工傷保險,是指(zhi)勞動(dong)(dong)者在(zai)工作(zuo)中或(huo)在(zai)規(gui)定的(de)特殊情況(kuang)下,遭受意外傷害或(huo)患職業(ye)病導致(zhi)暫時或(huo)永久(jiu)喪失勞動(dong)(dong)能(neng)力以及死亡時,勞動(dong)(dong)者或(huo)其遺屬從國家(jia)和社會(hui)獲得物質(zhi)幫助(zhu)的(de)一種社會(hui)保險制度。
1、參保登記:用人單(dan)位先到(dao)工傷保(bao)(bao)險經辦機構(gou)辦理(li)參(can)(can)保(bao)(bao)登記手(shou)續,填報《社會保(bao)(bao)險登記表(biao)(biao)》、《參(can)(can)加工傷保(bao)(bao)險人員情況表(biao)(biao)》、《工傷保(bao)(bao)險繳費申報核定表(biao)(biao)》、《參(can)(can)加工傷保(bao)(bao)險人員增(zeng)減明細表(biao)(biao)》。
2、參保審核:工傷保(bao)險(xian)經(jing)辦機構根據用人(ren)單位提供的原(yuan)始資料和(he)數據,對用人(ren)單位填寫的各類表格(ge)逐項進行(xing)審核(he)。
3、資料錄入:工傷(shang)保險經辦機(ji)構將用人單位報送的基礎信息錄入電(dian)腦,為用人單位和個人建(jian)立基礎檔案資料。
4、核定保費:工(gong)傷(shang)保險經辦機構根據分類行業基(ji)準費(fei)率(lv)的(de)具體標準,確定用(yong)人(ren)單位(wei)(wei)的(de)初次繳費(fei)費(fei)率(lv),然后(hou)乘(cheng)以用(yong)人(ren)單位(wei)(wei)的(de)當(dang)期(qi)繳費(fei)基(ji)數(即:上(shang)年度職工(gong)工(gong)資總額)之(zhi)積(ji)為(wei)用(yong)人(ren)單位(wei)(wei)繳納的(de)工(gong)傷(shang)保險費(fei)的(de)數額。新成立的(de)用(yong)人(ren)單位(wei)(wei),按(an)湖南(nan)省上(shang)年度職工(gong)平均工(gong)資乘(cheng)以用(yong)人(ren)單位(wei)(wei)職工(gong)人(ren)數之(zhi)積(ji)為(wei)當(dang)期(qi)繳費(fei)基(ji)數。
5、參保繳費:用(yong)人單位根據征(zheng)繳股開(kai)具的《工傷(shang)保險繳款繳費單》,采取直接到(dao)經辦機構刷卡(ka)繳納(na)、到(dao)開(kai)戶銀(yin)行繳納(na)等方式(shi)繳納(na)工傷(shang)保險費后,即形成了工傷(shang)保險參(can)保關(guan)系。
根據不(bu)同行(xing)業(ye)的(de)(de)(de)(de)工(gong)(gong)(gong)(gong)傷(shang)(shang)風險(xian)程度(du),將工(gong)(gong)(gong)(gong)傷(shang)(shang)保險(xian)分(fen)(fen)類(lei)(lei)(lei)行(xing)業(ye)基準(zhun)(zhun)費(fei)率(lv)標準(zhun)(zhun)分(fen)(fen)為(wei)三(san)類(lei)(lei)(lei)六檔(dang),即一(yi)類(lei)(lei)(lei)行(xing)業(ye)的(de)(de)(de)(de)繳費(fei)費(fei)率(lv)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)0.5%;二(er)類(lei)(lei)(lei)行(xing)業(ye)一(yi)檔(dang)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)0.8%,二(er)類(lei)(lei)(lei)行(xing)業(ye)二(er)檔(dang)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)1.0%,二(er)類(lei)(lei)(lei)行(xing)業(ye)三(san)檔(