Kinh gUi: Cac1ru'Ong1HCS, 1H&1HCS, TI&!hQC,M§u giao,Mfunnon trend!a00n.

cQNGOOAXAHQIrnirNGHiAv¢rNAMDOcJap-Thdo-Hanhphuc

Phu Rieng, ngay {Cj thdng g nam 2018

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PH6NGGlAODUC&DAOTAO-BA..o.HIEMxAHOI~PHVRlliNG .

S6: rAb/LT/GDDT-BHXHv 1v1hl,lChi~BHYf~ sinh, sinhvien

nam~2018-2019

Can cir Luat Bao hiem y t~ s6 2S/2008/QH12 ngay 14 thang 11 nam 2008; Luats6 46/2014/QH2013 ngay 13/06/2014 sua d6i, b6 sung mot s6 di6u cua Luat Bao hi€thy t~; I

Can, cir Chuang trinh phoi hQ'Pthuc hien chinh sach bao hiem ¥ t~ hoc sinh 1-sinh vien so 166/BHXH-GD&UT-TC-YT ngay 04/08/2010 gifra Bao hiem xii hQi tinh,S6' Giao due & Dao tao, S6' Tai chinh va S6' Y t~;

Thirc hien Cong van lien nganh s6 02ILN/GD&UT-BHXH ngay 13/08/2018gitra S6' Giao due & Dao tao - Bao hiem xii hQi tinh Binh Phuoc v6 viec thuc hi~bBHYT hoc sinh, sinh vien nam hoc 2018-2019. I .... ;". ,

U€ cong tac bao hiem y t~ hoc sinh nam hoc 2018 - 2019 dat k~t qua t6t ~a ,-,oZ'l.::..H.J.th?ng nh~t trong vi~c tri€n !illai thlJc hi~E; Lien tich Phong Giao d\lc ~a Uao, t~o - Bai .' *~lg:f :'~hiem xii hQi hUY~.l1Phu Rieng huang dan thlJc hi~n cong tac bao hiem y te (BHY1r t~-l._..;"_UY~~hQc sinh nam hQc 2018 - 2019 nhu sau: \. ~~~t) ~';t:,

, ? ~-L Trien khai thU'chien ~ 1"S't,T;~~.... .. ,.~~:.;

, - N gay tiI dfiu nam hQc~ nha trucmg dua khoan thu BHYT hQc sinh yapca cau cac khoan dong gop bat bUQc nhu cac khoan thu khac cua hQc sinh Viathong bao cho hQc sin~, cha my hQc sinh y6 s6 ti6n dong BHYT; d6ng thai tpchuc thu BHYT vao dau nam hQC, h~n che thu BHYT phan tan va keo dai lamanh hu6'ng d~n quy6n IQ'itham gia BHYT lien t\lC cua hQc sinh. I

- B6 tri thai gian va cu can bQ trinh bay bai tuyen truy6n BHYT hQc sinh (JoB~ huy~? cung c~p) d~n ph\l huynh, hQc sinh nhan ng~y hQPph\l huynl} dfi~ na~.Trien khai den giao vien chu nhi~m lap co trach nhi~m phoi hqp tuyen truyen den pn\lhuynh, huang d~n hQc sinh tham gia BHYT. I

- Uua tieu chi tham gia BHYT vao tieu chi thi dua cua nha twang trong namhQc, nh~m t~o dQng h,c thi dua gifra cac lap, qua do nang cao s6 d6i tuqng tham gia. I

- Phan cong nhi~m V\l C\l th€ can bQph\l trach cong tac BHYT hQc sinh: nguo-ithu ti6n, nguai nh~p danh sach hQc sinh tham gia BHYT, nguai ph\l trach nQp ti6hdong, nQp h6 sa d6 nghi cho ca quan BHXH huy~n va nh~n l~i the BHYT, cac khoa~kinh phi thea quy dinh.

- Ra soat, th6ng ke d6i tuqng hQc sinh dii co the BHYT 6' cac d6i tuqng khac(bao g6m ca d6~tu~g tham gia BHYT hQ gia dinh) d€ d6 nghi,c~p ki~ phi cham s~csuc khoe ban dau, dong thai phat hi~n nhUng twang hQ'Pbi cap sot de nghi ca quanchuc nang c~p the be, sung, tiI do co ca s6' th6ng ke chinh xac tY l~ hQc sinh tham giaBHYT cua nha twang. I

- U6i v6i cac Twang Mfim non, M~u giao ngay til dfiu nam hQc tri€n khai lia

soat, thong ke cac chau den lap chua diroc c~p the BHYT, l~p danh sach giri co quanBHXH huyen d€ diroc phf,i hop c~p the BHYT kip thai, dam bao quyen loi kham chuabenh BHYT cho cac chau.

