1. Personal payment. Persons who participate in the endowment insurance for urban and rural residents (hereinafter referred to as the insured) shall pay the endowment insurance premium year by year according to the regulations.
2. Collective subsidies. Conditional village collective economic organizations shall give subsidies to the insured, and the subsidy standard shall be determined by the villagers' committee holding a villagers' meeting, and encourage qualified communities to include collective subsidies in the financing scope of community public welfare undertakings. Encourage other social and economic organizations, charitable organizations and individuals to provide financial support for the insured. Subsidies and subsidies shall not exceed the highest payment grade standard in our province.
3. Government subsidies. Governments at all levels give subsidies to the insured. The minimum payment subsidy standard is not less than 30 yuan per person per year, and the amount of subsidies increases with the increase of payment grades (the specific payment grades and subsidy standards are mainly subject to the implementation measures introduced by counties and cities). Subsidies will be given to groups with special difficulties to participate in insurance. For groups that have completely lost their ability to work and have no source of income, the county and urban people's governments will pay the minimum annual payment grade of all old-age insurance premiums on their behalf; For severely disabled people, the county and urban people's governments will remit all the old-age insurance premiums with the lowest annual payment level with the Disabled Persons' Card; For other groups with payment difficulties, the county and urban people's governments shall give certain subsidies according to the minimum payment grade.
I. Insurance coverage:
All non-employed urban residents, students in primary and secondary schools and other children under the age of 18 who have urban household registration in this city shall participate in the basic medical insurance for urban residents in accordance with the Interim Measures for the Basic Medical Insurance for Urban Residents in Hanzhong City.
Second, the fund raising and payment standards
1, urban non-employed residents are raised according to the standard of 220 yuan per person per year. Individual contribution 140 yuan, giving financial assistance to 80 yuan.
Among them, for the urban residents' minimum living security object, the disabled with the "People's Republic of China (PRC) Disabled Persons' Card" and the elderly over 60 years old from low-income families, individuals pay 80 yuan, and the financial subsidy is 140 yuan; The individual contributions of severely disabled people and the "three noes" who have completely lost their ability to work are fully subsidized by the government and charged from the urban medical assistance funds.
2. Children are raised according to the standard of 100 yuan per person per year. Individuals pay 20 yuan and give financial assistance to 80 yuan.
Among them, for children belonging to low-income groups or severely disabled children, individuals pay 10 yuan and give financial assistance to 90 yuan.
Iii. Insurance Procedures and Payment Methods
The basic medical insurance for urban residents takes the family as a whole, and the medical insurance premium is collected once a year.
1. Urban residents hold household registration books, ID cards and photocopies, photos and valid certificates of other family members participating in medical insurance, and go to the township labor security office where the household registration is located to handle the qualification identification, registration and verification of medical insurance premiums during the payment period, and pay them at the designated bank; Children of migrant workers who go to school and live in this city for a long time with their parents, their parents hold temporary residence permits, household registration books, proof of going out to work and proof of labor relations and other related materials, and go through the work of qualification identification, registration and verification of medical insurance premiums in the labor and social security office where they live, and pay fees in designated banks. After reviewing and summarizing the information of insured residents, the labor and social security office shall go through the insurance formalities at the county social insurance agency.
2, low-income objects, the disabled, low-income families in the elderly over 60 years of age and the "three noes" personnel, respectively, to the then "Hanzhong City Urban Residents Minimum Living Security Jinling evidence", "China people * * and the disabled card" and the relevant proof of the civil affairs department and other materials, to the labor and social security office where the household registration is located to confirm their identity, verify the amount of individual contributions, and pay in the designated bank within one week of the township without objection; After reviewing and summarizing the information of insured residents, the labor and social security office shall go through the insurance formalities at the county social insurance agency.
3, the implementation of urban collective household registration management of students, the school is responsible for insurance registration and medical insurance fee collection and other work. Go to the local county-level social insurance agency to go through the insurance formalities with the relevant information such as the collective account card and student status certificate.
4, every year from 1 65438+1 October1to 65438+February 3 1 for urban residents to pay the next year's basic medical insurance fee payment cycle, in the specified payment period for the insurance procedures and full payment, from the next year's 65438+/kl.
5. Newborns who meet the conditions of insurance, landless farmers who turn into urban residents, and urban residents who newly turn into urban household registration in Hanzhong City should be insured within three months and pay the annual medical insurance premium, and enjoy the basic medical insurance benefits this year from the next month.
6. From now on, urban residents who meet the insurance conditions but fail to participate in the insurance as required will enjoy a waiting period of 6 months after participating in the insurance. If the payment is interrupted within 6 months after the insured, the individual will pay the medical insurance premium in full during the interruption of payment, and enjoy the basic medical insurance benefits for urban residents from the next month of payment; If the payment is interrupted for more than 6 months, in addition to paying medical insurance premiums according to the above provisions, the treatment after renewal will enjoy a waiting period of 6 months.
7. Insured urban residents go abroad to settle down, join the army, enter higher schools, move out of their registered permanent residence, and die. The insurance relationship terminates automatically.
8 according to the provisions of the basic medical insurance for urban workers or other forms of government medical insurance for urban residents, no longer enjoy the basic medical insurance for urban residents.
9. Insured urban residents who have paid the medical insurance premium for the next year and died before June 65438+February 3 1 of that year shall go through the refund formalities with the death certificate issued by the medical institution or the public security department.
Work flow of social endowment insurance payment for urban and rural residents
1. At the beginning of each year, the person in charge of the township office generates the receivable data of the village help in the information system, and pays the village help to inform the insured to check the information and pay the pension for this year.
2, the insured person to choose the payment grade, determine the amount of payment, to the village coordinator, the village coordinator to review the payment grade and information is correct. The village coordinator will fill in the pension remittance received by the village to the designated bank, indicating its name and village name, and the bank will transfer the money into the financial account.
3. The village coordinator will submit the confirmed summary list and bank payment receipt to the person in charge of the township office.
4. The person in charge of the township office shall declare the amount and number to the county-level social security institution after confirmation.
5, the county social security institutions to review the payment information, through the information system to register and confirm its payment.
legal ground
Labor law of the people's Republic of China
Article 72
The social insurance fund shall determine the source of funds according to the types of insurance and gradually implement social pooling. Employers and workers must participate in social insurance and pay social insurance premiums according to law.
Interim Measures for the Connection of Urban and Rural Endowment Insurance System
Article 5
If the insured person is transferred from the old-age insurance for urban and rural residents to the old-age insurance for urban employees, the storage amount of the personal account of the old-age insurance for urban and rural residents will all be merged into the personal account of the old-age insurance for urban employees, and the payment period of the old-age insurance for urban and rural residents will not be merged or converted into the payment period of the old-age insurance for urban employees.
Article 6
If the insured person transfers from the old-age insurance for urban workers to the old-age insurance for urban and rural residents, the amount of storage in the personal account of the old-age insurance for urban workers is all incorporated into the personal account of the old-age insurance for urban and rural residents, and the payment period for participating in the old-age insurance for urban workers is calculated as the payment period for the old-age insurance for urban and rural residents.