亚伯体育

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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)

2017-12-02
点击数: 11716     作者: 北华大学附属医院

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

yi、gaigederenwuheyuanze

亚伯体育yiliaobaoxianzhidugaigedezhuyaorenwushijianlichengzhenzhigongyiliaobaoxianzhidu,jishiyingshehuizhuyishichangjingjideyaoqiu,genjuyabotiyushengcaizheng、qiyehegerendechengshounengli,jianlibaozhangchengzhenzhigongjibenyiliaoxuqiudeshehuiyiliaobaoxianzhidu。

亚伯体育jianlichengzhenzhigongjibenyiliaobaoxianzhidudeyuanzeshi: jibenyiliaobaoxiandeshuipingyaoyushehuizhuyichujijieduanshengchanlifazhanshuipingxiangshiying;chengzhensuoyouyongrendanweijiqizhigongyuanzeshangdouyaocanjiajibenyiliaobaoxian;jibenyiliaobaoxianfeiyouyongrendanweihezhigongshuangfanggongtongfudan;jibenyiliaobaoxianjijinshixingshehuitongchouhegerenzhanghuxiangjiehe。

亚伯体育quanshengjianlichengzhenzhigongjibenyiliaobaoxianzhidudeyuanze、mubiao、jibenzhengcehegaigemoshideng,youshengrenminzhengfuzhiding。jutishishifangan、tongchoujijinyugerenzhanghudeshixianxingshideng,youshizhou、xian(shi)renminzhengfugenjudangdiqingkuangqueding。

er、shishifanweihezhuyaozhengce

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

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

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

zhuzhangchunshideshengzhijiguan、shiyedanweizhixingtongchoudiqudezhengcehebiaozhun,jibenyiliaobaoxianshixingshengjidanduguanli。

亚伯体育(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。

亚伯体育(wu)youguanrenyuandeyiliaodaiyu。lixiuganbu、laohongjunbucanjiachengzhenzhigongjibenyiliaobaoxian,qiyiliaodaiyububian,yiliaofeiyonganyuanjijinqudaojiejue。zhifuqueyoukunnande,youtongjirenminzhengfubangzhujiejue。

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

亚伯体育tuixiurenyuancanjiajibenyiliaobaoxian,gerenbujiaonajibenyiliaobaoxianfei。duituixiurenyuanjirugerenzhanghudejinehegerenfudanyiliaofeidebilijiyushidangzhaogu,congyongrendanweijiaofeizhonghuaru。jutibiliyougetongchoudiquzixingqueding。

zaikaizhanjibenyiliaobaoxianzhidugaigedetongshi,yaojijizhuahaogongshangbaoxianheshengyubaoxianzhidugaige。gaigefanganyoushenglaodongbaozhangxingzhengbumenyanjiuzhiding。

亚伯体育guojiagongwuyuanzaicanjiajibenyiliaobaoxiandejichushang,xiangshouyiliaobuzhuzhengce,jutibanfayoushenglaodongbaozhanghecaizhengbumenanzhao《guowuyuanbangongtingzhuanfalaodongbaozhangbucaizhengbuguanyushixingguojiagongwuyuanyiliaobuzhuyijiandetongzhi》(guobanfa〔2000〕37hao)deyouguanbumenguidingzhiding,baoshengzhengfupizhunhoushishi。weilebujiangdiyixietedingxingyezhigongxianyoudeyiliaoxiaofeishuiping,zaicanjiajibenyiliaobaoxiandejichushang,zuoweiguoducuoshi,yunxujianliqiyebuchongyiliaobaoxian,qiyebuchongyiliaobaoxianfeizaigongzizonge4%yineidebufen,congzhigongfulifeizhongliezhi,fulifeibuzuliezhidebufen,jingtongjicaizhengbumenhezhunhoulieruchengben。guoyouqiyexiagangzhigongdejibenyiliaobaoxianfei,baokuodanweijiaofeihegerenjiaofei,junyouqiyezaijiuyeyabotiyuzhongxinanzhaodangdishangnianduzhigongpingjungongzide60%weijishujiaona,xiangshouyutongchoudiquzhigongxiangtongdejibenyiliaobaoxiandaiyu。

san、jijindeguanlihejiandu

亚伯体育jibenyiliaobaoxianjijinnarucaizhengzhuanhuguanli,zhuankuanguanli,budejizhannuoyong。

亚伯体育shehuibaoxianjingbanjigoufuzejibenyiliaobaoxianjijindechouji、guanlihezhifu,yaojianchiyishoudingzhi、shouzhipinghengdeyuanze,bingyaojianlijianquanyujuesuanzhidu、caiwuhuijizhiduheneibushenjizhidu。yaojianlijibenyiliaobaoxiantongchoujijinchaozhiyujingbaogaozhidu,dangtongchoujijinchuxianchaochangzhichushi,shehuibaoxianjingbanjigouyaorenzhenfenxiyuanyin,yanjiuduice,bingjishixiangtongjilaodongbaozhangbumenbaogao。shehuibaoxianjingbanjigouyaojianlihewanshanxiandaihuajijinguanlishouduan,jiakuaiweijilianwangyabotiyu,tigaojibenyiliaobaoxianjijindeguanlishuiping。shehuibaoxianjingbanjigoudeshiyejingfeibudecongjijinzhongtiqu,yougejicaizhengyusuanjiejue。

