Recently, the three departments of human resources and social security, finance and taxation jointly issued the "Hunan Provincial Work Injury Insurance Provincial Unified Revenue and Expenditure Implementation Measures", which clarified that from December 1, the implementation of the provincial unified revenue and expenditure of industrial injury insurance will be implemented, that is, to achieve "six unifications".
Unify the scope of work-related injury insurance and the insured objects
In accordance with the "Regulations on Work-related Injury Insurance" and the relevant documents of our province, the scope of insurance and the objects of insurance shall be unified.
Organs at all levels in the province and public participation management institutions should be included in the scope of insurance.
The pilot work of the elderly to participate in the insurance will continue, and specific groups of people, such as those in the new form of flexible employment, village committees, community workers, etc., should follow the principle of the pilot first and report to the provincial department for the record.
Unified work-related injury insurance premium rate policy and payment standards
The province uniformly implements the benchmark rate determined by the "Implementation Opinions of the General Office of the Hunan Provincial People's ** on the Provincial Overall Planning of Work-related Injury Insurance in Hunan Province" (Xiang Zheng Ban Fa 2020 No. 55).
When the province's ** balance is insufficient and meets the conditions for the adjustment of the benchmark rate, the benchmark rate will be adjusted uniformly throughout the province, and the city and state shall not adjust the benchmark rate.
Handling agencies at all levels can float differential rates for insured units and insured projects according to factors such as the incidence rate of work-related accidents and work-related injury insurance premiums of employers and construction projects, and the payment rate of work-related injury insurance premiums. In the future, if the benchmark value of work-related injury insurance payment is involved, it shall be implemented with reference to the benchmark value of basic pension insurance payment for employees, and the minimum amount shall be guaranteed at 60%-300%.
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Unify the methods for the identification of work-related injuries and the appraisal of labor ability
In accordance with the Measures for the Identification of Work-related Injuries and the Measures for the Appraisal of Labor Ability promulgated by the Ministry of Human Resources and Social Security, the identification of work-related injuries and the appraisal of labor ability shall be carried out.
Establish a collective consultation system for the record, spot check and identification conclusions of work-related injury identification, establish a collective review system for labor ability appraisal conclusions, and mutual recognition of appraisal conclusions made by various localities after the provincial overall planning.
Unified payment standards for work-related injury insurance benefits
The treatment items and standards shall be implemented in accordance with the provisions of the "Regulations on Work-related Injury Insurance" and the "Measures for the Implementation of Work-related Injury Insurance Regulations in Hunan Province", and the scope of payment shall not be expanded at will, and the payment standards shall not be increased or lowered.
If the treatment of work-related injured employees involves the overall social average wage in the region, it shall be implemented in accordance with the average social wage standard of employees in the province.
The approved base of work-related injury insurance benefits shall be implemented with reference to the base amount of basic old-age insurance benefits for employees, and shall be gradually adjusted to be consistent with the benchmark value of work-related injury insurance contributions.
Unified management of income and expenditure
Work-related injury insurance** implements the full payment of "two lines of revenue and expenditure", and the provincial unified revenue and expenditure are managed, and the adjustment system is cancelled.
The accumulated balance of the city and state** is fully solved. In addition to retaining the prescribed payment reserve, the remaining current balance of the accumulated balance** shall be fully released to the special financial account of the provincial work-related injury insurance** within the specified time. If you have deposited a fixed deposit**, it should be released in a timely manner after the maturity of the deposit. The current ** income is fully resolved. From December 1, 2023, in accordance with the principle of hierarchical collection and unified collection, the full amount of work-related injury insurance premiums collected by the tax department will be collected and transferred from the national treasury to the provincial special financial accountWork-related injury insurance agencies at all levels continue to retain one income household, and in addition to the work-related injury insurance premiums collected by tax, the rest of the work-related injury insurance premium income will be transferred to the work-related injury insurance income account of the provincial social security center in full on schedule. Treatment and other expenditures are uniformly allocated throughout the province. The municipal, county, and urban agencies shall report the expenditure plan on a monthly basis, and the provincial social security center shall request money from the provincial finance on a monthly basis after summarizing and approving the funds, and allocate the funds to the city, county, and urban expenditure households. The annual budget of the province's work-related injury insurance** shall be prepared by the Provincial Social Security Center in conjunction with the Provincial Taxation Department.
Unified information system and management services
The province's work-related injury insurance agencies uniformly use the integrated information system of the second phase of Jinbao human resources and social security, and implement the unified and standardized work-related injury insurance management work procedures.
To fully use the integrated information system of the second phase of Jinbao, all localities should make good use of the information system in accordance with the requirements of the Ministry of Human Resources and Social Security to "cancel manual handling, cancel manual offering, and cancel cash settlement" and risk prevention and control. The identification of work-related injuries, the appraisal of labor ability, and other services that were previously handled manually should all be incorporated into the system. Handling agencies at all levels in the province should handle business in accordance with the regulations for handling work-related injury insurance business issued by the province, deepen the reform of "delegating power, delegating power, and providing services", and realize standardized, standardized and convenient handling services. At the same time, it is clearStrengthen the management of agreement institutions such as work-related injury medical treatment, work-related injury **, and assistive device configuration, actively promote the intelligent monitoring of work-related injury medical treatment and the online settlement of work-related injury medical expenses, and gradually promote the mutual recognition of work-related injury medical and other agreement institutions throughout the province, and cancel the designated qualification of agreement institutions that cannot implement online settlement. Strengthen the construction of a "four-in-one" risk prevention and control system of administration, handling, information and supervisionEstablish and update the data audit rule database in a timely manner, and strengthen internal control auditsStrengthen cross-departmental information sharing and comparison, increase the verification of suspicious data, and strengthen the early warning of risks. After the provincial level of work-related injury insurance is co-ordinated, all levels of ** jointly bear the main responsibility for the timely and full payment of work-related injury insurance benefits. After the official operation of the unified revenue and expenditure of work-related injury insurance, the "Hunan Provincial Work-related Injury Insurance Provincial Overall Responsibility Sharing and Work Assessment Measures" will be formulated in a timely manner to consolidate the responsibilities at all levels and ensure the smooth operation.
*: Hunan People's Society.