2. D8i tuong, mire dong, plnrong tlnrc dong, thei han sir dung the BHYT

2.1. D8i tuong tham gia: HQc sinh dang theo hoc tai nha tnrong, tnr nhtrnghoc sinh da diroc c~p the BHYT a nhtrng df,i nrong khac (bao g6m ca df,i tuong thamgia BHYT theo h<)gia dinh, BHYT h<)can ngheo).

LUlly: HQc sinh la ngiroi d6ng bao dan t<)cthieu sf, co h<)khau thirong tru tai 4xa: Long Ha, Long Tan, Phu Trung, Phu Ri~ng va hoc sinh co h<)khau tlurong tni tai06 than: Than Phti Binh xa Phti Rieng; Than 6 xa Long Tan; Than Btl Ka 1, PhuMang 1, Phu Mang 2 xa Long Ha; Than Phu Tien xa Phu Trung diroc c~p the BHYTmi~n phi.

2.2. Muc dong: Mire dong BHYT df,i voi hoc sinh bang 4.5% rmrc ti~n lUO'llgcO'sa do Nha nuac quy dinh t~i thai di~m dong, trong do: hQc sinh tV'dong 70%, ngansach Nha nuac h6 trq 30%.

2.2.1. D8i vo; hQc sinh kh8i 16'p 1: Do thai h~n su dvng the BHYT tre em duai6 tu6i neu het h~ truac 30109 se duqc gia h~n den 30109 nen nha truang co th~ chQnm<)ttrong hai phuO'llg thuc dong sau:

a) PhuO'llg thuc 1: Thu ti~n dong 1 lfin trong thang 09/2018 d€ mua the BHYTHS co gia tri su dVng til thang the BHYT tre em duai 6 tu6i het h~n su dvng trongnam 2018 den 31112/2019. sf, ti~n dong tinh theo cong thuc: 4.5% x 1.390.000 d6ng x70% x sf, thang mua BHYT.

VD: + Mua the co h~n su dVng til 01110/2018 - 31112/2019 (s6 tiJn dong:=1.390.000*4.5%* 15*70%= 656.775 d6ng, the BHYT tre em hit hqn trang thcmg 10)

+ Mua the co h~n su dvng til 01111/2018 - 31112/2019 (s6 tiJn dong:=1.390.000*4.5%* 14*70%= 612.990 d6ng, the BHYT tre em hit hqn trang thcmg 11)

+ Mua the co h~ su dVng ill 01112/2018 - 31112/2019 (s6 tiJn dong:=1.390.000*4.5%*13*70%= 569.205 t16ng, the BHYTtre em hit hqn trang thcmg 12)

b) PhuO'llg thuc 2: Muc dong duqc chia lam 02 dqt

- Dqt 1, thu ti~n trong thang 09/2018: D€ mua the BHYT HS co gia tri su dVngtil thang the BHYT tre em duai 6 tu6i het h~n su dVng trong nam 2018 den ngay31112/2018; sf, ti~n dong duqc tinh theo cong thuc: 4.5% x 1.390.000 d6ng x 70% xsf, thang dong BHYT.

VD: + Mua the co h~n su dVng til 01110/2018-31112/2018 (s6 tiJn dong:=1.390.000*4.5%*3*70%= 131.355 d6ng.

- Dqt 2, thu ti~n trong thang 11,12/2018: mua the BHYT co gia tri su dvng tilngay 0110112019 den het ngay 31112/2019 (12 thang). sf, ti~n dong la 4.5% x1.390.000 d6ng x 70% x 12 thang = 525.420 d6ng.

2.2.2 HQc sinh cac kh8i con l~i:

+Df,ivrn hQcsinh chua tham gia BHYT nam hQc2017 - 2018, nha truang t6 chuc thuphi cho the co thm h~ su dvng 15 thang, til ngay 01/10/2018 - 31112/2019 (s6 tiJn dong =1.390.000*4.5%*15*70%=656.775d6ng)

;, .+OOivoi hQCsinh datham giaBHYTnam hQC2017- 2018,nhAmrong tAclnrctI1U phi

cho the c6 thei han sir dung 12 thang, til ngay 0110112019- 3111212019,(s6 din dong =1.390.000*4.5%* 12*700/0 ~ 525.420d6ng).

2.2.3 ThM han nQp ti@nnlnr sau:+ DQt 1: thu phi va nQP ti8n vao tai khoan co quan BHXH huyen chQ,m

nhfilla ngay 3010912018;

+ DQi 2: thu phi va nQP ti~n vao tAi khoan eo quan BHXH huyen chpmnhfit la ngay 3011012018;

+ DQi 3: thu phi va nQP ti~n vao tai khoan co quan BHXH huyen chpmnhfil ltl ngay 1511212018;

Truimg h(1pkinh 12gia dinh hl}c sinh kho, khan nha trU'iYngco Ih2 ta chfrcthu BHYT hl}csinh Ihanh hai d(1t, m8i d(1t 6lhdng.