dang)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)1.5%;三(san)類(lei)(lei)(lei)行(xing)業(ye)一(yi)檔(dang)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)2.8%,三(san)類(lei)(lei)(lei)行(xing)業(ye)二(er)檔(dang)為(wei)職(zhi)工(gong)(gong)(gong)(gong)工(gong)(gong)(gong)(gong)資總(zong)(zong)額(e)的(de)(de)(de)(de)3.3%。在初次確定用人(ren)單位工(gong)(gong)(gong)(gong)傷(shang)(shang)保險(xian)繳費(fei)費(fei)率(lv)時,按(an)照市政府(fu)批準(zhun)(zhun)的(de)(de)(de)(de)工(gong)(gong)(gong)(gong)傷(shang)(shang)保險(xian)分(fen)(fen)類(lei)(lei)(lei)行(xing)業(ye)基準(zhun)(zhun)費(fei)率(lv)執行(xing)。
(1)在工作時間和工作場所內,因(yin)(yin)工作原因(yin)(yin)受到事故傷害(hai)的;
(2)工作時間前后在(zai)工作場所(suo)內,從事(shi)與工作有關的預備性或(huo)者收尾性工作受(shou)到事(shi)故傷(shang)害的;
(3)在工作(zuo)時間和工作(zuo)場所(suo)內,因履行工作(zuo)職責受到(dao)暴力等(deng)意(yi)外(wai)傷害的;
(4)患(huan)職業病的;
(5)因(yin)工外(wai)出期間,由于工作原因(yin)受到傷(shang)害(hai)或者發生事故下落不明的(de);
()6在上下班途中,受到非本人主(zhu)要責任的(de)(de)交(jiao)通事故或者(zhe)城市軌道(dao)交(jiao)通、客運(yun)輪渡(du)、火(huo)車(che)事故傷害的(de)(de);
(7)法律、行政法規規定(ding)應(ying)當認(ren)定(ding)為工傷的其他情形。
(1)一級工傷鑒定標準
一(yi)級傷(shang)殘(can)的鑒(jian)定(ding)標準包括:面部重度毀容(rong),同(tong)時伴(ban)有表B2中(zhong)二級傷(shang)殘(can)之一(yi)者;全身重度瘢痕形成,占體表面積(ji)≥90%,伴(ban)有脊柱及四(si)肢(zhi)大關節活動功(gong)(gong)能(neng)基本喪(sang)失(shi);雙肘關節以上缺(que)失(shi)或功(gong)(gong)能(neng)完全喪(sang)失(shi);雙下肢(zhi)高位(wei)缺(que)失(shi)及一(yi)上肢(zhi)高位(wei)缺(que)失(shi)等更多(duo)內容(rong)。
(2)二級工傷鑒定標準
二(er)級(ji)工傷鑒(jian)定標(biao)準包(bao)括:器官嚴重(zhong)缺損(sun)或畸形,有嚴重(zhong)功能障礙或并發癥(zheng),存在特殊(shu)醫療依賴,或生活大(da)部分不(bu)能自理者等(deng)更(geng)多內容。
(3)三級工傷鑒定標準
三(san)級工(gong)傷鑒定標準包(bao)括:器官(guan)嚴(yan)重缺(que)損或畸形(xing),有嚴(yan)重功能(neng)障礙或并發癥,存(cun)在特(te)殊醫療依(yi)賴,或生(sheng)活部分(fen)不能(neng)自理者(zhe)等更多內容。
(4)四級工傷鑒定標準
四級工傷鑒定標準(zhun)包(bao)括(kuo):一手全肌(ji)癱肌(ji)力≤2級;腦脊液(ye)漏伴有(you)顱底骨缺(que)損(sun)不能修復或(huo)反復手術(shu)失(shi)(shi)敗;面部中度毀容;全身瘢痕(hen)面積≥60%,四肢大關(guan)節(jie)中1個關(guan)節(jie)活動(dong)功(gong)能受限;面部瘢痕(hen)或(huo)植(zhi)皮≥1/2并有(you)輕(qing)度毀容;雙拇指完全缺(que)失(shi)(shi)或(huo)無功(gong)能等更多(duo)內容。
