外商投资国际海运业管理规定(附英文)
交通部 商务部
外商投资国际海运业管理规定
中华人民共和国交通部
中华人民共和国商务部
令
2004年第1号
现公布《外商投资国际海运业管理规定》，自2004年6月1日起施行。
交通部部长 张春贤
商务部部长 薄熙来
二○○四年二月二十五日
外商投资国际海运业管理规定
第一条 为规范对外商在中国境内设立外商投资企业从事国际海上运输业务以及与国际海上运输相关的辅助性经营业务的管理，保护中外投资者的合法权益，根据《中华人民共和国国际海运条例》（以下简称《海运条例》）和中华人民共和国外商投资的有关法律、行政法规，制定本规定。
第二条 外商在中国境内投资经营国际海上运输业务以及与国际海上运输相关的辅助性经营业务（以下简称国际海运业），适用本规定。
第三条 中华人民共和国交通部和商务部及其授权的部门负责外商在中华人民共和国境内投资设立经营国际海运业的外商投资企业的审批和管理工作。
第四条 经交通部和商务部批准，允许外商采用以下形式投资经营国际海运业：
（一）设立中外合资、中外合作企业经营国际船舶运输、国际船舶代理、国际船舶管理、国际海运货物装卸、国际海运集装箱站和堆场业务；
（二）设立中外合资、中外合作、外商独资企业经营国际海运货物仓储业务；
（三）设立中外合资、中外合作、外商独资企业为投资者拥有或者经营的船舶提供日常业务服务。
第五条 设立外商投资国际船舶运输企业，需符合如下条件：
（一）有与经营国际海上运输业务相适应的船舶，其中必须有中国籍船舶；
（二）投入运营的船舶符合国家规定的海上交通安全技术标准；
（三）有提单、客票或者多式联运单证；
（四）有具备交通部规定的从业资格的高级业务管理人员；
（五）以中外合资或中外合作企业形式设立，外商的出资比例不得超过49%；
（六）企业的董事长和总经理，由投资各方协商后由中方指定；
（七）法律、行政法规规定的其他条件。
第六条 设立外商投资企业经营国际船舶运输业务，应当首先根据《海运条例》及《中华人民共和国海运条例实施细则》（以下简称《海运条例实施细则》）的规定向交通部提出申请，经交通部许可后，申请人应根据国家外商投资法律、行政法规的规定，凭交通部的许可文件向商务部提交本规定第十五条规定的文件，到商务部办理外商投资企业的设立审批手续，取得《外商投资企业批准证书》。
申请人应当持交通部的许可文件和商务部颁发的《外商投资企业批准证书》等有关文件，依法向工商行政管理机关办理工商登记，领取营业执照。
外商投资国际船舶运输企业依法设立后，申请人应当持工商行政管理机关颁发的营业执照向交通部申领《国际船舶运输经营许可证》，取得许可证书后方可从事国际船舶运输经营活动。
第七条 设立外商投资国际船舶代理企业，需符合如下条件：
（一）高级业务管理人员中至少2人具有3年以上从事国际海上运输经营活动的经历。高级业务管理人员是指具有中级或中级以上职称、在国际海运企业或者国际海运辅助企业任部门经理以上职务的中国公民；
（二）有固定的营业场所和必要的营业设施，包括具有同港口和海关等部门进行电子数据交换的能力；
（三）以中外合资或中外合作企业形式设立，外商出资比例不得超过49%；
（四）法律、行政法规规定的其他条件。
第八条 设立外商投资企业经营国际船舶代理业务，应当首先根据《海运条例》及《海运条例实施细则》的规定向交通部提出申请，经交通部许可后，申请人应根据国家外商投资法律、行政法规的规定，凭交通部的许可文件向商务部提交本规定第十五条规定的文件，到商务部办理外商投资企业的设立审批手续，取得《外商投资企业批准证书》。
申请人应当持交通部的许可文件和商务部颁发的《外商投资企业批准证书》等有关文件，依法向工商行政管理机关办理工商登记，领取营业执照。
外商投资国际船舶代理企业依法设立后，申请人应当持工商行政管理机关颁发的营业执照向交通部申领《国际船舶代理经营资格登记证》，取得资格登记证后方可从事国际船舶代理经营活动。
第九条 设立外商投资国际船舶管理企业，需具备下列条件：
（一）高级业务管理人员中至少2人具有3年以上从事国际海上运输经营活动的经历；
（二）有持有与所管理船舶种类和航区相适应的船长、轮机长适任证书的人员；
（三）有与国际船舶管理业务相适应的设备、设施。
第十条 设立外商投资企业经营国际船舶管理业务，应当根据《海运条例》及《海运条例实施细则》的规定向交通部提出申请，经交通部许可后，申请人凭交通部的许可文件并提交本规定第十五条规定的材料，根据国家有关外商投资的法律、行政法规的规定向企业所在地省级人民政府商务主管部门办理《外商投资企业批准证书》。
外商投资国际船舶管理企业依法设立后，申请人应当持工商行政管理机关颁发的营业执照向企业所在地的省级人民政府交通主管部门申领《国际海运辅助业经营资格登记证》，取得登记证书后方可从事国际船舶管理经营活动。
第十一条 设立外商投资企业经营国际海运集装箱站和堆场业务、国际海运货物仓储，应当根据《海运条例》及《海运条例实施细则》的规定向交通部提出申请，经交通部许可后，申请人凭交通部的许可文件并提交本规定第十五条规定的材料，根据国家有关外商投资的法律、行政法规的规定向企业所在地省级人民政府商务主管部门办理《外商投资企业批准证书》。
外商投资国际海运集装箱站和堆场企业、国际海运货物仓储企业依法设立后，申请人应当持工商行政管理机关颁发的营业执照向企业所在地的省级人民政府交通主管部门申领《国际海运辅助业经营资格登记证》，取得登记证书后方可从事相关业务。
外商投资设立国际海运货物装卸企业，依照国家有关规定办理。
第十二条 对已经设立的外商投资企业申请增加经营国际海运或国际海运辅助性业务，应当按照本规定中设立相关外商投资国际海运企业的程序办理相应手续。
已经设立的外商投资国际海运企业设立分支机构，应当按照有关外商投资法律、行政法规的规定和《海运条例》及《海运条例实施细则》的规定分别到交通部和商务部或其授权的部门办理相应手续。
已经设立的外商投资国际海运企业的合营合同、公司章程中有关出资、股权结构、经营范围等重要内容进行变更的，应当按照有关外商投资法律、行政法规的规定到商务部或其授权部门办理相关手续。变更《海运条例实施细则》第二十一条规定事项的，应当向交通部备案。
