Notice On Issuing The Regulations On The Management Of Industrial Injury Insurance Business (For Trial Implementation)

Notice on Issuing the regulations on the management of industrial injury insurance business (for Trial Implementation)

The labor and social security departments (bureaus) of all provinces, autonomous regions and municipalities directly under the Central Government:

In order to fully implement the regulations on work-related injury insurance and promote the scientific, standardized and institutionalized management of industrial injury insurance, I

The Ministry has formulated the management regulations for industrial injury insurance business (Trial Implementation) (hereinafter referred to as "Regulations"), which is now printed and distributed to you.

The following questions are announced as follows:

First, standardizing and unifying the business procedures is an important basic work in the management of industrial injury insurance.

The operation of insurance business is of great importance in improving the work efficiency and service quality and speeding up the construction of the national social insurance information system.

Significance.

All localities should seriously organize the staff of the district management system to learn the specific contents of the regulations and grasp the rules.

The spiritual essence and key links of Cheng, master the specific requirements of the "Regulations" and conscientiously implement them in various practical work.

Two, the labor security administrative departments at all levels and the social insurance agencies should focus on the specific training of the staff.

Train and improve staff's awareness of carrying out service work strictly according to regulations.

We should actively target enterprises and work-related injury workers.

To publicize the main contents and service links of the regulations, so that the insured units and employees can better understand the procedures and requirements.

To supervise its management services.

It is necessary to carry out the "Regulations" and the post of internal scientific establishment of institutions, and clear management positions.

Responsibility and accelerating the construction of information system are closely combined, and strive to achieve reasonable post setting, clear division of responsibilities and various tasks.

Turn smoothly.

Three, in the process of implementing the regulations, all localities can supplement and perfect relevant contents according to local conditions according to local actual needs.

Efforts should be made to standardize and standardize various management standards and services.

For improvement and refinement, report to our department.

All locals should pay attention to follow up and understand the trial implementation of the regulations, find problems in time, and put forward solutions and suggestions.

Please timely feedback to the social security undertakings Management Center of the Ministry of labor and social security.

General Office of Ministry of labor and social security

June 17th, two, four

Management regulations for industrial injury insurance business (Trial Implementation)

general provisions

The second chapter is work-related injury insurance registration.

Section 1 registration of insured persons

The second section of change registration

The third section canceling registration

Fourth section verification and supplement

The third chapter is the collection of industrial injury insurance premiums.

Section 1 declaration and acceptance

Second section payment approval

Third section fee collection

The fourth section is to pay the arrears.

The fourth chapter is industrial injury medical treatment, rehabilitation and assistive devices management.

Section 1 Agreement Management

Second work-related injuries, medical treatment, rehabilitation and assistive devices allocation procedures

The fifth chapter is treatment review and payment.

Section 1 treatment qualification examination and verification

Second medical treatment (rehabilitation) treatment audit

Third section assistive appliance expense audit

Fourth section disability treatment audit

The fifth section of work and death treatment review

Sixth quarter treatment adjustment audit

Seventh pay for treatment

The sixth chapter is financial management.

Section I income

Second expenditure

The third section accounting

The fourth section budget

Fifth quarter final accounts

The seventh chapter is auditing supervision.

Section 1 audit of insured objects

The second section is internal supervision.

Eighth chapter supplementary provisions

general provisions

Article 1 in order to strengthen the management of industrial injury insurance business, standardize and unify the operation procedures of industrial injury insurance business, according to the industrial injury insurance.

Regulations (Decree No. 375TH of the State Council) and the Provisional Regulations on the collection and payment of social insurance premiums (No. 259th of the State Council) and other relevant laws

The regulations shall be formulated.

The second national social insurance agency (hereinafter referred to as "social security organization") is handling industrial injury insurance business.

This regulation is applicable.

The tax authorities responsible for collecting the insurance premium for industrial injury shall refer to the relevant requirements of this regulation.

Third, this regulation divides industrial injury insurance business into work-related injury insurance registration, industrial injury insurance premium collection, industrial injury medical treatment and health insurance.

Reconfiguration and management of assistive devices, treatment and payment, financial management, auditing and supervision.

Where the social insurance premium has been collected uniformly, the relevant procedures can be simplified according to this regulation.

Fourth social security organizations at all levels should clarify their responsibilities and set up an assessment system to ensure smooth, fast and high operation.

Effective and quality.

The second chapter is work-related injury insurance registration.

Work-related injury insurance registration includes registration of insurance, registration of change, cancellation of registration, verification and supplement.

Section 1 registration of insured persons

Fifth employers, including employees of individual industrial and commercial households, and the same below, apply for industrial injury insurance according to law.

The registration department shall register for work-related injury insurance, and the employer shall fill in the social insurance registration form (table 2-1) and participate in the registration.

The situation sheet for workers with injury insurance (table 2-2), and provide the following documents or information:

(1) business license, approval of establishment of certificate or other approved practice certificate;

(two) unified code certificate of organization;

(three) photocopy of the identity card of the insured person;

(four) other documents and materials stipulated by social insurance agencies of provinces, autonomous regions and municipalities directly under the central government.