(5)五級工傷鑒定標準
五級工(gong)傷鑒定標(biao)準包括:不完全性(xing)失用、失寫、失讀、失認等具(ju)有多(duo)項(xiang)者;全身(shen)瘢痕占體表(biao)面積≥50%,并有關(guan)節活動功能受限;面部瘢痕或植皮≥1/3并有毀容(rong)(rong)標(biao)準之一項(xiang);脊柱骨折后(hou)遺(yi)30°以上(shang)側彎或后(hou)凸畸(ji)形(xing),伴(ban)嚴重根性(xing)神(shen)經痛(tong)(以電生理檢查為依(yi)據)等更多(duo)內容(rong)(rong)。
(6)六級工傷鑒定標準
六級工傷鑒定標準包(bao)括:撕脫傷后頭(tou)皮缺失1/5以上(shang);脊柱骨折后遺小(xiao)于30°畸形(xing)伴根(gen)性神經病(神經電生理檢(jian)查不正(zheng)常);單純一拇指(zhi)(zhi)(zhi)完(wan)(wan)全(quan)缺失,或(huo)連(lian)同(tong)另一手非拇指(zhi)(zhi)(zhi)二指(zhi)(zhi)(zhi)缺失;一拇指(zhi)(zhi)(zhi)功(gong)能完(wan)(wan)全(quan)喪失,另一手除拇指(zhi)(zhi)(zhi)外有(you)二指(zhi)(zhi)(zhi)功(gong)能完(wan)(wan)全(quan)喪失等更多(duo)內容。
(7)七級工傷鑒定標準
七級工傷鑒定標準包括(kuo):燒傷后顱骨全層(ceng)缺損≥30cm2,或在硬腦膜上植(zhi)(zhi)皮(pi)面(mian)(mian)積(ji)≥10cm2;頸部(bu)瘢(ban)痕攣縮(suo),影響頸部(bu)活動;全身瘢(ban)痕面(mian)(mian)積(ji)≥30%;面(mian)(mian)部(bu)瘢(ban)痕、異物或植(zhi)(zhi)皮(pi)伴色(se)素改變占面(mian)(mian)部(bu)的10%以上等更多(duo)內容。
(8)八級工傷鑒定標準
八級(ji)工傷鑒定標準包括:雙足部分(fen)肌(ji)(ji)癱肌(ji)(ji)力4級(ji);單足部分(fen)肌(ji)(ji)癱肌(ji)(ji)力≤3級(ji);腦葉切除術后無功能障礙;符(fu)合重度(du)毀容標準之一項(xiang)者;面部燒(shao)傷植皮≥1/5;面部輕度(du)異物沉著(zhu)或色(se)素脫失;雙側(ce)耳廓部分(fen)或一側(ce)耳廓大部分(fen)缺損(sun)等更(geng)多內容。
(9)九級工傷鑒定標準
九(jiu)級工傷鑒定(ding)標(biao)準包括:頸(jing)(jing)部外傷致頸(jing)(jing)總、頸(jing)(jing)內動脈狹窄,支架置入或血管(guan)搭(da)橋手術后無(wu)功能障礙;符合中度毀容(rong)標(biao)準之二(er)項或輕度毀容(rong)者;發(fa)際邊緣瘢痕性禿(tu)發(fa)或其(qi)他部位禿(tu)發(fa),需戴假(jia)發(fa)者等更多內容(rong)。
(10)十級工傷鑒定標準
十級工傷鑒定標準包括(kuo):器官(guan)部(bu)分缺損,形態異常(chang),無功能障礙,無醫療依賴,生活能自理者等更多(duo)內容。
(1)造成(cheng)一般傷(shang)害(未達到殘疾(ji))的賠償:醫療費(fei)(fei)、傷(shang)者(zhe)住院期(qi)間的伙食補(bu)助費(fei)(fei)、生(sheng)活護理費(fei)(fei)、工傷(shang)期(qi)間的工資、交通食宿費(fei)(fei)。
(2)造成傷(shang)殘(can)(can)(can)的賠償(chang):醫療費(fei)、傷(shang)者住院期間的伙食補(bu)助(zhu)(zhu)費(fei)、生活護理(li)費(fei)、工傷(shang)期間的工資、交(jiao)通食宿(su)費(fei)、輔(fu)助(zhu)(zhu)器具(ju)費(fei)、一次性傷(shang)殘(can)(can)(can)補(bu)助(zhu)(zhu)金(jin)、傷(shang)殘(can)(can)(can)津貼、一次性工傷(shang)醫療補(bu)助(zhu)(zhu)金(jin)、一次性傷(shang)殘(can)(can)(can)就業補(bu)助(zhu)(zhu)金(jin)。
