BAO HIE'M XA HOI T.HUNG YEN

ONG' sd 413 Ban

VAN bac,'

DEN NgaY•afidd/20e1.5:-.-

Chuyin• TONG GUM DOC BAO HIEM xA HO! VIVT NAM

Can air Lust Bao him xhi se 58/2014/QH13 ngay 20 thang 11 nam 2014; Can cir LuSt Bao Hem y te se 25/2008/QH12 ngay 14 thang 11 dam 2008;

Lust s6 46/2014/QH13 ngay 13 thang 6 nam 2014 sfra di, be sung rnOt s(fi diet' dm Luat Bao hiem y te;

Can cir Luat Vic lam sO 38/2013/QH13 ngay 16 thang 11 nam 2013;

Can ell Nghi dinh sO 05/2014/ND-CP ngay 17 thang 01 nam 2014 eta Chinh phü quy dinh chic nang, nhiem vii, quyen ban ya c cdu te chirc cim - Bao him xa hi Viet Nam;

Xet de nghi cüa Twang Ban Thu, Tnxang Ban Se - The,

QUYET DIN!!:

Dieu 1. Ban hanh kern theo Quyet dinh nay: Quy dinh ve quart VT thu bao hiem xa hi, bao hiem y t6, bao hiern that nghiep; quan13'T se bao hiern xa hi, the bao hi:ern y te.

Dieu 2. Quyet dinh nay c6 hieu 1çrc thi hanh tr ngay 01 thang 12 narn 2015, thay the Quyet dinh so 1111/QD-BEDCH ngay 25 thang 10 nam 2011 ban hanh Quy dinh y6 quan l thu bao hiem xa hi, bao hiem y t6; quan 1 se bao hiem xa hei, the bao hiem y tO. Bai b6 Dieu 1 Quyet dinh so 1018/QD-BHXH ngay 10 thang 10 nam 2014 stita dei met se nei dung tai cac quyet dinh ban hanh quy dinh van VT thu, chi bao hiem -xa hei, bao him y tê. Cac van ban quy dinh do Bao hiem xa hei Viet Nam ban hanh truac day trai vâi Quyet dinh nay deu • het hieu

Dieu 3. . Truang Ban Thu, Twang Ban Se - The, Chanh Van ph6ng, Thu trtrang Cac dan yi tnrc thuec Bao him xa hei Viet Nam; Giant dc bao him xã hi cac tinh, th' h 016 tivc thuOc Trung trang chiu trach nhiem thi hanh Quyet dinh nay./

BAO HIPM XA HOT VMT NAM ONG HOA )(A HQ' CHU NGHIA VItT NAM Dc lap - Tty do - Hnh phtic

S6: 959/QP-BH>CH Ha 1\1-0i, ngay 09 thcing 9 nam 2015

QUYET DINH Utah Quy dinh ye quart i thu bao hitm xã hQi, bat) hrtm y tec,,

hiem that nghrep; quail 15Tso bao hiem xi Wei, the bdo hien]. y tê

Nal rthgn: - Nhu Dieu 3; - VPCP (de b/c TTg CP, de Pho TTg); - Cac BO: LDTB&XH, TC, YT, NV, TP, QP, CA; - UBND tinh, TP trtrc thuec TIS; - HDQL - BHXHVN; - TGD, cac pho TGD; - Cac don Nil: true thuec BHXH VN; - Lun: VT, ST, BT(20b).30,/

J3A0 THEM XA HQI VItT NAM CONG HOA XA HO CHU NGFLIA. VICT NAM Dc Yap - Ty do -114nh phac

QUY DINH

Quail thu bao hiem xaOi, bao hiem y to, bao hiem thact nghiep; quail 13'7 so bao him xa hi, the bat) hiem y te

(Ban hanh kern .theo eittyk dinh so 959/QD-BHXH ngay 09 thcing 9 nam 2015 etia Tong Giam rine Bac) hiern xa" hai Viet Nam)

Chuang I QUY DINH CHUNG

Dieu 1. Phqui vi áp dtmg

1. Van ban nay quy . dirth, hirang dan ve 116 sa, quy trinh nghiep vu, quyen va trach nhiem ana cá than, ca -quan, don vi va th chirc ban him xà hei tong dive hien thu bao him xa hei, bao him y t, bao hiem that nghiep; cap, ghi, quan 1ST va sir dung s6 bao him xa hOi, the bao him y t6.

2. Quy dinh thu bao him xa hei, bao him y t, bao hiem that nghiep; cap, ghi, quan 11T va sir dung sO bao him xa hei, the ban him y t trong luc luang vu trang do BO Quec phang, BO Cong an quy dinh phü hap vai dc thit cUa tang BO va d6ng bla voicac quy dinh tai Van ban nay de thgc hien chinh sa.ch, che dO bao hiem xa hi, bao him y te, bao him that nghiep theng nhat trong toan quoc.

Dieu 2. Giai thich tir ngfr

Trong Van ban nay, cac ter ngit duai day duce hien thu sau:

- BHXH: la viet tat cita. tir "bao him xa hOi".

- BHTN: la viet tat ctia. ter "ban him that nghiep".

- BHYT: la. viet tat Oa ter 'II' •" hiem y te".

- UBND: la viet tat càa ter "ty ban than clan".

- "Thong tu se 41/2014/TTLT-BYT-BTC" la viet tat cila Thong tir lien tich se 41/2014/TTLT-BYT-BTC ngay 24/11/2014 Oa Lien BO Y.te, BO Tai chinh ve . viec hiving clan thuc hien BHYT.

- Don g9i chung cho ca quan, don vi, doanh nghiep, to chirc, cá than sir dung lao dOng thuec doi Wong tham gia BHXH bat buOc, BHYT, BHTN.

- Nguai tham gia: g9i chung cho nguoi lao dOng tham gia BHXH bat bu0c, BHTN, BHYT; nguai tham gia BHXH tu nguyen, BHYT; trer twang hap neu cu the.

- Co qu.an quan 13'T dOi Wang: la ca quan , có tham quyen xac dinh và phe duyet danh sach ngtrai tham gia nhtr ngtrai thuOc he gia dinh ngheo, thuong binh,47/

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ngued có cong vâi each mang, than nhan ngued co Gong vai each mang thuOc din huong bao trg xa hi hang thang, ctru chin binh, tre em tre phan cdp cüa UBND cap tinh.

- Dai l thu: là viet tat ena tr "dai 1.3'7 thu BHXH, BHYT".

- KH-TC: la viet tat tha tir "Ke hoach - Tai chinh".

- BHXH tinh: la ten chung cho Bao him xa hOi tinh, thanh ph 6 trtrc thuOc Trung

- BHXH huyen: la ten chung cho Bao him xa hOi quan, huyen, th. xã, thanh ph 6 thuOc tinh.

- HDLD: vik tat tha "h9p ang lao dOng".

- HDLV: viet tat oh "h9p dang lam viec".

- BO phan mOt ctira: la ten g9i chung cho b0 phan mOt ctira cüa BHXH huyen hoc b0 phan mOt cira thu6c Phong Tip nhan va Tra ket qua thil Ate hanh chinh ciXa BHXH tinh.

- Ban sao: la ban chip dr ban chinh hoe ban danh may c6 nOi dung day di% chInh xac nhu nOi dung ghi trong s6 g6c.

• Dan vi, ngtr6i tham gia BHXH, BHYT, BHTN khi nOp "ban sao" theo quy dinh tai Van ban nay phai kern theo ban chInh d co quan BHXH kiem tra, di chiL va tra lai cho don vi, ngtroi tham gia.

- Ban chinh: la nhimg gidy ter, van ban do ca quan, t6 chtirc c6 thdm quy6n cdp la'n du, cap lai, cap khi dang k lai; nhang giay ter, van ban do ca nhan tir lap c6 xac nhan va dong du tha ea quan, th chirc c6 tham quy6n.

• - Van ban chtirng thtrc: la gidy to', van ban, help d6ng, giao clich da dtrgc chirng thtrc theo quy dinh cda phap luat.

- S6 BHXH: gm Bia s6 va cac trang thi, dugc cap di vai tixng ngued tham gia BHXH, de theo clOi viec dong, huong cac che dO BHXH va la ca s& de' giai quyet the chedO BHXH theo cjny dinh cita Ludt BHXH.

- Na BHXH, BHYT, BHTN: 'la tin phai dong BHXH, BHYT, BHTN doi vài ngueri lao dOng theo tang kyr dm don vi nhtrng dem vi chua dong cho ca quan BHXH. Ti6n ng bao gm ca tin lai cham dong theo quy dinh eua phap lust nhung dun vi chua &Mg.

- Hoan tra: la viec co' quan BHXH chuyen tra lai s6 tin duge xac dinh khong phai tiert &Mg BHXH, BHYT, BHTN hoc dong thira khi ngtimg giao dich ved ca qupn BHXH; dong tang cho ca quart, dun vi, ca nhan da n6p cho co' quan B HXH

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- Xác nhan s6 BHXH: là ghi qua trinh dong BHXH, BHTN tren s6 BHXH cüa nguai tham gia dang dong BHXH, BHTN.

-6t s6 BHXH: la ghi qua trinh dOng BHXH, BHTN ten s6 BHXH cüa ngtrai tham gia dirng dong BHXH tai mOt don

- Cac Chuang, Mac, Dieu, Khoan, Diem, Tit va Mu bieu da'n chieu trong Van ban nay ma kh6ng ghi re ngu6n thi duge hieu la cua Van ban nay.

- Ten T6,nghiep va BHXH huyen tai Van ban nay la ten ,T6 nghiep vii ho4c de chi phan ehirc nang, nhiem ya eta To Nghiep vi gOp nhieu chire nang, nhiem va theo quy dinh tai Dieu 7 Quyet dinh s6 99/QD-BHXH ngay 28/01/2015 cüa BEIXE1 Viet Nam quy dinh chire nang, nhiem vi, quyen han va ca eau t6 chirc cüa BHXH dia phuang.

Di:tn. 3. Phan cap quan

1. Thu BHXH, BHYT, BHTN

1.1. BBXEI huyen:

a) Thu tin &mg BHXH, BHYT, BHTN cüa dun vi dong tra sâ ten dia ban huyen theo phan cap cüa BHXH tinh.

b) Giai guy& eac truang hop truy thu, hoan tra BHXH, BHYT, BHTN; tam clang &Mg vao quy htru tri va ti tut di voi dun vi, ngtrai tham gia BHXH, BHYT, BHTN do BHXH huyen true tip thu.

c) Thu BHXH tkr nguyen; thu BHYT di \Tad h0 gia dinh, nguai tham gia BHYT cu trii tren dia ban huyen.

d) Thu tin a try mire &rig BHYT, BITCH tv nguyen cüa ngan sach theo phan cap quart 1ST ngan sach.

d) Ghi thu tin dong BHYT cua di tugng do quy BHXH, quy BHTN dam bao theo phan cap cOa BEDCH tinh.

1.2. BHXH tinh:

a) Thu BHXH, BHYT, BHTN cüa eac dan vi chua phan cap cho BHXH huyen.

b) GiAi quyet cac truang hop truy thu, hoan tra BHXH, BHYT, BHTN; tam dimg &rig vao guy him tri va tCr tut di vai don vi, ngtrai tham gia BHXH, BHYT, BHTN do BHXH tinh true tip thu.

c) Thu BHYT cUa a. Wang do ngan sach tinh Eng; ghi thu tin dong BHYT do quy BHXH, guy BHTN dam bao.

d) Thu t4 ho trg mt'rc Eng BHYT, he) trg mire &rig BHXH tu nguy'n dia ngan sac

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1.3. BHXH Vi'et Nam:

a) Thu tin cua ngan sach Trung uong dong, h trg mirc (long BHYT, BHXH tkr nguyen, tin M trg guy' BHTN.

b) Thu tin cda ngan sach Trung uang cong BHXH cho ngueyi c6 thai gian ding tac truac ram 1995.

2. Cap, ghi va xac nhan ten se BHXH

2.1. BHXFI huyen:

a) Cap mai, cdp Ii, dieu chinh, •xae nhan, chet se BEIM va ghi thai gian clang BHTN da dugc huang trg cap that nghiep cho nguai tham gia BHXH tai dun Ili do BHXH huyen true tip thu, nguen da huang BHXH hoac clang bao hm thoi gian dong BHXH,- BHTN.

b). Chuyen BHXH tinh: He so d nghi cong noi thai gian lcheng phai (long BHXH; dieu chinh lam nghe hoc cong viec nang nhgc, dec hai, nguy hiem hoac da'e Wet nang nhoe, dee hi, nguy hiem then gian truac ngay 01/01/1995.

2.2. BEECH tinh:

a) Cap mai, cap lai, dieu chinh, xac nhan, ch6t s BHXH cho nguai tham gia BHXH tai clan vi do BHXH tinh truc tiep thu, nguai da huang BHXH hoc clang bao luu thal gian 'long BHXH, BHTN.

b) Tham dinh he sa d nghi cong nei then gian lchong phai dOng .BHXH; dieu chinh lam nghe hoc cong viec nang nh9c, dee hai, nguy hiein hoc dc bit nang nhoc, dec hai, nguy him tiled gian truac ngay 01/01/1995.

3. Cap theiBHYT •

3.1. BFIXEI huyen:

Cap mai, cap lai, di the BHYT cho nguai tham gia BHYT do BHXH huyen thu, the twang hgp BHXH tinh fly quyen cho BHXH huyen cap the BHYT; cap

ad the BHYT cac twang hop clang hung trg cap that nghiep tai huyen.

3.2. BHXH tinh:

Cap mai, .cdp lai, del. the BHYT cho nguai tham gia BHYT tai cac don NI. do BHXH tinh trvc tip thu va nguen huang trg cap that nghiep trong tinh.

Chuang II DOI TINNG, MC BONG VA PHVONG THIYC BONG

Mtic 1 BAO HIEM xA HO! BAT BOX

Di&I 4. D6i ttrcrng tham gia

1. Ngtrai lao d'eng la cong dan Viet Nam thuoc di tugng tham gia BHXH bat buOc, bao getn:

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1.1. Ngtrai lam viec theo HDLD kh8ng xac dinh thai han, HDLD xac dinh thai ban, HDLD theo ma vi hoSe theo met ding viee nhSt dinh e8 thai han tr dtii 03 thang den dm% 12 thang, k cã HDLD duce 14 ket gifra dan vi vai nguai dai din theo phap lust dm nguai dtrai 15 tui theo quy dinh cüa phap lua v lao deng;

1.2. Ngirai lam viec theo HDLD có thai han tir dü 01 thang den dui 03 thang (thoc hien tir 01/01/2018);

1.3. Can be, cong chic, vien chile theo quy dinh phap lua ve can b0, cong chdc va vien chirc;

1.4. Cong nhan qu6c phang, ding nhan cong an, nguai lam ding tac khac trong t6 chac ca y6u (tmang hop BHXH BO Quec phong, BI1X1-1 Cong an nhan dan ban giao cho BHXH cac tinh);

1.5. Nguai quan 13'7 doanh nghiep, ngirai quan l dieu hanh hop tac xa c6 huang tin luang;

1.6. Nguai hog dOng khong chuyen trach a xa, phirang, thj tra'n tham gia BHXH bat buee vao quy htxu tri va tir -mat (thkrc hien dr 01/01/2016);

1.7. Nguai di lam viec c mac ngoai theo hop dong quy dinh tai Luat ngtrai lao dOng Via Nam di lam viec a woe ngoai theo hop deng;

1.8. Ngtrai huang che dO phu nhan hoSc phu quan tai ea quan dai din Via Nam & mac ngoai quy dinh tai Khoan 4 Dieu 123 Luat BHXH.

2. Ngtrai lao deng la cong dan nu& ngoai vao lam viee tai Via Nam c6 giray phep lao dOng hoc chirng chi hanh nghe hoSe gi'Ay phep hanh nghe do ea quan có tham quyen cud. Via Nam cap (thoe hien tir 01/01/2018).

3. Ngirai sir dong lao deng tham gia BHXH bat buOc bao gem: ea quan nha nuac, dan vj sir nghiep, dan vj vU. trang nhan dan; t6 chi're chinh trj, t6 chi:re chinh tri - xa hei, te ehire chinh trj xa hei - nghe nghiep, t6 chirc xa' hei. - nghe nghiep, t6 chirc xa hei khac; ea quan, t6 chile nuac ngoai, t6 chdc qui:So te hog dOng tren lanh the Via Nam; doanh nghiep, hop tac xa, he kinh doa.nh ea the, t6 hop tac, to chirc Ichae va ca nhan có thue mu6n, sir dong lao dOng theo 1--EDLD.

Diu 5. Mtiv dong va trach nh4m dong

1. Mire dong va trach nhiem clang cüa ngirai lao dOng

1.1. Nguai lao dOng quy dinh tai Diem 1.1, 1.2, 1.3, 1.4, 1.5, Khoan 1 Dieu 4, hang thang dong bang 8% mire tin luang thang vao guy/ him tri va tir' tut.

1.2. Ngirai lao dOng quy dinh tai Diem 1.6 Khoan 1 Dieu 4, hang thang dong bang 8% mire lirang ea sâ vao guy hou tri va tir Mat.

1.3. Ngtrai lao deng quy dinh tai Diem 1.7 Khodn 1 Dieu 44,P

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Mire dong hang thang vao guy huu tri va tut bang 22% mire tin luang thing dong BHXH cüa ngtr6i lao deng truot khi di lam viec 6 nu6c ngoai, ngtr6i lao deng di có qua trinh tham gia BHXH bat buee; bang 22% ctia 02 lan mire luang Co sai di ngu6i lao dOng chua tham gia BHXH bat buee hoc di tham gia BHXH bat buOc nhtrng di huong BHXH mOt ran.

1.4. Ngir6i lao dOng quy dinh tai Diem 1.8 Khoan 1, Khoan 2 Dieu 4:

Thuc hien theo Van ban quy dinh ena Chinh phi vi hu6ng dan cia BHXH Viet Nam.

1.5. Ngu6i lao dOng quy dinh tai Khoan 1 Dieu 4 cOn thieu ti da kh6ng qua 06 thing a dit dieu kin hu&ng luang huu hoc to' cap tut hang thang: mire dOng hang thang bang 22% mire tin luang thing dong BHXH bat buOc etia ngtroi lao dOng truac khi nghi viec (hOac chet) vao quy huu tri va ter tuat (thuc hien d'en 31/12/2015; tir 01/01/2016, thuc hien theo Van ban quy dinh cia Chinh phi vi hi/Ong dan cia BHXH Viet Nam).

2. Mire Mug vi trach nhiem dong eda don vi

2.1. Don vi hang thing dong tren quy tin luang dong BHXH cia ngix6i lao dOng quy dinh tai cac Diem 1.1, 1.2, 1.3, 1.4, 1.5 Khoan 1 Diu 4 nhu sau:

a) 3% vao quy om dau vi thai sin;

b) 1% vao guy tai nan lao dOng, benh nghe nghiep;

c) 14% vao quy him tri vi ti tuat.

2.2. Dan vi hang thing dong 14% mire luang co sa vao quy him tri vi tit twat cho ngu6i lao dOng quy dinh tai Diem 1.6 Khoan 1 Diu 4.

Diu 6. Tien Itrang thing dong BHXH bat bui)c

1. Tin luang do Nha mac quy dinh

1.1. Ngu6i lao dOng thuOc di Wong thuc hien che dO tin luang do Nha mac quy dinh thi tin ltrang thing dong BHXH bat buOc la tin hang theo ngach, bac, cap bac‘quan ham vi cac khoan phii cap chirc vu, phu cap tham nien vuat khung, ph y cap tham nien nghe (nu co). Tin luong nay tinh tren mire Wang co sof.

Tien hang thing dong BHXH bat buOc quy dinh tai Diem nay bao gm ci s8 chenh lech bao luu theo quy dinh cia phap luat v tin Krang.

1.2. Ngu6i lao dOng quy dinh tai Diem 1.6, Khoan 1 Dieu 4 thi tin lixong thing dong BHXH la mire Krung ca sa.

2. Tien luang do don vi guy& dinqk

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2.1. Ngual lao &Ong thuc hien che dO tin Krung do don vi guy& dinh thi tin hxong thang dong BHXH la tin luong ghi trong HDLD.

Tr 01/01/2016, tin Krung thang dong BHX1-1 la mire luang va phii cap luang theo quy dinh cüa phap luat1ao dOng..

ngay 01/01/2018 trey di, tin lumg thang dong BHXH la mire luang, phi cap luang va cac khoan bo sung khac theo quy dinh cüa phap lust lao dOng.

2.2. Wm tin lucmg thang dong BHXH bat buOc quy dinh tai Khoan nay khong thap han mire ltrang tai thieu \Tung tai thai diem &Lg.

Nguai lao dOng dã qua h9c nghe (ke ca lao dOng do doanh nghiep day nghe) thi tin luang (tong BHXH bat buOc phai cao han it nhat 7% so vai mic Krung thi thieu vimg, nu lam ding viec nang nhgc, Tee hi, nguy him hoac dc biet nang nhoc, dOc hi, nguy him thi cemg them 5%.

3. Mfic tin luang thang clang BHXH bat buOc quy dinh tai Diu nay ma cao hon 20 thang lacing ca sor thi mirc tin lucmg thang dong BHXH bat buOc bang 20 thang lacing cor

Diu 7. Phunng thtic dong

1. pang hang thang

Hang thang, chum nhdt den .,ngdy cuoi cang cüa thLg, don vi trich Ten dong BHXH bat buOc tren quy tin hieing thang ciia nhang nguai lao dOng tham gia BHXH bat buOc, d'ang thai trich tti Ten hiong thang clang BHXH bat buOc cua timg nguai lao 'Jiang theo mire quy dinh, chuyen ding mOt Hie vao tai khoan chuyen thu cüa ca quan BHXH mi tai ngan hang hoc Kho bac Nha nuac.

2. Dong 3 thang hoc 6 thang mOt lan

Dan vi la doanh nghiep, hop tac xa, h0 -kinh doanh Ca the, te hop tac hoat clOng trong linh vvc nong nghiep, lam nghiep, ngu nghiep, diem nghiep tra Kiang theo san pham, theo khoan thi dong theo phuang thim hang thang hoc 3 thang, 6 thang mOt 1n. Cham nhat den ngay eu6i. cimg cuA dong, don vi phai chuyen dt tin vao guy BITXH.

3. Dong theo dia ban

3.1. Dan vi dong tru sâ chihh a dia ban tinh nao thi clang k3 tham gia. dang BHXH tai dia ban tinh do theo phan cap dm ca quan B1-1X1-1 tinh.

3.2. Chi nhanh cüa doanh nghiep 'Ring BHXH tai dia ban noi cap giay phep kinh doanh cho chi nhanh.

4. Di vai nguai lao dOng quy dinh tai Diem 1.7 Khoan 1 Diu 4, pluming thirc (long la 3 thang, 6 thang, 12 thang mOt lan hoc dong truac mOt lan theo thai han ghi trong hgp clang dua nguai lao dOng di lam vi'ec O nuem ngoai. Nguai

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dOng dong trgc tip cho ca quan BHXH truac khi di lam viec 6 nuoc ngoai hoc dOng qua doanh nghiep, t6 chirc sir nghiep dua nguai lao dOng di lam viec nuac ngoai.

4.1. Tnrang hap dOng qua doanh nghiep, to chfic sir nghiep dija ngtrai lao dOng di lam viec 6 nuac ngoai thi doanh nghiep, to' chiic sr nghiep thu, nOp BHXH cho nguai lao clOng va clang kyi phucmg thirc dong cho ca quan BHXH.

. 4.2. Truang hap nguai lao &Ong dugc gia han hap ding hoc k HDLD mai ngay tai mac tip nhan lao dOng thi thgc hien don BHXH theo phuang thirc quy dinh tai Dieu nay hoc truy nOp cho ca quan BHXH sau khi v mot.

5. D6i voi nguoi lao dOng quy dinh tai Diem 1.8 Khoan 1 Dieu 4.

Thgc hien theo Van ban quy dinh cüa Chinh phu va twang din cüa BHXH Viet Nam.

6, D6i voi, tnrang h9p dOng cho thoi gian con thieu kitting qua 6 thang quy dinh tai Diem 1.5 Khoan 1 Dieu 5.

6.1. Nguai lao dOng dOng mOt In cho se thang con thieu thong qua don vj tuft khi nghi

6.2. Than nhan cüa nguai lao dOng chet dong mOt ln cho se thang con thieu cho ca quan BHXH huyen.

1VInc 2 SAO MEM XA HO' TVNGILJYtN

Diu 8. Di tuvng tham gia

Nguoi tham gia BHXH tv nguyen la cong dan Via Nam tV dit 15 tu6i tra len, khong thuOc d6i -Luang tham gia BHXH bat buOc.

Diu 9. Mire &mg

1. Mirc &rig hang thang bang 22% mac thu nhap thang do nguai tham gia BHXH tv nguyen lira ch9n.

2. Mirc thu nhap thang do nguai tham gia BHXH tg nguyen lira ch9n thap nhat bang nr6c chan h0 ngheo cüa khu vtrc nong tit& theo quy dinh cüa Thu Wang Chinh phit va cao nhat bang 20 lan mac luang ca s6 tai thai diem dOng.

Diu 10. Phtrung thtit dong

1. Nguai tham gia BHXH tg nguyen dirge ch9n mOt trong cac plarang thdc dong sau day a dong vao quy him trf va tir tut:

1.1. 'Xing hang thang;

1.2. Dong 3 thang mOt larr„¢k7

1.3. Dong 6 thang met lan;

1.4. Doug 12 thang m6t IL;

1.5. DOng m6t lan cho nhieu nam v sau theo quy dinh cüa Chinh phi";

1.6. Dong mOt lan cho nhang nam con thieu theo quy dinh cüa Chinh phti.

2. Mire dong 3 thang hoc 6 thang hoc 12 thang rnOt lan dtrgc xac dinh bang nide dong hang thang theo quy dinh tai Diu 9 nhan voi 3 di vOi phtrong thirc dong 3 thang; nhan vai 6 di vai phuong thirc dong 6 thang; nhan vai 12 doi vai phuang thirc dong 12 thang m6t Ian.

3. Truang hgp ngtrai tham gia BHXH tu nguyen (long theo phuang thirc (long 3 thang hoc 6 thang hoc 12 thing mOt lan hoac (long mOt Mn cho nhieu nam v sau ma tong thai gian do Chinh ph it dieu chinh mire chuan h0 ngheo cUa khu vkrc nong th6n thi khong phai dieu chinh mire chenh lech s6 tin (long.

4. Nguai tham gia BHXH tu nguyen d'a (long theo- phuang thirc (long 3 thang hoc 6 thang hoc 12 thang mOt lan hoac (long mOt ian cho nhieu nam ve sau ma trong thai gian do thu6c mOt trong cac tnremg hgp sau day se dugc hoan trã mOt phan s6 tin da (long truac do:

4.1. ThuOc di Wang tham gia BHXH b'at buOc;

4.2. Huang BHXH mOt lan;

4.3. Bi chet hoac Toa an tuyen b6 la da chet.

5. Ngueri tham gia BIEXH tkr nguyen dugc thay dei phuang tilde clang hoc mire thu nhap thang lam can dr thing BHXH tir nguyn sau khi -dux hien xong phuong thac &rig dà chgn truck do.

Dieu 11. Thai diem &mg

Thvc hien theo Van ban quy dinh cüa Chinh phd va htMmg dan cüa BRXH Viet Nam.

- Dieu 12. H try tin (long BHXH cho ngteri tham gia BHXH tn. nguy0

Thuc hien theo Van ban quy dinh cüa Chinh phü va htrang dan. ciia BHXH Viet Nam.

Niue 3 BAO firtm THAT NGHIVP

Dieu 13. Doi tuvng tham gia

1. Nguai lao Ong

1.1. guai lao (long tham gia BHTN khi lam viec theo HDLD hoc HDLV nhu sau:

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a) HDLD hoac HDLV khong xac dinh thai han;

b) HDLD hoc HDLV xac dinh thai han;

c) HDLD theo müa vu hoc theo mOt ding viec nhat dinh c6 thai han 3 thang den duai 12 thang.

1.2. Nguai clang hung bang htru, trg cdp mdt sire lao dOng hang thang; nguai giüp viec gia dinh c6 giao ket HDLD voi don vi quy dinh tai Khoan 2 Dieu. nay kh6ng thuOc di bong tham gia BHTN.

2. Dan vi tham gia BHTN

Dan vi tham gia BHTN la nhang clan vi quy dinh tai Khoan 3 Dieu 4.

Diu 14. INIkc dOng vatrach nhqm dong

Mirc dang va trach nhiem dang BHTN dirge quy dinh nhu sau:

1. Nguai lao dOng dang bang 1% tin ltrong thang;

2. Dan vi dang bang 1% quy tin bang thang cña nhang ngtrai lao Ong clang tham gia BHTN;

3. Nha mac h trg ti da 1% quy tin luang thang dang BHTN cüa nhang nguai lao dung clang tham gia BHTN va do ngan sach trung ucmg bao dam.

DiL. 15. Tin luceng thing dong BHTN

1. Nor6i lao dOng thuOc di tugng thgc hien che dO tin luang do Nha mac quy dinh thi tin bang thang dang BHTN la tin bang lam can dr clang BH)CH bat buOc quy dinh tai Khoan 1 va Khoan 3 Diu 6.

2. Ngtrai lao dOng dong BHTN theo che 40. teen bang do clan vi quyet dinh thi tien bang thang dang BHTN la teen bang lam can dr dang BHXH bat buOc quy dinh tai Khoan 2 Diu 6. Tnrang hgp mire tin bang thang caa ngtrai lao dOng cao han hai mtrai thang bang t6i thieu Wing thi mire tin bang thang dOng BHTN bang hai muai thang bang to'i thieu yang (thuc hien tir ngay 01/01/2015).

Diu 16. Phtrang thirc dong

Phtrong dale dong BHTN di vai clan vj va nguai lao dOng: nhu quy dinh tai Khoan 1, 2 va Khoan 3 Diu 7.

Mc 4 BAD Hitm Y TE

Diu 17. 13-6i taxing tham gia BHYT

1. Nh6m do nguai lao dOng và clan vi cong, bao gem:

1.1. Ngtrai lao dOng lam viec theo HDLD khong xac dinh thai han, HDLD ca thai han ti dü 3 thang tra len, ngtrai lao clOng la ngtrai quail 15T doanh

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quan 1 dieu hanh Hop tac xa hueng tin Krung, lam viec tai cac ca quail, don th chgc quy dinh tai Khoan 3 Dieu 4;

1.2. Can be, cong chc, vien chirc theo quy dinh cita phap luat ve can b0, cong chirc,.vien Chirc;

1.3. Nguai hoat dOng Icheng chuyen trach O xa, phuang, thi tan theo quy dinh cUa phap luat ye can he, ding chem.

2. Nhom do t6 chile BHXH deng, bao gem:

2.1. Ngtrai huang luomg huu, trg cap Mat sirc lao d'eng hang thang;

2.2. Nguiyi clang huong trg cap BHXH hang thang do bi tai nn lao dOng - b'enh nghe nghiep;

2.3. Nguai lao dOng nghi viec clang huong che dO 6m dau. then quy dinh cua phap lua‘t v BHXH do mac benh thuOc danh mgc benh can chaa trj. dai ngaY theo quy dinh dm BO twang BO Y t6; Cong nhan cao su clang hueng trg cap hang thang theo Quyet dinh s6 206/CP ngay 30/5/1979 cila Hei dOng Chinh phi' (nay la Chinh phil) ye chinh sach dei vi cong nhan mai giai phong lam nghe nang nh9c, có hai sere lchee nay gia yeu phai thoi vi'ec;

2.4. Ngtrai tir du 80 Mei trey len clang hung trg cap tuat hang thang;

2.5. Can be xa, phuong, thi tan dà nghi viec clang htrang trg cap BHXH hang thang;

2.6. Nguari clang hung trg cdp that nghiep;

2.7. Ngtrai lao deng nghi viec hiving che dO thai san theo quy dinh ciXa phap luat ve' BHXH.

3. Nhom do ngan sach nha woe dong, bao gem:

3.1. Can be xa, phtrang, thi tran da. nghi viec clang huang trg cap tir ngan sach nha ntrac hang thang bao gem cac dOi tugng theo quy dinh tai Quyet dinh se 130/CP ngay 20/6/1975 Gila HOi clang Chinh pho (nay la Chinh phii) be sung chinh sach, che de dei voi can be xã va Quyet dinh s6 111/1-1DBT, ngay 13/10/1981 cila Hei deng BO twang (nay la Chinh pht) ve viec sera di, be sung met so chinh sach, che de di vai can be xa, phuang;

3.2. Nguoi da thoi huang trg cap mat serc lao dOng clang huang to cap hang thang tir ngan sach nha mac theo Quyet dinh s6 613/QD-TTg ngdy 01/6/2010 dm Thu Wong Chinh phit v'e viec trg cap hang thang cho nhfing nguai có ta du 15 nam den duoi 20 nam cong tac thgc te dã het theyi han huang trg cap mat sire lao dOng; Quyet dinh s6 91/2000/QD-TTg ngay 04/7/2000 dm Thu Wang Chinh phü v viec trg cap cho nhang nguai dà het tuOi lao deng tai thai diem nggng hung trg cap mat sire lao dOng hang thang;

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3.3. Ngtroi c6 cong voi each mpg, cdu chin binh, bao gm:

a) Nguei co cong voi each rna.ng theo quy dinh tai Phap lenh Uu dai ngtroi cO cong vai each mang;

b) Ctru chin birth da tham gia khang chin tr ngay 30/4/1975 tr& v tithe theo Khoan 6 Dieu 5 Nghi dinh s6 150/2006/ND-CP ngay 12/12/2006 cda Chinh phit quy dinh chi tiet va huang clan thi hanh mOt s6 dieu cUa Phap lenh Cdu chin binh;

c) Ngdoi trcrc tip tham gia khang chin chOng M5 cdu truck nhtmg chua duce huang chinh sach cda Dang va Nha mac theo Quyet dinh se 290/2005/QD-TTg ngay 08/11/2005 dm Thd Mang Chinhphd ve che d6, chinh sach doi vai m6t se di tacmg trdc tip tham gia khang chin ch6ng wry dm mr6c nhung clura dtrgc htrOng chinh sach cda Dang va Nha ntroc va Quyet dinh se 188/2007/QD-TTg ngay 06/12/2007 dm Thd Mang Chinh phd v viec sda dOi, b6 sung Quyet dinh

290/2005/QD-TTg;

d) Can b6, chin si Cong an nhan dan tham gia khang chien ch6ng M5 co duoi 20 nam ding tac trong Cong an nhan clan da thoi viec, xudt nga ve dia phaang theo Quyet dinh s6 53/2010/QD-TTg ngay 20/8/2010 dm Thu Wang Chinh phd v che d6 doi vai can bO, chin si Cong an nhan dan tham gia khang chin chOng My GO duoi 20 narri cong tac trong C6ng an nhan dan da th6i viec, xudt nga ve dia phucmg;

d) Quan nhan tham gia khang chin cheng M5 cdu nuoc co duoi 20 nam cong tac trong quan da phuc vien, xudt ngü ve dia phu&ng theo Quyet dinh s6 142/2008/QD-TTg ngay 27/10/2008 ciia ThU I-Ong Chinh phU ye' thgc hien che dO di vâi quail nhan tham gia khang chin ch6ng Myr c(ru inr&c c6 citroi 20 nam cong tac trong quail dOi,- da phtic vien, xuat nga v dia pluxang va Quyet dinh s6 38/2010/QD-TTg ngay 06/5/2010 dm TH. Mang Chinh pho ve viec st'ra sung Quyet dinh ,se 142/2008/QD-TTg;

e) Ngtroi tham gia chin .tranh bao v TO quec, lam nhiem vi quoc te & Cam-pu7chia, gulp ban Lao sau ngay 30/4/1975 da phtic vien, xuat ng-a, thoi vi'ec theo Quyet dinh s6 62/2011/QD-Trg ngay 09/11/2011 coa. Thd Wong Chinh phU ve che de, chinh sach di voi d6i Wong thain gia chin tranh bao ve T6 quOc, lam nhiem vr quoc te & Cam-pu-chia, gifip ban Lao sau ngay 30/4/1975 da phvc vien, xuat ngil, thoi viec;

g) Thanh nien xung phong theo Quyet dinh sO 170/2008/QD-TTg ngay 18/12/2008 cila Thu. Mang Chinh phi). ve the dO BHYT va trg cap mai tang phi d6i voi thanh nien xung phong thoi ky khang chin chong Phap va Quyet -dinh s6 40/2011/QD-TTg ngay 27/7/2011 dm Thd Wong Chinh phd quy dinh v che d6 d6i vâi thanh nien xung phong di hoan thanh nhiem vii trong khang chien•

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3.4. DO bieu dugc bau dr gift ch(re v9 theo nhiem k5r Quoc hai, di bieu Hai d'eng nhan dan cac cap duong nhiem;

3.5. Tre em du6i 6 Wei (bao gm toan ba tre em cix tra tren clia ban, ke ca tre em la than nhan cua nguai trong luc lugng vu trang theo quy dinh, lchong phan bit hi) khau thuong trii);

3.6. Nguai thuac din huOng trg cap bao trg xa hai hang thang quy dinh tai Nghi dinh sa 136/2013/ND-CP ngay 21/10/2013 ena Chinh pha quy dinh chinh sach trg gulp xa .hai di vori di tugng bao trg xa hai, Nghi dinh s6 06/2011ND-CP ngay 14/01/2011 cua Chinh pha quy dinh chi tit va huang dan thi hanh mOt sa diau caa Luat ngtreci cao tuai va Nghi dinh s 28/2012/ND-CP ngay 10/4/2012 caa Chinh pha quy dinh chi het va huong dan thi hanh mat so diau caa Luat ngtrOi khuyet tat;

3.7. Ngtrai thuac ha gia dinh ngheo; nguoi dan tac thieu sa dang sinh song tai vang c6 di'au kin kinh th - xa hOi kilo khan; ngtroi dang sinh sang ti IR:mg co dieu kin kinh te - xa hai dc bit kho khan; ngtroi dang sinh sang tai xa dao, huyen dao theo Nghi guy& cua Chinh phü, Quyet dinh cua Tha Wong Chinh pha va Quyet dinh dm BO truang, Chit nhiem fly ban Dan Vac;

3.8. Than nhan caa ngueri co ding voi each mang la cha de, me de, vg hoc chang, con dm lit sy; nguari c6 ding nuai duang ha sy;

3.9. Than nhan cua ngtroi c6 c6ng vai each mang, tn:r ede di tugng quy clinh tai Diem. 3.8 Khoan nay, bao gam:

a) Cha de,. me die, vg hoac chang, con ta tren 6 tuOi dan duOi 18 tu6i hoc tix dü 18 tail tra len nen con tip t9c di h9c hoc bi khuyet tat nang, khuyet tat dc bit Ong cüa cac di Wong: Nguoi hog dOng each mang truck ngay 01/01/1945; nguoi hoat dOng each mpg tir ngay 01/01/1945 den ngay khai nghia thang Tam nam 1945; Anh bung Luc lucyrig v trang nhan clan, Anh hung Lao dOng tong theri kY khang chin; thuong binh, benh binh suy giam kha nang lao dOng tir 61% tra len; nguOi hog dOng khang chin bi nhfam chit dac hoa hoc suy giam kha Uang lao dang dr' 61% ter len;

b) Con de ta tren 6 tuai cüa nguai hog clang khang chi.en bi nhigm chat dac hi:5a hee bi di clang, di tat do hau qua caa chat dac hoa hoc khong tu lc dage trong sinh hog hoc suy giam kha nang t9 luc trong sinh hog. •

, 3.10. Nguai da hien ba phan ca the ngueri theo quy dinh c9a.phap luat va hien, lay, ghep mo, bO phan ca the ngueri va hien, lay xac;

3.11. NguOi nude ngoai dang hec tap tai Viet Nam dugc cdp h9c bang tir ngan sach cüa Nha nu6c Viet Nam.

3.12. Ngued ph9c v9 riguai c6 ding voi each mang, bao gam;01,7

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a) Ng-Lan phue v-kr Ba mp Viet Nam anh hung song gia ffinh;

b) Ngtred phue v thuang binh, benh binh suy giam kha nang lao dOng tir 81% tra len sang 6. gia dinh;

c) NguOi phuc vct ngtroi hog deng khang chin bj nhigm chat dOe hod hoc suy giam kha nang lao clOng tir 81% fro' len s6ng a gia dinh -

.4. Nhom dirge ngan sach nha nude h trg mire dong, bao gam:

4.1. Ngtroi thuee h0 gia dinh can ngheo;

. 4.2. HQC sinh, sinh vien dang theo hoc tai cac co so. giao due thuec he thong giao due quae dan;

4.3. Ngtriyi thuee he gia dinh lam Ming nghiep, lam nghiep, ngu nghiep va diem nghiep cof mire sang trung binh.

5. Nh6m tham gia BHYT theo he gia dinh bao gam:

5.1. Toan be ngtroi co ten trong sa he khau, trix di Wong quy dinh tai cac Khoan 1, 2, 3 va 4 Diu nay va ngt.thi da khai bao tam yang;

5.2. Toan• be nhung ngtroi c6 ten trong so tam tit, trir d'th Wang quy dinh tai eac Khoan 1, 2, 3 va Khodn 4 Dieu nay.

6. Truerng hap met ngtthi (tang thoi thu0e nhieu d6i tugng tham gia BHYT khae nhau quy dinh tai Dieu nay thi clang BHYT theo d1 tugng dau tien ma nguoi d6 duge *az dinh theo thir tv cira eac di Wang quy dinh tai Dieu nay. Rieng di Wang tai Diem 3.5 Khoan 3 chi tham gia theo doi tuang tre em duai 6 tu6i.

Diu 18. 114frc dóng, trach nhqm Ming BHYT cfia cac cMi tuvng

1. Di tugng tai Diem 1.1, 1.2, Khoan 1 Dieu 17: mire &Mg hang thang bang 4,5% mire ,tin Wang thang, trong do ngtrei sir dung lao deng dong 3%; ngtreri lao dOng dong 1,5%. Tien luang thang dong BHYT la tin luang thang dong BHXH bat buee quy dinh tai Dieu 6.

2. Dai tuang tai Diem 1.3 Khoan 1 Dieu 17: mire 'Jong hang thang bang • 4,5% mire luang ca Ong do UBND xà dong 3%; ngtrai lao deng &rig 1,5%.

3: Doi ttxgng tai Diem 2:1 Khoan 2 Dieu 17: mire dong hang thang bang 4,5% tin luang huu, trg cap mat sire lao deng, do co quan BHXH clang.

4. Doi Wang tai Diem 2.2, 2.3, 2.4, 2.5 Khoan 2 Dieu 17: mire &rig hang thang bang 4,5% mire hrong co s&., do co quan BHXH &mg.

5. Doi Mang tai Diem 2.6, Khoan 2 Dieu 17: mire &mg hang thang bang 4,5% tin trg cap that nghiep, do ea quan BHXH dong.

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6. Di tugng tai Diem 2.7 Khoan 2 Dieu 17: mire &mg hang thang bang 4,5% tin hang thang tru6c khi nghi thai san, do co. quan BHXH dOng.

7. Di Mang tai Diem 3.1, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 3.10, 3.12 Khoan 3 va d6i -Luang nguai thmlic ha gia dinh can ngheo duvc ngan sach nha ntrac trg 100% mire dong tai Diem 4.1 Khoan 4 Dieu 17: mirc dang hang thang bang 4,5% mix hxang ca sa do ngan sach nha nu6c dong.

8. Di tugng tai Diem 3.11 Khoan 3 Dieu 17: mirc dong hang thang bang 4,5% mire hxong ca so' do ca quan, t6.chirc, don vi cap hgc bOng dong.

9. Doi Mang tai Diem 3.2 Khoan 3 Dieu 17: mire dong hang thang bang 4,5 mCrc hang ca sa do ca quan BHXH dong ffr ngu6n kinh phi chi hrcmg him, trg cap BHXH hang thang do ngan sach nha mrac dam bao.

10. Doi tuang tali Diem 4.1 Khan -4 Dieu 17: Mire dong hang thang bang 4,5 mire lucrng CO' st'y do di Wang tv ,d6rig va dugc ngan sach nha ntrac 116 trg t6i thieu 70% mix clang.

11. Di tugng tai Diem 4.2 Khoan 4 Dieu 17: mire dong hang thang bang 4,5 mire luang ca sa do di Mang tv dOng va dtrgc ngan sach nha mr6c h trg tôi thien 30% mire &mg.

12. Doi tugng tai Diem 4.3 Khoan 4 Dieu 17: mire dong hang thang bang 4,5 mirc luang ca so' do doi tugng tçr dong va dugc ngan sach nha ntrac h tra tOi thieu 30% mfrc dong.

13. Di Wang ti Khoan 5 Diu 17: Mirc dong hang thang bang 4,5% mire luang ccx sa do dOi tugng tu dong va duvc giam mire dong nhu sau:

a) Ngtrai thir nhat dong bang mire quy dinh;

b) Ngtrai thir hai, tit* ba, thir tu dong Ian lugt bang 70%, 60%, 50% mire (tong cüa nguai thir that;

c) Tit ngtfai thir nam tra di dong bang 40% nnic clang cüa nguai thir nhat.

Dieu 19. Phirlyng thfre &mg BHYT

L DOi tugng tai Khoan 1 Diu 17: nhu quy dinh tai Khoan 1, Khoan 2 va Khoan 3 Dieu 7.

2. Di tugng tai Khan 2, Diem 3.2 Khan 3 Diu 17: hang thang, ca quan BHXH chuyen tin &Mg BHYT tir quy BHXH, quy BHTN sang quy BHYT.

3. Doi Wang tai Diem 3.1, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 3.10, 3.12 Khoan 3 va di tugng tai Diem 4.1 dugc ngan sach nha ntrac h'6 trg 100% mix dong Khoan 4 Dieu 17: hang qu ccx quan tai Chinh, ca quan quan 15r di Wang chuyen tin dOng BHYT yap qu'y BHYT; cham nhat den ngay 3 1/12 'an nam phai thvc hien xong viec chuyen kinh phi vao quy BHYT ci.ia nam do

15

Throng hgp ngtrai thuOc 110 gia dinh ngheo tai Diem 3.7 Khoan 3 va nguOi thuOc h0 gia dinh can ngheo dugc ngan sach nha nuare ha" trg 100% mire dong tai Diem 4.1 Khoan 4 Dieu 17 ma ca quan BEDCH nhan &me danh saeh doi Wang tham gia BHYT kern theo Quyet dinh phe duyet .danh sach ngtroi thuOc h0 gia dinh ngheo, ngtrei thuOc h0 gia dinh can ngheo cüa ca quan nha 'mac có tham quyen sau ngay 01/01 tili. thue hien thu và cap the BHYT tr ngay Quyet dinh cc') hieu

4. D6i Wang tai Diem 3.11 Khoan 3 Dieu 17: Co quan, don vi cap hgc bang ehuyen tin dong BHYT vao guy/ BHYT hang thang.

5. D6i tucmg tai Diem 4.1, 4.3 Khoan 4 Dieu 17: dinh kY 3 thang, 6 thang hope 12 thang, dai dien h0 gia dinh, ca. nhan (long phan thuOc trach nhiem phai dong cho Dai 15' thu hoc dOng tai co quan BEIXH. Tnrong hap khong tham gia dung thoi han &aye huOng chinh sach theo quyet dinh phe duyet cüa clap eó tharn quyen, khi tham gia thi phai tham gia het thei han eon lai theo quyet dinh dirge Inrang chinh sach nhung toi thi6u la 01 thang.

6. Di Wong tai Diem 4.2 Khoan 4 Dieu 17: dinh ky 6 thang hoc 12 thang h9c sink sinh vien dong phan thu0e traeh nhiem phai dong cho nha trtiOng dang hge.

7. D6i Wong tai Khoan 5 Dieu 17: dinh ky 3 thang, 6 thang hoc 12 thang, ngtrei di din hi) gia dinh true tier) nOp tin dong BHYT cho ta chire.BEDCH hose dai thu BHYT tai cap xa..

