1. The payment of medical insurance premiums by units and individuals shall be determined by the average social wage and the basic medical insurance premium rate of the previous year in this Municipality in the payment year.
2, when the medical insurance relationship is intermittent, the personal account amount will not be adjusted; If the medical insurance relationship is interrupted for more than 1 year, it will be credited to the personal account amount from the payment month to the end of the medical insurance year in advance, and the personal account amount during the payment period will be credited to the personal account in one lump sum according to the age proportion of the employees at the time of payment when the medical insurance year is carried forward. If the medical insurance premium is paid back in accordance with the regulations at retirement, the personal account will not be adjusted in that year. When the medical insurance is carried forward to the account at the end of the year, it will be included in the personal account according to 3.5% of the payment base.
Payment process after medical insurance is broken:
1. If the insured fails to pay the medical insurance premium in full and on time as required, they will stop enjoying the medical insurance benefits from the month when they have never paid it in full and on time. If the payment is continued after the interruption, it must be based on the average salary of local employees in the previous year to make up all the arrears during the interruption.
2 overdue time is included in the continuous payment time, but you can't enjoy the payment treatment of the overall fund during the overdue period.
3, the insured to suspend the enjoyment of medical insurance benefits within 60 days (including 60 days) to pay medical insurance premiums, from the next month to enjoy the benefits of pooling funds to pay;
4. If the medical insurance benefits are suspended for more than 60 days to 180 days (including 180 days) to pay back the medical insurance, the benefits paid by the overall fund can only be enjoyed three months after the payment month;
5. If the medical insurance benefits are suspended for more than 180 days and the medical insurance premium is paid back, it will be calculated from the month of payment and enjoy the treatment paid by the overall fund after 6 months.
6. If the payment is not made after the interruption, it shall be deemed as re-participation in medical insurance, and the payment time before the interruption shall not be included in the continuous payment time.
To sum up, medical insurance can be paid first, but must it be paid later? Of course not. Whether to make up for it depends on personal wishes and actual conditions.
Legal basis: Article 25 of the Social Insurance Law.
The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.