(a) all kinds of enterprises (including township enterprises registered in cities and towns);
(2) State organs, institutions and social organizations;
(3) Private non-enterprise units;
(four) individual economic organizations and their employees (more than 8 people);
(five) migrant workers who have signed labor contracts with employers;
(6) Flexible employees;
(seven) other units and personnel as prescribed by laws and regulations.
In Hohhot, enterprises directly under the central government, enterprises affiliated to the autonomous region and Hohhot Railway Bureau participate in the basic medical insurance for urban workers in this city according to the principle of territorial management. Article 4 The basic medical insurance for urban workers shall be managed by cities and counties at different levels, and gradually transferred to the municipal level as a whole within three years. Article 5 The basic medical insurance for urban workers includes unified account combined medical insurance, inpatient medical insurance and outpatient medical insurance. Sixth in order to solve the medical expenses above the maximum payment limit of the basic medical insurance fund, urban workers should participate in large medical insurance for urban workers while participating in the basic medical insurance. Article 7 On the basis of participating in the basic medical insurance, national civil servants enjoy the Medicaid policy.
Insured enterprises can establish supplementary medical insurance for employees on the basis of participating in basic medical insurance. The part of the supplementary medical insurance premium within 4% of the total wages is paid from the employee welfare funds, and the part with insufficient welfare funds is included in the cost after being approved by the financial department at the same level. The supplementary medical insurance fund is managed by the insured enterprises themselves. Eighth municipal labor and social security department is the administrative department in charge of the basic medical insurance for urban workers in this Municipality, and the municipal medical insurance agency is responsible for the implementation of these measures.
Finance, taxation, health, drug supervision, price and other departments shall, according to their respective responsibilities, coordinate the implementation of the basic medical insurance for urban workers. Chapter II Fund Raising of Basic Medical Insurance Article 9 The employing unit shall go through the formalities for the declaration of basic medical insurance at the municipal medical insurance agency, and provide the business license or documents approved for establishment, organization code certificate, bank account number, roster of insured persons and electronic documents.
If the insured unit terminates or the registered items of the basic medical insurance change according to law, it shall go through the cancellation or change procedures at the municipal medical insurance agency within 30 working days from the date of termination or change. Tenth basic medical insurance premium payment base is approved once a year, and will not be adjusted during the year. The first insured person pays the basic medical insurance premium based on his salary last month.
With the development of social economy, with the approval of the Municipal People's Government, the contribution rate of basic medical insurance can be adjusted appropriately. Eleventh employees last year's wage income is lower than 80% of the average wage of employees in this Municipality last year, with 80% of the average wage of employees in this Municipality as the payment base; The part that exceeds 300% of the average wage of employees in this Municipality last year shall not be used as the base of payment. Twelfth basic medical insurance premiums should be paid before 15 every month, and can also be paid in advance quarterly or annually. Thirteenth basic medical insurance premiums paid by the insured units and insured persons in accordance with the following standards:
(a) the insured units above the annual total wages of all employees as the base, according to 6% to pay the basic medical insurance premium.
(two) the insured unit to my annual salary income as the base, according to 2% to pay the basic medical insurance premium, withheld by the unit from the salary.
(three) the insured individuals pay 8% of the basic medical insurance premium according to 80% of the average wage of employees in this Municipality in the previous year; You can also pay the basic medical insurance premium at the rate of 4.5% according to 80% of the average salary of employees in this city in the previous year, but you don't set up a personal account. Fourteenth insured units merger, division, transfer, lease, contract, receiving or inheriting units must give priority to pay off the unpaid basic medical insurance premiums and interest. If the insured enterprise declares bankruptcy according to law, it shall give priority to paying off the unpaid basic medical insurance premium, and set aside one year's basic medical insurance premium for employees based on 80% of the average salary of employees in this city at the time of liquidation of assets. Fifteenth individual insured during the period of enjoying the unemployment insurance benefits, in accordance with the relevant provisions to enjoy the medical insurance payment subsidy policy. Sixteenth basic medical insurance premiums shall not be reduced, and no unit or individual may refuse to pay or underpay for any reason. Chapter III Establishment and Management of Pooled Funds and Individual Accounts Article 17 The basic medical insurance fund for urban workers consists of pooled funds and individual accounts. Pooled funds and individual accounts shall be accounted for separately, and shall not be mutually occupied.
(a) according to the unified account combined with the insured units insured, the basic medical insurance premiums paid by themselves are all included in the personal account; The basic medical insurance premium paid by the insured unit is divided into two parts, one part is used to establish the overall fund, and the other part is included in the personal account according to the prescribed proportion.
(two) according to the individual insurance mode of unified account, the basic medical insurance premium paid by it shall be included in the individual account in accordance with the prescribed proportion, and the rest shall be included in the overall fund.
(3) The basic medical insurance premiums paid by the insured individuals according to the overall plan of hospitalization are all included in the overall fund, and no personal account is set up.