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深圳市人民政府批转市社会保险管理局等单位关于《深圳市保健对象医疗保险费用管理办法》的通知

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深圳市人民政府批转市社会保险管理局等单位关于《深圳市保健对象医疗保险费用管理办法》的通知

广东省深圳市人民政府


深圳市人民政府批转市社会保险管理局等单位关于《深圳市保健对象医疗保险费用管理办法》的通知
深圳市人民政府



各区人民政府,市政府直属各单位:
市社会保险管理局、财政局、卫生局、保健委员会办公室制定的《深圳市保健对象医疗保险费用管理办法》已经市政府二届七十八次常务会议讨论通过,现批转给你们,请遵照执行。

深圳市保健对象医疗保险费用管理办法


根据《深圳市基本医疗保险暂行规定》(深府〔1996〕122号)关于医疗保健对象管理问题确定的原则,制定本办法。
第一条 本办法适用于参加基本医疗保险单位的保健对象(含离休人员、二等乙级以上革命残废军人,下同),未参保单位的保健对象不适用本办法。
第二条 保健对象分为一级和二级,具体划分条件和范围由市保健委员会统一制定。保健对象的审批确定、医疗速诊证的发放、医疗保健待遇的落实,由市保健办负责。
市社会保险管理局(以下简称市社保局)电脑中心负责将市保健办审批确定的保健对象及其信息资料,与市、区各约定医疗单位及市保健办实时联网;制证中心按市保健办的要求负责医疗速诊证的制作。
第三条 离休人员和二等乙级以上革命残废军人,不设个人医疗帐户,医疗费用实行单独管理、单独建帐,其在门诊或住院发生的合理的医疗费用,各约定医疗单位在查验其医疗速诊证后全部予以记帐,由市社保局从基本医疗保险共济基金专户统一支付,超出基本医疗保险规定范围的
费用,由其原缴费渠道补缴,划回共济基金专户。
第四条 一级保健对象(含在职和退休)的基本医疗共济基金,由市社保局划拨给市保健办直接管理。在门诊的基本医疗费用由个人医疗帐户支付。个人帐户用完以后发生的合理门诊费用、门诊特殊检查治疗和住院费用,由各约定医院验证后单独记帐,直接同市保健办定期结算。超出
基本医疗保险范围的费用,由市保健办核实、汇总后向市财政局专项报告,经审定后支付。
第五条 二级保健对象(含在职和退休)在门诊的基本医疗费用由个人医疗帐户支付;住院的基本医疗费用由各约定医疗单位验证后个人自付现金10%(退休人员自付现金5%),其余部分予以记帐。
二级保健对象的个人医疗帐户用完后,在门诊发生的合理医疗费用和住院时超出基本医疗保险范围的费用,由本人先垫付现金,然后凭本人医疗速诊证、门诊或住院病历复印件和有效费用单据,按如下办法处理:
(一)属市财政负担基本医疗保险费用的保健对象,由其所在单位指派专人,每月下旬到市保健办审核报销。
(二)属区财政负担基本医疗保险费用的保健对象由各区财政报销,也可委托市保健办代办。
(三)属自筹基本医疗保险费用的事业单位的保健对象,由所在单位根据自己的实际情况适当解决。
第六条 企业保健对象(含在职和退休)属基本医疗保险规定范围内的费用由市社保局支付;超出基本医疗保险范围的费用,由所在企业自主决定处理办法,财政和社保部门不予负担。
破产企业的退休保健对象,暂按以下办法处理:个人帐户用完后在门诊发生的合理医疗费用和住院时超出基本医疗保险范围的费用,由本人先垫付现金,然后凭本人医疗速诊证、门诊或住院病历复印件和有效费用单据,经市社保局医疗保险处或分局医疗保险科审核后,从基本医疗共济
基金中报销(报销时需附上市政府或市中级人民法院批准该企业破产的文件复印件)。
第七条 需明确的几个具体问题:
(一)基本医疗保险范围内的费用是指按深府〔1996〕122号文,以及市社保局、市卫生局《关于印发深圳市基本医疗保险九个管理办法的通知》(深社保〔1996〕62号文)的有关规定允许报销的费用。
(二)按规定允许报销的基本医疗保险范围的费用,其年度累计支付总额(不含个人帐户)必须封顶。在目前经济条件下,年度累计支付总额最高为7万元。累计7万元及以下的,按核定的实际数额由市社保局支付;累计超过7万元的,按国务院有关精神和本市有关规定,分别由其缴
费渠道和个人支付。须由个人支付的费用,另行制定细则。细则出台前,该部分费用仍由其缴费渠道支付。
(三)所有保健对象都要树立节约观念,自觉抑制不合理的医疗开支。医疗速诊证不得转借他人使用,否则一经发现,停止报销其医疗费用。
(四)保健对象未经市社保局或市保健办批准而自行转往非约定医院诊治,在非约定医院发生的医疗费用,以及自请医生、自购药品等费用,一律不予报销。
(五)保健对象需在门诊作特殊检查治疗,或门诊、住院确需使用基本用药目录以外的治疗性贵重药品时,凭主诊医师开具的申请单或病历、处方,送市社保局医疗保险处或市保健办审批。未经批准的,其费用不予报销。
(六)市保健办于年度终结一个月内,根据上年度保健对象医疗基金的决算情况和本年度医疗基金预测,按照收支平衡原则,编制保健对象本年度医疗基金预算草案,报市财政局审核后执行。
(七)由市、区财政负担基本医疗费用的保健对象,其超出基本医疗保险范围并由缴费渠道支付的费用,分别由市、区财政部门预留资金,并按实际发生额及时划拨,以保证报销的开支。
第八条 本办法由市社会保险管理局负责解释。
第九条 本办法从1998年1月1日起执行。



