Embed Size (px)
Citation preview
- Hieu trudng cac Trudng Tieu hoc, THCS, THPT tren dia ban huyen.Chuyen:....
.lAihososo*:,.
Thuc hien Luat sua ddi Luat Bao hi&n y td (BHYT); Nghi dinh sd105/2014/ND-CP ngay 15/11/2014 Quy dinh chi tidt va hudng dSn thuc hienmot so dieu cua Luat Bao hidm y td; Thong tu sd 41/2014/TTLT-BYT-BTCngay 24/11/2014 cua Lien Bd Y td, Bd Tai Chinh; Ban chi dao thuc hien Baohilm y td huyen da td chdc tridn khai Ke hoach sd 30/KH-UBND ngay20/7/2015 vd viec thuc hien BHYT hoc sinh nam hoc 2015-2016.
Viec tridn khai thu BHYT hoc sinh nam hoc 2015-2016 thuc hien thu theonam tai chinh va dupe to chuc thu thanh 02 dot. Dot mot thu 03 thang tu thang
10/2015 ddn thang 12/2015, dot 2 thu tir thang 01/2016 den thang 12/2016. Tinhden nay cac nha trudng, Trung tam GDTX-Hudng nghiep day nghe trong toanhuyen da thuc hien tot viec thu va phat hanh the BHYT cho hoc sinh dot mot
dam bao 100% hoc sinh tham gia BHYT.Be thuc hien dung ke hoach cua UBND huyen da de ra trong viec to chuc
trien khai thu BHYT dot 2 nam hoc 2015-2016, dam bao 100% hoc sinh dupetham gia BHYT. Ban chi dao thuc hien BHYT huyen dd nghi UBND cac xa, thitran, cac nha trudng, Trung tam GDTX-Hudng nghiep day nghe tren dia banhuyen, cac co quan lien quan thuc hien nghidm mot so cong vipc sau:
1.UBND cac xa, thi tran tang cudng chi dao cong tac tuyen truyen tren hpthong truyen thanh cua xa vd BHYT hoc sinh; chi dao can bp Lao dpng -Thuong binh va Xa hoi thuc hien tot viec ra soat, xac nhan, cung cap danh sachho gia dinh thuoc hp ngheo, can ngheo nam 2016 cho cac nha trudng de nha
trudng thuc hien thu BHYT hoc sinh dam bao dung so hoc sinh thuoc dien dupeh trp muc ddng tu ngan sack nha nude.
2.Phong Giao dpc va Dab tao tich cue chi dao cac trudng: Tieu hoc, THCS
thuc hien BHYT hoc sinh theo quy dinh, tidp tpc dua cong tac thuc hien BHYThoc sinh vao nhiem vu cua nam hoc va danh gia thi dua cudi nam ddi vdi cac
nha trudng thuoc tham quyen quan ly.
3.Cac nha trudng tidu hoc, THCS, THPT, TT GDTX - Hudng nghiep daynghe huypn:
- Tidp tuc tridn khai, tuyen truydn, van dpng hoc sinh tham gia BHYT theo
dung Hudng dan lien nganh sd 856/HD-LN ngay 20/7/2015 cua Lien nganh Bao
- Giam doc Trung tam GDTX - Huong nghiep day nghe huyen;DEN
PH6HG GIAO DUC Bl
UBND HUYEN BINH GIANG CONG HOA XA HQI CHU NGHIA VIET NAMBCD THlTC HIEN BHYTDoc lap - Ty do - Hanh phuc
S6: Ob /BCDBlnh Giang, ngay J^thang 11 nam 2015VS viec thuc hi^n BHYT hoc sinh
dpt 2 nam hpc 2015-2016
PHO CHU TICH UBND HUYENVu Thanh Khiet
Noi nhan:-Nhu kinh gui;-Chu tich, PCT UBND huyen;-Ban chi dao flute hien BHYT huyen;-BHXHhuy?n;-Dai Phat thanh huy?n; website huy&t;-Luu:VT-TH.
hiem xa hoi, So Giao due va Dao tao tinh Hai Duong ve viec thuc hien BHYThoc shih nam hoc 2015-2016;
- To chirc trien khai thu tien d6i voi tat ca 100% hoc sinh thuoc dien tham
gia BHYT theo nam tai chinh, thu phi 12 thang {trie nhieng hoc sinh lop mot dathuc hien thu tiin va cap the BHYT din hit thang 12/2016) s6 ti&i la 434.700d6ng {hqn the tie 01/01/2016 din 31/12/2016), thu xong truoc ngay 15/12/2015.
