Personal summary of social insurance audit work

Personal summary of social insurance audit work

In the past year, with the help of leaders and comrades, we have successfully completed the social insurance audit work we are responsible for. Specific summary As follows:

1. Goal completion status

1. Ensured that the pensions of XXX retirees, XXX survivors and XXX farmers enjoying benefits were paid in full and on time by the end of the year *** Pensions of XXX million yuan were distributed (including employee pension insurance expenditures of XXX million yuan and rural pension insurance expenditures of XX million yuan), with a socialized payment rate of 100%.

2. The number of people participating in pension insurance reached XXX, including XXX employees and XXX retirees, a net increase of XXX people over last year, completing 101% of the municipal-level annual XXX person task.

3. The number of people insured by medical insurance reached XXX, a net increase of XXX people over last year, completing XXX% of the municipal-level annual task of XXX people. Among them, XXX migrant workers participated in medical insurance, a net increase of XXX people over last year, completing XXX% of the municipal-level task of XXX people.

4. The number of people insured for work-related injury insurance reached XXX, a net increase of XXX people over last year, completing XXX% of the annual XXX tasks assigned by the municipal level.

5. The number of people participating in maternity insurance reached XXX, a net increase of XXX people over last year, completing XXX% of the municipal-level annual task of XXX people.

6. XXX people were added to the rural insurance system, reaching 4XXX people, completing XX% of the tasks assigned by the government.

7. Social insurance premiums of XXX yuan are collected, including XXX yuan for employee pension insurance, XXX yuan for rural pension insurance, XXX yuan for employee medical insurance, XXX million yuan for work-related injury insurance, and XX million yuan for maternity insurance. Yuan. ***Expenditures are XXX million yuan, including XXXX yuan for urban insurance and XXX for rural insurance.

8. XX urban residents have participated in the resident medical insurance, including XX adults and XX students. XX million yuan has been collected from the medical insurance fund, and *** has paid XX million yuan in medical expenses for XX hospitalized patients. .

2. Work measures and effects

(1) Pay close attention to the expansion of collection work

Expanding collection is the lifeline of social security work. For this reason, we actively take We will take various measures and strive to do a good job in expanding coverage and renewing insurance, so as to expand all receivables, collect all receivables, and return all receivables to warehouses.

?First of all, establish an expanded collection and collection responsibility system, break down the indicators at each level, and everyone implements the tasks. From the stock to the center, everyone has expanded tasks, and rewards and punishments are achieved Obviously, it effectively mobilized employees' enthusiasm for insurance expansion and renewal, forming a "chain" type of expansion and collection work situation.

?Secondly, we promote insurance expansion and renewal by charging interest. For those who are unable to pay on time, interest will be charged while making up the original arrears. The longer the period of non-payment, the more interest there will be. , coupled with the use of new software, interest will compound and increase even more. In this regard, we have increased publicity in this area through news media such as radio, television, newspapers, etc., so that most of the people who have terminated their insurance have made up their arrears. ?Thirdly, establish a full-time fund collection team to be specifically responsible for the collection and collection of pension insurance, medical insurance, work-related injury insurance, and maternity insurance funds to ensure that all funds are paid in full and in a timely manner. In addition, flexible measures are taken to implement phased goals and strict penalties based on task progress to promote work.

(2) Strengthening social insurance audits

In order to block the leakage of funds, this year while doing a good job in monitoring daily visits to key objects, we started a year-long A centralized survival authentication work used the fingerprint verification system to authenticate 5,552 retirees, work-disabled persons, disabled revolutionary servicemen with second-class B and above, and surviving relatives. The authentication rate reached 100%. Key points The usual visitation rate of subjects reaches 100%, 132 people were found dead, and no false claims occurred. Beginning in October, we conducted an on-site audit of the payment base of all insured units within three months, and the audit rate reached 100%. In order to effectively block the phenomenon of fraudulent medical expenses, we have strengthened the inspection of medical expenses and work-related injury medical expenses, strictly reviewed and approved hospitalization registration, established a ward rounding system, and ensured that every stay must be checked and reviewed every time, and the reimbursement procedures have been strictly reviewed. This leaves no room for fraud in medical expenses. Due to effective management and monitoring measures, no insurance fraud occurred.

