Huong dan thuc hien cong tac bao hiem hoc sinh nam hoc 20172018

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(1)BAo HIEM xA uorsOGrAo DUC vA DAo r4o TINH KHANH HOA so:. CQNGHOAXA HQr CHtTNGHIA VTETNAM DOc I6p - Tu do - Hanh prrric. 870 mort-BrD(H-cDET. KhdnhHda, ngdy2Jthdng !ndm 2017. HI/oNG nAN r,rtN rrcn Thgc hiQn C6ng t6c bio hi6m y t6 troc sinh, sinh vi6n nIm hgc Z0l7 _Z0lg Thgc hign c6c Vdn ban chi dpo v6 C6ng tric 86o hir5m y t6 sinh, sinh vi€n (HS-SV): V6n ban hqp nh6t Lu6t. BHyT. sri. OUVgIN_VpeH. @tl.fl. noc. ngiry I0t7/2014;. Nghi dinh sii toslzot+nvo-cp ngdy 15/11/2014 cria chinh pht quy dinh. chi ti6t vd hu6ng d6n thi hdnh mQt. sr5. Aielliu tra, BHyT;. Nghi dinh sii tzorzot:nvo-cp ngdv r4fi1r2013 cria chinh phri quy dinh xri phat vi phpm hdnh chinh trong linh vUc y t6; v6n bin s6 totslttg-Kcvx ngdy 10/6/2016 cria Thrl tu6ng Chinh pht v€ vi€c trng cuong ph6t tri6n, m0 rQng tl6i tugng tham gia BHyr vd tin hoc h6a c6ng t6c gi6m dinh, rhanh toiin chi phi khrim, chfra benh (KCB) BFIyT; Th6ng b6o st5 tszltg-vpcp ngdy 24/6/2016, th6ng b6o kiit ruan cria Thri tu6ng chinh phri Nguy6n Xu6n phric tai HQi nghi trpc triyiin todn qu6c v6 thuc hiQn d6y manh BlfyT tod,n ddn;. kf. qozots/TT-Byr ngdy 16n1r2015 Th6ng tu cria 86 y t6 quy dinh d6ng "6 kh5m bQnh, chta bCnh BH'T ban dAu vA chuy6n tuy6n kh6m UCrf,, UCrf,. Jt,. BHYT;. . tt5 vd . Y tr!. Th6ng tu ri6n tich s6 qnoufirlT-Byr-BTc ngiry 24/11/2014 86 Tdi chinh v6 huong din thgc hiQn BHyT;. cinB|y. Th6ng tu ri6n tich s6 tztzorcntrr-Byr-BcDDT ngdy r2/5/2o16cria 86 vd 86 Gi6o duc vA Edo t?o quy dinh v6 .Ong ta. V ,a ,*"arg. f,n;:. Vdn bAn sA qZSSBCODT-CTHSSV ngdy 24l8l2Ot5 cria 86 girio dUc vd Ddo tao vA vi6c ting culng tri6n khai thUc friQn'SFIYT cho HS_SV;. ity t4/4/2017 cta T6ng Girtm dt5c 86o an hdnh quy trinh thu BFD(H, BHYT, BHXH, th6. BHYT;. o dQng. -. benh ngha nghiep; qu6n. lli. s6.

(2) Nghi quyi5t sO I+IZO1ZnVQ-HEND ngiry 07/7/2017 cria H6i ddng nh6n d6n tinh Khanh Hda vO viQc quy dinh mric h5 tro mua the BffYT a5i vOi HS-SV tr6n dla bin tinh Kh6nh Hoa ;. trinh hinh dQng s6 15-CTHD/TU ngity 0ll7l20l3 cta Ban Thuong vg Tinh riy Kh6nh Hda vA viQc "Thuc hi6n Nghi quy0t Zt-Nq/TW ngdy 22lll/2012 cta Be Chinh tri; quyet ai*r s5 :OZZ-qOIUBND ngdy t2n}t2}t3 cta Uy ban nhdn dan QBND) tinh Khdnh Hoa vA viQc Ban henh k6 hoach rhuc hiQn Chuong trinh hdnh dQng s5 I5-CTIID/TU ngiry Oll7l20l3 cria Ban Thuong 4r Tinh riy vd thgc hiQn Nghi quy6t si5 2l-NQ/TW cria BQ Chinh tri d6i v6i c6ng t6c BFD(H, BIryT giai doqn 2012-2020 tr6n dia ban tinh; Chucrng. Chi thi sO Og-CryfU ngiry 241712017 cria Tinh ty v6 viQc ddy manh thr,rc hiQn Nghi quyiit sO 2l-NQ/TW, ngity 2211112012 ciaBQ chinh tri vd " t6ng cudng sg lSnh dao cria Dnng d6i v6i c6ng t6c BFXH, BHYT giai tlo4n 2012-2020" Vdn bin sO g:ZOfUBND-VX ngdy 181512016 cria UBND tinh Kh6nh Hoa vA vi6c tinh hinh tham gia BFIYT cria HS-SV; Vdn ban si5 +ZASAJBND-VX ngdy O6l7l2ot6 cria IIBND tinh Khrinh Hoa v6 viQc tlAy mAnh thqc hipn BfryT toen dan; Vdn ban sO +SS|ILIBND-VX ngdy 121712016 cira UBND tinh Kh6nh Hda v6 viQc tri6n khai Quyi5t dinh sO ttOZlqO-fTg ngdy 281612016 cira Thir tu6ng Chinh phfi.. Li6n ngdnh BrD(H tinh Kh6nh Hda - Sd Gi6o duc vd Ddo r4o tinh Kh5nh Hoi hu6ng din thgc hi6n BIIYT a5l vOi HS-SV ndm hoc 2017-2018 nhu sau: r. MUC. TrtU. Tdng cu&ng b6o vQ, gi5o dgc vd ch6m s6c stc kho6 cria HS-SV; n6ng cao nhdn thric vd thric ch6p hdnh cria HS-SV vd c6c b6c phU huynh v6 ph6p luft BIryT. E6m biro 100% HS-SV tham gia BFIYT vd duqc chdm s6c sric kh6e theo quy dinh cia Luflt BHYT.. f. EAy m4nh c6ng t6c bAo vQ, chdm s6c sric kho6 HS-SV. Ctng c5, UOi auOng nhim nAng cao ch6t luqng dQi ngI c6n b0 ldm c6ng t6c y t6 vd BTIYT trudng hgc.. Tdng cudng thanh tra, ki6m tra, gi6m s6t viQc thpc hiQn c6ng t5c trudng hgc vir viQc tham gia BHYT cta HS-SV.. Y. tt5. II. DOI TI.I. ONG, MIIC E6NG, MI.IC HfIONG, PHI'ONG THIIC DONG, CHAM SOC SUC KIIOE BAN DAU, THE BAO HITM Y TE 1. E5i tuqng tham gia: HS-SV (tri nhilng HS-SV dd tham gia theo cdc nh6m diii tuo. ng khdc theo quy dinh ctia Luqt BHYT) dang theo hgc t4i c6c co so. 2.

(3) gi6o duc thuQc hQ th6ng gi6o duc qu6c d6n tr6n dfa d6i tuong tham gia etryT bit bu6c. 2. V6 mric rl6ng. BHyT a5i. vrOri. bin tinh Kh6nh Hod, d6u rd. HS-SV. - Theo quy dinh mric d6ng BFIyT HS-SV bing a.5% tr6n mfrc lucrng co sd (1'300.000 d6ng) nhan v6i s6 thang tuong img thoi h4n st dung cria th6 srryr, cu. th6 nhu sau:. -. Mfc. d6ng. I. thring ld: 1.300.000d/thtugx 4.5%. - Mric d6ng eiii vOi t2. th6ng (tn 0l/01/2018. d/thitngx 12 thdng: 702.000 d6ng.. x 1 th6ng = 58.500 d6ng.. -. 3l/12/2018) ld: 58.500. - Mirc d6ng oi5i voi 15 th6ng ho{c 16 thring d6i v6i hgc sinh lcrp m6t vd sinh vi6n nEm thir nh5t, tnv tirng trudng fror cu th€ thdi han ghi tr6n rh6 it gt au, trudng hry thd cil c6 gid tr.! s* dang diin hiit thdng 9/2017, thi thcn han ghi tr€n thd mdi ti 01/10/2017 ddn 3t/12/2018 tucrng timg vdi mtirc d6ng ld;58.500 dinghhdng x 15 thdns = 877.500 ding). - D6i v6i hoc sinh lop 12 vd sinh vi€n nem cu6i thi mric d6ng tu ngdy 0l th6ng 01 dcn ngdy cu6i cria th6ng k6t thric n6m hoc d6 (vi du: trudng A k€t thilc ndm hoc vdo ngdv 3r/05/20t8 thi thdi hqn ghi tr€n thi m6i ti ottoltzola aen. 3l/5/2018 tuong ilmg m*c d6ng: 5g.500 d/ thdng x 5 thdng : 292.500 ding). Trong m6nh giri th6 BIIyT c6 mQr ph6n do HS_SV ilr d6ng vd mQt phAn do ng6n srlch nhri nu6c h6 tro, cu th6: 2.1. Ddi vfi hgc HS-SV do NgAn s6ch Trung uong hd trq: g6m HS_SV tlang theo hgc t4i c6c co s0 gi6o duc do BQ, ccr quan Trunju*g qran ly thi HS_ SV d6ng 70%0, ngin s6ch Trung uong hb tro 3O% (theo dring airf, t.i Lu6t BHYT).. *,. Mfc d6ng BHyr 0 r th6ng bitg 4,5oh mirc luong co s6: 1.300.000it/thring x 4.5%iox I th6ng = 58.500 d6ng. Trong d6: + Ngdn srich nhi nudc h5 d6ng/th5ng.. tg. 30o/o. mric d6ng: 5g.500 ddng. x. 30%o. :. 17.550. + HS-sv d6ng7\%omric d6ng: 5g.500 ddngxT0o/o= 40.950 d6ng/thang.. Mric d6ng BIIyT 01.rhring bing 4,5%mric -"- Iuong co sd: t.300.000d/thring 4.5%o x t rhdng ' x = 58.500 aOng. f.oniao,.

