The sample statement of condition for a health insurance claim is as follows:
Respectful Leader:
My name is ****, I'm a teacher in a **** school, I'm 38 years old this year.
I played volleyball in November 20XX in **** school accidentally sprained the left foot, when the foot a little pain, after purchasing their own Yunnan Baiyao Spray external, the pain is slightly better than before, and then did not pay attention to have not been to the clinic for medical treatment. 20XX February 13, 20XX has been to the outpatient department of Changning City, West Hospital, the check of the left foot positive and lateral position does not see the obvious special, not to be treated in any other way, and after the touch of their own Discovered left heel a lump, size of about 2cm, walking pain intensified, and then went to the first hospital affiliated to the South China University of Science and Technology, the examination results show: left Achilles tendon transformation, the left ankle joint effusion, need to be hospitalized for surgery.
In order to reimbursement of medical expenses, my family and I have come to the health insurance center and the insurance company many times, but the two places are not authorized, my condition is getting worse and worse, walking on the left foot is also quite difficult, the doctor also warned me that I should be treated as soon as possible, or else, there are worries about the future, under the circumstances, I was admitted to the hospital, surgery, the individual myself to settle all the costs.
I am a teacher in the program, every year according to the national requirements to pay medical insurance, for this, I implore the leadership of the city based on the employee health insurance regulations and relevant provisions, the implementation of my medical expenses reimbursement, I and the whole family thank you.
To
Salute
Applicant: ***
Sunday, September 28, 20XX
2. How to write a social security statement
I. The social security statement reads as follows:
1. First, the social security person's name, ID number.
2, which unit belongs to, the status of the unit (career or business).
3, social security status in detail to write the date of payment and the original reason.
4, my guarantee, such as, the above situation is not true, such as the supply of false conditions, I bear the adverse consequences.
5, unit name (affiliation), date. (specific to the month and year).
6, the social security person's signature, the unit manager's signature and seal (the unit's seal).
Two, the social security status statement is generally is the social security replacement certificate and, is the employer or individual participation in social security, payment of insurance premiums when the need for seniority audit certification certificate.
Third, note: the social security status of the provinces is not uniform, the social security status of the details of the best in the window to ask clearly, record the materials needed before writing.
3. How to write a written description of the health insurance
There is no reason for the hospital to ask the patient to write such a certificate, no matter what the reason for hospitalization, the person concerned purchased the health insurance, should be entitled to the treatment of the health insurance.
If the hospital does not let you old bean health insurance reimbursement, you can go to the health insurance bureau praise. The hospital will not be afraid that you took the compensation, and reported to the health insurance, enjoy double treatment, or there are other reasons.
If your old man had a car accident and the driver who hit your old man was arrested, you do not write a certificate, the hospital is not to give your old man to enjoy the health insurance treatment ah. If you write such a proof, in case there are any follow-up problems serious, you will be dumb, hit your old man, can put the responsibility of a clean, do you understand? You go online to solicit proof, at present no one to write for you, is because of the fear that in case of problems, people are not harming you, based on just this reason, I am afraid that no one dares to write for you oh.
4. The Ministry to pay five insurance but the Social Security Administration to a statement of condition how to write
No need to write instructions.
Social insurance transfer process: the insured person in the new place of employment in accordance with the provisions of the establishment of the basic pension insurance relationship and payment of contributions, by the employer or the insured person to the new place of social security agencies to submit a written application for the transfer of the basic pension insurance relationship continuity; the new place of social security agencies in the 15 working days, the review of the application for the transfer of continuity of the conditions of compliance with the provisions of the method, to the insured person's original If the conditions of this method are met, the social security agency in the place where the participant's original basic pension insurance relationship is located shall issue a letter of consent to accept the application and supply the relevant information; if the conditions for the transfer of the relationship are not met, the applicant or the participant shall be provided with a written explanation; the social security agency in the place where the original basic pension insurance relationship is located shall, within 15 working days of the receipt of the letter of consent to accept the application, carry out the formalities of transferring the relationship; and the social security agency in the place where the new participant is located shall, upon receipt of the application, provide a letter of consent to transfer the relationship. After receiving the basic pension insurance relationship and funds transferred by the social security agency in the place where the pension insurance relationship is located, the agency should complete the relevant procedures within 15 working days and notify the employer or the insured person of the confirmed status on time; the years of pension insurance contributions are cumulative, and gaps are allowed at both ends, which can be made up but can not be made up.