-Phan cong can bo phu trach cong tac BHYT hoc sinh dl lam d&u moi lienhe voi BHXH huyen trong cong tac thu nop phi BHYT, nhan va cip phat the
BHYT kip thai cho hoc sinh.-Thuc hien tot cong tac y te truong hoc nhu: bo tri phong y te, phan cong
can bo phu trach y te hoc duong, trang bi tu thuoc va cac vat dung y te can thiet
de phuc vu cong tac so cuu ban dau cho hoc sinh tai truong hoc.-Lam tot cong tac thanh, quyet toan cac chi phi phuc vu cho cong tac cham
soc sue khoe cho hoc sinh theo dung quy dinh ciia Bo Tai chinh, B^ Y te va
huong dan cua nganh Bao hiem xa hpi.
4.Bao hiem xa hoi huyen-Thuc hien vic huong dan cac nha truong lap danh sach, thu tien va to
chuc in the BHYT cho hoc sinh cap kip thoi cho cac nha truong de dam bao
quyen loi huong dvtqc lien tuc.-Huong dan cac truong hoc sir dung nguon kinh phi cham soc sue khoe
ban dau diing quy dinh.-Phoi hop voi cac co so y te tren dia ban huyen giai quyet tot cac vuong
mac ve the BHYT khi hoc sinh di kham, chua benh.5.Dai Phat thanh huyen tiep tuc tuyen truyen ve miic dong, quyen loi duqc
huong cua hoc sinh khi tham gia BHYT tren he thong truyen thanh theo LuatBHYT d6 nhan dan, phu huynh hoc sinh biet va tham gia day du cho con emminh.
Nhan duoc cong van, Ban chi dao thirc hien BHYT huyen de nghi thutruong cac ca quan, don vi lien quan, cac nha truong to chric thuc hin nghiemtuc dS cong tac BHYT hoc sinh nam 2015-2016 duoc thuc hien theo dung ke
hoach UBND huyen da de raV.
si,-;; -.ThanhphlhhdSOgom: , -• "'•.. ;,.,-;.-: C! .• v.-.T1"- •:.-•'(' '"' -ci/ i "Y:.c" '• • :.'.?.
+ Ngudi lao dong: To khai cung cip va thay ddi thong tin ngudi tham gia.BHXH,,BHYT (Mlu TK1.-TS); Bdi vdi ngudi duoc hudng quy&i loi BHYT caohon cd them giaytdchungminh. • ••/• • .:, •• • '..,•. •••.••;, ,)•'•, ,.•..•..•-, [<','_ •.•••:: ,:.• r',; '>;.-., ;;;! cO .(../
+ Ngudi sir dung lao dong: To khai cung dp va thay ddi thong tur.don/viitham gia'
BHXH, BHYT (Mlu TK3-TS); Banh sach lao dong tham gia BHXH, BHYT;BBTN:(M!uB02-TS); Bang ke hd so lam can cii hudng quydn loi BHYT cad hdh (MuoIIPhu lucr03).
',.• :- So luong: Olbd. •.•• ]• c ••.,. •; .•_,.•!,.•..•'!-,' ;T ..'••''•.; ••.••..• :^'!q •'!-. i!
; ..3.2.Biduchinhd6rigBHXH;BHYT;BHTNhangthang:-'•-"./ ( .;.;,-;;Y/'-'^ ,^ ••'^
d3.1: Bon.vi tham gia laridlu, donvi chuyln tu diabaritmh,thanh phd khac den:'.'
l"lari
V/vtri&i khai QuySt dinh S6 959/QB-BHXH•' ' ^^' i'- '!•/! <c'^\ i ! ^'--•;^
.7:?rigay^9/9/20T5"cua"BHXHViet,Nam^,i:fiJ:, -"..! ^•.,.-, .tt.C ,;ix^ ^ i^-.,:- '-'• i-h.jj/;--
;(Lj '.at •''; L'^;.•;/;/•-ii .'^'I .'1 i-'-l'•r;-i no/a,- ,• ;-.'r •Vm.^:; ^t'.' •-.<: d:' v; •::•':<.' 7:'! :-',-.'