8. Xac dinh so. dong, h tra dong doi voi mOt s6di tugng khi Nha nude dieu chinh mire dong bao him y te, mire ltrong ca sor

8.1. Di voi nhom di Wang quy dinh tai Khoan 3 Dieu 17 va doi Wang ngtreyi thuOc h0 gia dinh can ngheo quy dinh tai Diem 4.1 Khoan 4 Dieu 17 duce ngan saeh nha nude h trg 100% mire dong:

S6 tin ngan sach nha nuae dong, ho trg 100%. mire dong chrge xac dinh theo mire dong BHYT va mire lucmg ea sa tuang irng vOi thei han Sir dung ghi tren the BHYT.. Khi Nha nuac dieu chinh mire dong BHYT, dien chinh mire krang ca thi sa tien ngan sach nha mac dong, h trg dtrge dieu chinh k tir nga.y áp dung mire dong BHYT mâi, mire hrcmg ea sa mai.

8.2. Trueng hap di tugng tai Khoan 4, Khoan 5 Dieu 17 dä dong BHYT mOt ran cho . 3 thang, 6 th'ang hoc 12 thang ma trong thei gian nay Nha mac dieu chinh mire ltrang ca thi khong phdi dong ba sung phan cheth lech theo mire ltrang ea sOr

Diu 20. Hoan tra tin doing BHYT

1. ND/6i clang tham gia BHYT theo di Wong tai Khoan 4, Khoan 5 Dieu 17 chrgc hoan tra tin dong BHYT trong cac twang hgp sau:

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1.1. Tham gia BHYT theo nhom d6i tugng tai Khoan 1, 2 va Khoan 3 Dieu 17;

1.2. Dirge ngan sach nha nuac dieu chinh tang 13.8 trg mire dong BHYT;

1.3. BI chet truac khi the BHYT co gia tri sir dung.

2. S6 tin hoan tra

SO tin hoan tra tinh theo m*c dong BHYT va thoi gian con lad the BHYT c6 gia tri sir dung. Thad gian con lai the co gia tri stir dung dugc tinh tir thOi diem sau day den het thtiri han sir dung ghi ten the BHYT:

2.1. Tir thei diem s* dung eda the BHYT dugc cap theo nhom mai di voi di tuong tai Diem 1.1 Khoan 1 Dieu nay;

, 2.2. Tir thtiri diem quyet dinh cna quan co tham quyen c6 hieu hrc voi d6i tugng tai Diem 1.2 Khoan 1 Dieu nay;

2.3. Tr thtiri diem the c6 gia tri sir dung d6i voi di Wong tai Diem 1.3 Khoan 1 Dieu nay.

Chuang HI HO SC/ VA THOI HAN GIAI QUYET

Mnc 1 HO SCr THA1VI GIA, BONG BHXH, BHYT, BHTN;

CAP SO BHXH, THE BHYT

Edu 21. Dan vi tham gia rAn du, dan vi di ehuyen tir dia ban tinh, thanh ph khac d6n

1. Thanh phan h6

1.1.Nguoi1aodOng:

a) Ti lchai cung cap va thay di thong tin ngtroi tham gia BHXH, BHYT (Mau TK1-TS);

b) Di vài ngtrai dtrgc hung quyen lgi BHYT cao hon: Gidy ter chirng minh.

1.2. Dun vi:

a) Ti khai cung cap va thay di thong tin dun vl tham gia BHXH, BHYT (Mau TK3-TS);

b) Danh sach lao dOng tham gia BHXH, BHYT, BHTN (Mau D02-TS);

c) Bang ke hO so lam can c* huOng quyen lgi BHYT cao hurt (Muc II Phu luc 03).

2. S6 lugng h6 so.: 01 bOA/V 17

Biu 22. Diu chinh 'long BHXH, BHYT, BHTN hang thing

1. Thanh phdn he sa:

1.1. Nguefi lao dOng: ribu quy dinh tai Diem 1.1 Khoan 1 Dieu 21;

Tnrong hgp ngirng tham gia BHYT: the BHYT cOn han sir ckmg.

1.2. Don vi:

a) Danh sach lao dOng tham gia BHXH, BHYT, BHTN (Mau D02-TS);

b) Bang ke he sa lam can cir hiving quyen lgi BHYT cao han (Mpc II Phi 1pc 03).

Tnreng hap thay dei thong tin tham gia BHXH, BHYT, BHTN cim don vi: T6 khai cung cdp va thay di thong tin don vi tham gia BHXH, BHYT (Mau TIC3-TS).

2. So lagng he so: 01 be.

Diu 23. Truy thu BHXH, BHYT, BHTN

1. Truy thu cac tra6ng hop vi pham quy clinh cüa phap lust ve (long BHXH, BHYT, BHTN; dieu chinh tin hang da dong BMCF1, BHYT, BHTN

1.1. Thanh phan he so.:

a) NguOi. lao Ong: Ti khai cung c&p va thay di thong tin ngiroi tham. gia BHXH, BHYT (Mau TK1-TS)..

b) Dan vi:,

- Danh sach lao dOng tham gia BHXH, BHYT, BHTN (Mau D02-TS);

- Bang ice giay tarhe so lam c‘an cir truy thu (Php 1pc 02).

1.2. SO lagng sa: 01 be.

2. Truy thu BHXH bat buOc doi vai nguoi lao dOng có thei han & nuac ngoai truy nep sau khi ve nu6c quy clinh tai Diem 4.2 Khoan 4 Dieu 7

2.1. Truemg hgp ngtreri lao dOng truy nOp thong qua don vi nai dua ngueri lao dOng di lam viec & ntrot ngoai: he so taang ta Khoan 1 Dieu nay.

2.2. Tnrong hop ngtred lao dOng ta clang k truy nip tai ca quan BHXH:

He

so cüa ngtroi lao dOng gem:

- T& khai cung cap va thay di thong tin ngtr6i tham gia BHXH, BHYT (Mau TK1-TS);

- HDLD dligc gia han kern theo van ban gia han HDLD hoc HDLDdir kY mai tai ntrac tip nhan lao dOng (ban chinh hoc ban sao có chirng thuc).4

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3. Cac twang hop truy thu theo quy dinh cüa Chinh BHXH Viet Nam huong dan trong timg trugng hap ca the.

Dieu 24. Ngteri lao Ong c6 thoi h4n & ntrov ngoai t 'Tang k dong BHXH bit buOc

1. Thanh phan h0 so:

1.1. Ta khai cung cdp va thay ai thong tin ngugi tham gia BHXH, BHYT (Mau TK1-TS);.

1.2. HDLD c6 tiled han 6 ntrac ngoai (ban chinh haac ban sao c6 chting thuc).

2. SO luang h0 sa: 01 be.

Diu 25. Ghi xac nh4n thoi gian &mg BIIXH cho ngtrai tham gia dirge cOng ni thoi gian nhirng khong phai dong BHXH; ditu chinh lam nghe hoc cOng viec n4ng nhcc, dc hi, nguy him hoc die bit ning nhcc, dc 1191, nguy hi'em trirck nam 1995

1. Thanh phan h0 so:

1.1. Ter khai cung cap va thay di thong tin ngtrgi tham gia BHXH, BHYT (Mau TK1-TS);

1.2. HO so kern theo (Phu Ivo 01);

1.3. SO.BHXH dhi v6i ngtrgi lao dOng dal dtrac cap so BHXH.

2. S6 luong hO so: 01 b0.

Diu 26. bang k5r,, dang 144i, dieu chinh (Tong BHXH ttr nguyen

1. Thanh phan h0 so:

1.1. Ngugi tham gia: T6 khai cung cdp va thay d6i thong tin ngugi tham gia BHXH, BHYT (Mau TK1-TS). •

• 1.2. DailSi- thu/Ca quan BHXH (twang hap ngugi tham gia Tang ky true tip tai co quan BHXH): Danh sach ngtrai tham gia BHXH tv nguyen (Mau D05-TS).

2. S6 lugng h0 so: 01 b0.

Dieu 27. Tham gia BHYT di \TIM ngtroi chi tham gia BHYT

1. Thanh phn h0 So:

1.1. Ngtroi tham gia:

a) TO. khai cung cap va thay di thong tin ngtrgi tham gia BHXH, BHYT (Mau TK1-TS);

b) Doi v6i ngugi da hien be phan co the ngu i theo quy dinh cita phap 1u4t: Giay ra vin Co ghi dä hien be phan co the ngtrai

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1.2. UBND xa: Danh sach fang, giam ngu6i tham gia BHYT (Mau DK05) di vai cac di trong do UBND xa lap danh sach.

1.3. DO 15/ thu/Ca quan BHXH (tnr6ng hap nguoi tham gia clang 14T tham gia tnrc ti6p tai Ca quan BHXH): Danh sach tham gia BHYT Gun di -Luang ttr dong (Mau DK04).

Dieu 28. Hoan tra tin da dong i1i vCri nprol tham gia BHXH tly nguy?n, ngtreri tham gia BHYT theo h gia dinh, ngtroi tham gia BHYT dtro:c ngan sach nha mere hAO trq mOt phAn mtiv dong

1. Thanh phan h6 sa:

a) Ti khai cung cap. va thay di thong tin ngtr6i tham gia BHXH, BHYT (Mau TK1-TS) cüa nguoi tham gia hoc dia than than ngtrei tham gia tong tnrang hap ngtroi tham gia ch6t;

b) S6 BHXH di vai tnr6ng hap tham gia BHXH tkr nguyn; the BHYT c6n gia tri sir dnng d6i vai trtrarng hap tham gia BHYT (trir truong hap ngubi tham gia ch6t);

c) Ban sao chirng thgc hoac ban chu.p kern theo bn chinh Gidy chirng tir' di vai tnr6ng hop chat.

2. S6 ltrong 116 so.: 01 b6.

Mttc 2 HO SO CAP LAI SO BHXFI, THE BHYT

VA. DIEU CHINIINOI DUNG DA Gm TREN SO BHXH, THE BHYT

Dieu 29. Cap 10 st) BHXH, di, dieu chinh thong tin tren s BITXH, the BHYT

, • , 1. Cap lai s6 BHXH do mat, h6ng, thay di se;s, gop sO BHXH

1.1. Thanh phan h6 sa:

a) Ti khai cung cap va thay di thong tin ngtr6i tham gia BHXH, BHYT (Mau TK1-TS);

b) S6 BHXH da cap.

1.2. S6 luang h6 sa: 01 b'6.

2. Diu chinh nOi dung da ghi teen s6 BHXH

2.1. Thanh phan h6 sa:

a) Ti khai cung cap va thay di thong tin ngtr6i tham gia BHXH, BHYT (Mau TK1 -TS);

b) S6 BHX.H;47

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c) Bang ke giAy to(h so lam can eft dieu chinh (Mix I Phu loc 03).

2.2. S6 lugng 116 so: 01 bO.

3. Cap lai s6 BEIXEI do thay di ho, ten, chit' dm; ngay, thang, nam sinh; giai tinh, dan tOc; qu6c tich

3.1. Thanh phan 116 so:

a) TO khai cung cap va thay di thong tin nguOi tham gia BHXH, BHYT (Mau TK1-TS);

b) S6 BRXEI;

c) Bang ke gidy 0116 so lam can dr dieu chinh (Moe I Phu luc 03).

3.2. S6 luong h6. so: 01 N.

4. Cap lai, d6i the BHYT

4.1. Thanh phan 116 so:

a) TO khai cung Cap va thay d6i thong tin nguOi tham gia BHXEI, BHYT (Mau TK1-TS);

b) The BHYT (tritOng hop hong hoac thay d6 i th6ng tin);

c) Bang ke giay to• h6 so lam can cir cap 10, d6i. the BHYT (Muc II, III Phi,i loc 03 doi voi tnrOng hop thay d6i thong tin).

4.2. S6 litOng 116 so: 01 1)0.

Muc 3 THOI HAN Gal QUYET HO SO

Diu 30. Thu BHIXH, BHYT, BHTN

1. -Tnrong hop tam dimg dong vao quy huu tri, tit' tuft: lthong qua 05 ngay lam viec ke tit ngay nhan dü h6 so theo quy dinh.

2. Truy thu

2.1. D6i Wei truOng hop quy dinh tai Khoan 1 Dieu 23: khong qua 30 ngay lam viec ke tit ngay nhan dii h6 so theo quy dinh.

2.2. Doi vOi tnemg hop quy dinh tai Khoan 2 Dieu 23: kh6ng qua 05 ngay lam viec ke tit ngay nhan ãü h6 so theo quy dinh.

3. Hoan tra -

3.1. D6i tugng tham gia BI-EXH tir nguyen, ngdyi tham gia -BHYT -Oleo ht gia dinh va nguati dugc ngan sach nha nuac 116 tro inOt phan mix do B YT: kh6ng qua 15 ngay lam viec, ke tit ngay nhan dü h6 so theo quy

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3.2. Di Wong ding tham gia BHXH, BHYT: khong qua 30 ngay lam viec, Ice tir ngdy nhan da he so theo quy dinh.

Di.".e'u 31. Cdp sir') BIIXII

1. Cap mai

1.1. Di voi nguai tham gia BHXH bat buOc: kh6ng qua 20 ngay lam viec ketir ngay nhan da h6 so theo quy dinh.

1.2. D6i voi nguai tham gia BHXH ttr nguyen: khong qua 07 ngay lam viec icetir ngay nhan da 116 so theo quy dinh.

1.3. D'Oi vai tnrong hop cap va ghi b6 sung thai gian dang BHXH ten s6 BHXH cho nguai tham gia dirge cOng nOi thai gian nhung khong phai dang BHXH: khong qua. 20 ngay lam viec kettr ngay nhan dü h6' so theo quydinh. -

2. Cap lai s BHXH do thay di so so; ho, ten, chit dm; ngay, thang, na'm sinh; giâi tinh, dan tee; qu6c tich; s6 BHXH do mat, hong hoac gOp s6: khong qua. 15 ngay lam viec, truang hop phire tap can phai xac mirth thi khong qua 45 ngay lam viec nhung phai ca van ban thong bao cho ngtrai lao dOng biet.

3. Dieu chinh nOi dung da ghi tren s6 BHXH: khong qua 10 ngay lam vieC.

4. Ch6t sO. BHXH: 'thong qua 07 ngay lam viec k tir ngay nhan da h6 so theo quy dinh.

Dieu 32. Cdp the BHYT

1. Cap mai: khong qua 07 ngay lam viec k tr ngay nhan dit he so theo quy dinh. Rieng di vai ngtrai huong try cap that nghiep: khong qua. 02 ngay lam viec ke tir ngay nhan dü no so theo quy dinh.

2. Cap lai, di the BHYT: khong qua 05 ngay lam viec icetr ngay than dr h.6 so theo quy dinh.

Chuang IV QUY TRINH THU; CAP SO BHXH, THE BHYT

Dieu 33. Ngtroi tham gia

1. Ngtroi tham gia BHXH bat buee, BHYT, BHTN

.1.1. Ice khai va nep 116 so:

Nguei tham gia BHXH, BHYT, BHTN ke khai lap h6 so theo quy dinh tai Van ban nay, nOp ho so' nhu sau:

a) Tham gia Ian du, dieu chinh thong tin dong BHXH, BHYT, BHTN hang thang: nOp 116 so cho don vi nai dang lam vicáfr

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b) Cac tru6ng hop cap lai s BHXH, the BHYT; dien chinh nOi dung dã ghi tren s6 BHXH, the BHYT; cOng noi th6i gian nhtmg lchong phai dong BHXH:

- Nguei dang lam vi'ec nOp ho so cho co quan BHXH hoc nOp thOng qua don vj noi dang lam viec.

- Ngtr6i dang bao liru th6i gian dong BHXH, ngtrei d dugc giai guy& hung lumg him, trg c.p BHXH: nOp h6 so cho co quan BHXH.

c) Nguoi di lao dOng có thed han 6 ntrac ngoai tv dang dOng hoc truy nOp BHXH sau khi ve mr6c nOp h6 so cho cci quan BHXH. Nêu truy nOp thong qua don vi thi nOp cho don vi dua ngtred lao dOng di lam viec ô mr6c ngoai.

1.2. NOp tin BHXH, BHYT, BHTN;

a) Hang thang hoc 3 thang, 6 thang theo phtrang thirc dong oh don don vl trich tr tin krung cüa nguoi lao d'Ong theo mire quy dinh de chuyen dong vao tai khoan chuyen thu cüa co quan BHXH.

b) Ngtroi lao dOng có thoi ban 6 nu& ngoai dong thong qua dun don vl thu tin dong BHXH cüa ngtr6i lao dOng de nOp cho co quan BHXH then phtrang thirc dOng da.dang V. Trtreng hop truy dong sau khi ve throe thi ngtroi lao king nOp tin cho co quan BHXH hOac don vi noi nhan 116so truy

c) Nguoi lao dOng cc') tho'i gian dong BHXH chua dü 15 nam, nu con thieu t6i da khong qua. 6 thang (ke ca ngu6i lao dOng dang bao tau thei gian dOng BIAXEI) ma bj chit, nu có than nhan dü diet' kin huong che dO tuat hang thang theo quy dinh tai Diem c M9c 5 PhL D Thong nr s6 03/2007/TT-BLDTBXH ngay 30/01/2007 cfra BO Lao dOng - Thticrng binh va Xa hi thl than nhan nguari lao dOng lap T6 khai cung cdp va thay dei thong tin ngued tham gia BHXH, BHYT (Mau TK1.-TS), kern theo s BHXH cüa ngtr6i lao dOng, de dong tin tai BHXH huyen noi cu tn."' cho so thang con thieu de &go hung trg cp tuat hang thang (thirc hien het 2015).

1.3. Nhan ket qua:

• a) Ngu6i lao dOng nhan s BE-DM, the BHYT do co quan BHXH cap khi dong BHXH, BHYT, BHTN dimg quy dinh.

b) Hang nam, than thong tin xac nhan ye viec dong MYR do co quan BHXH cung cap thong qua C6ng th6ng tin din tir cüa BHXH Viet Nam ho'ac th6ng qua don vi noi lam viec.

2. Nguoi tham gia BHXH tir nguyen

2.1. Ke khai va nOp he so:

Ngued tham gia BHXH tir nguyen ke khai 116 ScY theo quy dinh tai Van ba.n nay nOp h6so cho Dai l thu hoc cho ca quan BHXH huyen.

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2.2. Bong tin:

Ngueri tham gia nOp tin cho Dai 1'y thu hoc ca quan BHXH (trong twang hap dang k tham gia Ian du ti BHXH huyen) theo phtrang dang k.

2.3. Nhan k'et qua:

a) Nhan se BHXH do co. quan BHXH cap.

b) Nhan thong tin xdc nhan tiled gian dong BHXH hang nam do ca quan BHXH cung cdp thong qua Cang th6ng tin aid. BHXH Viet Nam hoc tai Dai 1y7 thu.

3. Ngtrai tham gia BHYT

3.1. Ke khai ha sa theo quy dinh tai Van ban nay va nap ha Sa nhu sau:

a) Nguai tham gia BHYT do ta chirc BHXH dong BHYT: khi thay di th6ng tin, nOp ha so. cho UBND xa hoc co quan BHXH.

b) Nguai tham gia BHYT do ngan sach nha ntroc dong BHYT: nOp ha so cho UBND xa.

Nguai dã hien b0 phan ca the ngtrai: nap Giay ra wen cho ca. quan BHXH.

c) Nguai tham gia BHYT theo h0 gia dinh, ngtrai duac ngan sach nha nuac ho tcr mat phan mire 'long.: nap ha so cho Dai 1yr thu, hoc co quan BHXH huyen.

H9c sinh, sinh vien dong BHYT theo nha trtreyng thi nap WO so cho nha truang.

3.2. Bong den: Nguai tham gia BHYT theo ha gia dinh, nguai dugc ngan sach h tra mOt phan mire (tong: nOp tin cho Dai 1'y thu hoc nOp true tier, cho ca quan BHXH huyen.

3.3. Nhan ket qua: Nguai tham gia BHYT nhan the. BHYT tr UBND xa, Dai 15' thu hoc tir‘ co. quan BHXH nai thu tin cUa ngtrai tham gia.

Dieu 34. Don vi sir dung lao d(ing, UBND xã, Di 117 thu va co quan quan 1ST ttrong

1. Dan vi §ir dking lao dOng

1.1. Tham gia Pan dau:

a) Lap h6so theo quy dinh tai Van ban nay va nOp h so' cho ca quan BHXH.

b) NOp tin dong BHXH, BHYT,•BHTN theo quy dinh.:

c) Ph& hop vai ca quan BHXH tra s6 BHXH cho nguai lao dang.

d) Nhan the BHYT tir co quan BHXH tra cho nguai lao dOng.

1.2. Dieu chinh dong BHXH, BHYT, BHIN hang thang:

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a) Ke lchai, lap heso dieu chinh dong BHXH, BHYT, BHTN; tang, giam lao dOng, mac dong, s6 tin phai dong; truy thu, hoan tra; thay di, dieu chinh thOng tin deng BHXH, BHYT, BHTN di vai dun v, ngueri lao dOng; nep h6 so kip theri cho co quan BHXH de xac dinh so' tin dang BHXH, BHYT, BHTN; cap, ghi, xac nhan, chet s6 BHXH, the BHYT di vai don vi, nguiri tham gia va slang BHXH, BHYT, BHTN day dU, &mg thin han.

b) Phi hop vai co quan BHXH xac nh'an, chet se BHXH cho ngtreri lao dOng 'chi nguai lao Ong chdm dirt HDLD, HDLV hoc thei viec theo quy dinh cüa phap luat.

1.3. Cap lai se BHXH, the BHYT, dieu chinh nOi dung da ghi tren s6 BHXH, the BHYT oda nguai lao deng:

a) Truemg hop ngueri lao dOng nOp he so thong- qua don don vi nhan he so va nOp kip theri cho Ca quan BHXH.

Phei hop vai co quan BHXH tra se BHXH, the BHYT cho ngueri lao Ong.

b) Xac nhan T6 MI6 cung. cap va thay di thong tin ngtrai tham gia BHXH, BHYT (Mau TK1-TS) di voi cac tnxang hop dieu chinh ho, ten, cha dim; ngay, thang, nam sinh da ghi tren se BHXH cüa nguai lao deng.

1.4. Thu hi the BHYT oda nguai lao dung ngUng tham gia BHYT, n0p cho ca quan BEDM d dieu chinh se phai thu (tn:r throng hop chet; ch6 giãi quyet che dO him tri, trg cap tai nan lao dOng - benh nghe nghiep hang thang).

1.5. Hang thang, nhan thong bao ket qua dong BHXH, BHYT, BHTN (Mau C12-TS) qua dich vçi bun chinh hoc tra ciru tai Ceng thong tin dm BHXH Viet Nam; kiem tra, di chiL, nu có sai lech, phei hop voi co quan BHXH d& giai. quyet.

1.6. Dinh IcSr 6 thang, niem yet ding lchai thong tin ve.viec (long BHXH, BHYT, BHTN cho nguoi lao dOng.

1.7. Hang nam, nhan thong tin &Mg BHXH, BHYT, BHTN cda ngueri lao d'Ung (Mau C13-TS) do co quan BHXH cung cdp de them yet c6ng Ichai tai don vi.

2. Dai 157 thu

2.1. Huang clan nguoi tham gia lap he so theo quy dinh tai Van ban nay.

2.2. Thu tin dong BHXH ciia ngtxeri tham gia BHXH tir nguyen; tin dOng BHYT phan thuOc trach nhiem dong cüa ngueri tham gia BHYT; cap bien lai thu tin cho nguari tham gia theo quy dinh.

2.3. Lap Mau D05-TS; Mau DK04; nOp he so va s6 tin da thu cho ca quan BHXH trong then han 03 ngay lam viec ke.tir ngay thu tin cüa nguai tham gia.

2.4. Nhan va tra se BHXH, the BHYT cho nguari tham gia theo quy

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2.5. Hang thang:

a) Dei chi'eu bien lai thu tin va s6 tin da thu theo Mu C17-TS.

b) Nhan danh sach tham gia BHXH tv nguyen va danh sach ngtrai tham gia BHYT den ban phai dong (Mau D08a-TS) do ca quan BHXH güi an a thong bao. vã van d'eng nguai tham gia tier) Are tham gia theo quy dinh.

2.6. Di cac trirang h9p cdp lai se BHXH, the BHYT hoc dieu chinh nOi dung da ghi tren s6 BHXH, the BHYT, ngued tham gia d nghi Dai 1 thu nOp he so' cho ca quan BHXH:

a) Nhan he so' tir nguei tham gia, nOp he sa kip thoi cho Cu quan BHXH.

b) Phi hop vai ca quan BHXH tra se BHXH, the BHYT cho nguiri tham gia.

3. UBND xa

3.1. Tren co. ser danh sach ngtrai tham gia BHYT do ca quan quan 1.3"/dôi Wong va ca quan BHXH cung c6p, lap ML DK05, gfri Ca quan BHXH.

3.2. Nhan vã tra the BHYT cho ngired tham gia theo quy dinh (viec tra the BHYT cüa di Wong do ye chirc BHXH deng có van ban hi/Ong din rieng).

3.3. Hang thang:

a)- Nhan. danh sach ngtred tham gia BHYT dole chile BHXH dong Va danh sach nguai da. hien be phan co. the ngtroi tham gia BHYT (ML DK05), xac nhan

lai ca quan BHXH.

b) Nhan danh sach tang,, giam ngirei tham gia BHYT do ngan sach nha mac dong ter ca quan quan13',di tuong de lap Mau DKO5 giri ca quan BHXH.

3.4. Nhan ML DK01, Mu TK1-TS (nu co), to'ng hop va phan loai Mu DK02, Mau DKO3 gi ca quan BHXH.

4. Ca quark quan dol. Wong

4.1. Kip tiled güi danh sach tang, giam ngui &roc ngan sach nha mrac dong BHYT cho UBND xa.

4.2. Nhan Danh sach nguYi duvc ngan sach nha mac dong BHYT (ML DK06) do co quan BHXH lap chuyL den;. ra sok, dei chieu, xac nhan va chuyen tra Ca quan BHXH trong died han 03 ngay lam viec 1(6 tix khi nhan dü danh sach cila co quan BHXH.

4.3. Tang hap, chuyen kinh phi hoc d nghi co* quan tai chinh chuyen kinh phi vao quy BHYT theo quy dinh.

5. Twang hop dan vi, ca quan quan 13'T dei tirong, dai 13'T thu giao dich bang he sa din tI thi .thoc hien quy trinh thu; cdp se BHXH, the BHYT theo quy dinhdiz

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giao dich din tit trong viec thuc hien thil tqc tham gia BHXH, BHYT, BHTN; cap s6 BHXH, the BHYT.

Diu 35. Co. quan BHXH tinh/huy0

1. BO phan mOt cira

1.1. Nhan h6 so:

a) Di vai don vi, UBND xa, Di 1 thu:

Nhan h6 so, di r lieu din tir (nu co); kiem d'em thanh phan va s6 hrong h6 so, nu dung, dü thi viet gidy hen. Twang hop ha so chua &mg, dU thi ghi rO 1ST do va tra la don vi, UBND xa, DO 1ST thu:

b) DOi vói nguai tham gia nOp h6 so tai BHXH huyen:

- Huang clan nguai tham gia lap 116 so theo quy dinh; -huong clan nguai-tham gia nOp tin cho T6 KH-TC.

- Nh'an, kiem tra h6 so, ghi gidy hen.

c) Di voi nguai da hien bO phan co the nguai: nhan ban chinh Gidy ra vin, sao va xac nhan vao ban sao, tra ban chinh cho nguai tham gia.

d) Sao, hxu h6 so cac tnxang hop cap lai so BEIXEI do thay d6i ho, ten, chit dm; ngay, thang, nam sinh; gici tinh, dan tOc, quoc tich; h6 so dieu chinh nOi dung.dà ghi ten s6 BHXH; h6 so cüa ngtrai tham gia duoc cOng nOi thai gian nhung khong phai 'Jong BHXH.

d) Thu phi di voi cac tnrang hop cap l.i, di the BHYT.

1.2. Chuy'en h6 so:

a) Chuyen Phang/TO Quan 1ST thu: h6so clang k3i tham gia, dieu chinh dong BHXH bat buOc, BHYT, BHTN; tham gia BIDCH tu nguyen, tham gia BHYT tnyc tip tai BHXH huyen; h6 so truy thu, hoan tra kern theo dt lieu din ti (nu co); cac twang-hop thay di, cai chinh cac yeu th ve nhan than ngued tham gia; gOp s6 BHXH; di sO s6 BHXH; dieu chinh lam nghe hoc cong viec Ong nhoc, dOc hai, nguy hiem hoc d4c biet n4ng nhoc, dOc hai, nguy hiem thin gian tr ngay 01/01/1995 tth di; h6so cdp 10, di the BHYT co thay di thong tin.

Doi vOi tnrang hop nguai tham gia da giai guy& che dO BHXH d nghi dieu chinh qua trinh dong, BO phan mOt cira BHXH tinh rut h6 so kern T6 khai (Mb. TK1-TS) chuyen Phang Quail 1Sr thu.

b) Chuyen T6 tham dinh BHXH tinh: ho so cOng nOi thai gian khong phai clang BHXH; dieu chinh lam nghe hoc ding viec nang nhoc, dOc hi, nguy him hoc dc bit nOng nhoc, dOc hai, nguy him thai gian trtrac ngdy 01/01/1995.

c) Chuyen Phan TO Cap s6, the cac twang hop: cap lai s6 BHXH, the BHYT do mat, hong.

4.

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d) Chuyen Phong/Te Cho' de BHXH h so cac till:Ong hop nghi viec do m'ac benh thuec danh mic benh can chtla tri dai ngay; giai quy'et trg cap that nghiep hang thang.

1.3. Nhan lai tr Pheng/Te Quan 1 thu, Phong/Te Cap se, the he so cac truerng hgp khong &mg, khong dii de tra don vi.

1.4. Nhan he so; se BHXH, the BHYT, Danh sach cap BHXH, Danh sach cdp the BHYT Pheng/Te Cap the a tra cho don vi, nguai lao deng:

a) So BHXH, the BHYT tra cho ngueri lao deng theo gag phtrang thug sau: Phoi hgp vói don vi, tra true tip hoc tra thong qua dich vi buu chinh hoac Trung tam giai thieu viec

b) Cac he so con lai luu tai cu quan BHXH.

1.5. Thu hi the BHYT ciia cac truarng hgp nhan Quyet dinh huoug che de huu tri; nguiyi lao deng ngirng viec huang trg cap tai nn lao deng, benh nghe nghiep hang thang; hudeng trg cap that nghiep hang thang.

1.6. Hang thang, nhan Mu C12-TS ttr Phong/Te Quãn l thu de gii cho don vi thong qua. dich v%1 buu chinh.

1.7. Hang nam, nhan ML C13-TS tCr Phong/Te Cap se, the de gi;ri cho don vi thong qua dich vu buu chinh.

2. Pheng/Te Quan li thu

2.1. Nhan h so vã dit lieu dien tir (nu co) do BO phan met dm; Te Tham Pheng/Te Cap se, the; Phong/Te Che de BEDCF1:

a) Kim tra, dei chieu cac chi tieu tren danh sach, ter khai; di chi'eu vâi cac chi tieu trong d lieu dien tii cna don vi trong chuang trinh quart thu va dirlieu thu va se BITCH, the BHYT cUa Trung tam Cling nghe thong tin BHXH Viet Nam.

b) Lap danh sach ngueri chi tham gia BHYT:

- Danh sach di chieu ngueri tham gia BHYT (ML DK06) a chuyen cho co quan quL doi tugng dei chieu, xac nhan.

- Lap (sao) danh sach nguoi chua tham gia BHYT (Mau DK03) del vai ngtrbi thuec dien phai tham gia theo he gia dinh, nguoi thuec he can ngheo; he gia dinh ming nghiep, lam nghiep, ngu nghiep va diem nghiep có mire song trung binh de chuyen cho Di ly thu.

c) Chuyen BO phan met dm: Met (01) ban danh sach kern theo .h6 so dm cac tnrong hgp khong dáng, khong du d tra lai cho don vi.

- Thi vâi cac.truang hgp tham gia BHXH tu nguyen, tham gia BHYT theo h'e gia dinh, tham gia BHYT dtrgc ngan sach h trg met phan mire &mg, nep hellz

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so, 'long tin tai BHXH huyen: Lap ML D05-TS doi vái ngtred tham gia BHXH tu nguyen; Mu DKO4 di vai ngued tham gia BHYT; 1.4T, chuyen cho T6 KH-TC kern theo he so cud ngued tham gia d Te KH-TC di chieu, thu tin cda nguoi tham gia.

- Doi Wei ngtroi cla hien be phan co the ngthi: lap mu DKO5 chuyen Phong/T6 Cap se, the a cap the BHYT.

2.2. Phi hop voi PhOng/T6 Cdp s6, the.d giai guy& he so cac truerng hop dieu chinh the yeu thv nhan than; cht'rc danh nghe; ding viec nang nhoc, dee hai, nguy him hoe dac bit nang nhoc, dee hi, nguy hiem c6 thei gian tir 01/01/1995 ter diva cac truong hop gOp se BHXH, di se se BHXH ke ca cap lai se do mdt, h6ng khong dung vai co se( clit Kim tra, del chieu voi co se• du lieu dang quan 1ST ctia BHXII Viet Nam. Truong hop co se da lieu tha. BHXH Viet Nam khong CO df lieu hoac clalieu khong triing lchOp th6ng tin tren se, qua trinh huong BHXH met' lan, huOng BHTN hoc qua trinh dong BHXH, BHTN bao luu, truth Giam dc BHXH tinh, huyen 14T van ban yeu eau BHXH tinh, huyen noi ngtthi lao dOng da tham gia BHXH, BHTN hoac da giai quyet cac eh e dO BHXEI, BHTN trtrac dO de xac minh lai qua trinh dong, huong cac .che dO BHXEI, BHTN; BHXH tinh huy'en nhan dugc yeti cdu ciXa BHXH tinh, huyen Ichae giri dan phai thue hien xac minh va tra li trong tholhan khong qua 10 ngay lam viec ke tir ngay nhan dugc van ban de nghi.

2.3. Phi hop voi cac Phong/T6 Cap se, the; KH-TC lap he so cac truang hop hoan tra, trinh Giam dee BHXH.

2.4. Nhap, cap nhat da lieu dien tcr vao chuong trinh quail 1ST thu cac truOng hop có he so diing, dit; cdp ma quan 1ST BHXH, BHYT; ghi thOi Ilan sir dung the BHYT.

2.5. Thuc hien ghi dit lieu vao chuong trinh quart 1ST thu; in the ban tong hop danh sach lao dOng tham gia BHXB, BHYT di vai m8i don vi tham gia BHXH, BHYT (ML D02a-TS, D03a-TS, D05a-TS); kyr, chuyen toan be he so cho Phong/T6 Cdp so, the.

2.6. TruUng hop PhOng/TO Cdp se, the phat hien dit lieu nhap vao chuong trinh quail 1ST thu vâ. he so Ichong khop, tra lai he so hoc PhOng/T6 Quan 1ST thu kiem tra lai,phat hien he so va dit lieu khong lchap, thi bao can Giam doe BHXH de giai quyet theo quy dinh.

2.7. Hang thang, sau khi chot da lieu trong chuong trinh quail 1ST thu, thixe hien in:

a) Hai (02) ban Thong bao ket qua dong BHXH, BHYT, BHTN (ML C12-TS) chuyen BO phan met dm de gCri don vi 01 ban trtrOc ngay O,5; hru 01 ban hoc chuyen cla lieu len Cong thong tin dien tix BHXH de tra cuu.gZ

29

b) Hai (02) ban tong hop se phai thu (ML C69-HD ban hanh kern theo Thong tu s 178/2012/TT-BTC) gui Phong/Te KH-TC; nhan lai 01 ban c6 xac nhan cila PhOng/To KH-TC de theo del

c) Hai (02) ban Bao cao chi tit don NI ng BHXH, BHYT, BHTN (Mau B03-TS), giri Phong/T6 Khai thac va thu ng 01 ban, btu 01 ban.

d) MOt (01) danh sach ngtrOi tham gia BHYT do ye chirc BHXH 'Jong va danh sach ngtr6i da hien be phan co the ngtrai (ML DK05) gui UBND xa xac nh'an.

d) Met (01) ban danh sach di Wong tham gia BHXH tkr nguyen, BHYT tnxac 30 ngay den han phai dong (ML D08a-TS) di gui dal 1 thu.

e) Bao cao ngbiep vu de giri BHXH cap tren (Mau B01-TS) theo quy dinh tai Dieu 48. .

2.8. Hang quy, thuc hi'en in:

a) Dei vai Ph6ng Quan 1 thu: Bang teng hop se the va se phai thu theo nai clang k kham chila benh ban du (Mau B05-TS), gtiri Phong KH-TC, Phong Giam dinh BHYT.

b) Cac bao cao nghiep vu (ML B02a-TS, B02b-TS, B04d-TS, B04b-TS) de i BHXH cap tren va luu tai BHXH tinh, huyeritheo quy dinh tai Dieu 48.

3. PhOng/Te Cap se, the

3 1 Nhan he so do BO phan met ctim, Phong/Te Quan 1 thu, PhOng/Te che de BHXH chuyen den; kiem tra, dei chieu he so, danh sach vai at lieu trong chuang trinh quart 1 thu va dir lieu dm Trung tam Cong nghe thong tin BHXH Viet Nam; ra sok dir lieu d'e tranh cap tang the BHYT.

a) Phei hgp Phong/Te Quan ly thu kiem.tra, giài guy& he so ode twang hap neu tai Diem 2.2 Khoan 2 Dieu nay.

b) Di voi cac twang hop da lieu chtrong trinh va he so khop dimg:

- In se BHXH, the BHYT; danh sach cdp se BHXH (ML D09a-TS), danh sach cap the BHYT (Mau DlOa-TS).

- In 02 phieu sir dung phoi bia se BHXH (ML C06-TS); 02 phi'eu sir dung ph8i the BHYT (C07-TS); kru 01 ban cimg v6i chimg tir . cap phat, sir dung phoi se BHXH, the BHYT; .01 ban de guy& toan.

- Te Cap se, the in danh sach the BHYT clang k kham chfra benh ngoai tinh (Mau D60-TS) de giri BHXH tinh; Phong Cap se, the teng hap, in danh sach dung k kham chira benh ngoai tinh (ML D60-TS) de chuyen BHX1-1 tinh nai nguai tham gia clang kham chfra benh ban dau

30

c) Twang hop dtir lieu chuong trinh vã he so khong khap dimg thi 1ap Phieu tra he so (Mau CO2-TS), chuyen lai cho Phang/TO Quan 19 thu d kiem tra, xir 19 theo quy dinh.

d) Dei vai truang hop cdp li, 68i the BHYT; kiem tra, di chi6u he, so de nghi vai co. so. du lieu hien dang quail 19 va co sa dir lieu eta BHXH Viet Nam.

d) Di vai he so de nghj cdp 1i sO BHXH do mat, hang: Kim tra, di chi6i voi co. so' dC lieu dang quail 19, neu khop dung thi cap 10. Twang hop kh6ng thing vai co so. dir lieu dang quan 19 thi phi hop vai Phong/TO Quan 19 thu dive hien theo quy dinh tai Diem 2.2 Khoan 2 Dieu nay.

e) Truang hop nguoi tham - gia giai quyOt che .4:10 BHXH mat lan có thai gian dOng BHTN chua hi/Ong, thi cap lai bia sO kern theo ta raj ghi qua trinh dOng BHTN chua htrang, se) s8 BHXH lay theo sos BHXH da cap.

g) BHX11 huyen nai chi tra cuei cimg thuc hien xac nhan 10 tang thai gian dOng BHXH, BHTN khi nguai lao Ong ket thirc dot huong trg cap that nghiep.

h) Cap TO. rai so BID(iEl doi vai tnrang hop nguai tham gia dal giai guy& che da BHXH Co dieu chinh qua trinh &Mg BHXEI.

3.2. Chuyen:

a) H so giai quy6t,- dieu chinh htrOng• did da BHXH cüa ngirai lao dang cho Phong/Te Cho' da BHXH.

b) SO BHXH, the BHYT kern theo danh sach cap sO BHXH, the BHYT va gidy ban chinh cho BO phan mat dm de chuyen tra don vj, nguai tham gia.

3.3. Chat s6 BHXH cho nguai lao clang khi dirng clang BHXH, ket thac dot huang trg cap that nghiep. Xac nhan qua trinh dong BHXH, BHTN khi có de nghi cira don vi hoc co. quan thanh tra, kiem tra.

3.4. Hang Mang:

a) Ph6ng Cap se, the in danh sach clang 141 kham chita benh ngoai tinh de chuyen BHXH tinh noi nguai tham gia 'Tang k9 kharn chtta benh ban du (Mau D60-TS).

b) M6 s theo dal sir dung phoi s BHXH, phei the BHYT, thai han sir dung the BHYT (Mau SO4-TS, SOS-TS, S06-TS, S07-TS) theo quy dinh t0 Dieu 48.

3.5. Hang,q4, Phong Cap so, the in (hoc chuyen do lieu) bao cao tong hop danh sach Gang nei thai gian tham gia BLIXH (Mau B04c-TS) BHXH Viet Nam theo quy dinh tai Diu 48 va luu tai BHXH tinh

31

3.6. Hang nam, in TO. rei se BHXH xac nhan thoi gian d. dOng BHXH, BHTN nam trtrac (den 31/12) a grid cho nguiyi tham gia BHXH bat bu0c, ngtr6i tham gia .BHXH tu nguyen.

3.7. Thang 01 hang nam, in thong ban ket qua dong BHXH, BHYT, BHTN (Mau C13-TS) nam tuft ciia ngtrei lao &Ong, chuyen be phan met cira giri cho don vi thong qua dich vu btru chinh de don vi Mem yet cong khai.

4. PhOng/T6 KH-TC

4.1. Nhan chimg tr chuyen tin clang BHXH, BHYT, BHTN cua don vi, Di 13'T thu, ngtroi tham gia.

4.2. Cap nhat dit lieu vao chtrang trinh quail 157 thu: so tin dã thu BHXH, BHYT, BHTN caa don vi, ngan skit nhantroc, daily thu, .ngtrei tham gia.

4.3. Ghi thu s6 tin dong BHYT cüa di Mang tham gia BHYT do ngan sach Trung uang va guy BHXH, BHTN dam bac.

4.4. Thu tin dong BHXH tu nguyen, BHYT cüa nguoi tham gia 'dOng th6ng qua Dai 15' thu hoc BO phan met cira chuyen den; 14, dong du xac nhan da thu tin tren ban danh sach do dai thu lap, chuyen be phan Cap se, the.

4.5. Hang thang:

a) Nhan 02 ban teng hop s6 phai thu hang thang (Mau C69-HD) dei vai mi don vi tham gia BHXH, BHYT de hach ton, k5' xac nhan va chuyen lai cho Phong/T6 Quan 15' thu 01 ban.

b) Nhan bang teng hgp se tin phai dong va se the dang kham chira benh ban du do PhOng/T6 Quanlyrthu chuyen d'en (Mau B05-TS).

c) Di chieu bien lai thu tin va se tin da thu (Mau C17-TS) vOi PhOng/T6 Quan 15' thu.

4.5. Dinh kST 3 thang, 6 thang hoc 12 thang, phoi hgp vai PhOng/To Quan thu ding hgp st) the BHYT da phát hanh, s6 tin thu cüa di tagng va s den

ngan sach nha mac dong, h trg dong BHYT theo quy dinh tai Thong tu se 41/2014/TTLT-BYT-BTC gii ca quan quan 15' di tugng, ca quan tai chinh chuyen kinh phi tuang frng vao quy BHYT theo quy dinh.

4.6. Trtreng hgp cap nhat sai se 1iu thi lap chirng t dieu chinh theo quy trinh Giam Tec BHXH k5' duyet, 01 ban ltru tai Phong/T6 KH-TC de lam

can cir dieu chinh, 01 ban chuyen Phong/T6 Quan13', thu d theo dOi va di chi6u vai don vi.

5. Phong/To Cho de BHXH

5.1. Chuyen danh sach cap the BHYT (Mau D07-TS) do te chirc B XH dOng cho.Phong/T6 Quan thu de xac dinh s thu va cap the BHYT

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5.2. Chuy'en h6 sa giai guy& che dO BHXH mgt 1n dgi vgi twang hop ngugi tham gia c6 thai gian dong BHTN chua huang cho Phong/T6 Quan 1 thu; he so' ngagi tham gia dirng huong trg cap that nghiep cho Pheng/T6 Cap sg, the a xac nhan lai tgng thai gian dong BHTN chua huang.

6. PhOng/T6 Giam dinh BHYT

6.1. Nhan bang tong hop so tin phai clang va so the clang 14r kham chita benh ban dau do Phong/T6 Quan 1.3'T thu chuyen den (Mau B05-TS).

6.2. Cung cap danh sach ca sa kham chaa benh c6 hop dOng kham chila benh ban du cho Phong/T6 Quan 1 thu va Phong/T6 Cong ngh'e thOng tin.

6.3. Huang dan co se kham chita benh BHYT ten dia ban quan 1S7 truy cap dit lieu the BHYT de kiem tra, dgi chieu thong tin ten the BHYT khi lam thu Wc tip nhan kham chira benh va thanh toan BHYT.

7. PhOng/T6 Cong nghe thgng tin

7.1. Quail 157 dir 1iu thu; s BHXH, the BHYT va dir liOu giai quyet chinh sach BHXH, BHYT chuyen ve Trung tam Cong ngh'e thong tin BHXH Viet Nam theo quy (Anti (c6 van ban huong dan rieng cüa Trung tam COng nghe thong tin) de tich hap vao Ca si dit lieu dung chung.

7.2. Cap nhat danh sach co só kham chira benh c6 hgp dgng kham chtla benh ban du vao chuong trinh quan 1 thu.

. 7.3. Phong Cong nghe thong tin nhan da liOu thu; cap s6 BHXH, the BHYT cüa BHXH huyen glri ve d t6ng hop toan tinh va chuyen ve Trung tam Cong nghe thOng tin BHXH Viet Nam a cap nhat, tgng hgp, sir dung toan qugc.

7.4. Twang hop dieu chinh d lieu phãi c6 phe duyet eta Giam dc BEIM tinh/huyen.

8. Tnrgng.hgp co. quan BHXH Và don vi giao dich hang h6 so dien 1-6 thi thgc hien quy trinh thu; cap s6 BHXH, the. BHYT theo quy dinh ye giao dich dien tir trong viec thgc hien thu tuc tham gia BHXH, BHYT, BHTN; cap s6 BHXH, the BHYT.

Chtrcrng V QUAN LY THU; CAP SO BHXH, THE BHYT

Muc 1 . .KE HOACH THU, CAP PHAT PHOI SO BHXH, PHOI THE BHYT

Diu 36. Xay dipig, diu chinh va giao k hoach thu hang nam

1. BliXH huy'n

1.1. Xay dung, diL chinh k hoach thu:

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, a) Can cir tinh hinh thpc hien nam tnxerc, 6 thang du nam va kha nang phat trien di Wong tham gia BHXH, BHYT, BHTN ten dia ban, ra soat va lap 02 ban ke hoach thu BHXH, BHYT, BHTN (Mau K01-TS) giri 01 ban den BHXH tinh theo quy dinh. • -

b) Lap 02 ban ke hooch ngan sach da phuang (long, h trg mire dong BHYT, 01 ban giri co* quan tài chinh ding cap theo phan cap ngan sach dia phuung a tang hop trinh UBND huyen guy& dinh, 01 ban giri BHXH tinh de t6ng hop toan tinh.

1.2. Xay dung, (lieu chinh kinh phi ha trg thu, hoa hang di tren ca sâ du kin k hoach, k hooch dieu chinh d xay dung dieu chinh kinh phi ha trg thu, hoa hang di l gri BHXH tinh theo quy dinh.

1.3. Thai gian: theo huang dan eta BHXH Viet Nam.

2. BHXH tinh

- 2.1. Xay dUng, di'eu chinh ke hoach thu:

. a) Lap 02 ban ke hoach, 02 ban ke hooch dieu chinh thu BHXH, BHYT, BHTN (Mau K01-TS) va kinh phi ha trg cong tac thu di vai don vi do tinh true tip thu.

b) Tang hop toan tinh,. lap 02 ban ke hoach, dieu chinh ke hoach thu BHXH, BHYT, BHTN (Mau K01-TS), gi BHXEI Viet Nam.

c) Lap 02 ban- ke hoach ngan sach dia phuang (long, h trg mirc dOng BHYT, gth So. Tai chinh de tang hop trinh UBND tinh qUyet dinh.