2.3 Phmrng thuc 46ng: Thuc hi~n theo quy dinh tai Khoan 5 Di~u 2 Thong tuLien tich s6 41120I4fITLT-BYT-BTC ngay 24 thang 11 nam 2014 cua BQY t8 - BQTai chinh huang dfut thuc hi~ bao hiem y teo

3. Kinh phi cham s6e suc kboe ban clAu(KPCSSKBD):- Ty l~trich: . ">"

- DAivoi ca so giao d\1cMiu ghlo, MAmnon: B~g 5%"tAng thu quy BHYT::(~\tinh tren tAngsAtre em dum 6 tuAidang theo hQc~ nha truOng. i 'I y:~

- DAivOi cae ca so giao d\1ckhac: B~g 7% tAngthu quy BHYT tinh tren tAng:.~~s6 hQcsinh tham ,gia BHYT (ke ca hQc sinh tham gia BHYT·.&cac' nh6m d6i tuQ1lg:.~:,khac). . 'c" .,

- Di~u ki~n trich KPCSSKBD; nQidung chi KPCSSKBD: th\lc hi~n theo huangdfut ~i Diem 1Di~u 18 Thong Tu 86 41lITLT- BYT-BTC va Cong van sA06/CV­BHXH ngay 20/09/2015 cua Bao hiem xa hQihuy~n Phu Ri~ng.

4. Hoa hAng cl,i Iy: Hoa hAngcho 4\li ly thu BHYT hQc sinh: nha truOngnh~dugc khoan kiM phi h~ trg bang 4% tren tAngs6 th\lC thu til hQc sinh (khong tinh s6"ti~n dugc ngan sach Nha nucrch~ trg).

5. Thanh phAn hAsa:5.1. HA sa thu: 03 ban danh sach tham gia D03- TS co ky xac nh~n cua

lanh d\lo dan vi kern theo File dfl li~u (Excel); To khai tham gia BHYT (d6ivai truong hgp tham gia BHYT IAndAu, thay dAi thong tin ca nhdn).

LU'u V: Cac dmz vj khai ddy du ng4y, thang. nom sinh clia hoc.sinh VQO danh .sachD03-TS.

,5.2. HAsa chi thil lao cl,i Iy (4%): HQ1>dAng,thanh Iy hgp dAngd\li Iy thu; 03ban de nghj thanh toan thil lao cho to chuc, ca nhan lam d\li Iy thu (miu s6C66-HD).

5.~. HA sa chi ki!lh phi cham s6e sue kboe ban clAu(7%): Hgp dAng,thanhly Hgp dong trich chuyen kiM phi CSSKBD (miu C84a, C84b); GiAyd~·nghi trich .chuy~n kinh phi CSSKBD (mdu OIIBHYT); Danh sach hQc sinh, sinh vien tham giaBHYT theo cae nhom d6i tuQ1lgkhac (mlu 03IBHYT). Ben c\lnh do, dan vi cAnbA

sung them:

- Bai v6i co so giao due c6 du dieu Id~n (c6 it nhAt J.h.otngirci chuyen trachho~c Idem nhiem ho~c hQ'P dAng lao dong til du 3 thang tra 1en, trinh dO tai thi~u latrung cApy) cAnbe, sung;

+Quy~t dinh thanh I~p Phong Y te, Bo ph~ Y t~: 1 ban: sao.+ Van bdng chuyen men: 1 ban sao. !

+Hop dAng lao dong, Quyet dinh tuyen dung: I ban sa~

- B6i voi co so giao due khong du di~u Id~n:

+HQPdAng kham, chua b~nh cho hoc sinh voi tram y t~ xa,+D~nghi trich chuyen kinh phi CSSKBD (Miu 0IffCIfT).Phong Ohio due va Bao tao - Bao hi~m x4 hoi huyen Phu Ri€ng d~ nghi Hieu

Tnrong cac tnrong hoc trien khai, thuc hi~n tat cong tac BHYr hoc sinh nam 2018-2019. Trong qua trinh thuc hi~n neu co vuong mic, d~ nglii cac don vi lien h~ v€Phong Oiao d\lc va Dao ttlo huy~n (02713.939.609) ho~c BIDqH huy~n Phu Ri~ng (s6di~n tho~i: 3.714.222) de duqc huang din va giai dap.l. .

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Nt1inh~n:- Nhutren;- UBND huy~n (bao cao);- PhOng VAn h6a Thong tin (p/h);- Ltru: GD&DT, BHXH.