1997年12月24日
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中华人民共和国政府和苏维埃社会主义共和国联盟政府关于互设总领事馆问题的换文

中国政府 苏联政府


中华人民共和国政府和苏维埃社会主义共和国联盟政府关于互设总领事馆问题的换文


(签订日期1985年6月13日 生效日期1985年7月13日)
             (一)我方去文

苏维埃社会主义共和国联盟驻华大使馆:
  中华人民共和国外交部向苏维埃社会主义共和国联盟驻华大使馆致意,并谨代表中华人民共和国政府确认,两国外交部领事代表团就互设总领事馆问题达成如下协议:

 一、中华人民共和国政府同意苏维埃社会主义共和国联盟政府在上海设立总领事馆;
  苏维埃社会主义共和国联盟政府同意中华人民共和国政府在列宁格勒设立总领事馆。

 二、上述总领事馆的领区、开馆日期及其他有关问题将通过外交途径另行商定。
  上述内容如蒙大使馆代表苏维埃社会主义共和国联盟政府复照确认,本照会和大使馆的复照即构成中华人民共和国政府和苏维埃社会主义共和国联盟政府之间的一项协议,并自收到苏方复照三十天后生效。
  顺致崇高的敬意。

                       中华人民共和国外交部(印)
                       一九八五年六月十三日于北京
             (二)对方来文

中华人民共和国外交部:
  苏维埃社会主义共和国联盟大使馆向中华人民共和国外交部致意并谨确认收到外交部一九八五年六月十三日(85)部领字NO.51号照会,内容如下:
  (内容见我方去文)
  苏维埃社会主义共和国联盟大使馆谨确认,同意来照的上述内容。
  顺致崇高的敬意。

                        苏维埃社会主义共和国
                        联盟驻华大使馆 (印)
                       一九八五年六月十三日于北京

PROTECTION OF WAGES ON INSOLVENCY ORDINANCE ——附加英文版

Hong Kong


PROTECTION OF WAGES ON INSOLVENCY ORDINANCE
 (CHAPTER 380)
 CONTENTS
  
  ion
  
  I    PRELIMINARY
  hort title
  nterpretation
  
  II    PROTECTION OF WAGES ON INSOLVENCY FUND BOARD
  stablishment and incorporation of Wages on Insolvency Fund Board
  unctions and powers of the Board
  oard to be subject to directions of the Governor in Council
  