Employers who have already participated in other social insurance schemes only submit social insurance registration certificates and fill in the social insurance registration form.

"Attendance sheet for work-related injury insurance personnel".

The sixth registration departments of social security organs shall examine the forms and relevant documents and materials submitted by the insured units, and accept them in their own hands.

10 days from the date of completion of the audit.

Through examination and approval, the registration department of the social security institution shall establish a database of the insured units, and register according to the business license of the employer.

The contents are compared with the classification of the national economy (GB/T 4754 - 2002) and the classification of risks in the industrial injury insurance industry.

Industry risk categories, input units and insurance personnel information, and file the relevant information.

Those who have participated in other social insurance are

The industrial insurance registration form is marked on the social insurance registration form.

For the first time to participate in social insurance, the social insurance registration certificate is issued.

In case of failure to pass the examination, the social security institution shall explain the reason to the reporting unit.

The second section of change registration

When the seventh units are changed, the registration department of the social security organ shall handle the registration change for the industrial injury insurance.

Continue.

(1) the name of the unit;

(two) unit address;

(three) legal representative or person in charge;

(four) unit type;

(five) unified code of organization;

(six) competent departments or affiliation;

(seven) bank and account number;

(eight) business scope;

(nine) other matters stipulated by social insurance agencies of provinces, autonomous regions and municipalities directly under the central government.

The eighth insured units need to fill out the social insurance registration form (table 2-3) and provide the following documents and information:

(1) the alteration certificate of industrial and commercial registration and the alteration certificate approved by the relevant departments or units;

(two) social insurance registration certificate;

(three) other documents and materials stipulated by social security agencies.

The ninth registration department of social security organs shall examine the "social insurance change registration form" completed by the insured units, and check the relevant documents.

And information.

The relevant information of the database should be changed and archived, and the original registration certificate should be recovered at the same time.

And reissue the social insurance registration certificate.

In case of failure to pass the examination, the social security institution shall explain the reason to the reporting unit.

The third section canceling registration

When the tenth participating units have the following circumstances, the registration department of the social security institution handles the cancellation procedures for social insurance.

(1) cancellation or revocation of business license;

(two) be disbanded, revoked or terminated.

(three) pfer across the scope of co ordination;

(four) other circumstances stipulated by national laws and regulations.

The eleventh insured units need to fill out the "social insurance cancellation registration form" (table 2-4) and provide them separately according to the type of cancellation.

The following documents and information:

(1) write off notice or court ruling unit bankruptcy and other legal documents;

(two) the relevant documents approved by the competent department of the unit to dissolve, cancel or terminate;

(three) social insurance registration certificate;

(four) other documents and materials stipulated by social security agencies.

The twelfth registration departments of social security organs verify the above documents and materials, comply with the conditions for cancellation of registration, and handle work-related injuries for them.

Cancellation of insurance registration procedures, cancellation of its social insurance registration certificate, marking in the information system, and notification of collection, treatment.

The Department of nuclear, payment, and other departments shall seal up their insured information and relevant archival materials.

Fourth section verification and supplement

Thirteenth social security organs registration departments regularly carry out industrial injury insurance registration verification, the insured units should fill in the prescribed time.

The social insurance verification registration form (table 2-5) is submitted and the following documents and information are provided:

(1) social insurance registration certificate;

(two) business license, approval of establishment of certificate or other approved practice certificate;

(three) unified code certificate of organization;

(four) a detailed list of wages for employees (employees);

(five) other documents and materials stipulated by social security agencies.

The fourteenth registration departments of social security organs examine the documents and materials provided by the insured units, and the main contents of the audit include:

(1) handle social insurance registration, change registration, and verification of the previous year;

(two) changes in the number of insured persons;

(three) declare payroll wages and pay industrial injury insurance premiums;

(four) other contents stipulated by social security organizations.

The fifteenth social security organs registration departments will send preliminary comments to relevant social security organizations for comments, and determine them based on feedback information.

Audit results.

If the audit is carried out, mark it in the information system and add the verification mark or seal on the social insurance registration certificate.

Chapter 3: when the period expires, it is necessary to change the certificate (no social insurance coverage is taken as the starting point for the first registration), and notify the collection and payment of the treatment.

And other departments.

The sixteenth insured units have to go to the original issuing authority to make up the certificate because they have lost the social insurance registration certificate.

It is necessary to provide the same information as the first registration.

After verification, the social insurance registration certificate will be reissued, involving the relevant social security agencies.

Relevant procedures should be completed in time.

The third chapter is the collection of industrial injury insurance premiums.

Industrial injury insurance premium collection includes declaration, acceptance, payment approval, fee collection, and payment of arrears.

Section 1 declaration and acceptance

The seventeenth departments of social security agencies shall receive the approved form of work injury insurance payment declaration (hereinafter referred to as "verification form of work injury insurance payment").

3-1) and requested the following information:

(1) labor wage statistics month (year) report;

(two) detailed list of wage payment;

(three) the detailed list of the increase or decrease in the number of work-related injury insurers (table 3-2).

(four)