2.2. Giao ke hoach thu: Tren ca s6. ke hoach thu, phan ba kinh phi ha -Ira cOng tac thu, hoa hang dai l dugc BHXH Viet Nam giao, tin hanh phan b ke hoach thu BHXH, BHYT, BHTN; k hoach kinh phi hatrcY cong tac thu, hoa hang dai l cho BHXH tinh va BHXH huyen. ,

2.3. Thad gian: theo huOng dan cüa BHXH Viet Nam.

3. BHXH Viet Nam: Tang hop, xay di,mg va dieu chinh ke hoach, giao k6 hoach dam bao sat tinh hinh thuc th va kha nang thuc hien.

Diu 37. K ho#ch sfr dvng phoi sO BHXH, the BHYT

1. BHXH huyen: Can cir tinh hinh dung phoi sa BHXH, the BHYT va se) lugng phoi sa-BHXH, the BHYT can ran; du bao kha nang phat trien di tugng tham gia BHXH, BHYT cüa nam sau, lap ke hoach sir dung phoi s6 BHXH, the BHYT nam. sau (Mau K02-TS) gui Phang Cap sa, the truot ngay 15/6 hang nam.

2. BHXH tinh: Phang Cap so, the' can cir nhu cau sir dung s6 BED(11, the' BHYT cüa cac dun vi do tinh truc tip quan 13'7; k hoach sir dung sa BHXH, the BHYT cüa BHXH huyen; sa lung sa MUCH, the BHYT cOn tan, lap ke hoachivk

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s* dimg ph6i sO BHXH, the BHYT nam sau (Mau K02-TS) giri Ban S6 - The truac ngay 01/7 hang nam.

3. Diu chinh ká hoach: BHXH tinh, huyen can c* nhu cdu thuc tO lap dieu chinh ke hoach sir dung phoi s6 BHXH, the BHYT (Mau K027TS).

Muc 2 QUAN 1,):7 THU

Diu 38. Quin IST afri tnyng

1. Doi Wang tham gia BHXH bat bu0c, BHYT, BHTN

1.1. BHXH tinh, huyen có trach nhiem:

a) Lap danh sach cac don vi tren dia ban; th'Ong bao, hu6ng dan don vi kip thei dang k tham gia, dong dü BHXH, BHYT, BHTN cho ngued lao dOng theo quy dinh cUa phap luat.

b) Dinh ky 3 thang haac dOt xudt, bao cao UBND ding cap, ca quan quan lao dOng dia phuang tinh hinh chip hanh phap luat ve BHXH, BHYT, BHTN

eta cac don vi ten dia. ban. Cac twang hgp don vi vi pham phap luat v dong BHXH, BHYT, BHTN: khong dang k tham gia ho'ac dang 1(3', dOng BHXH, BHYT, BHTN khong diX s6 lao dOng, khong dung thoi han theo quy dinh cüa phap luat, co quan BHXH lap bien ban, kin nghj xir 13'7 theo quy dinh.

1.2. Nguoi lao dOng d'Ong th6i có tir 02 HDLD tro. len voi nhieu don vi khac nhau thi dong BHXH, BHTN theo HDLD giao ket ddu tien, dOng BHYT theo HDLD c6 mire teen luang cao nhat.

1.3. Ng-lied lao dOng lam viec theo HDLD trong don vi sir nghiep cüa Nha mac thi dOng BHXH, BHYT, BHTN can cir tin luang ghi trong HDLD. Tien luang ghi trong HDLD phu thuOc vao che dO tin Krung ma don vi thuc hien di vai nguei lao dOng:

a) Nu thuc hien che dO flan luong do Nha nuac quy dinh: Theo Khoan 1, Dieu 6;

b) Nu thuc hien the dO den luang do don vi quyet dinh: Theo Khoan 2,

Dieu 6.

1.4. Doi vai nguoi lao dOng nghi viec, di chuyen, phai thu hi the BHYT cOn han s* dung dm ngued lao dOng (tr.* tnximg hap chet; ch6 giai quyet che dO huu tri, trg cap tai nan lao dOng - benh nghe nghiep hang thang).

1.5. Dan vi chuyen dia ban, chdm dirt hoat dOng, giai the, pha san phai &Mg dü BHXH, BHYT, BHTN cho ngtrefi lao dOng dn thoi dim di chuyO14/

35

cham dirt hoat dOng, giai the, pha san a lam can cir chet se BHXH giai quyet che de cho ngugi lao dOng.

1.6. Dan vi dugc tam ding dong vao quy hi.ru tri va tir tut van phai clang vac qu m dau va thai san, quy tai nn lao deng - benh nghe nghiep, quy BHYT, quy BHTN. Het thgi han duce tam ding dong, don vi tiep toe dong BHXH, BHYT, BHTN theo phuang thirc da clang k va thing bir cho thiri gian tam ding dong vac quy huu tri va tcr tut. Tien dong ba khong bi tinh lai cham &Mg.

Trong thgi gian dugc tam ding dong, nu c6 ngugi lao deng nghi viec, di chuyen hoc giai guy& che de BHXH thi don vi dong di tin BHXH, BHYT, BHTN va tin lai chain dong (nu c6) di vgi ngugi lao deng d6 d eh& se) BHXH.

1.7. Ngugi lao dOng khong lam vied va khong huong tin Krung ti 14 ngay lam viec tra len trong thang thi khong dong BHXH thang dg. Thai gian nay khOng throe tinh de huong BHXH, trir tniong hop nghi viec haang the de thai san.

Ngugi lao dOng nghi viec hung che de 6m dau ti 14 ngay lam viec tro• len trong thang the& quy dinh cia phap lust ve BHXH thi khong phai dOng BHXH, BHYT, BHTN nhung van. dugc hixang qUyen loi BHYT.

1.8. Ngtigi lao dOng nghi viec hugng che de thai san tit 14 ngay lam viec tro len trong thang theo quy dinh ciao phap.luat ye .1313.X171 thi. don vi yd ngugi lao deng khOng phai thing BHXH, BHTN, thei gian nay van dirge tinh la thai gian tham gia BHXH, khong dugc tinh la thoi gian dong BHTN; phai (long BHYT do ca quan BHXH &mg.

2. Dei tugng chi tham gia BHYT

2.1. Co quan BHXH tinh, huyen phi hop voi cac co quan co lien quan to chic theng ke, lap .danh sach; t6 chic thu, cap the BHYT cho del Wong tham gia BHYT; dinh ky bao cao vgi UBND ding cdp v tinh hinh thuc hien BHYT cho cac di tugrig theo quy dinh cia Luat BHYT va d& xuat cac bin phap giai quyet vuOng mac.

2.2. Ngugi tham gia BHYT do t6 chic BHXH Eng di chuyen khoi dja bap tinh: co quan BHXH nqi nguoi tham gia chuyen den thu hi the BHYT ci, cap the BHYT mgi; dong thi thong bac) cho ca quan BHXH nai cap the BHYT ci de dieu chinh giam se phai thu (Mau D61-TS);

2.3. Di vi tre em dugi 6 tuei di chuyeri khoi dia ban tinh:

Cha (me) hoc ngugi giam he nOp the BHYT cho ca quan BHXH. Co quan BHXH thu hi the BHYT, cdp gidy tip iilidn h6 so Và hen tra ket qua (Mau se- 01 ban hanh kern theo Quyet. dinh se 999/QD-BHXH ngay. 24/9/2015 cia BHXH Viet Nam). Tnrgng hgp ngugi tham gia thong nep the BHYT tai tinh noi cap the',/

36

thi co. quan BIDM nai cap the mâi thu hi the BHYT Cu va cap the BHYT mai; Sing thed thong bdo cho ca quan BHXH nui cap the BHYT eft de dieu chinh giam s6 phai thu (Mu D61-TS).

Dieu 39. Quin 13'T teen thu

1. Hinh thirc &nig tin

1.1. Chuyen khodn: Chuyen tin dong vao tai khoan chuyen thu cüa ca quan BHXH rn& tai ngan hang hoc Kho bac Nha mr6c.

1.2. Tien mat:

a) Dan vi, ngtrOi tham gia nOp trvc tier) tai ngan hang hoc Kho bac Nha nuac.

b) TtuOng hop don vi, ngtroi tham gia nOp cho ca quan BHXH thi trtrac 16 giO trong ngay co quan BHXH phai nOp toan b0 s tin rn4t d thu cüa don vi, ngtriri tham gia vao tai khoan chuyen thu tai ngan hang hoac Kho bac Nha mrac.

2. Hoan tra

2.1. Cac trtrOng hop hoan tra:

a) Dun vi giai the, pha san, cham dirt hog dOng theo quy dinh caa phap luat hoac di chuyen nai clang Ic1T tham gia dal dong thira tin BHXH, BHYT, BHTN.

b) Cac trtrOng hop hoan tra BHXH tv nguyen, BHYT.

c) Dun vi chuyen tin vao tài khoan chuyen thu khong thuOc trach nhiem quan 13'T thu cda co quan BHXH tinh, huyen theo phan cap.

. d) S tin don vi, ca nhan da chuyen vao tai khoan chuyen thu khong phai la tin dong BHXH, BHYT, BHTN.

d) Kho bac hoc ngan hang hach toan nhAm vao tai khoan chuyen thu.

2.2. Phan cap thkrc hien:

Co quan BHXH quan 13'T don vi, nothi tham gia thvc hien hoan tra. tin dong BHXH, BHYT, BHTN ter tai khoan chuyen thu cita co quan BHXH.

2.3. Trinh nr hoan tra:

a) HO so d'6 nghi hoan tra:

- Trtrang hap quy dinh tai Tit a, b Diem 2.1 Khoan nay: don vii, cá nhan

lap 116 so theo quy dinh.

- Cac truOng hop con dun vi hoc ngan hang, kho bac có van ban de

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b) Phong/T6 Quail 19 thu phi hop vai Phang/T6 KH-TC xac dinh nguyen nhan, stStin da dong thixa, s6 tin chuy'en nham, • hach tan nham vao tai khan chuyen thu trinh Giam doc BHXH.

c) Giam dc BHXH ra quyet dinh hoan tra (Mau C16-TS), giri 01 ban cho PhOng/T6 KH-TC hru va lam ilia tic chuyen tin, gth Pheng/T6 Quan 19 thu 01 ban. Tru6ng hop ngan hang hoac Kho bac Nha mr6c hach toan nham thi giri 01 ban cho ngan hang hoc Kho bac Nha mr6c do a kiem soat.

Edu 40. Quan 157 nq, Ton dc thu my MUCH, BHYT, BHTN

1. Phan loai ng

1.1. Ng cham dong: cac tru6ng hop no c6 thed gian no duoi 1 thang.

1.2. Ng -dgrig: the throng hop có thoi gian no tir 1 thang den du6i 3 thang.-

1.3. Ng keo dai: th6i gian no tit' 3 thang trOf len va khong bao gm cac truong hop tai Diem 1.4 Khoan nay.

1.4. Ng kho thu, gm cac tnr6ng hop:

a) Dan vi khong c6n tai dia diem dang k9 kinh doanh (don vi mat tich).

b) Dan vi clang trong thoi gian lam thil Ate giai the, pha sari; don vj có chü la ngu6i nuac ngoai b6 teen lchOi Viet Nam; don vi '<hong hog dOng, khOng c6 ngtt6i quan 117, dieu harih. • •

c) Dan vi cham dirt hoat dOng, giai the, pha san theo quy dinh cüa phap luat;

d) Ng lchac: don vi no clang trong thin gian &roc tam dirng dong vao qu'y huu tri va tCr tat, don vi &roc cap c6 tham quyen cho lchoanh no. •

2. H6 so xac dinh ng

2.1. Di vai ng cham Ong, no dong, no keo dai quy dinh tai Diem 1.1, 1.2, 1.3 Khan 1 Dieu nay:

• a) Thong bao lcet qua dong BHXH, BHYT, BHTN. (Mau C12-TS);

b) Bien ban d6i chieu thu nOp BHXH, BHYT, BHTN (Mau COS-TS).

2.2. Dei vài cac tnx6ng hop no lcho thu quy dinh ti Diem 1.4 Khan 1 Dieu nay:

a) Dan vi tai Tiet a: Van ban xac nhan cua fly ban nhan clan cap xa.

b) Don vi tai Tit b: Van ban dm co quan c6 thain quyen xac nhan tinh trang doanh nghiep.

c) Dan vi tai Tit c: Van ban Gila co quan c6 tham quyen v vice cham dirt hoat clOng, giãi the doanh nghiep; guy& dinh tuyen be pha san cña Toa an.

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d) Dun vi tat Tiet d:

- Dang trong th6i gian dugc tam clUng (long: Quyet dinh cho phep tam &mg dong cita co' quan c6 tham quyen;

- Dugc khoanh ng: Van ban cila ca quan co tham quyen cho phep khoanh ng.

3. Te chirc thu thu ng tai BHXH huyen, BHXH tinh

3.1. Phong/Te Quart 1 thu:

a) Hang thang, can be thu thuc hien don dc don vi nep tin theo quy dinh.

b) Throng hap don vj ng dr 2 thang den dong, di v6i phucmg tilde dong hang thang; 4 thang, di vori phtrong thIrc dong hang quy; 7 thang, doi veri phuong thirc dong 6 thang met ran, can be thu true tiep den don vi de don doe; g-fri van ban don dc 15 ngay met Ian. Sau 2 lan giri van ban ma don vi khong dep chuyen he su dun vi den Phong/T6 Khai thac va thu ng tiep tuc xir ly.

c) Hang thang chuyen bao cao chi tit don vl ng. (Mau B03-TS) (kem theo dU li'eu) cho Phong/T6 Khai thac va thu ng de quan 1, don dc thu ng va doi chieu.

3.2. PhOng/Te Khai thac va thu ng:

Tip nhanhe su do PhOng/To Quart i thu chuyen den, phan tich, doi chieu v6i dir lieu trong frng dung quan 1 ng, lap ke hoach thu ng va thuc hien cac bin phap don dc thu ng di voi timg dcm vi ng.

a) Doi voi don vi ng keo dai:

- Lap Bien ban &Si chieu thu nep BHXH, BHYT, •BHTN (Mau C05-TS); trong thoi han 30 ngay k'e tir ngay lap bien ban, nu don vi khong dep tin thi phoi hap v6i Phong/Te Kim tra bao cao Giam dee ra quy'et dinh thanh tra dOng BEDM, BHYT, BHTN, xir ly vi pham theo quy dinh.

•-,Ket thitc thanh tra, nu don vi 'thong nOp tin, lap van ban bao cauUBND ding cap va co quan co tham quyen de áp dvng cac bin phap cueing che theo quy dinh cia phap luat.

- Bei vai chit' don vi la 'ngtroi ntr6c ngoai vi pham phap luat cO clau hieu b6 ten thi phi hop' vai co quan c6 than' quyen a co bin phap ngan chan b6 tr6n.

- Thong bao danh sach dun vi c tinh khong tra ng tren cac phuong tin thong tin dai chimg.

b) Doi voi nhom ng kho thu:

Sau khi hoan thin he so xac dinh ng theo quy dinh tai Khoan 2 Dieu nay và thuc hien thu ng theo tit a Diem nay; PhOng/Te •khai thac và thu nglap danh117-

39

sach don vi mdt tich, don vi khong con hog ding va don vi khong có ngtrai quan dieu hanh; don vi chdm dirt hog dOng; don vj giai the, pha san, chuyen cho

Pheng/T8 Quan 1 thu d thvc hiL ch8t so tin phai dong va tin lai cham dOng den that diem don vi ngirng hog dOng; ma se theo doi va xfr I ng theo luxOng dn rieng.

4. Danh gia, bao cao tinh hinh ng, thu ng

-Hang qu1i, Phong/T8 Khai thac va thu ng lap bao cao danh gia tinh hinh thu ng (ML B03a-TS) güi BHXH cdp treri 01 ban.

Diu 41. Tinh lai ch4m 'long BHXH, BHYT, BHTN

1. Don vi dong BHXH bat bu0c, BHYT, BHTN chum qua thai han theo quy dinh ta 30 ngay tra len thi phai clang s tin lad tinh tren s6 tin BYLKEI bat bu0c, BHYT, BHTN chixa dong bao gem Ca lien lai ctia cac kr tnrac Chita nOp.

2. Phtrong thirc tinh lai: ngay du hang thang

3. COng thirc tinh lai cham clang BHXH bat bu0c, BHYT, BHTN:

Lcdi = (Pcdi + Lcdi-1) x k (d Ong) (1)

• Trong do:

* Lcdi: tin läii cham dong BHXH bat bu0c, BHYT, BHTN tinh tai thang i (deng).

* Pcdi: s6 tin chtra dong phai tinh lai tinh tai thang i (ang), dugc xac dinh nhixsau:

Pcdi = Plki - Spsi

Trong do:

Plki: t8ng s6 tin phai dong luy ke den het thang trixac lien ke thang tinh lai i (ng mang sang thang tinh

Spsi: s8 phai Eng phat sinh chtra qua han phai n0p, tinh an thang truac ke thang tinh lai i (s8 tin phai dong tinh theo danh sach tham gia BHXH,

BHYT, BHTN cda thang tnrac lien ke thang tinh Ii hoac cia cac thang tnrac thang lien ke thang tinh lai trong phtrang thirc dong hang qu3i hoac 6 thang mOt

chtra qua han phai n0p).

Nu Pcdi > 0 thi c6 ng tit-1h lai, nu Pcdi < 0 thi khong c6 ng- -drib 'al.

* k: lâi sudt tinh Iai cham dong tai thed diem tinh lai (%/thang):

- D8i vai BHXH bat bu0c thi k tinh bang lai sudt au tix quy BHXH.binh quail nam trtrac lin ke do BHXH Viet Nam cong b-8 chia cho 12

40

- Doci vori mire Ii suit cham &Mg BHTN, BHXH Viet Nam di huang dn rieng.

- DOi BHYT thi k Mill hang 02 lin lài suit lien ngan hang do Ngan hang Nha mac Viet Nam cong bó tai tiled diem tinh lai.

* Ledi-1: lãi cham dong chua trã het tinh den thang truac lien ke thang tinh lai.

4. NOi dung tinh lai cham dong BHXH, BHYT, BHTN quy dinh tai Dieu nay thuc hien den het ngay 31/12/2015. Tir ngay 01/01/2016, thuc hien theo van ban quy dinh cüa Chinh phiCi va huang d'an cna BHXH Vi'et Nam.

Di&i. 42. Truy thu BHXH bit buc, BHYT, BHTN

1. Truy thu cOng noi Mori gian

1.1. Cac throng hop truy thu:

a) Don vi khong clang 14T dong BHXH bat bu0c, BHYT, BHTN dOi vâi ngtroi lao ding.

b) Ngu6i lao dOng quy dinh tai Diem 1.7 Khoan 1 Dieu 4 truy dOng BIDCH bat buOc sau khi v mac.

c) Cac truong hop khac theo quy dinh cüa co. quan Nha nude có tham quyen.

1.2. Dieu kin truy thu:

a) Dugc ccx quan cif) thim quyen hoc ch quan BHXH kiem tra, thanh tra, buOc truy thu; don vi el:5 de nghi dirge truy thu doi vai nguoi lao dOng.

b) H so dfing theo quy dinh.

1.3. Tien hrong lam can ccr truy thu, tS71 truy thu:

a) Tien ltrang lam can cLf truy thu la tin luong thang dong BHXH, BHYT, BHTN theo quy dinh cda phap luat Wong Ung thoi gian truy thu. Tien Krung nay &roc ghi trong s BHXH cia ngueri lao dOng.

b) TST le truy thu• tinh bang tS71 % &Mg BHXH, BHYT, BHTN do Nha mac quy dinh Wong frng thiM gian truy thu.

1.4. So tin truy thu:

SO tin truy thu Stt bang tOng so tin phai dong BHXH, BHYT, BHTN va tien lai:

Stt = ESpdj + Ltt (cfong)

(2)

1=1

Trong d6:41,

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Spd,: SO tin phal dong BHXH, BHYT, BHTN thang i dm don vi va nguai lao Ong tinh theo tin hiong va t le truy thu quy clinh tai Diem 1.3 Khan 1 Dieu nay.

v: s thang tray thu

Ltt: Tin lai truy thu, bang teng tin läii tinh ten so'tin phai (long BHXH, BHYT, BHTN cüa tirng thang, tinh theo Gong tht're sau:

Ltt = ELtt, (dang)

(3)

i=1

Trong do:

v : se) thang truy thu (vi du, truy thu 04 thang: thang 1, thang 2 thang 4 va. thang 5 nam 2011 thi v = 4)

Ltd, : tin lai truy thu tinh tren s tin phai (long thang i theo nguyen t'ae tinh lai gop, theo cong thae sau:

Ltt, = Spd,x[(1+k)m -11= Spd,x[FVF(k,n,) - 1] (clOng) (4)

Trong do:

Spd, : s tin phai dOng BHXH, BHYT, BHTN thang i

k (%/thcing): Lai suat truy. thu, tinh bang lãi suit cham Eng tai then diem tinh tien truy thu.

n,: S'(') thang chtra clang khoan tin Spd, phai tlnh lai (s6 lan n114 lai), tinh theo cong thire sau:

n, = To-T,

Trong do: To: thang tinh tin truy thu (theo throng lieh).

T,: thang phat sinh se; tien phai clang Spd, (tinh theo &tong licit).

FVF(k,n,): Thira s6 gia tri Prong lai ee mirc lai xuat k% Arai n,ky han t1nh lai.

Vi dv: tinh den truy thu tai thang 11/2011 di v&i sc") tien ehtra dong dm thang 8/2011 thini = 11/2011 - 8/2011 = 3

VI du v". tinh lai truy thu:

Thang 12/2011, truy thu don vi A khoan tien chin. &mg BHXH trong 4 „at__ thang: thang 1, thang 2, hang 4 va thang 5 nam 2011, st') tien phai clang ena tirng

thang theo bang duaei.

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Gia dinh lai suit grill lii cham dong BHXH tai thoi diem thang 12/2011 la 1%/thang.

Theo cac. cong thirc tren tinh &roc tin lai truy thu nhu bang sau:

Bang tin lai truy thu BHXH:

Thing phai truy thu

Sii den MUCH phai dong ciia

tang thing (dong)

Tin lai truy thu

SS thang phai tinh lai (ni)

(theing)

Thira mi gia tri tuvng lai FVF(k, ni)

Tin lai truy thu

(ctOng)

1 2 3 4 5 = (2) x [(4) -1]

01/2011 10.000.000 11 1,1157 1.157.000

02/2011 11.000.000 10 1,1046 1.150.600

03/2011 0,00 -- -- -- 04/2011 11.000.000 8 1,0829 911.900

05/2011 12.000.000 7 1,0721 865.200

Tiing s6 44.000.000 -- 4.084.700

TOng cOng: + S tin BHXH phai truy thu: 44.000.000 (dang)

+ St; tin lai truy thu: 4.084.700 (do'ng)

2. Truy thu do dieu chinh tin lacing diã dong BHXH bat buOc cüa ngu6i lao dOng

Truemg hop dun vi nOp he,su dieu chinh trong yang 30 ngay k tir ngay ngued có thim quyen guy& dinh hoc HDLD (phu luc FEDLD) nang bac, nang ngach, dieu chinh tin Krung, phu cdp &mg BHXH, BHYT, BHTN cüa ngued lao dOng thi khong thuc hien tinh lai; tnreIng hop neop dieu chinh tin hrang cham lir 60 ngay trer len thi tinh lâi theo quy dinh.

3. Ni dung quy dinh tai Dieu nay thuc hien den hat ngay 31/12/2015. Tir ngay 01/01/2016, thuc hien theo van ban quy dinh cüa Chinh phU va huOng din

BHXH Viet Nam.

Diu 43. Thanh tra, kielm tra dong BHXH, BHYT, BHTN

1. Kim tra

Hang nam,BHXH tinh, BRXH huyen t6 elide kiem tra viec chip hanh phap luat BHXH, BHYT, BHTN di vOi cac don vi tham gia . BHXH, BHYT, BHTN tren dia ban thu sau:

1.1. NOi dung kiem tra gOrn:4- ---

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a) Tinh hinh Ong BHXH, BHYT, BHTN: se lao deng, tin Itrong lam can c* Ong, chuyen tin Ong BHXH, BHYT, BHTN; he sci dang k tham gia, Ong BHXH, BHYT cüa dun v, ngtrai laD dOng.

b) H Sa lam can dr dieu chinh thong tin tren st BHXH, the BHYT; truy thu BHXH, BHYT, BHTN.

1.2. Phuong phap kiem tra.

a) Can c* tinh hinh cu the eila dia phuung va ke hoaoh kiem tra do BHKEI Viet Nam giao hang Warn, BHXH tinh, BHXH huy'en lap ke hoach kiern tra dei vai .cac don vi dang tham gia BHXH, BHYT; Bao can UBND ding cap de co ke hoach phi hap yen cac co. quan CO thin quyen hoc thanh lap doan kiem tra de to chirc thuc hien.

b) Cac btrac 'den hanh::

- Can c* bang ke he 'so. Tang ky va ho sa diet' chinh cüa dun vi gi co. quan BHXH trong qua trinh dong BHXH, BHYT, BHTN, cac thong bao ket qua dong BHXH, BHYT cüa don vi va ngtrai lao dOng do co. quan BHXH giri hang thang, hang nam.de kiem tra, 46i chieu val he scr, chimg tr Ong BHXH, BHYT, BHTN tai don vi nhu daith sach lao Ong trong bien che dm dun vi, danh sach tra krung, HDLD, cac quyet dinh cüa dun vi di vâi nguai lao Ong; cac chirng tirs chuyen tin Eng BHXH, BHYT, BHTN.

- Kim tra,cac loai gidy ti lam can eir truy thu BHXH, BHYT, BHTN; dieu chinh cac yeu to ye nhan than; dien chinh lam nghe, cong viec nang nh9c, dee hai, nguy him hoac dc bit nang nh9c, doe .hai, nguy him theo bang .ke (Phu luc 02, Muc I Phu luc 03).

- Lap bien ban kiem tra.

- Giai thich, huang clan khac phuc cac sai sot, nham ln trong qua trinh Ong BMW, BHYT, BHTN theo dimg quy dinh ctla phap luat. Cac twang hap clan vi ke khai thieu lao Ong hoac ke khainham mire tin ltrang eta ngtrOi lao dOng thi yen cau don vi ke khai dieu chinh va dong theo dung quy dinh.

Di vi nhang truang hap vi•pham phap luat v BHXH, BHYT, BHTN nhu tron Ong BHXH, BHYT, BHTN; dong khong dung tin luang elm ngu6i lao Ong, thu fien elm ngtrai lao Ong nhung khong dong, dong khong kip that dOng khong du so tien phai dong; khai man, gia mao ho sa thi lap bien ban va kien nghi thanh tra, x* 1 theo quy dinh cüa phap luat.

1.3. Ke hoach kiem tra

a) Kim tra dinh ky:

Hang nam, BHXH tinh xay dung Ice hoach va thuc hien kiern tra thdp nhdt dat 25°4) so dun v, cci quan quart ly d6i turcing tren dia ban.

b) Kim tra dot xudt:

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Can ca tinh hinh dong BHXH, BHYT, BHTN; truy dong BHXH, BHYT, BHTN; sO lugng don vi, doanh nghi'ep, sO ngtroi thuOc din tham gia BHXH, BHYT, BHTN; s6 dcm vi, se ngtroi tham gia BHXH, BHYT, BHTN, tin luong dOng BHXH, BHYT a lap lce hoach vá tin hanh thanh tra, kiem tra dOt xuat tai don vi theo quy dinh cüa phap luat.

2. Thanh tra

2.1. Tr ngay 01/01/2016, hang nam BHXH tinh, BHXH huyen t6 chirc thanh tra viec clang BHXH, BHYT, BHTN di v6i don vi tren dia ban nhu sau:

2.1. Doi tugng thanh tra:

a) Dan vi da dugc co quan MUCH kiem tra phat hien vi pham phap luat ye BHXH, BHYT, BHTN nhung chua khac phuc trong thoi han quy dinh.

b) Dan vi chua dugc kiem tra nhung có dau hieu vi pham phap luat ve dong BHXH, BHYT, BHTN.

2.2. NOi dung, ke hoach, phuong phap thanh tra:

Thuc hien theo Van ban quy dinh eta Chinh phii va huong cran cüa BHXH Viet Nam.

Mc 3

QUA.N M.( PHOI; CAP PHOI SO BHXH, PHOI THE BHYT

Di'eu 44. Quy trinh giao, nhian; quail 1ST va sir dung plied bia s6 MUCH va phoi the BHYT

1. Quy dinh ve quan,13'.7 phoi bia seBHXH, ph6i the BHYT

a) Phoi se BHXH, the BHYT do BHXH Viet Nam t6 chirc in, cap cho BEIM tinh, BHXH BO Quoc phOng, BHX1-1 Cong an nhan dan.

b) Vic th .chirc in, nhap kho, xuat kho, kiem ke, hay 1)6 v.a guy& toan phoi se BHXH, the BHYT thuc hien theo quy dinh hien hanh.

c) T6 chirc, ca nhan chrgc phan ding theo clOi, quan 1i ph6i se BHXH, the BHYT phai thuc hien dung ode quy dinh caa BHXH Viet Nam. Truong hop c6 tinh lam dung phoi s6 BHXH, the BHYT, gay that thoat anh hu6ng den qu'Y BHXH, BHYT phai chiu IcST luat, bei thtrimg thiet hai; trong truimg hgp nghiern trgng së bi truy ciru trach nhiem hinh sir.

2. Quy trinh giao nhan

2.1. BHX1-1 Viet Nam:

a) Van phong•

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- Nhan phoi Ma s6 BHXH va phoi the BHYT; Thvc hien kiem tra se lung, chat lugng va se. seri oda phoi the BHYT, nu khong dam bao chat lung va s6 lung thi phai lap bien ban xir 117; nhap kho va quan theo quy dinh.

- Chuyen ph6i se BHXH, ph6i the BHYT cho BHXH tinh dam bao dung s6 lirong, died gian, tin de.

Chuyen met ban sao van don giri phoi s6 BHXH, the BHYT cho Ban Se - The de theo dOi tin de thuc hien.

b) Ban Se - The: Theo doi, dieu tit viec cAp phat, sir dung phoi se BHXH, the BHYT.

2.2. Tai BHXH tinh/huyen:

a) Van phOng/Phong/Te KH-TC:

- Tiep nhan, kiem tra, xac nhan so lacing, so seri va chat lugng cüa phoi s6 BHXH, the BHYT, nu phat hien khong dam bao chat lung va se lugng, lap bien ban bao cao kern theo se ph6i s6 BHXEI, the BHYT v BHXH Viet Nam/BHXH tinh.

- Can cir ke hoach cap phoi s6 BHXH, the BHYT thvc hien viec xual kho theo quy dinh. •

b) Phong/Te Cap se, the:

- Tong hop se hrong, theo dOi, dieu ti6t vi4'c 'sir dung phoi se BHXH, the BHYT.

- Cdp phat phoi se BHXH, the BHYT cho tang can be phu trach c6ng tac in se BHXH, the BHYT a sir dung. Khi cap phat va sir dung phai viet phieu giao nhan phoi se BHXH, the BHYT (Mau C08-TS).

- Can b8 trvc tip in se BHXH, the BHYT c6 trach nhiem quan 13,'T ph6i se BHXH, the BHYT (kei ca s6 ph8i s6 BHXH, the BHYT bi hii hong trong qua trinh tac nghiep). Cuei ngay thvc hien in Phieu. sir dung phoi Ma s BHXEI (Mau C06-TS) va Phieu sir dung phoi the BHYT (Mau C07-TS).

- Truac ngay 01/02 hang nam, PhOng Cap si), the/BHXH huyen lap danh muc se BHXH, the BHYT hong de ban giao cho BHXH tinh. S BHXH, the BHYT h6ng phai dugc phai dugc luu gift, quan tong thoi han 02 nam.

3. Huy se BHXH, the BHYT h6ng

- Thanh lap Hei deng hay s6 BHXH, the BHYT do La'nh ciao BHXH tinh lam Cht tich, dai din lanh do cac Phong: KH-TC; Cap se,. the; Kim tra va Van phong lam Cry vien.

- Dinh kY tru8c ngay 15/02 hang nam, thyc hien hay se BHXH, the BHYT sau khi Hei deng tin hanh kiem dm, lap bang ke chi tit v s6 lung, tinh tang

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cüa s6, the hong, kh6ng six dung duce, lap Bien ban (Mau C10-TS) va trinh Giam d6c BHXH tinh k Quyet dinh hay. Girl. 01 be h6 so. ve BHXH Viet Nam.

Dieu 45. Kim ke phoi sto BHXH, the BHYT

1. Dinh kY cu6i mi quy va cuoi riam BHXH tinh/huyen kiem ke ph6i s6 BHXH, the BHYT nham xac nhan s6 lugng, s6 sen cña ph6i se, the con ten kho thgc t6 va chenh lech thira thieu so vai s6 sach ke toan.

2. T6 kiem ke BHXH tinh, huyen gem dai din: lanh daa BHXH tinh, huyen; cac PhOng/T6 Cap se, the; PhOng/To KH-TC; Van phOng. Vic kiem ke phai lap Bien ban (Mau C63-HD ban hanh kern theo Thong ttr s6 178/2012/TT-BTC); trong do neu ro ly do thira, thieu va xac dinh trach nhiem ciia tap the, ca nhan cimg kin nghi viec.giai quyet.

Mgc 4

CAP VA QUAlsilL; SO BHXEI, THE BHYT

Dieu 46. Cap va quan 13",s BHXH

1. Cdp s6 BHXH lan du: Ngued tham gia BHXH, BHTN dugc ca quan BHXB cdp s6 BHXH.

2. Cap 10 s6 BHXH

2.1. Cap 10 s6 BHXH (bia va t r6i) cac tru6ng hgp: mat, h6ng; gep; thay doi s6 s8; hg, ten, chit dm; ngay, thang, nam sinh.

2.2. Cap 10 bia s6 BHXH cac tru6ng hgp: sai gid tinh, qu6c tich; ngued da huongBIDGI met ran con th6i gian dong BHTN chua huang.

2.3. Cap 10 to. r6i se BHXH cac tru6ng hop: mdt, h6ng hoc da giai quyet die de BHXH 06 clieu chinh qua trinh dong BHXH.

3. Ghi, xac nhan theri gian clang BHXH, BHTN trong s6 BHXH

Nei dung ghi trong s6 BHXH phai day dü theo timg giai doan Wang img vai mire &Mg va dieu kin lam viec cira ngued tham gia BHXH, BHTN (ke ca thoi gian nghi 6m ten .14 ngay,trong thang, nghi thai san, nghi viec khong huOng hang, tam Ilan HDLD), eu the:

3.1. Nguoi lao deng thgc hien che de tin Wang do Nha ntrac quy dinh, mire tien.hrong theo ngach, bac, cap bac quail ham va eac lchoan phg cap chirc vu, phi cap bao ltru thl ghi h so luang; phi,' cap tham nien nghe, tham nien vugt khung (nu c6) thl ghi t le (%).

, 3.2. Ngtroi lao deng huang luang do dan vi quyet dinh la mire Wang, phu cap luang va cac khoan b6 s g khac thi ghi tin Vi't Nam cliong, ke ca ngtr6i huOng luang bang ngoai te.

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3.3. Ghi xac nhan s6 BHXH, BHTN cua ngtrai lao dOng trong met se truang hap dan vi con no' tin dOng BHXH, BHTN:

a) Doanh nghiep trong qua trinh thuc hien thu tic pha san, giai the theo quy dinh caa phap luat con na,tien BHXH, BHYT, BHTN nett có ngtrai lao Ong chuyen nai lam viec thi ca quan BHXH xac nhan thai gian dOng BHXH tren se BHXH cüa ngtrai lao deng den theri diem doanh nghiep cia dong BHXH de nguai lao clang tip Arc tham gia BHXH tai don vi mai, sau khi thu hi dirge khoan ng caa doanh nghiep thi xac nhan be sung thai gian (long BHXH tren so .BHXH cüa ngtrai lao Tang.

b) Cac tru'Ong hap khac: thuc hien theo Van ban quy dinh caa Chinh pha va huang din cüa BHXH Viet Nam.

3.4. Khi dieu chinh giam thi gian hoc mire dong BHXH cia ghi trong se) BHXH, phai ghilcu the nOi dung dieu chinh, .Xac nhan luy ke hoac teng thai gian cia dong BHXH, BHTN.

4. Tham quyen k tren se BHXH

4.1. Chit 1c3'7 ten bia s6 BHXH va ter thi s6 BHXH chet thai gian dOng BHXH, BHTN do Giam dc BHXH tinh, huyen k hoc ay quyen cho phO Giam dee BHXH tinh, huyen; Tnrang, Pho Phong Cap se, the ky tivc tier).

Giam doe BHXH tinh, huyen chiu trach nhi'em ve- vi'ec ay quyen ky teen bia se BHXH va t thi se BHXH chet thai gian dong BHXH, BHTN.

4.2. Chit k caa Giam doe BEDCEI tinh, huyen dugc quet trong phan mm a in tren t raj se BHXH ghi thi gian dong BHXH hang nam.

5. X* lY met se tinh huOng trong ding tac cap s6 BHXH

5.1. Met nguai c6 tir 2 86 BIDGI to len ghi thai gian dong BHXH '<hang - tang nhau thi Co quan BHXH thu hi tat ca cac .s6 BHXH, hoan chinh lai ca dir lieu, in thai gian dong, huang BHXH, BHTN cua cac s6 BEIXH vao se mai. SO se BHXH cap lai la se dm se BHXH c6 thai gian tham gia BHXH sdrm nhat.

5.2. Met se se BEIXEI dirge cap .cho 2 hay nhieu ngtrai thi ca quan BHXH gift lai se se BHXH cid cap cho ngueri có thai gian tham gia BHXH som that, cac se BHXH cen lai thuc -hien thu hi va cap lai theo se se mai. Trtrang hap ngtrai tham gia BHXH sau da giai guy& che de BIEXEI thi Mt ca cac se con lai cap lad theo se se BHXH mai.

5.3. Tnrang hap ngueri tham gia chi mat hoc h6ng 01 hoc met so ter rai: Giam dc BHXH guy& clinh viec in lai cac ta rai bi mat hoc in lai t rai tUng giai don bi mat va phai dam bao day .dit thai gian, mac dong BHXH bat buec, BEDM tir nguyen, BHTN chua huang cac che de ciia nguai lao Ong

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5.4. Ngtred da huimg BHXH mOt lan nen con thoi gian tham gia BHTN chtra huang thi ca quan BHXH nai giai guy& BHXH mOt ian thuc hien cap lai va eh& s6 BHXH thOi gian tham gia BHTN chtra huong.

5.5. TruOng hop ngtrOi lao dOng huang trg cap that nghiep sai quy dinh, thuc hien dieu chinh va ghi, chot 1.i st BHXH.

5.6. Tnrimg hop co. quan BHXH lam mat hoz hOng s6 BHXII thi ca quan BHXH có trach nhiem cap lai s6 BHXH.

5.7. S6 BHXH thu hi phai luu ding h so' cap lai s6 BHXH.

Diu 47. CAp va quan IST the BHYT

1. Thai hp s* oking ghi tren the BHYT cac di tugng tham gia BHYT tai Dieu 17

1.1. D6i tuomg tai Khoan 1:

a) Can bO, ding chirc, vien chirc hua'ng luang tir‘ngan sach nha mrac: thoi han sir dung ghi tren the khong qua, 03 nam; tir ngay dau cüa thang dong BHYT den ngay 31/12 tam thir hai sau nam cap the.

b) Cac di Wang con thai hp s* dung ghi tren the khong qua 01 nam; ter ngay du cüa thang clong BHYT den ngay 31/12 trong nam.

1.2. Di Wong tai Diem 2.1, 2.2, 14, 2-.5 Khoan 2 va doi Wong tai diem 3.2 Khan 3; Cong nhan cao su dang huong.trg cap hang thang theo Quyet dinh s6 206/CP ngay 30/5/1979 cita HOi clang Chinh phñ (nay la Chinh phit): thoi hp sir dung ghi tren the khong qua 05 nam; tir ngay dang ky cap the den ngay 30/6 naim thir ttx sau nam cap the.

Doi Wong tai Diem 2.3 Khoan 2: tiled hp sir dung ghi ten the khong qua 01 nam; ngay cna thang dong BHYT den ngay 31/12 trong nam.

1.3. Doi tugng tai Diem 3.10 Khoan 3: thi han s* dung ghi ten the lchOng qua 05 nam; tit ngay ngtroi da hien 1)0 phP ca the ra vin den ngay 31/12 nam thir tu sau nam cap the.

1.4. Dot vol ngtfai huOng trg bap that nghiep tai Diem 2.6, Khoan 2, thOi han sir dpg ghi,tren the BHYT Wang irng vai thi han dugc huOng trg cap that nghiep ghi trong quyet dinh hua'ng trg cap that nghiep cila cap có thArn quyen.

1.5. Di vai tre em duai 6 tu6i, thi han sir dung ghi ten the BHYT k tir ngay sinh den ngay tre dU. 72 thang tu6i. TnrOng hgp tre di 72 thang tu .'6i ma chtra den kSi nhap h9c thi thi hp Sir dung ghi tren the BEIYT den ngay 30/9 cita nam do.

1.6. D6i Wong tai Diem 3.4 Khoan 3: thi han sir dung ghi tren the theo nhiem lcY bau cir' , th ngay clang kY cap the den ngay ket thuc nhiem

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1.7. Di Wong tai Diem 3.1, 3.3, 3.8, 3.9 Khoan 3: thai han sir dung ghi tren the khong qua 03 nam, tfr ngay clang kSi cAp the den ngay 31/12 nam th* hai sau nam cap.

Dei. Wong tai Diem 3.12 Khoan 3: -Mai han s* dung ghi ten the khOng qua 01 nam; tfr ngay du cüa Mang dong BHYT den ngay 31/12 trong nam.

1.8. D6i vad ngtrod dan tee thieu s6 clang sinh ging taiisVOng c6 dieu kien kinh th - xa hei kh6 khan; ngued clang sinh sOng tai \rung có dieu kien kinh tê - xa hei dc bit khO khan; nguai clang sinh sOng tai xã dao, huyen dao: Thed han sir dung ghi ten the BHYT tir ngay 01/01 den ngay 31/12 cfla nam d6 hoc ngay 31/12 cda nam cuoi ghi tren the BHYT (trueng hop thoi han sir dung the BHYT cap nhieu nam).

Dei voi ngued thuec h gia dinh ngheo, noted thuec.he gia dinh can ngheo dirge ngan sach nha nude hO tro 100% mire (long: thed han s* dung ghi ten the BHYT tir ngay 01/01 den ngay 31/12 aim nam clo. Throng hop, ea quan BI-DCH nhan citrge danh saeh dol. Wong tham gia BHYT kern theo Quyet dinh phe duyet danh sach nguai thuee he gia dinh ngheo, nguai thuec he gia dinh can ngheo cüa co quannha mrac c6 tham quyen sau ngay 01/01 thi thOi han sir dung ghi tren the BHYT tir ngay Quyet dinh nay co hieu lye.

1:9. Di Wong tai Diem 3.11 Khoan 3: theii.han sir dung the BHYT. theo thed han khoa hoc tir ngay clang k•57 cap the BHYT den ngay het thed han khod hoc.

1.10. Doi Wong tai Diem 4.2 Khoan 4: thed han s* dung the BHYT tit ngay 01/01 den ngay 31/12 eila nam do; cloi void hoc sinth vao lap met va sinh vien nam thir nhat thed han sir dung ghi tren the BHYT ter ngay nhap hoc hoc ngay het han cila the BHYT duce cap lan tru6e den 31/12 nam sau; clei voi hoc sinh lop 12 va sinh vien nam cu6i thed han sir dung ghi tren the BHYT t ngay 01/01 den ngay cued cüa thang ket thile nam h9c do.

1.11. DOi nxemg tai Diem 4.1, 4.3 Khoan 4: thai ban s* dung ghi tren the BHYT tir ngay ngued.tham gia nOp tien clang BHYT tuang *ng vad thad han dirge huOng chinh sach theo Quyet dinh phe'duyet danh sach ngtrai thuee he gia dinh can ngheo va ngtred thuec he gia dinh lam nong nghiep, lam nghiep, ngu nghiep và diem nghiep c6 mirc song trung binh cila ca quan nha nu6c c6 tham • quyen; tnrang hop tham gia BHYT 1n du hoac tham gia khong lien We W 3 thang tra len trong nam tai chinh thi thed han si dung ghi ten the BHYT sau 30 ngdy ke tfr ngay ngtrai tham gia nOp tien dong BHYT.

1.12. D6i. Wong tai Khoan 5: thed han s* dung ghi tren the BHYT khong qua 12 thang, tfr ngay ngtred tham gia nOp tien dong BHYT; trueng hop tham gia BHYT lan du hoc tham gia Ichong lien tuc W 3 thang tra len trong nam tai chinh thi thei han sir dung ghi tren the BHYT sau 30 ngay ke tir ngay ngued tham gia. nOp tien dong BHYT

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1.2. The BHYT d6i, cap lai: ghi thoi han sir dung nhir the BHYT dä the phai dei, mat.

2. QuanlYT, sir dung the BHYT

2.1. The BHYT cap cho ngtrai tham gia BHYT va lam can cir (16 nguai tham gia BHYT dugc hu&ng cac quy6n Igi theo quy dinh cüa Luat BHYT.

The BHYT khong c6 giá tri sir dung trong cac trireng hap:

a) The da' het thed han sir dung..

b) The bi sira chira, thy xod.

c) Ngueri c6 ten tren the BHYT khong tip tuc tham gia BHYT.

2.2. Ten co sa kham chtta b'enh BHYT ban du dugc ghi trong the BHYT:

a) Ngued tham gia BHYT dugc dang k kham chita benh BHYT ban dau tai ca s& kham chira benh tuyen xa, tuyen huyen hoc tucmg ducmg; trir twang hgp dugc Tang k9. tai ca s& kham chira benh tuyen tinh hoc tuyen trung yang theo quy dinh cria B6 truong B6 Y te.

b) Nguai tham gia BHYT dirge thay dei cci s& dang k kham chira benh ban du vao d&u in& qu3'7.

2.3. The BHYT in hong va the BHYT thu Wei phai dugc cat g6c. Rieng the BHYT thu hi dugc hru piing he scr thu, he sa di the BHYT.

2.4. Nguoi huang che dO em dau, thai san tip tuc sir dung the BHYT da cap, khong thuc tii4n de:d the BHYT.

• Chuang VI Ht. THONG CHUNG Tir, MAU DIEU vA CHE DO THONG TIN, SAO CAO

Been. 48. H? thong chfrng dr, sO, man bi6u va ch do thong tin bao cao

1. He theng chirng tir, se, mu bin:

(Phu luc dinh kern)

2. Ch e dO th6ng tin bao cáo

2.1. BHXH tinh, huyen: Ma se theo dOi va lp bao eat) v6' thu CAI) S6 BHXH, the BHYT theo Mau quy dinh tai Van ban nay.

2.2. Tiled han nOp bao cao.

a) BHXH huyen giri BHXH tinh:

- Bd.° cao thang: truac ngay 03 cna thang sau; dir lieu din tr chuyen tru&c ngay 02.

- Bao cao qu: trurac ngay 10 thang du guy/. sau, kern theo du' 1iu din tir'

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- Bdo cdo nam: tru6c ngay 10/01 nam sau, kern theo d lieu dian

b) BHXH tinh giri BHXH Viet Nam:

- Bdo cáo thang: tnrac ngay 05 thang sau, dt lieu dian tr chuyan tar6c ngay 03. Rieng d lieu dian tir bdo cdo chi tieu quan 1 thu, cap s6, the (Mau B01-TS): ang tired giri Ban Thu, Ban S6-the.

- Bao cdo quy: tnr6c ngay 25 thang du quy sau, kern theo dft lieu than dr.

- Bd.° cdo nam: throe ngay 25/01 nam sau, kern theo dir Eau dian tir.

Checrng VII TO CHVC THI1C IIIN

Diu 49. Trach nhi[01 cüa aguiri that' gia

1. Lap, ke khai day chinh xac ode thong tin tham gia BHXH, BHYT, BHTN, nOp day dir he) so va thoc hian diing quy trinh, quy dinh tai Van ban nay.