vhij. r- V o Kinh gui:/Gac:ddnviisu dung laVddrig tremdia ban'tinh Hai-Duong:.:^" •':^;,^T-f >:T,,^. ^..-,'; ,-f^ • '^ '-^ I ., ^y^j U: ,-. • i:it.d' :v :;'::"; .; '.f: i''i:l ,, tii '̂./:'i'-
Thuc hien Luat bao hiim y te (BHYT), Luat bao hiem xa hoi (BHXH)-sjia doi,Luatyiec lamye^bap^em^atnghiep (BHTTST):Ngay 0979/2015, Bao hiemxahoi YietNambanhanh Quy^tdinh s6 959/QB.-BHXH,-Quy;dinh ,v| quan ly thu'BHXH; BHYT, BHTN; qu^ttly s6 BHXH, the BHYT, hieu luc thuc hien tir ngay 01/12/2015.. Bao hilmxahoi tinh HaiDuong da dang tai toan bo, noi dung cua Quyet dinh 959/QB7BHXH,.cacmaubieu va hudng
din thuc hien ghi cac bieu mlu tai website cua BHXH tinh (http://bhxhhaiduorig.gov.vn).-Be thuchien dung quy dinh tai Quyet dinhnay, BHXH tinhHai Buong de nghi cac don vi tracuu tai website cua BHXH tim hieu quy dinh, noiidung cua, Quyet ^dinh dejthuc hien; trongdocanquantammotsoquydinhvanoidungsuadoivabosungsauday:,,.,,r v.i^.;i • -
.,..; T.B6.ituqngthamgiaBHXHbat-buocb6sungtu01/01/2016:. r .,- ;;; , ,. •̂ ,^ :
;,';.- Ngudi lao dong co hop dong lao dong theo mua vu hoac.theo mot cong.vieonhat dinh,cq.thdi han tu du 03;thang den dudi 12 thang, ke ca hop dong lad dong.ducte'ky kgt giua don--
vi vdi ngudi dai dien theo phap luat cua ngudi, dudi 15 tudi theo quy dinh cuaphap luat vellaodong;.--. .-. ',..- •..,:,-,'.:.,;: .-; • V ,; ..-j ;;ir-: ;."'...,,,., a^:n V...:. -
-Ngudi hoat dong khdng chuyen trach khdng chuyen trach d xa,,phudng/thi tran thaiugia BHXH bit buoc vao quy huu tri tu tuat;{i •'••/•:•^ •'•' •<>-'•' a^-: v. <• ^ • 1
-Ngudi quan ly doanh nghiep, ngudi quan ly dieu hanh hqp.tac xa cd hudng ti&Huong.2.Tienluong thang dong BHXHbatbuodddi vdi ngudi:iadidong thuc Men ti^n luong
dodonviquyetdinhthvrchieringaypi701/2Q16:, •••.^• •„'•.:^.,^,.:•' .;i:; ./.'•:.,;) ;. •
','.;. Tien luong thang dong BHXH la miic luong va phu capjluqng theo qiiy dinh cua phapluatlaodqng.,-. •^•.. ,,'..,-id" ,'d'l I /•'[ ';-.<.!',']' jj;i :-/M^
3.Ho so tham gia, dong BHXH, BHYT, BHTN thay ddi thuc hientu ngay.01/12/2015nhusau:.i/'i-:;,, ,,',-,, •'"'; T:,ni:!: i-.,. liu ;•)!•^•;"•.:. ••
BAO HIEM XA KOI VIET NAMCONG HOA XA HOI CHUNGHIA VIETNAMBAO HIEM XA HOITINH HA^DtTONG ^^ j ' i" •' • <-/ iBoc I^p - Tu- dq ^Hanhiptiuc;/
;,"•..-> Thanh phan-ho so.gdm: ':', •:.*, . '•..•' v-; •.-•".'. ' ^•.<..
+Ngudi;lao.ddng:rNhuquy dinh d6i vdi ngudi lao. dong trong don vitham gia lin dau;
domvi chuydntu dia ban.tinh, thanh phd khac ddn; Trndng hop ngung tham gia BHYT: ndpthe BHYT con hansu dung.• . ... • . • • ,^ ';.
