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Legal analysis: urban medical insurance is generally concentrated in November to the end of December each year, the specific payment time, different regions, you can consult the local social security payment unit. In addition, if it is a supplementary payment in the next year, the fee will be paid from January to May of the following year.
Legal basis: Social Insurance Law of the People's Republic of China
Article 12 The employer shall pay the basic endowment insurance premiums in accordance with the proportion of the total wages of its employees stipulated by the state, which shall be credited to the basic endowment insurance pool.
Employees shall pay basic pension insurance premiums in accordance with the proportion of their wages stipulated by the state, which shall be credited to their personal accounts.
Individually-owned businesses without employees, part-time employees who have not participated in the basic pension insurance in the employer, and other flexibly employed persons who participate in the basic pension insurance shall pay the basic pension insurance premiums in accordance with the provisions of the state, which shall be credited to the basic pension insurance co-ordination and personal accounts respectively.
Article 23 Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State.
Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.
Article 35 An employer shall pay work-related injury insurance premiums at the rate determined by the social insurance agency in accordance with the total wages of its employees.
Article 44 Employees shall participate in unemployment insurance, and the employer and the employee shall jointly pay unemployment insurance premiums in accordance with the provisions of the State.
Article 53 Employees shall participate in maternity insurance, and the employer shall pay the maternity insurance premiums in accordance with the provisions of the State, and the employees shall not pay the maternity insurance premiums.
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The annual payment time of urban residents' medical insurance varies according to different regions, but it is basically due before the end of the year (such as December 31, 2018). According to the payment time of Hai'an in Nantong, Jiangsu Province as an example, the payment time of Hai'an is from May 1 to December 20 of each year, during which the medical insurance premiums for the next settlement year are paid.
For example, the payment in Hai'an is mainly available from May 1 to December 20. For example, the payment from May 1 to December 20, 2018 is for the settlement of the next year's medical insurance premium, not the 2018 fee, and is for the payment of the 2019 medical insurance fee. However, it is not counted, and within 6 months after the birth of the newborn, it can be enjoyed by going through the insurance payment procedures at the human resources and social security office of the district or town where the household registration is located.
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There is a big difference between urban residents' medical insurance and employees' medical insurance, and urban residents' medical insurance is mainly for some older people, and it is still of great help when they see a doctor in the hospital. Below, in order to help you better understand the relevant legal knowledge, I have compiled the relevant content, I hope it will be helpful to you.
When will the medical insurance be paid for urban residents?
1. Centralized payment time for urban residents' medical premiums: September 1 to October 31 for primary and secondary school students and college students; The period is from November 1 to December 31 for elderly urban residents, general urban residents, and children and teenagers. However, there may be some adjustments in each province and city, which are subject to local policies.
2. If you fail to participate in the insurance and pay the insurance payment in the next year at the centralized payment time, the payment standard is: if you participate in the insurance payment from January to May, you will pay according to the individual payment standard of the current year; Those who participate in the insurance and pay the premiums from June to October shall be paid according to the total amount of individual financing for urban residents' medical insurance in the current year. After November, the current year's insurance payment will no longer be accepted.
The waiting period for the medical insurance benefits of urban residents who participate in the insurance and pay premiums in the current year is 2 months.
3. If the urban residents interrupt the payment after participating in the insurance and paying the premiums, they will not make up the medical insurance premiums for the interrupted year when they participate in the insurance and pay the premiums again.
To sum up, the payment time of urban residents' medical insurance for urban residents is generally concentrated from November 1 to December 31, and those who fail to pay in time can participate in the insurance and pay from January to May. If you still don't understand anything, you can go to the local social security bureau for consultation.
Medical insurance participation materials for urban residents.
Urban residents who participate in the insurance as a family unit shall provide the original and photocopy of their household registration booklet, resident identity card or other valid identification issued by the public security organ.
Persons with special status, such as persons with severe disabilities, persons enjoying subsistence allowance benefits, persons from families with special difficulties, and persons over the age of 60 from low-income families, shall provide the original and photocopies of relevant vouchers. Students who have non-agricultural household registration in the city and are at least 18 years old who participate in the insurance with their families shall provide the original and photocopy of the student certificate.