2. Khi ngirng tham gia BHYT phai nOp lai the BHYT cOn han sir dung cho don vi, cc quan quan I'yd6i ttrong.

3. To bao quan sa BHXH (tit 01/01/2016), the BHYT.

4. Chiu trach nhiam tnr6c phap luat v nOi dung ke lchai trong he) so tham gia BEDCH, BHYT, BE-ITN; cdc h6 so, tai lieu cung cap cho don vi va co quan BHXH.

Diu 50. Trach nIqm ctia dun vi, Di 1 thu

1. Don vi

1.1. Thoc . hian lap, nOp he) so; trich nap tin BHXH, BHYT, BHTN theo thing quy trinh, quy dinh tai Van ban nay va quy dinh cda phdp luat va BHXH, BHYT, BHTN.

1.2. Chiu trdch nhiam tru6c phdp luat va viac lap h6 so; luu trt h6 so' cira ngutri tham gia va don vi.

1.3. Thu hi the BHYT cüa ngueti lao dOng ngimg tham gia BHYT, n6p cho co quan BHXH de dieu chinh sa phai thu (trir tnx6ng hop chat; chi giai quyat che dO huu tri, to' cap tai nan lao dOng - banh ngha nghiap hang thang).

Truong hop giri Danh sach lao dOng tham gia BHXH, BHYT, BHTN (Mdu D02-TS) bang hinh thirc trao di thong tin qua mang inter-net thi cuoi thang chuyan the BHYT cho co quan BHXH. Chi phi kham, chita banh BHYT phat sinh (nau c6) katO th6i diem bdo giam clan khi co quan BHXH nhan dtroc the BHYT do don vi c6 trach nhiam thanh todn.

1.4. Cung cap day drI, kip thoi thong tin, tai lieu lien quan clan viac dong, htrang BHXH theo yeu cau cua co quan quan nha nude c6 tham quyen, co quan BHXH.

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1.5. Phi) bin phap luat ve BHXH, BHYT, BHTN trong dan vi.

1.6. Phi hap vi ca quan BHXH thuc hien cac quy dinh v phap luat BHXH, BHYT, BHTN.

2. Dal 13'T thu

2.1. Thac hien dung quy trinh, quy dinh tai Van ban nay;. bao quan, sir dung bien lai thu den do ca quan BHXH cap, di chieu bien lai thu tin va se tin dä thu theo quy dinh.

2.2. Thuc hien tuyen truyen, van dang, huang clan nguai tham gia v mire dong, parang thirc 'Jong, dia diem dong, quyen 1çi ve BHXH, BHYT theo quy dinh.

2.3. Chiu trach nhiem truac phap luat ve lap he sa, thai han nap hO sa va tin da thu gem nguai tham gia theo quy dinh.

Dieu 51. Trach nhiem ctia co • quan BHXH

1. BHXH huyen

1.1. Te chirc thuc hien thu, cap se BHXH, the BHYT d& voi cac di -arcing dugc phan cap va huang clan tai Van ban nay.

1.2. To' chirc thuc hien kiem tra cac nOi dung do nguai tham gia, dun vi da ke khai, kin nghi xir 1 theo quy dinh cüa phap luat di vOi cac twang hap ke khai khong dung.

1.3. Tang hap, bao cao thu BHXH, BHYT, BHTN và tin lài cham clang; cap se BHXH, the BHYT hang qt4r, nam theo quy dinh.

1.4. Luu tit he sa tham gia BHXH, BHYT, BHTN; h sa truy thu BHXH, BHYT, BHTN theo quy dinh tai Van ban nay va quy dinh cüa phap luat.

1.5. Cung cap chinh xac, day dt, kip thai thong tin, tai lieu lien .quan den viec clang, huang BHXH theo yeu cu cna ca quan quan 1ST nha nuac c6 tham quyen.

1.6. Phan cong nhiem vu, quy dinh mei quan h phi hap etia cac th nghiep vu và cong chirc, vien chile d thuc hien quy trinh, quy dinh thu; cap se BHXH, the BHYT. Khong duac phan cong, phan cap trai voi quy dinh nay.

2. BHXH tinh

2.1. Te chirc thuc hien thu; cap se BHXH, the BHYT di voi cac di tuang tham gia BHXH, BHYT, BHTN do BHXH tinh true tier) thu theo quy dinh.

2.2. Phan cong nhiem vu, quy dinh mei quan h phei hgp cua cong &tic, vien chirc, cac phOng thuac BHXH tinh, th thuac BHXH huyen d thuc hien quy trinh, quy dinh thu; cap se BHXH, the BHYT. Khong duac phan cong, phan cap trai vi quy dinh nay

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2.3. Thanh lap T6 tharn dinh de giai quyat he) so ceng nei thari gian khOng phai dong BHXH va clieu chinh lam nghe hoc cong viec nang nh9c, dee hai, nguy hiem hoc dc biet Ong nhoc, dee hai, nguy him c6 tiled gian trixac ngay 01/01/1995. Thanh phan T6 tharn dinh gem:

- Lanh dao BHXH tinh lam t8 truOng.

- Lanh do Phong Cap s6, the lam t6 pho.

- Dai dien PhOng Quan l thu, PhOng . Che de BHXH, Phong Kim tra, PhOng Tip nhan va Ira kat qua thit tnc hanh chinh la thanh vien. Trong dO, Phong Tip nhan va Tra kat qua tilt tnc hanh chinh co trach nhiem tip nhan va quan l he so trong tiled gian giãi quy6t.

Khi tham dinh ho so, TO tham dinh phai laphien ban chi tiet cho tirng ho so (ghi re nei dung tham dinh; can cir tham dinh; kin cii the, chin trach nhie'm v6 noi dung tham dinh va k xac nhan eta tirng thanh vien).

2.3. HtrOng din, kiam tra va don doe ding tac thu; cap s6 BITCH, the BHYT dei vai BHXH huyen.

2.4. Thant, dinh s6 lieu thu BHXH, BHYT, BHTN di vai BHXH huyen theo dinh lcY quy, nam, lap Bien ban (Mau CO3-TS).

2.5. Quart chat che vie tip nhan va sir clang phoi bia s6 BHXH va the BHYT theo quy dinh tai Van ban nay.

2.6. Cac PhOng: KH-TC, Cha de BHXH, Giam dinh BHYT, Tip nhan va Ira kat qua. thit tuc hanh chinh, Cong nghe Thong tin, T6 cline can be va Van phOng phei hgp vâi phong Qua'n 1 thu, phOng Cap se, the lap ka hoach thu; cap se BHXH, the BHYT; quart i phan mm; kir lyr cac nghiep vp, quan va quan l'y h8 so.

2.7. Xay .dvng quy trinh khai thac, sir dnng co sO• dir lieu dung chirc nang, nhiem vi va quy trinh thu; cAp s6 BHXH, the BHYT doi vai BHXH tinh, BHX-H huyen theo quy dinh.

3. BHXH Viet Nam

3.1. Ban Thu, Ban S6 - the:

a) Chi dao, huOng dan, kiam tra giam sat, don dc BHXH tinh thvc hien thu; cap s8 BHXH, the BHYT theo quy dinh tai Van ban nay.

b) Hang nam:

- Xay chrng ka hoach kiam tra BHXH tinh v viec chap hanh quy dinh tai Van ban nay va t6 chirc dine hien sau khi dugc phe duyet.

- Tham dinh seliOu thu BHXH, BHYT, BHTN; tinh hinh quan IY, sir dnng phoi s6 BHXH, ph6i the BHYT doi vai BHXH tinh hang qu3'f, nam.

54

- Kim tra, khao sat, danh gia tinh hinh thug hien quy trinh thu; cap se BHXH, the BHYT cüa BHXH tinh.

c) Phi hp vi Trung tarn Cong nghe thong tin BHXH Viet Nam sira di, nang cap, quan 1 va frng dung phan mm quan 1 thu, quart ly ng, cap so BHXH, the BHYT deng b0, lien thong phü hgp von i dieu kin cud BHXH Viet Nam, BHXH tinh.

3.2. Trung tarn Cong nghe thong tin:

a) Chu tri, phei hap voi cac Ban nghiep vu c6 lien quan d xay dung, &era di, nang cap, quan va chuyen giao, htrang dan kip thoi *rig dung phan mem quart lY thu; quan 1 ng; cap s BHXH, .the BHYT dong b0, lien th6ng phi." hap dieu kin cüa BHXH Viet Nam, BHXH tinh, BHXH huyen;

b) Ban hanh quy dinh ve quan l, khai thac dir lieu thu, cap se BHXH, the BHYT trong toan Nganh phi' hap tinh hinh cu the timg theri ky.

Doi chuang trinh quan ly thu, phai dam bao sau khi ghi di lieu vao chtrang trinh theo quy dinh tai Diem 2.5 Khoan 2 Dieu 35 thl khong the sira, xoa dü lieu, ITU truMig hop c6 kin cda Giam deg BHXH bang van ban va do PhOng/To Cong nghe thong tin thug -hien.

3.3. Cac Ban: Tai chinh - Ke toan, Ke hoach va Du tu, Thug hien chinh sach BHXH, Thug hien chInh sach BHYT, Phap ch.& Van phong va Trung tam COng ngh'e thong tin BHXH Viet Nam phoi hap voi Ban Thu, Ban Se - The:

a) Lap ke hoach thu; cap se BHXH, the BHYT; quan I phan mem va cac nghiep vu lien quan;.

b) Huang d'an nghiep vu thu; cap se BHXH, the BHYT; xay dung, dieu chinh ke hoach thu; the dO thong tin, cao cao doi ved BHXH BO Quec phong, BEDCH C6ng an nhan d'an dam bao dOng b0 vai Van ban nay.

3.4. Ban D'au ttr qu'y th8ng bao mire mi sudt du tu tix guy BHXH do BIDCH Viet Nam c8ng be cho BHXH tinh.

Trong qua trinh te chug thug hien e'u c6 In/Ong mac, BHXH tinh bao cao BILICH Viet Nam xem xet, giai quyet./

Nguygn Thi Minh

55

CONG H6A XA HOI CHU NGHTA VItT NAM Dc lp - Tn. do - Hanh phtic

BANG ICE HO SO

(Ban hanh kern theo Quye't dinh so 959/QD-BHXH ngay 09/9/2015 cita BHXH Viet Nam

(Kern theo (2)

TT HQ vã ten - So dinh danh

Ten, loai van ban So hien van ban

Ngay ban hanh

Co quan ban hanh van ban

Trich yeu van ban

1 2 3 4 5 6 7 8

•

•

Dan vi cam ket chu trach nhiem truac phap luat ve kiem tra, di chieu, lap bang ke va luu tit he so caa nguai lao dOng./.

Ngay thang nam .......

Thu trtrovg don vi ghi r5 119 ten va clang dein)

111.1.6NG DAN LAP

Bang ke he) so'

1. Muc dich: t6ng hop he sa, giay ter cila dun vi, ngtrad tham gia lam can cir truy thu BHXH, BHYT, BHTN; cap lai, dieu chinh ned dung dã ghi ten s6 BHXH, the BHYT gfxi kern Danh sach lao d6ng tham gia BHXH, BHYT, BHTN (MAu D02-TS) hoac Ti khai cung cap va thay di thOng tin npresi tham gia BEM, BHYT (Mau TK1 -TS).

2. Trach nhiem lap: dcm vi.

3. Theri gian lap: ichi có phat sinh.

4. Can cir lap: the lo.i giay ter theo Phu hie 02, 03.

5. Phtrong phap

* Chi tieu hang ngang:

- Chi tieu (1): ghi nOi dung lap bang ke (vi du: he su lam can cd tnly thu BHXH, BHYT, BHTN hoac 116 so' lam can dr dien chinh thong tin tham gia BHXH, BHYT, BHTN).

- Chi tieu (2): ghi bang ke nep kern theo [vi dv: kern theo danh sach lao d6ng tham gia BITCH; BHYT, BHTN (Mau D02-TS) hoc kern theo ter Ichai cung cap và thay dôi thong tin rigueri tham gia BHXH, BHYT (Mau TK1-TS)].

* Chi tieu theo cOt:

-Cot 1: ghi s6 thir nr.

- COt 2: ghi ho ten ngtr6i tham gia dieu chinh.

- COt 3: ghi s6 dinh danh cüa ngued tham gia dieu chinh.

- COt 4: ghi ten, loai van ban (Quyet dinh, HDLD, Giay xac nhan ...).

- COt 5: ghi s6 hieu van ban (99/QD-UBND, 88/LD1BXH-NCC ...).

- COt 6: ghi ngay ban hanh van ban.

- COt 7: ghi co' quan ban hanh van ban (UBND huyen, tinh hoac Sir, nganh ...; C6ng ty A ...).

- COt 8: ghi n6i dung trich y6u van ban (V/v tuyen dung, dieu dOng, tang hrcmg; xac nh'an ngued có c6ng vai each mang ...).

* Ltru Throng hop ngued tham gia khong có giay ter nen tai Phu luc 02, 03 ma co giay ter Ichaz chirng minh thi dun vi n6p cho co. quan BHXH de xem xet giai quyet, Ichong ghi vao bang ke nay.

BAO HIEM XA HOI WV' NAM

PHI) LAJC 01 CAC LOAI MAY TO GUI KEM TO KHAI CUNG CAP VA. THAY DO! THONG

NGUOI TRAM GIA MUCH, BHYT (MAU TK1-TS)

(Ban hanh kern theo QuyEt dinh so' 959/QD-BHXH ngay 09/9/2015 cita Ring Gicirn d'je BHXH Vi'et Nam)

1. Ngulii duvc Ong ni thoi gian nhung khong phai don BHXH 1.1. Tnrang hop cap va ghi xac than thai gian dong BHXH cho ngued lao

dOng co thi gian ding tac trtrac nam 1995 (Ichong bao gem nguai bi luat,huOc thoi viec hoc tkr bo viec, bi phat ta giam tarot ngay 01/01/1995), h6 sa bao gOm:

, a) LS7 lichgec va lich be sung (neu c6) cua nguai lao dOng,, quy6t dinh tiep than, hop dong lao dOng, cac giay có lien quan Ichac nhu: quyet (AO nang bac lmmg, Twet dinh dieu (ging hoac quyet dinh chuyen c6ng tac, quyet dinh phnc vien xuat nga, chuyen nganh, giay thoi tra ltrong ...;

b) Nguai nghi chi vi'ec ter thang 11/1987 den tube ngay 01/01/1995: them Quyet dinh nghi ch6 viec va Danh sach cua don vi có ten nguai lao dOng den ngay 31/12/1994 hoac cac giay t xac dinh nguai lao Ong có ten trong danh sach dm don vi den ngay 31/12/1994.

- TnrOng hop khong có quyet dinh nghi chi viee thi phai co xac nhan bang van ban ca tint' twang don vi tai than diem lap he so' de nghl., cap s6 BRXH,,trong do dam bao no/6i lao dOng c45 ten trong danh sach cüa dan vi tai thai diem có guy& dinh nghi cho viec va chua hung cac khoan trçi cap mOt Ian.

- Truang hop don vi da giai the thi do ca quan quan 1ST cap tren lave tiep xac nhan.

1.2. Tnrang hop cap va ghi xac nhan thai gian dOng BHXH dei vai can b0,. c6ng chirc, vien chfrc, ding nhan, quan nhan va cong an than dan thuOc bien che cac ca quan Nha ntrac, to chi:re chinh tri - xa hOi, doanh hghiep Nha 'mac, don vi luc hiving va trang dâ xuat canh hop phap nhung kh6ng ye ntrac &mg han (khan* bao gam nhimg twang hop vi pham phap luat ca nu& ngoai bi trçc xuat ye nu6c hoac bi Icy luat buOc phai ye mac hoc bi ta giam truac ngay 01/01/1995):

a) HO so' kern theo caa ngtrai lao dOng có thai Ilan Or mr6c ngoai theo Hip dinh caa Chinh pha va caa nguai di lam dOi twang, phien clich, can be Wing do ntrac ngoai tra luang bao g6m: . - L lich 46c, ly lich be sung (neu co), cac gidy ta gee có lien quan den thai gian lam viec, tien hrcrng eta nguai lao dOng tnrac khi di lam viec Or nu& ngoai; qt,tyet dinh -14 nhan tra lai lam viec di vai twang hop ngtrai lao dOng ye nu& ya tiep Ale lam viec trtra,c ngay 01/01/1995. Truang hop khong c6 Quyet dinh tiep than thi &roc thay the bang lS7 lich do ngtrai lao &Ong lchai khi &roc tiep,nhan tr.& lai lam viec hoc lS7 lich naa nguai lao dOng khai co xac nhan en' a dan vj tiep nhan.

- Ban ,chinh "Thong bao chuyen tra" hoac "Quyet dinh chuyen tra" cña Cyc Hop tac quoc te ve lao d6ng (nay la Cnc Quan ly lao dOng ngoai mac) cap. TrtrOlig hop khong cOn ban &fah "Thong bao chuyen tra" hoc "Quyet dinh chuyen tra" thi phai eó Giay xac nhan ye thai gian di hop tac lao d6ng de giai

quyet ,che de bao him xa hi cfia Cue Quart l lao dOng ngoai mrac tren co sa don de nghi cda ngtrai lao Ong.

- Giay xac nhan chtra nhan che dO trg cap met ran, trg cap phue vien, xuat ngü sau khi ve nude dm ca quan, don vi true tiep quail 19 nguai lao dOng talk khi di ding tac, lam viec c6 thai gian 6 mac ngoai. Truang hop ca quan, don vi da giai the thi co quan, don vi quan 19 cap tren true tiep xac nhan.

b) H6 so kern theo ctia nguai di Tam vi8c O nuac ngoai theo hinh tittle hgp tac tnyc ti6p gii"ra cac BO, dia. phuong cüa Nha nuac ta vai cac to chirc kinh te cua ntrac ngoai bao gem: .

- 1,9 lich *6c, l lich bo. sung (nu c6), cac giay ti g6c c6 lien quan den then gian lam vilec, tien hrong cüa nguai lao dOng trade khi di lam vi8c a nu& ngoai; quyet dinh tiep nhan trey lai lam vi8c doi yid twang hop ngirai lao Ong ye nuare va tiep Ale lam vi8c truck. ngay 01/01/1995. Tnrang. hop khong có Quye dinh tiep nhan thi dirge thay the bang L9 lich do nguai lao Ong khai khi duge tiep,nhan tra lai lam vi8c hoac l lich cfia nguai lao Ong khai c6 xac nhan el:1'a don vi tiep nhan.

- Giay xac nhan chtra nhan cha dO trg cap mOt 1n, trg cAp phuc vien, xuat ngfi sau khi ye nu& oh co quan, don vi true tiep quart I nguari lao Ong trtrac khi di cong tac, lam vi8c c6 thai gian 6 nude ngoai. Truang hop co quan, don vi da giai the thi co quan, don vi quan l cap tren true tiep xac nhan.

- Ban chinh Quyet dinh dr' di cong tac, lam vi8c c6 thai han O mac ngoai hoc ban sao Quyet dinh trong twang hgp ngtrai lao dOng dugc cir di cong tac, lam vi8c c6 thai han a nuac ngoai bang mOt Quyet dinh chung cho nhieu ngtrai.

+ Twang hop khong can ban chinh Quyet clinh cfr di cong tac, lam viee c6 thai han .6 tinge ngoai thi dugc thay the bang ban sao Quyet dinh c6 xac nhan oda don vi cfr

+ Tnrang hgp khong c6 Quyat dinh cfr . di ding tac, lam yi8c, hoc tap, thuc tap c6 thai han a. mac ngoai thi phai c6 xac nhan hang van ban dm thfi tnrong co quan, don vi cfr ngtrari lao Ong, trong de ghi re thai gian ngtrai lao Ong dugc cfr di ding tac, lam yi8c, hoc tap, thuc tap c6 than han ar nuac ngoai va phai chiu trach nhi'em truck phap luat ve nOi dung xac nhan. Tnrang hgp co quan, don vi ct di khong can ten tai thi co quan quart 19 cap tren true ti6p xac nhan va chiu trach nhi8m trirac phap lust ye nei dung xac nhan.

c) H6 so kern theo ctla nguai di hgc tap, thuc tap a nude ngoal bao gem: - L lich kec, 19. lich be sung (nen c6), cac• giay t gee c6 lien quan den thai

gian lam vi8c, tin lucmg cda ngtrai lao dOng talk khi di lam vi8c a nuac ngoai; quyet, dinh tiep nhan frâ lai lam vi8c dal vai truang hgp ngtrai lao dOng ye nuac va ti,ep nye lam vi8c truge ngay 01 than* 01 nam 1995. Tnrerng hgp khong c6 Quyet ginh tiep nhan thi (Inge thay the bang L9 lich do nguai lao Ong khai khi duce tiep nhan tar lai lam vi8c hoc l lich cfia ngtrai lao Ong khai c6 xae nhan eita don vi tiep nhan.

- Giay xac nhan chua nhan che dO trg cap mOt Ian' trg cap phuc vien, xuat ngü sau khi ye nuac cda co quan, don vi true tiep quan l ngtrai lao dOng trtrac khi di cong tac, lam viec c6 thai gian a mr6c ngoài. Truang hop co quan, don vi da giai the thi co quan, don vi quan 19 cap tren true tiep xac nhan.

- Ban chinh ,Quyet dinh cfr di hoc tap, thuc tap c6 thai han 6 mac ngoai4/7. hoac ban sao Quyet dinh trong twang hop nguai lao dOng dugc cfr, di hoc tap, thuc tap co thai hart Or ntrac ngoai bang mOt Quyet dinh chung cho nhieu nguai.

+ Tnrang h9p khong con ban chinh Quyet dinh cfr di h9c tap, thvc tap c6 thai hart 6 mac ngoai thi duce thay the bang ban sao Quyet dinh có xac nhan cua dan vi cfr di.

+ Truang hop khong co Quyet dinh cfr di ding tac, lam viac, h9c tap, th‘rc tap c6 thai hart & nuac ngoai thi phai cif) xac nhan bang van ban cila thu truang Cu quan, dun vi cfr nguai lao Ong, tong do ghi ro thai gian nguai lao dOng dugc cfr di ding tac, lam viac, hoc tap, thuc tap co thai han a nu& ngoai va phai chiu trach nhiem truac phap luat ye nOi dung xa.c. nhan. Twang hop cu. quan, don vi cr di khong can ton tai thi ca quan quart 13", cap tren true tiep xac nhan Ira chiu trach nhiam truac phap luat ye nOi dung. xac nhan.

d) He sa kern theo cüa nguai di lam chuyen gia theo Hip dinh cua Chinh pha bao gom:

lich 46c, 1ST lich be sung (neu co), cac giay t6 gee có lien quan den thai gian lam viac, tien lucmg cüa nguai lao dung truac khi di lain viac & nu& ngoai; qTret dinh tiep nhan tro lai lam \den doi vai truang hap nguai lao dOng ye mac va .64 Mc lam viac trtrac xigay 01/01/1995. Twang hap khong CO Quye,t dinh tiep nhan thi ducyc thay the bang L57 lich do nguai lao dOng khai khi dirge tiep.nhan tth lai lam viac hoaci.y lich cüa nguai lao Ong khai co xac nhan oh don vi tip nhan.

- Giay xác nhan chua than che dO trg cap. mOt Pan, trg cap phac vien, xuat ngtI sau khi ve nuac cüa ca quan, dun vi truc tip quan 13i ngtr6i lao dOng trtrac khi di cons tac, lam viac c6 thai gian 6 mac ngoai. Truax-1g hap cu quan, dun Vi da giai the thi ca'quan, dun yi quart 13? cap ten true tiep xac nhan..

- Ban chinh Quyet dinh cfr di lam chuyen gia a nuac ngoai hoac ban sao Quyet dinh trong tuang hop nguai lao Ong dugc cfr di lam chuyen gia bang mOt Quyet dinh chung cho nhieu ngtrOti.

+ Truang hop khong can ban chinh Quyet dinh cfr di lam chuyen gia & nuac ngoai thi dugc thay the bang ban sao Quyet dinh CO xac nhan caa dun vi dr di.

+ Twang hap khong co Quyet dinh cir di cong tac, lam viac, h9c tap, thuc tap c6 thai - han ntrac ngoai thi phai c6 xac nhan bang. van ban ca.a thil twang ca quan, don yi cfr nguai lao Ong, trong do ghi rO thai gian ngtrOri lao Ong dtrgc cu di cong the, lam: viac, hoc tap, thuc- tap có th6i han O. nuac ngoai Va phai chlu trach nhiam truac phap luat ye nOi dung xac nhan. Truanglop cu quan, don vi di khong con ton. tai thi ca quan quan 157 cap ten true tiep xac nhan va chiu trach nhiam truck phap luat ye nOi dung xac nhan.

- Giay xac nhan cüa ca quan quan l chuyen gia ve viac da hoan thanh nglifa vi dong gop cho ngan sach nha nuac va &mg BHXH theo quy dinh cña Nha mac cüa chuyen gia trong thai gian lam viac 6. nuac ngoai.

1.3. Cap va ghi xac than thai gian dong BHXH di voi- can b0 c6 thai gian lam viac 6 xä, phuang, thi tran, bao gm Ca chfrc danh khac theo quy dinh ti Khan 4, Dieu 8- Thong tu lien tich se 03/2010/TTLT-BNV-BTC-BLDTBXH, ho sci kern theo bao

- He sa,15/ lich gec cfm ca than;

- Cac giay t6 lien quan chimg minh thoi gian lam viec & xa, phtrong, th tran (danh sach, Quyet dinh phan ding. Quyet dinh huOng sinh hoat phi...);

1.4. True/1g hop cap va ghi xac nhan then gian dong BHXEI del vai nguoi c6 thei gian lam Chu nhiem Hgp tac x‘a nong nghiep, ngu nghiep, diem nghiep c6 quy m6 toan xa, ho so' kern theo bao g6m:

- HO so' l lich goc cXa cá nhan,, he so' Ong vien khai trong thai gian lam Chü nhiem hap tdc xa, so sach hoc giay t6 lien quan nInr: danh sach trich ngang, danh sach chi tra sinh hog phi, danh sach hoc Quyet dinh phe duyet, cong nhan ket qua bau the hien c6 th6i gian. lam Clifi nhiem Ho .tac xa tr ngay 01/7/1997 tr6 ve truoy. Tnrang hgp khOng c6 gidy ter neu tren nhung c6 ca s6 xac dinh nguoi lao Ong có th6i gian lam Chu nhiem Hgp tac xa thi UBND cap xa phi hap v6i Dang üy, HDND xã nai no/6i lao Ong ke khai c6 theri gian lam Chn' nhiem hap tde xa cac mink nu du can dr xac dinfi ngu6i lao Ong co theri gian lam Chu nhiem hgp tac xâ. thi c6 van ban (bien ban) xac nhan ye thoi gian lam Chi]. nhi'em Hop tac xa, th6i gian cong tac gift chirc danh, chile vi theo quy dinh tai Dieu 1, Quyet dinh s6 250/QD-TTg va cam ket chiu trach nhiem truac phap luat ye nOi dung xa.c nhan. •

- Danh sach phe duyet cua UBND tinh, thanh ph6 true thuOc Trung uang (ggi tat UBND tinh) dOi voi ngued lao dng c6 thai gian lam Chfi nhiem hap tac xa c6 quy mo toan xa ter ngay 01/7/1997 tra ve tru6c (Mau do UBND tinh ban hanh).

- Danh sach phe duyet he so' tinh th6i gian lam ChU nhiem Hap taC xa cna UBND tinh.

- Gidy xac nhan ve tiled gian lam Chu nhiem Ho tac xa (Mau st) 02-QD250 kern theo Quyet dinh s6 250/QD-TTg ngay 29/01/2013 dia. Thu tuong Chinh phi') doi vai nguai khong cu tra tai tinh, thanh pho c6 thed gian lam chu nhiem Ho tdc xa.

1.5. Tnropg hap cap Va ghi xac nhan tiled gian dong BHXH theo quy dinh tai Khoan 8 Dieu 1 Nghi dinh so 153/2013/ND-CP ngay 08/11/2013 dia Chinh phü, hôso'baogom:

- Quyet dinh phuc vien, xuat ngil;

- Giay xac nhan chua huang che dO trig cdp theo Quyet dinh sO 47/2002/QD-TTg ngay 11/4/2002; Diem a Khoan 1 Dieu 1 Quyet dinh so 290/2005/QD-TT ngay 08/11/2005; Quyet dinh s6 92/2005/QD-TTg ngay 29/4/2005; Quyet dinh s6 142/2008/QD-TTg ngay 2/10/2008; Quyet dinh so 38/2010/QD-TTg ngdy 06/5/2010; Quyet dinh s6 53/2010/QD-TTg ngay 20/8/2010 va Quyet dinh so 62/2011/QD-TTg ngay 09/11/2011 cila Thu Wang Chinh phii;

Quyet dinh v viec thu h6i Quyet dinh hi/Ong che dO Va s6 tin trg cap met Ian theo Quyet dinh so 142/2008/QD-TTg ngay 27/10/2008 va Quyet dinh so 38/2010/QD-TTg ngay 06/5/10 dm. Thu tuOng Chinh phü (neu c6).

2. DiEu lam nghE; cong viEc na'ng nh9c, dOc hi, nguy him hoc dc bit na"ng nh9c, di)c hi, nguy hiEm truliv ngay 01/01/1995

so' Om 1 trong,cac loai gidy to' saw; Quyet dinh phan cons vi tri cong viec, huong luong; Hop (tong lao dOng, Hop Ong lam viec va cac giay khdc c6 lien quan den viec dieu chinh.

BAO MEM x -A 1101 VItT NAM

PHtJ LT)C 02: CAC LOAI GUY T(I LAM CAN Cfr LAP DANH SAC TRUY THU BHXH, BHYT, BHTN

s6 TT Doi -Wong la don vi DOi tucong la nguai lao dung Giay t6, h6 so xac dinh a. Wong

Th6i gian thuc ai Mang tham gia BHXH bat bu0c

6

1/1995 1/1998 1/2000 1/2003 1/2007 1/2016 1 2 3 4 5 6 7 8 9 10

1

Ca quan hanh chinh, . Dang CSVN, th chile

xa tir chinh tri - h6i • Trung trang an cap huy6n

1.1. Can b0, cong chirc Quyet dinh tuyen dung, hoc guy& dinh xep luong X X X X X X

1.2. Lao Ong Hap dlieg theo . . Nght dmh 68/2000/ND-CP • •

Hop d6ng theo Nghi dinh 68/2000/ND-CP X X X X

2

Don vi sr nghi6p ding 16p

2.1. COng chirc, vien chirc. Quyet dinh; Hop ang lam vi6c X X X X X X 2.2. Lao• Ong Hop ang theo Nghi dinh 68/2000/ND-CP

Hop ding lao d6ng theo ND68/2000/ND-CP X X X X

2.3. HDLD tir 03 thang fro. len. H9p dtmg lao Ong X X X

3

T6 chile xi h0i, T6 chirc xi KA dc thit theo quy dinh ena Chinh phit

2.1. Can b6, ding chirc, vien chfrc nha nuac dugc dieu Ong sang

Quyet dinh tuyen dung, hoc dieu dOng, quyet dinh xep lucmg X X X X X X

2.2. Lao Ong theo HDLD HDLD tir 03 thang to. len X X X

4

Doanh nghip nha. nu&

4.1. Can be cOng nhan vien (bao g6m ca ngtrisi quart 1ST doanh nghiep)

Quyet dinh b6 nhi6m (ngtr6i quan 1Sr Doanh nghi6p), tuyen dung, xep ltrong (vien chirc cbuyen mon nghiep vu, thira hanh va oiling nhan)

X X X X X X

4.2. Lao Ong theo HDLD HDLD tU 03 than tro• len X X X X X X

5

Doanh nghi6p ngoai qu6c doanh; van ph6ng di din ntrac ngoai

5.1. Lao d6ng theo Hop ding lao Ong

HDLD tir 03 than tr6 len Doanh nghiep

sir

clImg -a 10

LD tr6 len

Doanh nghw,

sixdunFg tir 10

LD ter len

Doanh nghiep

six

dtilig tir 10 LD tr6

len

4 Tat ca. cac loai DN

A Tat ca. cac loai

DN

rat ca. cac 100.

DN

só TT

• Doi tugng la don vi DOi tugng la ngtroi lao Ong • x ,

Giay to., ho sa xic dinh del Wong Thai gian thuOc del Wong tham gia BHXH bat buOc

1/1995 1/1998 1/2000 1/2003 1/2007 1/2016 1 2 3 4 5 6 7 8 9 10

5.2. Ngtrai (pan 1 doanh nghiep co huong tien hrong, tien cong

HDLD, Bang lucmg ding 1c, Bang thanh toin tien luong X x x

6

07 ban nhan dan cap xi

6.1. Can b0 chuyen frith, cong chile

- Danh sach can b0 chuyen frith, ding chirc c6) trong dinh bin dugc phe duyet - Quyet dinh xep SHP theo Nghi dinh 09/1998/ND-CP

x x x x x

6.2. Can be, kh6ng chuyen trach Danh sach can b0 KCT theo dinh bien duot phe chart X

7

Sr nghiep ngoai cong lap

7.1. Cin b0, cling chile, vien chile nha mac dugc dieu ding sang

Quyet dinh dieu dOng, b0 mhiem

x x x x x X

7.2. Lao Ong theo Hop Ong lao Ong

HDLD tir 03 thing tra len x x x X

8

Hgp tie xi 8.1. Lao Ong theo HDLD HDLD ttY 03 thing tr6 len X x X

8.2. Ngutol van 1)", HTX hiving tien lutmg, tien cong

Quyet dinh phe chuan x x x

9

TO hop tac, ca. nhan c6 SDLD

Lao dung theo HDLD HDLD tir 03 thing tr6 len X X x

2. Bang thanh toan tin Krung (hoc bang ke tin lucmg, tin cong nu tra qua ATM) Wang frng thoi gian truy thu. r 3. Loai khac: Van ban giai trinh, thuyet minh hoc giAy ti lien quan den viec khoan san phim, khoan cong viec,

(nu co).

* Ghi chti: Ca quan BM:El xem xet, giai quyet: truy thu BHXH bit bu6c tr ngay 01/01/1995, thoi gian truac ngay 01/01/1995 Ichong thuOc thim quyen; truy thu BHTN tit ngay 01/01/2009.

BAO MEM xx HQI VIVT NAM PHV LVC 03: CAC LO2NI GIAY Tel LAN' CAN cv CAP LAA, Drtu CHI:NH THONG TIN BA GIH TREN SO BITXH, T

BHYT

I. Chi ditu chinh thong tin di ghi teen BHXH, he so' gem met trong cac loai giay to. sau:

STT Nei dung Ten pay to• lam can cii Ghi chi 1 Thay di h9, ten, chit dm; ngay thang

nam shill; giai tinh, dan t0c; qutic tich Quyet dinh din ca quan c6 than' quyen ve viec cai chinh he tich hoc GiAy khai sinh ban chinh c6 nOi dung ghi cai chinh a mat sau theo quy dinh tai Nghl dinh 158/2005/ND-CP. ngay 27/12/2005 cila Chinh ph&

2 Dieu chinh lam ngh'e hoc ding viec nang nh9c, dOc hi, nguy him hoc dac bit nang nhoc, dOc lig, nguy him thuOc danh mix do BO Lao dung - Thuong binh va Xa hOi, BO Y te ban hanh

2.1. Quyet dinh phan dog nghe hoc cong vi'ec.

2.2. Quyet dinh tier' lucmg hoac IIDLD, 1-IDLV theo nghe hoac deg viec.

3 Thay dOi nai larn viec Quyet dinh (van ban) chuyen dia diem lam viec

II Ch 1i, di, ditu chinh thong tin di ghi teen the BHYT, h so' gem met trong cac load giAy to. sau:

STT Dei ttnyng Ten loal van bin, he so' Ghi cha

1. Ngutri c6 cong voi cich mqng quy dinh t#i Phap lenh MI dai ngtroi c6 cong voi each mpg

1.1 Nguiri ca ding vai. each mang theo quy dinh t4i Phap lenh Int dai nguai co cong Arai each mang, bao g6m: Nguai hog d'Ung each mang trtrac ngay 01/01/1945; noted hog d(ing each mang tir ngay 01/01/1945 den ngay kb:5i ngliia thang 8/1945; Ba. me Viet Nam anh himg; thuong binh, nguai huang chinh sach nhu thuang birth, thin:mg birth lo4i B, b'enh birth suy giam kha nang lao dung tir 81% ter len.

a) The thuang binh, the berth binh;

b) Giay chting nhan nguai huang chinh sach nhu thong binh;

c) Quyet dinh ding nhan la nguai hog dOng each mang truac ngay 01/01/1945, nguai hoat dOng cach mang tir ngay 01/01/1945 den ngay khoi nghla 'dicing 8/1945. du Ban Thuang vu tinh ity, Thanh fly nix thuOc Trung

mug;

d) Quyat dinh huOng thy cap encl. Ser Lao Ong - Thuang binh va Xa hOi.

d) Gidy xac nhan tha SO Lao Ong Thuong binh va Xã hOi noi clang huOng tra cap hang thang hoc da giai quy6t tic( cap mot lan (theo huang clan va co s& xac dinh la nguari c0 ding voi each mpg. tai Cong van so 467/NCC ngay 17/6/2010 eila BO Lao dOng - Thuong binh va Xa hi);

...

1.2 Nguiyi cif) cong voi each mang theo quy dinh tai Phap lanh Un di nguoi có cong vOi each mang, trir the deli mpg tai diam 1 neu tren

a) Huan chmmg Khang chin; b) Huy chiming Ithang chien;

c) Huan chuang Chien thang; d) Huy chuang Chian than&

d) The thuang binh, the banh binh;

e) Gidy chimg nhdn ngued huong chinh sach nhu thuang binh;

g) Gidy chimg nhan va khen thuOng ding kat thanh tich khang chin va then gian hoat dOng khang chin oh co quan Thi dua Khan thuOng cap huyan;

h) Quyat dinh huong trg cdp cila SO Lao dOng - Thuong binh va Xa hOi.

i) Gidy xac nhan cila So Lao Ong Thuong binh va Xa hOi nai dang huong trg cdp hang thang hoc da giai quyat trg cap mOt In (theo huOng clan va co si xac dinh la nguiyi có ding vai each mang tai Cong van so 467/NCC ngay 17/6/2010 cila BO Lao Ong - Thuong binh va xa hOi);

2. Ct.ru

2.1

chin binh theo quy dinh tOPhap 10h Oyu chin binh va

Can be, chin si Quan dei nhan dan Viet Nam (Om quan, quan nhan chuyen nghiep, ha. si quan, binh si) la be dOi chn lc, be dei dja phuang,,b0 dei bien phemg, biet deng da tham gia khang chin chong ngo9i xam bao ye TO quoc, lam nhiem quoc te; Can be, chin si dan quan, tv ve, du kich tap trung & mien Nam va Cong than vien quoc phang da chien dau, phgc vg chien dau chong ngoai xam tir ngay 30/4/1975 ye tax., Dei vien clOi ding tac vu trang trong Yung dich tam chiem ffr ngay .20/7/1954 ye tnak; Can be, chien sI dan quan, ti Ye, du kich tap trung 8. mien Bac tir ngay 27/01/1973 ye throe và cac doi nrcmg ddugc throng trg cap theo Quyet dinh s6 290/2005/QD-TTg ngay 08/11/2005; Quyet dinh 188/2007/QD-TTg ngay 06/12/2007; Quyet dinh s6 142/2008/QD-TTg ngay 27/10/2008; Quyet dinh s6 38/2010/QD-TTg ngay 06/5/2010.

Nghi dinh s6 150/2006/NID-CP efia Chinh phü

a) Quyet dinh phgc vien hoc xuat ngü hoc chuyen nganh.

b) Quyet dinh dugc huemg trg cap theo Quyet dinh se 290/2005/QD-TTg;

c) Quyet dinh dugc htrong trg cap theo Quyet dinh 188/2007/QD-TTg; d) Quyet dinh dugc huemg tiv cap theo Quyet dinh se 142/2008/QD-TTg;

d) Quyet dinh dugc huang trg cap theo Quyet dith s6 38/2010/QD-TTg.

2.2

Quan nhan, c8ng than vien chgc quec phong, dan quan tr trgc tip tham gia chin dau trong chin tranh bao v TO

qu6c ô bien giai Tay Nam, bien giOi phia Mc, lam nhiem vii quec th ó Campuchia, giiip ban Lao sau ngay 30/4/1975 theo Quyet dinh se 62/2011/QD-TTg ngay. 9/11/2011 cila Thu Wong Chinh

Quyet dinh phuc vien hoc xuat nga hoc chuyen nganh ghi r8 dia diem nth dozing quan theo quy dinh tai Quyet dinh 62/2011/QD-TTg hoc Quyet dinh huong trg cap theo quy dinh tai Quyet dinh 62/2011/QD-T1'g.

2.3 Si quan, quan than chuyen nghiep da. hoan thanh nhiem vi tai ngfi trong thth k5r x.ay dung va bao v tO qu8c da nghi

phgc vien, chuyen nganh.

Quyet dinh phvc vien hoc xuat ngfl hoc chuyen nganh.

3

Nguai true tip that-xi gia khang chin cheing My dm nuoc; ngueri tham gia chi'en tranh bao v'e TO qudc, lam nhiem vi quoc t a Campuchia, gitip ban Lao sau ngay 30/4/1975; Thanh nien xung phong theo Quyet dinh s6 170/2008/QD-TTg ngay 18/12/2008 dm Thn ttr6ng Chinh phü ye che di BHYT va trg cap mai tang phi di vâi thanh nien xung phong thad. Icy lchang chin ch6ng Phap va Quyet dinh s6 40/2011/QD-TTg ngay 27/7/2011 cila Thit Wong Chinh phU quy dinh v che de di voi thanh nien xung phong hoan thanh nhi'em va trong Ichang chin theo quy dinh tai cac Quyet dinh cna Thit trong Chinh ph* (trir cac tti tugng tai mix 1 va 2 neu nen) .

a) Gidy chirng nhan tham gia thanh nien xung phong cfra ccx quan c6 thdin quyen cap trtrOc khi thanh nien xung phong tro, ve tja phuong theo quy dinh tai Thong tu s6 24/2009/11-BLDTBX11 ngay 10/7/2009 va Theng tr s6 08/2012/17-BLDTBXH ngay 16/4/2012 cila BO Lao dOng - Thucmg binh va Xa hOi;

b) Giay chimg nhan hoan thanh nhiem vu a thanh nien xung phong cUa cor quan c6 thdm quyen cap truorc Ichi thanh nien xung phong tar vedja phming theo quy dinh tai Thong tu s 24/2009/TT-BLDTBXH va Thong tu s6 08/2012/TT-BLDTBXH;

c) Gidy khen trong then ky tham gia thanh nien xung phong cUa ca quan c6 tham quyen cap truot kin thanh nien xung phong trô v dia phtrcmg theo quy dinh tai Th6ng tu so 24/2009/TT-BLDTBXE1 va Th6ng tu s6 08/2012/TT-BLDTBXE; d) L lich can b0, dang vien c6 ghi la thanh nien xung phong theo quy dinh tai Thong tu s6 24/2009M - BLDTBXH.

d) Quyet dinh dugc huong trg cap theo Quyet dinh sO 290/2005/QD-TTg;

e) Quyet dinh dupe huong trg cAp theo Quyet dinh 188/2007/QD-TTg;

Quyet dinh duvc huang trg cap theo Quyet dinh sO 142/2008/QD-TTg;

h) Quyet dinh dugc huong trg cap theo Quyet dinh s6 38/2010/QD-TTg. i) Quyet dinh dugc huong trg cap theo Quyet dinh

4

62/2011/QD-TTg.

k) Quyet clinh dugc htrang trg cap theo Quyat dinh sa 40/2011/QD-TTg ngay 27/7/2011 dm Thu tuang Chinh phil. 1) Quyart dinh huong trq ch theo Quyat dinh sa 53/2010/QD-TTg ngay 20/8/2010 cila Thu Wong Chinh Ph4

,

4 Cha de, mc de, vg hoc chang, con caa Wet. sy; nguai có deg nuoi duOr'ng lit sy

a) Giay chting nhan gia dinh liat sy cua Sa Lao dOng Thucmg binh va Xa hi theo quy dinh .tai Thong ttr 05/201311T-BLDTBXH ngay 15/5/2013 ciia BO Lao dOng - Thuong binh va xa hi. b) Giay xac nhan cila S6 Lao Ong Thuang birth va xa h'ai nai tie') nhan, qua'n ly h6 sor va lam thil Mc mua BHYT cho than nhan cua liat sy va ngu6i c6 ding nuoi

. du'ung lit sy theo quy dinh tai Thong tu s6 05/2013/TT-BLDTBXH.

5 ND/6i dan fac thiau sa dang sinh sang Mi vang Co dieu kian kinh t6 - xã hOi kho khan; nguai dang sinh song tai vimg co dieu kian lcinh ye - xä hal dc bit Ich6 khan; nguori dang sinh song tai xa dao, huyan dao

a) Sa h0 khan; b) Sa

t ,.

Ira; c) Giay xac thandm. UBND capxa nai co d6i tugng ctr tra.

6

Than nhan nguai c6 cling vai cach mang (ft* twang hop la cha de, me de, vor hoc chang, con caa liat s5r; nguari co cong nuoi throng liat sy), bao gam: . . - Cha de, mc de, vg hoc chong, con tir ten 6 tulii d6n duoi 18 tu'ai hoc tir du 18 tuai tra }hi n6u con rap Mc di hoc hoc bi khuyat tat na.ng, khuyet tat dc biat nang da cac di Wong: Nguai hog dang cach mang truck ngay 01/01/1945; ngueri hog dOng cach mgig lir ngay 01/01/1945 dan ngay khoi nghla thang Tam nam 1945; Anh

Gidy xac nhan cila See Lao dOng Thuang binh va Xa hi nai tip nhan, quan ly ha sa va lam thil Mc mua BHYT cho than nhan cila nguai Co ding vai cach mang theo quy dinh tai Thang tu sa 05/2013/TT-BLDTBXE-I. dm B6 Lao dang - Thucmg binh va Xa hi.

hAng Lim lmang vil tang nhan dan, Anh hung Lao Ong trong thai kST khang chi'en; thuong binh, henh binh suy giam kha nang lao Ong tfr 61% ter len; ngued hog Ong khang chin bi nhiem chat dec haa h9c suy giam kha nang lao Ong tit 61% tra len; - Con de tir tren 6 tu6i dm ngued hog dOng khang chin bi nhiem chat Oc boa h9c bi. di clang, di tat do hau qua dm chat dec haa h9c khong Ai lc dugc trong sinh hog hoc suy giam kha nang iv lire trong sinh hog.

Thay di thong tin v'e nhan than, bO sung mA ncri 416i tuvng sinh sOng teen the BHYT, hO so' gm mOt trong cac Ioi giay to. sau:

STT Dm A. tuvng Ten 1091 van ban, 114 so' Ghi cha 1 Thay di hg, ten, chit dAm; ngay, thang,

nam sinh; giod tinh • Quyet dinh cua cc, quan c6 tham quyAn ve viec cai chinh theo quy dinh ti Ng hi dinh 158/2005/ND-CP hoc Giay khai sinh cep nOi dung ghi cai ghi mat sau ciia ban chinh Giay khai sinh.

2 B6 sung ma noi di tugng sinh sOng di veld ngued .dan tOc thieu sO va ngued thuOc hO gia dinh ngheo tham gia BHYT clang sinh s8ng to \ding c6 diet' kin kinh ta - xa: hOi kh6 khan, -yang c6 dieu kiAn kinh th - xa lied dac Met kilo khan; ngueri tham gia BHYT dang sinh s6ng ti xa dao, huyen dao.

2.1 S6 hi) khan; 2.2. SO tam tra.

-- • - - elm:

- Cac di Wang &me hugng quyen lgi BHYT cao han theo quy dinh cüa Nha ntrac tUng th6i BIDCH ViAt Nam huang dan b6 sung.

- Trueng hop ho, ten, chit diem ghi ten the BHYT chua khop dung vii chUng tninh thu nhan dan ho-ac gidy to tay than có anh thi co quan BH)CH phi hap voi ca quan quan I doi Wang a thong nhat dieu chinh ten ho so, danh sach tham gia BHYT./.

