Trial Provisions of Xiamen Municipality on Medical Insurance for Employees

Chapter I General Provisions Article 1 In order to establish and improve the social medical security system for employees, guarantee the basic medical care for employees, improve the health level of employees and promote the development of socialist market economy, these provisions are formulated in accordance with the Labor Law of People's Republic of China (PRC) and the Opinions of the State on Expanding the Pilot Reform of the Medical Security System for Employees, combined with the actual situation of this Municipality. Article 2 These Provisions shall apply to the following units and their employees in this Municipality:

(a) organs, institutions and their employees;

(two) all kinds of urban enterprises and their employees (except overseas employees employed by enterprises);

(3) The representative offices of overseas enterprises in Xiamen and their Chinese employees;

(four) retirees who meet the requirements of the state in the units participating in medical insurance according to these regulations.

Central, provincial and foreign organs, enterprises and institutions at all levels in Xiamen and their employees must participate in the medical insurance for employees in this Municipality, and these provisions shall apply.

Individual workers in cities and towns may voluntarily participate in medical insurance, and specific measures shall be formulated separately.

Migrant workers who have obtained the Temporary Residence Permit for Migrant Workers in Xiamen and the Employment Certificate for Migrant Workers shall be insured and hospitalized, and the specific payment standards and medical insurance treatment measures shall be determined separately.

The medical security for retirees, the old Red Army, employees' immediate family members and college students shall be implemented according to the original method. Article 3 The medical insurance for employees shall implement the system of combining social pooling medical funds with individual medical accounts. Adhere to the principle that medical expenses are reasonably borne by the state, units and individuals; Adhere to the principle of combining fairness and efficiency, and the basic medical treatment enjoyed by employees is appropriately linked to the individual's contribution to society; Adhere to the principle that the level and mode of basic medical security for employees are compatible with the development level of social productive forces and the affordability of all aspects in this city. Article 4 The management institution of medical insurance for employees in Xiamen shall be responsible for organizing the implementation of these Provisions.

Xiamen employee medical insurance management center and its sub-centers and Tongan employee medical insurance management center are medical insurance agencies, which are specifically responsible for handling medical insurance business. Chapter ii collection of medical insurance premiums article 5 medical insurance premiums shall be paid by employers and individual employees.

The employer takes the total wages of its employees in the previous year as the base for calculating and paying medical insurance premiums, and pays them according to the following proportions: institutions10%; Enterprises pay by 8.5%; All units in Tongan pay by 8%.

On-the-job employees pay medical insurance premiums at 1.5% of their total wages in the previous year, which are withheld and remitted by the employer.

Retirees, units and individuals participating in medical insurance will no longer pay medical insurance premiums. Article 6 If the total wages of employees exceed 300% of the average social wages of this Municipality in the previous year, 300% shall be used as the payment base of medical insurance premiums, and medical insurance premiums shall be paid in proportion; If it is less than 60%, 60% will be used as the base for calculating and paying medical insurance premiums, and medical insurance premiums will be paid in proportion.

This year to participate in the work or transferred to the work of the city's employees, according to my actual monthly salary to calculate the total annual wages, there is no clear data on the total wages, the average social wage of this city in the above years is the base for paying medical insurance premiums, and pay medical insurance premiums in proportion. Article 7 When employees retire from the employing unit, they shall pay medical insurance premiums according to the average salary of employees in the previous year of the unit as the base for calculating and paying medical insurance premiums. Eighth unpaid personnel according to the city's average social wage last year as the base to pay medical insurance premiums, pay medical insurance premiums in proportion, by the original unit responsible for the collection. Article 9 Where an employer terminates due to bankruptcy, cancellation, dissolution or other reasons, it shall pay off the medical insurance premium and interest according to law. When the employer is merged, divided or transferred, it must be clear about the responsibility of participating in medical insurance.

When an enterprise goes bankrupt and liquidates, it shall pay 2 years' medical insurance premium for the employees at the time of bankruptcy according to 10% of the total salary of each person in the previous year.

If the employees of bankrupt enterprises are re-employed for less than 2 years, the new employer will handle medical insurance for them; Those who are not re-employed after 2 years can continue to participate in the insurance. Medical insurance premiums are based on the average social wage of the whole city in the previous year, and individuals pay medical insurance premiums according to the proportion paid by the original enterprises and individuals. Article 10 Employees and other unemployed people who are not re-employed after the expiration of the labor contract may continue to participate in insurance. Medical insurance premiums are based on the average social wage of the previous year, and individuals pay medical insurance premiums in proportion to the original enterprises and individuals. Eleventh when the provisions are implemented, the medical insurance premiums paid by individual employees shall be implemented on the basis of increasing wages in principle. The staff of government agencies and institutions will increase their total salary in the previous year by1%; Whether or not other employers increase their capital and the extent of capital increase shall be decided by the unit itself, but the extent of capital increase shall not exceed 1.5% of my total salary in the previous year.

The funds required for capital increase shall be collected according to the current financial system and existing capital channels. Article 12 The funds required for the employer to pay medical insurance premiums shall be disbursed in accordance with the current financial system and existing funding channels, in accordance with the following provisions:

(a) the organs and institutions that used to enjoy free medical care shall be subsidized in the unit budget;

(two) other institutions, charged in the unit "social insurance";

(three) medical insurance premiums paid by enterprises shall be charged in the "employee welfare expenses" and "labor insurance fees" according to a certain proportion.