  III   FUND
  stablishment of Protection of Wages on Insolvency Fund
  ayments from the Fund
  
  IV    FINANCIAL PROVISIONS
  inancial year and estimates
  ank account
  Investment of moneys
  Accounts
  Auditors
  Statements and reports to be laid on table of Legislative Council
  Costs of administering the Fund
  
  V    PAYMENT FROM THE FUND
  Entitlement to apply for ex gratia payment
  Payment
  Review by Board
  Additional power of Commissioner
  Verification of application
  Decisions under this Part not to be challenged
  Power of Commissioner to delegate
  Payment not to affect right to legal aid
  Proof by certificate
  
  VI    RECOVERY OF PAYMENTS
  Subrogation
  Recovery of payment made by mistake
  
  VII   MISCELLANEOUS
  Offences
  Regulations
  Power of Governor to amend Schedule
  Transitional
  
  dule Protection of Wages on Insolvency Fund Board
  
  rovide for the establishment of a board to administer the
Protection
  ages on Insolvency Fund, to provide for payment of monies from
the
  to employees whose employers become insolvent; and for matters
  ected therewith or incidental thereto.
  April 1985] L. N. 100 of 1985
 PART I PRELIMINARY
  
  hort title
  Ordinance may be cited as the Protection of Wages on 
Insolvency
  nance.
  nterpretation
  his Ordinance, unless the context otherwise requires--
  licant" means any person who would, on the winding up of a company,
be
  tled to priority under section 265 (1) (b), (c), (ca) or (cc) of 
the
  anies Ordinance (Cap. 32) or who would, on a bankruptcy, be 
entitled
  riority under section 38 (1) (b), (c), (ca) or (cc) of the 
Bankruptcy
  nance (Cap. 6) other than a person whose employer is an individual
and
  is a member of the family of that employer and who dwells in the 
same
  ling as that employer; (Amended 48 of 1987 s. 2; 38 of 1989 s.
2)
  kruptcy petition" means a bankruptcy petition under the 
Bankruptcy
  nance (Cap. 6);
  rd" means the Protection of Wages on Insolvency Fund Board
established
  ection 3;
  missioner" means the Commissioner for Labour;
  pany" means any body which is liable to be wound up 
under the
  anies Ordinance (Cap. 32);
  ancial year" means the financial year of the Fund fixed under 
section
  Fund" means the Protection of Wages on Insolvency Fund referred
to in
  ion 6;
  y" has the meaning assigned to it by section 2 of the 
Business
  stration Ordinance (Cap. 310);
  everance payment" means a severance payment payable by an
employer to
  mployee under section 31B (1) of the Employment Ordinance (Cap.
57);
  laced 45 of 1991 s. 2)
  "wages" means wages or salary in respect of
  h an applicant would, on the winding up of a company, be entitled 
to
  rity under section 265 (1) (b) or (c) of the Companies Ordinance
(Cap.
  or who would, on a bankruptcy, be entitled to priority under 
section
  1) (b) or (c) of the Bankruptcy Ordinance (Cap. 6), save 
that the
  nt specified in section 265 (1) (b) or (c) of the Companies
Ordinance
  . 32) or section 38 (1) (b) or (c) of the Bankruptcy Ordinance 
(Cap.
  as the case may be) as the maximum amount in respect of 
which an
  icant would be entitled to priority, or any amount 
substituted
  efor under section 265 (1A) or (1B) of the Companies Ordinance 
(Cap.
  or (as the case may be) section 38 (2), (2A) or (2B) of the
Bankruptcy
  nance (Cap. 6), shall not apply; (Amended 15 of 1993 s. 2)
  "wages in lieu of notice" means wages in lieu of notice in respect 
of
  h an applicant would, on the winding up of a company, be entitled 
to
  rity under section 265 (1) (cc) of the Companies Ordinance (Cap. 
32),
  ould, in a bankruptcy, be entitled to priority under section 38
(1)
  of the Bankruptcy Ordinance (Cap. 6), save that the amount 
specified
  ection 265 (1) (cc) of the Companies Ordinance (Cap. 32) or
section 38
  (cc) of the Bankruptcy Ordinance (Cap. 6) (as the case may be)
as the
  mum amount in respect of which an applicant would be 
entitled to
  rity shall not apply; (Added 48 of 1987 s. 2. Amended 15 of 1993
s. 2)
  ding-up petition" means a winding-up petition under Part V or X
of the
  anies Ordinance (Cap. 32).
 PART II PROTECTION OF WAGES ON INSOLVENCY FUND BOARD
  
