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Is the medical insurance for flexible employees allowed to stop payment for a period of time before continuing to pay?

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Is the medical insurance for flexible employees allowed to stop payment for a period of time before continuing to pay?


        

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  • 2024-06-14 10:01:43

    Is the medical insurance for flexible employees allowed to stop payment for a period of time before continuing to pay? The medical insurance for flexible employees is not allowed to continue to pay after stopping payment for a period of time, only after arrears or automatic withdrawal. If the employee fails to pay the medical insurance premiums owed within three months, the medical insurance benefits of the employee shall be restored. If it exceeds three months, it shall be deemed as automatically withdrawing from the employee's medical insurance, and the medical expenses during the arrears period shall be borne by the employee. Those who participate in employee medical insurance again shall enjoy employee medical insurance benefits from the next month after payment. Taking Zhengzhou as an example, according to Article 15 of the Measures of Zhengzhou for Basic Medical Insurance for Employees, employers, their employees and flexible employees shall pay medical insurance premiums for employees in full and on time. If the employer fails to pay the employee medical insurance premiums in full and on time, its in-service employees shall be suspended from enjoying the employee medical insurance benefits, and the resulting medical insurance liability shall be borne by the employer. If the employer fails to pay the medical insurance premiums of its employees, it shall recover the medical insurance benefits of its insured employees after making up the owed medical insurance premiums of its employees in full according to regulations. If the arrearage is less than 24 months, the medical expenses incurred during the arrearage period shall be paid by the employee medical insurance fund according to regulations; If the arrears exceed 24 months, the medical expenses within 24 months before the month of supplementary payment (including the month of supplementary payment) shall be paid by the employee medical insurance fund according to the regulations, and the medical expenses for the rest of the time shall be paid by the employer according to the employee medical insurance treatment standards specified in these Measures. If flexible employees fail to pay the fees in full and on time, their medical insurance benefits will be suspended. If flexible employment personnel owe less than 3 months, they shall recover their medical insurance benefits (including the period of arrears) after paying the medical insurance premiums owed in full according to regulations; If the arrears exceed 3 months, it shall be deemed as automatic withdrawal from the employee's medical insurance, and the medical expenses during the arrears period shall be borne by the employee. Those who participate in employee medical insurance again shall enjoy employee medical insurance benefits from the next month after payment. According to Article 14 of the Measures of Zhengzhou City for Basic Medical Insurance for Employees, the employer and its employees paid in full in the current month, and the insured persons enjoyed medical insurance benefits for employees in the next month. The employee who participates in the employee medical insurance for the first time as a flexible employee shall enjoy the employee medical insurance benefits according to regulations after three consecutive months of payment. The insured employees who have terminated the labor relationship with the employer or whose unemployment insurance benefits have expired can participate in the employee medical insurance as flexible employees and enjoy the employee medical insurance benefits from the next month after payment. Article 24 The employee medical insurance premiums paid by flexible employment personnel shall be transferred to the individual account at the following proportion: (1) 3% of the payment base for those under 45 years of age; (2) Those who have reached the age of 45 but have not retired (resigned) shall be included according to 4% of their payment base; (3) Retired (retired) personnel shall be allocated 4.5% of their basic pension. The remaining part will be used as the overall medical insurance fund for employees, and will be managed and paid by the social insurance agency.

    I***

    2024-06-14 10:01:43

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