(4) : + HS-SV d6ng 55%o mric d6ng: 58.500 d6ng x + Ngan s6ch tinh h6 trq 45Yo:58.500 d6ng. x. 45o/o. 26.325 d6ng/th6ng.. 55%o. :. 32.t75. d6ng/th6ng.. Khi Nhe nu6c quy dinh tj lQ d6ng vd mfrc lucrng co so thay d6i, ngudi tham gia vd ngan s6ch nhd nu6c kh6ng phti d6ng b6 sung phAn chOnh lQch do di6u chinh mric d6ng BHYT, mric lucrng co sd d6i v6i thoi gian cdn lai md ngudi tham gia d6 d6ng BHYT. 3. VB mrfrc huOng. BHYT. Khi HS-SV c6 th6 BHYT di KCB theo thing noi tling kf KCB ban tliu ghi tr6n th6 BHYT hoic tuy6n chuy6n m6n kf thuit (CMKT) truqc hu&ng ch5 dO BIfYT, cg th6 nhu sau: 3.1.. - Hucrng 100%o chiphi KCB A5i vOi c6c trudng hon:. + KCB tai Tram Y ti5 x6, phulng, thi trdn (goi chung ld Tram. y t6 tuy6n. x6);. + t6ng chi phi cria I l6n KCB th6p hon l5oh mirc lucrng co sd (hiQn nay mfc luong co sd ld: 1.300.000 d6ng x l5% = 195.000 d6ng) 0 c6c tuy€n di6u tri; + Ngudi bQnh c6 thdi gian tham gia BIIYT 5 nim li6n \rc trd lOn vi c6 s0 ti6n cung chi tre chi phi KCB BHYT trong ndm 16n hon 6 th6ng lucrng co sd, trir truong hqp tu di KCB kh6ng dring tuy6n. - Huong 80% chi phi KCB khi t6ng chi phi 01 lan KCB BHYT tu 15% muc lucrng co sd trd l6n, khi di KCB d c6c co sd y tri tir tuy€n huyQn trd l6n.. 3.2. Khi HS-SV c6 th6 BHYT .Ii KCB kh6ng ihing ncri ding ki KCB ban tIAu vd kh6ng c6 gi6y chuy6n tuy6n KCB BHYT (trir trulng hgp c6p crl'u; trir m6 noi d5i tugng sinh s5ng c6 kj hiQu Kl, K2 K3), trinh the BHYT ngay khi tl6n KCB tluqc quf BHYT thanh to6n trong ph4m vi hu&ng BHYT (BHYT thanh to6n: chi phi trong quy tlinh BHYT x mri'c hu&ng cfra tirng tl6i tugng x ff lQ hu&ng vugt tuy6n), cg th6 nhu sau: - Tai bQnh vi6n tuy6n trung uong: 80% x 40Yo chi phi di6u. tri. nQi. tni; khOng. thanh to6n chi phi KCB ngo4i tni.. tinh: 80% x 60% chi phi di0u tri nqi trri tir oUoUzOlS d6n ngdy 31112/2020. Hudng 80% chi phi di6u tr! nQi tni tii Oll}ll202l trong pham vi c6 nu6c; kh6ng thanh to6n chi phi KCB ngo4i tru'. - Tai. bQnh viQn tuy6n. - TAi. bQnh vi6n tuy6n huyqn: 80% chi phi. ngdv ngdy. KCB nQi tr[r, ngopi tru tu ngdy. 0110U20r6.. 4.

(5) 4. Hd so tham gia. BHYT, thd,i h4n gi6i quy6t h6 scr, c6p rh6 BHYT 4.1. Cich thric kG khai hd scr 4.1.1. Thdnhph6nhO so. 0l. - Td khai tham gia, di€t' chinh th6ng tin BFXH, bhn (do HS-SV ldp theo mdu dinh kim).. BHyr:. Mau TKI-TS, l6p. Lrru !,: phin ph4 luc; Thdnh vi€n h6 gia dinh chi ka khai gia BHW chua duqc ciip ma sii AUXft.. -. Danh s6ch nguoi chi tham gia BFIyT: trudng lqp theo miu dinh kdm).. -. Danh srich HS-sv dd c6 th6. Miu. khi HS-sv tham. D03_TS, ldp. 0t bin (do. Brryr. thu6c cric d6i tucrng kh6c: MEu O3/BIfYT, lfp 02 ban (do trudng lqp theo mdu dinh kim). - B6ng t6ng hgrp st5 tigu US-SV tham gia BfryT t4i trudng hoc: M6u 02_ BIryTHS, lQp02 ban (do trudng lQp theo mdu dinh kdm). 4.1.2. chi ma st5 BTDGI - D6i v6i HS-sv dd dugc c6p mE s6 B.D(H: ghi m6 so slxH vdo c6c m6u bitiu tuong tmg (Mdu TKI-TS, Uau nOS-f$. so. ooi voi HS-sv chua duoc c6p m6 so eFxH (k6. arxul:. prr6i hqp co quan. BIilH. ho4c. BTfiH. c6. HS-sv kh6ng nh6 mE. Bm di6n v[n. ho6 xd dc. ffi. ma so. Ltru f : Don vi c6 thtS tra criu ma si5 BrD<u, m6 h6 gia dinh cria ngudi tham gia t4i dia chi: . 4.1.3. Quy trinh c6p th6. BlryT. crja HS_SV. (Dinh kem theo phtt l4c). trusng lQ kdm. uc h9p. Trong vdng 5 ngdy, don vi, trucrng hoc c6 triich nhiQm luc hsrp d6ng vc cssKBD grii vd co quan BFfiH CSSKBD cho HS-SV.. kf. hqp d6ng vd php. da;;.'nGr"itn. D5n ngdy 31/12/2017 BFDG lQp r vri n6p lai cho co quan BFD(H trong thdi kinlr phi CSSKBE tu n6m 2014 tr6 v6 t. on,. truong grii b6o c6o quyct cho ccr quan BFD(H, cham nh6t d6n ngay -torrn 30111/2017 md Nhd trudng vin chua n6p b6o c6o quyet torin a* aia. ,g16, tirh.

(6) phi cdn lai thi xem nhu Nhd trudng kh6ng c6 nhu cAu sr.i dung, BFD(H s6 ra Quy6t dinh thu.hdi nQp v6 qu! BHyr trong th6ng r2r 2017 (v\J hoc sinh duoc thu hu&ng ngudn kinh phi ndy dd ra trudng). Kc tri n6m 2015 tr6 di nhd truong quyet torin kinh phi cssKBD cho co quan qu6n ly c6p tr6n vd grii bdo c6o d6 st. dung kinh phi cho co quan. BIXH.. Luu f: Ydu cdu c6c trudng thuc hi6n giao dich di€n tt a5i vor Brry'f HSSV. Eia chi ngudi tham gia Blryr ttuoc ghi tr6n th6 BrryT ld dia chi h6 khAu thuong tru (hoqc t4m trri). poi voi c6c trucrng hoc d ving s6u, ving xa chua c6 mang intemet chua thgc hiQn giao dich diQn tri thi li6n h6 v6i BID(H huy6n, thi x5, thinh ptrO 6fXff huyQn) theo phdn c6p qu6n li; dC ntr6n file dt liQu *iu f,oa. truy cfp vdo dia chi website: a6 tai nle d[ li€u mdu vd thgc hi6n.. 4.2.Dfii vr6'i HS-SV tli c6 th6 BHyr thuQc c6c nh6m kh6c theo quy rlinh cfra Luft BHYT (Md thd: HN, DT, DK, XD, TS, TC, Tg, TA, Ty, HG, LS, CN.). Thdi gian 16p danh s6ch theo m6u 03/Blryr: Trong thoi han 15 ngdy k6 tir ngdy kli hqp d6ng trich chuy6n kinh phi cssKBD, nhd trudng c6 tr5ch nhi6m lfp danh s6ch HS-sv tham gia doi tuqng kh6c kdm fire dt li6u chuytin co quan BFXH. Kh6ng ph6t6 thd BHYT nqp cho co quan B[D(H nhrmg Nhd trudng phdi chiu tr6ch nhiQm hoan toan vc vioc l6p danh srich ndy n6u c6 sai s6t x6y ra vd ph6i hodn tr6 lai qu! BHYT khi c6 kiSt luQn thu h6i do chi sai cria co quan co tnAm qoydn (tru y: nhfrng diii tuqng kh6ng lqp danh sdch nhqn kinh phi cssKBD ld. HS-SV c6 thd BHW tqi don vi, trudng hpc cil, khi tham gia hpc tdp tqi don vi, trudng hlc khdc vd thd BI{YT cdn hiQu larc (Md HS-sv) thi kh6ng duqc lQp danh sdch d€ chtoc nhdn kinh phi cs,slGD tir truong mdi vi dd duoc trich 794 tr€n s6 thu cho nhd trudng trudc d6). eu6 thdi h4n 15 ngdy mir Nhd trudng kh6ng gui danh s6ch hoc sinh rham gia BI{yr doi tucmg k}r6c d6 B[D(H rrich kinh phi cssKBD (hi BID(H sE grii Th6ng b6o ho6c di6n thoai d6 nhd truong gti danh s6ch trong thoi han 5 ngdy md nhd trudng vdn kh6ng nQp thi B[D(H kh6ng c6 co s& trich kinh phi vd sE lQp bi6n bin thanh l), hqp d6ng kh6ng c6 s6 hoc sinh tham gia BFIYT d6i tuqng kh6c. Nhd trudng chiu tr6ch nhi6m vd sq chdm tr6 ndy.. 43. D5i vdi HS-SV tha,rn gia BHYT t3i tlon v!, trud,ng hgc C6c don vi, trudng hoc cdn cri danh s6ch HS-SV tham gia. trudng hoc theo m5u D03- TS (dinh kdm) cirng file diQn BID(H. 5.. Kinh phi chim. tt. BIIyT tai don vi, gui cho co quan. s6c sric kh6e ban tlf,u. - Kinh phi CSSKBD duoc tinh bi,ng7% t6ng thu qu! BHYT tinh tr6n t6ng si5 HS-SV dang theo hgc t4i co sd gi6o duc c6 tham gia BIIyT (k6 c6 HS-SV tham gia BIIYT theo nh6m ddi tuqng ldrtc). 6.

(7) vi du: Truimg trung hoc ph6 th6ng A c6 dt diiru kiQn cssKBD cho hoc. sinlr; ndm 2017-2018 c6 1.000 hoc sinh theo hoc, trong d6:. -. 100 hpc sinh thu6c h6 nghdo (12 thang).. -. 100 hqc sinh ld than nhdn cria luc lucrng quAn d6i. -. 100 hgc sinh ld th6n nh6n cria ngudi c6 c6ng. - 700 hoc sinh (12 th6ng) tham gia. (12 th6ng).. vdi c6ch mang (12 thring).. Bltyr. tai trudmg (kh6ng tinh hlc sinh dd c6 thd BHYT tham gia tru.oc d6 cdn hiQu r$c vi dtii tuo. ng da d*qc trich chdm s6c s*c khde ban diu theo si5 tiin d6ng tqi noi phdt hdnh thd, md thd HS-sv). Kinh phi cssKBD (v6i mric rucrng co sd 1.300.000d/thring) duqc tinh nhu sau" 7%o x (1.000 hgc sinh x 4.5%o x 1.300.000d6ng/th6ng x 12 th6ng). :. 49.140.000 d6ng.. 6. Hoa hdng BHYT HS-SV. Muc.chi.hoa h6ng dai lyii thu BHyT HS-SV: Theo quy dinh hi6n hdnh le 3% tinh tr6n sti ti6n nhd trudmg thu do HS-SV tham gia BHYT d6ng (trudng hqp BrxH vi6t Nam c6 vrn bdn thay d6i thi rhyc hi6n theo vdn b6n cria BFD(H vi6t Nam).. Hd so trich CSSKBD vir hoa hdng g6m cri: - Nhd trudng llp Ban tI6 nghi trich chuy6n kinh phi cssKBD theo miu 01/BIfYT grii cho BIfiH cirng c6p vdo dAu kh6a hr2c. - M5u c84a-HD (dinh kdm): Hqp d6ng trich chuy€n kinh phi csSI(BD cho HS-SV vd phu luc hgp d6ng (do co quan BHXH lQp).. -. MAu cS4b-ril) (dinh kim): Thanh ry hsp d6ng trich chuy6n kinh phi CSSKBD cho HS-SV (do co quan BHXH lQp).. - Miu 03/Blryr(dinh kdm),Danh s6ch HS-sv tham gia d6i tugng kh6c. BHyr. theo nh6m. - MIu C66-HD (dinh kdm): Gi6y thanh torin thir rao cho t6 chfc, ldm dai ly thu(do tradng lQp).. cri nh6n. Gi6y gi6i thiOu c6n b6 cria trudng di5n nhdn ti6n tai co quan BFXH nhAn ti0n m4t). -.. .. 7. Sri dung. vi. (nt5u. quy6t toin kinh phi CSSKBD. Thuc hiOn theo Di6u 18, Th6ng tu ri6n tlch s(, qvzotqrrrl-T-B)IrBTC inh v6 huorg d6n thuc hi6n 86o hi6m y hi; qu6n ly vd thanh quy6t to6n kinh phi. 13/2016/rrLr-Byr-BGDDT ngdy t2/s;:0fi1^:i:;:. f ,n. ft H?l-# ;;.