  stablishment and incorporation of Wages on Insolvency Fund Board
  There is hereby established a board to be known as the Protection 
of
  s on Insolvency Fund Board and in the Chinese language as which 
shall
  body corporate.
  The Board shall consist of a Chairman appointed under the Schedule
and
  more than 10 members appointed by the Governor as follows--
  subject to paragraph (b) not more than 4 public officers;
  equal numbers of persons who, in his opinion, represent employers 
and
  ons who, in his opinion, represent employees.
  The Governor shall give notice of each appointment by notice in 
the
  tte.
  The Schedule shall have effect with respect to the Board.
  unctions and powers of the Board
  The Board shall have the following functions--
  to administer the Fund;
  to make recommendations to the Governor with respect to the 
rate of
  ; and
  to perform such other duties as are imposed or other powers as 
are
  erred on it by this Ordinance.
  The Board may do all such things as are necessary for, or 
incidental
  onducive to, the better carrying out of the functions of the Board
and
  in particular, but without prejudice to the generality 
of the
  going--
  hold, acquire or lease all kinds of property whether 
movable or
  vable;
  sell or otherwise dispose of all kinds of property whether movable 
or
  vable;
  subject to section 10, invest its funds in such manner and to 
such
  nt as it thinks necessary or expedient; and
  with the prior consent of the Financial Secretary, borrow 
money in
  manner and on such securities or terms as it thinks expedient.
  oard to be subject to directions of the Governor in Council
  Governor in Council may give to the Board such directions as he
thinks
  with respect to the exercise of its functions under this Ordinance
and
  Board shall comply with any such direction.
 PART III FUND
  
  stablishment of Protection of Wages on Insolvency Fund
  fund known as the Protection of Wages on Insolvency Fund 
established
  r the provisions of section 21 of the Business Registration
Ordinance
  . 310) in force immediately before the commencement of this 
Ordinance
  l be deemed to be established and continue in existence under 
this
  ion, and shall consist of--
  moneys that are paid by the Commissioner of Inland Revenue under 
that
  ion whether paid before or after the commencement of this
Ordinance;
  moneys recovered under Part VI;
  interest and other income derived from the moneys and 
investments
  rising the Fund; and
  other moneys lawfully paid into the Fund.
  ayments from the Fund
  e shall be paid from the Fund the following--
  payments to applicants under section 16;
  expenses incurred by the Board for the purposes of this Ordinance;
  capital, interest and charges in respect of any loan; and
  any other sums required or permitted to be paid by the Fund under
this
  nance.
 PART IV FINANCIAL PROVISIONS
  
  inancial year and estimates
  The Board may, from time to time, with the prior approval 
of the
  rnor, fix a period to be the financial year of the Fund.
  In each financial year, before a date to be fixed by the Governor,
the
  d shall submit to the Governor, for his approval, estimates 
of the
  me and expenditure of the Fund for the next financial year:
  ided that the estimates for the first financial year of the Fund
shall
  ubmitted as soon as practicable after the commencement 
of this
  nance.
  The Governor shall consider the estimates submitted to 
him under
  ection (2) and may approve or reject them and, in the 
case of
  ction, may require the Board to resubmit the estimates 
modified in
  manner and within such time as the Governor may direct.
  The Board may, from time to time, vary the estimates approved 
under
  ection (3) and shall, as soon as practicable, deliver to the 
Governor
  atement in writing containing details of any variation.
  ank account
  Board shall open and maintain an account with a bank approved by 
the
  ncial Secretary and shall pay all moneys of the Fund 
into that
  unt.
  Investment of moneys
  moneys of the Fund that are not immediately required by the Board 
may
  