(3) Further improve the level of social management services

This year we are continuously improving the management service levels of 3 centers and 14 social security offices, and will continue to organize activities including New Year’s Day and other major festivals. All retirees, including farmers and herdsmen who enjoy agricultural insurance benefits, carry out various competition activities to enrich the lives of retirees, and strengthen services for insured persons. In order to allow insured persons to understand social security policies conveniently and quickly, To inquire about your own pension insurance payment status and to understand whether the employer has paid pension insurance premiums for you on time and in full, the Social Insurance Bureau has established a service website with columns such as policies and regulations, service guides, policy answers, and video news, and has made public information on various stocks. Office functions, responsibilities, work processes and telephone numbers, and a pension insurance personal account payment information inquiry system has been established on the service website of this bureau. Enter the personal account inquiry system and enter your ID number or pension insurance personal number to inquire about your own pension insurance. Payment and accounting status. The personal account management work has been made transparent and open.

(4) Do a good job in launching urban residents’ medical insurance

In accordance with relevant regulations from superiors, in March the Social Security Bureau conducted a thorough survey on the number of people who should be covered by urban residents’ medical insurance. ?Comprehensive preparations for the launch were made in June, and a special urban residents medical insurance unit was established, equipped with staff, equipped with office facilities and equipment, and modernized office management methods and information networking. In accordance with the "Trial Measures for Basic Medical Insurance for Urban Residents of XX City" and in light of actual conditions, the "Implementation Rules for Basic Medical Insurance for Urban Residents of XX City (Trial)" were formulated and issued, and at the same time, coordination was done with the finance, civil affairs, education, Disabled Persons' Federation and other departments. Work. In August, it officially entered the implementation stage. The resident medical insurance policy was widely publicized through various news media, including distributing leaflets, posting slogans, hanging banners, etc., making it a household name and known to everyone. This year, XX people (including XX adults and XXXX students) have registered and paid for insurance.

(5) Strictly manage social security funds

In order to ensure the safety, integrity, rational use and effective operation of social security funds. The work system and work process have been strictly enforced, and in conjunction with the relevant regulations of the Ministry of Labor and Social Security, autonomous regions, and cities, an internal control and management system for social insurance agencies has been formulated, the functions and responsibilities of each unit have been standardized, and the work procedures of each unit have been refined, and An inspection and supervision system has been established so that the entire revenue and expenditure process of social insurance from insurance participation, registration, payment, account creation, operation, management, etc. is under comprehensive supervision, with double-person and double-control implemented, and a strict internal audit and reconciliation system ,? In April, we conducted a comprehensive investigation and cleanup of the distribution situation of each distribution point, and all the pensions that had been backlogged for more than one year were returned to the accounts, effectively eliminating the phenomenon of the distribution points occupying and misappropriating the distribution funds. There was not a single case of violation of regulations, disciplines, expropriation or misappropriation. Due to the sound management of our banner’s social security funds, effective measures, and obvious results, Xu Liansheng, director of the Municipal Audit Bureau, fully affirmed the management and use of Aohan’s social security funds at the city’s audit work meeting on March 20.

(6) Do a good job in self-examination of personal account management

In order to better safeguard the legitimate rights and interests of the insured persons and achieve standardized and refined management of pension insurance work, In accordance with the requirements of the country, autonomous region, and city, we conducted a comprehensive self-examination on the personal account status of the basic pension insurance for employees of our banner enterprises, leaving no dead ends or hidden dangers, and comprehensively sorting out and analyzing the existing problems and causes of personal account management. , and rectified and corrected the problems discovered, solidified the management foundation, and improved the quality of personal account management. In order to ensure the effectiveness of this work, the Social Security Bureau of our banner has specially established a self-examination work leading group with the director as the team leader, the leader in charge as the deputy team leader, and the heads of relevant departments as members. It has a data information working group and written materials. The working group is fully responsible for the inventory work and has formed a working mechanism that implements implementation at one level and at all levels. The period from May 15th to June 10th is determined to be the self-examination stage, and June 10th to June 30th is the rectification stage. At the same time, policy training should be carried out to ensure that business personnel learn thoroughly and ensure that work is carried out in an orderly manner. Through rectification and use of new software, the personal information completeness rate increased by 15%, the accuracy rate increased by X%, the accounting rate increased by XX%, and the timeliness rate increased by 1XX%. This eliminates the phenomenon of repeated household establishment and household separation. It solves problems such as untimely accounting, untimely personnel transfers and changes, single reconciliation method, and incomplete account information.

