BAa HIEM XA HOI VIET NAM BAo HIEM xA HQI TP H6 CHI MINH s6 : 46hf /BHXH- THU CQNG HoA xA HQI CHU NGHiA VI~T NAM DQc lip - TV - H,nh phuc TP H6 Chi Minh, Adthang )2-nam 2014 VIv m(>ts6 thay d6i chinh sach thu BHXH, BHYT va BH thAtnghi~p tir 01/01/2015 Kinh gui: Cac don vi su d\lng lao dQng tren dia bim TP H6 Chi Minh Tir 01 thang 01 nam 2015, chinh sach thu bao hiSm xa hQi (BHXH), bao hiSm y tS (BHYT) va bao hiSm that nghi~p (BHTN) co mQt s6 thay d6i Lu~t sua d6i b6 sung mQt s6 DiSu cua Lu~t BHYT (Lu~t s6 46/2014/QHI3 13 thang nam 2014); Lu~t Vi~c lam (Lu~t s6 38/2013/QHI3 16 thang 11 nam 2013 co hi~u l\Ic thi hanh Trong cha hu6ng ddn cua cooquan co thAm quySn, Bao hiSm xa hQi Thanh ph6 H6 Chi Minh thong bao nhu sau: 1/ Dai tUQ11gtham gia BHXH, BHYT, BHTN b~t bUQc: - KS tir 01 thang 01 nam 2015, nguai lao dQng lam vi~c theo hqp d6ng lao dQng co tho; h,n tir du 03 thang tat ca cac cooquan, don vi (khong phan bi~t s6 luqng lao dQng don vi dang su d\lng) dSu thuQc d6i tuqng d6ng thai tham gia BHXH, BHYT va BHTN b~t bUQCtheo quy dinh t:;tiDiSu 2, Lu~t BHXH (Lu~t s6 71/2006/QHll 29 thang nam 2006); DiSu 43, Lu~t Vi~c lam (Lu~t s6 38/2013/QHI3) va Khoan 6, DiSu 1, Lu~t sua d6i b6 sung mQt s6 DiSu cua Lu~t BHYT (Lu~t s6 46/20 14/QHI3) Cac cooquan, don vi co su d\lng lao dQng theo chS dQ hqp d6ng lao dQng co thai h:;tntir 03 thang tr& len tru6c thang 01 nam 2015 ma hqp d6ng lao dQng tiSp t\lC co gia tri nam 20 15 (ho~c nguai lao dQng tiSp t\lC lam vi~c tir thang 01 nam 2015), chua duqc tham gia BHTN, phai duqc cooquan~ don vi l~p thu t\lCtham gia BHTN tir thang 01 nam 2015 - D6i v6i nguai lao dQng chi tham gia BHXH b~t bUQc,tiSp t\lC ap d\lng theo Lu~t BHXH (Lu~t s6 71/2006/QHll); cac d6i tuqng chi tham gia BHYT ap d\lng theo Lu~t sua d6i b6 sung mQt s6 DiSu cua Lu~t BHYT (Lu~t s6 46/2014/QHI3) - Tir 01 thang 01 nam 2015, muc huang BHYT da duqc diSu chinh theo Lu~t sua d6i b6 sung mQt s6 DiSu cua Lu~t BHYT, nen cooquan, doonvi soat va yeu cau nguai lao dQng la nguai co cong v6i cach m:;tng, nguai tham gia khang chiSn, C\IUchiSn binh, than nhan nguai co cong v6i cach m:;tngma tru6c day chua duqc xac dinh quySn lqi, b6 sung cac chUng nh~n theo quy dinh, dS don vi l~p thti t\lC diSu chinh the BHYT, xac dinh ma quySn lqi theo quy dinh m6i dS dam bao nguyen t~c mQt nguai d6ng thai thuQCnhiSu d6i tuqng tham gia BHYT khac quy dinh t:;ti DiSu 12 cua Lu~t BHYT (da diSu chinh b6 sung theo Lu~t s6 46/2014/QHI3) thi dong BHYT theo d6i tuqng dfiu tien ma nguai dugc xac dinh theo thu t\1'cua cac d6i tuqng quy dinh va dugc hUOng quySn 19i BHYT theo d6i tuqng co quySn 19i cao nh~t 2/ Ty I~ doog BHXH, BHYT, BHTN: Tir 01 thang 01 nam 2015, hang thang, nguai sir d\lng lao dQng dong cho nguai lao dQng va trich tir tiSn