Chapter I General Provisions Article 1 In order to guarantee the basic medical care for urban workers, promote economic development and maintain social stability, these provisions are formulated in accordance with the Decision of the State Council on Establishing the Basic Medical Insurance System for Urban Workers, the Regulations of Shantou Special Economic Zone on Social Insurance for Enterprise Workers and relevant laws and regulations, and in combination with the actual situation of Shantou Special Economic Zone (hereinafter referred to as the Special Zone). Article 2 These Provisions shall apply to enterprises, organs, institutions, social organizations and urban individual economic organizations (hereinafter referred to as employing units) and all their employees within the scope of the Special Zone. Article 3 The level and mode of basic medical security in the Special Zone shall be compatible with the development level of social productive forces and the affordability of all aspects, and shall follow the principle of "basic security and wide coverage". The basic medical insurance fund combines social pooling with individual accounts, and the medical insurance expenses are shared by both employers and employees. Article 4 The basic medical insurance for employees in the Special Zone shall be administered in a territorial manner. Unified system, unified standards, unified management and unified use of funds within the special zone to ensure basic medical care for employees. Employers can establish various forms of supplementary medical insurance. Article 5 The government shall use legal, economic and administrative means to supervise and guarantee the raising of medical insurance funds and the payment of medical insurance benefits. Article 6 The municipal social insurance administrative department is in charge of the management of medical insurance for employees in the Special Zone, and is responsible for the implementation of these Provisions.

Municipal social insurance agencies specifically undertake basic medical insurance business, and are responsible for the collection, management and payment of medical insurance funds for employees in the Special Zone.

All levels of finance, labor, taxation, health, medicine, auditing, price and other departments and trade unions shall, according to their respective responsibilities, assist in the implementation of these Provisions. Article 7 The medical and health reform in the Special Zone should be carried out in parallel with the reform of the basic medical insurance system, and a restraint mechanism for doctors and patients and a reasonable compensation mechanism for medical institutions should be established to promote regional health planning and improve the quality of medical services and work efficiency. Chapter II Raising of Medical Insurance Fund Article 8 The medical insurance fund consists of the following items:

The basic medical insurance premium paid by the employer;

Basic medical insurance premiums paid by employees;

Value-added income of medical insurance fund;

4. Late payment fee;

5. Funds transferred from other places;

The basic medical insurance premium payable when the unit is dissolved, revoked, bankrupt or auctioned (sold);

7. Local financial allocation;

Social donation;

Other income stipulated by laws and regulations. Article 9 Employers and employees must pay medical insurance premiums in full monthly. The medical insurance fund is raised according to the principle of fixed income and expenditure, balance of payments and slight accumulation. The medical insurance premium paid by the employer shall be paid in accordance with 8% of the total monthly salary of the employees of the unit, and the employees shall pay in accordance with 2% of their monthly salary.

Employees who have participated in unemployment insurance can enjoy basic medical insurance benefits if they pay medical insurance premiums according to regulations during the period of receiving unemployment insurance benefits. The medical insurance premium paid by the original employer shall be transferred from the unemployment insurance fund according to 80% of the average monthly salary of employees in the special zone last year. Tenth, the average monthly salary of employees in the last year exceeded 300% of the average monthly salary of employees in the special zone last year, and the medical insurance premium was exempted; If the average monthly salary of employees in the last year is lower than that of employees in the last year in the Special Zone, and employees (including owners and employees) registered as private enterprises and industrial and commercial individual economic organizations, medical insurance premiums shall be approved according to the average monthly salary of employees in the last year in the Special Zone. Eleventh employees from the date of retirement, individuals no longer pay medical insurance premiums, their medical expenses will be resolved separately. Article 12 Medical insurance premiums paid by individual employees shall be withheld and remitted by the employing unit from employees' wages. Medical insurance premiums payable by employers and employees shall be collected by tax authorities on a monthly basis after being approved by social insurance agencies. Thirteenth medical insurance premiums paid by the employer shall be charged according to the following provisions:

1. Institutions and institutions with financial allocations as the mainstay shall be charged in the unit budget funds; Other institutions are charged in business income;

(two) social organizations from their income expenditure;

(3) enterprises should be charged in the "welfare funds payable";

Urban individual economic organizations should be included in their income. Article 14 No unit or individual has the right to reduce or exempt the medical insurance premiums that should be paid. If the employer fails to pay the medical insurance premium on schedule, it will stop its employees from enjoying the basic medical insurance benefits from the month after the default, and the employer will be responsible for the medical expenses incurred by the employees. Fifteenth employers and employees shall, within 45 days from the date of implementation of these Provisions, go through the medical insurance formalities at the social insurance agency; The newly established employer shall, within 30 days from the date of obtaining the business license, go through the medical insurance formalities at the social insurance agency; When the employer changes or terminates (cancels), it shall go through the formalities for the change and termination of the medical insurance relationship with the social insurance agency in the same month. Article 16 When the employing unit is merged, the merging party must bear the medical insurance premium of the employees; When being leased or contracted, the responsibility of medical insurance must be clearly defined.

When an employer goes bankrupt, dissolves, cancels or terminates its assets and capital verification business for other reasons, it shall first pay off the medical insurance premium payable to the social insurance agency in accordance with the provisions of relevant laws and regulations.