BAO MEM XA HOI vIET NAM

DANH MU-C BIEU MAU QUAN IS THU BEIXH, BHYT, BHTN; QUAN LY SO mum, THE BHYT (Ban hanh hem theo Quye't dinh 959/QD-BHXH ngay 09/9/2015 do BHXH Viet Nam)

s6 TT Ten mdu bieu KS, hien Theti gian l S6 ban

ep lep

Trach nhiem lep No'i nhen Ghi cha

1 2 3 4 5 6 7 8 I Mau biau lien quan dan don vl, ngteri tham gia 1 Ter khai cung cAp va thay a thOng tin ngtnii tham gia BHXH, BHYT TK1-TS Khi CO phat sinh 01 Ngtrai tham gia Ca quan BHXH 2 T6 khai cung cdp va thay di thong tin don vi tham gia BHXH, BHYT TK3-TS Khi CO phat sinh 01 Dan v1 Ca quan BHXH 3 Danh sach lao Meg tham gia BHXH, BHYT, BHTN D02-TS Khi c6 phat sinh 01 Don vi Ca quan BHXH 4 Danh sach he gia dinh tham gia BHYT DKO1 Khi CO phat sinh 01 Ho gia dlnh UBND xa 5 Danh sach ke khai ngtrai dang tham gia BHYT DKO2 Khi c6 phat sinh 01 UBND xi Ca quan BHXH 6 Danh sach ke khai nguiri chua tham gia BHYT DKO3 Khi CO phat sinh 01 UBND xi Ca quan BHXH 7 Danh sach tham gia BHYT cua doi tugng tu dang DKO4 Khi c6 ph& sinh 01 Di 19 thu Ca quan BHXH 8 Danh sach fang, gam nguiri tham gia BHYT DKO5 Khi c6 phit sinh 01 UBND xi Ca quan BHXH 9 Danh sach di chiau, xac nhan nguiri tham gia BHYT caa ca quan wan 19 DT DKO6 Khi CO phat sinh 01 Co quan BHXH Ca quan quan 19 doi ttrong

10 Danh sach nguiri tham gia BHXH tu nguyen D05-TS Khi CO phat sinh 01 Dai 19 thu Ca quan BHXH 11 Bien ban doi chieu thu, Op BHXH, BHYT, BHTN C05-TS Khi co phat sinh 02 Quin 19 thu Dan vi 12 Thong bao kat qua d6ng BHXH, BHYT, BHTN C12-TS Hang thing 02 Quan 19 thu Dan vi 13 Thong ban kat qua dang BHXH, BHYT, BHTN C13-TS Hang Rim 02 Cap SO, the Dan vi

11 Win bieu nghrep vu trong Nganh

1 Tang hgp danh sach lao d'gng tham gia BHXH, BHYT D02a-TS Khi c6 phat sinh 01 Quan 19 thu Ltru

2 T6ng hgp danh sach ngtr6i chi tham gia BHYT D03a-TS Khi CO phat sinh 01 Quan 19 thu Ltru 3 Tong hap danh sach ngtriri tham gia BHXH tu nguyen D05a-TS Khi CO phit sinh 01 Quin 19 thu Ltru

4 Danh sach tang, gam nguoi tham gia BHYT D07-TS Khi c6 Oat sinh 01 Cha do BHXH Ltru

5 Danh sach ngtrari tham gia den han phai dOng BHXH tg nguyen, BHYT D08a-TS Hang thang 01 Quail 19 thu Doi 19 thu

6 Danh sdch cdp s6 BHXH D09a-TS Khi CO phat sinh 01 Cap SO, the Don vi

7 Danh sach cap the BHYT DlOa-TS Khi CO phat sinh 01 Cap se, the Dan vi

8 Danh sach cap the BHYT ding k9 lcham chtta benh ngoai tinh D60-TS Hang thong khi CO PS 01 Cap S6, the BHXH WM khac

9 Thong bac danh sach thO BHYT thu hi D61-TS Hang thang khi co PS 01 Cap S6, the BIIXH tinh khac

10 Phieu dieu chinh CO2-TS Khi c6 phat sixth 02 Cap So, the Quin 19 thu

11 Bien ban tham dinh sO lieu thu BHXH, BHYT, BHTN CO3-TS Fling qu, 02 Quart 19 thu Ka hoach - Tai chinh

12 Phieu sir dung phoi Ma s6 BHXH C06-TS Khi CO phat sinh 01 alp se, thd

S6 TT 'Ten mu hien Ky hi Thei gian 10p S6 baneu

lap Trach nhiem 16p Nal nhOn Ghi chn

1 2 3 4 5 6 7 8 13 Phieu slY ding phed the BHYT C07-TS Khi Co phit sinh 01 Cep SA, the 14 Phieu giao nh6n phoi s6 BHXH, the BHYT C08-TS Khi cd phitt sinh 01 cAp s6, the 15 Bien ban My s6 BEM, the BHYT C10-TS Khi co phat sinh 02 Cep S6, the 13MCH cap ten 16 Quyet dinh hoan tra tien thu BHXH, BHYT C16-TS Khi co phat sinh 02 Ca quan BHXH Don vi, ngtrai tham gia 17 D6i chieu bien lai thu tien dong BHXH tv nguyen,, BHYT C17-TS Khi c6 phat sinh 01 Quin 1y thu Dai ti', KHTC 18 S6 theo doi sr dung phoi s6 BHXH SO4-TS Khi cd phat sinh 01 CAp S6, the 19 s6 theo d'Oi tinh hinh c6p s6 BIDCH S05-TS Khi CO plat sinh 01 cap s6, the 20 s6 theo deli mfr ding phoi the BHYT S06-TS Khi c6 phat sinh 01 Cap S6, the 21 S6 theo doi chi tiet thOi han sr dung the BHYT S07-TS Khi c6 phit sinh 01 Cap S6, the 22 Bdo cao chi tieu quan 1yr thu; ap s6 BIM, the BHYT B01-TS Hang Mang (quy) 02 QL Thu; Cap S6, the BHXH cap ten 23 Bao cdo tinh hinh thu BHXH, BHYT, BHTN B02a-TS Hang quY, nim

1 02 Quin ly thu BHXH dp tren

24 Bao cao thug hop tInh hInh thu BHXH, BHYT, BHTN B02b-TS Fling quy, nam 02 Quin ly thu BHXH cep tren 25 Bao ca.° chi ti6t don vi ng BHXH, BHYT, BHTN B03-TS Hang thang 02 Quin 1y thu Quin ly no 26 Bac cao tinh hinh ng caa cdc don vi cUng tham gia BILXH, BHYT, BHTN B03a-TS Hang quy, nim 02 Quin ly ng BHXH dp tren 27 Danh sach truy thu cOng n6i thoi gian B04a-TS Hang quy 02 Quan 1yr thu BHXH cep ten 28 Ting hop danh sach truy thu c6ng n6i th6i gian B04b-TS Hang quy 02 Quan ly thu BHXH cap veil 29 16ng hgp danh sach c6ng n6i thlyi gian tham gia BHXH B04c-TS Hang guy 02 Cap S6, the BHXH cap tren 30 Bang t6ng hop s6 the va s6 phai thu theo ncri dang kY kham chaa benh ban d6u B05-TS fling quy 02 Quail ly thu Giam dinh BHYT, KHTC 31 Ke hoach thu BHXH, BHYT , K01-TS Hang nim 02 Quail lyr thu BITCH cap tren 32 Ke hoach stY dpng phed s6 BHXH, the BHYT K02-TS Hang nim 02 Cep S6, the BHXH dp ten

SAO HIEM XA HOT VItT NAM

- (Ban lzanh ken; theo OD so: 9.59/0D-BHXH

ngiz'y 09/9/2015czia BHXH Viet Nam)

SAO HIEM XA HOI VIET NAM CONG HOA xA HOI CIIt NGHIA VIET NAM DOc lap - Tr do - II4nh phtic

Toj KHAI CIING CAP VA THAY DOI THONG TIN NGIAII THAM GIA BAO HIEM XA HQI, BA° HIEM Y TE

Kinh gin.: •

[1]. H9 va ten (vik chit in hoa):

[2]. Se dinh danh•

[3]. Ngay thang nam sinh: [04]. Giefi tinh: [05]. Quec tich

[6]. Nai ca.'p giay khai sinh: [06.1]. Xa. (phtreyng, thi trdn)

[06.2]. Huyen (quart, thi xã, thanh ph e thuec tinh)

[06.3]. Tinh (thanh ph)

[7]. Se chirng minh thtr (He chien):

[8]. Dia chi nai Cu trU: [08.1]. Se nha, throng ph& then xam•

[08.2]. MI (philOng, thi tran) [08.3] Huyen (quan, thi xã, thanh phe thilec tinh) [08.4].Tinh (thanh ph)

. [09]. Dia chi lien he: [09.1]. Se nha, dueng ph& then xom:

[09.2]. MI (phtrang, thi tran) [09.3] Huyen (quan, thi xã, thanh ph e thuec tinh) [09.4].Tinh (thanh ph)

[10]. Mire tin clang: [11]. Philo/1g thirc dong:

[12]. Nai clang k kham benh, chira benh ban du:

[13]. Nei dung thay dei, yeu can:

[14]. Tai lieu kern theo:

XAC NHAN CI:JA DON VT (clan vi chi phai xac nhOn khi ngtedi tham gia thay

dth h(2, ten din, ten; ngay, thOng, nclm sinh)

T6i cam cloan nhang nOi dung ke lchai la &mg 1*AP chiu trach nh*n truo.c phap lust ye nhitng nOi

dung dal ke khai , ngay thang nam

Ngu*i ke khai (ICY, ghi r5 h9 ten)

• PH-Ulf:NG DAN LAP

To' khai cung cap va thay di thong tin ngtroi tham gia BHXH, BHYT (Mau TK1-TS)

a) Niue dich: ke khai cac thong tin lien quan den nhan than, phuang thirc dong, noi (tang lcy7 KCB ban du 'chi tham gia BHXH, BHYT, BHTN va lchi c6 yeti ,cau thay di thong tin tham gia BHXH, BHYT nhu: nhan than, chic danh nghe, phuong thirc dong, nai Tang 1(3'r KCB ban dal'. ...

b) Trach nhiem lap: nguai tham gia BHXH, BHYT.

c) Thai gian lap:

- Di yeti ngueri lao deng ding tham gia BHXH, BHYT; nguai chi tham gia BHXH bat buOc; ngueti tham gia BITCH tu nguyen: Khi tham gia lan dau hoc khi thay doi thong tin.

- D6i vai nguai chi tham gia BHYT: Khi thay di th6ng tin.

d) Phuong phap lap:

[1]. Ho va ten: ghi day du he va ten dm nguai tham gia BHXH, BHYT.

[2]. s6 dinh danh: di vài nguai cimg tham gia BHXH, BHYT; nguai chi tham gia BHXH bat buec; nguai tham gia BHXH tcr nguyen thi ghi s6 s6 BHXH. Truemg hop chua c6 se BHXH ma c6 the BHYT thi ghi s6 the BHYT. Neu chua c6 thi d trong.

[3]. Ngay thang nam sinh: ghi ngay thang nam sinh nhu trong giay khai sinh hoac chimg minh thu, he chieu, the can cuac.

[4]. Gi6i tinh: ghi giai tinh cüa nguai tham gia (nu là nam thi ghi tr "nam" hoc nu 1à nit thi ghi tr "nir").

, [05]. Qu6c tich: ghi nhu trong gia'y khai sinh hoc chirng minh thu, he chieu, the can mac.

[6]. Noi cdp Giay khai sinh: ghi ro ten xa (phuerng, thi tran); huyen (quan, thi xa, thanh pho thuOc tinh); tinh, thanh ph e da cap giay khai sinh In dau. Twang ho:p chua du6c cap gidy khai sinh thi ghi nguyen quan (tnxOng hap sat nhap, chia tach - dia gieri hanh chinh thi ghi theo ten dia danh tai thai diem ke khai).

[7]. S6 chirng minh thu (HO chieu): ghi s6 chimg minh thy hoc ghi s6 he chieu.

[8]. Dia chi noi cu ghi day dü dia chi theo s6 he khau (truang h6p c6 so tam till thi ghi theo se tam trU): so nha, dung pho, then x6m; xa (phuang, thi tran); huyen (quan, thi xa, thanh ph o thuOc tinh); tinh, thanh ph.

, [09]. Dia chi lien he: ghi day du s6 nha, dirang pho, then x6m; xa (phuang, thi tran); huyen (quan, thi xa', thanh ph 6 thuOc tinh); tinh, thanh ph&

[10]. Mirc tin deng (Op dung doi voi nguai tham gia BHXH tu nguyen): ghi mire thu nhap thang do nguai tham gia BHXH tu nguyen ltra chip.

[11]. Phuung thirc dang Op dung d6i vri nguoi di lao deng a mac ngoai, ngtrai tham gia BHXH ttr nguyen): ghi cii the phtrong thirc dong la 03 thang hoc 06 thang hoc 12 thang.

[12]. Nui dang 14 KCB ban du: ghi nth ding 14 kham benh, chin benh BHYT ban du (danh sach clang k nui KCB ban du dtrgc co' quan BHXH thong bat) hang Wain g1i cho chu don vi, UBND xa, dai 1 thu).

[13]. Nei dung thay d6i, yeu cu: ghi nei dung yeu eau thay doi nhu: h9 ten, ngay thang nam sinh, cac theng tin lien quan den chile danh, nghe nghiep, cang viec, phucmg thirc dang, nui dang 14 KCB ban au ...

Lau Si: Khi thay di thong tin thi chi can ghi chi tieu [01], [02], [12], [13] va nei dung thay

[14]. Tai lieu kern theo:

- Di vai nguai thay del thong tin, ghi caz loai giay tô chfrng minh.

Dei vai ngtrai tham gia dugc huang quyen lgi BHYT cao hcm, ghi cac loai giay ti chimg minh.

d) Sau khi hoan tht viec ke khai,_ ngtrai tham gia k ghi rO he ten. e) Tru?yng hgp ke khai thay di v• nhan than (ho, ten- dem, ten; ngay,

thang, nam sinh) dä ghi tren se BHXH, the BHYT thi phai ca xac nhan cila don nui ngtrai lao deng dang lam viec.

Mb: TK3-TS (Ban hanh kern theo QD so: 959/QD-BHXH

ngay 09/9/2015mia BHXH Viet Nam)

SAO HIEM XA 1101 VIT,T NAM CONG HOA xA Hoi CHt NGIIIA VITT NAM Dc 14p - Ti do - Hanh pink

KHAI CUNG CAP VA. THAY DOI THONG TIN DON VI THAM GIA BAO HIEM X.A HOI, BAO HIEM Y TE

Kinh giri:

st• dinh danh:

[1]. Ten don vi bang tigng vigt:

[2]. Ten don vi bang tigng Anh (nu c6):

[3]. Ma sO thug:

[4]. Dia chi tr9 sr

[5]. Loai hinh dan vi:

[6]. SO dign thoai [07]. Dia chi email

[8]. SO Quyet dinh thanh lasp/Giay phep 'Tang k kinh doanh:

[08.1]. So: ; [08.2]. Nai cap:

[9]. ThOng tin vg nguoi dai din theo phap li4t cna don vi:

[09.1].. H9 va ten

[09.2]. Ngay thang nam sinh [09.3]. Giai tinh

[09.4]. QuOc tich [09.5]. SO CMT/hO chigu

[10]. Phuang thIrc (long Ichac: [10.1]. Hang quY. [10.2]. 6 Mang mOt Pan

[11]. Ni dung thay di, yeu eau:

[12]. Tai ligu kern theo:

, ngay thang nam Thu trurolig don vi (I<Y, ghi r6 h9 ten)

HifeiNG DAN OP

Ti khai cung cap va thay dai thong tin dun v tham gia BHXH, BHYT (mail TIC3-TS)

a) Muc dich: ke khai cac thong tin dm don vi khi dang 14r tham gia BHXH, BHYT, BHTN va khi don vi cO yeu can thay dei thong tin.

b) Trach nhiem Dan vi tham gia BHXH, BHYT.

c) Thai gian lap: don vi BHXH, BHYT tham gia lan du, don vi di chuyen . tir dia ban tinh, thanh pho khac den; khi co thay doi thong tin dm don vi.

d) Phuang phap lap:

se dinh danh: ghi se dinh danh throe co quan BHXH cp, n6u chua có thi de treng..

[1]. Ten don vi: ghi day cid ten don vi. [2]. Ten don vi bang tieng Anh (neu có): ghi day dU ten don vi bang tieng

Anh.

[3]. Ma se thus: ghi ma s6 thu6 eta don vi.

[4]. Dia chi tru so': ghi day du dia chi nai don vi dOng tri so': se nha, &rang ph8, then xom; xa, phuOng, thi tram quan, huyen thi xA, thanh phe thuOc tinh; tinh, thanh phe (theo quyet dinh thanh lap, gidy phep kinh doanh).

[5]. Loai hinh an vi: Gem cac loai hinh don vi: Co. quan hanh chinh, Dang, doan; SIrnghiep cOng lap; sly nghiep ngoal ding lap; Doanh nghiep nhA nuac; doanh nghiep ngoai nha nuac; doanh nghiep el:5 von du tir nix& ngoai; Hop tac la; To hop tac; hO kinh doanh cá the; cá nhan có sir dung lao dOng; Van phong di din, to chdc quoc ye.

[6]. se dien thoai: ghi se din thoai cüa don vi.

[7]. Dia chi email: ghi dia chi email cda don vi.

[8]. se Quyet dinh thanh lap/Giay phep dang kyikinh doanh:

[08.1].Ghi s6 Quyet dinh thanh lap/Giay phep ding k3", kinh doanh cua don vi.

[08.2]. Ghi ca quan cap Quyet dinh thanh lap/Giay phep dang k kinh doanh cho don vi.

[9]. Thong tin ve nguai di din theo phap luat dm don vi:

[09.1]. H9 va ten: ghi rO h9 va ten oda nguoi dai din theo phap luat oda don vi.

[09.2]. Ngay thang nam sinh: ghi re. ngay thang nam sinh oda ngued di din theo phap luat cda don vi7

[09.3]. Giai tinh: ghi gioi 'anti câa nguoi d.i din theo phap luat oda don vi (neu IA nam thi ghi tit "nam" hoc nen la nü thi ghi tir "Mr).

[09.4]. Quec tich: ghi Quoc tich cüa ngtrai di di'en theo phap luat cua don

[09.5]. S6 CMT/h0 chieu: ghi se Chirng minh thu hoc s6 h0 chieu hoc se the can ctrac cüa nguOi dai dien theo phap luat cila don vi.

[10]. Phtrong thirc dong khac (chi áp dung doi vai doanh nghiep, hgp tac xa., he kinh doanh cá the, t6 hop tac boat d'eng trong lTnhNqrc Ong nghiep, lam nghiep, ngtr nghiep, diem nghiep tra Krung theo san pham, theo khoan): nu chon phucmg thirc dong hang qu3"7 thi danh dau x vâi '8 [10.1]; nu chon phtrong thirc thing 6 thang mOt lan thi danh du x v6i 8 [10.2].

[11]. NOi dung thay d6i, yeu cu: gin nOi dung yeu cu thay di ninr: ten don vi, nguai di din phap blast ....

[12] Tai lieu kern theo: ke chi ti6t, s6 limng cac loai giay0 giri.kern. Ltru

Khi thay di th8ng tin don vi tham gia BHXH, BHYT, BHTN thi chi can ghi s6 dinh da.nh va chi tieu [01], [11], [12];

Dan vi chiu trach nhiem tuft phap luat v viec lap 116 so'; lim tilt 1-16 so' tham gia BRXH, BHYT, BHTN.

d) Sau khi hoan tAt vic ke khai, tihu truong don vi kyr, ghi rO h9 ten va dong dau.

vi.

Ten don vi: SO dinh danh:

Dia chi:

Min D02-TS (Ban hanh kern theo QD se: 959/QD-BHXH

ng .ay 09/9/2015 cilaBFIXH Vie't Nam)

DANH SACH LAO BONG THAM GIA BHXH, BHYT, BHTN So. tittin titim

STT HQ vã ten SO dinh danh Cap 14c, chirc vii , chtk danh nghe, not lam vi0

Tin Itro'ng

Tir thang, nam

Wn thang, nam

Ghi chti H' sii/Mtk luting

Ph y cap

Chtim vi

Thant Men VK

(%)

Thant nien

. nghe (0/0)

Phy cap

Itrong

Cac o• kb an

bo sung

A B C 1 2 3 4 5 6 7 8 9 10 I Tang'

1.1 Lao dOng

1 Nguye'n Thi A 123456789 Ph6 Chanh thanh tra Sa A 4.74 0.40 19% 06/2015 09/2015 so II/QD-SOA 2 Nguy& Van B Thanh tra vien Set A 3.33 5% 06/2015 09/2015 se') 12/QD-SerA

1.2 Ti'en luang

1 Nguygn Van C 2222333333 4.98 0.40 29% 02/2015 09/2015

ging tang

H Glum

11.1 Lao dOng

11.2 Tie'n luang

COng gram

ong so SO BHXH dê ngh cap:

TOng so the BHYT d nghi cap:

Ngay thang nam

Nguoi Jip bieu Dun vi

ghi 1'5 119 ten ghi rO h9 ten, clong dciu

HU'ONG DAN L4.13

Danh sach lao dOng tham gia BHXH, BHYT, BHTN (MAu D02-TS)

a) Muc dich: a don vi ke khai lao dOng, tin luemg tham gia BHYT, BHTN; dieu chinh dOng BHXH, BHYT, BHTN va Tang 14T cap se BHXH, the BHYT dii vOi noroi lao dOng thuOc don vi.

.b) Trach nhiem lap: don vi sir dung lao Ong.

c) Than gian khi c6 phat sinh tang, giam lao dOng hoc tang, giam tien luang.

d) Can dr lap:

Ti khai cung cep va thay di thong tin ngued tham gia BHXH, BHYT, BHTN (Mk TK1-TS); HDLD, HDLV, quy6t- dinh- tuyen dung,' tip nhan; quyet-dinh nang luong, thuyen chuyen va cac hi so khac c6 lien quan.

d) Phuang phap

Ghi.tang, giam lao Ong hoac tang, giam tin luang vao tirng mic Wong-the:

* Chi tieu theo cot:

- COt A: ghi s6 thir tv tir nho d'en lon theo ding muc.

- COt B: ghi ro ho, ten eta tang ngued lao. Ong va ghi tuang *rig vao ttng mix tang lao Ong, tang den luang hoac giam lao dOng, gia.m tin luang. Trong ding mic ghi theo thir tv: nguoi da c6 'so BHXH ghi tnrac, ngtr6i chua c6 s6

ghi sau.

- COt C: di vai nguoi da c6 s6 BHXH ghi s6 se BHXH, dii v6i ngu6i chua dugc cap so BHXFI da duoc cap the BHYT thi ghi si the BHYT; neu chua c6 thi de tring.

- COt 1: ghi dAy at, chi tit v6 cap bac, chirc vi, chirc da.nh nghe, cong vie, dieu kien nai lam viec theo quyet dinh hoc HDLD, HDLV (Vi du: Pho Chanh thanh tra SO. A, c6ng nhan van hanh may may cOng nghiep Cong ty B ...).

- COt 2: ghi tin luang dugc huang:

+ Nguoi lao Ong thuc hien che dO tin luang do Nha nu6c quy dinh thi ghi bang he se (bao gôm cahe si chenh loch bao km nu c6). -

Vi du: Tien ltrong ghi trong quyet dinh tuyen dung hoac HDLV la 2,34 thi ghi 2,34.

+ Nguei lao dOng thuc hien che dO tin ltrong do chit sir dung lao .dOng quyet dinh thi ghi mirc luang theo cong viec hoac chire danh, bang tin dong Viet Nam.

VI du: mire luang cüa ngtx6i lao dOng la 52.000.000 ding thi ghi 52.000.000 ding.

- COt: 3, 4, 5: ghi ph u cap elide vi bang he so; ph u cap tham nien -mot Ichung, thamnin nghe bang tS11 phan tram (%) vao cOt Wang irng, neu khong hung Oyu cap nao thi b6 tr6ng.

- COt 6: ghi phi cap luong theo quy dinh cua phap luat lao dOng tir ngay 01/01/2016 (neu c6).

- COt 7: ghi cac Ichoan be sung Ichac theo quy dinh cüa phap luat lao dOng tr ngay 01/01/2018 (neu c6).

• - COt 8, 9: ghi tr thong dam den thang nam nguiyi lao dOng bat dau tham gia hoc dieu chinh mire dong.Truong hop nguoi lao dOng có tiled gian truy dOng BHXH, BHYT, BHTN thi ghi tirng dOng, theo tang mec thoi gian truy dOng.

- COt 10: ghi se; ngay, thong, nam eta EIDLD, HDLV hoc quyet dinh (tuyen dung, tip nhan); tam hoan HDLD, nghi viec Ichong huong• hrong Truong hap nguai lao dOng ngirng tham gia BHYT ma Ichong tra the BHYT thi ghi "Ichong tra. the". Ghi doi Wong dugc huOng quyen lgi BHYT cao han nu co giay t1 chung minh nhu: nguoi c6 ding, cuu chin binh,

* Chi tieu hang ngang:

- Tang: ghi theo thir tv lao dOng tang mai; lao dOng dieu chinh tang mire (long trong don y.

- Giam: ghi theo thir tu lao dOng giam do chuyen di, nghi huang che dO BHXH...; lao dOng dieu chinh giam mire dong trong don vi.

Liru:

+ Neu trong thang don vi lap nhieu danh sach lao dOng dong BHXH, BHYT, BHTN thi danh so cac danh sach.

+ Don vi ice lchai day dü, chinh xac tin luong dong BHXH, BHYT, BHTN da ding ngu6i lao dOng the quy dinh cüa phap luat va chiu trach nhiem ye viec lap he so; km tit he so tham gia BHXH, BHYT, BHTN.

DANH SAC HO GIA DINH THAM GIA BAO HIEM Y TE Min DKO1

(Ban hanh kern theo QD so: 959/QD-BIDCH ngay 09/9/2015 clla BHX11 Viet Nam)

Ho va ten cha hr S6 s6 hO khau (hoac s6 sO tam trii) .SO dien thoai lien he (nOu co) Dia chi: Them (Ban, T6 dan ph6) Xai (Phirong, Thi tan) Huyen (Quart, TM xa, Thanh ph6 trIrc thuOc tinh) Tinh (Tharih ph6)

STTNgay

HQ Ira ten So Clinh danh thang nam sinh

Gi6i tInh Nol ch giAy khai sinh m61 quan 14 voi chit In)

LoM d6i ttgeng dang than' gia BHYT

Chtra thaw gia BHYT

Ghi ch ti

A B 1 2 3 4 5 6 7 8

1

2

3

4

5

6

7

Ghi chit: tit nam 2016, hang thang khi có phat sinh tang, glom thanhvien ha gia dinh thi ghi bo sung danh scich tren theo thti. Aro tang ghi trtroc, giam ghi sau

T6i xin cam doan nhimg nOi dung ke khai la dimg sir that va chiu hoan toan trach nhiem truck p áp 1 t

Ngety thang .....näm (hoc nguiri di din)

ghi TO hp ten)

HVONG DAN LP

Danh sach ht, gia dinh tham gia BHYT (Walt DK01)

,a) Mvc dich: ke khai day du, chinh xac toan be thanh vien he gia dinh tong sO h'g khau hoc so tam tit ke ca thanh vien clang tham gia, da tham gia nay khong tham gia va chua tham gia BHYT, lam ca se de quart 157, theo del nguei tham gia BHYT.

b) Trach nhiem lap: chit he hoc nguei di din he gia dinh.

c) Thin gian khi tham gia BHYT, khi ke khai hoac hoc khi phat sinh tang, giam thanh vien tham gia BHYT theo h0 gia dinh.

d) Can cir s6 he khan hoc se tam tit, gidy telien quan den tham gia BHYT.

d) Phuang phap lap:

* Phan thong tin chung: ghi. clay dit.h9 va ten chit.h0;. ghi. s6 se. he khau (hoc so so tam tit); so dien thoai lien he (nu c6); ghi ro dia chi: then (ban, to dan pho); xa (phueng, thi trdn); huyen (quan, thi xa, thanh phe thuec tinh); tinh (thanh pho).

Tnr(Img hop he gia dinh chi c6 gidy tam MI thi Van thuc hien ke khai nhung ghi ro cum tU"giay tari trit" vac cet ghi chit.

* Chi tieu theo cet:

- COt A: ghi s6 tit* by dr 1 den het cac thanh vien trong he gia dinh.

- COt B: ghi day da h9 va ten cita tirng ngtrei trong s6hO khan (trir nheng ngue.i tam Ving) hoac s6 tam tru (bao gm chit' 110 va cac thanh vien trong ho).

- •Cgt 1: d& vi nguei Gang tham gia BHXH, BHYT; nguei chi tham gia BI-DM. bat buec; nguari tham gia BI-DCH tu nguyen: tnreng hop khong ghi se s6 BHXH (do lthong nh6 .haac 'thong biet) thi ghi so the BHYT hien dang sir dung. Khi ca quan BEIXH cap s6 dinh danh mâi (s6 the BHYT mei) sê ghi theo s6 dinh danh mai ke tir lan khai tip theo.

- COt 2: ghi ngay, thang, nam sinh nhu trong gidy khai sinh hoac chirng minh thu, he chieu, the can cuac.

- COt 3: ghi giOi tinh cüa cac thanh vien trong he (nu la nam thi ghi ter "nam" hoc nu la nO thi ghi tir "nit").

- COt. 4: ghi re ten xa (phuang, thi trdn); huyen (quan, thi xa, thanh phe thugc tinh); tinh, thanh pho da cap gia.y khai sinh lan dau. Truing hap chua dugc . cap giay khai sinh thi ghi nguyen quart (twang hap sat nhap, chia tach dja gioi hanh chinh thi ghi theo ten dia danh tai thei diem ke khai).

- COt 5: ghi m6i quan h vai chit he (la vg, ch6ng, con, chau...).

- COt 6: ghi re loai di tupg dang tham gia BHYT (Vi dy: him tri, Ire em dtrai 6 tuoi, hgc sinh, sinh vien, tham gia BHYT theo he gia dinh ...).

- COt 7: danh du "x" tuang Ang di ved ngtrei chua tham gia BHYT tai thei diem ke khai.

- Cet 8: ghi ra 132 do tang, giam di tu9ng tham gia BHYT doi vaei truong hop ke khai bo sung.

* Chi tieu theo hang: dr nam 2016, hang thang khi có bin deng tang thanh vien trong he gia dinh (vi du: sinh, nhap he khau...) hoc giam thanh vien trong hi) gia dinh (vi du: chit, cat he khdu...) thi ghi bei sung danh sach theo thir tçi tang ghi trtrac, giam ghi sau.

e) Sau khi hoan t'dt viec ke khai, chü h (hoc ngtrOi dai din) 14, ghi rO h9 ten.

lUBND xi (phuirng, thi trin)

DANH SACH KE ICHAI BANG TRAM GIA BAO MEM Y TE

1Viiu DK02 (Ban Muth kern theo QD so: 959/QD-BI-DCH

ngay 09/9/2015 dm BIDCH ViOt Nam)

Di ttroyng tham gia:

STT lin va ten SO dinh danh Ngity thing

Gidi nem sinh

tinh Noi cap giAy khai sinh Gill chit

A B 1 2 3 4

Thon (ban, to dc2n ph6)

1

2

3

4

Thon (ban, td dein pho)

5

6

7 .

Ghi chic tie nam 2016, vao ngery cui cling clia thang nEu có ban Ong tang, gicim thanh vien trong h(5 gia dinh thi ghi bd sung danh sach tren theo thie tw tang ghi truck, giam ghi sau twang zing voi tieng thon (ban, to dan pho).

,ngay thang nam

Nguari 14p biL

TM. UBND xa (phuirng, thj trin) ..... .

ghi r5 ho ten) ghi rö ho ten va clong ddu)

HVONG DAN 1413

Danh saeh kê khai nguoi dang tham gia BHYT (Mau DK02)

a) Mix dich: theng ke se nguiyi dang tham gia BHYT theo timg 1o4i 416i tugng tren dia ban xa theo ding them (ban, t8 clan ph6).

b) Trach nhiem UBND xa', phuOng, thi tan. c),Theri gian lap: chasm nhat thang 12/2015 thuc hien xong; tli nam 2016, vao

tgay eUoi ding tha than nu có phat sinh tang; giam thi lap bt3 sung.

d) Can di lap: Danh sach k khai h0 gia dinh tham gia BHYT (Mau DK01).

d) Phuong phap lap:

* Phan thong tin chung:

Di tugng tham gia: ghi tUng loai di -arcing tham gia BHYT (vi du: huu tri ghi "HT", tre ern duoi 6 tuei ghi "TE", can ngheo ghi "CN", h9c sinh ghi "HS", sinh vien ghi "SV", ngtrai tham gia BHYT theo ht) gia dinh ghi "GD"...).

* Chi tieu theo cOt:

- COt A: ghi se thix tu dr 1 den het ngtrad dang tham gia BHYT theo tang thon (ban, te) clan ph6).

- COt B: ghi day du ho va ten dm ding nguari dang tham gia BHYT.

- COt 1: ghi s6 the BHYT tha nguOi tham gia; ngtroi chi tham gia BHXH bat bu0c, ngrnyi tham gia BHXH tu nguyen chua tham gia BHYT thi ghi so se BHXH; neu chua có thi de tong.

- COt 2: ghi ngay, thang, nam sinhnlar trong gidy khai sinh hoc chirng minh dux, hO chieu, the can cueic.

- COt 3: ghi gii tinh cüa cac thanh vien trong h0 (1-1611 IA nam thi ghi tct "nam" hoc neula nit thi ghi tr "nit").

- COt 4: ghi rO ten xa' (phuOng, thi tran); huyen (quan, thi xa, thanh ph6 thuOc tinh); tinh, thanh ph6 da cap giay khai sinh lan dau. Throng hgp chua dugc cap giay khai sinh thi ghi nguyen quan (truing hgp sat nhap, chia tach dia hanh chinh thi ghi theo ten dia danh tai tiled diem ke khai).

- COt 5: ghi re; ly do tang, giam dei tugng tham gia BHYT di vai the tnrong hgp lap bo sung.

* Chi tieu theo hang ngang:

- Them (ban, te) clan ph6...): ghi cp the' ten then (ban, t6 danph6...).

- Tir nam 2016, vao ngay cuoi ding tha thing nu có bin dOng tang (vi TE mai sinh dirge cap the BHYT, ngued dang tham gia BHYT nhap h0 lchau...), giam (vi dy: chet, cAt h0 khau...) nguOi tham gia BHYT thi ghi be) sung danh sach theo thd tg tang ghi tru6c, giam ghi sau Wang ling vai tang them (ban, to clan pho).

e) Sau Ichi hoan tAt viec ke khai, ngutfi lap bieu, UBND xa, phuong, this tan 1c3'1, ghi ro he ten va.dong dau.

UBND xa (phtrong, thi

DANH SACKE ICHAI CHVA TRAM GIA BAD HIEM Y TE

Mu DKO3 (Ban hanh kern theo QE) sd: 959/QD-BHXD

nety 09/9/2015 cint BIDCH V*Narn)

STT

HQ va ten SO dinh danh Ngay thing

nem sinh Gied tinh NM ch giey khai sinh Ghi chn HQ gia

dinh

avid chwa

TG

A B C 1 2 3 4 5 Than (ban, to dcin ph6)

1 Ha gia dinh Ong Nguyen Van A

1 Nguyan VAn A , 01/01/1970 Nam

2 Nguygn Thi B 28/3/1975 Na

3 Nguygn Thi C 25/5/1999 Na

2 Ha gia dinh 'Ong Nguyin Van T

4 Nguygn Thi D 01/01/1987 Ni

5 Nguyen Tien Q 05/12/1990 Nam

Than (ban, t'6 clan ph6)

3 WO gia dinh 'Ong Mai Van K

6 Mai Thi T 18/7/1972 Na

7 Mai Van P 15/2/1978 Nam

8 Mai Thi N 23/6/1985 Na

Ghi cha: tic nam 2016, vao ngay cuoi cling act thing niu e6 biin clang tang, gicim nguai chwa tham gia BHY'I' thi ghi bá sung danh sach theo tha tu tang ghi truac, gicim ghi sau twang ang vat tang them (ban, td dein ph6) eeta tang ha gia

....,ngay thing nam Nprei 14p bleu • TM. UBND xã (pluton, thi trin) .....

(1)5, ghi ra ho ten)

Of), ghi Ka hp ten va clang clib.c)

HVONG DAN LiP

Danh sach ke khai ngtdri chtra tham gia BHYT (Mau DK03) a) Muc dich: theng ke s6 ngu6i chua tham gia BHYT tren dia ban Id theo

timg them (ban, t6 dan ph6).

b) Trach nhiem lap: UBND xa, phi/Ong, thi tra.n. c) Th6i gian cham nhat thang 12/2015 thuc hien xong; dx nam 2016, vao

ngay cu6i ding efia thang neu c6 phat sinh tang, giam thanh vin he gia dinh chua tham gia BHYT.

d) Can dr Danh sach ke khai h0 gia dinh tham gia BHYT (Mu DK01). d. Phuang phap lap:

* Chi tieu theo cot:

- COt A: ghi s6 thir dr lien dm dr 1 den het theo timg than (ban, t6 dan ph6).

- COt B: ghi s6 thir tu lien tac dr 1 den het ngu6i hien tai chua tham gia BHYT theo timg thon (ban, t6 dan ph) va theo drng h0 gia dinh.

- COt C: ghi day dü ho va ten dia timg ngueri hien ti chua tham gia BHYT.

- COt 1: de trong.

- COt 2: ghi ngay, thing, nam sinh nhu trong gidy khai sinh hoc chimg minh thu, he chieu, the can mac.

- COt 3: ghi gi6i tinh cüa cac thanh: vien trong h0 (neu la nam thi ghi dr' "nam" hoac neu la nir thi ghi tCr "nit").

- COt 4: ghi rO ten xa (phuOng, thi tran); huyen (quan, thi xa, thanhphe thuOc tinh); tinh, thanh phe da cap gidy khai sinh lan du. TnrOng hop chua duge cap

.gidy khai sinh thi ghi nguyen quan (trireng hop sat nhap, chia tach dia giai hanh chinh thi ghi theo ten dia danh tai thoi diem ke khai).

- COt 5: ghi 1.0 1Si do tang, giam dei Wong chua tham gia BHYT doi vi truOng hop ke khai bo sung.

* Chi tieu theo hang ngang: , ,

- Thon (ban, to dan ph6)...: ghi ten them (ban, tO dan ph6).

- HO gia dinh Ong (ba)...: ghi h9 va ten thU h0. Trireng hop trong h0 gia dinh, • • neu chi' he chua tham gia BHYT thi tai dong tiep theo el-mg phal ke khai ten chil. h0.

- Tir nam 2016, vab ngay cu6i ding cUatháng neu c6 bien dOng tang (vi du: nhap he khau...), giam (vi du: chet, cat h0 khau...) ngtroi chua tham gia BHYT thi ghi be sung danh sach theo thir ty tang ghi tnrac, giam ghi sau Wang rng drng thon (ban, to dan phi)) oh ding he gia dinh.

e) Sau khi hoan tdt vic ke khai, ngu6i lap bieu, UBND xa, phuOng, thi tan ghi r'O ho ten va dong dau.

Dai 1) thu/BHXH huyen• • SO dinh danh Di 1' thu/B1DCH huyan: Dia chi:

MAti DKO4 (Ban hanh kern theo QD sto: 959/QD-BHXH

new 09/9/2015 ctla BHXH Vit Nam)

DOi tuvng tham gia:

DANH SAC THAM GIA BAO DIEM Y TE CiJA DOI TUVNG 111 BONG

SO. Mang nam

Ltro'ng co' so.: DOng T571? NSNN 118 troy: .....%

STT

HQ va ttn St dinh danh Ngay thang nam sinh

Giori tInh Ngay thu tin SO thang dOng So fie

f dOng (dong) Bang ky nol KCB ban du Ghi chit HO gia

dinh

Ngteri tham gia

A B C 1 2 3 4 5 6 7 8 Thon (ban, I'd dein pha)• xã (phwang, thi trcin)

1 HO gia dinh ong(ba) Nguygn Van H

1 Nguygn Van H ... 01/01/1968 Nam 07/01/2015 6 310,500 2 Nguygn Thi K .... 05/12/1970 Nil 07/01/2015 6 217,350 Trung tarn y t6 huy'0... 1 3 Nguygn Thi M .... 07/06/1990 Nit 07/01/2015 6 186,300 Berth vin huyen... -)

2 HO gia dinh ong(ba): Nguygn Van A

4 Nguygn Van B ... 01/01/1969 Nam 07/01/2015 6 310,500 Tram y te xa.... 2 5 Nguygn Thi C .... 05/12/1971 Nil 07/01/2015 6 217,350 Trung tarn y ye huyen... 2

Than (ban, td dan ph6)• xã (vhufnig, thi trein)

3 HO gia dinh ong(ba): Nguygn Van D

6 Nguygn Van E ... 01/01/1961 Nam 07/01/2015 6 310,500 Tram y ye xa.... 1 7 Nguygn Thi P .... 05/12/1976 Nit 07/01/2015 6 217,350 Trung tam y ta huyen... 1

COng •

...,ngay thang nam

Nhan vien thu D#1117 thu/BHKEI huye:n.....

(195, ghi rb 119 ten)

(1c-ji, clang deiu, ghi ro" h9 ten)

HVONG DAN LAP

Danh sach tham gia BHYT mia di tuvng tv dong (Mk DK04)

a) Muc dich: thng hgp thong tin dia no/6i tham gia BHYT d lam can cir thu, nep tien va cdp the BHYT theo quy dinh.

b) Trach nhiem lap: di l thu hoc BHXH huyen.

c) Thai gian lap: khi c6 phat sinh d6i Wong AT dong tham gia BHYT.

d) Can dr lap: Danh sach h gia dinh tham gia BHYT (Mau DK01); Danh sdch ke khai nguai chua tham gia BHYT (Mau DK03); Danh sach hoc sinh, sixth vien; Bien lai thu tin.

d) Phtrang phap

* Phan thong tin chung: - DOi tugng tham gia: ghi 100 dOi tugng tham gia BHYT (ngtrai thuOc he gia

dinh can ngheo; ngueri thuee he gia dinh lam nong nghiep, ldm nghiep,ngu nghiep va diem nghiep c6 mire sOng trung binh; hoc sinh sinh vien; he gia dinh).

- Luang ca sa: ghi mire hrong ca ser do Chinh pha quy dinh tai then diem lap danh sach.

- T l ngan sach nha nuac h trg dong: ghi t le % ngan sach nha nuac h trg dong (bao gôm tYl theo quy dinh caa Nha nuae, cña dja phuong). •

* Chi tieu theo cot:

- COt A: ghi sO thir tu nho den lon terng chit he gia dinh trong thon (ban, th dan ph6).

- COt B: ghi sO tit* tu tir nho den Ion ena ngtr6i tham gia BHYT.

- COt C: ghi. day di' ho va ten caa terng ngtrai tham gia BHYT.

- COt 1: ghi s6 the BHYT cua ngtrai tham gia; ngtr6i chi tham gia BHXH b'a't buete, ngueri tham gia BHXH tr nguy'en chua tham gia BHYT thi ghi so s6 BHXH; nu chua c6 thi de tong.

- COt 2: ghi'ngay, thang, nam sinh nhu trong gidy khai sinh hoc chirng minh thu, he chieu, the can ctrac. •

• - cot 3: ghi giai tinh cira nguai tham gia (nu la nam thi ghi tir "nam" hoc nu la nu thi ghi ter "na").

. - COt 4: ghi ro" ngay thang nam thu lien theo bien lai thu tin di 1 thu tra cho nguai tham gia BHYT.

- COt 5: ghi s6 thang d6ng BHYT.

- COt 6: ghi s6 tin dong BHYT Wong img sO thang dong tai cOt 5.

- COt 7: ghi nai dAng k KCB ban du do ngueri tham gia BHYT clang kY.

- COt 8: nen la nguai tham gia BHYT ln d'au hoc gian don tren 03 thang trong nam tai chinh thi ghi s6 1; nu la ngtfai tham gia BHYT lien tue hoc gian dog). -Cr 03 thang trâ xuong trong nam tai chinh ghi so 2 va ghi nOi dung can lisu kha.c.

* Chi tieu theo hang ngang:

- Thon dan pho) ghi ten thon (ban, t6 dan ph). Di vi h9e sinh sinh vien: ghi ten lop.

- gia dinh Ong (ha) ghi h9 va ten chit 110.

e) Sau khi hoan tAt viéc ke khai Dal 15T thu k, ghi rO h9 ten.

UBND x'd (pluerng, thj trAn): S6 dinh danh ciia (phueng, thj trAn). Dia chi:

Min DKO5 (Ban hanh kern theo QE) so: 959/QD-BHXH

ngay 09/9/2015 dm BHXH Viet Nam) DANH SACH TANG, GIAM NGU'(fYI TRAM GIA BAo Bitm Y TE

S ir thang nem

Dôi tircrng tham gia:

Luang coy se': (16ng

STT HQ ye ten SO dinh danh Ngay,thang, Giei nem sinh tinh Ngay (ham gia SO thang deng Deng 14 ncri KCB ban du Ghi dui

A B 1 2 3 4 5 6 7 Thon (ban, to dein phO)• fel (phuOng, thi trOn)

I rang

1 2

// Gicim 3

4 Thon (ban, td dcin pho)• xii (plurang, thi trOn)

I Tang

5

.11. Gicim

6

C(Ing

Ghi chic: Tic ncim 2016, khi c6 bien d6ng tang, giam dOi twang dtcor ngtin Rich nil& mak (long, tra dong BHYT thi ghi bO sung danh sach theo ti tang ghi truck, giclm ghi sau twang feng vai ding thon (ban, to don ph4.)

....,ngay thang ncim Ngtdri 1p biu TM. UBND xã (phuirng, thi trin) ..... .

(kY, ghi KO' ho ten) (kY, ghi rö hQ ten va clang dciu)

HVONG DAN LAP

Danh sach tang, giam ngtroi tham gia BHYT (MAu DK05)

a) Muc clich: t6ng hgp thOng tin cda ngtred tham gia BHYT duac ngan sach nha mr6c dOng de lam can ct'r thu, nOp tin va cap the BHYT theo quy dinh.

b) Trach nhiem lap: UBND xä (phtreng, thi tran).

c) Thed gian lchi co phat sinh dei Wong (tang, giam) tham gia BHYT. d) Can a lap: Danh sach phe duyet cia ca quan pan l dei Wang.

d) Phuang phap

* Phan thong tin chung:

- Dti krang tham gia: ghi loai di Wang tham gia BHYT (ngued thuOc he gia dinh ngheo; ngued có ding vai each mang; bao tra xa hei

- Luang ca ghi mire hrang ca so. do Chinh phit quy dinh tai thOi diem lap danh sach.

* Chi tieu theo cOt:

- COt A: ghi s6 thir tv dr 1 den het terng ngtrod tham gia BHYT trong then (ban, te clan pho).

- Cot B: ghi &Ay dit ho va ten cila tOng nguei tham gia BHYT.

- COt 1:. ghi se the BHYT cüa nguoi tham gia; ngued chi tham gia B}M-I bat bu0c, nguoi tham gia BHXH tu nguyen chua tham gia BHYT thi ghi so se BHXH; neu chtra co thi de treng.

- COt 2: ghi . ngay thang nam sinh nhu trong giay khai sinh hoc chirng minh thu, he chieu, the can cu6c.

- COt 3: ghi gi6i tinh eta ngued tham gia (nu la nam thi ghi tit "nam" hoc nen la nti thi ghi tirs "na").

- COt 4: ghi r6' ngay thang nam tham gia BHYT theo quyet dinh caa ca quan co tham quyen.

- COt 5: ghi s6 thang dong BHYT.

- COt 6: ghi nai clang Icy KCB ban clAu cita nguoi tham gia BHYT clang 1cY tren ca sâ danh sach clang kY nai KCB ban du clugc ca quan BHXH thong W.° hang nam gfri cho cho UBND xa.

