Over the past year, with the help of leaders and comrades, the social insurance inspection work has been completed very well, which is summarized as follows:
First, the target completion
1, which ensures that the pensions of XXX retirees, XXX survivors and XXX entitled farmers are paid in full and on time. By the end of the year, the pension will be paid XXX million yuan (including XXX million yuan for employee pension insurance and XX million yuan for rural insurance pension), and the socialized payment rate will reach 100%.
2. The number of old-age insurance participants reached XXX, including XXX on the job and XXX retired, a net increase of XXX over last year, fulfilling the 10 1% of the annual task assigned by the municipal level.
3. The number of medical insurance participants reached XXX, a net increase of XXX over last year, and XXX% of the annual tasks assigned by the municipal level were completed. Among them, XXX migrant workers participated in medical insurance, a net increase of XXX over last year, completing XXX% of the tasks assigned by the municipal level.
4. The number of people participating in industrial injury insurance reached XXX, a net increase of XXX over last year, and XXX% of the annual tasks assigned by the municipal level were completed.
5. The number of people participating in maternity insurance reached XXX, a net increase of XXX over last year, and XXX% of the annual tasks assigned by the municipal level were completed.
6. XXX people were added to the agricultural insurance, reaching 4XXX people, accounting for xx% of the tasks assigned by the government.
7. Social insurance premiums are calculated at XXX yuan, including employee pension insurance, rural pension insurance, employee medical insurance, work injury insurance and maternity insurance. * * * Expenditure XXX million yuan, including urban insurance expenditure XXX yuan and agricultural insurance expenditure XXX yuan.
8.XX urban residents participated in residents' medical insurance, including XX adults and XX students. The medical insurance fund of XX million yuan has been collected, and * * * has paid XX million yuan for hospitalized patients.
Second, the work measures and effects
(1) Pay close attention to the collection of extended areas.
Expanding the scope of collection is the lifeline of social security work. Therefore, we actively take various measures to do a good job in expanding and continuing the surface, ensuring that all the expanded products are expanded, all the collected products are collected, and the particles are returned to the warehouse.
? First of all, the responsibility system for expanding coverage is established, the indicators are decomposed layer by layer, everyone implements the task, and everyone has the task of expanding coverage from the stock to the center. The rewards and punishments are clear, which effectively mobilizes the enthusiasm of employees for expanding coverage and renewing coverage, forming a "chain" situation of expanding coverage and collecting fees.
? Secondly, by charging interest to promote the extension and renewal of insurance coverage, while making up for the original arrears, interest is charged to the interrupted personnel who cannot pay the fees on time. If they don't pay for a long time, they will have more interest. Coupled with the use of new software, interest will roll over and increase even more. In this regard, we have increased publicity in this regard through radio, television, newspapers and other news media, so that the vast majority of people who have broken their insurance have paid the arrears. ? Thirdly, establish a full-time fund collection brigade to be responsible for the collection of endowment insurance, medical insurance, industrial injury insurance and maternity insurance funds to ensure that all funds are in place on time and in full. In addition, flexible measures should be taken, phased goals should be set according to the progress of the task, and strict punishment should be imposed to promote the work.
(B) to strengthen the social insurance audit
In order to plug the loopholes in the fund, this year, while doing a good job in monitoring the daily visits of key objects, the annual centralized survival certification began in June. By using the fingerprint verification system, 5,552 retirees, disabled workers, disabled revolutionary soldiers above Grade B and their survivors were authenticated, with the authentication rate reaching 100% and the usual visit rate of key objects reaching 65,438+. From June, 65438 to 10, it took three months to audit the payment base of all insured units, and the audit rate reached 100%. In order to effectively stop the phenomenon of defrauding medical expenses, we have strengthened the inspection of medical expenses and work-related injuries, strictly approved hospitalization registration, established a ward round system, ensured that every hospitalization should be inspected, and strictly reviewed the reimbursement procedures, so that the phenomenon of defrauding medical expenses has nowhere to be drilled. Due to effective management and supervision measures, no fraud occurred.