luong thang cua nguai lao dQng dS dong cung mQt hlc vao Quy BHXH, BHYT, BHTN v6i ty l~ dong la 32,5 %, do: Nguai sir d\lng lao dQng dong 22% (18% nQp quy BHXH, 3% nQP Quy BHYT, 1% nQp Quy BH th~t nghi~p) Nguai lao dQng dong 10,5% (8% nQp quy BHXH, 1,5% nQp Quy BHYT va 1% nQp Quy BHTN) 3/ Mu-c ti~o luO'og lam CO'sO- doog BHXH, BHYT, BHTN: 3.1 - D6i v6i nguai lao dQng thuQc d6i tuqng th\1'chi~n che dQ tiSn luong Nha nu6c quy dinh thi can cu dS dong BHXH, BHYT, BHTN la h~ s6 tiSn luong thang theo ng~ch b~c, c~p quan ham va cac khmin ph\l c~p chuc V\l, ph\l c~p tham nien vugt khung, ph\! c~p tham nien nghS (neu co) tinh theo muc luong co sa Chinh phu quy dinh Muc tiSn luong thang th~p nh~t dS tinh dong BHXH~ BHYT, BHTN la muc luong co sa va muc tiSn luong t6i da dS tinh milc dong BHXH, BHYT, BHTN la 20 Ifillmuc luong co sa 3.2 - D6i v6i nguai lao dQng hUOng tiSn luong theo quy dinh cua nguai sir d\lng lao dQng thi can cu dS dong BHXH, BHYT, BHTN la tiSn luong thang dugc ghi hgp d6ng lao dQng Muc tiSn luong thang thip ohit dS tinh muc dong BHXH la mtfc 1U'(fogtBi thi~ll vilog va muc tiSn luong tBi da dS tinh muc dong BHXH la 20 I§o mtfc IU'(fogCO'sO- Muc tiSn luong thang tBi da dS tinh muc dong BHYT la 20 I§o mtfc IU(fog C(f sO- Muc tiSn luong thang thip ohit dS tinh dong BHTN la mu-c IU'O'ogtBi thi~ll vilog va muc tiSn luong tBi da dS tinh muc dong BHTN la 20 I§o mu-c IU(fog tBi thi~ll vilog 4/ LUll Y troog doog BHYT: - Nguai lao dQng thai gian nghi vi~c hUOng che dQ thai san theo quy dinh cua phap lu~t vS bao hiSm xa hQi thi milc dong hang thang b~ng 4,5% tiSn luong thang cua nguai lao dQng tru6c nghi thai san t6 chuc bao hiSm xa hQi dong - Nguai lao dQng thai gian nghi vi~c hUOng che dQ 6m dau tir 14 tra len thang theo quy dinh cua phap lu~t vS bao hiSm xa hQi thi khong phai dong bao hiSm y te nhung v~n dugc hUOng quySn 19i bao hiSm y te - Nguai lao dQng thai gian bi t~m giam, t~m gift ho~c t~m dinh chi cong tac d@di~u tra, xem xet kSt lu~n co hay khong vi~c vi ph~ni phap lu~t thi muc dong hang thang b~ng 4,5% cua 50% muc ti~n luong thang ma nguai lao dQng duQ'c hUOng theo quy dinh cua phap lu~t Truang hgp ca quan co thfim quy~n kSt lu~n la khong vi ph~m phap lu~t, nguai lao dQng phai truy dong bao hi@my tS tren s6 ti~n luong duQ'ctruy linh - Nguai lao dQng thai gian duQ'c cu di hQc t~p ho~c cong tac t~i nuac ngoai thi khong phai dong bao hiSm y tS; thai gian duQ'c tinh la thai gian tham gia bao hiSm y tS cho dSn co quySt dinh tra l~i lam vi~c cua ca quan, t6 chuc cudi - Nguai lao dQng thai gian di lao dQng t~i nuac ngoai thi khong phai dong bao hiSm y tS; thai gian 60 kS tir nh~p canh v~ nuac nSu tham gia bao hiSm y tS thi toan bQ thai gian di lao dQng t~i nuac ngoai va thai gian kS tir