- COt 7: ghi,n0i dung can km Ghi d6i Wong dirge huangquyen lai BHYT cao han neu co giay to chung minh nhu: ngued CO ding, cuu chin binh,

* Chi tieu theo hang ngang:

- ThOn (ban, te dan ph6)...: Ghi ten then (ban, t6 clan pho).

- Khi phat sinh tang, giam nguOi tham gia BHYT thi ghi be sung danh sach theo tit* tv tang ghi truac, giam ghi sau ttrangin-1g ved timg th6n (ban, ta dan pho).

e) Sau khi hoan tdt viec ke khai, ngued lap bieu, UBND xa, phuOng, thi ghi re ha ten va clang dau.

DANH SAC DOI CHIEU, XAC NI14,N NGVOI THAM GIA BAO HIEM Y TE CUA CO QUAN QUAN M.( DOI TVONG

SO • thang Want

MAu DKO6 (Ban hanh kern theo QD s6: 959/QD-BHXH

ngay 09/9/2015 cUa BHXH V* Nam)

BOi tircing tham gia: Luting Co. so':

STT HQ vä ten SO djnh danh Ngay thang nam

sinh Ngay tham gia Sii thang &mg Bang kj, nifi KCB ban du Ghi chit

A B 1 2 3 4 5 6 Thon (ban, I'd clan phej)• xa (p1-nrang, tin trcin)

1

2

3 Thon (ban, I'd dan pha)• xã (phufmg, thi trein)

4

5

6

Cemg

chie'u chinh xcic voi danh sach cMi twang dang quan 135

..... , ngay ....thang nàrn Can hi) thu Co' quan BHXH

ghi 7.5 ha ten)

(195, ghi rô ha ten va clong dciu)

ngay ....thang na ..

Can hi) ra sok

quan quail 135- doi tuvng

ghi ro ha ten)

(105, ghi ro ha ten va dong dju)

HVONG DAN I4P

Danh sach di chgu, xac nkan ngtthi tham gia BHYT ella ca quan quan 1STd& tuvng (Mau DK06)

a) Mtic dich: d6i chieu, xac nhan ttrng logi di tugng tham gia BHYT dugc ngan sach nha nude dong voi co quan quan 15T d6i Wong.

b) Trach nhiem co. quan BHXH.

c) Thei gian tir nam 2016, hang thang khi có phat sinh tang, giam d6i tugng tham gia BHYT.

d) Can di lap: Danh sach tang, giam ngued tham gia BHYT (mu DK05).

d) Phuang phap

* Phan thong tin chung:

- DOi Wong tham gia: ghi tang logi c1i Wong tham gia BHYT (vi dtt: ngued thuOc hi) gia dinh ngheo, ngtrai có ding veri each mang, than nhan,ngu8i co cling vai each mang, nguai thuOc din huong trg cap bao trg xa 13.0i hang thing, cgu chien binh ...).

- Luang ca sec: ghi mirc tin hrong co sor do Chinh phu quy dinh tai tiled diem lap danh sach.

* Chi tieutheo cot:

- COt A: ghi s8 th* tv t*:nho den lem tiing ngueri tham gia BHYT trong th6n (ban, t6 dan pho).

- COt B: ghi day da ho va ten ciia terng tham gia BHYT.

- COt 1: ghi s6 the BHYT ella ngut1i tham gia; ngued chi tham gia BHXH bat bu0c, nguad tham gia BHXH tv nguyen chtra tham gia BHYT thi ghi so s6 BHXH; tru8ng hop chtra co thi a tr6ng.

- COt ghi ngay thang nam sinh nhu trong giay khai sinh hoc chirng minh dux, .h0 chieu, the can mac.

- COt 3: ghi ro ngay thang nàm tham gia BHYT theo quyet dinh ella Cu quan :co thm quyen.

- C0t4: ghi s6 thang dong BHYT.

- COt 5: ghi ding V ncri kham chfra benh ban du.

- COt 6: ghi nOi dung cAn ltru

* Chi tieu theo hang ngang:

- Th8n (ban, t8 clan ph)...: ghi ten thon (ban, t6 dan ph6).

- Tr tam ,2016, hAng thang nett có bin dOng tang, giam ngtroi tham gia BHYT thi ghi bo sung danh sach theo thll ttr tang ghi tnroc, giam ghi sau tucmg img voi tirng thon (ban, t6 dan pho).

e) Phan xac nhan: trong thOi hp 03 ngay lam viec ke tà khi nhan day du 11.6 so', danh sach tr co. quan BHXEI; co. quan quan 13'T di Wong kiem tra, doi chieu; xac nhan vao danh sach va chuyen cho co' quan

Ten Dal. 13%:

S6 dinh danh•

Dia chi:

Mau D05-TS (Ban hanh kern theo QD 959/QD-BHXH

DANH SACH NGTfiI THAM GIA BAO HIEM xA," HQ' TIINGUITN

STT Hy va ten _ S6 dinh danh Mirc tien lam can cu.

dOng

Phtrang thin dOng S6 tin dOng

Ghi chit Ti S6 thang dOng Ping s6 Nguiri tham giarthang

dOng NSNN 1(6 try

A B C 1 2 3 45+6 5 6 7 I Tang

1 S6 ngu:iyi

2 Mirc tin lam can cir dOng

_ COng tang

II Giam

1 s6 nguti

2 Mix tin lam can cd dong

Co:ng giam

Tong s6 s6 BI-3XH d6 nghi cup: ngdy thong ncim... Can hi) thu Trulimg phong (Ti) thu

ghi rã h9 ten)

ghi rã hp ten) ghi r'6 hp ten)

HU'ONG DAN LAP

Danh sach ngtrei tham gia BI-DCH nguy?n (Mau D05-TS)

a) Mac dich: de dai 13'7 thu hoc quan BHXH ke khai ngtroi tham gia BHXH tir nguyen tang mot dong tip, dong lai, dieu chinh mire dOng

b) Trach nhiem dai 1 thu, Phong/T6 Quan 13't thu. c) Thai gian lap: khi e6 phat sinh. d) Candi lap: Mk TK1-TS. •

d) Phtrang phap lap:

- COt A: ghi s6. thir dr tir nh6 den ion theo terng mac tang mai, dong dap, dong lai.

- COt B: ghi h9, ten ngtrai tham gia BHXR tv nguyen va ghi vao drng mix tang m6i, dong tip, dong lai drang

- COt C: ghi s se BHXH, trtr6rig hgp chtra c6 se BHXH ma e6 the BHYT thi ghi so the BHYT, neu chtra c6 thi de tr6ng.

- COt 1: ghi mire thu nhap thang lam can cit dong BHXH tv nguyen theo Mau TK1-TS.

- COt 2: ghi thang nam bat du (long m6i, (long tip, dong lai hOac dieu chn' mire tin dong BHXH ta nguyen.

- COt 3: ghi se thang dong BHXH tv nguyen theaphuOng thire dang 147. - COt 4: bang cOt 5 + cOt 6.

- COt 5: ghi se tin dong BHXH tr nguyen drang irng vi s thang dong trir so tien duge ngan saeh nha nuae h trg 'Jong (nu c6).

cOt 5 (cOt 1 x cOt 3 x 22%) - cOt 6). - COt 6: ghi se tien ngan sach nha mrac h trg dong theo quy dinh. - COt 7: ghi 'CV the dei drong tang do: dong mot dong tip, dong lai Wong

irng cac clang.

e) Sau khi hoan tat viec ke khai Dai IYT thu, Phong/To Quan 1 thu 14r, ghi rO he ten.

Mu C05-TS (Ban hanh kàm theo QD so: 959/QD-BILYH

ngay 09/9/2015cia BHX7-1 Viet Nam)

coNG Hem xx Ho CHU NGHIA VItT NAM Doe do-Hanh pink

BIEN BAN DOI CHIEU THU NOP BHXH, BHYT, BHTN

Horn nay, ngay thang . nam 20 tai Dan

Chimg toi gm:

- Dai din co* quan BA° him xä hi

1. Ong (ba):

2. Ong (ba):

din don visfr dung lao dOng:

1. Ong (ba):

2. Ong (ba):

Ch'ing t6i da tin hanh lap bien ban d6i chieu thu nQp BHXH, BHYT, BHTN (tir ngay... thang... nam... den ngay... than._ narn ), ci the nlur sau:

STT Chi eau BHXEI BHYT BHTN Thfra

A B 1 2 3 4 1 SO lao dOng tham gia

2 TOng gu' lining tham gia

3 SO tin phai nOp _ Trong do:

3.1 Phai nOp phat sinh

3.2 Dieu chinh tang

3.3 Dieu chinh giam

3.4 Ng truck chuyen sang

3.5 Thira Icy truck chuyen sang

3.6 Lai cham &Sag phat sinh

4 SO tien dal nOp

5 s6 tin con no

Trong do: Lai cham dong

6 Thira chuyen kY sau

Hai ben da theng nhat thong qua bien ban ad ehiL thu nOp, Bien ban dirge lap thanh 2 ban co giá tri phap 15, nhu nhau, mi ben gift 01 ban.

DON VI ST' DWG LAO BONG (K), ghi r5 hp ten va clang dint)

CO QUAN BAO EDtM XA HOI (4, ghi r3 ho ten va clang dau)

HU'ONG DAN LAP

Bien ban di chieu thu, nOp BHXH, BHYT, BHTN (MAu C05-TS) a) Muc dich: a cor quan l31-= va don vi ding dei chi'eu selieu thu, nep

BHXH, BHYT, BHTN nham xac dinh chinh xac s tin phai thu, so tin cOn nq cila don vi.

b) Trach nhiem ca quan c) Thoi gian khi dan vi ng den (long BHXH, BHYT, BHTN lan thed

gian nç keo dai tir 3 thang tro len hoc khi don vi có yeu du. d) Can cd danh sach lao deng tham gia BHXH, BHYT, BHTN d nhap

vao ca sâ dü heti phan mm quan l, cac chirng tir nOp tin ctita don vi. e) Phtrong phap lap:

CAn dr vao danh sach lao Ong tham gia BHXH, BHYT, BHTN da nhap vao ca s& dir lieu phn mem.quan l, cac chimg ter nOp tin cna don vi, he so' tham gia

BHYT, •BHTN liru tai don vi a dei chieu va the bao cdo Ring hop thu BHXH, BHYT, BHTN quy, nam ctita co quan BHXH va dan vi ding tien hanh lap Bien ban dei chieu se lieu thu, nep BHXH, BHYT, BHTN theo cac tieu tilde Wong timg, cu the:

- COt A: ghi se thir td.

- COt B: ghi nOi dung chi tieu..

COt 1, 2, 3, 4: ghi teng hop se lieu tuang frng tang chi tieu den thefi cli6m chot so lieu.

• Bien ban di chieu sirs1iu thu, nOp BHXH, BHYT, BHTN duac lap thanh 02 ban m'cii ben gift 01 ban.

Min C12-TS (Ban hanh kern theo QD so: 959/QD-BHXH

ngay 09/9/2015 BHXH Viet Nam)

THONG BAO KET QUA DONG BHXH, BHYT, BHTN Thang nam

Kink gai:

Dia chi: BHXH Dia chi Dien thoai: SO TK: Thông bao ket qua dông BHXH BHYT BHTN caa don vi ntur sau:

STT NQI DUNG BHXH BHYT BHTN CONG A B 1 2 3 4 = 1 +2+3 A KS, trirdt mang sang — 1 So lao cldng — 2 Phai clang

2.1 ThiM 2.2 Thi6u 3 Thidu led B Phat sinh trong kk I S a lao clOng

1.1 Tang 1.2 Giam 2 Phai (Yong

2.1 Tang 2.2 Giam 3 Dieu chinh phai clang lc-fr truerc

3.1 Tang Trong do: Nam truriv

3.2 Giant Trong do: Nam truerc

4 Lid 4.1 sd tidn tinh kV _ 4.2 T)) le tinhliii 4.3 Tang tidn ldi 5 2% BF-1)1H bat buOc dilai C SO tiet 0 Op trong kji I So thur nOp

+ LING sd ..., ngery .../.../...... Trong do ldi + ENG' sei ..., ngay .../.../...... Trong do ldi

2 Ghi thu 2 % D Chuyin kir sau 1 S a lao &Ong 2 Phai clang _

2.1 Thira 2.2 Thitu 3 Thieu kW

a) Ket qua don vi da &mg BHXH bat buec cho lao CIOng d'en het thang/nam b) Ket qua don vi da dong BHTN cho lao (ging den het thang/nam c) Teng s6 nôp thi6u la ding dt nghi don vi nep cho co quan BHXH truck ngay d) DO nghi don vi Id& tra sO lieu tren, n6u chun th6ng nhat dO nghi den co quan BHXH a IciOm tra dieu chinh truac ngay / / . Qua thOi han ten au don vi khong den, so lieu ten la Ching.

.....,ngay... ...thang ncim. Giam de

(19i, ghi ha ten vet dong tau)

BAO HIEM Xik ROI VI$T NAM

Can.13(1 thu (K)5, ghi 1.6 ha ten)

HONG DAN L4.13

Thong bat) ket qua dong BHXII, BHYT, BHTN (Mau C12-TS)

a) Muc dich: a th6ng bao chi tit ket qua thuc hien dong BHXH, BHYT, BHTN dei vai cac don vi tham gia BHXH, BHYT, BHTN.

b) Trach nhiem ca quan BHXH. c) Thai gian lap: hang thang. d) Can cix lap: can cfr s6 lieu ML D02-TS, D02a-TS, ML C12-TS thang

truik lien ke, dir lieu trong phL mm quan 13'7 thu va cac ch(rng tir nOp tien trong thang dm don vi.

e) Phuong phap lap: - Cac cOt 1, 2, 3:•ghi s6 lieu cac tieu thirc tren Mu D02a-TS; D03-TS, D05a-

TS, C69-HD, c83-HD va cac chung,n2r nOp tin cila don vi theo thang va theo ding quy thanh phan vao tuong Ung vai cac tieu fink va tang quy thanh pha.n trong th6ng bao.

- COt 4 = COt 1 + COt 2 + COt 3 theo cac chi tieu tuong img (phan g4ch cheo kh6ng ghi se lieu). Dei voi s6 thu thira khong phan be vao cac quy.

Ltru ,

- Xac dinh ket qua don vi dä dong BHXH, BHTN cho nguoi lao Ong tinh den het thang.... nam • Wong irng vai se tien don vi da dong BHXH, BHTN cho ngtroi lao deng nhu sau:

+ Dan vi..khong ng BHXH, BHTN thi xac nhan th6i gian dong BHXH, BHTN cho ngtrai lao Ong den het thang ra th6ng bao.

+ Don NI. ng BHXH, BHTN thi xac nhan thed gian dOng BHXH cho nguoi lao deng tuang ir. ng vai se tin don vj da dong

BAO .HIEM xA HOI VItT NAM

THONG BAO KET QUA BONG BHXH, BHYT N5m

Mau C13-TS (Ban hanh kern. theo QD só: 959/QD-BHXH

ngay 09/9/2015 cda BHXH Vit Nam)

KInh giri: Dia chi

BHXH tinh, TP (huyen, q4n) thong bao tinh hinh dong BHXH, BHYT, BHTN nam 20... dm don vi nhu sau:

TT H9 ten ,

SO dinh danh

Ngay thang nam sinh

, Chirc vu, chuc danh nghe, cong vicc

T6ng tin hxcmg d6ng

Dong tit

thang

Da dong den

thong

Ghi cht

Tien hxcmg chfnh

Phu cap

Chirc vg

Tham nien vtryt

khung (%)

Tham . men

nghe (%)

Phi cAp

luong

Cac khoan

b6 sung

C D 1 2 3 4 5 6 7 8 9 10

.......,nga y....thang nam... Can 14 chuy'en quan Trui!rng phong (TO) Cap s6, the

Clam thic

ghi r5 h9 ten)

ghi r5 h9 ten)

ghi To h9 ten va clang ddu)

HUtiNG DAN 0.11

ThOng bao kect qua d6ng BHXH, BHYT, BHTN (Mau C13-TS)

a) Muc dich: a thong bao tinh hinh dong BHXH, BHYT, BHTN cho ngued lao Omg duac biet.

b) Trach nhiem quan BHXEI.

c) Thai gian lap: hang na'm.

d) Can cir lap: danh tham gia va ket qua dong BHXH, BHYT, BHTN cua nam tru6c.

d) Phuang phap

- COt A: ghi s6 thir tu cüa nor6i tham gia.

- COt B: ghi h9 va ten Gila ngu?yi tham gia.

- COt C: ghi s6 dinh danh ciXa ngtr6i tham gia.

- COt D: ghi ngay thang nam sinh caa ngu6i tham gia. - COt 1: ghi day dü, chi tit ve cap bac, chile vu hoc chirc danh ngh& cong

viec cüa nguoi tham gia.

- COt 2: ghi mire tin luang chinh lam can cir dong:

+ Ngueri lao Ong thuc hien the dQ tin luang do Nha ntroc quy dinh thi ghi bang he so (bao gm ca h s6 chenh loch bao km neu c6).

+ Nor6i lao dOng thuc Mon chedo pen luang do chii stir dung lao dOng guy& dinh thi ghi mire Wang theo ding viec hoac chic danh, bang tin d6ng Viet Nam.

D6i vai nor6i lao dOng c6 tin hrong ghi trong cOt 2 Mau D02-TS cao han 20 lan luang ca s6 thi ghi lam 2 dong raw sau:

D6ng nhat ghi tien hang chinh dong BHXH, BHYT (cOt 6,7 b6 tr6ng);

D6ng thir hai ghi den Krung chinh ,dong BHTN (nu lien ltrong cao bun 20 Ian luong thi thieu \rang thi cOt 6, 7 de tong.

Vi du 1: tai th6i diem luang co so' la 1.150.000 dong, Krung toi thieu yang la 3.000.000 d6ng. Tien hrang ghi tai cOt 2 Mau D02-TS la 120.000.000 dang thi ghi nhu sau:

Pang thir nhat ghi tin lirang chinh •dong BHXH; BHYT 23.000.000 Ong, cOt 6, 7 de tong;

DOng thir 2 ghi tin luang chinh dong BHTN la 60.000.000 ding, cOt 6, 7 dê tr6ng.

Vi du 2: mix Kiang co sa va Itrong thi thieu vimg ghi ô vi du 1. Tien luang ghi tai cOt 2 Mau D02-TS la 28.000.000 d6ng, cOt 6 ghi 15.000.000 d6ng thi ghi nhu sau:

D6ng thir that ghi tin luang chinh dong BHXH, BHYT 23.000.000 d6ng, cOt 6, 7 de tr6ng;

Dong thir 2 ghi lien luong chinh dong BHTN la 28.000.000 deng, cOt 6 ghi 15.000.000 Ong, 7 de tong.

- Oft 3, 4, 5, 6, 7: ghi tin dong timg loai phii cap: chuc vi, tham nien viral khung, tham nien nghe, khac, phn cep luong, cac khoan b6 sung (nu c6).

- COt 8, cOt "dong tit thang", " da Ong den thang": ghi thoi gian don vi da dOng ti thang, den thang cho nguai lao Ong (dm khoang thai gian khOng thay di mO't trong nhang yeu to nhu: cap bac, chirc vi, chire da.nh nghe, cong viec, dan vi lam viec, dia diem don vi dong, mirc tin Krung, tin ding va cac loai phi cap lam can cir clang BHXH. Khi c6 thay doi mOt trong,nhang yeu to nay thi ghi a dong tiep theo tuang frng voi khoang thai gian thay

- COt 10: Ghi chd.

Ten don vj ma dcm vi: Din thog:

A. Phan chi tit

TONG HOP DAN!! SAC!! LAO BONG TRAM GIA MUCH, BHYT, BHTN Sti• thing . tam

MiuD021-TS (Ban hanhkem theo QD s6: 959/QD-BHXH

ngiy 09/9/2015 cüa BHXH Vi6t Nam)

STT Ho vi ten S6 dinh

danh

Mit ding CO Mit ding Moi

Tir thing nilin

D6n thing nam

Tin dong phat sinh

Ghi chi Ti&) limn

Phu ch

Tin 'dung

Ph cAp

chtk vu '

TN VK

(%)

TN nghe

(%)

pc

kiting

Clic khoan

7. bo sung

Chit vg

TN VK (%)

TN ngha (%)•

pc .

hrong

Cie khan

bo z sung BHXH BHYT BHTN

A B C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 I Tang

1.1 Lao Ong 1 Nguyin Thj A 123456789 4.74 0.40 19% 06/2015 09/2015 1,828,863 316,534 2 Nguyin Van B 5555555555 3.33 5% 06/2015 09/2015 1,045,454 180,944

—

1.2 Tin luang 1 Nguy8n Van C 2222333333 4.98 0.4 28% 4.98 0.40 29% 02/2015 09/2015 232,323 232,323

C§ng tang II Gam

11.1 Lao dOng

11.2 Tin Krung

C§ng giam

B. Phan thng hcrp

SIT NOI dung SO lao dOng SO tin 131-1XH S6 din BHYT S6 tin BHTN

Tang Giim Tang Giam Tang Giim Tang Giam A B 1 2 3 4 5 6 7 8 1 Mang sang 2 SO phat sinh 3 S6 1116u chinh 4 S6 cu6i Ick

, ngay thcing

Ngtroi 1p bi'Au

Truteng phong (TO) thu

Gram dc BHXH

Ten don vi/D.147:

• Mal don vi/D.L3'1:

Din thogi lien he: TONG HOP DANH SAC NGUtiIli THAM GIA BHYT

Thang Mani

Mau D03a-TS 4,„„ (Ban hanh kern theo QD s6: 959/QD-BHXH

ngay 09/9/2015 cna BEDCH Vit Nam)

DOi twong tham gia

Luang cry so.: ding TST ê NS hti triy: % A. PhAn chi tit

STT Hy va ten S dint' danh O Ngay tham gia

/ngay dOng lien dong

Ti61 'nosing Giam mat

(%)

Thol han sir dung the S6 den d6i Bryn Ong NSNN hti try' Gin chit

Tir ngay Btu ngay Nam nay Nam sau Nam nay Nam sau

A B C 1 2 3 4 5 6 7 8 9 10

I Tang

COng tang

II Giant

COng giam

B. Ph'an ding hop

SO tin aoi ttryng d6ng Ngan sach NNW') try'

STT Ni dung S6 nguni tham gia

S6 tin Nam nay Nam sau Nam nay Mm sau

A B 1 2 3 4 '5 6

1 SO du kY mang sang

2 S6 Oat sinh tang

3 S6 phat sinh giam

4 SO cu6i IcS,

Thad han the ce gia tri sir clang tit

dOn

,ngdy thang nam

Nguiri 14p Welt

Triro'ng phong (T6) thu

Giam dc BHXH

ghi rã h9 ten)

(4, ghi ri5 h9 ten)

(195, ghi rô h9 ten va clang dein)

HONG DAN LAP 'Ding hop danh sach ngtroi chi tham gia BHYT (Mau D03a-TS)

a) Muc dich: tong hop, ke khai cac thong tin dia ngtr6i chi tham gia dOng BHYT de cap the BHYT theo quy dinh.

b) Trach nhiem lap: ca quan BHXH tinh, huyen.

c) Th6i gian lap: khi có phat sinh Mau DK04, DK05, D07-TS (can be thu cap nhat dr' lieu theo Mau DK04, DK05, D07-TS vao phan mem quan13', thu; in, 1(57, chuyen ding he sa cho Phong/Te Cap se, the).

d) Phuang phap - Dei tucmg tham gia: ghi loai di Wong tham gia BHYT (ngu6i ngheo,

nguoi co cong, he can ngheo ...). - Luang co sa: ghi. mire tin luo-ng ca s6 do Chinh ph6 quy dinh tai th6i

diem lap danh sach. - TS, le ngan sach nha ntrac M to. Op dung dei voi nh6m dugc ngan sach

nha ntrac he tro-met phan mire dong va nhom tham gia BHYT theo he gia dinh): ghi tSrl % ngan sach nha h trg dong, (bao gem tSrl theo quY dinh eüa Nha ntroc, dm phucmg).di voimet se dei tuong quy dinh trong Luat BHYT.

A. Phan chi ti6t: - Cet A: ghi se) thir tu tU nho den lon theo tUng dei tugng tang, di

Wong giam. - Cet B: ghi ho, ten ngu6i tham gia BHYT, neu thuec dei tugng he gia dinh

thi ghi theo timg thanh vien dong BHYT theo thir tu nhtr sau: ngtroi thir nhat (phai deng 100% mire dong) ghi truac, sau do ghi theo thir tu ducyc gia'm dan mirc dOng (70%, 60% ...), sau do. ghi he gia dinh thir 2.

- Cet C: ghi se dinh danh cüa tfing nguoi tuang irng OA 1 Mau DK04, DK05, D07-TS.

- Cet 1: ghi ngay tham gia hoc ngay dong•tien Wang (mg cet 4 Mau DK04, DK05; cet 5 Mau D07-TS D07-TS.

- Cet 2: Dei v6i doi tuong dong theo mirc lung ca so. thi .a tong; dei vOi di Wong deng theo tin lirang, tro• cap thi ghi mire tier' lircmg dong BHYT (hrang him, trg cap that nghiep ...).

- Cet 3: chi ghi d6i vai nhang twang hop tham gia BHYT theo he gia dinh &roc giam nix rink dong (70%, 60%, 50% ...); ngu6i kh6ng dugc earn trir mire dong.thi d triSng.

- COt 4, 5: ghi ngay thang nam bat du the BHYT c6 giá tri sir dung va ngay thang nam the BHYT het han tri sir dung, tuang img se tin dong BHYT ciia ngu6i tham gia.

- COt 6, 7: ghi s6 tin dong BHYT Wang img vai thbi han sir dung dm the BHYT:

+ Di vOi di tugng dtrgc ngan sach nha nuac h trg mOt phan mire dOng, doi ttrgng tham gia BHYT theo hes) gia dinh: ghi sel‘tien eta ngued tham gia dong Wang img voi thai han trong nam vao cOt 6 vã so tin tucmg img thei han tam sau vao cOt 7.

+ ngued do ngan sach nha nuarc \fa t6 chime BHXH dong: ghi s6 tin ngan sach nha nuac, t8 chirc BHXH dong tuang irng mOt thang vao .cOt 6.

- COt 8, 9: ghi s6 tin ngan sach nha mac h8' trg clang BHYT tucmg img vói thed han sir dung dm the BHYT nam nay va tam sau.

VI du.: HQC sinh Nguygn Van A tham gia BHYT lien tic vai phuang thirc dong 12 thang, dong tin tix ngay 01/10/2015 thi ghi nhu sau:

COt 6: 1.150.000 x 4.5% x 3 x 70% (thang 10 - 12/2015) =- 108.675 ding.

COt 7: 1.150.000 x 4.5% x 9 x 70% (thang 01 - 09/2016) = 326.025 &Mg.

COt 8: 1.150.000 x 4.5% x 3 x 30% (thang 10 - 1212015)= 46.575 deg.

. COt 9: 1.150.000 x 4.5% x 9 x 30% (thang 01 - 09/2016) = 186.300 d8ng. - Ghi

B. Phan t6ng hop:

TOng hemp- so' ngued tham gia s6 tin dói tugng dong, s6 tien ngan sach nha .nuac h trg clang cii the theo tirng tieu thirc, cu. the:

- Chi tieu mang sang: ghi so' cuoi Icy truac mang sang vao the cOt tuang

- Chi tieu. s6 That sinh tang: ghi s6 phat sinh tang trong thang vao the cOt tuang irng. •

- Chi tieu s6 phat sinh giam: ghi s6 phat sinh giam trong thang vao the COt tuang irng.

- Chi tieu s6 cued ky: ghi s6 cu6i vao the cOt taang img.

Ten clgi V/:

ma dai 1s./: Dien thoai lien he: A. Ph'in chi ti6t

TONG HOP DANH SAC NGLYOI THAM GIA BHXH TV NGUYtN Thing.....Ham

Mau D05a-TS 7, (Ban hanh kern theo QE) s& 959/QD-BIDC4

ngay 09/9/2015 cua BHXH V*Narn)

STT 119 va ten So' dinh danh ar ding

Mtic tien lain can Tir thing So thing ding

SO tien doing

Ghi chi • Wing s6 Ngtroi tham

gia dong 7. NSNN ho tro•

A B C 1 2 3 4 5 6 7

I Tang

1.1 Lao dOng

_ 1.2 Tin luong

ging tang

II Giam

11.1 Lao Ong'

11.2 Tin ltrong

COng grim

III Dieu chinh • 111.1 Pluxong thIrc &rig

B. Phan tong hop STT Ned dung SO lao dOng tong s6 ti'e'n • NguOiTG (long NSNN h6 try*,

A B 1 1 S6 du kS, mang sang 2 tang, trong ky 3 Gram trong, kjr 4 Sii cu6i ki,'

ngay .thang neim

Nguiyi lp bi7eu

Truirng phong (Ti) thu

Tru*ng phong (Tt) KU-TC

Giam dc BIIXH

ghi r5 h9 ten)

(ig; , ghi 1.5 119 ten)

(kj), ghi r5 h9 ten)

(IcY, ghi r5 h9 ten va dong

I-WONG DAN LAP

Ttmg hcep danh sach ngfferi tham gia BHXH tcr nguy'n (Mau D05a-TS) a) Muc dich: t6ng hop s6 ngtrai, so' tin tham gia BHXHtu nguyen tang mai,

clang tip, dang lai, dieu chinh

b) Trach nhiem ca quan BHXH. • c) Thai gian lap: kin ca phat sinh man D05-TS (can be thu cap nhat,dfr lieu

theo Mau D05-TS cüa dai 1 thu van phan mm quan ly thu; in, lcy, chuyen ding h6 sa cüa di 1 thu cho Phang/T6 KH-TC xac nhan.da thu tin, chuyen PhOng/T6 Cap s6, the).

d) Can eir lap: Mau D05-TS.

e) Phuong phap lap:

A. Phan chi tit: ghi tang tu nhu huang dan Mau D05-TS. B. Phan t8ng hgp: Tong hgp so nguai than.' gia s6 tin d6i Wong dang, so

tin ngan sach nha nuac h trg dang eu the theo tang tieu that, cv the: . - Chi tieu mang sang: ghi s6 cu6i ky truac mang sang vao cac cOt tuong fmg.

- Chi tieu s6 phat sinh: ghi s6 phat sinh trong thang vao the cOt Wang frng.

- Chi tieu s6 dieu chinh: ghi s6 dieu chinh trtz6e thang phat sinh vao the cOt tuang irng.

- Chi tieu S6 cu6i ky: ghi s6 cuoi k-/vao the cOt Wong img.

PHONG/TO CHE DO BHXH Mau D07-TS 4, (Ban hanh kern theo QE) so: 959/QID-BHXHk

ngay 09/9/2015 cua BHXH Vi4 Nam)

DANH SAC TANG, GIAM NGVOI THAM GIA BAO HIM Y TE

s6 thang nam

Di tuvug tham gia:

STT HQ vã fen S6 dinh danh Nghy thang [tam

sinh Tien Luang

hum, troy cap g. N ay tham gia S6 thang d6ng Bang ky nal KCB ban du Ghi chit

A B C 1 2 3 4 5 6

Thon (ban, ta clan pha)• xa (pinieing, thi tran)

I Tang

1 2

II Gicini

3

4

Thon (ban, td clan ph xã xd (phufmg, thi tran)

I Tang

5

II Giam

6

qing

.,ngay thang nain

Nguiri leap bi'u Tnrong phong (Ti) CD BHXH

(4), ghi râ h9 ten) (ky, ghi ra kJ ten)

HIMiNG DAN L4.1)

Danh sach tang, gram nguiri tham gia BHYT (Mau D07-TS)

a) Muc dich: teng hop thong tin eta ngu6i tham ,gia BHYT do t6 chirc BHXH &mg de lam can cr thu, ghi thu tin 'Jong va cap the BHYT theo quy dinh.

b) Trach nhiam lap: Phang/T6 Che de BHXH.

c) Th6i gian lap: 'chi c6 phat sinh di ttrgng (tang, giam) tham gia BHYT.

d) Can dr lap: Quyet clinh nghi huu, trg cdp that nghiap, trg cap tai nan lao dOng, banh nghe nghiap

d) Phuang phap

* Phan-thong tin chung:

D6i. trang tham gia: ghi loai di trgng tham gia BHYT (Htru trI, trg cap that nghiep ...).

* Chi tieu theo cot:

- COt A: ghi s6 thir tu tir 1 den het t-Cmg ngu6i tham gia BHYT. -- COt B: ghi day Mho va ten cua ding ngu6i tham gia BHYT. - COt C: ghi s6 s6 BHXH caa ngu6i tham gia, ngu6i chi tham gia BHYT

thi ghi se the BHYT, n6u chua c6 thi a tr6ng. - Ct 1: ghi ngay thang nam sinh nhu trong ho sa co. quan BHXH clang

quan ly.

- COt 2: ghi tin lucmg huu, mire tra cdp (bao•gein. ca. tra cap . that nghiap), tin luong truac khi nghi thai san. Dei voi ngu6i dong theo =lc hrong ca s6 thi de tong.

- COt 3: ghi rO ngay thang nam tham gia BHYT.

- COt 4: ghi se thang dong BHYT (chi ghi dei vOi nguoi hu6ng frçr cap that nghiap, nguari. lao .dOng.ng,hi viac clang huong che dO Om sdau theo quy dinh cüa phap luat ve BHXH do mac banh thuec danh mic banh can chit a trj dai ngay va nor6i lao Ong nghi viac hu6ng elle de thai san theo quy dinh cia phap luat ye BHXH. Cac di Wang cOn lai thi b6 tong).

- COt 5: ghi nai dang KCB ban du eta ngu6i tham gia BHYT clang 14 tren ca s& danh sach (tang k noi KCB ban du duac co. quan BHXH thong bao hang nam gth cho cho don vi, UBND xa.

- COt 6: ghi nei dung can luu y.

e) Sau khi hoan tact viac ke khai, ngu6i lap bieu, Tnrang phong (T6) Ch6 de BHXH k, ghi re' ho ten.

MAu DO8a-TS (Ban hanh kern theo QD so: 959/QD-BHX1-41i7„,

ngay 09/9/2015 dm BHX.11 Viet Nam) DANH SAC NGUOI THAM GIA. BEN HAN PHAI BONG MUCH TIINGUYE: N, BHYT

SO thang nam

BrIXEI tinh, TP BBX1-1 huyen, TP

STT HQ va ten SO dinh d Ngay thing nam sinh Dia chi 'Mangden 14nanh

phai dong GM chil

A B C D 1 2 3 I BHXH tiy nguyc'sn

II BHYT

COng -

ngay thang nam Ngieri ra:p biu Trwirng phong ato thu Giam dOc BHXH

HIYONG DAN LAP Danh sach ngtroi tham gia dn h4n phai dong MUCH t‘r nguy0, BHYT

(Mau D08a-TS) , a) Muc dich: de teng hop thong tin nguoi tham gia BHXH iv nguyen, BHYT

den han phai dong tiep BHXH tu nguyen, BHYT.

b) Trach nhiem ca quan MUM. c) Thai gian lap: hang thang lchi có phat sinh.

d) Can Cu lap: Mau D03a-TS, D05a-TS va co sO gian tham gia BHXH tu nguyen, BHYT cüa ngtrai tham gia da nhap vao phan mm quan 1.

e) Phuong phap lap:

- Cot A: ghi so th* tu tr oho den lon theo tang mac BHXH tu nguyen, BHYT.

- COt B: ghi ho, ten nguoi tham gia BHXH tv nguyen, BHYT vac, 'nue tuang lang BHX1-Itu nguyen, BHYT.

- COt C: ghi s6 dinh danh cUanguii tham gia tai cOt C Mau D03 a-TS, D05a- TS.

- COt D: ghi ngay thang nam sinh cUa ngtrai tham gia BHX1-1 tu nguyen, BHYT.

- COt 1: ghi dia chi dia nguai tham gia.'13HXH tu nguyen, BHYT.

- COt 2: ghi ngay thang cucii phai dong cua BHXH tkr nguyen, BHYT theo phuong thdc d'd dang

- COt 3: Ghi

BHX.H TiNH BRXH HUYN

DANH SAC CAP SO BHXH

Min D09a-TS (Ban hanh km then QD 36: 959/QD-BHXH44k,,

ngay 09/9/2015 caa BIDCH ViOt Nam)

Tan don Dia chi'

STT Ho va fan So dinh danh Ngay th ang

narn sinh Dia chi lien he

SO luvng Ghi cha x Bla so TO rol

A B C 1 2 3 4 5

A. Danh sach nguiri duvc cap so:

B. Danh sach clnra duvc cap sa:

,ngay thang näm

Nguoi 14p bitu Trtroug phong/T6 Cip st, the

Giam dte BEM"

ghi ro hc. tin)

(1g, ghi re5 hi? ten)

(195 ghi KO' hQ ten viz (Yong dciu)

Ghi chti: Ddi val ngtroi chtra &arc cOp sO 1.15 do ghi ó cot ghi chfi.

MO dcrn vi:

HONG DAN 1:4iP

Danh sach cdp sd BHXH (Mau D09a-TS)

a) Muc dich: de di chieu, kiem ke se ngued d dieu kin duac cdp se BIIXEI va chua dirge cdp se BHXH.

b) Trach nhiem lap: ca quan BHXH nai phat hanh s BHXH lap. c) Phuang phap lap: -,C0t A: ghi se thir tcr xep rieng dr' ng phdn, phAn I la danh sach ngutri

duce cap so BHXH, phan II la danh sach nguai chua duac cap so BHXH. - COt B: ghi h9 va ten nguari tham gia. - COt C: ghi se dinh danh. - COt 1: ghi ngay thang nam sinh. - COt 2: ghi ten dcm vi sfr dung lao &Ong hoc dia chi noi ctr tit ctla ngueri

tham gia BHXH tir nguyen. - COt 3: ghi so luang bla s6 BRXEI da cdp. - COt 4: ghi s lugng tar BHXH dal cdp.

- COt 5: ghi chü thong tin cdn km y.

Mau Dlba-TS dik (Ban hanh ktm theo QD so: 959/QD-BHXH

ngay 09/9/2015 dm BHXH Vit Nam) DANH SACH CAP THE BENT

BIDCH

BIDCH

Dun vi/Dai ly: Ma dun vi/Di iy•

Dia chi:

STT HQ va ten Se dinh danh than Ngay z

nam sinh - - - Ghi

Nui (Tang ky KCB ban den Mei ban sir dung chit

Ma to se. KCB Ten co se KCB ban den Tit Den

A B C 1 2 3 4 5 • 6

. .„ ...

Ngtroi 14p biu (1(35, ghi r5 ho ten)

Trwirng phong/T6 CAp sO, the ghi r5 179 ten)

,ngay tflang nam... Giam dc BHX.11

(195, ghi r5 ho ten va clang clau)

• HUtiNG DAN LAP

Danh sach cAp the BHYT (Mau D10a-TS)

a) Mijc dich: ct doi chieu, ki6m ke sti ngtrOi dugc cAp the BHYT va theo dOi th6i gian tham gia lien Arc theo ma so cila tisrng nguai.

b) Trach nhiem quan BHXH nui phat ha.nh the BHYT. c) Phuang phap - C61 A: ghi so thir tkr. - C6t B: ghi h9 va ten nguai du9t cAp the BHYT. - C6t C: ghi ma s6cüa nguai c6 the BHYT. - C6t 1: ghi ngay thang näm sinh. - COt 2: ghi ma co sa y te nai clang kyr KCB ban du. - COt 3: ghi ten ca sâ KCB ban au.

- COt 4, ghi thai hp sir ding the BHYT. - COt 6: ghi chd th6ng tin c'In luu

MALI( D60-TS BHX:a

(Ban hanh kern theo QE) so: 959/QD-BHXH BILICH

ngay 09/9/2015 cua BH(H Viet Nam)

DANH SAC THE Bina BANG Id( KFIA1VI CHVA BtNII NGOAI TiNH (BHXH tinh, thanh phti nai nguai tham gist ding k KCB ban dAu•

STT HQ va ten SO dinh

danh Ngiy thing

earn sinh Giai tinh

Ma" on so' y te nai KCB ban dku Tha i hun sir dung

Ghi chii Th.• Ben

A B C 1 2 3 4 5 6

ngay thang nem.. ...

Nproi 14p bi8u

Triemg phOng/T6 Cap s8, the

Giam doic BFIXH

ghi r6 hp ten) .(K3 ghi ro hp ten)

(10, ghi 1.6 hp ten va dong dein)

HVONG DAN LJP

Danh sach cp the BHYT Tang Ick kham chea b?nh ngoai tinh (mitt D60-TS)

, a) Muc dich: huang clan nai ding Icy lcham chira benh ban dau phir hop ved dieu kin, nang luc to chirc Icham chtla berth; 1)6 sung kinh phi phan bo cho ca so• kham chtta benh BHYT theo s6 ltrong the BHYT phat sinh.

b) Thai gian lap: hAng thang, lchi có phat sinh. c) Trach nhiein lap: do ca quan BHXH nai phat hanh the BHYT d) Phuang phap

- COt A: ghi s6 thir tkr

- COt B: ghi ho va ten nothi duqc cap the BHYT

- COt C: ghi ma' so cua nguai co the BHYT

- COt 1: ghi ngay thang Wain sinh. - COt 2: ghi giài tinh cüa nguai tham gia BHYT; nu la nam thi ghi

tr "nam" hoc nu la nir thi ghi ter "nit".

- COt 3: ghi ma' ca say t noi. danglcy KCB ban dau. - COt 4, 5: ghi thai han sir dung the BHYT. - COt 6: ghi thong tin ca.'n luu Y.

MAu D61-TS (Ban hanh kern theo QE) s6: 959/QD-BHX*

ngay 09/9/2015 oda BHXH Vi6t Nam)

BIDCH BIDCH

TH6NG BAO DANH SAC THE BHYT THU HOI (13HXH tinh, thhnh ph 6 noi dA th the de dieu chinh giant s6 phai thu•

STT H9 vã ten S6 dinh danh Thoi han sir dong

Ngay thu hi Ghi an Tir Wn

A B C 1 2 3 4

,ngiry thcing nám

Npr?ri 14p bi'u

Giam dc BBXEI

ghi rb- hp ten) ghi hp ten va dong cau)

HliONG DAN 14.P

Thong ban danh sach the BHYT thu hOi (matt D61-TS)

, a) Muc dich: thong bao danh sach the BHYT thu hi cho co quan BHXH noi cap the BHYT cüa ngued tham gia chuyen di de giam so phai thu.

b) Thad gian hang thang, Ichi c6 phat sinh.

c) Trach nhiem lap: do co quan BHY1-1 nai ngugi tham gia chuyen den, thu h6i the BHYT lap.

d) Phuang phap lap:

- COt A: ghi s"6 thir tu

- Cgt B: ghi h9 va ten ngued dugc cap. the BHYT

- COt C: ghi ma s6cüa ngueri c6 the BHYT

- Cgt 1, 2: ghi thei han sU dungnhu tren the BHYT

- COt 3: ghi ngdy thu hi the BHYT.

- COt 4: ghi thong tin can luu

Mim COZ-TS ph4n-

s6°

(Ban.hanh kern then QD 259/OD-BMW ngay 09/9/2015= B;FIXH Viet Nam) BQ pli4n.

So• Mu: CO2-TS

(Ban hanh kern then 959/69-B11.Xil ngay 09/9/2015caa BHX1-1 Vi't Nam) 7

PTHEU TRA HO SO'

- BO phan d nghi-

- Be phan dieu chinh- Ni5i dung de" ngbi deeu ehinh:

- H6 so gill kern:

, ngay thcing: nam Ngtred d raghit

(Kji, ghi ra hp ten)

PHItU TRA HO SO

- B phan d nglai• phan dieu chinh-

Ni dung de nghi Merl chinh:

Ho scr gni kern:

, ngyiy thcing ham Ngtred Iê tight (K35, ghi T.6 hp ten)

HONG DAN OP

Phier'n tra 116 so. (mau CO2-TS)

a) Muc dl oh:

- Da diau chinh cac s6 1iu va thu BHXH, BHYT, BHTN va lien Ii cham clang ... do cac be phan thuOc ca quan BHXH ghi chep, cap nhat kh8ng dimg ha so' g6c.

Ong hgp d 1iu chuong trinh và ha so' khang khop dung, chua hop le cdnhuang dgn ha sung hoc dian chinh.

.b) Trach nhiam Phong/T6 Cdp s6; the.

c) Tholgian-lap: khi có phat sinh.

d) Can cir lap:

PhOng/T6 Cdp s6, the nhan ha so do Pheng/T6Qun 13'7 thu chuyan• den, lam tra, doi chiau ha so. vai dU liau trong chuang trinh quan 157.thu, neu khOng khOp dung thi lap Phiau nay kern theo h so. chuyan lai cho Phang/T6 Quail 13'r thu xir 13'r theo quy dinh.

• d) Phuang phap ghi nOi dung da nghl diau chinh va cac ha so gti kern a diau chin' h gfri bO phan diau ehinh tlurc hien diau chinh theo yeti cu.

BA.0 HIEM XA HOI WET NAM CONG HOA xA HOI CHU NGHT.A. VMT NAM

Wc lp - Tty do - II4nh phtic Mau CO3-TS

(Ban hanh kern theo 959/QD-BHXH ngay 09/9/2015 caa BHXH V* Nam) , ngay . thang nam

BIEN BAN TH.A.M DINH SO LIVJ THU BHXH, BHYT

QuSi ..... dam

I. Thanh phArt gôm eó:

- Di din BHKEI • ong(ba.) , chfrc vii

- Di din BHXH ong (ba) , chtic vii ..

