OG真人

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吉林省建立城镇职工医疗保险制度总体规划(2000年8月)

2015-12-02
点击数: 11672     作者: 北华大学OG真人

genju《guowuyuanogzhenrenjianlichengzhenzhigongyiliaobaoxianzhidudejueding》(guofa〔1998〕44hao,yixiajiancheng《jueding》)deyaoqiu,jiehewoshengshiji,zhidingbenguihua。

yi、gaigederenwuheyuanze

yiliaobaoxianzhidugaigedezhuyaorenwushijianlichengzhenzhigongyiliaobaoxianzhidu,jishiyingshehuizhuyishichangjingjideyaoqiu,genjuwoshengcaizheng、qiyehegerendechengshounengli,jianlibaozhangchengzhenzhigongjibenyiliaoxuqiudeshehuiyiliaobaoxianzhidu。

OG真人jianlichengzhenzhigongjibenyiliaobaoxianzhidudeyuanzeshi: jibenyiliaobaoxiandeshuipingyaoyushehuizhuyichujijieduanshengchanlifazhanshuipingxiangshiying;chengzhensuoyouyongrendanweijiqizhigongyuanzeshangdouyaocanjiajibenyiliaobaoxian;jibenyiliaobaoxianfeiyouyongrendanweihezhigongshuangfanggongtongfudan;jibenyiliaobaoxianjijinshixingshehuitongchouhegerenzhanghuxiangjiehe。

OG真人quanshengjianlichengzhenzhigongjibenyiliaobaoxianzhidudeyuanze、mubiao、jibenzhengcehegaigemoshideng,youshengrenminzhengfuzhiding。jutishishifangan、tongchoujijinyugerenzhanghudeshixianxingshideng,youshizhou、xian(shi)renminzhengfugenjudangdiqingkuangqueding。

er、shishifanweihezhuyaozhengce

OG真人(yi)shishifanwei。quanshengchengzhensuoyouyongrendanwei,baokuoqiye(guoyoujiguoyoukongguqiye、jitiqiye、waishangtouziqiye、siyingqiyedeng)、jiguan、shiyedanwei、shehuituanti、minbanfeiqiyedanweijiqizhigong,yuanzeshangdouyaocanjiajibenyiliaobaoxian。xiangzhenqiyejiqizhigong、chengzhengetijingjiogzhenrenyezhujiqicongyerenyuan,zanbucanjiajibenyiliaobaoxian。

(er)tongchoucengci。jibenyiliaobaoxianyuanzeshangyixian(shi)weitongchoudanwei(yixiajianchengtongchoudiqu)。shequdeshizaiquanshiqufanweinei(bubaokuosuoxiaxian、shi)shishitongchou。suizhejingjifazhan,xian(shi)tongchoukezhubuguodudaoyishizhouweitongchoudanwei。

tielu、dianli、yuanyangyunshudengkuadiqu、shengchanliudongxingjiaodadeqiyejiqizhigong,yaoyixiangduijizhongdefangshiyidicanjiatongchoudiqudejibenyiliaobaoxian,jutibanfayoushenglaodongbaozhangxingzhengbumenyuyouguanbumendiquheqiyexieshanghouqueding。

OG真人zhuzhangchunshideshengzhijiguan、shiyedanweizhixingtongchoudiqudezhengcehebiaozhun,jibenyiliaobaoxianshixingshengjidanduguanli。

(san)chouzishuiping(jiaofeilv)。jibenyiliaobaoxianfeiyouyongrendanweihezhigonggongtongjiaona。yongrendanweijiaofeilvyuanzeshanggaoyuzhigonggongzizongede6%,jutishuipingyoutongchoudiqugenjucaizhengheyongrendanweidechengshounengliqueding,quexugaoyu6%de,jingshenglaodongbaozhang、caizhengbumenshenhehou,baoshengrenminzhengfushenpi。zhigongjiaofeilvyibanweibenrengongzishourude2%。suizhejifazhan,yongrendanweihezhigongjiaofeilvkezuoxiangyingdiaozheng。

(si)tongchoujijinhegerenzhanghu。yaojianlijibenyiliaobaoxiantongchoujijinhegerenzhanghu。jibenyiliaobaoxianjijinyoutongchoujijinhegerenzhanghugoucheng。zhigonggerenjiaonadejibenyiliaobaoxianfei,quanbujirugerenzhanghu。yongrendanweijiaonadejibenyiliaobaoxianfeifenweiliangbufen,yibufenyongyujianlitongchoujijin,yibufenhuarugerenzhanghu。huarugerenzhanghudebiliyibanweiyongrendanweijiaofeide30%zuoyou,jutibiliyoutongchoudiquzaibaozhengtongchoujijinshouzhipinghengdeqiantixia,genjugerenzhanghudezhifufanweihezhigongnianlingdengyinsuqueding。

