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Do I need to issue a certificate if I pay employee social security but not the new rural cooperative medical system?

there is no need to issue a certificate.

both of them can't be paid at the same time, and some of them can only enjoy one reimbursement even if they are paid together due to operational errors. Employees' medical insurance and urban and rural medical insurance are all medical insurance methods. As for which one you choose, it depends entirely on your personal situation, and there is no rigid requirement. First, the reimbursement rate of employee medical insurance is higher than that of the new rural cooperative medical system

Employee medical insurance, as its name implies, is a kind of medical insurance paid by enterprises to employees. The enterprises bear a certain amount, and the employees bear a certain proportion. Regarding the detailed ratio, each city has different regulations. The part paid by the enterprise is included in the medical pooling fund for reimbursement and payment of serious illness; The part paid by the individual is transferred to his personal account, which cannot be taken out, but can be used for medical expenses, such as pharmacy purchase, hospital registration, various inspection fees, etc. Regarding the reimbursement ratio, the reimbursement ratio varies from place to place, but employees' medical insurance is generally more than that reported by the new rural cooperative medical system, and it can be reported by 5%-1% more. ? Second, the reimbursement rate of urban residents' medical insurance is still higher than that of the new rural cooperative medical system (NCMS) and urban residents' medical insurance, both of which belong to urban and rural medical insurance. The former is for rural residents and must be insured by family. The latter is oriented to urban hukou. The former is managed by local health centers, while the latter is managed by local human and social departments. The annual fee is different, but the payment method is basically the same, and a small fee is levied once a year to ensure one-year medical service, and there is no personal account. The reimbursement rate of medical insurance for urban residents is higher than that of the new rural cooperative medical system, which is 85% in urban areas and 1% to 8% in the new rural cooperative medical system, with different proportions in different regions.

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