(8) Ddo tao vd viQc ban hdnh Th6ng tu ri6n tich quy dlnh vd c6ng t(tc 86o d6m c6c di6u ki€n vA phdng y t6, nh6n vi6n y t6 truong hlc. 8.. Thli. y. t6trudng hoc:. h4n ghi tr6n th6 BHYT. Thuc hi6n theo hu6ng dan tpi di6m c kho6n 1 Di6u 5 Th6ng ru ri6n tich s6 4l/2014/TtLT-Byr-BTC ngity 24fiU2014 cria B0 y te - go rdi ;inh huong din thuc hiQn BHYT nhu sau "D6i v6i HS-SV, thoi han su dung ghi tr6n th6 Brryr tri ngdy 01 thring 01 d5n ngdy 3 r th6ng 12 cria ndm d6; d6i ,oi t o. sinh vdo lop m6t vd sinh vi6n ndm thri nh6t thoi h?n sri dung.ghi tr6n th6 Brryr tir ngdy nh6p hoc ho4c ngdy h6t rr4n cria th6 Brryr duqc c6p lan tru6c d6n 31 th6ng rinậuu oar v6i hoc sinh lop 12 vd sinh vi6n nEm cuiii thoi h4n st dung ghi tr6n th6 Brryr ngdy 0l thang 0l drin ngdy cu6i cria th6ng ktlt thric n6m hoc d6,,. Trudng hqp tham gia BHYT lan dau ho4c tham gia kh6ng li6n tuc tir 3 thring trd l6n trong n6m tdi chinh thi th6 BHyr c6 gi6 tr! sri dung sau 30 ngdy k€ tir ngdy ngudi tham gia nQp ti6n BHYT.. tt. III. TR{CH NHIEM CUA CAC SEN I,IEN QUAN 1. Trich nhiQm cria nghnh Gi6o dgc vi Diro t4o l.f. . S& Gi6o dgc. vi Dio rgo. - Chi d4o c6c phdng gi6o duc vd itdo tao, c6c don vi, tru<rpg hoc trpc thu6c S0 ph6i hq,'p v6i c6c to chirc li€n quan (Hqi cha mg hoc slnh, chuc dodn th6 "ac,[ trong nhd truong ...) thgc hi6n dring quy dinh cria Luat BFryr. Dua n6i dung k6t qu6 tham gia BFIYT HS-sv vdo chi ti6u thi aua o6 aanh giri, x6p loai d6i v6i c6c phdng girio dqc vd ddo tpo, c6c don v!, trudrng hgc do So Gido dUc vd Ddo tao qu6n ly.. - cht tri, phoi trgp v6i BFXH tinh vd c6c s&, ngdnh ri6n quan ting cudng c6ng tric tuy6n truydn, v6n {6ng HS-sv tham gia Brryr nhim d6m bao qiycn loi khrlm chta bQnh cta HS-SV.. HScho li6n. - chi dao c6c trudng hqc b6 tri phdng y t6 dt didu ki6n ae cssrso. cho. ddo tao b6 sung hodn thi6n bing c6p dri chuAn theo quy dinh t4i Th6ng tu ngity 121512016 crja B6 y tC vd 86 Gi6o dpc vd Ddo t?o quy dinh vC c6ng t6c y t6 trucrng hoc. - Ti6p tuc dd nghi, ptrOi hqp v6i Sd y tC h5 tro cho 56 Gi6o duc vA Ddo t4o trong c6ng t6c hqp d6ng, h6 ffo chuy6n m6n cho d6i ngfr nh6n vi6n y t€, tqi c6c don v!, trudng hgc chua dri chuan v0 trinh d6 chuydn m6n theo quy dinh t4i rh6ng. tu li6n tich s6 tztzorcnrLT-Byr-BGDDT ngdy t2t5t2ot6 cira B6. y t6 va 86. Gi6o duc vd. Ddo tAo quy dinh vC c6ng t6c y t0 trudng hqc, d6 c6c nhd truong dir di6u kiQn nh6n kinh phi CSSKBE cho hoc sinh..

(9) - Ph6i hqp vdi BFD(H tinh x6y {r,rng c<r ch0, v6n d6ng nghi6p, c5c nhd h6o tam trong c6 hoan cinh kh6 khdn.. vdL. cQng d6ng, doanh. ngodi nudc h5 tro kinh phi mua. BHyr. cho HS. - Ph5i harp, cung c6p sii ICu US-SV c6c cton vi truong hoc trong todn tinh (theo mdu 01-BHYTHS) vdo thdi di6m tIAu nEm hoc zotT-zollcho BFD(H tinh. -.Ch, dpo c5c phong gi6o duc vd diro t4o, cdc dcrn vi t4rc thu6c Sd cung c6p ^ s6 li0u hoc sinh c6 hoan cinh kh6 khdn kh6ng dri di6u ki6n mua BHyr ae tc hoach h5 tro giirp dd. "o. .. ... 1.2. CAc phdng girio dgc. vi. diro t4o. - chi dao c6c trulng truc thuQc thuc hiOn nghiOm tirc LuQt BlryT d6i v6i HS-sv, dua n6i dung k6t qu6 tham gia BHyr HS-sv vdo chi tiOu thi dua d6 danh gi6, x€p loai d6i vdi cac trudng; hiQu tru&ng c6c trudng do phong Girio duc vri Edo tao qudn l!; tdng culng c6ng t6c tuy6n truydn d6 trudng niim ro viQc can thi6t. ph6i tham gia BFrYT cho HS-SV vd c6 tr6ch nhiQm cung cap so tiQ,., HS-SV cria c6c trudng hgc do phdng quan ry (theo miu ,t-BHyrHS) vdo thdi di6m d6u n6m hoc 2017 - 201 8 cho BID(H huy6n, thi, thdnh ph6. -. Uhu Cht. tri, phOi tri, ph6i. hgp v6i TIBND c6c huy6n, thi, thnnh ph5 vAn d6ng c6ng hep -r d6ng, doanh nghiQp, c6c nhd h6o tam h5 trq kinh phi mua. hodn cinh kh6 khdn.. BHyr. cho. uS-sv. c6. -. [one-trqn danh s6ch hgc sinh c6 hodn c6nh kh6 kh6n trong vi6c tham gia BHYT d.i d6 xu6t 56 Gi6o dgc vd Ddo tao vfn dQng hd tro. 1.3. TrSch nhiQm cria c6c tlon vi,. trudng hgc. - Nhd trudng thgc hi6n BrxH cho c6n bo, nhan vi6n vd gi6o vi6n tai co quan BFIXH ndo thi tlang rcy tham gia Blryr cho HS-SV t4i co quan BIDGI d6 (c6c trudng hqp kh6c v6i quy dinh tr6n, sE c6 v6n ban huong aan ptran c6p ri€ng). -. CEn cu c6c v6n ban, tdi liQu hucrng d6n, th6ng b6o ... cria co quan BIil(H cung cdp, cac dcm vi, trudng hqc t6 chfc pf,O UiCn Ae" HS_iV ,U frrrrn nn" OnO. sinh di5 phoi ho. p chdt chE v6i nhd truonj tri6n khai thuc hi6n. X6c tlinh vicc t6 chric thu Blryr hoc sinh ld tr6ch nhi6m cria m6i *ra ffudng, d6m b6o iooz us_ SV tham gia BHyT. I '3. I .. cric trudng thanh l6p b0 ph4n thu. BHyr. crra HS-SV d6 thgc hiOn:. Thu ti6n vd l6p danh s6ch d6i tugng tham gia BHyT g6m c6c loai bi6u , , m6u nhu mgc II.4 n6u tr€n, n6p cho co quan. BIryH.. - Ldp 02 b6n danh srich HS-SV tham gia BHyr thu6c nh6m ddi tucrng m6c theo quy dinh lu6t BFryT Qheo mdu B/BHYT) vd B6ng t6ng hap ,O fieu HS_SV. 9.

(10) tham gia BHYT t4i trudng hgc nQp cho co quan BID(H (theo dC nhan kinh phi h5 trq CSSKBD cho c6c hoc sinh ndy.. miu I2-BHYTHS). - T6 chfc thgc hiQn viqc CSSKBD cho HS-SV theo c6c ndi dung cfra Th6ng tu 4l /201 4 ITTLT-BYT-BTC ngiry 24 / | | 120 I 4.. Kf. hqp d6ng trich chuy6n kinh phi CSSKBD cho HS-SV (rheo mdu C84a11D), php hJc hap d6ng vA thanh ly hqp d6ng trich chuyCn kinh phi CSSKBD cho HS-SV (theo mdu C84b-HD) theo ndm tdi chinh. -. - Lfp Ban dA nghitrich chuy6n kinh phi CSSKBD theo m6u O1/BFIyT vd gtii cho co quan BID(H tru6c ngdy 31/10 hdng ndm.. - Lap h6 so quy6t to6n kinh phi CSSKBD c6c n6m hoc tu nim 2014 v€ tru6c (diii vdi.cdc tradng chua thryc hi€n), gtri b6o c6o s6 chi CSSKBE ndm hgc 2016-2017 (kE ci nim hgc 2015-2016 d6i v6i trudng chua gui b6o c6o) cho co quan BFXH ddng thdi quyi5t to6n v6i co quan quAn lj c5p tr6n. - Giao th6 BHYT cho HS-SV. - Cung c6p d6y dri, chinh x6c th6ng tin, tdi li6u c6 li6n quan d6n tr6ch nhi6m thyc hiQn BHYT cria trudmg khi c6 y6u cAu cia co quan BFXH, HS-SV ho4c dai diQn cria HS-SV.. - C6 tr6ch nhi6m tl6ng b6o v6i phu huynh hoc sinh; hoc sinh v6 vi6c khi di KCB rl6u phai xu6t trinh th6 BHYT cdn h4n sri dqng vd th6 HS-SV (n6u chua c6 th6 HS-SV cin xin gi6y xilc nhQn c6 d6n inh, d6ng d6u gi6p lai cria nhir trudng) hoac gi6y td tiry thdn d6 duqc huong quydn loi BHYT theo ludr dinh. - NhAn the BHYT theo dtng thdi gian quy tlinh tqi co quan BFD(H vd giao th6 BHYT kip thdi cho HS-SV ngay sau khi nhQn the tai co quan BFD(H.. - Thgc hi6n viQc CSSKBD cho HS-SV ngay trong nim hoc vd qu6n lj, su dung ngudn kinh phi CSSKBD theo quy dinh t?i Th6ng tu s6 qt2OtqfiTftBYT-BTC ngdy 24lll/2014 ctrf- BQ Y ui - BO Tai chinh vd vi6c hu6ng dan thlrc hiQn BHYT. 1.3.2. Cic dcrn vi trudng hgc c6 nh6n vi6n y t6 chua dtr chuAn ve trinh d9 chuy6n m6n theo quy dinh theo quy dinh tai Th6ng tu 1i0n tich sO t:lZOtentttBYT-BGDDT ngdy 1215/2016 cria B0 Y td vd BQ Gi6o duc vd Ddo t4o quy dlnh :.^.t vC c6ng tric y t€ trudng hgc c6n t4o di6u kiQn cho nhdn vi6n y tO hgc tQp n6ng cao trinh dQ d6ng thdi li6n hO v6i tr4m (trung tAm) y ti5 gAn nh6t d6 duoc ki hqp d6ng vd h5 trg chuy6n m6n trong vi6c chdm s6c sirc kh6e cho hgc sinh.. 1.3.3. LAp danh s6ch HS-SV c6 hodn cinh kh6 kh6n cfra truong, don vf gti vC phdng Gi6o dqc vi Dho tao d6i vdi v6i c6c trudng thu6c phdng vd grii vO Sd Gi6o duc vd EdLo t4o d6i v6i c5c trudng, don vi truc thu6c Sd d6ng thdi giri vA. IO.