yaomingquehuadingtongchoujijinhegerenzhanghugezidezhifufanwei,fenbiehesuan,budehuxiangjizhan。gerenzhanghuzhuyaozhifubenrenmenzhenyiliaofeiyonghexiaoeyiliaofeiyong,yekeyongyutongchoujijinzhifuzhongdegerenfudanbufen。tongchoujijinzhuyaozhifuzhuyuanhuodaeyiliaofeiyong。duizaimenzhenjiuyidemanxingbinghetedingzhiliaoxiangmudeyiliaofeiyongyekenarutongchoujijindezhifufanwei,jutibanfayoutongchoudiqugenjubendideshijiqingkuangqueding。

yaoheliquedingtongchoujijindeqifubiaozhunhezuigaozhifuxiane。qifubiaozhunyuanzeshangkongzhizaidangdizhigongnianpingjungongzide10%zuoyou。zuigaozhifuxiane(zhiyigenianduneitongchoujijinsuonengzhifujizhigonggerendeyiliaofeiyongzuigaoxiane)yuanzeshangkongzhizaidangdizhigongnianpingjungongzide4bei。qifubiaozhunyixiadeyiliaofeiyong,conggerenzhanghuzhongzhifuhuoyougerenzifu。qifubiaozhunyishang、zuigaozhifuxianeyixiadeyiliaofeiyong,zhuyaocongtongchoujijinzhongzhifu,gerenyeyaofudanyidingbili,danyingkongzhizai10%-30%defudunei,jutibiaozhunyoutongchoudiqugenjuyishoudingzhi、shouzhipinghengdeyuanzequeding。chaoguozuigaozhifuxianedeyiliaofeiyong,budecongtongchoujijinzhongzhifu,yingtongguojianliyiliaobuzhu、qiyebuchongyiliaobaoxian、yiliaojiuzhuhuoshangyeyiliaobaoxiandengtujingjiejue。

OG真人(wu)youguanrenyuandeyiliaodaiyu。lixiuganbu、laohongjunbucanjiachengzhenzhigongjibenyiliaobaoxian,qiyiliaodaiyububian,yiliaofeiyonganyuanjijinqudaojiejue。zhifuqueyoukunnande,youtongjirenminzhengfubangzhujiejue。

OG真人erdengyijiyishangdegemingshangcanjunrendeyiliaodaiyububian,yiliaofeiyonganyuanzijinqudaojiejue,binganqian3nianshijizhichudepingjunshuhedingjishehuibaoxianjingbanjigou,danduliezhangguanli。yiliaofeizhifubuzubufen,youtongjirenminzhengfubangzhujiejue。

OG真人tuixiurenyuancanjiajibenyiliaobaoxian,gerenbujiaonajibenyiliaobaoxianfei。duituixiurenyuanjirugerenzhanghudejinehegerenfudanyiliaofeidebilijiyushidangzhaogu,congyongrendanweijiaofeizhonghuaru。jutibiliyougetongchoudiquzixingqueding。

OG真人zaiogzhenrenjibenyiliaobaoxianzhidugaigedetongshi,yaojijizhuahaogongshangbaoxianheshengyubaoxianzhidugaige。gaigefanganyoushenglaodongbaozhangxingzhengbumenyanjiuzhiding。

OG真人guojiagongwuyuanzaicanjiajibenyiliaobaoxiandejichushang,xiangshouyiliaobuzhuzhengce,jutibanfayoushenglaodongbaozhanghecaizhengbumenanzhao《guowuyuanbangongtingzhuanfalaodongbaozhangbucaizhengbuogzhenrenshixingguojiagongwuyuanyiliaobuzhuyijiandetongzhi》(guobanfa〔2000〕37hao)deyouguanbumenguidingzhiding,baoshengzhengfupizhunhoushishi。weilebujiangdiyixietedingxingyezhigongxianyoudeyiliaoxiaofeishuiping,zaicanjiajibenyiliaobaoxiandejichushang,zuoweiguoducuoshi,yunxujianliqiyebuchongyiliaobaoxian,qiyebuchongyiliaobaoxianfeizaigongzizonge4%yineidebufen,congzhigongfulifeizhongliezhi,fulifeibuzuliezhidebufen,jingtongjicaizhengbumenhezhunhoulieruchengben。guoyouqiyexiagangzhigongdejibenyiliaobaoxianfei,baokuodanweijiaofeihegerenjiaofei,junyouqiyezaijiuyefuwuzhongxinanzhaodangdishangnianduzhigongpingjungongzide60%weijishujiaona,xiangshouyutongchoudiquzhigongxiangtongdejibenyiliaobaoxiandaiyu。

san、jijindeguanlihejiandu

jibenyiliaobaoxianjijinnarucaizhengzhuanhuguanli,zhuankuanguanli,budejizhannuoyong。