  deposited on fixed term or call deposit or in a savings account
in
  bank licensed under the Banking Ordinance (Cap. 155); or
  with the prior approval of the Financial Secretary, invested in 
such
  r investments as the Board thinks fit.
  Accounts
  Board shall--
  keep and maintain such accounts and records of all transactions
of the
  as the Director of Accounting Services may require; and
  after the end of each financial year cause to be prepared a 
statement
  he accounts of the Fund which shall include an income and 
expenditure
  unt and balance sheet and shall be signed by the Chairman.
  Auditors
  The Board shall at the commencement of each financial year 
appoint
  tors, who shall be entitled to have access to all books of 
account,
  hers and other records kept by the Board and to 
require such
  rmation and explanations as they may think fit.
  The auditors shall audit the statement of accounts prepared 
under
  ion 11 and shall report thereon to the Board.
  Statements and reports to be laid on table of Legislative Council
  The Board shall, within 6 months after the end of each financial 
year
  uch further time as the Governor may for any particular year 
allow,
  it to the Governor a report on the activities of the Board for 
that
  ncial year including copies of the statement of accounts 
prepared
  r section 11 and the report made under section 12.
  The Governor shall cause the reports and statements received 
by him
  r subsection
  to be laid on the table of the Legislative Council.
  Costs of administering the Fund
  All costs and expenses incurred by the Government in
administering the
  shall be a charge upon general revenue.
  The Financial Secretary may direct that a supervision fee 
to be
  rmined by him, in relation to such period as may be determined
by him,
  l be charged against the income of the Fund and shall at a 
time
  rmined by him be paid to him by the Board from the Fund and paid 
by
  into general revenue.
 PART V PAYMENT FROM THE FUND
  
  Entitlement to apply for ex gratia payment
  Subject to this Part, an applicant to whom--
  wages are due and unpaid;
  wages in lieu of notice are due and unpaid; or
  the liability to be paid a severance payment has arisen 
and the
  rance payment is unpaid, whether or not the severance payment is 
then
  may apply for an ex gratia payment from the Fund in respect of 
the
  s, wages in lieu of notice or the severance payment, as the case 
may
  or all or any of them. (Replaced 38 of 1989 s. 3)
  An application under subsection (1) (in this Part called an
  lication" ) shall be made to the Commissioner in writing in a 
form
  oved by him. (Amended 48 of 1987 s. 3)
  No applicant shall apply for payment from the Fund in respect of 
any
  s for services rendered before 1 April 1985.
  No applicant shall apply for payment from the Fund in respect of
wages
  ieu of notice arising out of a contract of employment 
terminated
  re the commencement of the Protection of Wages on Insolvency
  ndment) Ordinance 1987 (48 of 1987). (Added 48 of 1987 s. 3)
  No applicant shall apply for payment from the Fund in respect 
of a
  rance payment the liability for payment of which arose 
before the
  encement of the Protection of Wages on Insolvency 
(Amendment)
  nance 1989 (38 of 1989). (Added 38 of 1989 s. 3)
  