(C) to further improve the level of social management services
This year, we are constantly improving the management and service level of the three centers and 14 social security institute. On New Year's Day and other major festivals, we will continue to organize all retirees, including farmers and herdsmen who enjoy the treatment of agricultural insurance, to carry out various sports activities to enrich the lives of retirees. In addition, we will strengthen our services to the insured. In order to make the insured people know the social security policy conveniently and quickly, inquire about their own endowment insurance payment and know whether the employer pays the endowment insurance premium for themselves on time and in full, the Social Insurance Bureau has established a service website, opened columns such as policies and regulations, service guides, policy answers, video news, etc., and made public the functions, responsibilities, work processes and telephone numbers of the offices of various units, and established an information inquiry system for individual account payment of endowment insurance on the service website of this bureau. You can enter the personal account inquiry system, enter your ID number or personal number of endowment insurance, and inquire about your endowment insurance payment and bookkeeping. Realize the transparency and openness of personal account management.
(4) Do a good job in starting medical insurance for urban residents.
According to the relevant regulations of the higher authorities, in March, the Social Security Bureau conducted a thorough investigation on the number of people who participated in the medical insurance for urban residents. ? In June, the preparatory work was started in an all-round way, and the medical insurance unit for urban residents was established, equipped with office facilities and equipment, realizing the modernization of office management means and information networking. According to the "Trial Measures for the Basic Medical Insurance for Urban Residents in XX City", combined with the actual situation, the "Detailed Rules for the Implementation of the Basic Medical Insurance for Urban Residents in XX City (for Trial Implementation)" was formulated, and coordination work was also done with departments such as finance, civil affairs, education and disabled persons' federations. It officially entered the development stage in August, and the residents' medical insurance policy was widely publicized through various news media, such as distributing leaflets, posting slogans and hanging banners. This makes it a household name. This year, XX people (including XX adults and XXXX students) have registered and paid insurance.
(five) strict management of social security funds.
In order to ensure the safety, integrity, rational use and effective operation of social security funds. Strict work system and workflow, combined with the relevant provisions of the Ministry of Labor and Social Security, autonomous regions and municipalities directly under the Central Government, formulated the internal control management system of social insurance agencies, standardized the functions and responsibilities of each stock room, refined the workflow of each stock room, established the inspection and supervision system, and established the whole process of income and expenditure operation of social insurance from enrollment, registration, payment, account establishment, operation and management under comprehensive supervision, and implemented the system of double control and strict internal audit reconciliation. In April, the distribution of all distribution points was thoroughly investigated and cleaned up, and all pensions accumulated for more than one year were retired to households, effectively putting an end to the phenomenon that distribution points misappropriated and distributed funds. There was no violation of discipline or misappropriation. Because the social security fund management of our flag is in place, the measures are effective and the effect is obvious. On March 20th, Xu Liansheng, director of the Municipal Audit Bureau, fully affirmed the management and use of Aohan Social Security Fund at the city's audit work conference.
(six) conscientiously do a good job in personal account management self-inspection.
In order to better safeguard the legitimate rights and interests of the vast number of insured persons and realize the standardized and meticulous management of endowment insurance, according to the requirements of the state, autonomous regions and municipalities, we conducted a comprehensive self-examination of the personal accounts of employees in enterprises in our banner, leaving no dead ends and hidden dangers, comprehensively combed and analyzed the problems and reasons in personal account management, and rectified the problems found, which consolidated the management foundation and improved the quality of personal account management. In order to ensure the effectiveness of this work, the Social Security Bureau of our banner has set up a self-inspection leading group with the director as the team leader, the leaders in charge as the deputy team leader and the heads of relevant stock rooms as members. Under the data information working group and the written materials working group, they are fully responsible for the inventory work, forming a working mechanism of grasping the first level and implementing it at different levels. May1May-June 10 is also determined as the self-inspection stage, and June10-June 30 is the rectification stage. At the same time, do a good job in policy training, so that business personnel can learn deeply and ensure the orderly development of the work. Updating new software after rectification, personal information integrity rate increased by 15%, accuracy rate increased by X%, billing rate increased by XX%, and timeliness rate increased by 1XX%. Eliminate the phenomenon of repeated building of households and separation of households. It solves the problems of untimely accounting, untimely personnel transfer, single reconciliation method and incomplete account information.