(11) BHXH tsi dia phuong trudc ngdy 3r/rr/20r7 d6 BIil.H tuy6n huyQn t6ng hqp brio c6o BID(H tinh- (sau khi c6 dil danh sdch, ri€n ngdnh so Gido iuc vd ido tqo va BHXH tinh sd tiiln hdnh xem xdt vd k6u gli, lrry aprg cdc t6 ch*c, .d nh:ran trong vd ngodi nudc, cdc nhd hdo tdm mua BHW cho hpc sinh c6 hodn cdnh kh6 khdn. theo. diiu kiqn thuc tii). I.4. Trdch nhiQm cria HS-SV. - chri d6ng li6n h9 vdi nhd rruong d6 dang kj <I6ng BHyr, k6 knai d6y drl cric th6ng tin g6m: dia chi theo h6 khAu thuonj tru, ngdy, th6ng, ndm sinh, gi6i tinh...vdo miu TKl-TS iI6 nhd trucrng cen cri lAp danh tham giu BHyf.. - D5ng ti6n BHyT <tAy dri, dring thoi h4n cho nhd truimg. OOI vOi HS_SV dd c6 th6 BHYT thu6c c6c nh6m e6i tuqng kh6c phii -Kl,i trinh th6 eHyr aa duoc c6p (bdn chinh) a,i nna truong lQp danh s6chli6ng. rcn phdi dem tt.o gidy ta tiy thdn nhu: chimg minh nh6n ddn (hoac fie HS-SV) va the BrryT.. - St dqng the BIIYT dtng BHYT.. _, ,.:Sh6O d6n KCB. 2.. muc dich, kh6ng cho ngudi kh6c mugn th6. hdnh c6c quy dinh vd hu6ng d6n cta co quan BFXH, co sd y t6 khi. Tr6ch nhiQm cria nginh BHXH. 2.1.. BHXH tinh. - chfi tii, phrii trgp v6i uBND c6c huy6n, thi xe, thdnh ph6 c6 kri hopch t6ng cudng c6ng tric tuy6n truydn, v6n dQng Hs-sv tham gia nirvr nhim d6m bio quy6n lgi khrim chta bQnh cria HS-SV. - Tuy6n truy6n, ptro ui6n chinh s6ch, phrip luat vd vdn ban ndy tr6n Brio Khrinh Hda (li6n tuc 2 sti b6o).. srryt.. - Huong din h6 so, tht tuc, t6 chric thgc hi6n ch6 d6 ch6ng, don gian vd thufln tiQn cho trudmg vd HS_SV.. - Thu ti6n rl6ng BHyT cia HS-SV tir c6c. tl<yn. kho6n chuydn thu qua ng6n hang ho4c kho b4c.. cung c6p th6ng tin vd c6c co sd KCB ky co sd KCB ban tIAu.. BHyr. Erng t6i ngi dung. BHyr. b6o tr6m nhanh. vi, truong h'c. nQp vdo tdi. vd hu6ng din HS-sv ddng. . - Trong thdi han 5 ngdy ldm viQ drl h6 s<y theo quy dinh do truong hoc BHYT cho HS-SV (diii va tutrdng ho. p. *. khdng qud 02 ngdy kd ngdy nhdn dil h thi kh6ng qud 03 ngdy k€ ti ngdy nhqn di h6 so theo quy dinh; trudng. ho.. p. HS_SV. 11.

(12) J. J.:. dang dieu dinh). *i. tqi cdc co so KCB, thryc hiQn trong ngdy khi nhdn dfi h6 so theo quy. --Trich chuy6n kinh phi cssKBD day dri, kfp thdi cho trudng trong vdng 30 ngdy k6 tt ngdy co quan BrxH nhQn dri c6c h6 so n6u trcn d6"thgc ii6n vi€c cssKBE cho HS-SV tai trudng,-kh6ng thuc hiQn trich b6 sung khi d6 thanh ly hgp d6ng cta ndm tdi chinh vd t6ng hqp s6 kinh phi ndy vdo q"uy6t toa. chi phi khrim bQnh, chta bQnh BHYT cria tinh. - Thanh to6n day dt, kfp thdi ti6n hoa h6ng cho nhtng c6n b6 tryc titip rdm c6ng t6c BHYT HS-SV khi c6 dri h6 so.. - Thanh torin day dri, klp thoi chi phi KCB BHyr. BAo vQ quy6n loi cia. HS-SV tharyr gia BHYT.. -. BrxH. dnh c6 tr6ch nhi6m t6ng hQrp, brio c6o sii luqng vd k6t qu6 thuc hiQn c6ng t6c BFIYT HS v6 56 Gi6o dpc vd Ddo tao. - BFXH tinh cht tri vd ph6i hqp v6i Sd Gido duc vd Ddo tao t6 chric t6ng kct c6ng t5c BIrYT (vdo thdi di6m k6t thric n6m hQc hoqc bit dAu'n6m hqc m6i); tuycn ducmg khen thuong kip thdi nhirng do'r vf, trulng hgc tich cuc trong c6ng t6c thr,rc hiQn BHYT. -. BIil(H tinh ph6i hqp v6i sd Gi6o duc vd Dio t4o huy. d6ng c6c t6 chric, c6 nh6n trong vd ngodi nu6c, c6c nhd h6o tdm mua BHYT h5 trq cho hoc sinh c6 hodn c6nh kh6 khdn vdo ddu ndm hoc. 2.2.. -. BHXH huyQn, thixi, thinh ph5. BIXH. huyQn h6ng n6m ph6i b6o c6o cp thii s6 luo. ng HS-SV; s,i US_SV cria timg trudng dd tham gia Btryr (ph6n tich 16 s6 ngudi tham gia theo nh6m d6i tuqng kh6c); tf lQ tham gia Brryr tai c6c trudng hoc cria tlla phuong rrc ttra,rtr i,y,. Thi riy, HuyQn riy, UBND c6c cdp, Sd Gi6o dUc vd Ddo t?o, phong Girio duc vd Eiro tpo, BID(H tinh Kh6nh Hi:a(theo mdu 74-BHWHS).. - T6ng hqp vd b6o c6o BID(H tinh s6 lucrng HS-SV tr6n dia bdn c6 hodn cAnh kh6 khdn cdn h5. trg mua the BHYT.. IV. TO CHIIC THIJ. C HIDN Hu6ng ddn ndy duoc ph6 bi6n drin tdt cit c6c co sd gi6o duc vd ddo tao, Ban dai di6n cha mg HS-sv trong todn tinh duoc bit5t va thuc hi6n; d6ng thoi duoc dang tai tr6n 86o Kh6nh Hda, 2 s6 li6n tuc sau khi hodn thdnh vi€c ky k6t gita hai co quan Sd Gi6o duc vi Ddo tao vd BFD(H tinh Khenh Hda. C6c don vi, trudng hoc c6 tr6ch nhi6m ph6 bi6n, ph6i hgp v6i c6c t6 chuc dodn th6_trong truong vd h6i cha me hgc sinh d6 thuc hi6n dring c6c n6i dung cria hu6ng d6n tr6n.. 12.

(13) Trong qu6 trinh trir5n khai thuc hi6n, n6u c6 gi vu6ng m6c, d6 nghf c6c don vi vd c6 nhdn phan rlnh vd co quan BID(H tinh Khrinh Hoa (phdng q:run ty ttu, dia chi email: , s5 diQn thoai o:zsi.l.tzl++a1 hodc Sd Girio dgc vd Edo tqo (phdng Chinh tri, tu tuQmg, dia chi email: , s6 aign thoai: 025g.3.g2729r) ae a.rq'" hu6ng din thuc hi6n.7.. SO GIAO DUC VA D)\O. TAOilLl. KT. GIAM D6C PHO GITM DOC. 62r\). BAo HTEM xA HoI KIIANH HoA KT.GIAM DOC. 6 cravrooc. t,o*/ BAO HIEM. 1. x.n uOr. \,,\ ThuAn. L6 Hring Chfnh. Noi nh@n:. -. Il9_l-c_GD?r cdc huyQn, - BHXH c6c huyQn;. rx, rr. laii thsc hiQn);. 13.

(14) a.

(15) MAu TKI'TS (Ban hanh kCm theo QD. BAo EIErvr x4 rrgl rgIET. NAM. si5:. 595/QD-BHXH. nldy l414l20l7 cnaBHXH Viet Nam). IroA xA ugl cHU NGHIA VIET NAM. CQNG. DQc ISp -. Tg do - H4nh phtic. TOICIAI THAM GIA, DITU CHINH THONG TIN BAO HIEM XA IIQI, BAO HITM Y TE. Kinh gti:. I. PhAn kG khai. rit. buQc. [01]. H9 vd t6n (viiit chr in hoa): [02]. Ngdy, th6ng, ndm sinh: ........./. ........1 [0a]. Qu6c tich. ............... [03]. Gidi t051. Dan tQc .............. ............. tinh:. [06]. Noi deng ky gi6y khai sinh: [06.1]. Xd (phuong, thi tr6n): [06.3]. Tinh (Tp): [06.2]. HuyQn (qufln, thi x5, Tp thuQc tinh): [07]. Dla chi nhQn h6 so: [07.1]. S5 ntra duong phii, th6n x6m:. ............ 107.21. XdL (phucrng, thi. [08]. H9. II.. tOn cha/. tr6n):. [07.3] HuyQn [07.4].Tinh (rp): ............ mg/ ngudi gi6m hQ. @iji. va. ri. em duoi 6. ................... (quan, thi x6, Tp thuQc tinh):. ndl:. PhAn kG khai cirung. [09].. Me.OSFIXFI(decAp):........ t09.11. 56di6nthoaili6nhQ:.... t09.21. 56 CMND/ H6 chi6u/ Thd c6n cu6c:. ........... ll0l. Ma sii tre gia dinh (da c6p): ........... (trtrdng hqp chta c6 md hQ gia dinh thi. [1 1].. Mric tidn. d6ng:. ki khai bd sung Muc tll. Phin. k€ khai thdng tin hA gia dinh kim theo td khai). ....t121. Phuong thric tl6ng:. [13]. Noi ddng ky kh6m b6nh, chta bQnh ban dAu: t141. NOi dung thay tl5i, y6u cAu:. tl51. Hd so kdm theo (n6u c6): XAC WHAN CUA EON VJ (chi ap dang diji vdi ngudi lao dQng thay diii hp, ftn dQm, ftn; ngdy, thdng, ndm sinh). T6i cam doan nhfrng n6i dung k6 khai ld iffng vA chiu trdch nhi6m tru6c phrip ludt vd nhfing n6i dung tld k6 khai , ngdy ....... thdng....... ndm ........... Nguli kG khai (Kj,, ghi rd hq rcn).

(16) Phg lgc: Thirnh vi6n hQ gia tlinh ....... SO diQn tho4i. Hg vd t€n chri hQ:. Sri sO trQ khAu (ho4c sti t4m tni):.... trAn):........... stt. Hg. vi B. tOn. pn61.... xd,TpthuQctinh):............... .Tinh(fp): Eia chi: Th6n (bdn, to. ..HuyQn(quin,thi. Gi6,i. BIIXH. Ngiy, th6ng, nim sinh. 1. 2. 3. Ma s6. (n6u c6):. tfnh. aan. Noi c6p gi6y khai sinh 4. ......Xa. fuhuong, thi. M6i quan hQ vrfi chrri. 56 CMND/Th€. h6. chi6u. 5. 6. cin cufc/. HQ. Ghi chri. 1. 2. ). 4. (Ghi chti: Ngud.i kA khai co thi tra cilru MA. si6. BHXH vd Md h0 gia dinh tai dia chi: ). 7.

