Rural Residents' Medical Insurance Fund Entrusted Management Agreement
Party A: County People's Government Party B: China Life Insurance Company Branch is in accordance with the "Decision on Further Strengthening Rural Health Work" by the Central Committee of the Communist Party of China and the State Council, and the "General Office of the State Council Forwards the Ministry of Health and other departments on the establishment of a new rural cooperative medical system. And the spirit of the "Implementation Opinions of the Zhejiang Provincial People's Government on Establishing a New Rural Cooperative Medical System in the Province", earnestly do a good job in the hospitalization of rural residents in the urban and rural areas, and negotiate with Party A and Party B to entrust Party B to manage Party A. The rural residents’ medical insurance fund matters reached the following agreement:
1. Party A entrusts Party B to manage the rural residents' medical insurance fund, and Party B agrees to accept the entrustment from Party A. Party B shall agree to accept the management of the township or street protection fund for the townships and streets where the participation rate of Party A's organization reaches more than %, otherwise Party B may not accept it.
2. Party B establishes a special account for the rural residents' medical insurance fund, which is earmarked for special funds. After the protection fund received in the current year is deducted from the payment of the compensation for the payment, the balance is transferred to the next year.
3. Party A shall, before the date of receipt of the protection fund determined by the “Regulations on the Implementation of the Rural Residents' Medical Insurance Fund”, all the current protection funds shall be transferred to the special fund of Party B to ensure the payment of the compensation to Party B. .
4. Party B shall pay for the management of the medical expenses of the insured farmers in accordance with the medical service scope and compensation standards stipulated in the “Detailed Rules for the Implementation of the Rural Residents' Medical Insurance Fund” formulated by Party A, and establish a systematic management system to control unreasonable expenses. Ensure that medical compensation is fair, just, reasonable and transparent.
5. Party B shall report the income and expenditure and compensation of the protection fund to Party A on a regular basis. The problems encountered in the operation shall also be reported to Party A in a timely manner so that Party A can handle it in a timely manner. If the payment of the protection fund exceeds the % of the total amount of the special fund of Party B, in order to protect the interests of the insured farmers, Party B shall promptly notify Party A so that Party A can raise funds or take other measures. If there is a loss in the current year, Party B shall first advance the amount of the loss. If there is a balance in the second year, the advance payment shall be deducted from the balance. If the loss occurs for two consecutive years, Party A must first be in the third year. One month to make up for the loss of the previous two years, otherwise Party B has the right to request termination of this agreement and claim damages.
6. In order to facilitate the timely compensation and reporting and standardized management of the insured farmers after hospitalization, Party B shall be responsible for setting up one service point in the designated medical service institutions of Party A, and equipped one or more medical insurance administrators and equipped with computer networks. Office facilities such as roads ensure the smooth development of payment, publicity and related consulting services for insured farmers.
7. In order to ensure the daily work, Party A shall pay the management operation fee to Party B according to the % of the paid-in protection fund, and shall be used for the salary, business documents, computer network use and maintenance, business promotion and other related issues of the medical insurance administrator. Office expenses. Party A shall pay all management operation expenses within the day of signing this agreement, and transfer it to Party B's expense and expenditure account. The total management operation expenses shall be used by Party B. Future management fees should be paid in the first month of the new year.
8. Party B shall strengthen its financial management and strictly control the expenses. Both parties may adjust the fee extraction criteria for the second year and subsequent years based on the cost of the previous year.
9. Both Party A and Party B shall conscientiously perform the terms of this Agreement. If one party violates this agreement, the other party has the right to terminate the agreement and ask the other party to compensate for the loss.
X. Matters not covered in this Agreement, the parties shall separately negotiate and sign a supplementary agreement, and the Supplementary Agreement shall have the same effect as this Agreement.
11. In the event of a dispute arising from the performance of this Agreement, the two parties shall conduct friendly consultations on the principle of seeking truth from facts, fail to reach a consensus, and resolve the matter through litigation.
XII. This Agreement is valid for a period of one year from the end.
XIII. This Agreement is in quadruplicate and each party holds two copies, each of which has the same legal effect.
person A person B:
Year, month, day, month, day
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