shehuibaoxianjingbanjigoufuzejibenyiliaobaoxianjijindechouji、guanlihezhifu,yaojianchiyishoudingzhi、shouzhipinghengdeyuanze,bingyaojianlijianquanyujuesuanzhidu、caiwuhuijizhiduheneibushenjizhidu。yaojianlijibenyiliaobaoxiantongchoujijinchaozhiyujingbaogaozhidu,dangtongchoujijinchuxianchaochangzhichushi,shehuibaoxianjingbanjigouyaorenzhenfenxiyuanyin,yanjiuduice,bingjishixiangtongjilaodongbaozhangbumenbaogao。shehuibaoxianjingbanjigouyaojianlihewanshanxiandaihuajijinguanlishouduan,jiakuaiweijilianwangjianshe,tigaojibenyiliaobaoxianjijindeguanlishuiping。shehuibaoxianjingbanjigoudeshiyejingfeibudecongjijinzhongtiqu,yougejicaizhengyusuanjiejue。

OG真人jibenyiliaobaoxianjijindeyinxingjixibanfa: dangnianchoujidebufen,anhuoqicunkuanlilvjixi;shangnianjiezhuandejijinbenxi,an3geyueqizhengcunzhengquyinxingcunkuanlilvjixi;cunrushehuibaozhangcaizhengzhuanhudechendianzijin,bizhao3nianqilingcunzhengquchuxucunkuanlilvjixi,bingbudiyugaidangcililvshuiping。gerenzhanghudebenjinhelixiguigerensuoyou,keyijiezhuanshiyonghejicheng。zhigongbenrenyingongzuodiaodong,gerenzhanghuyingsuigongzuoguanxiyibinghuazhuan,jixushiyong。

gedilaodongbaozhanghecaizhengbumen,yaojiaqiangduijibenyiliaobaoxianjijindejianduguanli。gedishenjibumenyaodingqiduishehuibaoxianjingbanjigoudejijinshouzhiheguanliqingkuangjinxingshenji。tongchoudiquyingsheliyouzhengfuyouguanbumenbumendaibiao、yongrendanweidaibiao、yiliaojigoudaibiao、gonghuidaibiaoheyouguanzhuanjiacanjiadeyiliaobaoxianjijinjianduogzhenren,jiaqiangduijibenyiliaobaoxianjijindeshehuiguanli。

si、yiliaofuwuguanli

yaoquedingjibenyiliaobaoxiandefuwufanweihebiaozhun。quanshengjibenyiliaobaoxianfuwudefanwei、biaozhunheyiliaofeiyongjiesuanguanliyijian,yijijibenyiliaobaoxianyaopinmulu、zhenliaoxiangmu、yiliaofuwusheshibiaozhunhexiangyingdeguanlibanfa,youshenglaodongbaozhangxingzhengbumengenjuguojiaguiding,huitongyouguanbumenbumenzhiding。

OG真人jibenyiliaobaoxianshixingdingdianyiliaojigou(baokuozhongyiyiyuan)hedingdianyaodianguanli。tongchoudiqulaodongbaozhangxingzhengbumenfuzedingdianyiliaojigouhedingdianyaodiandezigeshencha。shehuibaozhangjingbanjigouyaogenjuzhongxiyibingju,jiceng、zhuankehezongheyiliaojigoujiangu,fangbianzhigongjiuyideyuanze,fuzequedingdingdianjigouhedingdianyaodian,bingtongdingdianjigouhedingdianyaodianqiandinghetong,mingquegezidezeren、quanliheyiwu。zaiquedingdingdianyiliaojigouhedingdianyaodianshi,yaoyinjinjingzhengjizhi,zhigongkexuanzeruogandingdianyiliaojigoujiuyi、gouyao,yekechichufangzairuogandingdianyaodiangouyao。duiyuweifanyouguanguidingdedingdianjigouhedingdianyaodian,yaoquxiaodingdianzige。tongchoudiquyaogenjudangdishijihejibenyiliaobaoxianjijinzhichuguanlidexuyao,benzhehelikongzhifeiyong、fangbianjiesuandengyuanze,zhidingshihebendiqudeyiliaofeiyongjiesuanbanfa。getongchoudiquyikezaijibenyiliaobaoxianshishibanfadechuqijiangjiguan、shiyedanweiheqiyedanweidejibenyiliaobaoxianjijindandushezhang,fenbieguanli,gezipingheng,budehuxiangjizhan,daitiaojianchengshuhouzaitongchouguanli。