亚伯体育jibenyiliaobaoxianjijindeyinxingjixibanfa: dangnianchoujidebufen,anhuoqicunkuanlilvjixi;shangnianjiezhuandejijinbenxi,an3geyueqizhengcunzhengquyinxingcunkuanlilvjixi;cunrushehuibaozhangcaizhengzhuanhudechendianzijin,bizhao3nianqilingcunzhengquchuxucunkuanlilvjixi,bingbudiyugaidangcililvshuiping。gerenzhanghudebenjinhelixiguigerensuoyou,keyijiezhuanshiyonghejicheng。zhigongbenrenyingongzuodiaodong,gerenzhanghuyingsuigongzuoguanxiyibinghuazhuan,jixushiyong。

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

si、yiliaoyabotiyuguanli

yaoquedingjibenyiliaobaoxiandeyabotiyufanweihebiaozhun。quanshengjibenyiliaobaoxianyabotiyudefanwei、biaozhunheyiliaofeiyongjiesuanguanliyijian,yijijibenyiliaobaoxianyaopinmulu、zhenliaoxiangmu、yiliaoyabotiyusheshibiaozhunhexiangyingdeguanlibanfa,youshenglaodongbaozhangxingzhengbumengenjuguojiaguiding,huitongyouguanbumenbumenzhiding。

亚伯体育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、guowuyuanguanyuweishenggaigeyufazhandejueding》(zhongfa〔1997〕3hao)he《guowuyuanbangongtingzhuanfaguowuyuantigaibandengbumenguanyuchengzhenyiyaoweishengtizhigaigedezhidaoyijiandetongzhi》(guobanfa〔2000〕16hao)deyouguanyaoqiu,huitongyouguanbumenbumenjinkuaizhidingquanshengyiyaoweishengtizhigaigeshishifanganheyouguanzhengce。zhuyaoshijianliyiyaofenkaihesuan、fenbieguanlidezhidu,xingchengyiliaoyabotiyuheyaopinliutongdejingzhengjizhi,helikongzhiyiyaofeiyongzengzhang;jiaqiangyiyaojigouheyaodiandeneibuguanli,guifanyiyaoyabotiyuxingwei,jianyuanzengxiao,jiangdiyiliaochengben;lishunyiliaoyabotiyujiage,zaishixingyiyaofenkaihesuan、fenbieguanli、jiangdiyaopinshouruzhanyiliaozongshourubizhongdejichushang,helitigaoyiliaojishulaowujiage;jiaqiangyewujishupeixunhezhiyedaodejiaoyu,tigaoyiyaorenyuandesuzhiheyabotiyuzhiliang;anzhaoshizhouzhidingdequyuweishengguihua,helidiaozhengyiliaojigoubuju、youhuayiliaoweishengziyuanpeizhi,jijifazhanshequweishengyabotiyu。

liu、shishibuzhou

亚伯体育genjuguowuyuan《jueding》jingshenheyabotiyushengde《zongtiguihua》,jinnianniandiqianyaojibenjianlichengzhenzhigongjibenyiliaobaoxianzhidu,quanmiantuijinyiyaoweishengtizhigaige。anguojiayaoqiu,quedingjilinshiweijianlichengzhenzhigongjibenyiliaobaoxianzhiduguojiazhongdianlianxichengshi;nonganxian、shulanshi、dunhuashi、yitongxian、daanshi、jianshi、fusongxian、dongfengxian、qianguoxianweishengzhongdianlianxixian(shi)。getongchoudiquyaoanzhaoguowuyuan《jueding》jingshenheyabotiyusheng《zongtiguihua》yaoqiu,zuzhirenyuankaizhandiaoyancesuanhefenxilunzhenggongzuo,lizhengjinkuaiqidong。geshizhouhebeiquedingweishengzhongdianlianxixian(shi)deshishifangan,baoshengrenminzhengfupizhunhouzhixing;qitaxian(shi)deshishifangan,jingsuozaishi、zhourenminzhengfupizhun,baoshengrenminzhengfubeian。

qi、zuzhilingdao

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

亚伯体育gediyaorenzhenxuexiheshenkelinghuiguowuyuan《jueding》jingshenheyabotiyusheng《zongtiguihua》yaoqiu,tongyisixiang,tigaorenshi,jiandinggaohaozheixianggaigegongzuodexinxinhejuexin。yaobajianlijibenyiliaobaoxianzhidugongzuolieruzhongyaoyishiricheng,taiduyaojiji,gongzuoyaowentuo。yaorenzhenzuohaoxuanchuanjieshigongzuo,shiguangdazhigongheshehuigefangmianzhengquelijieyiliaobaoxianzhidugaigedezhongyaoyiyihejibenzhengce,jijizhichihecanyuzheixianggaige。

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

gejilaodongbaozhangbumenfuzejianlichengzhenzhigongyiliaobaoxianzhidugongzuodejutizuzhixingshishishi、zhidaohejiancha。yaojishiyanjiujiejuegongzuozhongchuxiandewenti。gejicaizheng、weisheng、yaojian、tigai、jihua、jingmao、wujia、shenjidengbumenheshehuibaoxianjingbanjigou、gonghuizuzhiyaojijicanyu,miqiepeihe,quebaoquanshengjianlichengzhenzhigongjibenyiliaobaoxianzhidugongzuodeshunlijinxing。

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