Social insurance base, referred to as social insurance base, refers to the social insurance payment base of employees in a social security year.
It is determined based on the monthly average of all wage income earned by employees from January to December of the previous year.
Generally, your salary income in the previous year is the base for payment.
(1) If the employee’s salary income is 300% higher than the local average salary of employees in the previous year, 300% of the local average employee salary in the previous year shall be the payment base; (2) If the employee’s salary income is lower than 60% of the local average employee salary in the previous year
, taking 60% of the local average salary of employees in the previous year as the payment base; (3) If the employee salary is between 300% and 60%, the actual amount shall be declared.
When the employee's salary income cannot be determined, the payment base shall be determined based on the average salary of local employees in the previous year announced by the local labor administration department.
Article 26 of the "Social Insurance Law of the People's Republic of China" The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 27 If an individual who participates in the basic medical insurance for employees reaches the legal retirement age and has paid cumulative contributions for the number of years specified by the state, he will no longer pay basic medical insurance premiums after retirement and will enjoy basic medical insurance benefits in accordance with the regulations of the state;
Yes, you can pay until the number of years specified by the state.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.
The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.
Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid from the work-related injury insurance fund; (2) Those that should be borne by a third party; (3) Those that should be borne by the public health department
; (4) Seeking medical treatment abroad.
Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first.
After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.