(17) HI,6NG DAN LAP Td khai tham gia, tli6u chinh th6ng tin b6o hi5m (M6u TKI-TS). xi. hQi, bno hi6m y t6. a) Muc dich:. - KC khai c6c th6ng tin ngudi tham gia BID(H, BHYT, BHTN vd thdnh vi€n HQ gia tlinh khi kh6ng c6 md s6 BFXH. - K6 khai khi c6 ydu cAu di6u chinh th6ng tin tham gia BFDGI, BHYT, BHTN, BHTNLD-BNN nhu: nhdn thAn, chric dbnh ngh6, phuong thuc d6ng, noi d6ng kf, KCB ban t16u ... b) Tr6ch nhiQm l|p: - Nguoi tham gia BFXH, BHYT, BHTN, BHTNLD-BNN. - Cha/me/ngudi gi6m hO (d6i v6i T16 em du6i 6 tu6i). c) Thcri gian lQp: - OOi vOi ngudi lao dQng cring tham gia BFXH, BI{YT, BHTNLD-BNN; ngudi chi tham gia BIDG bit buQc; ngudi tham gia B[D(H tU nguy6n: Khi tham gia khi chua dugc c6p ma s6 gfXH hodc di€u chinh th6ng tin iham gia BTD(H, BHYT, BHTN, BHTNLD, BNN. - OOi vOi ngudi chi tham gia BHYT: * Tre em du6i 6 tu6i chua dugc c6p th6 BHYT; + Ngudi tham gia khi c6 di6u chinh th6ng tin; ngudi tham gia chua duoc cdp md s6 BID(H. d) Phuong ph6p lQp:. .. [01]. H9 vri t6n: ghi dAy dri hg, chfi ddm vd t6n bdng cht in hoa c6 d6u cria ngudi tham gia BFXH, BIfYT, BHTN, BHTNLD-BNN. t02). Ngdy th5ng ndm sinh: ghi diy dir ngdy th6ng ndm sinh nhu trong . giAy khai sinh ho{c chimg minh nhdn ddn, h6 chi6u, th6 c6n cuoc. [03]. Gi6i tinh: ghi gioi tinh cria nguoi tham gia (n6u ld nam thi ghi tu "nam" ho{c n6u ld nt thi ghi tir "nt"). [0a]. Qut5c !ch: ghi nhu trong gi6y knai sinh hodc chimg minh nhAn ddn, h6 chi6u, th6 cdn cu6c. t051. D6n tQc: ghi nhu trong gi6y khai sinh ho4c chimg minh nh6n dAn, hQ chi6u, th6 cdn cu6c. [06]. Noi dnng ky Gi6y khai sinh: ghi 16 t€n xE (phuong, thi tr6n), huy6n (quQn, thi x6, thdnh ph6 thuQc tinh), tinh, thAnh ph6 de d6ng kigi6v khaisinh. Trudng hgp chua x6c dinh .luoc noi cdp giey khai sinh l6n dAu thi ghi nguy€n qudn (truong hqp srit nhAp, chia t6ch dia gi6i hdnh chinh thi ghi theo t6n dia danh tsi thoi di6m k6 khai) hopc ghi theo noi ddng kj h6 knAu thudng rru hodc tam trri. [07]. Dia chi nhQn h6 so: ghi diy dn dia chi noi dang sinh s6ng d6 co quan BHXH grii tra s6 B[D(H, the BHYT h rdc k6t quA gidi quytit tt t tUc trann chinh khric: s6 nhd, dudng ph6, th6n x6m;.xd (phudng, tli tran); huy6n (quAn, thi xd, thdnh ph6 thu6c tinh); tinh, thanh ph6. [08J. H9 t6n cha ho{c me, hodc ngudi gi6m h6 (rip dsng d6i v6i tr6 em dudi 6 tu6i): Ghi hq t6n cha ho{c mg ho{c nguoi gi6m hQ.-. ..

(18) t091. Me si5 5p dung aOi vAl. BID(H: ghi me. s6l. trudng hqp kh6 BID(H t4i Buu ph5i hqrp v6i Co quan BID(H ho{c Don it,rlnf,a trudng, Co sd trg gitip x6 hQi, ngdnh lao d0n8' binh vd nguoi' c6 c6ng;'Ci scr gi6o dr,rc nghA nghi€p thu:l biril vd xe hQi ve qr* q"at' If d5i tuqng d6 x6c dinh md s6 BID(H' ,f,"Lg ' "o aien tho4i 1i6n hQ (nt5u c6)' so aien thoai li6n hQiehi . 'o chii5u/Th6 c[n cu6c: ghi s6,. chimg /H6 nhAn ios.z]. S6 chimg minh minh niAn aat hoa" ghi so ha chi6u. ". i;.il. BlxH. .. hoflc Dcrn. vi sri dgng lao dQng". du&ng thucrng binh vd ngudi c6 c6ng; lao dQng, thuong binh vi x5 hQi vd co Q gia dinh. voi ngudi tham gia BID(H tP nguYQn): lga chgn' ghi muc thu nhQp thrlng do ngudi tham gia BID(H tu nguyQn v6i ngudi di lao dQng'o nu6c ngodi' ]lz).Phuong thirc d6ng (6p dungd6i 03 th6ng phuong thirc d6ng nguOi iham gia elD(H tU nEuy6n): ghi cq thC ho4c 06 th6ng ho4c 12 th6ng ..' bqnh tl3l. Noi dEne kf fCS Uan dAu: ghi noi ddng kh6m b6nh' chira noi KCB ban dau dusc co quan BID<H aa,,g. li. RHYTI;. ;t;i;;h. ,a.n. $. ki. lcy KCB ban. diu "'. t151. H6 so kdm theo: gi6y td chimg minh' - OOi rOi ngudi diAu chinh th6ng tin, ghi c6c lopi. hon' ghi cdc - pOi vOi .rg.rOi ,lrurn gia dugc hudng quy€n lqi BlryT cao. loai gi6y td chimg minh. Sau khi hodn tAt viQc kC khai,. kh6ng Phdi x6c nhQn..

(19) Phg lgc: Thirnh viOn hQ gia tlinh a) Mpc dich: KO khai dAy chi, chinh x6c th6ng tin toen b0 thanh viOn hQ gia dinh trong s6 hQ khAu hofc s6 t4m tr0 ctra ngudi tham gia.. b) Tr6ch nhiQm lQp: - Nguoi tham gia ho{c chri h9 ho{c ngudi clpi diQn h6 gia dinh.. - Chalmqlngudi gi6m h9 (d6i v6i T16 em du6i 6 tu6i). c) Thoi gian lfp: khi nguoi tham gia BFD(H, BFryT, BHTN, BHTNLDBNN chua dugc cdp md s6 BFD(H. d) Cen cri lpp: sO ng khAu hoflc s6 tam tr[r, gi6y to li6n quan d5n tham gia BFXH, BHYT, BHTN, BHTNLD-BNN; d) Phuong ph6p lap:. ghi f,. * Phan th6ng tin chung: rO s6 tpm tru); rO A9" thoei ii6, xE (phuon e,. iii#"1. huyQn (quan, thi. x5,. hO; ghi s5 s6 hQ lhAu (hoac chi: th6n (ban, t6 dan plO); Qc tinh); tinh (thanh ph6).. Trucnrg hqp h0 gia dinh chi c6 gi6y tamtru thi v6n thyc hiQn kC khai nhtmg ghi 16 cpm tir *gi6y t4m tni" vdo cQt ghi chir.. * Chi ti6u theo cQt: - Cgt A: ghi sO tn,i tU tt I d6n htft c6c thenh vi6n trong hQ gia dinh. - Cgt B: ghi dAy dri h9 vd tOn cria tirng ngudi trong s6 h0 khAu (tru nhirng nguoi tp* uing) ho{c sO tam tru (bao g6m chu hQ vd c6c thirnh vi6ir trong hQ). - COt 1: ghi md s6 BFD(H AOi vOi timg thdnh vi6n h0 g,9jl+ dd dusc co quan B[D(H c6pitrucrng truong hqp chua x6c dfnh dugc md s6 BHXH thi nguoi k6 khai c6 th6 tra cuu md s6 BFD(H tai clia chi: (nOu I. r.. \. -. Kl9n). ou oleu. - Cgt 2: ghi ngd.y, th6ng, n6m sinh nhu trong gi6y khai sinh hoflc chimg minh nhAn ddn, hQ chi6u, th6 c6n cu6c. - Cgt 3: ghi gi6i tinh crta cdc thenh viOn trong hO (ntiu ld nam thi ghi tir "nam" hoflc n6u Id nt thi ghi tir "nt"). - Cgt 4: ghi 16 t6n xd (phucrng, thi tr6n); huyQn (qufln, thi x6, thdnh ph6 thuQc tinh); tinh, thanh ph6 dd cAp gidy kl ai sinh.. Trulng hgp chua x6c dfnh dugc noi cAp gi6y khai sinh thi ghi nguy6n qu6n (trulng hgp s5t nhap, chia t6ch dfa gi6i henh chinh tfi ghi theo t6n dia danh t4i thcri di6m kC khai) ho{c ghi theo noi ddng ky h0 khdu thudng tru ho[c tpm trir.. - Cgt 5: ghi. -6i. qtran hQ v6i chtr hQ (ld vg, ch6ng, con, ch6u...).. - Cgt 6: 56 chirng minh 4an danfig chi6u/Th6 cdn cu6'c (n6u c6): ghi chring minh nh6n ddn ho{c ghi sO hQ chi6u hoflc ghi s6 Th6 c[n cu6c. - Cgt 7: ghinhirng nQi dung cAn ghi chir. Sau khi hodn t6t viQc k€ khai, ngudi kC khai ky ghi 16 hg t6n.. s6.

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(21) T€n don vi:. Miu D03-TS. S0 dinh danh:. DANH SACH NGTIOI CHi THAM GIA BHYT Sii:...... thdng ..... n5m ....... Dia chi:. H{) va t6n. B. I. Ma sii BHXII. Ngty thdng nIm siIh. Gifi tlrh. Nqi itlng. 3. ki. 4. ll. Nguoi tham gia. t2. Ti€n luoag. ri. Bier lai, ngey tham gia. giay khai sinh. te. Thli. h?n sn dung tha. NS h6. 5. TIng. (Ban hdnh kn theo eD sii SeSlgO-lAXn ngdy l4/04/2017 c a BHXH ViAt Nan). s6. Nsav. 6. 7. 8. I. s6 thans. Til rgA]. l0. ll. L9ng teng II. ll. Gie m I. Ngusl tham gla n lucmg Lqng grnn. Phir CQBHXI-I ghi: Tiing sii thi BH\at dd nghi cdp:. Ngucri IAp bi6u. IJBND xii/D4i (h-i,. li ................. ghi rd ho tOn vi d6ng ddu). Co quan. quin. lj. tliii tugng. (bi. ghi rO h9 ftnva d6ng diu). Ghi ch rl. l2.

