According to the Trial Measures for Basic Medical Insurance for Urban Residents of Ankang City, this provisional regulation is formulated.
Article 1 of the basic medical insurance for urban residents in Ankang City: All urban non-working residents, primary and secondary school students (including students of vocational high schools, junior colleges and technical schools), and children and teenagers (including minor children of rural migrant workers who go to school and live with their parents in the city for a long period of time), who are not covered by the basic medical insurance for urban workers, can voluntarily take part in the basic medical insurance for urban residents.
The second basic medical insurance for urban residents shall be coordinated at the municipal level, and the city shall carry out uniform policies and standards for the payment of insurance premiums.
Article 3 of the basic medical insurance for urban residents in Ankang City, where the end of 2008 before the end of the insurance, there is no waiting period; after January 1, 2009 for the first time to participate in the insurance or insurance and then re-enrollment of residents, the implementation of the six-month waiting period (the waiting period is not entitled to medical insurance treatment).
There is no waiting period for medical insurance benefits for newborns within two months of birth, or for those who interrupt other types of social medical insurance and renew their urban residents' medical insurance within two months.
Article 4: Urban residents shall renew their insurance within the stipulated time for declaration and payment of contributions, and those who fail to renew their insurance within 2 months after the expiration date shall be regarded as uninsured. They shall cease to enjoy medical insurance benefits during the period of de-insurance.
July 1, 2008 to October 1, 2008, for the second half of 2008 and 2009 annual medical insurance for the centralized declaration and payment period, after October 1 to December 10 each year for the next year to participate in the urban residents of the basic medical insurance centralized declaration and payment period.
Article 5 of the basic medical insurance for urban residents in Ankang City, the implementation of the family household registration as a unit, the overall participation in the insurance. Family size to the end of 2007 household registration shall prevail.
Sixth registration and payment procedures
(a) the first registration, residents first to the household registration township social security service station (community labor security workstations) to fill out the "Ankang City, urban residents of the basic medical insurance registration form" (see annex), the township social security service station (community labor security workstations) to review the qualifications of the participants, will be the relevant information into the After reviewing the qualifications of the insured persons, the township social security service station (community labor security workstation) will enter the relevant information into the computer system and print the annual payment bills of the insured residents' families; the insured persons will pay the fees to the designated bank with the bills, and then send the feedback to the township social security service station (community labor security workstation); the township social security service station (community labor security workstation) will report the information of insurance participation and payment of the fees to the county (district) health care insurance agency in a timely manner, and after the approval by the county (district) health care insurance agency, it will transmit the information (including the After the approval of the county (district) health insurance agency, the county (district) health insurance agency passes the information (including the paper registration form) to the municipal social security administration center every Monday; the municipal social security administration center verifies the information and data, and then uniformly compiles the number of the health insurance card and produces an IC card and supervises the production of the Health Insurance Card, and the county (district) produces the Health Insurance Card according to the number. The card is issued to the insured person at each level.
When registering for the first time, you must provide your family's household register, your ID card (except for students and children who do not have an ID card), and four two-inch photos of the insured person with the same background, and the following people must also provide relevant materials:
1. Medical insurance documents of family members who have participated in the basic medical insurance for urban workers or the new type of rural cooperative medical care.
2, urban low-income people to provide "Ankang City, urban residents of the minimum subsistence allowance certificate",
last month to receive low-income payment passbook.
3. Disabled persons can provide the Certificate of Disabled Persons of the People's Republic of China.
4, "three no" objects to provide low income guarantee and related certificates.
5. Elderly people over 60 years old in low-income families can provide low-income certificates examined and approved by the civil affairs departments of counties (districts).
6. Children under three years old can provide four two-inch photos of the same background with their legal guardians.
(2) when renewing the insurance residents should be in the required centralized declaration and payment period, to the domicile of the township social security service station (community labor security workstations) to apply for the relevant procedures, the township social security service station (community labor security workstations) audit the qualifications of the participants, print the insured residents' annual household contribution bill; participants with the bill to the designated bank to pay the fees, feedback to the township Social security service stations (community labor security workstations); the township social security service stations (community labor security workstations) will promptly report the renewal and payment information to the county (district) health insurance agencies, and the county (district) health insurance agencies, after approval, will transmit the information (including the reporting of paper registration forms) to the municipal social security office on every Monday; the municipal social security office will instantly maintain the database of insured persons after checking the information on the insured persons and payment information. After checking the information on participants and contributions, the Municipal Social Security Administration Center will instantly maintain the database of participants to ensure the accuracy of the information on the renewal of participants.
Renewal of residents with changes in their household accounts must provide information on the changes in their household accounts; low-income earners must provide a passbook of the month in which they received the low-income pension; low-income families with elderly people over 60 years old must provide proof of low income for the current period examined and approved by the civil affairs departments of the counties (districts).
(3) In the year of participation in the insurance, not in the centralized declaration and payment period for participation and payment procedures, individuals must pay the full annual insurance costs (including financial subsidies), and do not enjoy the payment of fees before the time of health insurance treatment.
(d) Ankang city within the collective household registration of students, by their schools to arrange a person, responsible for the county (district) health insurance agency for registration procedures.
Article VII of the payment standard
According to the spirit of the Shaanxi government letter [2008] No. 105 document, the adult residents of the basic medical insurance co-ordination standards for each person 240 yuan per year, of which the residents of the individual payment of 160 yuan per person per year, the central financial subsidy of 40 yuan, the provincial financial subsidy of 28 yuan, the city, the county (district) of financial subsidies a total of 12 yuan. Among them, people enjoying urban low-income insurance, people with disabilities holding "Chinese people's **** and national disabled person's card", low-income families in the elderly over 60 years old (hereinafter referred to as the "three types of people"), individuals pay 100 yuan per year, the central financial subsidy of 70 yuan, the provincial financial subsidy of 49 yuan, the city and county (district) financial subsidy of 21 yuan. The government of the People's Republic of China (hereinafter referred to as "the three categories") will pay 100 yuan per year.
Student children residents of the basic medical insurance standard is 100 yuan per person per year. Which students and children pay 20 yuan per person per year, the central financial subsidies 40 yuan, the provincial financial subsidies 28 yuan, the city and county (district) financial subsidies total 12 yuan. Which enjoys the urban low-income families in the student children and hold "Chinese people's **** and national disabled person's card" disabled students and children pay 10 yuan per person per year, the central financial subsidy of 45 yuan, the provincial financial subsidy of 31.5 yuan, cities and counties (districts) financial subsidies of 13.5 yuan per person per year.
The individual contributions of persons with severe disabilities who are totally incapacitated for work (first- and second-degree blind; first-degree physically handicapped; first- and second-degree mentally handicapped; first-degree mentally ill; and multiply handicapped) and persons with "three noes" (no source of income, no ability to work, and no designated breadwinner, fosters, or dependents) are paid out of the urban medical aid funds of the counties (districts). ) urban medical assistance funds.
Article VIII of the medical insurance card, card charges
Medical insurance card, IC card cost of labor charges, in accordance with the provincial and municipal price departments of the prescribed standard charges, the implementation of the two-line management of financial revenues and expenditures.
Article IX of the conditions of the employer's family members of employees to participate in the insurance premiums can be given a certain amount of subsidies. Enterprises on the subsidies for employees' families can be charged before tax.
Article 10 of the provisional provisions from the date of issue.
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