5. How to write a statement of status for social security contributions
People who can make up for the interruption of social security contributions must meet the relevant conditions. In addition, the types of contributions that can be made include basic pension insurance and basic medical insurance. Application instructions are as follows:
1, "tax number": tax registration certificate in the "tax word such as 420213748300492" column number;
2, "Business Registration License Information": subject to industrial and commercial registration, business license units (such as various types of enterprises) to fill in this column, do not fill in the "approval of the establishment of information" column;
3, "approval of the establishment of information": not set up by the industrial and commercial registration Units (such as: institutions, institutions, social organizations, etc.) fill in this column, do not fill in the "business registration license information" column;
4, "Contributions to the unit administrator": fill in the participation of social insurance units in detail as a contact person for the work of its department and contact telephone number;
5, "Contributions to the unit administrator": fill in the participation of social insurance units in detail as a contact person for the work of the work of its department and contact phone number;
5. "Unit type" and "affiliation": fill in the corresponding codes in the "Instructions" at the bottom of the comparison table according to the unit type and affiliation of the insured unit;
6. The corresponding code;
6, "depositary bank": the depositary bank must fill in the clearing bank number.
7, "name", "gender", "birth year and month", "personal account (ID number) ": should be filled in strictly according to the information in the ID card;
8, "personal number": "renewed", "transferred" personnel need to supply Its original insurance personal number, fill in this column. The "new" person does not fill in this column at the time of declaration.
(1) "new": the original uninsured persons, is the type of new, insured persons can not be new.
(2) "Renewal": the original participation in the social security, has been discontinued or transferred to the flow window insurance, now renewed to the new unit insured, is renewed. In the flow of the window insured persons need to declare this form before the arrears of fees paid off and handle their flow of the window of the suspension procedures.
(3) "Transfer in": This refers to the transfer of insured persons between insured units in the city.
(4) "Out-of-city transfer": these people need to complete the account opening procedures in the unit, the unit to the municipal fund clearing center for the transfer of fund settlement and "out-of-city transfer" change business.
9, "monthly wages": should be based on the employee's own average monthly gross salary for the previous year to fill in the form. New recruits in the current year, according to the actual monthly gross salary to fill in. If the actual contribution salary is less than 60% of the city's average monthly salary of the previous year, according to the city's average monthly salary of 60%; if the actual salary is more than 300% of the city's average monthly salary of the previous year, according to the actual salary more than 300% of the city's average monthly salary to pay.
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Medicare statement of condition template
Medicare statement of condition template
1.how to write a statement of condition of the medical insurance reimbursement (format)
Medicare reimbursement Sample status statement is as follows:
Respectful Leader:
My name is ****, I am a teacher in **** school and I am 38 years old.
I played volleyball in November 20XX in **** school accidentally sprained the left foot, when the foot a little pain, after purchasing their own Yunnan Baiyao Spray external, the pain is slightly better than before, and then did not pay attention to have not been to the clinic for medical treatment. 20XX February 13, 20XX has been to the outpatient department of Changning City, West Hospital, the check of the left foot positive and lateral position does not see the obvious special, not to be treated in any other way, and after the touch of their own Discovered left heel a lump, size of about 2cm, walking pain intensified, and then went to the first hospital affiliated to the South China University of Science and Technology, the examination results show: left Achilles tendon transformation, the left ankle joint effusion, need to be hospitalized for surgery.
In order to reimbursement of medical expenses, my family and I have come to the health insurance center and the insurance company many times, but the two places are not authorized, my condition is getting worse and worse, walking on the left foot is also quite difficult, the doctor also warned me that I should be treated as soon as possible, or else, there are worries about the future, under the circumstances, I was admitted to the hospital, surgery, the individual myself to settle all the costs.
I am a teacher in the program, every year according to the national requirements to pay medical insurance, for this, I implore the leadership of the city based on the employee health insurance regulations and relevant provisions, the implementation of my medical expenses reimbursement, I and the whole family thank you.
To
Salute
Applicant: ***
Sunday, September 28, 20XX
2. How to write a social security statement
I. The social security statement reads as follows:
1. First, the social security person's name, ID number.
2, which unit belongs to, the status of the unit (career or business).
3, social security status in detail to write the date of payment and the original reason.
4, my guarantee, such as, the above situation is not true, such as the supply of false conditions, I bear the adverse consequences.
5, unit name (affiliation), date. (specific to the month and year).
6, the social security person's signature, the unit manager's signature and seal (the unit's seal).
Two, the social security status statement is generally is the social security replacement certificate and, is the employer or individual participation in social security, payment of insurance premiums when the need for seniority audit certification certificate.
Third, note: the social security status of the provinces is not uniform, the social security status of the details of the best in the window to ask clearly, record the materials needed before writing.
