Social Security Payment of Flexible Employment Personnel in Yulin City

People's governments of counties and cities, departments and institutions directly under the Municipal People's Government:

In order to further improve the multi-level medical security system, solve the basic medical security problem of flexible employees in our city, and effectively improve the people's sense of medical insurance acquisition, happiness and security, according to the Social Insurance Law of People's Republic of China (PRC), Shaanxi Provincial Party Committee and Shaanxi Provincial People's Government issued.

Notice "(Shaanxi [2021]16)," Yulin Municipal People's Government Office on Printing and Distributing

Notice "(Henan Zhengban made [2017] No.97) and other relevant laws, regulations and documents, we now put forward the following opinions on the participation of flexible employees in the basic medical (maternity) insurance for urban workers:

First, the scope of insurance

Unemployed individual industrial and commercial households who meet the legal age for employment and have applied for residence permits in our city, part-time employees who have not participated in the basic medical insurance for urban workers in the employing units and other flexible employees; Retired persons from former state-owned enterprises who have gone through retirement procedures but have not participated in the basic medical insurance for urban workers.

Second, insurance payment.

(1) payment base

Flexible employment personnel to participate in the basic medical insurance for urban workers according to the city's last year, 60% of the average wage of employees in full-bore urban units as the payment base.

(2) Payment proportion

Flexible employees to participate in the basic medical insurance for urban workers should pay 0.7% of the payment base (including 0.7% of the maternity insurance premium). Reducing the basic medical insurance rate for employees in stages is suitable for flexible employees.

(3) Payment method

1. Flexible employees go directly to their medical insurance agencies or file custody (agency) agencies according to their household registration or residence, and the tax authorities pay the annual medical insurance premiums in one lump sum according to the payment amount approved by the medical insurance agencies.

2. Every year 165438+ 10/0 to 65438+February 3 1 is the centralized payment period for flexible employees to participate in the basic medical insurance for urban employees in the next year.

(4) Large medical insurance

Flexible employees who participate in the basic medical insurance for urban workers must also participate in large medical insurance. The financing standard of large medical insurance fund is 96 yuan per person per year (including retirees), and the annual and basic medical insurance premiums are paid at the same time.

(5) Term of payment

Payment period consists of actual payment period and deemed payment period. The actual payment period refers to the actual number of years that employers and employees participated in the basic medical insurance for urban employees in our city according to regulations after the implementation of the reform of the basic medical insurance system for urban employees in our city in June 2000. The deemed payment period refers to the actual working years (continuous working years) in state organs, institutions, people's organizations, state-owned and state-holding enterprises before the implementation of the basic medical insurance system for urban workers in our city, and the length of military service of demobilized military cadres and retirees, which meets the requirements of the equivalent medical insurance period for urban and rural residents in our city, and the payment period of basic medical insurance for migrant workers in different places. It is regarded as the sum of the payment period and the actual payment period. For men who have reached 30 years and women who have reached 25 years, the actual payment period has reached 15, and they have reached the statutory retirement age (for men who have reached 60 years of age and for women who have reached 55 years of age, unless otherwise stipulated by the state, the same below). After the identity of its retirees is confirmed by the medical insurance agency, it will no longer pay the basic medical insurance premium and enjoy the basic medical insurance benefits for retirees. If the payment period does not meet the requirements of the basic medical insurance for urban workers in our city, the medical insurance benefits for retirees will be confirmed after the payment period is reached according to the relevant requirements.

(6) Method of payment

After the flexible employees reach the statutory retirement age, if the minimum payment period conforms to the provisions of the basic medical insurance for urban workers in our city, they will no longer pay the basic medical insurance premium after the retirement of the medical insurance agency, but they need to declare on an annual basis and continue to pay large medical insurance premiums to enjoy the basic medical insurance benefits for retirees. When the statutory retirement age is reached, if the payment period does not meet the requirements of the basic medical insurance for urban workers in our city, the on-the-job personnel will continue to pay or pay in one lump sum to reach the prescribed payment period, and they can enjoy the basic medical insurance benefits for retirees only after the medical insurance agency has gone through the retirement formalities. The one-time payment base is calculated according to the annual payment base, and the rate is calculated at 8% (applicable to phased reduction). No personal account, no large medical insurance.

Third, medical insurance benefits.

(1) Persons who have participated in the basic medical insurance for urban workers stop paying fees, participate in the basic medical insurance for urban flexible employees and pay medical insurance premiums within three months, and enjoy the medical insurance benefits for urban workers according to the payment period without setting a waiting period.

(2) Flexible employees who participate in the basic medical insurance for urban workers for the first time (including those who participate in the medical insurance for urban workers after the interruption of insurance) shall pay the medical insurance premium for urban workers from the current month to 65438+February in one lump sum (for those who participate in the centralized payment period, they shall pay the medical insurance premium for urban workers in the next year in one lump sum), and shall not enjoy the medical insurance benefits (except for first aid and accidental injury that meet the requirements) within 180 days from the start of the treatment period. Full 180 days, can enjoy medical insurance benefits and reimbursement of maternity medical expenses according to the provisions of the basic medical insurance for urban workers; Female flexible employees can enjoy maternity allowance according to regulations after one year.

(three) after the flexible employment personnel pay the medical insurance premium, the on-the-job personnel allocate the personal account funds according to 2% of the payment base; Enjoy medical insurance retirement benefits, according to the payment base of 5% personal account funds allocated.

(four) flexible employment personnel shall not be interrupted during the period of participating in the basic medical insurance for urban workers. From the date of implementation of this opinion, if the insurance is intermittent, it will be treated as the first insurance. During the interruption of insurance, personal accounts can continue to be used. In any of the following circumstances, it shall be regarded as insurance interruption.

1. Those who have participated in the basic medical insurance for urban employees will be transferred to the basic medical insurance for urban flexible employees after stopping paying fees, and the conversion period will be more than three months;

2. Failing to declare and pay the basic medical insurance premium for urban workers within the specified time;

3 other circumstances identified by the medical insurance department to interrupt the insurance.

Fourth, the implementation time.

This opinion shall take effect from June 65438+1 October 1 day, 2022, and shall be valid from June 65438+1October/day to February 3, 2026. This opinion shall be interpreted by the municipal medical security department, and matters not covered herein shall be implemented according to the relevant provisions of the basic medical insurance for urban workers in our city. If the central and provincial policies are adjusted, the relevant policy standards in this opinion will be adjusted immediately.