(22) ly). duc)". ...(ron coquan quan " '(t0n co so gi6o. Miu 03/BHYT. C9NG HOA XA HeI CHU NGHIA VIET NAM D6c l6p - iu ao - Hanh phric. DANH. SACTT. HOC SINH. SINH VITN. THAM GIA BHYT THEO NHOM bOT TUONG KHAC. stt. Hg vd T6n. Ngdv th6ng ndm sinh. L6p. Thdi h4n sri dpng cria. Noi dlng k!. the. kh6m bQnh, chira bQnh ban. Ma the. BHYT. -,1 oau. Tir. Nguoi l4p (ky, hq t6n). D6n. ........ngey........th6ng......ndm..., Thri tru&ng tlon vi (ky, hq t0n, d6ng d6u). Ghi chir: 1. Tr6ch nhiQm 1{p: Co s0 gi6o duc Qu6c ddn lap grii co quan BHXH vdo th6ng dAu cria n[m hgc hgc kh6a hqc ctng m6u D03-TS ban hdnh theo Quy6t dinh s5 SlSlqO BFXH ngiry 1410412017 cria BFIXH Viet Nam 1. Phuong ph6p lpp: - Ghi ddy dri hg t6n, ngey, thring, n[m sinh cira hgc sinh, sin viOn, l6p dang theo hoc - ,Me the BHYT: Ghi dAy dri md the BHYT dd c?rp cho hoc sinh, sinh viOn - Thdi h4n su dpng ctra th6: Ghi theo thoi han sft dpng trOn the BHYT. - Noi ddng ky kh5m bQnh, chira bQnh ban diu: ghi theo the BfryT..

(23) PHV LUC Quy. trinh cdp th6 BHYT cria hgc sinh , sinh vi6n (trong tI6 c6 rir so6t, c6p mi s6 BUXU tl5i tugng hgc sinh, sinh vi6n ). r. HoAN. THrpN MA SO BHXH vriti ccr quan BHXII. l.I. In thi n. Bwlc. l:. BHYT theo QD 595 vd danh sdch MSI. Crin b6 chuydn qudn thu tr6n ph6n m6m TST:. - Thpc hiQn d6 ngh!. BHYT theo QD 595 d6i v6i nhirng truong hqp da d6ng bQ duoc mE sO efD(FI c6p the. - In Danh s6ch ngudi tham gia chua c6 ma. sO. gfXU. (MAu MSI) chuy6n. dtin nhd truong rd so6t th6ng tin th6ng qua Buu diQn (kh6ng bao g6m hgc . , -l r . :.. ,1 . sinh ddu c6p vd cu6i cAp). Trong d6 danh s6ch dugc ph6n theo lcrp (theo. nguy6n. tic lop ndm tru6c cQng +t). sor. fiAn danh sdch MSt vd cAp ddi 1.2.1. BQ phQn TN&TKQTTHC 1.2. Thqc hipn rd. r Bwfc 1:. Nhdn mdu MSI vd. TKl. *e. nnyf. do nhd trudng chuy6n dtin th6ng qua Brru di6n,. thuc hi€n:. Ki6m tra truong th6ng tin md sO efD(H tr6n MSI. vi. TKI-TS. N6u. kh6ng c6 thi thuc hi6n: - Truy c$p ph6n mdm TST tra cuu thdng tin tr€n dft liQu hQ gia dinh: + Trucvng hgrp tim th6y md s6 BIDG cria ngudi tham gia thi b6 sung vdo. m6uMSl. + Trudmg hgp kh6ng tim th6y ma s6 gfXU: ki6m ffa k! c6c th6ng tin tr6n M6u TKI-TS vd phlr lpc kdm theo, dfi li6u grii dtSn bQ phAn Thu ph6i dAm b6o diy dt. tt Bttdc 2:. Bdn giao todn bQ h6 so, d[ Iipu d6n bQ phQn Thu d6 thgc hiC.n c6c bu6,c tii5p theo.. r Budc 3'.. NhAn th6 BHYT cAp lai theo ma s6. gfIXU ra. D@. tri b6 phQn S6 th6 tr6 cho nhd trucmg th6ng qua Buu diQn. 1.2.2. BQ phQn Thu. t. Buhc 1:. - Import file d& liQu MS. 1 de. duoc b6 sung m6 s6 tu don vi d6 hoan thien. vi6c c6p ma s6 gftxH.. - Truong hqp c6 b6 sung Mdu TKI-TS: viro chric ndng ..H6 gia -tinh ->. dt liQu d6 c6p ma s6 BFD(H. - D6 nghi c6p th6 BHYT theo eD 595 d6i v6i nhirng truong hgrp d6 b6 D6ng. bQ rne s6. BHXH" import. sung hodn thi6n c6p. mi.. - Chuy6n file phu luc TKl crja Buu di6n l6p cho nhd trudng.

(24) 1.2.3. BQ phQn s6 th€ tu. Builc 1:. nghf cAp th6 BHYT theo QD 595 tr6n phan m6m TST, c6n bQ s6 th6 thqc hiQn in th6 BI-ryT vd Danh s5ch c6p the BFryT (MAu Cdn cri dir liQu. dO. 10a-TS). v Btthc 2:. Bdn giao th6 BHYT vd MAu 10a-TS d6n bQ phfln Ti6p nhpn vA tra kCt. qui thri. tr,rc hdnh. chinh (TN&TKQ TTHC) dti tra cho nhir trudng thdng. qua Buu diQn. 2. D6i voi Buu di6n >. Bttdc 1:. Nhfln Mdu MSl vd MAu TKl-TS,tt co quan BFD(H dC chuy6n cho nhd trubng rd so6t, b6 sung md s5 BFD(H vd kO khai th6ng tin cria HSSV.. > Bwdc 2:. Trgc ti6p ph6i hgrp v6i nhi trudrngtra criu md s6 BFD(H cria HSSV trOn. c6ng th6ng tin cta BFD(H ViQt Nam (tai dia chi https://baohiemxa hoi.gov.vn/tra cuu/Page/tra-cuu-ho-gia-dinh.aspxt dA b6 sung md. 16. BFD(H vdo MAu MSl. > Buhc 3:. Nhfln MAu MS1 vd Mdu TKI-TS sau khi dd rd so6t, b6 sung md s6 BFD(H vd k6 khai th6ng tin cira HSSV tu nhi trucrng chuy6n co quan. BIilH. v Bufuc 4:. - Ph6i hcr,p co quan Btt(H cpp nhat dAy dir, chinh x6c thdng tin kC khai tr6n Mdu MSl vd MIu TKI-TS ctra HSSV vdophAn -Arn quin ly d6 dugc c6p md. sO. gfXH.. - Chiu trdchnhiQm. vO. titin dQ, ch6t tuqmB th6ng tin cria ngudi tham gia. dugc cap nhat vdo phdn mdm quin ly.. trudng Nhi truong nh4n Danh s6ch hgc sinh, sinh vi6n tham gia BFIYT (nguoi tham gia) b6 sung th6ng tin dC c6p m5 sO gfXg (MIu MS 1) tit co quan. 3. Ddi vr6,i nhh > Bwdc 1:. BI-XH th6ng > Bttdc 2:. qua Buu dign.. - Tra ciru th6ng tin md s6 BFD(H tai dia chi https:llbaohiemxahoi. gov. .v. nl tr a c uul P a q e s I tr a - c uu- ho - qia- di nh.a sp x. - Trucrng hgp tim th6y th6ng tin nguoi tham gia: nhi trulng bO sung md. BFXFI vdo M6u MS 1. - Trucrng hqp kh6ng th6y th6ng tin ngudi tham gia: nhh trudng hu6'ng ddn phq huynh hgc sinh hoic sinh vi6n 10p Mdu TKI-TS kdm theo "Phu sO. h.rc: Thdnh vi6n hQ gia dinh". > Bwdc 3:. @,. Mdu TKI-TS gui v0 co quan BrD{H th6ng qua. Buu dign. co quan BFD(H hodc B uu. > Bw6'c 4:. 2.

(25) diQn dC. tri. cho nguoi tham gia.. 4. DOi voi phg huynh hgc sinh tt. Bwdc 1:. hoic sinh viOn. - Trgc ti6p hogc ph6i hqrp vdi Buu sO. cliQn. Vdn h6a xE tra criu th6ng tin mE. BFD(H tai dia chi: http s : I I baohiemxahoi. sov .vnl tracuul. ho-qia-dinh.qspx. Th6ng b6o mE. sO. P ase sl. tra- c uu-. BFD(H cho nhd truong, khi thUc hien. c6p, d6i the BFryT. - KO khai chinh x6c, dAy dtr th6ng tin tr6n mdu TKI-TS vd php lpc kdm theo (n6u c6 y6u cAu).. t Bwfc 2: Nhfln the BHYT l4i theo mE sO BID(H. II. TANG MOI HSSv, CAP L4.I, DOI THE BITYT vA KHI THE BHYT HET HAN sTI UNG 1. DOi vri,i nhir > Bwilc. l:. trudng. vi phg huynh hgc sinh. Khai b6o mi s5 BHXH:. - Truong hqp HSSV cung c6p dugc md s6 BFD(H: nhd trubng lflp Danh s6ch nguoi chi tham gia BHYT (M6u D03-TS) md kh6ng cAn lQp M6u TK1-TS.. - Truong hqrp HSSV khdng cung c6p dugc md s5 BID(H ho{c chua c6 md s5 BFD(H:. + Nhe truong truc ti6p ho?c ptrOi trgrp v6i Buu di6n cdn cri hg t€n, ngdy. sinh;.... cria HSSV. truy cap vio dia chi:. https:llbao. hiemxahoi.sov.vnl tracuul Paqesl tra-cuu-ho- sia-dinh.asox d6 tra cr?u md s6 BFD(H:. Tra crfru thdng tin: - Trudng hgp tra ciru dugc md s5 B[D(H tr€n dir lieu hO gia dinh d6y dt, chfnh x6c vdi h6 so, nhd trucrng b6 sung md s6 BID(H vdo M6u D03TS.. - Trudng. hgp tra cftu dugc mE s5 BHXH tr6n dt lipu h0 gia clinh nhtmg th6ng tin sai lQch v6i h6 so hoflc thi6u th6ng tin, nhd truong lap MAu TKI-TS ac aicu chinh, b6 sung th6ng tin vd MAu D03-TS bdo trng ' ngudi tham gia.. - Trudrng hqrp kh6ng tra ciru duoc th6ng tin:. nhlr trudrng huong d6n. ngudi tham gia lppMSu TKI-TS kdm theo,,phu lpc: Thinh vi6n hQ gia dinh".. t. Bwdc 2:. t Budc 3:. Nhd truong sri dpng phAn mdm k6 khai B[D(H c a cilcnhd cung c6p dich vu I-vAN (Eon v! I-vAN) lOp h6 so diQn tri ho{c lsp h6 so gi6y.. Gti h6 so di6n tu ho{c. frO. r" 3.