(3)造成(cheng)死亡的(de)賠償:喪葬補助(zhu)金(jin)、一次(ci)性(xing)傷亡補助(zhu)金(jin)、供養親屬(shu)撫恤金(jin)。
(4)職(zhi)工(gong)(gong)下落(luo)不明的(de)(de)(de)情況:職(zhi)工(gong)(gong)外出(chu)或搶(qiang)險救災中下落(luo)不明的(de)(de)(de)賠償(chang)(chang)項(xiang)目,要分不同情況而定。職(zhi)工(gong)(gong)沒有被宣(xuan)告死亡(wang)的(de)(de)(de),其(qi)(qi)直系親屬(shu)可以獲得(de)的(de)(de)(de)賠償(chang)(chang)項(xiang)目有:供養親屬(shu)撫恤金(jin)(jin)、一次(ci)性工(gong)(gong)亡(wang)補助(zhu)(zhu)金(jin)(jin)的(de)(de)(de)50%(生(sheng)活(huo)有困難的(de)(de)(de));職(zhi)工(gong)(gong)被宣(xuan)告死亡(wang)的(de)(de)(de),其(qi)(qi)直系親屬(shu)可以獲得(de)的(de)(de)(de)賠償(chang)(chang)項(xiang)目有:喪葬費、供養親屬(shu)撫恤金(jin)(jin)、一次(ci)性工(gong)(gong)亡(wang)補助(zhu)(zhu)金(jin)(jin)。
(1)工傷報告程序
用(yong)人(ren)單(dan)位(wei)為勞(lao)動者在工(gong)傷保險機構投了工(gong)傷保險的(de)才(cai)有這(zhe)個程序,單(dan)位(wei)應當自工(gong)傷事故發(fa)生之日或者職業病確(que)診之日起15日內,向當地(di)勞(lao)動行政部門提出工(gong)傷報(bao)告。
(2)工傷認定程序
由社(she)會保險經辦機構(gou)對(dui)工傷(shang)(shang)(亡)事(shi)故進(jin)行調查確定是否屬工傷(shang)(shang)的程序,這(zhe)是一般工傷(shang)(shang)必走第一步。但用人單位書面認可為工傷(shang)(shang)的,又沒有投工傷(shang)(shang)保險的情(qing)況下,可以不走這(zhe)一程序。
注意工(gong)傷(shang)認定的兩個時(shi)間:單位沒有(you)提起工(gong)傷(shang)認定的,工(gong)傷(shang)者一定要在事故發生之日起一年內向勞(lao)動部門提出申(shen)請(qing)。社保(bao)經辦機構調(diao)查認定后(hou),書(shu)面通(tong)知(zhi)單位及(ji)傷(shang)者。
(3)工傷鑒定程序
工(gong)傷鑒(jian)(jian)定(ding)(ding)是在(zai)申請工(gong)傷鑒(jian)(jian)定(ding)(ding)的(de)職工(gong)被認定(ding)(ding)為工(gong)傷的(de)基礎(chu)上(shang)(即走完(wan)工(gong)傷認定(ding)(ding)程序后(hou)),在(zai)其(qi)醫(yi)療終結或(huo)醫(yi)療期滿(man)之后(hou),由縣以上(shang)勞動鑒(jian)(jian)定(ding)(ding)委員(yuan)會對其(qi)進(jin)行的(de)評定(ding)(ding)傷殘等(deng)級的(de)行為。廣(guang)義的(de)工(gong)傷鑒(jian)(jian)定(ding)(ding)包括勞動能力鑒(jian)(jian)定(ding)(ding)和致(zhi)殘等(deng)級鑒(jian)(jian)定(ding)(ding)。窄義的(de)工(gong)傷鑒(jian)(jian)定(ding)(ding)指(zhi)致(zhi)殘等(deng)級鑒(jian)(jian)定(ding)(ding)。
(4)協商賠償程序