3. How to write a written description of the health insurance
There is no reason for the hospital to ask the patient to write such a certificate, no matter what the reason for hospitalization, the person concerned purchased the health insurance, you should enjoy the treatment of the health insurance.
If the hospital does not let you old bean health insurance reimbursement, you can go to the health insurance bureau praise. The hospital will not be afraid that you took the compensation, and reported to the health insurance, enjoy double treatment, or there are other reasons.
If your old man had a car accident and the driver who hit your old man was arrested, you don't write a certificate, the hospital is not to give your old man to enjoy the health insurance treatment ah. If you write such a proof, in case there are any follow-up problems serious, you will be dumb, hit your old man, can put the responsibility of a clean, do you understand? You go online to solicit proof, at present no one to write for you, is because of the fear that in case of problems, people are not harming you, based on just this reason, I am afraid that no one dares to write for you oh.
4. The Ministry to pay five insurance but the Social Security Administration to a statement of condition how to write
No need to write instructions.
Social insurance transfer process: the insured person in the new place of employment in accordance with the provisions of the establishment of the basic pension insurance relationship and payment of contributions, by the employer or the insured person to the new place of social security agencies to submit a written application for the transfer of the basic pension insurance relationship continuity; the new place of social security agencies in the 15 working days, the review of the application for the transfer of continuity of the conditions of compliance with the provisions of the method, to the insured person's original If the conditions of this method are met, the social security agency in the place where the participant's original basic pension insurance relationship is located shall issue a letter of consent to accept the application and supply the relevant information; if the conditions for the transfer of the relationship are not met, the applicant or the participant shall be given a written explanation; the social security agency in the place where the original basic pension insurance relationship is located shall, within 15 working days of the receipt of the letter of consent to accept the application, carry out the formalities of transferring the relationship; and the social security agency in the place where the new participant is located shall, upon receipt of the application, provide a written explanation of the transfer of the relationship. After receiving the basic pension insurance relationship and funds transferred by the social security agency in the place where the pension insurance relationship is located, the agency should complete the relevant procedures within 15 working days and notify the employer or the insured person of the confirmed status on time; the years of pension insurance contributions are cumulative, and gaps are allowed at both ends, which can be made up but can not be made up.
5. How to write a statement of status for social security contributions
People who can make up for the interruption of social security contributions must meet the relevant conditions. In addition, the types of contributions that can be made include basic pension insurance and basic medical insurance. Application instructions are as follows:
1, "tax number": tax registration certificate in the "tax word such as 420213748300492" column number;
2, "Business Registration License Information": subject to industrial and commercial registration, business license units (such as various types of enterprises) to fill in this column, do not fill in the "approval of the establishment of information" column;
3, "approval of the establishment of information": not set up by the industrial and commercial registration Units (such as: institutions, institutions, social organizations, etc.) fill in this column, do not fill in the "business registration license information" column;
4, "Contributions to the unit administrator": fill in the participation of social insurance units in detail as a contact person for the work of its department and contact telephone number;
5, "Contributions to the unit administrator": fill in the participation of social insurance units in detail as a contact person for the work of the work of its department and contact phone number;
5. "Unit type" and "affiliation": fill in the corresponding codes in the "Instructions" at the bottom of the comparison table according to the unit type and affiliation of the insured unit;
6. The corresponding code;
6, "depositary bank": the depositary bank must fill in the clearing bank number.
7, "name", "gender", "birth year and month", "personal account (ID number) ": should be filled in strictly according to the information in the ID card;
8, "personal number": "renewed", "transferred" personnel need to supply Its original insurance personal number, fill in this column. The "new" person does not fill in this column at the time of declaration.
(1) "new": the original uninsured persons, is the type of new, insured persons can not be new.
(2) "Renewal": the original participation in the social security, has been discontinued or transferred to the flow window insurance, now renewed to the new unit insured, is renewed. In the flow of the window insured persons need to declare this form before the arrears of fees paid off and handle the flow of the window of the suspension of its procedures.
(3) "Transfer in": This refers to the transfer of insured persons between insured units in the city.
(4) "Out-of-town transfer": these people need to complete the account opening procedures in the unit, the unit to the municipal fund clearing center for the transfer of fund settlement and "out-of-town transfer" change business.
9, "monthly wages": should be based on the employee's own average monthly gross salary for the previous year to fill in the form. New recruits in the current year, according to the actual monthly gross salary to fill in. If the actual contribution salary is less than 60% of the city's average monthly salary of the previous year, according to the city's average monthly salary of 60%; if the actual salary is more than 300% of the city's average monthly salary of the previous year, according to the actual salary is more than 300% of the city's average monthly salary of the previous year to pay