(26) ho{c n6p h6 so cho co quan BFD(H th6ng qua Buu diQn.. 2.D6ivinBuu v Bw6c 1:. tliQn. Tryc ti6p ph6i hqp v6i nhd trulng tra criu mi sO efD(H cta HSSV tr6n c6ng th6ng tin cria BFD(H Vi6t Nam (tai dia chi https://baohiem xahoi. gov.vn/tra culr/P aqe/tra-cuu-ho. >. Budc 2:. > Btalc 3:. -. eia- dinh. as pil.. Nhin chuy6n ph6t h6 so cfra nhd tru<rng cho co quan Bm(H. - Ph6i hqp v6i co quan BFD(H c{p nhQt dAy dir, chinh x6c th6ng tin kC khai tr6n MAu TKI-TS vdo phAn mdm qu6n ly dii duqc cAp ma s6 BTD(H.. - Chiu tr6ch nhiQm v6 ti6n d0, chAt lugng th6ng tin cria ngudi tham gia dugc cQp nhft vdo phAn m6m quin lj. 3. Co quan. 3.t.. BQ. BHXH. phQn TN&TKQTTHC. t Bn6c I:. NhAn. dt. liQu tliQn tu ho4c h6 so gi6y. tir co quan Bw. diQn giim MAu. D03-TS vd TKI do nhd trudng chuyiin dtln, thuc hi6n:. -. Truy cfp vdo dfa chi: https:llbaohiemxahoi.sov.vnltracuulPagesltacuu-ho-sia-dinh.aspx tra criru th6ng tin tr6n dt liQu h0 gia dinh OOi vOi trudng hqp kh6ng c6 md s6 B[D(H tr6n Mdu D03-TS. + Trucmg hqp tim thAy m6 s6 BFD(H cria ngudi tham gia thi b6 sung vdo m6u D03-TS.. + Trudng hqp kh6ng tim th6y ma sO BID(H: ki6m tra k! c6c th6ng tin tr6n Mdu TKI-TS vir phr,r luc kdm theo, dft lieu gui dtin bQ phQn Thu phii. -: ou. oam bao oay >. Budc. 2'.. Bdn giao toan b0 h6 so, dir liQu diin bQ phfn Thu d6 thgc hiQn c6c budc .!. tlep theo. tt Budc 3'.. Nhin th6 BHYT vd Danh s6ch cAp the BHYT tir nhd trulng th6ng qua Blru diQn.. bQ phan 56 thd trA cho. 2.2. BQ phQn Thu. t. Burfc 1:. vd MIu. @S. TKl TS kdm theo "Phq luc. Thdnh vi6n hQ gia dinh" vd thqc hiQn theo quy trinh t4i Budc 2.. t Butc 2:. Import dfi liQu d6ng bQ vdo co sd dt liQu hQ gia dinh: tr6n phAn m€m TST trCn thanh menu viro chirc HQ gia tlinh chgn Xft lf TKI dti import. l.. f,rle template vdo co sd dft liQu.. - Trudng hqp file import c6 ma s6 gtD(H nhmg phdn m6m cAnh b6o kh6ng c6 dt liQu tr6n HQ gia dinh vd dt liQu thu TST (sai md si5 efXH; thi x6a ma. s6. gtU<tt tr€n file. dC c6p ma sO. 4. gfXH. mOi'.

(27) 2. NhAn "xuAt dir liQu" ra file d€ import vdo phrlt sinh thu. tt Bwdc 3:. Thyc hi6n c6c nghiOp up c6p sO BFDGI, the BHYT theo quy dinh.. 2.3. BO phAn sA. r Bwdc. l:. *e. Cdn cri dfr liQu d6 nghi cdp th6 BHYT theo QD 595 tr6n ph6n m6m TST, c6n bQ sO the thUc hi6n in th6 BHYT vd Danh s6ch c6p the BFryT (MAu. lOa-TS). tt Bwhc 2:. Bdn giao the BHyT vd MAu 10a-TS d6n UE pn. qui thu tpc hdnh chinh (TN&TKQ TTHC) 116 tri cho nhh truong th6ng qua Buu diQn. 2.4. Cric. bQ. phQn khdc: thuc hi€n theo quy dinh hipn hanh./.. 5.

(28)

(29) MEu O2-BHYTHS. cgNG HOA xA HQr CHU NGHia vIEr NAM D6c lAn - Tu do - Hanh phric. BANG TONG HoP So LIEU HQC SrNH, SrNH VrEN THAM Cia nnyr Tar TRT.IoNG HQC. NIm hgc:. Don vi trudng hgc:.. Dia chi:.. STT LOP (KHOA). TONG SO. HS-SV A. B. TONG SO DA CO THE BHYT BAT BUoC THEO DIEX QTII DINH. -. TONG SO HS SV THAM GIA. BHYT TAI TRIIONG HOC. D. C. GHI CHU. E. F. I 2 3. 4 5. 6 7 8. 9. l0. ll. t2 l3 TON. CONG. T6ng sti hoc sinh tham gia BHyT:. l. TOng sti ti€n hgc sinh ( Bing T6ng sd ti0n do Ngdn s6ch. (Bing. NgdynQpti6nchocoquanBHXH: ../...... THU. xE. ). Ngdy.......th6ng......ndm DON VI THAM GIA. CO QUAN BHXH. cAN ng. ../...... ToAN. Glti chrt: CQt C: ghi sd lwqng hgc sinh c3t !: s!|sQ lons hec cQt E: ghi sii luqng hgc. sinh sinh. GIAM. DoC. DAI Lv THU. BHYT HIEu TRuoNG. cdc nh6m khdc theo Ludt BHyr. c nh6m 4 (hqc sinh-sinhvi€n)..

(30) MAu 01-BFIYTHS. r4o..... ...... DUC vA oAo PHONG GIAO DUC SO. cIAo. CQNG. HoA xA HQI CHU NGH]A VIET NAM Doc l6p - Tu do - Hanh phirc. DANH SACU CAC TRUONGVA SO HgC SINH NAM HQC ....'. rtN rntloNc. STT. TONG SO HOC SINH. GHI CHU. I Trucrng A 2. Truhng B. Lfp bing. Noi nhfn: -So Gi6o dgc - ddo tao Kh6nh Hda;. -BHXH tinh, huyQn; -Luu.. ..,.., nghy.....th6ng......nim..... TRIIOI{G PHONG.

(31) MAu 04-BFIYTHS. nAo nrrvr xA Hgr xnANu non. CQNG HOA XA HQI CHU NGHTA VIDT NAM DQc lflp - Tr; do -H4nh phfc. BAo cAo riNn siNn rHAM GrA BHyr Hoc srNH NAM Hoc ..... STT. TTN TRIIoNG. TONG SO HQC SINII. I. SO HS THAM GIA. TAI TRTIONG. TIIAM GIA o rvrropr rrr.q.c. SO HS. TONG CONG. TY LE DAT. GHI CHU. 2. ....., ngay .... Thdng ... ndm. Lflp bing Noi nh6n: -HuyQn. ty ....;. -UBND huyQn..... ; -Sd Gi6o dpc - ddo tao Kh6nh Hda; -BHXH Kh6nh Hda; -BHXH huyQn ........; -Phdng gi6o duc.......; -Luu.. .... GIAM D6C BHXH IIIIYEN.

(32) vrSu s5 otmHvt. .......(l)......... Mds6donvi: ... ceNGHoAxAugtcHtrNGHIAvIErNAM. .(2).... DQctfp-Tqdo-H4nh phric. sANOt NGHI TRICH CHUYEN KINH PHi CHAM S6C SUC KHOE BAN DAU Kinh giri: B6o hi6m xE hQi tinl/huy0n... (3).... CEn cri quy ttinh tai Didu 18 Thdng tu li€n tlch si5 +t[tLt-sYT-BTC ngdy 24/11/2014 cira li6n BO Y t6 - BO Tdi chinh hudng d6n thuc hiQnb6o hiiim y t6,. ...(1)... dt di6u kiQn dti sri dpng kinh phi chdm s6c sric kh6e ban diu cho ngudi lao dQng/hqc sinh, sinh vi6n/tr6 em du6i 6 tu5i t?i tlcm vi, cu th6 nhu sau: 1. V6. l.l.. nhin lr;c y t5: c6 ...... cdn. Ong. bQ. gdm. /bi: ............. - Trinh dQ ddo t4o:. - Quytit tllnh tuy6n dung/Hqp d6ng ldm viQc/Hqp ddng lao dQng s0 .........tri ngdy ...1...120... diln ngiy ..../ ....120... 1.2. Ong. /bd:........ 2. Vd co. sO. v$t ch6t:. Chirng t6i cam ktlt dAm bio dir di€u kiQn theo quy tlinh cria ph6p ludt d6 su dpng kinh phi chi ch6m s6c sirc kh6e ban dAu t4i don v! vir th6ng b6o cho co quan BID(H ngay khi c6 thay d6i./. ....., ngdy .... thdng .... ndm 20.... Thri tru0ng tlon vi. (Ki,. hs t€n, d6ng dAu).

(33) Miu. s5. ourcKT. (Bsn hlnh kam theo COng vtrn s5 3s24/BHXH-TCKT ngly l419/2016 cria BHXH Viet Nam. .........................( I ) .................... Mi. s6 don. vi ......................... Xl ngr. CHtl NGHIA vrFr NAM DQc lflp - Tg do - H4nh Phric. CQNG HOA. BAN DE NGHI; TRiCH CHUYEN KINH PHi CTTAU S6C STIC KHOE BAN DAU (E6i v6i ciic trudng hoc kh6ng dri. diOu ki6n nhdn lUc). Kinh gfti: B6o hitim xd h6i tinh./huy6n Thuc hi6n quy dinh tai Di6u 18 Th6ng tu li6n tich sO +Vtttt-nyT-BTC ngdy 24llll2ol4 cria li6n BO Y t6 - BO Tei chinh hu6ng dan thgc hi6n b6o hi6m y t6, picm a 0 I 6/T-TLT-BYT-BGDDT ngity l2l 5 12016, c y tC trudng hoc .......(1).... ... ... Dt ban d6u cho ngudi lao d6ng/hoc sinh, sinh vi6Mr6 em dudi 6 tu6i tai don v!, cp th6 nhu sau: 1. V6. nhin lgc. - Ky hsp d6ng. v6i (2):. -Hqpd6ngsti: .......c6hiQulgctirngdy ...1....1........rilinngdy..1......1....... 2. V6 co s&. vft ch6t. Chring t6i cam k6t dim b6o thuc hiQn theo quy dinh cira ph6p ludt kC tt ngdy (3) .. ... de su dpng kinh phi chi chdm s6c suc kho6 ban dau tai dcrn vi vd th6ng b6o cho co quan BI-XH ngay khi c6 thay ddi./. ... ., ngdy ... ...thdng ...... ndm 20..... Thri tru&ng tlon vi (kj,. he t6n, a"Ong a6uj. 1) TOn co sd giilo duc. 2) Tram y td xd, phuong. thi tr6n ho4c co sry KCB tu hinh thtc pKDK tro lOn. 3 t Thoi di6m bdt dAu du didu ki6n nhdn kinh phi CSSKBD..

(34) MAu s5 o3/TCKT (Ban hirnh kim theo Cong vin s6 lSZlilUXff-TCKT ngty 141912016 cria BHXH ViQt Nam. Co quan tlon vi:. nAo cAo NeI DUNG stl nuxc KINH PHi cssKBD Ndm. d6 triQu don vi: tneu Don vr: ^.( so. STT. NOi dune. I u. f6ns kinh phi CSSKBD dugc trich. 1. 2. .. .l. tlen. Kinh phi CSSKBD .Ie sfr dgng Chi mua thu5c, vQt tu y tti phpc W so c6p cuu Chi mua sim, stra chfia trang thitit bi y tti th6ng thudrne. 3. 4. Chi mua vin phdng phAm, tir tei liQu phpc vp viQc quin l)r hO so sirc Chi mua s6ch, tdi liQu, dUng cu phpc vp tuy6n truydn, gi6ng dpy, gi6o dgc ngoai kh6a vd chdm s6c, tu vAn ch[m s6c sric khoe ..... 5. Chi kh6c d6 thyc hiQn c6ng t6c CSSXBD ....., ngdy ......thdng ...... ndm 20..... Thri tru0ng tlon.vi (ky, hq t6n, d6ng ddu).