v~ nuac dSn thai diSm tham gia bao hiSm y tS duQ'ctinh la thai gian tham gia bao hiSm y tS lien tl,lc Nguai dang hUOng trQ' c~p th~t nghi~p: Nguai lao dQng thai gian lam thu tl,lCcha hUOng chS dQ trQ'c~p th~t nghi~p theo quy dinh cua Lu~t Vi~c lam nSu khong tham gia bao hiSm y tS theo cac nhom khac, thai gian duQ'c tinh la thai gian tham gia bao hiSm y tS - Ca quan, t6 chuc, nguai su dl,lng lao dQng co trach nhi~m dong BHYT ma khong dong ho~c dong khong dAy du theo quy dinh thi se bi xu ly: Phai dong du s6 ti~n chua dong va nQp s6 ti~n Uiib~ng hai IAnmuc Hli su~t lien ngan hang tinh tren s6 ti~n, thai gian ch~m dong; d6ng thai phai hoan tra toan bQ chi phi cho nguai lao dQng ph~m vi quy~n lQ'i,muc hUOng bao hiSm y tS ma nguai lao dQng da chi tra thai gian chua co the BHYT 5/ LU'u y v~ ki~m tra DhaD thaD trU'O'c l~p sA BHXH: BHXH ph6 da co Cong van s6 3558/BHXH-THU 13 thang 11 nam 2014 yeu cAu cac don vi su d\mg lao dQng l~p thu tl,lCtang mai d6i tuqng tham gia BHXH, BHYT, BHTN phai kiSm tra, d6i chiSu h6 sa nhan than vai CMND dS ngan ngira tinh tr~ng muqn h6 sa cua nguai khac dS xin vi~c lam va dang kY BHXH Cac truang hgp tang mai tir 01 thang 01 nam 2015, c6 tinh vi ph~m, muqn h6 sa cua nguai khac d@xin vi~c lam va dang kY BHXH, BHYT, BHTN thi xem nhu khong co nhu cAuthl,lhUOngv~ bao hiSm Do do, bi phat hi~n ho~c co nhu cAu thi se bi khuac tir quy~n lQ'i cua minh Bao hiSm xa hQi Thanh ph6 se khong chiu trach nhi~m di~u chinh l~i nhan than theo yeu cAu cua nguai c6 tinh khai gian d6i 6/ TA chu-c thU'c hieD: Bao hiSm xa hQi Thanh ph6 d~ nghi cac ca quan, don vi: - Ngay thang 12 nam 2014, ch~m nh~t d@n-ngay 30 thang 12 nam 2014, hoan t~t mQi thu t\lC va dong tiSn BHXH, BHYT, BHTN nam 2014 cho nguai lao dQng cua don vi - D6ng thai soM l~i cac nQi dung dii dugc thong bao tren day, l~p thu t\lC diSu chinh be, sung vS d8i tugng tham gia BHTN, quySn 19i BHYT dS dam bao th\lc hi~n dung quy dinh cua phap lu~t va quySn 19i BHXH, BHYT, BHTN cua nguai lao dQng kip thai tu thang 01 thang 2015.1cJt.- Noi nh~n: - Nhutren; - Ban Gilim d6e; - Cae phOng ehue nang; - Trang web BHXH TPHCM; - LUll VT, THU~ Nguy~nThj Thu ... DhaD thaD trU'O'c l~p sA BHXH: BHXH ph6 da co Cong van s6 3558 /BHXH- THU 13 thang 11 nam 2014 yeu cAu cac don vi su dmg lao dQng l~p thu tl,lCtang mai d6i tuqng tham gia BHXH, BHYT, BHTN phai kiSm... thU' c hieD: Bao hiSm xa hQi Thanh ph6 d~ nghi cac ca quan, don vi: - Ngay thang 12 nam 2014 , ch~m nh~t d@n-ngay 30 thang 12 nam 2014 , hoan t~t mQi thu tlC va dong tiSn BHXH, BHYT, BHTN nam 2014 . .. 19i BHXH, BHYT, BHTN cua nguai lao dQng kip thai tu thang 01 thang 2015 .1cJt.- Noi nh~n: - Nhutren; - Ban Gilim d6e; - Cae phOng ehue nang; - Trang web BHXH TPHCM; - LUll VT, THU~ Nguy~nThj Thu