When students from colleges and universities participate in the insurance, students need to provide the "Student ID" or the certificate of student status issued by the school. Students who are severely disabled, enjoying subsistence allowance benefits, families with special difficulties, and enjoying state student loans shall also provide relevant vouchers that meet the requirements.
When the children of migrant workers from other places receiving compulsory education in the city participate in the insurance, they shall provide proof of their parents' participation in the basic medical insurance for urban employees, medical insurance for migrant workers or work-related injury insurance for migrant workers, as well as the original and photocopy of the student certificate and household registration book issued by the school.
The above content is related, urban residents' medical insurance is generally paid from November to December, if there is no payment, it can also be paid from January to May, the role of urban residents' medical insurance is mainly for the elderly to ensure their lives, in addition to the elderly can also be low-income disabled people.
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After the urban and rural medical insurance is paid, if it is paid in the current year, it can generally be used from January 1 of the following year. Relevant medical expenses that meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items, medical service facilities, etc., can be reimbursed in accordance with the law.
Article 26 of the Social Insurance Law of the People's Republic of China The treatment standards of basic medical insurance for the blind and prudent workers, the new type of rural cooperative medical care and the basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State. Article 28 of the Social Insurance Law of the People's Republic of China in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 of the Social Insurance Law of the People's Republic of China The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly calculated by the social insurance agency and the medical institutions and drug business units.
The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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Legal analysis: The period is from September 1 to October 31 for primary and secondary school students and college students, and from November 1 to December 31 for urban residents, general urban residents and children.
Legal basis: Social Insurance Law of the People's Republic of China
Article 2 The State shall establish a system of social insurance and risk tolerance such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.
Article 3: The social insurance system adheres to the principles of wide coverage, basic protection, multi-level, and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.
Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.
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Legal analysis: The payment period is from November 1 to December 25 each year, taking Nanjing as an example, the basic medical insurance premiums for urban residents are paid annually, and the payment period is from November 1 to December 25 each year. Those who go through the registration formalities for insurance participation within the prescribed time limit and pay the fee in full.
From January 1 of the following year of payment, they will enjoy the basic medical insurance treatment for urban residents.
Legal basis: Article 2 of the Law of the People's Republic of China on Social Association Insurance Article 2 The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.
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The specific time for the payment of residents' medical insurance fees is mainly based on the time announced by the local medical insurance center. The following is an example of the medical insurance payment for urban and rural residents in Anyang City in 2019, and the specific medical insurance payment time.
The 2019 basic medical insurance payment for urban and rural residents in Anyang City began on November 1, 2018 and ended on December 31, 2018. The time for centralized payment through the community (village) is from now until November 30, 2018, and the specific provisions of the notice of the community (village) to which I belong shall prevail.
Payment method: First: Residents who meet the conditions for insurance mainly pay through the community or village
Second, the city's full-time college students are organized by the school to pay fees;
Third, residents who have registered for insurance can also complete individual payment through other channels such as tax service halls, self-service tax terminals, contracted bank outlets, "Henan Tax" WeChat*** and mobile APP.
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1. Elderly urban residents, general urban residents, and children are from November 1 to December 31
2. From September 1 to October 31 for primary and secondary school students and college students
3. If you fail to pay in time, you can participate in the payment of the slag insurance from January to May.
Social Insurance Law of the People's Republic of China
Twenty-fifth beam bunch.
The State shall establish and improve a basic medical insurance system for urban residents.
The basic medical insurance for urban residents implements a combination of individual payment and subsidy.
Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.
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When is the payment time for basic medical insurance for urban residents?Centralized payment time for medical insurance premiums for urban residents: September 1 to October 31 for primary and secondary school students and college students; Elderly townspeople, general townspeople, and children and adolescents from 1 November to 31 December
However, there may be some adjustments in each province and city, which are subject to local policies. The object of urban residents' medical insurance is non-staff with urban household registration, because the staff is insured by social medical insurance, and they have certain differences in the payment method and payment amount.
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The basic medical insurance premiums for urban residents are subject to an annual pre-collection system, and the payment period for urban residents to pay the basic medical insurance premiums for the next year is from July to December each year.
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The payment of medical insurance for urban residents is to be paid in accordance with local standards.
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