of medical insurance benefits in violation of regulations;
(5) Failing to investigate and deal with the reported illegal acts in time or failing to give a reply;
(six) bribery, favoritism.
Fifty-seventh staff of the administrative department of labor security in any of the following circumstances, shall be given administrative sanctions by the competent department at a higher level or the supervisory organ; If the case constitutes a crime, criminal responsibility shall be investigated according to law:
(1) Failing to investigate and deal with the reported illegal acts in time or failing to give a reply;
(two) breach of privilege, dereliction of duty;
(3) corruption, bribery and malpractice for personal gain.
Article 58 If a party refuses to accept the administrative punishment decision of the administrative department of labor security, it may apply for administrative reconsideration or bring an administrative lawsuit according to law. If a party fails to perform the decision on administrative punishment within the time limit, the administrative organ that made the decision on administrative punishment shall apply to the people's court for compulsory execution according to law.
Chapter IX Supplementary Provisions
Fifty-ninth jimo city, jiaozhou city, Jiaonan, Laixi and Pingdu can formulate specific implementation opinions according to local conditions, adjust relevant policies in a timely manner, and report to the municipal labor and social security administrative department for the record.
Article 60 These Provisions shall come into force as of February 1 2005. The Interim Provisions of Qingdao Municipality on Basic Medical Insurance for Urban Workers (OrderNo. Qingdao Municipal People's Government 104) and the Administrative Measures for Raising and Using Large Medical Assistance Funds for Urban Workers in Qingdao (OrderNo. Qingdao Municipal People's Government 105) shall be abolished at the same time.
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