Can u'r bao cao thu quY/nam BHXH Saukhi kiem tra toan bO sO lieu thu BHXH, BHYT, BUTN cac ben thong nhdt so lieu nhu sau:

II. Nei dung thAm dinh

A. Thira chwa phan b"O 14 trtr&c mang sang

B. Thwc hien thu trong 14 1. Thtrc hien thu BHXH

- SO TT

- Chi tieu MA so' SO bdo cao So ki;Om tra Chenh 1?ch

A B 1 2 3

I. BHXH bat bui)c 01 1 So ngued tham gia 02 2 Quy hxong (long 03 3 Tong so phai thu 04

3.1. Sesphai thu phat sinh tong kk 05 3.2 Dieu chinh aphai thu 06

+ Tang 07 Trong do: Tang nam truck 08 + Giam 09 Trong do: Giam nam truge 10

3.3 Thieu lcSrtruate mang sang 11 Trong do: Lai cham (long 12

3.4 Phai thu lai cham &mg 13 4 Se tien da thu 14

Trong do: Lai cha.'m dong 15 5 Thieu chuyen sang lcY Sau 16

Trong do: Thieu lad cham Eng 17 II BBXH tty nguy0 18 1 S6.ngtreyi tham gia 19 2 TOng s8 phai thu 20

Trong do: + Nguoi tham gia dong 21 + NSNN h8 trg 22

3 Thieu kY -Ern& mang sang , 23 + Nguei tham gia dong thieu 24 + NSNN h'e trg thieu 25

4 So da tien dong tong lcy 26 + Ngued tham gia dong . 27 +NSNN h'e trg 28

4 Thieu chuyen sang IcY sau: 29 + Nguoi tham gia &mg thieu 30 + NSNN ho trg thieu 31

S6 TT Chi tieu Ma s6 so' bao cao Se; kitm tra afenh l'Oh A

A

[

B 1 2 3

2. Th e hi n thu BHYT SO TT Chi tieu So bao ea() SO kiem tra Chenh lech

A B 1 2 3 I Ngtroi lao dOng va nguiri SDLD dong 32 1 SO nguOi. tham gia 33 2 Quy luong &rig 34 3 Tong sO phai thu 35

3.1 SO phai thu ph& sinh trong IcY 36 3.2 Dieu chinh sO phai thu 37

+ Tang 38 Trong do: Tang nam truov 39 + Giarn 40 Trong do: Giam nam trtroc 41

3.3 ThiL chuyOn sang kY sau 42 Trong do: Thieu lai chair]. clang 43

3.4 Phai thu rdi cham &rig 44 4 SO tin da thu 45

Trong dO: + Lai charn &trig • 46 5 Thieu chuyen sang lcSfsau: 47

Trong do: Thieu1ai charn (long 48 II 49 Qu'y BHXH, BHTN dong 1 SO ngtreyi tham gia 50 2 SO tin phai thu 51 3 SO tien ghi thu 52

III Neui stick NN thing 53 1 NSNN Trung trecng 54

1.1 SO ngueri tham gia 55 1.2 SO tin phai thu 56 1.3 SO tiOn ghi thu 57 2 NSNN dia phtrung 58

2.1 So nguoi tham gia 59 2.2 Tong so phai thu 60 2.3 SO phai thu phat sinh trong ky 61 2.4 Dieu chinh so phai thu 62

+ Tang 63 Trong do: Tang nam trtrac 64 + Giarn 65 Trong do: Giam na'm truck 66

2.5 Thieu chuyen sang lcy sau 67 Trong do: Thieu lai cham &mg 68

2.6 Phai thu lai cham &rig 69 3 SO tien dal thu 70

Trong do: + Lai cham clang 71 4 Thieu chuyen sang lcY sau 72

Trong do: Thieu lai cham dong 73 IV Ngan skit NN hO tro' 74 1 SO nguen tham gia 75 2 Tong so phai thu 76

Trong do: + Ngtreyi tham gia (long 77 Nam nay 78 Nam sau 79

S6 TT Chi tieu MA s6 St; bac) cao S6 km tra Chenh lech

_ A B 1 2 3

+ NSNN 11'6 trg 80

- NAm nay 81 Nam sau 82

3 SO tien da thu 83 Trong do: + Nguai tham gia thing 84

Nam nay 85 Nam sau 86

+ NSNN hei trg 87 Nam nay 88 Nam sau 89

4 Thie'u chuyen Ic sau 90 . Trong do: + Nguoi tham gia &Jig thieu 91

+ NSNN ht; trg thieu 92 V He gia dInh 93 1 S6 nguOi tham gia 94 2 T8ng s6 phai thu 95

Trong do: + Nguoi tham gia &Mg 96 Nam- nay 97 Nam sau 98

+ NSNN h6 trg 99 Nam nay 100 Nam sau 101

3 S6 tien da thu 102 Trong dO: + Ngueri tham gia dong 103

Nam nay 104 Nam sau 105

+ NSNN h6 trg 106 Nam nay 107 Nam sau 108

4 Thiel' chuyen sang kST sau 109 Trong do: + Ngtroi tham gia &mg thieu 110

Nam nay 111 Nam sau 112

+ NSNN h6 trg thieu 113 Nam nay 114 Nam sau 115

3. Thirc hen thu BHTN St, TT CM tieu S6 bao edo Se kiem tra Chenh lech

A B 1 2 3 1 S6 ngtred tham gia 116 2 QuSi luang &mg 117 3 T6ng s6 phai thu 118

3.1 S6 ehai thu phat sinh trong lcSi 119 3.2 Dieu chinh so phai thu 120

+ Tang 121 Trong do: Tang nam trtrgc 122 + Giam 123 Trong do: Giam am throe 124

3.3 Thieu kSr throe mang sang 125 Trong do: Lai chAm (tong 126

3.4 Phai thu lai chAm (tong 127

Sti TT Chi tieu Ma sti S6 bao cao Si i ki&n tra Chenh 1?ch 4

A B 1 2 3

4 SO tien da. thu 128 Trong do: Lai chain thing 129

5 Thieu chuyen sang Icy sau 130 Trong do: Thieu l'al chjm &mg 131

C. Thira chtra phan b chuye'n kr sau:

II. Nh4n xet Wen ugh: 1. I./. life'n cda 'loan kim tra:

2. "ir kin cfla dun vi duvc kim tra:

D41 DIN BHXH DAI DIN BHXH

HUNG DAN LAP

Bien ban thdm dinh sa Iiu thu BHXH, BHYT, BHTN (mau CO3-TS)

a) Muc dich: de tham dinh ket qua thyc hien thu BHXH, BHYT, BEM- dm co quan BHXH cap tren quan BHXH cap dual..

b) Th6i gian lap: BHXH tinh tham dinh di vai BHXH huyen h'ing quy, nam.

c) Can cir lap: Can cir se lieu mau se B02a-TS, mu C6.9-HD, C83-HD tong hgp so' lieu vao cac chi tieu nrcmg irng.

d) Phuang phap lap:

* Chi tieu d6ng: ghi day dü cac chi tieu

* Chi tieu cat:

- Cat A: ghi se thirty.

- Cat B: ghi nai dung chi tieu. - Cat 1: ghi tang hop sa lieu ttrung img drug chi tieu den thei diem chat se

lieu.

- Cat 2: ghi s kiem tra tuong dng tirng chi tieu den th6i diem chat se lieu.

- Cat 3: ghi s lieu chenh lech (nu co).

* Phan nhan xet, kin ghi re; nhang kin, kin nghi cüa doan thrn dinh quyet toan, yT kien dm don vi dugc tharn dinh quyet toan.

BHXH BFEXH

Min C06-TS (Ban hanh kern theo QE) se): 959/QD-BHXH

ngay 09/9/2015 dm BHXH Nam)

PHIEU STY DUNG PHOI BiA SO BHXH So , ngay.

119 ten can b9 phat hanh: Phoi bia s'6 BHXH có truo.c khi in-

Phoi Phei bia sO BRX1-1 con sau khi in.

Phoi

Ten cac dun Ai, cOp sO BHXH Ma cac dun vi NOi dung:

STT Dien giai SO luryng

1 2 3

1 So' ph8i. sir dung

2 Cap med

3 Cdp 10 do mdt, hong

4 Cdp 10 do thay di nhan than

5 Cap 10 do Op sO'k

6 Cdp 10 do da huOng tro. c'ap BHXH 1 1an

7 Cap 10 do nguyen nhan '<Mc .

8 Do di s'Ci BEIXEI

9 Hong do nha in

10 Hong do in

11 Mdt do bao quail

12 Hong do bao quan

13 Giam lchac Ngay.... thang nam

Ngtdri ghi so Trldrng phong (Ti) dp so the (K)5, ghi r5 hp ten) ghi r5 hp ten)

HIMING DAN 14P

Phitu sir citing pheli bia sb' BHXH (Mau C06-TS)

a) Muc dich: theo dOi s6 lugng phoi s6 sir dung khi phat hanh s6. b) Trach nhie'm lap: can 1)0 chuyen quan.

c) Thai gian lap: \Tao cuoi ngay co phat sinh. d) Phuong phap lap:

* Chi tieu theo

- Cgt 1: ghi s6 thir tu.

- COt 2: ghi the n6i dung sir dung phoi bia s6 BHXH.

- COt 3: ghi s6 hrong phoi bia s6 BHXH sir dung. * Chi -dal hang ngang: ghi dAy di theo lieu thirc quy

BHXH BHXH

Mau C07-TS (Ban hanh kern theo QD st): 959/QD-BHX

ngay 09/9/2015 cOa BHXH V* Nam)

PHIEU STY DUNG PHOT THE BHYT sa. ngay •

119 ten can hi) Oat hanh: Phei the BHYT có truov khi in: Trong do: Phoi le chua sir dung PhOi the BHYT con sau khi in: Trong dO: Phoi lé chua sr dung

Ten cac don vi cap the BHYT Ma cac don yi Ni dung:

...... • •

STT Dien giai ,.: So lining

1 2 3

1 S6 phoi sir dung

Trong dO: Phoi le .

2 Tang mai

3 Gia han

4 Cdp lai

5 Cdp di do hong

6 Cdp d6i do sai thong tin

7 Cdp ci6i nai KCB BD

8 Cdp cfth quyen lgi

9 Cdp di do nguyen nhan khac

10 Hong do nha in

11 H6ng do in

12 Mdt do bao quan

13 Hong do bao quan

14 Giam khac

..... ,ngay thcing nàrn.....

Ngu'oei ghi so

Trtrovg phong (Ti) Cgp s the (K1), ghi ro hp ten)

(1(j), ghi r5 hp ten)

HIYONG DAN L41)

Phieu stir ding phoi the BHYT (Mu C07-TS)

a) Mix dich: d theo dOi s6 lacing phoi the sir dung khi phat hanh the. b) Trach nhiem lap: can b0 chuyen quan. c) Thai gian vao cu6i ngay có phat sinh. d) Phuong phap * Chi tieu theo cot: - COt 1: ghi s6 thir tu. - COt 2: ghi cac nOi dung sir dung phoi the BHYT. - COt 3: ghi s6 lucmg phoi the BHYT sir dung. * Chi tieu hang ngang: - Chi tieu dr 1 den 9: chi ghi cae neki dung tai cac et:it 1,. 2 va 3. - Chi tieu 10 den 14: ghi day dii cac nOi dung tren bieu.

PHIEU GIAO NIViN PHOI SO B111,(11, THE BHYT S6:

thcing natn

1. Ten ngintri giao:

2. Ten ngutyi nh4n:

3. Ni dung

BHXH lAriu C08-TS (Ban hanh k&n then QD s6: 959(Q5813361

ngay 09/9/2015 cilaBITX1-1 Viet Nam)

PHIEU GIAO NHA:N PI101 SO BMW, THE BHYT S6:

Nev.... thcing nam.

1. Ten nguoi giao:

2. Ten ngtRyi nhal:

3. Ni dung

BFIXH

Mu C08-TS

BH)CF1

(Ban hanh kern theo QE) s& 959/QD-BBXH ngay 09/9/2015 oda BIDCH Viet Nam)

So serial STT

Loai phoi

lulyng Dtn

1

2

3

4

5

STT

Loai phoi

SO Wong Tir SO serial Den

1

2

3

4

5

Ngiroi giao Nguiri nkan (KY, ghi 1.5 h9 ten)

(Ky, ghi ró hp ten) Nguiri giao

Ngirôi nh4n (Ky, ghi rã Iv ten)

(K), ghi ra hc, ten)

HVONG DAN

Phiu giao nh4n phoi s BHXH, the BHYT (Mau C08-TS)

a) Muc dich: de theo dOi s6 luong phoi s6 hoc the dugc giao, nhan.

b) Trach nhiem lap: can bO quan 1ST. phoi lap khi cap phat.

c) Phuceng phap lap:

- COt 1: ghi sthütr.

- COt 2: ghi ten phei giao, nhan, nhu: phoi s6 BEIXH hoc phoi the BHYT.

- COt 3: ghi s6 lung phoi.

- COt 4, 5: ghi s6 serial tit phoi- thfr nhat deryphoi. cu6i ding (n6u s6 luong phoi lien tvc). Trtrong hcrp phoi le thi chi ghi s6 serial i cet

Bao him x5. hi Bao him x5 hi

Miu siS: CIO-TS (Ban hanh hem theo QD so: 959/QD-BHXHot

nery 09/9/2015 caa BHXH Vift Nam)

CONG HaA XA Hoi CHiJ NGHLA \IV NAM Doc lap - To' do - Hanh phtic

BIEN BAN HUY SO BHXH, THE BHYT

Holm nay, ngay thang .....nin , tai co quan BHXH Hi ding xix1 s BHXH, the BHYT hong khong sir dung dugc tinh, thanh phO:

- Ong (BA). Chn tich;

- Ong (BA). T:Jy vien;

- Ong (BA). , 1.5.37 vien;

- Ong (BA). I:Jy vien;

Can cf'r cac bien ban kiem fro so BHXH, the BHYT dinh k-ST hang quST, sau xac: dinh st) lucmg, thgc trang sO BHXH, the BHYT 'thong six dung dtro.c, Hi ding hify sO BHXH, the BHYT xir 1 theo quy dinh cüa BHXH Viet Nam, cu the nInz sau:

I. BIA SO SEMI:

1. SO lugng.

2. Tinh tang:

IL THE BHYT:

1. S6 hrong.

2. Tinh tang.

EEL PHVONG PHA.13 xiY LY: (Cat, xen, xe; dOt; khac)

IV. MEN NGHI:

Bien ban dugc lap vao. hi. . ph& ding ngdy, sau khi có sg thong nhAt cua cac thanh vien tham gia. Bien ban dugc lap thanh 03 ban, 02 ban lull tai BHXH tinh, 01 ban gui ye BRXH Viet Nam de bao cao.

CAC in( vrtN

CHU TICH HOI BONG (K*, ghi p5 h9 ten, chile danh)

(K* ten, &rig du)

HU'ONG DAN 141)

Bien ban hay sa BHXH, the BHYT (Mau C10-TS).

a) Mix dich: de hay bia so BHXH, the BHYT hong khong sir dung duoc trong nam.

b) Trach nhi'em lap: do BHXH tinh, thanh ph 6 lap khi tin hanh hay s6 BHXH, the BHYT.

c) Phuang phap lap: ghi day du cac nOi dung tren Bien ban. TUng thanh vien thuOc thanh phan cua HOi &Ong k2, ghi rO ho ten vao Bien ban (khOng kST thay). Vic hay s6 BHXH chi thgc hien d6i vai nhang s6 BHXH, the BHYT hOng tong qua trinh in hoc h6ng do bao quan.

Min C16-TS (Ban hanh kern theo QD so: 959/QD-BHXHdip

Ngay 09/9/2015 ctla BBXH Via Nam)

BAO HLEM XA HOI CONG HOA Lk- Ho cat NORIA VT NAM BAO DIEM XA HO! D§c Kap - Tv do - Hph phüc

Se: /QD-BHXH , ngay thang nam 20

QUYET DINH

viec Imam tra teen thu bao him xi hi, bao him y t, bao hiem that nghiep

GIA.M DOC BAO H1EM )(Alio

Can dr Luat Bao him x'a hei se 58/2014/QH1lngay 20 thang 11 nain 2014; -

Can cu Lulat bao hiem y se 25/2008/QH12 ngay 14 thang 11 nam 2008; Lu4t sira di, be sung met se dieu cüa Lu4t bao him y te; •

Can dr Quyet dinh sa ../201../QD-TTg ngay thang nam tuong Chinh phit v8 quan 1 tai chInh di voi Bao him xã hi Vi8t Nam;

Xet d nghi cia ,Trueng phong (T'e truong) Quan 1 thu; Tnxang phong (Te) Ke ,hoach - Tai chinh,

QUYET DINH:

Dieu 1. Hoan tra s tin deng (viet bang chit' cho do

Dieu 2.Quyet dinh nay có hi8u tkrc thi hanh k tir ngay 14.

Dieu 3.Truong pheng (Te twang) Quail 13'7 thu; Truang phOng 1(8 ho4ch - Tai chinh, cac phong (t8) trvc thu8c Bao him xã hi va don vi, cá nhan có ti8n tai Diu 1 chiu trach nhi81n thi hanh Quyect dinh nay./.

Noi - Nhu Bedu 3; - Luu: VT, PT, KHTC.

GIA1VI DOC

HONG DAN LiP

Quyet dinh ham trã tin thu BHXH, BHYT (Mu C16-TS)

a) Mc dich: d earn d6c ca quan BHXH ra quytt dinh hoari tra tin thu BHXH, BHYT, BHTN do don vi, cd nhan nOp thira, nOp nham vao tai khoan chuyen thu cüa ca quan BHXH cac cap.

b) Trach nhirn lap: ca quan BHXH.

c) Thai gian lap: khi có pbat sinh. d) Can dr lap: can cir ti lchai, van ban a nghi hoan tra tin thu BHXH,

BHYT va cac chirng tr nOp ti&n thu BHXH, BHYT, BHTN cila don vi, cá than.

d) Phuong phap lap: ghi day ttü cac nOi dung tieu thirc ten guy& dinh hoan tra tien thu BHXH; BHYT:

BIDCH BEEXH Dai 1 thu

Min C17-TS (Ban hanh kern theo QE) 959/QD-BH)CHW/

ngay 09/9/2015 cila Mall V* Nam)

1)0I CHIEU BIEN LA! THU TIEN BONG BHXH TV NGUYtN, BHYT SO:

1413 nery.... timing nárn.....

STT SO bien lai SO tin thu

Quyin so SO. Ngay BHXH BHYT TOng se 1 2 3 4 5 6 7 = 5 + 6

Ding sii ttr hien lai km thew Tar. T6ng so till nOp• (Bang chq• )

BO I thu Can 130 thu Thu quy KO than (K ghi r5 hp ten) (KA ghi r6 hp ten) (KA, ghi r5 hp ten) (Kg, ghi 1.6 hp ten)

KO Wan trtang (KA ghi ro h 9 ten)

Giarn dee BILKEI (KA ghi rô ho ten, (Yong dciu)

HIX(NG DAN LAP

Di chieu hien lai thu tin (long BHXH ttr nguy?n, BHYT (Mau C17-TS)

a) Mac dich: d Phong/T6 Quan 1 thu 6i chieu bien Iai thu tin va s tin thu BHXH ta nguyen, BHYT vâi dai ly thu, Phong/T6 KH-TC.

b) Trach nhiem lap: Phong/T6 Quan 1 thu ca quan BHXH. c) Thoi gian lap: ldii có phat sinh.

d) Can dr lap: can c(r bien lai .thu tien dong BHXH ta nguyen,13HYT cüa dai l thu ho'ac Phong/T6 KH-TC.

d) Phucrng phap lap: ghi day du cac n(ii dung, tieu thirc tren &Si chieu.

• e) Sau Ichi lap xong,--thuc hien ky xac nhan,-ghi-rilhco.ten.

BHXH MIXH SO THEO DOI Se HUNG PHOI SO BHXH

Thang.....nam

Mau SO4-TS

44/ (Ban hanh kern theo QD s6: 959/QE)-BHXH

ngay 09/9/2015 cüa BHXH V*Nam)

STT Din giai • . •

S6 pluZu

. Nagy

. • phieu

Phoi SI5

nh4n trong thang

Sir citing . Phoi sO BHXH giam

TOn , Cap mOi

COp lyi

Do ntra CQ

BHXH in hng

in, khac

Mt do bao

qu ilt

HOng do bao quail

Giant , Mat, hang

may di nhan than

Glop so

SO cii da huirng

,, . try cap 1

Fan

Khac TOng

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Tling s6

ngay thang nam........ Ngtriri ghi sel Trtrong phong (Tii) Cap sO, the

(4, ghi rö h9 ten)

(Kji, ghi r5 h9 ten)

Miff/NG DAN LAP

SO theo döi RI &jog phoi sO MUCH (1VI1u SO4-TS)

a) Mue dich: d th6ng ke s6 lugng phoi s6 sir dung hAng thang. b) Trach nhiem lap: can b0 chuyen quail va can b0 ding hgp.

.c) Phuong phap lap: - COt 1: ghi s6 thir tv. - COt 2: ghi ten don vi dugc cap s6.

- COt 3: ghi s6.phidu giao nhan hoc sir di.mg phoi. - COt 4: ghi ngay lap phieu giao nhan hoc six dung ph8i. - COt 5: ghi- s6 lugng- phoi- bia s6- theo phieu giao nhan: - COt 6: ghi s6 hrong bia s6 cdp mai. - COt 7: ghi s6 hrong bia s6 cap do mat, hOng. - COt 8: ghi s6 hrong bia s6 cap lai do thay di nhan than. - COt 9: ghi s6 lugng bia s6 cdp do gOp s6. - COt 10: Ghi s6 lugng bia se. cap lai do hugng trig cap 1 lan sau do tier, toe

di lam. - COt.11: ghi s6 lucng bia s6 cdp lai do nguyen nhan khac. - COt 12: ghi t6ng s6 phoi s6 BHXH dal sir dung. ••• COt 13: ghi s6 lugng phoi hong do nha in (theo phieu sir dung). - COt 14: ghi s6 hrgng ph6i hong do in hong (theo phieu sir dung). - COt 15: ghi s6 luong phoi mat do bao quan. - COt 16: ghi s6 hrgng phoi h6ng do bao quan. - COt 17: Ghi s6 liming phoi giam do nguyen than khan. - COt 18: ghi s6 ph6i s6 BHXEI t6n cu6i

BHXH

BHXH SO THEO DC/I TiNH HINH CAP SO BHXH Thang Nam_

Mau S05-TS (Ban hanh kern theo QB 959/QD-BHXH ,

ngay 09/9/2015 BHXH V* Nam)

STT Don vi Ma DV

Phat sinh trong k5r CuOi k5r

Tang lao dung Clam Lao dung

So BHXH cOp flied

SO ngtrOl tham gia

T. de da dtruc cAp sO BHXH -

SO nguiri T dO CO so . TA

BHXH SO ngtr011

Trong do d5 c6 sii

Ngirng &mg Hint tri Tir tuAt Khac

1 2 3 4 5 6 7 8 9 10 11 12 13

KS, truck mang sang XXX XXX

C§ng

Lay Ict (tir au n5m)

Ghi chi: do can b0 chuyen quan lap, d theo doi d6i ttrong va sd BHXH dâ cAp trong t law danvi, mji dan vj ma 01 trang s.

,ngay Ngtroi ghi s6

Tru.O'ng phimg (T6) C6p s6, the (K);, ghi rö ho ten)

(Kji, ghi rö ho ten)

HVONG DAN LAP

S6 theo doi tinh hinh cp sa BHXH (Mu S05-TS)

a) Mix dich: de theo dOi di Wong va se' sa BHXH da cap terng don vi. 1?) Trach nhiem lap: can be chuyen quail lap hang thang. c) Phuang phap - Cet 1: ghi s6 thir tu don vi phat sinh nghiep - Cet 2: ghi ten .clan vi. - Cet 3: ghi ma dan vi. - Cet 4: ghi t6ng s6 lao ding phat sinh tang trong lcSr. - ghi.s6 luong lao- deng- phat sinh tang dal dirge' cap- sa trong - Cat 6: ghi tang s6 lao Ong giam trong IcSt. - C'et 7: ghi so .1trong lao dOng da c6 s6 giam do ngang clang trong - Cat 8: ghi s6 lucng lao Ong dacó s6 giam giai quest him tri trong - Cet 9: ghi s6 lugng lao Ong da c6 s6 gam giai guy& tCr tut trong - COt 10: ghi s6 ltrgng lao dOng d c6 s6 giam Ichac trong k. - Cet 11: ghi s6 lugng sa BHXH cdp mai trong lcSr. - Celt 12: ghi tang s6 norai tham gia ti thoi diem cuai k.

- Cet 13: ghi tang sa nguai tham gia da dugc ca.'p sa tai thai diem cuoi

BHXH

BHXH

Chuyen quan s6, the:

SO THEO DOI Sfr DVNG PHOI THE BHYT Thang.....nam

111Au S06-TS (Ban hanh kern theo QD s6: 959/QH-BHXH k

ngay 09/9/2015 elm BHXH V* Nam)

STT Ni dung S.6-

phteu Ngay phieu

Nhan ph6i mei

Xuat TOm

Sir dyng

Cap nufri

Cap 19i do

Dili the Phoi the giam

. , Tong s6

T.do: PUY le chtra sir

dung

Teng

Trong do

Wong Sai

thong tin

D6i noi KCB BD

Del quyen

19.1 amAt Khac

Hong do nha

in iBnHh

Xo,nHg

Mt do b o

quart

Hong do bio quail

Giant

khac Gia 1-19n sit ding

tiep

Hang ks, KCB tinh

khac

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21

Wing s6

,ngay • Ngtrbi 14p

Truiing phong (TO) Cdp so, the (KST, ghi rO hp ten)

(K.)" ghi rO hQ ten)

HUNG DAN L4.1'

St; theo d6i sir dvng phoi the BHYT (Mu S06-TS)

a) Muc dich: de thocng ke s6 luong phoi the sir dung hang thang. b) Trach nhiem lap: can b0 chuyen quan va can b0 ding hgp. c) Phuong phap lap: - COt 1: ghi s6 thir ty. - COt 2: ghi ten don Vi ducec ch the. - COt 3: ghi s6 phieu giao nhan hoc sir dung ph8i. - COt 4: ghi ngay lap phieu giao nhan hoc sir dUng phoi. - COt 5:.ghi s6 luong-phoi the theo-phiett giao nhan; - COt 6: ghi tong s6 lugng the cap mai (Om Ca tang mai va gia han).

• - COt 7: ghi sO hrong the gia han sir dung tiep. - COt 8: ghi s6 hrong the cap mai ding k KCB ban du tinh khac. - COt 9: ghi s6 lugng the ap l.i do mat. - COt 10: ghi s6 lug/1g the di do hong. - COt 11: ghi s6 hrgng the dOi do sai thong tin. - COt 12: ghi s6 lugng the d6i noi dangVKCB ban du. - COt 13: ghi s6 lugng the dOi ma quyen lgi. - COt 14: ghi s6 hung the d6i do nguyen nhan lchac. - COt 15: ghi s6 lung phoi the hong do nha in (theo phi6u Sl:T dvng). - COt 16: ghi s6 luong phoi do in hOng (theo phieu sir dung). - COt 17: ghi s6 hrong ph6i mAt do bao quan. - COt 18: ghi s6 lugng phoi h6ng do bao - COt 19: ghi s6 luong phoi giam do nguyen nhan khac. - COt 20: ghi tOng s6 phoi tOn (theo phieu sirdung).

- COt 21: ghi s6 phoi le chua sir dung.

Mau S07-TS (Ban hanh kern theo QE) 959/QD-BHXH

ngay 09/9/2015 ena BHXI-1 Via Nam) BHXH

BRXH

SO THEO DOI CHI TIET THOI HAN Se DVNG THE BHYT Thing nam

STT Ten dun vi qunn 11, Mfi dun vi

The het hart sir dung The cO gia tri sir dung

Thing s6 T. di:5: the thu hiii Tiing s6 T. do: tang med

1 2 3 4 5 6 7

T6ng s6

Ghi cha: - Ngtroi tham gia chet thi filth la thu hei dupe the BHYT.

......., ngay thcing näm Ngtari ghi sO

Trierng phong (Ira) CAp sa, the (KA ghi ro h9 ten) (KA ghi rö h9 ten)

HVONG DAN LAP

SO4 theo cloi chi -Wet thoi li#n sir dyng the BHYT (Mau s S07-TS)

a) Muc dich: d theng ke se ltrong the dang c6 gia tri sir dung, lam ca phan quy KCB BHYT hang thang..

b) Trach nhiem lap: can be chuyen quail Ira can be teng h9p.

c) Thei gian hang thang.

d) Phuong pita') lap:

-Cot 1: ghi se thir ty.

- COt 2: ghi ten don vi duet c'dp the BHYT.

- C'et 3: ghi ma don vi &lee cdp the BHYT.

- COt 4: ghi t6ng s6 lircing the BHYT het han trong kY.

- COt 5: gin s6 kreng the BHYT thu hi trong teng se the BHYT d het han sir dung.

- COt 6: ghi teng se ltrong the BHYT co gia tri sir dung d'en thei diem cuei thang.

- COt 7: ghi se lueng the BHYT tang mei c6 thei han sir dung den thei diem cnoi thang.

• BA() Hitm xA. HOT

BA0 Hitm xA 1101 Min B01-TS (Ban hnhkèm then QE) so: 959/QD-BHXHk

new 09/9/2015 BHXH ViOt Nam) .4.

BA.0 CAO CHI TIEU QUAN IS' THU; CAP SO BHXH, THE BHYT

Thing Nilin

STT Chi tieu A Ma so DV tinh KS, trinfrc

mang sang Phat sinh trong ItS, Cad kk

1 2 3 4 5 6 7 THU- BlIXII, BHYT, BHTN . - PHAN 1. TONG HOP CHUNG

A So thu thira chum phin bi 14 trirerc

x chuyen sang 2406 Ding

I Bio Mini xi h(ii 1.1 Bio him xi hi bit bui)c

1 Tong so don vi 2101 Don vi. 2 S6 don vi tang 2102 Don Ili 3 S6 cicm vi giam 2103 Don vi. 4 Tong so lao dOng 2104 Ngtrai 5 Trong do: s6 lao dOng nit 2105 Nguai 6 s6 lao dOng tang 2106 Nguai 7 S6 lao dOng earn 2107 Nguai 8 Tang guy, hrong 2108. Ding 9 QuS'r lama tang 2109 Dang

10 QuS'r hrang giam 2110 Ding

1 1 SO lao ging co tian blow thrai 1,07 hrong thi thieu vtrig 2111 Ngtrai

12 S6 phai thu 2401 Dang 13 SO phai thu tang 2402 Dang 14 s6 phai thu giam 2403 Dang 15 Dieu chinh tang s6 phai thu 2404 Dang

Trong do: tang nam trtrac Dang 16 Dieu chinh giam s6 ph& thu 2405 D 'Ong

Trong do: giarn nam truck Dong 11 SO phai thu lai 2421 Dang 18 Dieu chinh tang sti phai thu lai 2422 Dang 19 Dieu chinh giam s6 phai thu lai 2423 Dang 20 SO Op thitutrtroc chuyen sang 2407 Bang 21 SO nOp thitu. lai 14 tragc chuyen sang 2408 Dang 22 SO da thu phai dong 2409 Dang 23 SO da" thu lai 2413 Doug 24 Dieu chinh tang s6 dal thu 2411 Ding

Trong do: tang nam truorc Dang 1 25 Dieu chinh earn s6 dã thu 2412 'Yang

Trong dO: giam nam trugc _ Dang 26 SO nq chuyen sang IcSisau 2415 Dang 27 SO nq lai chuyen sang kSTsau 2416 Dang 28 S6 dcm vi co ng duoi 1 thang Dan vi 29 SO flan ng du& 1 thang Doug 30 SO don Nri co ng tir 1 an dtrOi 3 thang Dun vi

STT Chi tieu Ma sto DV tinh K' them

mang sang Phat sinhCmii trong Ick

kk 4

1 2 3 4 5 6 7 31 S6 tin ng tix 1 den dtrai 3 thang Dong 32 SO dcrn vi co ng tir 3 den dtred 6 thang Don vi 33 S6 tien ng ter 3 den dui 6 thang Bong 34 S6 don vi có ng tix 6 den dtrai 12 thang Don vi 35 SO tin ng tir 6 den duoi 12 theng Dong 36 S6 don vi. co ng tren 12 thang Dan vi. 37 S6 tin ng tir tren 12 thang Demg 38 SO don vi mact tich Don vi 39 S6 don vi dang giai the Dgn vi 40 S6 don vi giai the Dan vi. 41 SO don vi dtrot tam dimg &mg. Don vi. 42 SO don vi dirge khoanh ng Dan vi 1.2 Bao him fa' hi ti nguyen

1 SO ngueri tham gia ... 2201 Ngueyi 2 SO nguiyi dong tin 3 S6 da thu 2202 DOng

Trong do: + Ngugi tham gia (tong DOng + Ngan sachNNIZ trg Dong

4 SO ngtrai tang 5 S6 ngireyi tam dirng dong 6 SO nguesi dong trugc 7 SO ngugi clang bit II Bio hiem y te

11.1 Cling tham gia Mall, BHYT 1 T6ng s6 don vi Don vi. 2 SO don 14 tang Dcm vi 3 SO cicm vi giam Dan vi 4 T6ng sO lao.dOng Ngtroi 5 Trong do: so lao dOng nix' Nguoi 6 S6 lao dOng tang Ngueyi 7 SO lao &Ong giam NguOi 8 Tong quy hrong tham gia Wong 9 Quy hrong tang Doug

10 Quy hrcmg giam Dong

11 SO lao ding co lien hrong duoi 1,07 hrong tOi thieu \rang Ngueri

12 S6 phai thu Dong 13 SO phai thu tang Bong 14 SO phai thu giam Wing 15 Dieu chinh tang sO phai thu Doug

Trong do: tang nam truorc Doug 16 Dieu chinh giam sO phai thu Doug

Trong do: giam nam truot Dong 17 SO phai thu iai Bong 1.8 Dieu chinh tang s6 phai thu rad Dong .

19 Dieu chinh giam sO phai thu lai Deng 20 So n6p thien lcS, fru& chuyen sang Doug 21 S6 Ida thu Doug 22 S6 da thu lai Dong

STT Chi lieu MA s6 DV tinh Kjr trtrot _ mang sang

Phat sinh trong kk

% CuOi kk

1 2 3 4 5 6 7 _ 23 Dieu chinh ta'ng s6 da thu Ding

Trong dO: tang nam truOc Dong 24 Dieu chinh giam s6 da thu Dong

Trong do: giam nam truac Ding 25 S6 ng chuyen sang kk sau Bong 26 S6 ng rai chuyen sang k.S7sau Dong 27 SO don vi cO ng du& 1 thang Dcm vi. 28 SO tien ng dual 1 thang Dong 29 SO don vi co ng dr 1 d'en duari 3 thang Dan vi 30 SO tien ng tir* 1 den duoi 3 thang Wong 31 SO don vi có ng tfr 3 den dual 6 thang Don vi. 32 SO tin ng tir 3 d'en dual 6 thang Dong 33 S6 tien ng tir 3 d6n dual 6 thang Doing 34 S6 don vi co ng tir 6 den dtrai 12 thang Donvj 35 S6 tien ng tU 6 den duai 12 thang Dong - 36 SO don vi. c6 ng ten 12 thang Don vi 37 SO tien ng dr tren 12 thang Dong 38 S6 don vi mat tich Don vi 39 SO don vi dang giai the Don vi. 40 S6 don vi. giai the Don vi 41 SO don vi dtrgc tam dimg dOng Don vi. 42 SO dan vi duct khoanh ng Don vi

11.2 T6 chtic BIM d6ng 1 SO nguoi Ngt.r6i 2 SO phai thu Ding 3 SO dal thu. Ding

11.3 Ngin s6ch nha ntrov (long 1 T6ng so don vi. Don vi. 2 SO don vi tang Dan-vi 3 S6 dcm vi giam Don vi 4 TOng s6 doi. tugng Ngtthi 5 Trong do: s6 d6i Wong nit Nguoi 6 SO di tucmg tang Ng-ed. 7 SO di ttrong'giam Ngtroi. 8 SO phai thu Dong 9 SO phai. thu tang Wong

10 SO phai thu earn Ding 11 Dieu chinh tang sO phai thu Dong

Trong do: tang nam truoc Dong 12 Dieu chinh giam so phai. thu Ding

Trong dO: giam nam tuft Bong 13 So nOp thieu lc- r trtrac chuyen sang Ding 14 SO da thu Ding 15 Dieu chinh tang s6 da thu Bong

Trong do: tang nam trtrac Ding 16 Dieu chinh giam so da. thu x Bong

Trong dO: giant narn tram Bong 17 S6 ng chuyen sang kSr sau Ding 18 SO don vi co ng duoi 3 thang Dan vi.

STT Chi tieu Ma so DV tinh 1(5, trirsk mang sang

Phat sinhCutii trong Irk

ick 0

1 2 3 4 5 6 7 19 S8 tin no duai 3 thang Dong 20 S8 don vi co no teen 3 thang Don vi. 21 Sta tin no ten 3 thang along

11.4 DT ngan sach NN h6 fro. *long 1 T8ng s8 don vi Don vi 2 S6 dcm vi tang Dan vi 3 S6 don vi giam Don vi 4 T8ng s8 di Wong Ngued 5 Trong do: s6 di tuong nit Nguei 6 S6 d6i Wong tang Ngued 7 S8 doi Wong giam Ngtroi 8 S8 phai thu Doug

8.1 Di Mong dong acing 8.2 Ngan sach NN 13.6 tro Dong 9 So phai thu tang Ding

9.1 Doi Wong dong Dong 9.2 . Ngan sach NN I16 tro D8ng 10 S6 phai thu giam Dong

10.1 D6i tugng dOng Ding 10.2 Ngan sach NN h6 tro D'ong 11 S8 da thu D'ong

11:1 D8i Wong dong Dong 11.2 Ngan sach NN h6 tro Dong 12 S8 NSNN no chuy6n sang lcSr sau Ding 13 S8 don vi co no duai 3 thang Dart vi 14 S6 ti6n no MPH 3 thang Wong 15 S6 dcm vi co ng ten 3 thang Don vi 16 S8 tin no ten 3 thang Dtmg

11.5 D6i tinyng tham gia BHYT 116 gia dinh

1 S8 nguiyi tham gia NgirOi 2 . S6 nguori tang Ngtred 3 So ngued giam Nguari 4 S6 tin da thu , acing 5 Trong do: + S8 thu six clung trong nain Dong

+ Thu tuft cho nam sau .1 • Dong HI Bao him that ngh4p 1 Tong so don vi Don vi 2 S8 don vi tang Don vi 3 SO don vi giam Don vi 4 Tong so lao Ong . Nguari 5 Trong do: s6 lao d6ng nit Nguoi 6 SO lao d6ng tang Nguad 7 So lao Ong giam Ngutri 8 Tong quy hrong tham gia Ding 9 Quy hxcmg tang D6ng

' 10 Quy luong giam Dong

1.1

So lao dOng có tin hrong duoi 1,07 hxcmg tiii thi6u vUng Nguari

STT Chi den A Ma SO DV tinh

Ky trtrov mang sang

Phgt sinh trong ki

CuOi kk /

1 2 3 4 5 6 7 _ 12 SO phai thu Dong 13 S6 phai thu tang DOng 14 S6 phai thu giam DOng 15 Diu chinh tang s6 phai thu DOng

Trong do: tang nam truac Dong 16 Diu chinh giam sO phai thu DOng

Trong do: giam nam toot DOng 17 S6 phai thu lai DOng 18 Mkt chinh tang s6 phai thu iai DOng 19 Diu chinh giam s6 phai thu lai Wing 20 SO nOp thin kk truOc chuyen sang DOng 21 S6 dal thu DOng 22 S6 da thu lai Dong 23 Dik chinh tang sO da thu Wong

Trong do: tang nam tuft DOng 24 Diu chinh giam s'gda thu Ding

Trong do: giam nam truck Dong 25 SO ng chuy6n sang kS, sau DOng 26 S6 ng lai chuy& sang kk sau DOng 27 SO don vi có no duai 1 thang Don vi 28 S6 tin ng duoi 1 thang DOng 29 SO dan vi co no tU 1 den chroi 3 thang Don vi 30 SO ti'en ng tir 1 dn du& 3 thing DOng 31 SO don vi c6 ng tir 3 d6n du& 6 thang Don vi. 32 S6 ti&J. ng tir 3 d6'n duoi 6 thang Dong 33 S6 ti6n ng tir 3 den duai 6 thang DOng 34 S6 don vi co ng tir 6 den &add 12 thang Don vi 35 SO ti6n no tir 6 an duai 12 thang Dong 36 S6 don vi. co no ten 12 thing • Don NI. 37 SO tien ng tir ten 12 thAng Wing 38 SO don vi mat tich Don vi 39 SO dan vi dang giai th'' Don vi 40 ,S6 don vi giai th'e' , Don vi 41 SO don vi dugc tom dirng thing Don vi 42 SO don vj doge khoanh no' Don Ili B SO thu thira chtra phan bli chOrin lik sau Dong

PHAN 2. PHAN CHI TIET Mick DOANH NGHltP NN

A SO thu thira chira phan WI ky triro.c

x chuyen sang Deng

I Bao ham xã hi 1 TOng sO dcm vi 2101 Don vi 2 SO don vi tang 2102 Dan vi 3 SO dcm vi giant 2103 Dcm vi 4 Ding s6 lao Ong 2104 Ngubi 5 Trong do: s6 lao dOng nit 2105 Nguai 6 SO lao dOng tang 2106 Nguai 7 SO lao dOng giam 2107 Ngubi 8 Tong qu'Y hrong 2108 Wong

STT Chi tiEu Ma s6 DV tinh K5 h.-the

mang sang That shahCued trong Icy

Itk

1 2 3 4 5 6 7 9 Quy luang tang 2109 Ding

10 Quk" luang giam 2110 Ding

11 St) lao &Ong có tin hrcmg dtroi 1,07 Wong t6'i thi6'u yang

2111 Nguai

12 St) pliffi thu 2401 Ding 13 S6 phai thu tang 2402 Ding 14 SO phai thu giam 2403 Ding 15 Diet' chinh tang s6 phai thu 2404 Ding

Trong do: tang nam truac Ding 16 Diu chinh giam s6 phai thu 2405 Ding

Trong do: giam nam truon Ding 17 S6 phai thu lai 2421 Ding 18 Diu chinh tang s6 phai thu lai 2422 Ding 19 Diu chinh giam s6 phai thu lai 2423 Ding 20 S6 Op thitu lc-Sr trtroc chuy6n sang 2407 Ding 21 S'6 nip thin rai Ick hit& chuy6'n sang 2408 Ding 22 St) da thu phai dong 2409 Ding 23 S6 da thu lai 2413 Ding 24 Diu chinh tang s6 da thu 2411 Ding

Trong do: tang nam trtroc Ding 25 Diu chinh giam s6 dal thu 2412 Ding

Trong do: giam am truot Ding 26 S6 no. chuyen sang lcy sau 2415 Dng 27 S6 no lai chuyin sang ky sau 2416 Ding 28 S6 dcrn vi co ng duoi 1 thang Don vi • 29 S6 tin no &red 1 thang Ding 30 S6 dcm vi co no tit 1 den dtroi 3 thang Don A. 31 S6 tiL no. dr 1 din dthfri 3 thang Ding 32 S6 don vi co no tir 3 an duoi 6 thang Don vi . 33 S6 ti6n no. dr 3 din dueri 6 thang Ding 34 S6 dcm vi co nor dr 6 dan du& 12 thang Dart vi 35 S6 din no. tir. 6 din &red 12 thang Ding 36 S6 dcm A. co no. nen 12 thang Don vi 37 S6 ti6n no. ter ten 12 thang Ding 38 S6 dcrn vi. mact tich Don vi 39 S6 don vi dang giai thi Don vi 40 S6 dan vi giai thi Don vi 41 S6 don vi dugc tam dimg dong Don vi 42 Si don vi dirge lchoanh na Dan vi II Bao him y tt 1 Ting si don vi Dan vi 2 Si don vi tang Dan vi 3 S6 don vi giam Don vi 4 Ting si lao ding Nguiri 5 Trong do: so lao ding nil Nguai 6 Si lao ding tang Ngtrad 7 Si lao ding giarn Ngubi 8 Ting quy luang tham gia Dong 9 Quy Wong tang D'Cing

SIT Chi tieu A Ma so DV tinh KS, trtrerc

mang sang Phat sinh trong lck Cuai ick

1 2 3 4 5 6 7 _ 10 QuY luang giam , Bong

11 So lao Ong có tin hrang duoi 1,07 linmg tat thieu vAng Nguai

12 S6 phai thu D'ong 13 S6 phai thu tang Wing 14 S6 phai thu giam Dong 15 Dieu chinh tang s6 phai thu Dong

Trong do: tang nam truac Dong 16 Diu chinh giam so phai thu acing

Trong do: giarn nam truon Ding 17 S6 phai thu iai Dong 1.8 Dieu chinh tang s6 phai thu lai Wing 19 Dieu chinh giam s6 phai thu 1i acing 20 S6 nOp thieu lcY tuft chuyen sang Ding 21 S6 Op thien lai Icy truot chuytn sang Wong 22 S6 da thu D6ng 23 S6 da thu lai Wong 24 Dieu chinh tang s6 dal thu Ding

Trong do: tang nano truac Dong 25 Diu chinh giallo s6 dã thu Dong

Trong. do: giam nano truot Wing 26 S6 ncr chuyen sang lcY sau acing 27 So wadi chuyen sang lcY sau D'ong 28 S6 don vi co rig duai 1 thang Dan vi 29 S6 tin no' duoi 1 thang Wong 30 S6 don vi co na -dr 1 den duai 3 thang Don vi 31 S6 den ncr M. 1 den duai 3 thang. D6ng 32 S6 don vi co ng tir 3 d'en duai 6 thang Dan vi 33 S6 tin ncr tir 3 den duai 6 thang Diing 34 S6 dan vi co ng tir 6 den duai 12 thang Don vi 35 S6 tin ng tir 6 den diroi 12 thang acing 36 S6 dan vj cif) no. ten 12 thing . Dan vi 37 S6 tin ncr tir tren 12 thang Ding 38 S6 dcm vi met tich Don vi 39 S6 dcrn vi dang giai the Dan vi 40 S6 dcm vi giai the Don vi 41 S6 don vi dirge tarn dirng (tong Dan vi 42 S6 don vi dirge lchoanh no' Dan vi III Bao him that nghiep

1 T8ng so dan 14 Dan vi 2 S6 dcm vi tang Dan vi 3 S. don vi giam Dan vi 4 Tong so lao dOng Nguai 5 Trong do: s6 lao Ong nit Nguai 6 So lao Ong tang Ngtrai 7 So lao Ong giam Nguari 8 Tong quY hrong tham gia Dong 9 Quy luang tang acing

10 Quy hrcmg giam Bong

STT CM deli A Ma so DV tinh ICSr treic

mang sang Phat sinh trong 10.

Cued kjr 4

1 2 , 3 4 5 6 7

11 SO lao Ong di tin lucmg &rod 1,07 ltrong to'i thi6u \Tang Ngueri

12 S6 phai thu D6ng 13 S6 phai thu tang Dong 14 S6 phai thu giam Dong 15 Diu chinh tang s6 phai thu Wong

Trong do: tang nam tnrac DOng 16 Di6u chinh giam so phai thu }Jong

Trong do: giam nam truqc D6ng 17 S6 phai thu la.'i Dong 18 Dieu chinh tang s6 pladi thu lai Ding 19 . Dieu chinh giam s6 phai thu in Dong 20 S6 n6p thi6u kSr tuft chuyen sang Dong

. 21 S6 n6p thiL lai kk truot chuyen sang Dong 22 S6 da thu Dong 23 S6 da thu lai Wing 24 Diu chinh tang s6 da thu Dong

Trong do: tang nam trtroc Dong 25 Dieu chinh giam s6 TA' thu . Dong

Trong do: giam narri tnrac Bong 26 S6 ngchuyen sang Ick sau • Wing 27 S6 ng lai chuy6n sang lcksau Dong 28 S6 don vi co ng duqi 1 thang Dcrn vi 29 S6 tin ng duari 1 thang Dong • 30 S6 dan vi co ng tit 1 an duoi 3 thing Don vi 31 S6 tin ncr tir 1 d6n duori 3 thang Wong 32 S6 don vi co ng tir 3 d6nchroi 6 thang Don vi 33 S6 tin ng tir 3 d6n duqi 6 thang Wong 34 S6 don vi cO ng tit 6 d6n duOi 12 thang Don vi 35 S6 tien ng tir 6 d'en duoi 12 thang Dong 36 S6 don vi. có ng tren 12 thAng Don vi 37 S6 tin ng tir tren 12 thang Wing . 38 S6 don vi m6.t tich Don Vi 39 S6 don vi dang giai th6 Don vi 40 S6 don. vi giai th6 Don vi 41 S6 don vi large tam dimg dong Don. vi 42 So don vi dugc khoanh ng Don vi.