第十三条 外国航运公司可以设立中外合资、中外合作、外商独资企业，为投资者拥有或者经营的船舶提供承揽货物、代签提单、代结运费、代签服务合同等日常业务服务，其申请设立程序依照交通部与商务部联合发布的外商独资船务公司审批管理的有关规定办理。
第十四条 在中国境内的外商投资企业经营无船承运业务，应依照《海运条例》及《海运条例实施细则》的规定，向交通部申请登记取得《无船承运业务经营资格登记证》，并依照外商投资的有关法律、行政法规的规定，到商务部办理审批手续。
第十五条 申请人向交通部提出申请，应当提交《海运条例》及《海运条例实施细则》规定的材料；向商务部或其授权部门提出申请的，应向审批机关提交如下材料：
（一） 申请书；
（二） 可行性研究报告；
（三）合营合同和合营公司章程（独资企业只报送章程）；
（四）投资者注册登记证明文件及资信证明文件；
（五）拟设立企业董事长和总经理的身份证明；
（六）法律、行政法规要求的其他文件。
第十六条 中国香港特别行政区、澳门特别行政区和台湾地区的投资者在中国其他省、自治区和直辖市投资设立国际海运及其国际海运辅助企业，参照本规定办理。
第十七条 根据国务院批准的《内地与香港关于建立更紧密经贸关系的安排》、《内地与澳门关于建立更紧密经贸关系的安排》及其附件的有关规定，自2004年1月1日起，允许香港和澳门的服务提供者在内地设立独资企业经营国际船舶管理、国际海运货物仓储、国际海运集装箱站和堆场、无船承运业务；允许香港和澳门的服务提供者在内地设立独资船务公司，为其拥有或者经营的船舶提供揽货、签发提单、结算运费、签订服务合同等日常业务服务。
第十八条 本规定由交通部和商务部负责解释。
第十九条 本规定自2004年5月1日起施行。
PROVISIONS ON ADMINISTRATION OF FOREIGN INVESTMENT IN INTERNATIONAL MARITIME TRANSPORTATION
(Promulgated by Decree No. 1 of the Ministry of Communications and the Ministry of Commerce on March 2nd, 2004, and effective as of June 1st, 2004)
Article 1 These Provisions are formulated in accordance with the Regulations of the People’s Republic of China on International Maritime Transportation (hereinafter referred to as the Maritime Transportation Regulations) and the relevant laws and administrative regulations of the People’s Republic of China on foreign investment, for the purposes of regulating the establishment of foreign-funded enterprises by foreign investors to engage in international maritime transportation business and auxiliary business relating thereto and safeguarding the lawful rights and interests of Chinese and foreign investors.
Article 2 These Provisions are applicable to the investment in and operation of international maritime transportation business and auxiliary businesses relating thereto (hereinafter referred to as international maritime transportation) by foreign investors within the territory of China.
Article 3 The Ministry of Communications and the Ministry of Commerce of the People’s Republic of China as well as their authorized agencies are responsible for the approval and administration of the establishment of foreign-funded enterprises within the territory of the People’s Republic of China by foreign investors to engage in international maritime transportation.
Article 4 With the approval of the Ministry of Communications and the Ministry of Commerce, a foreign investor may invest in and operate international maritime transportation in the following forms:
(1) to establish a Chinese-foreign equity joint venture or a Chinese-foreign contractual joint venture to engage in international shipping services, international shipping agency services, international ship management services, loading and unloading of international shipments and international maritime container freight station and container yard services;
(2) to establish a Chinese-foreign equity joint venture, a Chinese-foreign contractual joint venture or a wholly foreign-owned enterprise to engage in international maritime cargo warehousing services;
(3) to establish a Chinese-foreign equity joint venture, a Chinese-foreign contractual joint venture or a wholly foreign-owned enterprise to offer routine services for the vessels owned or operated by the investor.
Article 5 A foreign-funded international shipping enterprise to be established shall meet the following conditions:
(1) having vessels suitable for employment in international maritime transportation, among which there must be vessels of Chinese nationality;
(2) vessels under employment shall be in compliance with the technical standards for maritime traffic safety as set forth by the State;
(3) having bills of lading, passenger tickets or multimodal transportation documents;
(4) having senior executives with the professional qualifications as set forth by the Ministry of Communications;
(5) in case of establishing a Chinese-foreign equity joint venture or a Chinese-foreign contractual joint venture, the proportion of investment made by foreign investors shall not exceed 49%;
(6) the chairperson of the board of directors and the general manager shall be appointed by the Chinese side after consultation between the both sides;
(7) other conditions specified by laws or administrative regulations.
Article 6 Where anyone is to establish a foreign-funded enterprise to engage in international shipping services, it shall firstly make an application to the Ministry of Communications in accordance with the provisions of the Maritime Transportation Regulations and the Implementing Rules of the Regulations of the People’s Republic of China on International Maritime Transportation (hereinafter referred to as the Implementing Rules of the Maritime Transportation Regulations); if such application is approved by the Ministry of Communications, the applicant shall, in accordance with the laws and administrative regulations on foreign investment of the State and on the strength of the approval document issued by the Ministry of Communications, go through the approval procedures for establishing a foreign-funded enterprise with the Ministry of Commerce by submitting the documents specified in Article 15 of these Provisions and obtain the Approval Certificate for Foreign-funded Enterprise.