工(gong)傷(shang)(shang)鑒(jian)定(ding)以(yi)后(hou),就(jiu)可以(yi)依據鑒(jian)定(ding)的標準(zhun)計(ji)算(suan)出賠償數(shu)額了(le)(le)。單位投了(le)(le)工(gong)傷(shang)(shang)保(bao)險(xian)的,就(jiu)直接由國家工(gong)傷(shang)(shang)保(bao)險(xian)機(ji)構依據標準(zhun)發(fa)放工(gong)傷(shang)(shang)保(bao)險(xian)待遇。沒(mei)有投保(bao)的(特指在工(gong)傷(shang)(shang)保(bao)險(xian)機(ji)構投保(bao)),則依據標準(zhun)與用(yong)人單位協商解(jie)決。
(5)勞動仲裁程序
與用人單位協(xie)商解決(jue)不了的,則可以依據勞動仲裁法規提起仲裁程(cheng)序。
(6)法院審理程序
對勞動(dong)仲裁不服的(de),可以(yi)向(xiang)法(fa)院(yuan)(yuan)提(ti)起訴(su)訟解決。對一審法(fa)院(yuan)(yuan)判決不服的(de),可以(yi)依法(fa)向(xiang)二審法(fa)院(yuan)(yuan)提(ti)起上訴(su)。
(7)執行程序
仲裁或(huo)者判決生(sheng)效后,用(yong)人單位(wei)不支付賠償費的,則可以依據生(sheng)效法律文書向(xiang)法院執(zhi)行局提(ti)起執(zhi)行申請,由法院執(zhi)行。
(8)申訴程序
對(dui)生效判決不服的,則可(ke)以申請啟動再審程序,但這(zhe)一般(ban)很難。
(1)1-10級一次性傷殘補助金
依(yi)據《工(gong)(gong)傷(shang)(shang)保險(xian)條(tiao)(tiao)例(li)》第三十(shi)五條(tiao)(tiao)、第三十(shi)六條(tiao)(tiao)、第三十(shi)七(qi)條(tiao)(tiao)規(gui)定,職(zhi)工(gong)(gong)因工(gong)(gong)致殘被鑒定為一級(ji)至十(shi)級(ji)傷(shang)(shang)殘的,由工(gong)(gong)傷(shang)(shang)保險(xian)基金支付一次性傷(shang)(shang)殘補助(zhu)金,標準如下:
一級(ji)傷殘:本人工資×27;
二級傷殘:本人工資×25;
三級傷殘:本人(ren)工(gong)資(zi)×23;
四級傷殘(can):本(ben)人工資(zi)×21;
五級傷殘:本人(ren)工資×18;
六級傷殘:本人工資×16;
七級傷殘:本(ben)人工資×13;
八(ba)級傷(shang)殘:本人工資×11;
九級傷殘(can):本(ben)人(ren)工資×9;
十級(ji)傷殘:本人工(gong)資×7。
(2)1-6級傷殘津貼(按月享受)
依據《工(gong)傷保險條(tiao)例》第三十五條(tiao)、第三十六(liu)條(tiao)規定,職(zhi)工(gong)因工(gong)致殘被鑒(jian)定為一(yi)級至六(liu)級傷殘的,按月支付傷殘津貼,標準如(ru)下:
一級傷(shang)殘:本人(ren)工資×90%;
二級傷殘:本人(ren)工資×85%;
三級傷殘:本人工資×80%;
四級傷殘:本人工資×75%;
五(wu)級傷殘:本(ben)人工資(zi)×70%;
六(liu)級傷殘:本人工資×60%。
(3)5-10級一次性工傷醫療補助金和傷殘就業補助金
①一次(ci)性工傷醫(yi)療補助(zhu)金(jin):由工傷保險基金(jin)支付;
②一次(ci)性(xing)傷殘就業補助金:由用(yong)人(ren)單位支(zhi)付;
一(yi)種(zhong)是參加工(gong)傷(shang)(shang)保險的(de)賠償。這里(li)需(xu)要注(zhu)意的(de)期限與(yu)工(gong)傷(shang)(shang)認(ren)定(ding)(ding)一(yi)樣,即(ji)用(yong)人(ren)單(dan)位必須在事故傷(shang)(shang)害發生之日(ri)或者(zhe)被診斷、鑒定(ding)(ding)為職業病之日(ri)起30日(ri)內,向勞動保障行(xing)政部門提出工(gong)傷(shang)(shang)認(ren)定(ding)(ding)申請(qing)(qing)。如用(yong)人(ren)單(dan)位在依法規定(ding)(ding)的(de)時限內提交(jiao)工(gong)傷(shang)(shang)認(ren)定(ding)(ding)申請(qing)(qing)的(de),在此期間發生符(fu)合《工(gong)傷(shang)(shang)保險條例》規定(ding)(ding)的(de)工(gong)傷(shang)(shang)待(dai)遇等有關(guan)費(fei)用(yong)由該用(yong)人(ren)單(dan)位負擔。因此,需(xu)提醒參保的(de)用(yong)人(ren)單(dan)位切莫小視工(gong)傷(shang)(shang)認(ren)定(ding)(ding)30日(ri)的(de)期限。
