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Interim Procedures of Shanghai Municipality on the Comprehensive Insurance for Out-of-town Employees

Interim Procedures of Shanghai Municipality on the Comprehensive Insurance for Out-of-town Employees
 

(Promulgated on July 22, 2002 by Decree No. 123 of the Shanghai Municipal People's Government)

Article 1  (Purpose)
In order to ensure the legitimate rights and benefits of out-of-town employees, normalize the act of employment of the units, and safeguard the order of labor market in this Municipality, these Procedures are formulated with full consideration to the actual circumstances of this Municipality.
Article 2  (Definition)
The comprehensive insurance for out-of-town employees mentioned in these Procedures (hereinafter referred to as the comprehensive insurance) refers to the three insurance benefits with industrial injuries (or unexpected injuries), hospital treatment, and old-age allowance included.
The out-of-town employees refer to the personnel from other provinces, autonomous regions and municipalities directly under the Central Government without the permanent Shanghai residence registration who do physical labor or commercial business in this Municipality and meet the employment requirements of this Municipality.
Article 3  (Scope of Application)
These Procedures apply to the state organs, mass organizations, enterprises (including out-of-town construction enterprises), institutions, private institutions, individual economic organizations with the approval of employing out-of-town employees in the administrative area of this Municipality (hereinafter referred to as the employer-units), and the out-of-town employees they employ and the out-of-town employees not affiliated with any unit.
These Procedures do not apply to the following out-of-town employees:
1. The persons doing household service;
2. The persons doing agricultural work; and
3. The talents introduced according to the "Interim Provisions on the Implementation of the System of 'Residence Permit of Shanghai Municipality' to Introduced Talented Personnel".
Article 4  (Administrative Department)
The Municipal Labor and Social Security Bureau is the competent administrative department of the municipal comprehensive insurance in charge of the unified administration of the comprehensive insurance. The administrative agency in charge of the employment of out-of-town employees under the labor and social security administrative department shall be responsible for the specific administrative work.
The municipal departments of public security, construction, finance, industry and commerce, public health and sanitation shall coordinate in doing a good job of the administration of the comprehensive insurance according to their respective duties.
Article 5  (Subject of Payment of Premium)
The employer-units and the out-of-town employees not affiliated with any unit shall pay the comprehensive insurance premium according to the provisions of these Procedures.
Article 6  (Registration Procedures)
The employer-units shall, within 30 days upon the implementation of these Procedures, go through the registration procedures of the comprehensive insurance with the administrative agency in charge of the employment of the out-of-town employees. The employer-units that employ out-of-town employees for the first time or the employer-units that enter the construction market of the Municipality for the first time shall, within 30 days upon the reception of the approval of employing out-of-town employees, go through the registration procedures of the comprehensive insurance.
The out-of-town employees not affiliated with any unit shall, within 5 working days upon reception of the "Work Permit for Out-of-town Employees in Shanghai Municipality", go through the registration procedures of the comprehensive insurance with the administrative agency in charge of the employment of out-of-town employees.
The specific registration items of the comprehensive insurance shall be separately formulated by the Municipal Labor and Social Security Bureau.
Article 7  (Cancellation and Alteration)
When a employer-unit that winds up or moves out of this Municipality according to law, or there is an alteration of the registration items of the comprehensive insurance, it shall, within 30 days upon the occurrence of such situations, go through the cancellation or alteration registration procedures with the original registration organizations.
When the out-of-town employees not affiliated with any unit no longer work in this Municipality, or there is an alteration of their registration items of the comprehensive insurance, they shall go through the cancellation or alteration registration procedures with the original registration organizations.
Article 8  (Time Limit for Payment of Premium)
The employer-units and the out-of-town employees not affiliated with any unit shall, within the same month upon the completion of the registration procedures of comprehensive insurance, pay the comprehensive insurance premium to the Municipal Administrative Organization of the Employment of Out-of-town Employees. The cycle period of payment of the comprehensive insurance premium shall be 3 months. The payer shall each time pay 3 months' comprehensive insurance premium.
Article 9  (Payment Base and Rate)
The employers-unit' s base of payment of comprehensive insurance premium shall be 60% of the sum total of the total number of the out-of-town employees they employ multiply by the average monthly salary and wage of the last year of all the staff members and workers of this Municipality. The base of payment of comprehensive insurance premium for the out-of-town employees not affiliated with any unit shall be 60% of the average monthly salary and wage of the last year of all the staff members and workers of this Municipality.
The employer-unit and the out-of-town employees not affiliated with any unit shall pay the rate of 12.5% of the payment base as the comprehensive insurance premium. Among them, the payment rate for out-of-town construction enterprises shall be 7.5%.
Article 10  (The Channel of Arrangement and Payment of Comprehensive Insurance Premium)
The comprehensive insurance premium paid by the employer-units shall be arranged and paid through the channel stipulated by the finance department.
Article 11  (Use of the Fund)
This Municipality shall establish a Comprehensive Insurance Fund. The Comprehensive Insurance Fund shall be used chiefly for the payment of comprehensive insurance benefits and the operation fee.
In case of insufficiency of the Comprehensive Insurance Fund, the rate of payment of premium may be adjusted. The adjustment of the rate of payment of premium shall be proposed by the Municipal Labor and Social Security Bureau, and be implemented after being approved by the Municipal Government.
Article 12  (Management of the Fund)
The Comprehensive Insurance Fund shall practice centralized management, open separate bank account, and be earmarked for its specific purpose only. No departments, units, or individual persons shall relend, misappropriate, or embezzle the money.