+ Ngudi su dung lao dong: Danh sach lao dong tham giaBHXH, BHYT; BHTN (M^uD02-TS); Bang kd hd so lam can cii hudng quyen lpi BHYT cao hon (Muc II Phu luc 03);Trudng hqp.thay ddi thong tihtham gia BHXH, BHYT, BHTN-cua don vi: co Tdkhai cungcip va thay ddi thong tin don v^ tham gia BHXH, BHYT, BHTN (Mau TK3-TS)." • ^-Sdluqngl'Oibd.' •".•-' ••^•' -' '-"> •-"•• " .^-..•• ^ '. •• j ' ,:
<• • ri r4; Hosd truy thuBHXH; BIHfT, BHTN cactrirdng hop vi pharivqiiy dihh cua phapluat ye ddngBHXH^BHYT, BHTN; didu chinh tidh luong da dong BHXH; BHYT, BHTN
^"^ -Thanh phan-ho so gdm: -- ' '- • "•'•:••-• ' ' ••:
.•?,-..^-. Ngudi lao'ddng: To khai cung cap va thay ddi thong tin ngudi tham gia BHXH,BHYT(MluTKl-TS);'_ v... • ••'•.•'; -.-•-:' ..• • : ....^• . •
-•:; '+.Don vi: Danh sach lao dong tham gia BHXH, BHYT, BHTN (Mlu D02-TS); Bang
kegiaytdhdsolamcanciitruythu(Phuluc02).' • - ••> ' - '-S6lugngh6so:01bd: --• '• •••' • •- • ,,..•:••-• v • .-.
5. Hd so ghi xac nhah thdi giari dong BHXH' chd ngudi tham gia dupe cdng-ndi thdigiannhung^khdngphal dong BHXH (trudc nam 1995, "can bo xa trudc nam 1998); dieuchinh lam hghdhoac cdng viec nang nhpc, ddc hai,- nguy hilm hoac dac biet nang nhpc, doe
hainguyhiem. . '/ "" .. .•"••-••.•.>.., . ;,)••• •• •' ' • . • , i . • ,•'•'•••
-Thanh phan hd so: To khai cung cap va thay ddi thong tin ngudi tham gia BHXH,BHYT,(MluTKl-TS);. . " > .. / • . • • • .
Hosokemtheo(Phuluc01).• "' - • '-'--..
.r-;s6:iupngh6so:01bd.j. '• :
• •: 6. Hd so cip lai sd BHXH,doi, didu chinh thong tintreh sd BHXH, the BHYT6.1. Cap lai so BHXH do mat, hong, thay ddi so so, gdp so BHXH '•. .
•~ir~'-.Thanhphin-hd so gdm:"Tdkhai cung cap va thay ddi thong tin.ngudi tham gia
BHXH,BHYT(MiuTKl-TS);sdBHXHdacip.•-•. :'.'
..•:'-Sdlupnghdso:01bd. .C - - '-.-•'•'. -"•• .•• .• . !
6.2.DiduchinhndidungdaghitrensoBHXH....
-Thanh phan ho so gdm: .To khai cung .cap va- thay ddi thong, tin ngudi tham giaBHXH, BHYT (Miu TK1-TS); sd BHXH; Bang ke giiy to hd so lam can cii didu chinh(MucIPhulue03)." y ••'•• ' ...•.•' •• '
• :...-Sdlupnghdso:01 bd. j •'.•'.'•:• •• • . • '
6.3.Cap lai sd BHXH do thay ddi ho, ten, chu dem; ngay, thang, nam smh; gidi tinh,dantdc,-qudc:tich. . _;- ', . • • >••':• •• •• i
... : (gidhghhuquydinhtaididm6.2tren) . .,• , . ' . ' :l.•'.
6.4.Giplai;:ddi the BHYT •." .."'••.
-Thanh phan hd so gom: To khai cung cap va thay ddi thong.tin ngudi tham gia
BHXH, BHYT (Mlu TK1 -TS); the BHYT (trudng hop hong hoac thay. ddi thong tin); Bang
N^^inhin:Nhirtren;
-GD, cac pho GB BHXH tinh;-Luu: VT,
* ke gifiy to ho so lam can cur cip lai, ddi the BHYT (Muc II, III Phu luc 03 d6i vdi trudng hop
thay doi thong tin).-So lupng ho so: 01 bo.7.Quy trinh thu; cap sd BHXH, the BHYT (cic ndi dung cin luu y)
Bon vi sur dung lao dong-Xic nhan to khai cung cip va thay doi thong tin ngudi tham gia BHXH, BHYT (Mau
TK1 -TS) ddi vdi trudng hop dieu chinh ho, ten, chu dem; ngay, thing, nam sinh da ghi tren
sd BHXH cua ngudi lao dong;-Thu hdi the BHYT cua ngudi lao dong ngirng tham gia BHYT, ndp cho co quan
BHXH dd didu chinh so phii thu (trir trudng hop chet; chb giii quydt chd dp huu tri, tro captai nan lao dong - benh nghd nghidp hang thing);
-Binh ky 6 thing, niem yet cong khai thong tin ve viec dong BHXH, BHYT, BHTNcho ngudi lao dong;
-Hang nam, nhan thong tin dong BHXH, BHYT, BHTN cua ngudi lao dong (Mau
C13-TS) do co quan BHXH cung cap de niem yet cong khai tai don vi.8.CSp vi quan ly sd BHXH, the BHYT (cic npi dung din luu y)
8.1.Cap lai so BHXH (chi thuc hien trong cic trudng hop sau)-Cap lai so BHXH (bia va td rdi) cic trudng hop: mat, hong; gpp; thay doi so sd; ho,
ten, chu dem; ngiy, thing, nam sinh;-C4p lai bia sd BHXH cic trudng hop: sai giai tinh, qudc tich; ngudi da hudng BHXH
mot lin con thdi gian dong BHTN chua hudng;-Cip lai td rdi sd BHXH cic trudng hop: mit, hong hoac da giii quyet chd dp BHXH
co dieu chinh qui trinh dong BHXH.8.2.Xu ly mot sd tinh hudng trong cong tic cip sd BHXH
Mot ngudi co tir 02 sd BHXH trd len ghi thai gian dong BHXH khdng trung nhau thico quan BHXH thu hdi tit ci cic sd BHXH, hoan chinh lai co sd du lieu, in thdi gian dong,hudng BHXH, BHTN cua cic sd BHXH vio sd mdi. Sd sd BHXH cip lai la sd cua soBHXH co thdi gian tham gia BHXH sdm nhit.
