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Q&A of China's Medical Security Law 2027 (1)

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Q: Is it mandatory for enterprises to pay basic medical insurance premiums for their on-the-job employees?
A: Employee medical insurance is a legally mandatory insurance item. Enterprises need to complete the insurance registration for their employees within the month of employment, and must not delay or omit the payment without valid reasons.

Q: Can enterprises temporarily refrain from paying medical insurance premiums for employees during their probation period?
A: No. The probation period is included within the term of the labor contract, and enterprises must normally pay basic employee medical insurance premiums for probationary employees.

Q: Are enterprises obliged to pay employee medical insurance premiums for part-time employees?
A: Part-time employees are not covered by the mandatory insurance scope. Enterprises can guide them to participate in employee medical insurance independently as flexible employees.

Q: Is the private agreement between the enterprise and the employee to waive medical insurance payment valid?
A: It is completely invalid. Paying medical insurance premiums is a legal obligation for both parties, and any private agreement to waive this obligation has no legal effect.

Q: Will the enterprise be held accountable if the employee voluntarily signs a commitment letter agreeing not to participate in medical insurance?
A: The commitment letter has no legal effect. The enterprise will still be ordered to make up the unpaid premiums, and may also incur late payment surcharges and negative credit record impacts.

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