The Comprehensive Insurance Fund shall accept the supervision of the finance, auditing and supervisory departments in accordance with law.
Article 13  (Benefits Enjoyed)
Anyone who has performed the obligation of premium payment according to the provisions of these Procedures shall enjoy benefits of the comprehensive insurance according to the following provisions:
1. The out-of-town employees used by the employer-units shall enjoy three benefits, including industrial injuries, hospital treatment and old-age allowance;
2. The out-of-town employees not affiliated with any unit shall enjoy three benefits, including unexpected injuries, hospital treatment and old-age allowance; and
3. The out-of-town employees used by the out-of-town construction enterprises shall enjoy two benefits, including industrial injuries and hospital treatment.
Article 14  (Insurance Benefits for Industrial or unexpected Injuries)
In case that the out-of-town employees used by the employer-units, and the out-of-town employees not affiliated with any unit suffer industrial injury (or unexpected injury), or industrial disease during the valid period of the comprehensive insurance, they shall, after being affirmed and have the appraisal of the sufferer' s labor ability issued by the relevant department, enjoy insurance benefits for industrial injury (or unexpected injury) taking the standard of industrial injury benefits set by this Municipality as reference. The insurance for industrial injury (or unexpected injury) shall be paid to the sufferer in a lump sum.
Article 15  (Insurance Benefits for Hospital Treatment)
In case that the out-of-town employees are hospitalized for illness or non-industrial injury during the period of validity of the comprehensive insurance, the portion of the payment for medical treatment in hospital below the starting payment standard shall be born by the sufferer; for the portion above the starting payment standard, the comprehensive insurance shall bear 80%, and the out-of-town employees shall bear 20%. The starting payment standard for medical treatment in hospital shall be 10% of the average annual salary and wage of the last year of the staff members and workers of this Municipality.
In case that the employer-units or the out-of-town employees not affiliated with any unit have paid the insurance premium for three months, the maximum benefit for the medical treatment in hospital to be enjoyed shall be as much as the average annual salary and wage of all staff members and workers of this Municipality of the last year. In case of a continuous payment of premium for six months, the maximum benefit for medical treatment in hospital to be enjoyed shall be two times as much as the average annual salary and wage of the staff members and workers of this Municipality of the last year. In case of a continuous payment of premium of nine months, the maximum benefit for the medical treatment in hospital to be enjoyed shall be three time as much as the average annual salary and wage of the staff members and workers of this Municipality of the last year. In case of a continuous payment of premium of more than one year, the maximum benefit for medical treatment in hospital to be enjoyed shall be four times as much as the average annual salary and wage of the staff members and workers of the last year of this Municipality.
Article 16  (Benefit for Old-age Allowance)
In case that the employer-units or the out-of-town employees not affiliated with any unit have continuously paid the insurance premium for one year, the out-of-town employees may obtain a certificate for old-age allowance, and its specific amount shall be 5% of the payment base actually paid by the employee.
The out-of-town employees may, at the age of 60 for male and at the age of 50 for female, cash the old-age allowance in a lump sum with the certificate for old-age allowance.
Article 17  (Going Through the Procedures for Comprehensive Insurance Benefits)
The out-of-town employees who have satisfied the conditions provided in Article 14, Article 15 and Article 16 of these Procedures may, with his/her Personal ID, "Work Permit for Out-of-town Employees of Shanghai Municipality", Certificate for Old-age Allowance and other relevant certifying materials, go through the procedures for enjoying benefits for industrial injuries (or unexpected injuries), hospital treatment or old-age allowance.
Article 18  (Payment of the Comprehensive Insurance Compensation)
The comprehensive insurance compensation shall be paid by the administrative organization in charge of the out-of-town employment of the employees.
The comprehensive insurance compensation may, according to the relevant provisions of the State and this Municipality, and according to the standard provided in these Procedures, be entrusted to insurance companies for payment and operation.
Article19  (Supervision and Inspection)
The labor supervisory organization under the labor security administrative department shall be responsible for the supervision over and inspect of the payment of the comprehensive insurance premium.
The labor security administrative department shall order the employer-units and the out-of-town employees not affiliated with any unit who do not pay the comprehensive insurance premium according to the provisions, to make the payment within a time limit. If they still do not pay when the payment is overdue, they shall pay an overdue fine of 2бы each day. Those who refuse neither to pay the comprehensive insurance premium when it is overdue nor the overdue fine, the labor security administrative department may apply to the People' Court for enforcement of paying the premium.
Before the make-up of the payment of the comprehensive insurance premium, the employer-units or the out-of-town employees not affiliated with any unit shall bear themselves the expense for industrial injuries (or unexpected injuries) and hospital treatment.
Article 20  (Report against Wrongful Acts)
Any organization or individual person has the right to report against the wrongful acts related to the payment of the comprehensive insurance premium to the labor security administrative department. The labor security administrative department shall timely investigate the case upon receiving the report, deal with the case according to provisions of laws, and keep it confidential for the reporter.
Article 21  (Settlement of Dispute)
In case of a dispute over the payment of the comprehensive insurance premium with the employer-unit, the out-of-town employees may apply to the mediation committee of labor disputes for mediation, or may directly apply to the arbitration committee of labor disputes for arbitration. In case that the award is not accepted, either party may bring a lawsuit in the People's Court according to law.
Article 22  (Implementation Bylaws)
The implementation bylaws of these Procedures shall be formulated by the Municipal Labor and Social Security Bureau.
Article 23  (Effective Date)
These Procedures shall become effective on September 1, 2002.


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