All provinces, autonomous regions and municipalities directly under the central government labor (labor and social security) department (bureau), the Ministry of Railways subordinate units:
In order to implement the Decision of the State Council Municipality on Establishing the Basic Medical Insurance System for Urban Workers (Guo Fa [1998] No.44) and do a good job in the relevant work of all employers and their employees in the railway system to participate in the basic medical insurance in the overall planning area, the relevant matters are hereby notified as follows:
First, all employers and their employees in the railway system should participate in the basic medical insurance in the overall planning area according to the principle of territorial management, and implement the basic medical insurance policy in the overall planning area. The basic medical insurance fund is raised, used and managed by the social insurance agencies in the insured areas.
All organs, institutions, factories, universities and their employees in the railway system should directly participate in the basic medical insurance in the overall planning area; Cross-regional transportation and construction enterprises with high production mobility and their employees can participate in basic medical insurance in different places in a relatively centralized way.
Two, transportation enterprises generally take the railway sub-bureau (head office) and the railway bureau directly under the jurisdiction of the station as a unit, and centrally handle the basic medical insurance in the overall planning area where the sub-bureau and the railway bureau are registered; Cross-regional and high-capacity construction enterprises of China Railway Engineering Corporation and China Railway Construction Corporation generally take the agency as the unit to participate in the basic medical insurance in the overall area where the agency is located.
Three, the relevant labor and social security departments in the overall planning area shall, on the basis of relatively concentrated consultation with the insured units, formulate measures for the administration of medical treatment in different places. It is necessary to give full play to the role of the existing medical resources in the railway system to facilitate the medical treatment and management of the insured. Eligible medical institutions in the railway system may apply to the local labor and social security department for designated qualifications. Allow the railway system medical institutions with fixed-point qualifications to choose all insured persons in the overall planning area.
Four, the relevant provinces (autonomous regions and municipalities directly under the central government) labor and social security departments should strengthen the guidance and supervision of the railway system across regions, production mobility of enterprises and their employees are relatively concentrated in different places. The labor and social security departments in the relevant overall planning areas should combine the distribution and industry characteristics of railway transportation, construction units and their employees, improve the collection and payment of basic medical insurance premiums, payment and settlement methods for medical expenses, and conscientiously do a good job in organizing and implementing the work. All relevant railway units should actively cooperate with the local labor and social security departments to do this work well. Major problems found in the implementation process should be promptly reflected to the local people's government and the higher authorities, and effective measures should be taken to ensure the smooth implementation of this work.
Attachment: Regional Division Table of Railway System Traffic Construction Enterprises Participating in Basic Medical Insurance (omitted)