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Q&A of China's Medical Security Law 2027 (3)

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Q: For older on-the-job employees who are less than 5 years away from retirement, can the enterprise refrain from paying their medical insurance?
A: No. As long as a genuine labor relationship exists, the enterprise must legally enroll the employee in medical insurance regardless of their age or remaining payment years.

Q: Will there be any impact if the medical insurance payment base is inconsistent with the individual income tax declaration data?
A: Yes. The new Medical Insurance Law stipulates that medical insurance premiums are uniformly collected by tax authorities. Inconsistent bases will easily trigger early warning inspections by tax and medical insurance departments.

Q: After an employee's medical insurance is discontinued, will their medical insurance benefits be suspended immediately?
A: In most regions, employee medical insurance benefits are suspended from the month after the discontinuation, while some regions set a 1-3 month grace period for benefit enjoyment.

Q: When the medical insurance department conducts an on-site inspection, can the enterprise refuse to cooperate?
A: No. The employing unit must cooperate with the supervision and inspection of the medical insurance department, and may not refuse, obstruct the inspection or conceal relevant materials.

Q: If an enterprise violates medical insurance regulations, will it affect the enterprise's credit record?
A: Yes. The new Medical Insurance Law has officially established a medical insurance credit management system for employers, and violations will be directly recorded in the enterprise's medical insurance credit file.

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