SO thu tiara aura phan ha chuyin IEST sau

KHOI DOANH NGHI;P DTNN

A SO thu thin chtra phan bO ky truirc chuyOn sang Caz chi tieu bao cao tuong tkr nhu kh6i doanh nghi6p nha nude KHOI DOANH NGOAI NHA. NV& 1. Cong ty TNHH

SO thu thfra chfra pilau 13O ky trinfec chuyin sang

S TT - Chi tieu MA s6 DV tinh Kr trtgre j mang sang

Phat sinh trong Ick

A. 1 Cum ick

1 2 3 4 5 6 7 Cac chi tieu bao cao Wong tu nhu kh6i doanh nghip nha mot 2. Ong ty ce phen A thu thira chua ph.fin be Ick trtrerc chuyen sang Cac chi tieu bao cao tucmg tv nhu Ich6i doanh nghip nha nuac 3. Doanh nghip ttr nhan S e thu than chtra pilau be kk trtrat chuyen sang Cac chi tieu bao cao trong tu nhu khoi doanh nghip nha nugc 4. Cong ty hop danh SO thu thira chua phalli be 14 trtrerc chuyen sang Cac chi lieu bao cao tmmg tv nhu kh6i doanh nghip nha nugc Kuck HANH CHiNH, DANG, DOAN

A se thu thira chtra phan be 14 trtrekc chuyen sang Cac chi lieu bao cao tuong iv nhtr lchiii doanh nghip nha nu& KnOI Slr NGHICP CONG Lild"

A Se thu thira clura phan be kir fru& chuyin sang

CAP SO BHXH

1 'Fling s6 lao Ong chira dugc c k-STacp s6 • trugc 2501 Nguai

2. SO LD tang ra co s6 2502 Nguoi 3 S6 LD tang chua có s6 2503 Nguad 4 Tong s6 LD dirge ch s6 trongIck 2506 Nguai 6 S6 lao Ong ca'p s6 khac _ Nguoi 7 Tiing s6 LE) giant da.' có s6 trong kk 2507 Nguai 8 S6 LD ngimg dong trong lck Nguai 9 S6 LD giai quytt huu tri Nguai

10 S6 LD giai quyOt tir tut . Nguiri 11 S6 LD giam khac Ngugi

12 TOng so lao dOng da dugc cap so an thai diOna cu6i ick 2509 Nguoi

13 T6.ng s6 LD chua duct cap s6 an thai diem cuOi lck 2508 Nguari

14 Phoi bia s6 BHXH tern au lck 2701 Ph6i 15 Ph8i bia s8 BHXH dal nh4. 2703 Phoi

16 Tiing s6 phoi bla s6 BHXH O. sir dung trong kk 2704 Phoi

Trong do: Do in hong 2706

STT CM t-ieu Ma s6 DV tinh Ky truirc

mang sang trong Icy Ph& sinh

Cuoi ky

1 2 3 4 5 6 7 17 Ph6i bia se BHXFI thn cuei ky 2702 Ph'Oi

CAP THE BHYT

1 Tiong s6 the BHYT có gia tri sir dung du Idi

2601 The

2 The BHYT tang mod The 3 The BHYT gia han The 4 The BHYT het han The 5 The BHYT giam (do tra the) The 6 Teing s6 the BHYT co gia tri air dung tai t 2603 The 7 Phoi the BHYT thn du ky 2701 Ph6i 8 Trong do: Phoi the BHYT 16 Plied 9 Phoi the BHYT d'a nhan 2703 Ph'Oi

10 T8ng s6 phoi the BHYT da sir dung . 2704 Phoi. Trong do: Do in hOng . Ph8i

11 Phoi the BHYT ten cuei kY 2702 Phoi C KnOI LONE HiNH

Cl The BHYT

•con hp sk ding den tho

. them cuoikk theo khoiloi

hinh

I Nhom do ngagi lao dOng va nguai sir dung lao dOng &rig, trong do: The

1 Doanh nghiep The 2 Hop tac xa, lien hip hgp tac xa The 3 Ca quan hanh chinh The 4 Te) chirc nuac ngoai The 5 Cac t6 claire khac The 6 Can b0, ding chirc The 7 Can b0 xa phuang kh8ng chuyen trach The

II Nhom do t6 chirc bao him xa hOi dong, tr ong do: . The

8 Can b0 hula. tri, met sire The 9 Trg cep tai nn, benh nghe nghiep The

10 Nguai bi 6m dai ngay The

11 Ngueri tir dii 80T Ira len hung trg cpe tut hang thang The

12 Can b0 XP huang Ira cep. tir BHXH The 13 Nguai huong trg cap that nghiep The 14 aing than Cao su The

M Nhom Ngan sach nha nuac (long, trong do: The

15. Quan nhan chuyen nghiep • The 16 Cling an The 17 Ngued lam c6ng tac ca yeu The 18 Can b0 XP huang trg cep tir Ngan sach The

19 Nguai da thoi htrOng trg cap MSLD • , dang hugng trg cap tir NS The

20 Mc VN anh himg, lao thanh CM, TTB 81% Th .6

21 CO ding khac The

STT Chi tieu A

MA so DV tinh Kk tnniv

mang sang Phil sinh trong kJ,

•.0.-. A

Cuio ick

1 2 3 4 5 6 7 22 Cull chi& birth., TNXP ch6ng phap The 23 Nved tham gia KC ch6ng My The 24 Dai biL QH, HDND The 25 Tr& em du& 6 tu6i The 26 Bao trgxa hOi The 27 HO ngheo The 28 Ngueri dan tOc thieu sO The 29 Ngued s6ng tai vimg de bit Icho khan The 30 Nguai song till xa dao, huyen dao The 31 Than than liet si The 32 Than nhan norai c6 cong The 33 Than nhan quan dOi The 34 Than nhan cling an The 35 Than nhan ca yeti The 36 Ngued hien tang The 37 Luu hoc sinh The

IV Nhom dugc ngan sach nha ntrac h'6 trg mire lacing, trong do:

The

38 HO gia dinh can ngheo The 39 119C sinh • The 40 Sinh vien The 41 HO gia dinh &mg lam ngu nghiep The

V NhOm tham gia BHYT theo hO gia dinh, trong do:

The

42 HO gia dinh The VI Nhom khac The C2 The fang mai .

I Nh6m do nguai lao Ong va ngtreri sir dung lao Ong &mg

The

II Nhom do t6 chirc bao him xa hOi diang The III Nhom Ngan sach nha nu& dong The

IV, The Nhom dugc ngan sach nha nuac hO trg mre d6ng •

V Nhom tham gia BHYT theo No gia dinh The VI Nhom khac The C3 The cip nei tip h3n the Cu

I Nhom do nguai lao Ong va ngued s* dung lao•Ong dong

The

II Nh6m do t6 chic bao him xa hOi &mg The III Nhom Ngan sach nha nuerc &mg The

IV Nhorn duge ngan sach nha mac h6' trg mire dong

The

V Nhom tham gia BHYT theo hi) gia dinh The VI Nhom khac The C3 The het Ilan.

I Nh6m do nguai lao Ong va ngued sir dung lao Ong dong

The

II Nh6m do t6 ch.& bao him xa hOi clang The III Nh6m Ngan sach nha nuac &mg The

STT Chi tieu A Ma so DV tinh Kjr trirov

mang sang Phat sinh trong Ic'y'

Cuoi ick 4

1 2 3 4 5 6 7

Iv Nhom duge ngan sach nha nu& hog- trg mire dong

The

V Nhom tham gia BHYT theo hg gia dinh The VI NhOm khde The C4 The Om (do tra the)

I Nhoth do ngued lao Ong va nguoi six dnng lao Ong dong

Th'e

II Nh6m do t6 chirc ba.o hi'ent xa h'gi 'long The III Nh6m Ngan sach nha nu& dong ' The

IV The Nhom dtrge ngan sach nha riugv hii trg mire &lag

V Nhom tham gia BHYT theo h'g gia dinh The VI Nhom khac The

Phu trach thu (Kg, ghi r5 Iv ten)

Phu trach SO, the ghi re)" hQ ten)

Phu trach Ice tan (KA ghi r5 hi) ten)

Ngay thang . nem Giant dc

(K); va clang dciu)

HUNG DAN 14P

Bao cat) chi tieu quail 1Sr thu; cp sto MUCH, the BHYT Mau B01-TS)

a) Mvc dich: theo doi tinh hinh thu; cap se BHXH, the BHYT cci quan BHXH cdc cap.

c) Trach nhiem lap: ca quan BBXH cdc cap

PhOng/T6 Quan 1 thu ket xuat dit lieu, in 02 ban, lcY chuyen PhOng/T6 Cap se, the. Phong/T6 Cap so the hem tra, k xdc nhan, chuyen Pheng/T6 KH-TC kiem tra, k xac nhan, trinh Gidm d6c lcydie giti BHXH cAp tren 01 ban, hm 01 ban.

d) Thai gian lap: hang thang.

d) Phtrcmg phap lap: can dr Mau D02-TS, D02a-TS, DK04, DK05, D03a-TS, D05-TS, D05a-TS, C69-HD, C83-14D; s6 tien dang; Mau SO4-TS, S05-TS, S06-TS, S07-TS.

* Chi tieu clang: ghi day dit cdc chi tieu

* Chi tieu cot:

- Celt 1: ghi se thir tv.

- COt 2: ghi nOi dung chi tieu.

- OA 3: ghi ma s6 chi tieu..

- COt 4: ghi don vi tinh.

- COt 5: ghi so lieu cuoi lcY tuft mang. sang.

- COt 6: ghi teng hop s6 lieu phat sinh trong thang Wang frng tistng chi tieu den thai diem chat s6 lieu.

- COt 7: bang cet 5 cOng cOt 6.

BIDCH BHXH

BAO CAO TiNH HiNH THU BHXH, BHYT QuY ..nam

Mu BO2a-TS (Ban hanh kern theo QD s& 959/QD-1314XH

ngay 09/9/2015 cna. BHXH Viet Nam

Se TT Ten don vi Se dinh

danh .

SO ngtrad Quy Wang

KS, truck chuyen sang Phat stub trong ky Da thu Chuyen ky sau

Se phai dm phat sinh trong

Iii'

Dieu chii It trong ky Lai

Phai deng Lai Ghi thu 2%

Thieu phi deng

Thieu Lai

, Thieu phai

dong Thitu lai

Tang Giam Tang Gram

Teng so Tr. DO: nam

trunc T8ng se Tr. DO: nam [were

A B 1 2 3 4. 5 6 7 8 9 10 11 12 13 14 15 16 17 A BAO IIIEM XA HOI

I Bao hiem xa hOi hal bui)c

1 Doanh nghiep Nha ntr6c

Dun vi A Dan vi B -

2 DN CO von dau turn.rac ngoai

3 Doanh nghiep ngoai quec doanh 4 Hanh chinh, Dang, doan the

5 Skr nghi'ep cong lap

6 Xa, phugng, tin trim 1 7 Can b0 kitting chuyen trach cAp )(ft 8 Hp tic xa

9 Ngoai cOng lap

10 HO SXKD ci the, to' hp tic, CN

11 Lao Ong co thgi han o'NN

12 Dei tugng tkr dOng II Bao hiLn xa hi tkr nguy0

I sai is, A

a Doi tong dOng

b Ngan sach NN h6 trg

2 Dal 1SrB

a Doi tugng dOng

b Ngan sach NN h'6 trg

B BA,0 HIEM Y TE I Dun vi, di tuvng &mg

1 Doanh nghiep Nha nugc

2 DN c6 vo'n dau tu nugc ngoai 3 Doanh nghiep ngoai qu6c doanh 4 Hanh chinh, Ding, (loan the

5 Sr nghiep Ong lap

6 Xa,. pinking, thi tran

7 Can bO khong chuyen trach cap xa

8 Hgp tic xa

9 Ngoai cong lap

10 HO SXKD ca the, tO hop tic, CN

Sa TT

• •

Ten don I/ sa dinh '

danh .

S6 ngtr61 Qu51hrong

KY truac chuyan sang Phat sinh trong ItY Da thu

. 4 Chuyen kY sat.t.

Sa phai thu phat sinh trong

Diu chinh trong kk Lai

Lai Ghi thu 2%

Thieu phai d6ng

Thitu Lai

Tilley phi dang

Thitu lai Tang Giam

Tang Giam Phil dang

kY Tr. Tang sO

D6: nam truac

, : TOng so

Tr. DO: Om tnrac

A B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 11 Doanh nghitp LLVT II Ta chIrc BILXII d6ng 1 Him tri, tro cap MSLD 2 Trcr cap TNLD -13NN 3 Can b0 xa Inning Tr/cal) BHXH 4 Om dau dai ngay

5 Tren 80 tu6i huang TC Mat 6 Cong nhan cao su 7 Nghi che c10 thai sin

8 Try caa thAt nghitp III Nan sdch NN dang 1 Thoi furang try cAp MSLD 2 Can 60 xi htrang Tr/cap NSNN 3 Ngtrai CO ding v66 cach mpg 4 Thin nhan ngirai co cOng 5 Phpc :try ngtrbi cO cong 6 Cuu chin binh 7 Dni bleu Qua° hOi, HDND 8 Ngtrai tham gia khang °hien 9 Tre em den 6 tuni 10 Bao tro xahOi 11 Nguiyi da- hien b'0 phan Cu the 12 Ngtrai thuOc GD ngheo 13 Nguai DTTS snag Wing KK, DBICK 14 Ngtrai snag 0 A/611g DBKK ' 15 Nguai sang a xa elk, huytn dao 16 Than nhan Cong an 17 Than nhan Ca yen 18 Ltru hoc sinh 19 Khac ... IV Ngan sach NN ha trn: 1 Hoe sinh, sinh vien

1.1 Hoc sinh, sinh vin TW a Dai nixing eking b Ngan sach NN ha Ur(

1.2 HOC sinh, sinh vim n Ma phuang a Dei Mang (tong b Ngan sach NN ha to 2 HO can ngheo

2.1 Ngan sach NN ha tra 100%

S'a TT Ten on vi SO dinh

danh ,;

So ngiroai Quji lining

K3/ trulk chuyen sang Phat sill! trong ky Da thu Chuyen kj'i S4a;

Sii OM thu [That sin h trong

Dieu chinh trong k' Lai

Phiii dOng Lai Ghi thu 2%

Thieu phai dang

Thieu Lai

Thieu phai dOng

Thieu lai Tang Giam

Tang Giarri ky Tr. Tong s6 s6

D6: Liam truac

- Tang

Tr. DO. nam ' ' trtrac

A B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 2.2 Ngan sach NNIni trg mot phan

a DOi tuong &mg

b Ngan such NN ha- trg

3 H6 Nang, lam, ngir, diem CO MSTB

3.1 D6i mong dong

3.2 Ngan sach NN MS trg _ 4 Khac .....

3.1 Ddi tugng clOng

3.2 Ngan sach NN h6 WI

V HO' gia dinh

1 Dai 1Y A

2 Dal ly B

C BAO MEM THAT NGHItP

1 Doanh nghi'ep NH. nude

2 DN GO vOn an tu. mrac ngoai

3 Doanh nghi'ep ngoai quOc doanh

4 Hanh chinh, Sang, doan the

5 Su nghiep cong lap

6 Xn", phtthng, thi Iran

7 Can b6 khang chuyen trach cap xa

8 Hgp Mc xã

9 Ngoai ding lap

10 H6 SXKD ca the, te hp Mc, ON

11 Khdc Tang cang (A+B+C)

D THU THIllA CIWA PlIA.N BO KS, trtrac mang

sang Chuy'L kjr sau

1 Doanh nghiep NM nude

2 DN CO On (tau tit nu& ngoai

3 Doanh nghiep ngoai quOc doanh

Cang

,ngay thang nam Ngtari 14p biOu

Trtromg phong (To) Quan 1ST thu Trtrerng phOng (TO) KH-TC

Giant. dc BHXH (K.)), ghi rö hp ten)

ghi rö hp ten)

(K)i, ghi rö hp ten)

(K.V, ghi 1.5 hp ten va clang dci'u)

HU'ONG DAN LiP

Bao cao tinh hinh thu BHXH, BHYT, BHTN (Mau B02a-TS)

a) Mlic dich: bao cao ket qua thvc hien thu BHXH, BHYT, BHTN tren dia ban huyen va Phong Quan ly thu BHXH tinh die phan tich, danh giaviec thuc hien ká hoach thu theo tang quy, nam va la co s6. d'e xay dung ke hoach v thu BHXH, BHYT, BHTN.

b) Can cir lap: Mau D02-TS, D02a-TS, DK04, DK05, D03a-TS, DOS-TS, D05a-TS, C12-TS va mu B01-TS.

c) Trach nhiem BHXH huyen vi Phong Quan l thu BHXH tinh.

d) Thed gian quY, nam. e) Phuong phap lap:

Can ctr danh Man D02-TS, D02a-TS, DK04, DK05, D03a-TS, D05-TS, D05a-TS, C12-TS, B01-TS vi co so' du lieu phan mm quart l thu clang quart lY cila tang don vi d'e ghi vao cac cOt theo tirng tieu thirc tuong frng.

- Chi tieu theo ghi day dit chi tieu den thoi diem ch6t s6

- Chi tieu theo cOt: ghi day dü s6 li'eu ttrong img theo chi tieu dOng den thoi diem ch6t so 1*.

* Ltru cot 15 chi ghi s6 lieu den ngay 31/12/2015. Tr ngay 01/01/2016, b6 cot nay.

ivrau B02b-TS (Ban hanh kern theo QD soc: 9591QD-B1(k

agay 09/9/2015 maa BHXH Vi4 Nam)

BHXH VIB.T NAM BHXH TINH, TP

RAO CAO TONG HOP TINH HiNH THU BHXH, BHYT, BHTN Quy. .rtam

36 TT Ten don vi Ma so so. ngulai Quy lunng

Ky &tint chuyen sang Phat sink trong k' Da thu Chuyen ky sau

SO pitai thu piat sinh trong ky

Dieu chink trong ky . Lai

nal dOng Lai Ghi thu 2%

Thieu phai dong

Thieu Lai

Thieu pliai deng

_

Thieu MA Tang Giam

Tang Giam .

Tong so Tr. DO: niim trudc

, Tong so Tr. DO. narn • •

trade

A B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

A BAO HIEM XA", DOI

I Bo hiem 'ea hi bit buec

1 Doanh nghiep NN

2 DN c6 yen deli ttr nuoc ngoai

• 3 Doanh nghiep ngoai nha nu&

4 Hanh chinh, Bang, doan the

5 So nghiOp cOng lap 6 Xa, phuting, thi trail 7 Can be khong chuyen trach cep xo

8 Hop tac xa 9 Ngoai °Ong lap 10 HO SXKD ca thO, tó hop tae, ca nhan

11 Lao dOng cO tiled hail er NN

12 Doi Wong to Mpg

II Bao hiem xa hei tty nguyen , 1 2 B BAO HIEM Y TE I Dan vi, deii tuvng deng 1 Doanh nghiep NW. nude

2 DN co vOn deu to nuCic ngoei 3 Doanh nghiep ngoai nu& doanh _ 4 Hank chinh, Bang, doan the

5 Su nghiep c6ng lap 6 Xd, phuting, thi tram 7 Can be khOng chuyen trach cdp xd

8 Hop tac xa 9 Ngoai cOng lap

10 HO SXKD ca. the, tO hop tac, ca. titian 11 Doanh nghiep LLVT

II TO cht-rc MIMI deng - 1 Han tri, to cap MSLD 2 Tro cdp TNLD - BNN 3 Can be xa hue:mg Tried') BI-IXH

S6 TT

, 1

Ten dun vi Ma se S6 ngirni Quy Itrong

KS' &Yet chuy& sang Phat sinh trong k' DA thu Chuyen k5' sat 4

Dieu chinh trong ky Lai

Lai Ghi thu 2%

Thieu phai (long

Thi6u Thi phai dong

Thi6u lai

S6 phai thu phat sinh trong ky•

Tong

Tang

Laieu Giant

Giam Phai deng

s6 T r. DO: nam trade

. , Tong se

Tr. 1E1O: narn trade

Tang

A B 1 2 3 4 5 6 7 8 9 10 11 , 12 13 14 15 16 17 4 Om dau dai ngay 5 Tren 80 tue31 huang TC tut

6 COng nhan cao su

7 Nghi che (10 thai san

8 Try cap that nghiep

III Ngan sich NN dOng

1 Thoi Wang try cap MSLD

2 Can be xa twang Tr/cap NSNN

3 Ngtrai CO cOng vai each mang 4 Than nhan ngtrai CO cong 5 Phnc NT ngubi cO col-1g _

6 Cyu Chien binh 7 Dai bieu Quoc hei, FEND 8 Ngtrai tham gia khang °hien

9 Tr 6 em duai 6 tdi 10 Bap try xa hei _ 11 Nguai da hien be phan ca the

12 Ngtrai thuec GD ngheo 13 Nguti DTTS s6rtg vimg KK., DBICK 14 Ngtrai semg a wing DBICK 15 Ngubi s6ng a xa no, huyan No 16 Than nhan COng an 17 Than nhan Ca yen

18 Lyn hoc sinh

19 Khac ...

IV Ngan sach NN 116 try 1 HOC sinh, sinh vin

1.1 Hoc sinh, sinh vien TW

a Doi tuorng Ong

b Ngan sach NN h6 try 1.2 Hoc sinh, sinh vien dia phtrang —

a Del tyyng dong

b Ngan sach NN h6 try

2 He can ngheo

2.1 Ngan sach NN 11.6 trg 100% _ 2.2 Ngan sach NN I-16 try met phan

a Den ttryng &Mg

b Ngan sach NN h6 try

s6 TT Ten Han vi MA s6 S6 ngtrbi Quy trong

Kjr truot chuy8n sang Phit sinh trong kj, DA thu Chuy 1 o in ,c,j, sauX

SA phii thu phit sinh trong kj,

Di1u chink trong kJ, Lai

Phil deng LAi Ghi thu 2%

Thiel' phil d6ng

Thieu LAi

Threu phai thing

Thieu Ili Tang Giim

Ting Guam ,

Tdng so Tr. D6: nAm

truck :i ‘

Tong so _

Tr. D6. atm ' ' trtr6c

A B 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 3 H6 Wing, lam, ngtr, diem c6 MSTB

3.1 D6i Wong &ling

3.2 Ngan sich NN 118 tro

4 Khan .....

3.1 Doi ttryng dong

3.2 Ngan sach NN 116 try

V HO gia dinh

1

2

C BAO MEM THAT NGHItP

1 Doanh nghiOp Nita ntrac

2 DN có v6n du tu nuOc ngoii

3 Doanh nghiep ngoii quec doanh

4 Hinh chit-1h, Ding, doin the

5 S6 nghiep ci5ng lap

6 Xi, phtr6ng, thi tin

7 Can b0 khong chuy6n trach cap xl

8 Hop Mc xa

9 Ngoai cong lap

10 HO SXKD cit thO, tO hop tic, ci nhan

11 Khac

Tong cOng (A+B+C)

D THU TEMA CHLrA PHAN B6 Kj, trutt mang

sang Chuyin Icy sau

1 Doanh nghiOp Nha mr6c

2 DN CO von cl6u tu ntrac ngoai

3 Doanh nghiep ngotti qu6c doanh

ging

thcing nam... Ngtestri lp bau Trtrerng phOng (1-4) Quin 1 thu Truirng phong (Tii) KH-TC

Giam difoc BHXH

(K)i, ghi rã hp ten)

(4), ghi ri5 hp ten)

ghi rö hp ten)

ghi ri5 hp ten va dong dau)

HIXONG DAN L

Bac, cao tng hyp tinh hinh thu MUCH, BHYT, BHTN (Watt B02b-TS)

a) Muc dich: tang hgp bao ca.° kat -qua dive hian thu BHXH, BHYT, BHTN cda BHXH tinh de' phan tich, clanh gia kat qua thuc hian ke hoach thu teen dia ban tinh theo tirng qu, nam va la ca s6 de )(ay dung ke hoach thu BHXH, BHYT, BHTN.

b) Can cir bao cao tinh hinh thu BHXH, BHYT, BHTN (Mau B02a-TS).

c) Trach nhiam lap: BHXH tinh.

d) Th6i gian lap: quy., nam.

e) Phucmg phap

- COt A: ghi sa thd qr.

- COt B: ghi tdng khoi loai hinh don Ai.

. - COt 1: ghi se, don vi.

- Cac c6t tü c6t 2 an c6t 17: Ghi t6ng hgp cac c6t tr c6t 2 an cOt 17 eila man B02a-TS ciia tdng khai loi hinh.

- Chi tieu theo clang: ghi day du chi tieu an th6i dim chat s6 Eau.

- Chi tieu theo c6t: ghi day dü s6 Eau Mang irng theo chi tieu clang den th6i diem chat s6 Han.

* Ltru. c6t 15 chi ghi s6 lieu an ngay 31/12/2015. Tr ngay 01/01/2016, b6 c6t nay.

BHXH BHXH

BAO CAO CHI TIET DON VIN BHXH, BHYT, BHTN Thang .... Nam

Mau B03-Ts (Ban hanh kern theo QB s8: 959/QD-BHXH

ngAy 09/9/2015 caa BHXH V* Nam)

STT Ten don vi Ma don

vl So lao dOng

Dia chi lien he

S8 thang

ng BHXH

S8 tin ng Bien phap thu ng

Ghi chi]. T8ng so BHXH BHYT BHTN

Lai cha ,m

dOng Bien ha da

ap dung

S ' ki ngay thang van ban caa ccr quan ca thAm

quian

A B C 1 2 3 4=5+6+7+8 5 6 7 8 9 10 11 I Ng Otani 'Icing Ilia n/a n/a n/a n/a

II Ng dQng —

Cty A

• • •

LH Nu. keo dai 1 Cty B

2

IV Nq kite, thu _ r7.1 Mt tich

1 Doanh nglilep B

... ••• _ IV.2 Bang pha san, giai th'e'

1

IV.3 Da giai thk pha san — 1

...

IV.4 No khde

1

... T6'ng sti

Ngtdri lap bieu (Kj), ghi r5 h9 ten)

Trtdrng phong (TO) Thu (4, ghi r5 119 ten)

ngay ..thang neim Giarn doe

(Kji, ghi r5 hp ten va clang ddu)

HUNG DAN LAP

Bao cao chi tit dun vi nq BHXH, BHYT, BHTN (Mau B03-TS)

a) Muc tOng hop sO don vi ng tin dong BHXH, BHYT, BHTN de theo don disc thu hOi ng.

b) Can dr lap: thong bao ket qua &rig BHXH, BHYT, BHTN (Mau C12-TS) dm ding don vi.

c) Trach nhiem lap: co quan BHXH.

Phong/TO Quail thu lap man nay, giri Pheng/TO quail l ng

BHXH huy'en gii at lieu mu B03-TS \T"' BHXH tinh.

d) Thoi gian lap: hang thang.

d) Phirang phap lap:

- COt A: ghi thir tu.

- COt B: ghi ten cac don vi ng tin dong BITCH, BHYT, BHTN theo tUng loai chi tieu.

- COt C: ghi so' dinh danh tha don vi.

- COt 1: ghi so lao Ong cüa don vi den thOi diem lap danh sach.

- COt 2: ghi dia chi clang try so• tha don vi.

- COt 3: ghi s thang ng BHXH tha don vi theo man C12-TS.

- COt 4: bang cOt 5 + cOt 6 +cOt 7 + cOt 8.

- COt 5, 6, 7: Ian lugt bang cOt 1, 2, 3 Diem 2.2 Mye 2 phan D Mau C12-TS.

•- COt 8: bang cOt 4 myc 3 phan D Mau C12-TS.

- COt 9: ghi bin phap da áp dyng di v6i don vi ng: thanh tra, khoi kien

- COt 10: ghi se), ngay thang dm van ban cilia co quan có tham quyen thanh tra, xet xir.

- COt 11: Ghi chu.

* Chi lieu hang ngang:

- Mvc I: chi ghi tOng hop nhung don vi ng cham &mg.

+ COt C: ghi tOng sO don vi. ng cham dong.

+ COt 1: ghi teng se) lao dOng tha nhang dun vi ng chain dong.

+ COt 2, 3, 9, 10: khong ghi sO lieu.

+ COt 4: b'ang OA 5 + cOt 6 +cOt 7 + OA 8.

+ COt 5, 6, 7: lan lugt bang tOng 0.1 1, 2, 3 diem 2.2 Myc 2 phan D Mau C12-TS tha cac don vi.

+ COt 8: bang tOng cOt 4 muc 3 phAn D Mau C12-TS cüa cac don vi..

- Mu° II, III, IV: ghi chi tit don vi ng theo cdc loai hinh tuong Ung.

* d6i vai don vi d'a áp dung bin phap 6 cOt 9 thi ha't bu6c phai ghi s6, ngay thang ham van ban dm co quan c6 tham quyen 6 cOt 10.

BHXHV1$T NAM BIAX11 TINH

BAO CAO Tinh hinh dm cic dim vi cimg tham gia BHXH, BHYT, BHTN

Qu* —tam—

Mau B03a-TS 4/ (Ban Utah kern theo QE) so: 959/QD-BHXH

riga), 09/9/2015 dm BHXH Viet Nam)

I. ThuOn 191, kho khan

1. Tinh hinh kinh te-xahi tren dia ban 2. Tinh hinh cac doanh nghiep 3. Ccr quan BHXH va caz co quan nha nu& lien quan II. Ke't qua

1. Cac bin phap thu no 2. Kt qua thu no.

TT Lo al no'.

SO don v

, So lao oflOng

.x Tien ny Ghi chit 7. A Tong so BHXH BHYT BHTN Lai

A B 1 2 3 4 5 6 7 8

1 Nv ch4m dOng

2 Ncr Mpg

3 NCI lie° dal

3.1 Ur 3 thang d6n dual 6 thang

3.2 Tir 6 thang (ten chr6i 12 thang

3.3 Ur 12 thang trey len

4 Ncr kho thu

4.1 Don vi mk rich

4.2 Dang phá sari, giai th6

Dã giai th, pha sari

4.3

4.4

Khac

COng

T'On ti, vtrerng nte, nguyen nhan va giai pilaf)

IV. Men nghi, dê xuAt 1. Kin nghi co quan co tham quyen 2. BHXH V* Nam

ngay. .thang näm Giam dc

(Kji, ghi r'd hp ten va dong da'u)

H1I3NG ON LAP Bao cao tinh hinh ncr dm cac dun vi cimg tham gia BHXH, BHYT, BHTN

(Mau B03a-TS) a) 1VInc dich: teng hgp, -phan tich, danh gia tinh hinh thu ng BIDCH, BHYT,

BHTN a theo dOi; don doe thu h8i ng..

b) Can cir lap: th6ng bao ket qua dong BIDCH, BHYT, BHTN (mu C12-TS) dm tang don vi; Danh sach chi tit don vi ng BHXH, BHYT, BHTN (man B03-TS); tinh hinh phat trien kinh te xa- h6i dia phuong, hog Ong san xuat kinh doanh caa doanh nghiep ten dia ban.

c) Trach nhiem lap: co quan BHXH.

d) Thai gian lap: hang guy,.

d) Phuong phap

- Mc I: Neu thuan lgi, kho khan, nguyen nhan trong trien Ichai thye hien thu hoi ng anh huang tir tinh hinh kinh te - xa hOi tren dia ban, doanh nghiep va tr phia co quan quan157nha nuac t'r dia phuung, co quan BHXH.

- Myc II: Neu cac bin phap don d6c, thu h8i ng.

* Kt qua thu h8i ng:

- COt A: ghi s6 thir ty.

- COt B: ghi log ng theo tang nhom ng.

- COt 1: ghi s6 don vi ng.

- COt 2: ghi t6ng s6 lao dOng cua don vi ng.

- COt 3: bang cOt 4 + cOt 5 + cOt 6 + cOt 7.

- COt 4, 5, 6, 7: ghi s6 tin ng BHXH, BHYT, BHTN va tin lai cham dOng deu ky.

- COt 8: Ghi chit.

- Mc Ghi eon tai, vugng mac, nguyen nhan va giai.phap thu h8 ng.

- Miic IV: Ghi kin nghj d xuat.

BHXH TiNFI

BI-DCH HUYN ........

DANH SAC TRUY THU BHXH, BHYT, BHTN

Qu ..... nkn

MAu B04a-TS (Ban hanh km theo QD sfi: 959/QD-B1DCHitz

ngay 09/9/2015 ctla BHXH Via Nam)

TT Ho va ten So clinh danh Dan vi ncri ngtrari lao &Ong clang lam viee Truy thu

Ghi chit SO thang Tr thang nam Den thang nam

B C 1 2 3 4 5 Nguygn Va'n B 9876543210 Cong ty A 12 01/1997 12/1997

Ngay ...thang nam ....... Nproi 14p biAu

Giam doc BHXH ghi.r5 h9 ten)

(Ky, ghi r5 h9 ten va doing cau)

HVONG DAN LAP

Danh sach truy thu BHXH, BHYT, BHTN (Mau B04a-TS)

a) Mac dich: t6ng hop s6 ngua.i truy thu th6i gian chua dong BHXH, BHYT, BHTN quy,dinh tai Kho6.11 1 Dieu 23. BHXH huyan gii BHXH tinh. BHXH tinh tong hop de theo di, kiem tra.

b) Can cir lap: Mau D02-TS, D02a-TS cüa timg dOn vi. c) Trach nhiam lap: BITCH huyan, Phong Quan 1ST thu BHXH tinh. d) Then gian lap: hang guy/.

d) Phuong phap lap:

- COt A: ghi .s6 tu. - COt B: ghi ho ten nguoi lao dOng truy thu BHXH, BHYT, BHTN. - COt C: ghi s6 dinh danh.

- COt 1: ghi ten don vi hien tai nguoi lao dOng dang lam viec. - COt ghi so thang truy thu.

- COt 3, 4: ghi tir thang den thang truy thu (truing hop tiled gian truy thu có nhieu giai don thay di nhu chirc danh, cong viac, tin luong thi ghi rieng moi clang Mang img vâi thay di).

- COt 5: Ghi

BHXH VIB.T NAM BHXH TiNH

TONG HQP DANH SACH TRUY THU BHXH, BHYT, BHTN

QuST ram

Min B04b-TS (Ban hinh kern theo QD s6: 959/QD-BHXH4z

ngay 09/9/2015 mitt BHXH Viet Nam)

TT Tong so nguot truy thu

Ghi chh Ten dun vi lir Tong so 01/1995 den

12/2002 Tr 01/2003 den

12/2006 Tir 01/2007 tra di

A B 1=2+3+4 2 3 4 5

1 BHKEI huy0 A

2 BHXH huyen B

qing

Ngay thang nam ....... Nguiri 14p bieu Clam dc MUCH

ghi r5 hQ ten)

ghi r5 hQ ten va clang cleiu)

HIYONG DAN LAP

T6ng hqp danh sach truy thu cOng ni thol gian (Mau B04b-TS)

a) Mne dich: BHXH tinh teng h9p the twang h9p tray thu tiled gian chua dOng BHXH, BHYT, BHTN quy dinh t9i Khoan 1 Dieu 23 ph BHXH Viet Nam.

b) Can di lap: danh saeh truy thu BHXH, BHYT, BHTN (Mu B04a-TS) efia Phong Quan 1ST thu va BHXH the huyen.

c) Trach nhiem lap: .BHXH tinh. d) Thei gian lap: hang quY.

d) Phuong phap lap:

- COt A: ghi s6 thir tir theo timg BHXH huyen, Phong Quan lY thu tuong dng.

- CO.t B: ghi ten tirng BHXH the huyen, Phong Quan 13i thu BHXH firth. - COt 1: ghi teng s6 ngueri truy thu (bang cOt 2 + cOt 3 + cOt 4). - COt 2: ghi s6 ngueri truy thu thai gian tit thang 01/1995 den thang 12/2002

(thoi gian truy thu có it nhat 01 thang thuOc khoang tiled gian nay).

Vi du: nguai lao Ong truy thu BHXH tir thang 10/2002 den thang 02/2007 thi tinh va ghi vao cOt 2.

- COt 3: ghi s6 ngueri truy thu theri gian tir thang 01/2003 den thang 12/2006. 7 COt 4: ghi s6 ngueri truy thu theri gian t thang 01/2007 den theri diem truy

thu.

- COt 5: ghi nhting diem can hru 3"r.

BHXH VIT NAM BHXH TINH

Mau B04e-TS 4,77 (Ban hanh kern theo QD s6: 959/Q1D-BHXH

ngay 09/9/2015 caa BHXH V* Nam)

TONG HP DANH SACH ONG NOI TH6I GIAN THAM GIA BHXH

nam

TT H9 va ten Dem vi nai NLD dang lam

viee

Thai gian d'd nghi cOng nitii chd Se dinh danh Ghi

S6 thang Tir thang ham Den thang nam

A B C 1 2 3 4 5 I Hu3*). A

Nguy8ri Van A 1234567890 Cong ty A 60 01/1986 12/1990

II Huy@i B

Ngtroi 14p bi.6u (K);, ghi ra hp ten)

Ngay ......thang narn Giam d6c BHXH

(Ky, ghi r5 ha ten va clang ddu)

HONG DAN LP • 4ng hcfp Danh Och Ong n& thol gian tham gia BHXH (Mu B04c-TS)

a) Mo.c dich: teng hop s6 ngtrad dieu chinh Ong nei thei gian tham gia BHXH gti BHXH Viet Nam a theo &IL

b) Can dr lap: Ket qua tham dinh h so Ong nei thed gian nhung Wong phai dongBHXH cda Te tham dinh.

c) Trach nhiem BHXH tinh. d) Phuang phap lap:

- Cot A: ghi se thir

- Cet ghi ho ten ngtroi 1.ao deng Ong nei thbi gian tham gia BHXH. - Cot C: ghi se dinh danh (s6 se BBXEI).

- Cet 1: ghi ten dun vi hien tai nguoi lao &Ong dang lam viec. - Cet 2: ghi se thang ceng nei. - Cet 3, 4: ghi ter thang nam den thang nam. - Cot 5: Ghi chtl.

* Chi tieu hang ngang: ghi danh sach nguoi dieu chinh ceng n6i died gian tham gia BHXH caa timg BHXH huy'en, Phang Quail l thu BHXH tinh.

BHXH Mu B05-TS BEEXH

(Ban hanh kern theo QD s6: 959/QD-BHXH ngay 09/9/2015 cüa BHXH V* Nam)

BANG TONG HP SO THE VA SO PHAI THU THEO NM BANG K KCB BAN BAU u

STT Nni Tang kS7 kham chfra benh ban du Thni g ... Thang ... Thang ...

SO the BHYT SO phai thu SO the BHYT SO phdi thu SO the BHYT SO phai thu

A B 1 2 3 4 5 6

1 Co s45( Icharn chita b'nh A

Nhom 1

Nh6m 2

Nh6m 3

Nh6m 4

Nh6m 5

2 Co so. Icham chfrabnh ...

.. ...

Ding cOng

NgulYi lip bleu ghi r5 hp ten)

Truing phong (TO) Quin 1ST thu ghi ro hp ten)

.,ngay. nain Giant. doe BHXH ghi ro hp ten va (long dcizt)

RIMING DAN L413 Bing t6ng hol) sti the va s phii thu theo noti ding k5r khim chfra bnh ban

du (Mau B05-TS) a) Muc dich: ting hop s6 the, s6 phai thu theo nai dang k lcham chfra benh

ban dau de phan qu'y kham chfra benh. b) Can Mu D02-TS, D02a-TS; DK04, DK05, D03a-TS va ca s6dtt

lieu phan mm quan 1 thu. c) Traeh nhiem BHXH tinh, huyen. d) Tiled gian lap: quSi, nam. e) Phtrang phap lap: - Cet ghi-seythir - Cot B: ghi ten ca sa Icham chira benh ban dau. - Cet 1, 3, 5: ghi fing se the BHYT dang lcy KCB hang thang theo tirng

nhom ai tuong 'theo quy dinh tai Dieu 18. - Cet 2, 4, 6: ghi s6 tin phai dong hang thang ciao terng nh6m di tucyng

tcrang frng. * Vi du: - Thang 9/2015, B'enh vin huyen A có se the BHYT ding 1(3", KCB ban du

nhtr sau:

+ 10 ngtred lao Ong dia Cong ty dich vu thuang mai B, tien Krung la 3.000.000 dingfingtroi/thang.

+01 ngued him trf, tin luang 4.000.000 ding/thang. +03 ngu6i c6 ding yid each mang. + 03 ngu6i trong he gia dinh ding tham gia met thei diem va dirge giam

mire (long. - Ghi nhu sau: + Nhom 1: Cet 1: ghi 10 the.

COI 2 ghi: s' tin 1.350.000 ding (=3.000.000 ding x 4,5% x 10 nguoi). + Nhom 2:

Cet 1: ghi.01 the.

Cet 2: ghi- se tin 180.000 ding (=4.000.000 ding x 4,5%). + Nhom 3:

Cet 1: ghi 03 the BHYT.

Cet 2: ghi se> tin 155.250 ding (=1.150.000 ding x 4,5% x 3 ngu6i). + Nhom 5:

COt 1: ghi 03 the BHYT.

CI& 2: ghi s6 tin 119.025 diing 1.150.000 d6ng x 4,5% + 1.150.000 ding x 4,5% x 70% + 1.150.000 ding x 4,5% x 60%).

BHXH BHXH

ICE HOACH THU BHXH, BHYT, BHTN Nam

• Mau K01-TS 4/ (Ban hanh kern theo QD sii: 959/QD-BHXH

ngay 09/9/2015 eaa BHXH Viet Nam)

I. SO lieu tinh ke ho4ch thu:

St, TT

Thtyc hien nam trunc Nam nay Ke hunch nam sau

S6 ngtrol Ltrung BQ

la hoach trot thtyc hien

SO ngtriri L trng

BQ so tien

Loai hinh quan IY u. S6 tien u•

S6 ngtfo.i BQ

L 'nag u. S6 tien S6 nguiri

L •ung BQ

S6 tien

1 2 3 4 5 6 7 8 9 10 11 12 13 14 A BA() tutm 76.- ticot BAT BUOC

1 Doanh nghiap Nha nu&

2 DN c6 v6n dau PI nuarc ngoal

3 Doanh nghiap ngoai nu& doanh

4 Hanh chinh, Dang, doan the'

5 Su nghiap cOng lap

6 Xa, plugang, thi trail

7 Can 1)0 khong chuyen trach cdp xa

8 Hop tac xa

9 Ngoai cOng lap

10 HO SX1(1) ca tha, 01 hop tdc

11 Lao dOng c6 th6i han & nn

12 DOi Wong ttr dong

B BAO HIEM la 1.101 TV NGUYtN

1 D6i tuong (long

2 Ngdn sach NN hiS trq

C BA.0 HIEM Y TE

I on Id, dOi tuvng dOng

1 Doanh nghiap Nha nu&

2

3

DN co v6n (Ian tu. nuosc ngodi

Doanh nghiap ngoai qulic doanh

4 Hanh chinh, Dang, doan tha

5 Sn nghiap cOng lap

6 XI, pinging, thi trail

7 Can 130 khOng chuyen trach cdp x6. _ 8 I-16p On xn

9

10

Ngodi cong lap

HO SXKD ca did, 01 hcfp tdc

SO TT

,

Logi hlnh plan

Thkre hi8n nAm trul5'c NAm nay Ke hoach nAm sau 1

S6 ngubti Luang BQ SO tin

id ho#ch tr6c flu.= ht8n

So nguroi t• L rang BQ

SO titn SO nguid Ltrung

BQ SO tin SO nguiri

Lifung BQ

SO titn

1 2 3 4 5 6 7 8 9 10 11 12 13 14 11 Doanh nghiep LLVT

H T6 chum BH7CH ging

1 Hun tri, trq cap MSLD

2 Tr q cap INLD - BNN J

3 Can be xa tinting Tr/cap BHXH

4 6m dau dai ngay

5 Tren 80 tu6i htrang TC tutu ,

6 Cong nhan cao su

7 Nghi ch6 de thai san

8 Trq cap that nghiep

III Nein sfich NN dOng

1 Thdi hu6ng trq cap MSLD

2 Can be xa. huang Tr/clip NSNN

3 Ngtrbi cb cOng veri each meng

4 Than nhan ngu6i c6 Ong

5 Phuc vi ngutti CO citing

6

7

Cm chin binh

Di bleu Qu6c het, HDND

8 Ngu6i tham gia khang chin

9 Tre em dual 6 tu8i

10 Bao trc xff hOi

11 Ngu6i a hien be phan co thA

12

13

14

15

16

17

Ngtreri thuOc GD nglto

Ngutd DTTS s6ng Wing KIC, DBICK

Ngtred s6ng 6 vimg DBIC.K

Ngudi s6ng 6 xa dao, huyen dao

Than nhan Cong an

Than nhan Ca yen 18

19

Luu hoc sinh

IChac ...

IV Ngin sach NN hil trq

1 H9C sinh, sinh vien TW

a D6i tuqng dOng

b Ngan sach NN h8 trq

SO TT

Loni huh (pan iy

Thy hien nam truY • Nam nay Ke hoach Om sau . 7 e

So ngubi Luvng BQ So tin KO kind" U'óc thgc hi0

SO

ngtriri SO u- •ang L s6 tin

SO ngtrei Ltrang

BQ SO tin So nguni

Luang BQ

s6 tin

1 2 3 4 5 6 7 . 8 9 10 11 12 13 14 2 Hoc sinh, sinh vian dia plitrung

a DOi tugng (long

b 4 Ngan sach NN 118 trg -

3 HO can ngheo

a Doi tugng d6ng

b Ngain sach NN h8 trg

4 HO Ming, lam, ngu, diem cá MSTB

a DOi tugng dOng

b Ngan sach NN ho trg

5 Khac .....

a DOi tugng (long

b Ngan sach NN 118 trg

V HO gia dinla

1 Doi tugng dong

2 Nga'n sach NN h8 trg

D BAO MEM THAT NGHI?1'

I Doanh nghiap NH. nugc

2 DN c6 von dau tir nude ngoai

3 Doanh nghiap ngoai quoc doanh

4 Hanh chinh, Dang, doan the

5 Su nghiap cong lap

6 xa., phugng, thi tran

7 Can 60 khong chuyen trach cAp xa

8 Flgp Mc x'a

9 Ngoai cOng lap

11

10 . HO SXKD ca the, to. hgp tac

Khac

Tong Ong (A+B+C+D)

II. Phan tich kê ho#ch thu: 1. Cac y6u t anh huong tang: 2. Cac y6u t anh huerng giam:

Ngtroi 14p bieu (4, ghi 7-5 h9 ten)

Trtrovg phong (TO) Quin 1ST thu (4, ghi rö Iv ten)

Ngay thang narn Giant dOc BHXH

(4, ghi ro Iv ten va °long call)

HV(tNG DAN

ho#ch thu MUCH, BHYT (Mu K01-TS).

a) Muc dich: lap Ice hoach a f6 chirc thuc hin thu BHXH, BHYT, BHTN hang nam.

b) Can dr lap: Bao him )(a hOi tinh, BHXH huyn can dr s6 lieu bk. cao mu so B02a-TS, B02b-TS va tinh hinh kinh te, xa hOi, kha nang m rOng doi tugng tham gia BHXH, BHYT, BHTN ten dia ban de lap du ton thu BHXH, BHYT,. BHTN ham sau, gfri BHXH Vit Nam.

c) Trach nhi'm lap: BHXH huyeh, tinh.

d) Thed gian

- BHXH huyOn: theo huang clan cüa BHXH tinh..

- BHXH tinh: theo twang clan cUa BHXH Viest Nam.

• p 111Au K02-TS

(Ban hanh kern theo QD s15: 959/QD-BHXH ot/ ngay 09/9/2015 cia BHXH ViOt Nam)

BRXH BHX11

KE HOACH Si1 DVNG PHOI SO BHXH, THE BHYT Narn

STT Dan giai Pilot bia sO MUCH Ph8i the BHYT Ghi chit A B , 1 2 3 1 Dv kien so ton natn truoc chuyen sang: 2 Dv kin d6i tugn • quan 1Si

2.1 Dai tuvng clang qua n 1.) din cuoi nam 2.2 D61 twang phat sinh nam sau

3 Dv kin nhu cau sir dung cho na'm sau: 3.1 De.i tuvng phcit sinh (twang t'eng vol 2.2) 3.2 The BBYT gia hgn 3.3 Cacp lgi, cap doi 3.4 The BHYT cap thoi km 3 thing, 6 thang (niu co) 3.5 Khcic (niu cO)

4 Ke hooch a nghi (4=3-1): 5 Thai gian giao nhOn:

- Qu3'r I - Q4 II - QuSr III - QuS'r IV

Luu Y: - DOi van chi tieu 3.5 de nghi neu ro 15, do vao phAn ghi chit (vd: s6 phoi bit do tien tai lü lit, src6 ngoai mu6n, s6 muon cita tinh khaz phai tra, phat sinh khac...) - Mu nay sir dung chung cho cã BIDCH tinh va BIDCH huyen. Rieng BHDCH tinh khi lp kh6ng có phan than gian giao nh4n; BH)CEI huyen khi lp khong có phAn lcy xac nh'an ctia Truang phong.

Ngueril4p bieu ghi r6 hg ten)

' A X TrtrOvg phong (To) Cap so, the (1(,)% ghi ra ha ten)

Ngay thang nam Giam dOc MUCH ehi r5 ho ten va done ddu)

HaiNG DAN 1.4:0 hoych sir dyng ph8i A BHXH, the BHYT (Mau K02-TS)

a) Mvc dich: 131-DCH tinh ding kyi ke hoach sir ding ph6i A BHXH, the BHYT cüa nm sau.

b) Trach nhiem lap: do BHXH tinh hoac BHXH hu3*1 (duvc phan cdp in the BHYT) lap fling nim.

c) Phuung phap

* Chi tieu theo et:A:

- COt 1: ghi só luceng phoi bia s6 BHX.H.

- COt 2: ghi s6 luong ph8i the BHYT.

- COt 3: ghi ro lY do al dvng phoi s6, the.

* Chi tieu theo hang: ghi day dir n6i dung tren ban ke ho4ch si ding phoi bia s6 BHXE1, the BHYT.