8.3.Phin cip vd cip mdi, ddi, cip lai sd BHXH, the BHYT, ghi xic nhan sd BHXHTarn thdi vin thuc hien theo quy dinh hien hanh tai Quyit dinh sd 950/QD-BHXH,
ngay 20/7/2015 cua BHXH tinh Hii Duong.Nhan duoc van bin nay, de nghi cic don vi nghien cuu va phdi hop thuc hien, trong qui
trinh thuc hien ndu co vudng mic phin inh vd BHXH tinh, BHXH cic huydn dd xem xetgiai quyet theo tham quydn./.\^'
n-
:;iitl(> fo/
nsv rr>'^ ^':t-'(
(;irj^;n, 01 ^fe^rr.7/511 ntid ri.v.-' jcuL .^j/iX
yrrouv .">•• i;6f; riiifl vprll filin!
: I •/ Tr. •(
'•.•' 07 fil:
./' • ifl (fieri!
yon; riX,f! oof;' xr.il ;6;{qby Limiio
fiij.r bij r^v^ii oB) i lXX^; yiiiii I:X.
• ^-^- It*^1" r ' ; v "*'i^\' )i'^^I'!^' T Jl,H .',-•. i ^^ ;t
a iii^ :.,. '6fi H/.iiti 6^ ^iiiii u^. K/.iy. j XX
X,,r , j/'Vifi t>^ -jt^ IV. ?l;., 'OX iJ;!; HXH^ fliilJpOO
'>•.; . K ' i iS ^^
.,.•;,, u .1, ^G,;. y
. .•,'!.:bir1i(;fi.'..;a6-<'.' m^i;\ ^fiq^^^iiu-j .MXi-IH rnuip o'j'.b'6-'
..-,,.,,;,,,,^ ^,:;J.. j,-.,, •;,.-,)y/i;, | nfij .JiXHtl o? ';}, ricii^B,- q/b.j .
•̂ !.e •'{'•,^'.>•• i..i.;v ..,s. • ,i!ii'i fl'^ii >:^'t ^ri^. HX1 Iff-V %\ qp,"> I
F^^i .,: /: \H
(W.Up m otfj fjOT .T6r!:fi Bi^ ffif;(ij ^.Tij'^)! y: 4) <;S! TOU^ii BU^ T^iii-i ^ll; ioli UtlT -
riq(W ritUnjujibib HXKtl
.66 [O-'Vi^^^ifoX- - -
i•/ '1-lri:'i..^y,"o;b !on,>B^> r ' I Uiirlr.HXKfJ orqiio :o.".: inm yui^ X,
jjtiobofii ^(^iJijTji- ;viroCi
uu!-/1. I'VH^ h/i ,H ^i^ ,~i:.;ii nyn^fi nil yi/X oo {f;ril bv qfi:; ^nu: inrix v (" ,:iu .^,/ ^
noi! rriii hii (Insii [nbn .-ji!.,':,'byn :mob u^-) ,;, . .xi ilairi.,' ubib qt^fi ^rn;,,••? ir•, ,,,;., ^ \ -i^iT
fin^ y holm; ir/ ,6b "..0 •:,!! yri^ ill .li oy?^, 1'r'S 6 ..rj; icit .ii?l qXo uo irfio