  Payment
  Subject to subsections (1B) and (2) where it appears 
to the
  issioner that an employer has failed to pay any wages, wages in 
lieu
  otice or severance payment, as the case may be, or all or any of 
them
  n applicant and that--
  in the case of an employer who is not a company--
  a bankruptcy petition has been presented against him; or
  he has committed an act of bankruptcy within the meaning of
section 3
  he Bankruptcy Ordinance (Cap. 6) but a petition cannot be 
presented
  nst him by reason of section 6 (1) (a) of that Ordinance; or
(Replaced
  f 1988 s. 2)
  in the case of an employer who is a company, a winding-uppetition 
has
  presented against that employer,
  ay make an ex gratia payment to the applicant out of the Fund of 
the
  nt of the wages, wages in lieu of notice or severance payment,
as the
  may be, or all or any of them.
  When the Commissioner makes a payment under subsection (1) (a) 
(ii),
  hall give notice of the payment and the reasons therefor 
in the
  tte. (Added 41 of 1988 s. 2)
  Where an application has been made in respect of a severance 
payment
  h is not due at the date of the application, the 
Commissioner may
  r consideration of the application until the severance payment
becomes
  (Added 38 of 1989 s. 4)
  The Commissioner shall not make any payment under subsection
(1)--
  to the applicant unless the applicant has verified his
application by
  atutory declaration in a form approved by the Commissioner;
  ) of an amount exceeding $18,000 in respect of wages; (Replaced
15 of
  s. 3)
  ) (Repealed 15 of 1993 s. 3)
  in respect of wages for services rendered more than 4 months prior 
to
  date of application;
  in respect of wages in lieu of notice--
  ) of an amount exceeding--
  the equivalent of 1 month's wages of the applicant; or
  $6,000,
  hever is the lesser; or (Amended 15 of 1993 s. 3)
  subject to subsection (2A), which became due more than 4 months
prior
  he date of application; or (Replaced 38 of 1989 s. 4)
  in respect of a severance payment--
  of an amount exceeding the aggregate of $8,000 and half of that 
part
  he applicant's entitlement to severance payment in excess of 
$8,000;
  Replaced 45 of 1991 s. 3)
  the liability for payment of which arose more than 4 months prior 
to
  date of application. (Added 38 of 1989 s. 4)
  Subsection (2) (e) (ii) shall not apply to wages in lieu of 
notice
  ing out of a contract of employment terminated before the
commencement
  he Protection of Wages on Insolvency (Amendment) Ordinance 1989
(38 of
  ). (Added 38 of 1989 s. 4)
  ) The Legislative Council may be
  lution amend the period specified in subsection (2) (e) (i) (A)
or the
  nt specified in subsection (2) (b), (e) (i) (B) or (f) (i). 
(Added 48
  987 s. 4. Amended 15 of 1993 s. 3)
  nded 48 of 1987 s. 4; 38 of 1989 s. 4)
  
  Review by Board
  Any applicant aggrieved by any decision of the Commissioner 
under
  ion 16 may in writing--
  request the Commissioner to give reasons for that decision; and
  after being given reasons under paragraph  (a), 
request  the
  issioner to refer the application to the Board.
  Upon receiving a request from an applicant under subsection (1) 
(b),
  Commissioner shall forward all documents relating to the 
application
  he Chairman of the Board.
  The Board may confirm or vary any decision of the Commissioner 
on an
  ication referred to it under this section or may for those 
purposes
  ire the Commissioner to make further inquiries relating 
to the
  ication.
  Additional power of Commissioner
  Notwithstanding that in any particular case a petition referred
to in
  ion 16 (1) (a) (i) or (b) has not been presented against an 
employer,
  Commissioner may, subject to subsection (2) of that section, 
make an
  ratia payment under that section in that case if in his opinion--
  nded, 41 of 1988 s. 3)
  the employer employs less than 20 employees;
  sufficient evidence exists to support the presentation of a 
petition
  hat case on the ground--
  if the employer is a company, that he is unable to pay his debts;
or
  if the employer is a person other than a company, that 
he has
  itted an act of bankruptcy; and
  it is unreasonable or uneconomic to present a petition in that
case.
  Where the Commissioner exercises his discretion under 
subsection (1)
  ake payment, he shall give notice in the Gazette stating that,
in his
  ion, sufficient evidence exists to support the 
presentation of a
  tion on the ground--
  if the employer is a company, that he is unable to pay his debts;
or
  if the employer is a person other than a company, that 
he has
  itted an act of bankruptcy.
  Nothing in subsection (2) shall require the Commissioner to give 
more
  one notice in respect of each employer.
  No action shall lie against the Commissioner in respect of any 
notice
  n under subsection (2).
  
  Verification of application
  For the purpose of verifying any application under section 15, 
or if
  equired by the Board under section 17 (3), the Commissioner may 

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