(seven) the establishment of township social security offices and networking offices.
In August, the government invested more than 400,000 yuan to optimize the office management software of the Social Security Bureau, centrally purchased computers, printers, scanners and other equipment, and established the networking office of township social security offices and bureau organs. Work procedures such as insurance registration, premium collection and survival certificate can be handled on site, and all kinds of data are transmitted through the network, which realizes the modernization, scientificity and networking of office management means, simplifies work procedures and improves work efficiency.
Third, the main problems
1, medical insurance for urban residents is difficult to carry out. Due to the poor cooperation of relevant departments and the untimely registration of insurance, it is more difficult to carry out residents' medical insurance.
2. It is difficult to expand the coverage of endowment insurance, medical insurance, industrial injury insurance and maternity insurance. According to the internal affairs of autonomous region (2008? Document No.22 1 requires that all non-public enterprises, private enterprises and foreign-invested enterprises be included in the scope of social insurance. However, due to the government's special policies, investment-attracting enterprises can't participate in social insurance in time and pay social insurance premiums in full, and most investment-attracting enterprises still don't participate in social insurance, which damages the social insurance rights and interests of employees and affects the completion of the task of expanding the scope of collection.
Four, the new year's work ideas
In accordance with the principle of "wide coverage, basic protection, multi-level and sustainable", with the national pilot as the driving force and the opportunity of strengthening cooperation, we will further deepen the reform of the social insurance system and establish a social insurance system that conforms to the banner, urban and rural planning and five insurances.
1. Continue to increase the collection of pension, medical care, work-related injury and maternity insurance for urban workers, raise social insurance funds through multiple channels based on the responsibility system, standardize the collection process, strengthen the collection management measures, and strictly collect the reward and punishment mechanism to realize the expansion of pension, medical care, work-related injury and maternity insurance 1000.
2. Strengthen fund supervision. First, strengthen audit supervision and fund supervision, strictly work procedures, and strictly supervise and inspect the reconciliation system to ensure the safe, complete and effective operation of the fund. Second, while doing a good job in the certification of those who enjoy the treatment of urban insurance, we should do a good job in the survival certification of those who enjoy the treatment of agricultural insurance, just like grasping the family planning object, so as to achieve the goal of 100% certification rate and put an end to the phenomenon of pension fraud.
3, in-depth development of basic medical insurance for urban residents, increase publicity, all eligible urban residents will be included in the scope of insurance, to protect the rights and interests of urban residents' medical insurance, to achieve medical treatment for the sick, and to completely solve the problem of difficult and expensive medical treatment.
4. Further improve the socialized management service system and improve the socialized management service level. First, actively explore ways to build apartments for the elderly, conform to the trend of social pension, and establish a "one-stop" service home for the elderly that integrates life, catering, medical care, entertainment and study. Second, we will continue to hold large-scale cultural and sports competitions for all retirees, including farmers and herdsmen who enjoy the treatment of agricultural insurance, to enrich the old people's old age.
5. Do a good job in social security sub-projects of cooperation projects. According to the research content of the subject, combined with the local reality, do a good job in social insurance research and actively promote the formation and transformation of materialized results.
6, actively contact with the national social security center, strive for the national agricultural insurance pilot. Establish a regular reporting system for agricultural insurance work, actively give suggestions to leaders, win the attention of leaders of the National Social Security Center with rich work experience and solid work results, and strive to make Aohan one of the pilot counties and cities in China 100.
7, strengthen the social insurance agency staff training and ideological style construction. With the goal of standardization, informationization and specialization, we will comprehensively improve the working ability of social insurance. Pay attention to the cultivation of talents and do a good job in the cultivation of talents urgently needed in social insurance management. Hold social insurance symposium in time to improve the professional knowledge and working ability of employees. Deepen the quality service activities in the autonomous region, with the goal of optimizing business processes, implementing standardized management and providing high-quality and convenient services, and comprehensively improve the management service level of social insurance institutions. Strengthen the sense of service and responsibility. Vigorously carry out activities to cultivate new ideas and learn advanced knowledge, and promote the construction of social insurance institutions in the province to a new level.