wu、jiakuaiyiyaoweishengtizhigaige

weilepeiheyiliaobaoxianzhidugaige,yaojian、weishengbumenyaogenju《zhonggongzhongyang、guowuyuanogzhenrenweishenggaigeyufazhandejueding》(zhongfa〔1997〕3hao)he《guowuyuanbangongtingzhuanfaguowuyuantigaibandengbumenogzhenrenchengzhenyiyaoweishengtizhigaigedezhidaoyijiandetongzhi》(guobanfa〔2000〕16hao)deyouguanyaoqiu,huitongyouguanbumenbumenjinkuaizhidingquanshengyiyaoweishengtizhigaigeshishifanganheyouguanzhengce。zhuyaoshijianliyiyaofenkaihesuan、fenbieguanlidezhidu,xingchengyiliaofuwuheyaopinliutongdejingzhengjizhi,helikongzhiyiyaofeiyongzengzhang;jiaqiangyiyaojigouheyaodiandeneibuguanli,guifanyiyaofuwuxingwei,jianyuanzengxiao,jiangdiyiliaochengben;lishunyiliaofuwujiage,zaishixingyiyaofenkaihesuan、fenbieguanli、jiangdiyaopinshouruzhanyiliaozongshourubizhongdejichushang,helitigaoyiliaojishulaowujiage;jiaqiangyewujishupeixunhezhiyedaodejiaoyu,tigaoyiyaorenyuandesuzhihefuwuzhiliang;anzhaoshizhouzhidingdequyuweishengguihua,helidiaozhengyiliaojigoubuju、youhuayiliaoweishengziyuanpeizhi,jijifazhanshequweishengfuwu。

liu、shishibuzhou

genjuguowuyuan《jueding》jingshenhewoshengde《zongtiguihua》,jinnianniandiqianyaojibenjianlichengzhenzhigongjibenyiliaobaoxianzhidu,quanmiantuijinyiyaoweishengtizhigaige。anguojiayaoqiu,quedingjilinshiweijianlichengzhenzhigongjibenyiliaobaoxianzhiduguojiazhongdianlianxichengshi;nonganxian、shulanshi、dunhuashi、yitongxian、daanshi、jianshi、fusongxian、dongfengxian、qianguoxianweishengzhongdianlianxixian(shi)。getongchoudiquyaoanzhaoguowuyuan《jueding》jingshenhewosheng《zongtiguihua》yaoqiu,ogzhenrenrenyuanogzhenrendiaoyancesuanhefenxilunzhenggongzuo,lizhengjinkuaiqidong。geshizhouhebeiquedingweishengzhongdianlianxixian(shi)deshishifangan,baoshengrenminzhengfupizhunhouzhixing;qitaxian(shi)deshishifangan,jingsuozaishi、zhourenminzhengfupizhun,baoshengrenminzhengfubeian。

qi、ogzhenrenlingdao

OG真人yiliaobaoxianzhidugaigezhengcexingqiang,shejiguangdazhigongdeqieshenliyi,guanxidaogaige、fazhan、wendingdedaju,gejirenminzhengfubixuqieshijiaqianglingdao。

gediyaorenzhenxuexiheshenkelinghuiguowuyuan《jueding》jingshenhewosheng《zongtiguihua》yaoqiu,tongyisixiang,tigaorenshi,jiandinggaohaozheixianggaigegongzuodexinxinhejuexin。yaobajianlijibenyiliaobaoxianzhidugongzuolieruzhongyaoyishiricheng,taiduyaojiji,gongzuoyaowentuo。yaorenzhenzuohaoxuanchuanjieshigongzuo,shiguangdazhigongheshehuigefangmianzhengquelijieyiliaobaoxianzhidugaigedezhongyaoyiyihejibenzhengce,jijizhichihecanyuzheixianggaige。

yaojixuguanchezhongbianban《ogzhenrenshengjizhengfulaodongheshehuibaozhangyijiyaopinjianduguanligongzuojigouyouguanwentidetongzhi》(zhongbianban〔1998〕8hao)he《duilaodongheshehuibaozhangbuogzhenrenduilishundifangyiliaobaoxianguanlitizhiyouguanwentideqingshidehan》(zhongbianbanhan〔1999〕98hao)deyouguanguiding,jinkuailishunjibenyiliaobaoxiangongzuoguanlitizhi,zaijinnian8yuediqiantongyiguikoudaolaodongbaozhangbumenguanli。

gejilaodongbaozhangbumenfuzejianlichengzhenzhigongyiliaobaoxianzhidugongzuodejutiogzhenrenxingshishishi、zhidaohejiancha。yaojishiyanjiujiejuegongzuozhongchuxiandewenti。gejicaizheng、weisheng、yaojian、tigai、jihua、jingmao、wujia、shenjidengbumenheshehuibaoxianjingbanjigou、gonghuiogzhenrenyaojijicanyu,miqiepeihe,quebaoquanshengjianlichengzhenzhigongjibenyiliaobaoxianzhidugongzuodeshunlijinxing。

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