I. Definition

Personal account, as its name implies, is everyone's own account, which records the amount paid by individuals in social security contributions and the benefits enjoyed by individuals in social security collection. Its source of funds is mainly personal social security contributions.

The overall account is the account of the whole society, which is jointly invested by the government and all walks of life, and is mainly used to pay various social security benefits and manage and operate social security funds. Its main sources of funds are taxes and government grants.

Second, function

The main function of personal account is to provide the insured with services such as personal account balance inquiry, personal payment, rights confirmation, etc. It can also be used to pay social insurance premiums such as medical insurance, old-age insurance and work-related injury insurance, and can also be used to withdraw pensions, Medicaid and other benefits.

Overall account is an important channel to provide public safety services for the society. It can be used to pay various social security benefits such as basic pension, medical insurance, unemployment insurance and industrial injury insurance.

Third, the mode of operation.

Personal accounts are managed by social security fund management institutions, and are usually entrusted by the government to pay, manage, audit, consult and distribute pensions, Medicaid and other benefits in personal accounts.

The overall account is managed by the financial department, which will allocate funds according to the needs of social security funds, and also manage the use of funds to ensure that the use of funds is reasonable, transparent and standardized.

Fourth, the scope of application

Personal accounts are mainly used in social security fields such as endowment insurance, medical insurance and industrial injury insurance.

Overall account is widely used in the field of social security, including basic old-age insurance, unemployment insurance, medical insurance, industrial injury insurance, maternity insurance and so on. At the same time, it can also be used to fight public health emergencies and natural disasters.

Verb (abbreviation of verb) management method

The management of personal accounts is managed by the insured, and the insured can query personal account balance, payment records, treatment application and other information through online services provided by social security agencies and mobile APP.

The overall account is managed by the government financial department, including appropriation, audit and financial management. The government financial department will regularly announce the use of funds in the overall account and audit the use of funds to ensure the legality and compliance of the use of funds.

Ownership of rights and interests of intransitive verbs

Personal account rights belong to individuals. When the insured retires or meets other conditions, they can receive pension, Medicaid and other benefits through personal accounts. If the insured person dies, the balance in the personal account can be inherited to his legal heir.

The rights and interests of the overall account belong to all the insured. When the insured receives various social security benefits, the main source of funds is the overall account. Therefore, the funds in the overall account are not owned by individuals, but invested by the government and all walks of life to provide public services.

Seven. abstract

Personal account and overall account are two indispensable parts of the social security system, and there are obvious differences between them. Personal account is each insured person's own account, which mainly records the individual's payment and enjoyment of benefits. Overall account is the account of the whole society, which is used to pay various social security benefits and manage social security funds. Although their functions and modes of operation are different, they are isomorphic to form a complete social security system, providing security and welfare for all insured persons.

Comparison of advantages and disadvantages between overall fund payment and personal account expenditure;

Advantages:

1, which is more fair: since personal account expenditure only involves individuals, it can better reflect the principle of fairness and avoid unfairness caused by differences in payment levels.

2. More flexibility: Personal account expenditures are more flexible and disposable, and you can freely control your own income to better adapt to changes in personal needs. At the same time, it can also increase income through investment.

Disadvantages:

1, which is not conducive to the accumulation of pensions: part of the expenditure from personal accounts goes directly into personal accounts, and pension reserves cannot be formed, which is not conducive to long-term savings and the implementation of pension plans.

2. It may lead to a waste of funds: If individuals use the funds in their personal accounts unreasonably, it may lead to a waste of funds and affect the development of the whole social old-age security system.

To sum up, in practice, individual accounts and overall accounts should complement each other and cooperate with each other in order to better achieve the goal of social security. At the same time, government departments should also strengthen the management and supervision of social security funds, ensure that the use of funds is legal, compliant and transparent, and provide better services and guarantees for the majority of insured people.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 30

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.