(35) Miu si5: C84a - HD (Banhdnh theo Th,ng tu sd 178/2012/TT-BTC ngdy 23/10/2012 cila BA Tdi chinh) CqNG HOA XA HQI CHU NGHIA VIET NAM DQc lap - Tg do - H4nh Phric IIOP DONG TRiCH CTTWE,N MTTT PUI crrAu soc srJc rcror n.q.N.oAu cHo HQC SINH, SINH vtoNrrnE EM DI-rOI 6 TUor /I{D tll C[n cri Luit BAo hi0m y t6, sa ZS1ZO08/QH12 ngiy 14 thang 11 n6m 2008 vi Luft sua d6i bd sung qenoulQHl3 mOt s6 diEu cua Luit BHYT s6 fim2074 cua Chinh phu quy dinh chi tiOt. 1S6:. BHYT). ,. ngiry 24 thring 11. nlm 2014. ta B9 Tii chinh huong. cria. li6n B0 Y. d6n su dung kinh. -Nam. )14 cua T6ng Giem d6c BFDGI..Yiel Quy.dinh vA t6 chric thuc hiQn BHYT trong khdm bqnh, chtiabQnh; iar, Quytit dinh s6........ngey.......thang.....n5m.......cta..................vC viQc quy dinh chrlc ndng,. l. "ri4r ctra.phdng y trudng ......-.....t21 ! . ]e cil "u q"y6i din:[;6... ngai....thang....nem........ c .................. vE viQc quy dinh chric n6tg, nhiQm 4r cria Bio hiOm xe hQi tinh/ huyQn t3l.-.-.--.'...nhiQm. H6m nay, n$iy...th,ing...nim 20....1fl............. Chringt6i g6m: Iien A' Bio hi6m xd hOi (inh/huyQn). Dia chi:. BOn B: (TEn co quan ky hqp d6ng nhan kinh phi CSSKBD):.....'-...'.. Dia chi: DiQn tho4i: ,i. I al Knoan so : ............ D+i diqn 6ng @n): Ngay........thang .......n[rn ........... t5] GiAy riy qrydn s6 _! '..................;......... ky d6ng rich kinh phi chdm s6c sirc kh6e ban dAu b6n th6ng nh6t ki5t'hg.p Sau ichi th-6a thuan, Hai cho hoc sinh, sinh vi€n dang theo hgc t4r nha tru vng theo c6c didu khoan cg th6 nhu sau: Diiu 1. Td chric chlm s6c sr?c kh6e ban tliu B6n B cam k5t thuc hi€n dring quy dinh hiqn hdnh vA chlm s6c sric khoe ban dAu cho hQc sinh, sinh viSn/trd em du6i O tuOi tham gia BHYT dang theo hqc tal nhd tuong. Di6u 2. Phuorrg thric x{c dinh vir quy6t to:in kinh phi chi chlm s6c sri'c kh6e ban diu l. Xdc illnh kinh ph{ clti chdm sdc s*c khde ban dLu BAt vdt chd,m sdc s*c khod ban ctiu cho hgc sinh, sinh vi€n: Can cu vio s6 thd BHYT tid ph6t hd.u:h cho hQc sinh sinh vi6 phi chi cha.m , -) s6c sric kh6e ban ddu bdng 7Yo tdr,g thu qu! BHYT tmh tren i6n dang theo hgc t4i trudmg ( kC ca hoc sinh, sinh viOn tham gia BHYT theo ..,. theo c6ng thric sau: KPcssreo :7o/o x T6ng thu qu! BHYT HSSV tr6n s6 HSSV dang theo hoc. i.

(36) 6 ru6i: BBn A Trubng mAm non " ' tre idst;td,s thu qu! BHYT tinh tr6n s6 'm sau:. r0n tdng s5 tre. ban. diu. biio. f'. QrvAo. duoi 6 tudi dang theo. l-roc. nhiQm chuydn sO tidn nOu tr6n cho co sd. trich si6o duc. "m. rh trich nhiQm cfra b6n A quy dinh nh phi chSm s6c sric kho6 ban dAu theo. BYT-BTC\ a""i 6 tu6i vir nQp dri tidn d6ng o3. ".. quy n6u ph6t hiQn bOn B su dung kh6ng dfng dinh.. 2. Trdch nhiQm crta bAn A vierr,/ trd em s6c sric khde ban diu cho hoc sinh, sirrh a) Th6ng !6o kirrh phi duop sir dune de chSm o bOn B. thanh toan theo quy dlnh chung vd. vi. c6 ttraY d6i vd chinh s6ch. L Anyin crta b€n B. quy dinh tai o.Y.ti5.- Bo rai chinh; kh6e ban diu theo quy. A th6ng b6o sii kinh phi cham i orE" n oig * rijr^u-"ula b) Duo. c b6n A tam ung kinh fhi'va thanh quyOt. ii. il,"r. dgng. theo. +llirii. a) Yeu cAu ben. BHYT'. dinh hoc srtc kho6 ban diu vio dAu ndm hqc' kh6a sinh viOn dung quY dinh; tii do ben A chuyAn, thanh toan theo tltng quy. voi chi chim s6c sirc kh6e ban diu dd quySt toan c6 thay ddi lien quan d6n diAu kiQn nh6n. kinh phi. n/ trd em duoi 6 tu6i. Ditu. 5.. Ditu khoin thi hhnh. ktroan da. k!. qly dinh :T pltp luat vA BHYT.vir.c6c didu i.'tiict ".- rcr,rr*t ue' dung c6c u"a'i tu'""r' uem 'u vit dlm bio quvdn lqi cua trong Hqp dting; ctrng hqp;t-;;p do i# "i"" nhu nhau, m5i ben git 02 ban' ki'i hui b0n hoi':r thdnh viQc quy0t Qu ir;c ngay Ph6P. tj. 'uu. DAI DIEN BEN B. EAI DE.N BEN A. crtu' Ghi chti: vnt. diu fi sd 01 vdo ngdY thti tu hqp ding trong mQt ndm' bdt - [1] : SO hqP d6ng duqc dann theo s6 do ngdv 3l thdng 12 hdng-n;aliij ra* *udnghoc cia donvi - [2]: Ght rlutt5' 'trL'Y tt quy (nn cttuc 1tai.r: t3l: Ghi aut atnn '- 'fil, ns "o ;1 r,. o q o -'r i, t, u #e n a' trudns :', inYt ti"o nhoc tai nhd "i: .n l"',2i : " " ill,"'if,i' sa ":. u'' ' '-'. '-';iTri cini i,. ';it'";:;;:;:F. ';:fil;;1'#"i,"""'i'iiz, !!'";i q in! :: i !' ! ;;-, ;;; i":i-',z"ii,^. ;,.i,.

(37) MAu s6: C84b - HD u s6 I78/2012/TT-BTC ngdy 2 3/) 0/2012 cua 86 Tdi chinh). (Ban hdnh theo Th6ng. coNG HOA xA Hgr cHU NGHIA VIET NAM DQc lQp - Tg do - II4nh phric TTTANH. Lv Hqp OoNC rn[CH CHUyEN KINH pHi. CHAM S6C ST/C KHoE BAN DAU CHo HQC SINH, SINH WT,N/TRE EM DUdI6 TUOI NAM (56:.............../FID - BHYT) tIl. iy. 14 thaag 11. nim 2008 vd LuAr sria aOi bO suag. ang 11 nam 2014 cia Chinh phn quy dr-rh chi tiOt T; -BTC ngiy 24 frartg l l nam 2014 crla li6n 86 y t6- BO Tai chinh huong ddn thpc hiQn bdo hi€m y t6; Cen crl Th6ng nt s6 L41aOO7ITT-BTC ngny OBt3lzOO'l cria BQ Tdi chinh hudng din s,i dung kinh phi thuc hign c6ng t6c y t Cen cri Quy6t dinh sO T6ng Ginm d5c BIDGI Vi6t Nam ntr; Quy dfnh vA t6 chric CAn cri Quy6t drr:I .........vt viOc quy dinh chric ndng, nhiQm vu cria_phdng y .....................t21 Car cu Quy6t dinl . .. cira .................. vA vi6c quy dinh chric ndag, nli6m vu cria Bao hiOm xd hQi tinl/ huyQn 13l.. Cen cri Hqrp diing tric\ chuyAn khh phi ch5m s6c sric kho6 ban dAu rai y t6 hrhng hgc s6 ........ ngey ... .. .. gita Bio hi€m xa hQi tir:I/ huyQn ............. vi H6m nay, ngdy...thang. ..nem 20.... t41 ..................... Chung t6i g6m: BEn A: Bdo hidm xa hQi (tinh.rhuygn)....... 1 thyc s6.. tE s5... Eia chi: ............. Dai di6n 6ng (bi): GiAy uy quyin s6 : B6n B: (T€n co quan. kf. hqp d6ng nh4n kinh phi CSSI(BD):......... DiQn tho4i: :.. : .................... Eai dign 6ng (bd): Gi6y uy quydn si ,.., . .. ... .. .. . . Ngiy........thang . t5l (hem Hai bOn th6ng nhat s6 Iieu trich chuydn kinh phi s6c sirc khde ban diu cho hoc sinh sinh vi6n/ trd em duoi 6 tu6i aaag theo hoc tai nhd tucmg nam ........... nhu sau: 1. s6 li u ST Chi ti€u Mi s6 S6 ngucri/S6 tiin T I ar khoan s0. ,. A. I 1. t.t. B. .......nlp. C. Quy6t torin kinh phi chlm s6c sirc kh6e ban tliu Tham gia BHYT hoc sinh,/tr6 em durii 6 tu6i 56 hoc sinh, sinh vi1n/trd ,* thorn gA. aiaiidt. 1. 2. (l).

(38) Muc ddng BHYT. hoc. sinWtrd em dudi 6 u6i. cic nh6m Hoc sinh, sinh vi6n tham gia BIIYT cria. Nli tinh Kinh phi chlm. s6c srlc kh6e. ban dAu cluqc. st. dgng. Ngoqi tinh. tliu Thanh to6n kinh phi chlm s6c srtc kh6e ban Kinh phi cdn no ky trudc. b6n. 'sit 1 ban.. EAI DIENBEN B. DN. DIE.N BEN A. trong mQt ndm' bh diu tn so 01 vdo ngdv hqp dine duqc ddnh theo sd th* t$ hqP ding ahi nam vd'kdt thtic vdo ngay 31 thdng I2 hdng ndm' hoc cia don vi' 2uydt ainn thdnh lQp y tntdng vu cia BIffiI tinVhuY€' cho gidm diic bi'hqP ding' theo hQc tqi nhd tradng. %#t,. i.

(39) Don Yi:'..... BQ. ............... .......'. Miu sii: C66-HD. phin .......'.. (Ban hinh theo Th6ng tu s6 178/TT-BTC ngiy 23110/2012 cria B6 TAi chinh). GIAY THANH ToAN THU LAo cHo To cHr/c, cA xnAx LAM DAr Lv THU S6:. -. Cdn cu Hqp d6ng thu BHXH, BHYT. ru. nguyQn s6............ngiy.......... thdng......nEm........gitaBdohi6mxih6i........... va................ - cdn cu Danh sdch a6i nrqng tham gia BHxH,. BHyr. ru nguydn rip ngay......thring....... nam. - Cdn. ct. Danh s6ch trd em duoi 6 tuOi tham gia. BHyT lip ngiy......thdng...... nim........ - crn cri s5 tidn thu BHXH, BHyr tu nguy€n dd n6p cho co quan BHXH tai phi6u thu s5.........ngiy...... th6ng.......nlm........ cua Bdo hidm xa hgi @oac GiSy b6o C6 s5.........ngay...... th6ng.......ndm...cua. DA nghi cs quan 56 tdi. Bio. hiOm xa hQi. ........... .. .,). lj. rhu. .. .. ..... chi. tht. lao ldm d4i. khodn:........................ .Mo tai:. nhu sau: + T6ng s6 tiin de nQp cho co quan BHXH: + S5 trd em tham gia BHYT dusi 6 tu6i + T6ng s5 tiSn. thi. d6ng. lao tluoc hudng:. d6ng. Viil bdng chi;. d6ng Ngdy ...,.. rhting ....... ndm ....... DAI LY THU. (K!,, h9 ten). I .). -;l ong so tlen:. Vi€r. co. QUAN BAO. HrtM XA HOr DUYEr. bing chfi. Nguoi di nghi thanh rortn (Kj,, hq ten). d6ng. Phg tr:lch bQ phAn (Ky, hp ftn). Kd to:in truong (Kj" hq ftn). Ngdy . . thdng....... ndm ...... Thli tru&ng alorr vi (Ky, he ftn).

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