(7) Established networked offices between township social security offices and bureau agencies

In August, the government invested more than 400,000 yuan to optimize the office management software of the social security bureau, and centralized the purchase of computers, Printers, scanners and other equipment have established networked offices between township social security offices and bureaus. Insurance registration, premium collection, survival certification and other work procedures can be handled locally. Various data are transmitted using the network, realizing modern and scientific office management methods. ization and networking have simplified work procedures and improved work efficiency.

3. Main existing problems

1. It is difficult to carry out medical insurance for urban residents. Due to the poor cooperation of relevant departments and the delay in insurance registration, it has become more difficult to implement resident medical insurance.

2. It is difficult to expand the coverage of pension insurance, medical insurance, work-related injury insurance, and maternity insurance. According to the requirements of the Autonomous Region Internal Affairs Development (2008?) No. 221 document, all non-public enterprises, private enterprises, foreign-invested enterprises, etc. are included in the scope of social insurance. However, due to the government’s special policies, investment-promoting enterprises cannot participate in social insurance in time, which is sufficient. However, most investment enterprises are still outside the scope of social insurance, which damages the social insurance rights and interests of employees and affects the completion of the expansion and collection tasks.

IV. Work ideas for the new year

In accordance with the policy of “wide coverage, basic protection, multi-level and sustainable”, taking national pilots as the driving force and strengthening cooperation as an opportunity, We will further deepen the reform of the social insurance system and establish a social insurance system that is in line with national conditions, coordinates urban and rural areas, and integrates five insurances into one.

1. Continue to increase the expansion, renewal and collection of pension, medical, work-related injury and maternity insurance for urban employees and pension insurance for rural and pastoral areas, use the responsibility system as a platform, raise social insurance funds through multiple channels, and standardize Collection process, strengthen collection management measures, strict collection reward and punishment mechanism, expand all receivables and collect all receivables, achieve the goal of expanding pension, medical, work injury and maternity insurance to 1,000 people each, and rural insurance to 5,000 people. The collection work achieved a balance of income and expenditure, with slight savings.

2. Strengthen fund supervision. First, strengthen the supervision of auditing and fund supervision, strictly enforce work procedures, and strictly supervise, inspect, and reconcile the system to ensure the safe, complete, and effective operation of the fund. Second, while doing a good job in certifying those who enjoy urban insurance benefits, we should also vigorously do a good job in certifying the survival of those who enjoy rural insurance benefits, just like the family planning targets, so as to ensure that no village or person is missed, and no one is left behind. The target of 100% certification rate is to eliminate the phenomenon of false pension claims.

3. Carry out the basic medical insurance work for urban residents in depth, increase publicity efforts, include all urban residents who meet the insurance conditions into the insurance coverage, protect the medical insurance rights and interests of urban residents, and realize their disease. Having medical treatment will completely solve the problem of difficult and expensive medical treatment.

4. Further improve the social management service system and improve the level of social management services. The first is to actively explore the elderly care method of establishing elderly apartments, conform to the trend of social elderly care, and establish a "one-stop" service home for the elderly that integrates living, catering, medical care, entertainment, and learning. The second is to continue to organize large-scale cultural and sports competitions for all retired personnel, including farmers and herdsmen who enjoy agricultural insurance benefits, to enrich the lives of the elderly in their later years.

5. Conduct research on social security sub-projects of cooperative projects. According to the research content of the topic and combined with local reality, we should do a good job in research on social insurance and actively promote the formation and transformation of materialized results.

6. Actively contact the National Social Security Center to strive for the national agricultural insurance pilot. Establish a regular reporting system for agricultural security work, actively provide suggestions to leaders, and win the attention of leaders of the National Social Security Center with rich work experience and solid work results, and strive to identify Aohan as one of the 100 pilot counties and cities in the country.

7. Strengthen the training and ideological style construction of social insurance agency staff. With the goal of standardization, informatization, and professional construction, we will comprehensively improve social insurance work capabilities. Pay attention to personnel training and do a good job in training talents urgently needed for social insurance work management. Organize social insurance work symposiums at appropriate times to improve employees’ business knowledge and work abilities. Deepen the activities of high-quality services in the autonomous region, with the goal of optimizing business processes, implementing standardized management, and providing high-quality and convenient services, and comprehensively improve the management and service level of social insurance institutions. Strengthen service awareness and responsibility awareness. Vigorously carry out activities to establish new practices and learn from advanced practices, and promote the construction of social insurance institutions in the province to a new level.