另一(yi)種是參加工傷保險(xian)的(de)賠償。發生工傷后,用人單(dan)位因(yin)種種原(yuan)因(yin)不能(neng)及時支付工傷待遇勞動爭議而(er)引起(qi)的(de)糾紛,其(qi)申(shen)請仲裁的(de)期限(xian)期間為一(yi)年,該仲裁期限(xian)期間從(cong)當事人知道或者(zhe)應(ying)當知道其(qi)權利(li)被侵害(hai)之日起(qi)計算。
網上申(shen)報(bao)是指(zhi)經稅務(wu)機關(guan)批準的繳(jiao)費單位通過互(hu)聯(lian)網形式辦理社保費申(shen)報(bao)手(shou)續。繳(jiao)費單位采取網上申(shen)報(bao)方式辦理社保費申(shen)報(bao)的,應當按照稅務(wu)機關(guan)規定(ding)的期限(xian)和要求保存有關(guan)資料,并定(ding)期書面(mian)報(bao)送(song)主(zhu)管(guan)稅務(wu)機關(guan)。
1、稅(shui)務登記(ji)證(zheng)副本(企業提(ti)(ti)供(gong))或組織機構代碼證(zheng)(行政事業單位提(ti)(ti)供(gong))原(yuan)件;
2、《網上(shang)申報納稅協議書》(一式兩份,單位(wei)加蓋公章);
3、《委托銀行扣繳稅(費)協議(yi)書(shu)》(一式三份)(注:如果稅收(shou)已簽過該協議(yi)書(shu),則(ze)不(bu)需要提供該項資料)。
納稅(shui)人持所(suo)需資料到地稅(shui)服務廳(ting)、主管稅(shui)務機關提(ti)出申(shen)請;稅(shui)務機關受理后(hou)(hou),辦(ban)理開通(tong)網(wang)報(bao)(bao),并發(fa)放網(wang)報(bao)(bao)時所(suo)需的用戶名和密(mi)碼;繳(jiao)費單位(人)在(zai)(zai)辦(ban)理完(wan)開通(tong)手(shou)續半個工作日后(hou)(hou),即可在(zai)(zai)全市各自助辦(ban)稅(shui)區或(huo)能連接互聯網(wang)的電(dian)腦登錄到省地方稅(shui)務局網(wang)站,點擊進(jin)(jin)入“辦(ban)稅(shui)大廳(ting)”進(jin)(jin)行申(shen)報(bao)(bao)操(cao)作
①社保(bao)(bao)費當月申報(bao)(bao)(bao)(bao)當月繳納(na);②每(mei)人(ren)每(mei)月只(zhi)能(neng)(neng)有一個申報(bao)(bao)(bao)(bao)工(gong)(gong)(gong)(gong)(gong)(gong)資(zi);③所(suo)有參(can)加職工(gong)(gong)(gong)(gong)(gong)(gong)醫保(bao)(bao)的(de),必須參(can)加補充醫療保(bao)(bao)險(xian);③按(an)規定,機關(guan)、事業(ye)(ye)(ye)單(dan)位、社會團體的(de)所(suo)有職工(gong)(gong)(gong)(gong)(gong)(gong)和企(qi)業(ye)(ye)(ye)、民辦非企(qi)業(ye)(ye)(ye)單(dan)位及(ji)(ji)個體工(gong)(gong)(gong)(gong)(gong)(gong)商(shang)戶(hu)(hu)30周(zhou)(zhou)歲(含(han)30周(zhou)(zhou)歲)以上職工(gong)(gong)(gong)(gong)(gong)(gong)必須參(can)加綜合基本醫療保(bao)(bao)險(xian);④退休人(ren)員(yuan)(yuan)不能(neng)(neng)參(can)保(bao)(bao)除醫療保(bao)(bao)險(xian)外的(de)其他(ta)險(xian)種;⑤根據“戶(hu)(hu)籍類型(xing)”及(ji)(ji)“用工(gong)(gong)(gong)(gong)(gong)(gong)形(xing)式”區(qu)分一般失業(ye)(ye)(ye)保(bao)(bao)險(xian)與農(nong)(nong)(nong)民工(gong)(gong)(gong)(gong)(gong)(gong)失業(ye)(ye)(ye)保(bao)(bao)險(xian)。