Local supplementary medical insurance and maternity medical insurance shall be co-ordinated by the society.
The basic medical insurance fund, the local supplementary medical insurance fund and the maternity medical insurance fund are included in the social security financial accounts, and two lines of revenue and expenditure management are implemented, which are earmarked for special purposes. Misappropriation is strictly prohibited.
When the basic medical insurance fund, local supplementary medical insurance fund and maternity medical insurance fund are insufficient due to special circumstances such as disease outbreaks and serious natural disasters, the municipal finance will give subsidies.
? 1) Principles for establishing the basic medical insurance system for urban workers: the level of basic medical insurance should be adapted to the development level of productive forces in the primary stage of socialism; All employers and their employees in cities and towns should participate in basic medical insurance and implement territorial management; The basic medical insurance premium is shared by both the employer and the employee; The basic medical insurance fund combines social pooling with individual accounts.
2) Coverage and payment method: All employers in the town, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.). ), organs, institutions, social organizations, private non-enterprise units and their employees must participate in the basic medical insurance. Whether township enterprises and their employees, owners of urban individual economic organizations and their employees participate in basic medical insurance shall be decided by the people's governments of all provinces, autonomous regions and municipalities directly under the Central Government. In principle, the basic medical insurance shall be based on the administrative regions (including prefectures, cities and leagues) or counties (cities) above the prefecture level. In principle, the three municipalities directly under the Central Government, namely Beijing, Tianjin and Shanghai, shall implement overall planning within the city (hereinafter referred to as the overall planning area). All employers and their employees shall participate in the basic medical insurance in the overall planning area in accordance with the principle of territorial management. The basic medical insurance premium is paid by both the employer and the employee. The employer's contribution rate should be controlled at about 6% of the total wages of employees, and the employee's contribution is generally 2% of his wage income. With the development of economy, the contribution rates of employers and employees can be adjusted accordingly.
Establish basic medical insurance funds and personal accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts. The basic medical insurance premium paid by the employer is divided into two parts, one part is used to establish the overall fund, and the other part is included in the personal account. The proportion of individual accounts is generally about 30% of the employer's contribution, and the specific proportion is determined by the overall planning area according to the payment scope of individual accounts and the age of employees. The overall fund and individual account shall delimit their respective payment ranges, and shall be accounted for separately, and shall not occupy each other.
4) Properly solve the medical treatment of relevant personnel: it is stipulated that the medical treatment of retired personnel, old Red Army and disabled revolutionary soldiers above Grade B will remain unchanged, and the medical expenses will be solved according to the original funding channels; Retirees participate in the basic medical insurance, and individuals do not pay the basic medical insurance premium; On the basis of participating in basic medical insurance, national civil servants enjoy Medicaid policy; Allow the establishment of supplementary medical insurance for enterprises; The basic medical insurance premium for laid-off workers of state-owned enterprises, including unit contributions and individual contributions, shall be paid by the re-employment service center according to 60% of the average salary of local employees in the previous year.