若參(can)保(bao)(bao)人(ren)員(yuan)(yuan)“戶(hu)(hu)籍類型(xing)”為“本地(di)農(nong)(nong)(nong)業(ye)(ye)(ye)戶(hu)(hu)口(kou)(kou)(kou)”或(huo)(huo)“外地(di)農(nong)(nong)(nong)業(ye)(ye)(ye)戶(hu)(hu)口(kou)(kou)(kou)”,則“用工(gong)(gong)(gong)(gong)(gong)(gong)形(xing)式”必須選(xuan)擇(ze)“農(nong)(nong)(nong)村(cun)(cun)合同(tong)制工(gong)(gong)(gong)(gong)(gong)(gong)人(ren)”,申報(bao)(bao)(bao)(bao)失業(ye)(ye)(ye)保(bao)(bao)險(xian)時必須選(xuan)擇(ze)“農(nong)(nong)(nong)民工(gong)(gong)(gong)(gong)(gong)(gong)失業(ye)(ye)(ye)保(bao)(bao)險(xian)”;反之,“戶(hu)(hu)籍類型(xing)”為“本地(di)非農(nong)(nong)(nong)業(ye)(ye)(ye)戶(hu)(hu)口(kou)(kou)(kou)”或(huo)(huo)“外地(di)非農(nong)(nong)(nong)業(ye)(ye)(ye)戶(hu)(hu)口(kou)(kou)(kou)”,則“用工(gong)(gong)(gong)(gong)(gong)(gong)形(xing)式”不能(neng)(neng)選(xuan)擇(ze)“農(nong)(nong)(nong)村(cun)(cun)合同(tong)制工(gong)(gong)(gong)(gong)(gong)(gong)人(ren)”,根據實際選(xuan)擇(ze)其他(ta)類型(xing),申報(bao)(bao)(bao)(bao)失業(ye)(ye)(ye)保(bao)(bao)險(xian)時必須選(xuan)擇(ze)“一般失業(ye)(ye)(ye)保(bao)(bao)險(xian)”。⑥網(wang)(wang)上申報(bao)(bao)(bao)(bao)的(de)繳費單(dan)位,應按(an)季度(du)向主(zhu)管稅務(wu)機關(guan)報(bao)(bao)(bao)(bao)送紙質(zhi)《社會保(bao)(bao)險(xian)費分險(xian)種申報(bao)(bao)(bao)(bao)匯總表(biao)》(申報(bao)(bao)(bao)(bao)表(biao)可在(zai)網(wang)(wang)上辦稅系統(tong)打印,并加蓋單(dan)位公章)。
一般來說(shuo),賬戶都是(shi)你(ni)的身份證(zheng)號,沒辦法注銷,你(ni)可以回(hui)你(ni)原單位辦理解除合(he)同(tong)手續,將(jiang)你(ni)的檔案及保險轉(zhuan)到(dao)新單位就可以了(le),因為(wei)各地(di)在實(shi)際操(cao)作上有差(cha)異,你(ni)可以撥打12333咨詢一下你(ni)們當地(di)勞動部門(men)。
不能。工傷保險是社會保險,是強制性保險;商業保險是非強制性保險,是工傷保險的補充。用人單位為員工購買商業保險,是用人單位自愿給職工的一種福利,且其受益人是員工而非用人單位。所以當員工遇到人身傷害時,商業保險并不能代替工傷保險。【詳細】
工傷保險有一個不人性的規定,那就是在工作時(shi)間和(he)工作崗位,突(tu)發疾病死亡(wang)或者在48小時(shi)之內經搶救無效死亡(wang)的,視同工傷;如(ru)果(guo)超過48小時(shi),不算工傷。