The applicant shall, by presenting the approval document issued by the Ministry of Communications, the Approval Certificate for Foreign-funded Enterprise issued by the Ministry of Commerce and other relevant documents, go through the industrial and commercial registration formalities with the administrative department for industry and commerce according to law and obtain the business license.
After the establishment of a foreign-funded international shipping enterprise, the applicant shall, by presenting the business license issued by the administrative department for industry and commerce, apply to the Ministry of Communications for obtaining the Permit for Operation of International Shipping Services. Only those that have obtained such Permit may engage international shipping services.
Article 7 A foreign-funded international shipping agency enterprise to be established shall meet the following conditions:
(1) having at least two senior executives with no less than three years’ experience in international maritime transportation business operations. The term “senior executives” refers to Chinese citizens who have secondary or higher technical or academic titles and serve as department managers or above in enterprises engaging in international maritime transportation business or the auxiliary business relating thereto;
(2) having a fixed place of business and necessary business facilities, including the ability to have electronic data interchange (EDI) with ports, the Customs and other departments;
(3) in case of establishing a Chinese-foreign equity joint venture or a Chinese-foreign contractual joint venture, the proportion of investment made by foreign investors shall not exceed 49%;
(4) other conditions specified by laws or administrative regulations.
Article 8 Where anyone is to establish a foreign-funded enterprise to engage in international shipping agency services, it shall firstly make an application to the Ministry of Communications in accordance with the provisions of the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations; if such application is approved by the Ministry of Communications, the applicant shall, in accordance with the laws and administrative regulations on foreign investment of the State and on the strength of the approval document issued by the Ministry of Communications, go through the approval procedures for establishing a foreign-funded enterprise with the Ministry of Commerce by submitting the documents specified in Article 15 of these Provisions and obtain the Approval Certificate for Foreign-funded Enterprise.
The applicant shall, by presenting the approval document issued by the Ministry of Communications, the Approval Certificate for Foreign-funded Enterprise issued by the Ministry of Commerce and other relevant documents, go through the industrial and commercial registration formalities with the administrative department for industry and commerce according to law and obtain the business license.
After the establishment of a foreign-funded international shipping agency enterprise, the applicant shall, by presenting the business license issued by the administrative department for industry and commerce, apply to the Ministry of Communications for obtaining the Registration for Operation of International Shipping Agency Services. Only those that have obtained such Registration may engage international shipping agency services.
Article 9 A foreign-funded international ship management enterprise to be established shall meet the following conditions:
(1) having at least two senior executives with no less than three years’ experience in international maritime transportation business operations;
(2) having staff members in possession of master’s or chief engineer’s documents of competence that are commensurate with the types of vessels under their management and the navigation zones;
(3) having the equipment or facilities commensurate with the international ship management services.
Article 10 Where anyone is to establish a foreign-funded enterprise to engage in international ship management services, it shall firstly make an application to the Ministry of Communications in accordance with the provisions of the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations; if such application is approved by the Ministry of Communications, the applicant shall, in accordance with the laws and administrative regulations on foreign investment of the State and on the strength of the approval document issued by the Ministry of Communications, go through the approval procedures for obtaining the Approval Certificate for Foreign-funded Enterprise with the competent commerce administration department of the people’s government of the province where such enterprise is to be located by submitting the documents specified in Article 15 of these Provisions.
After the establishment of a foreign-funded international ship management enterprise, the applicant shall, by presenting the business license issued by the administrative department for industry and commerce, apply to the competent communications administration department of the people’s government of the province where such enterprise is located for obtaining the Registration for Operation of Auxiliary Businesses Relating to International Maritime Transportation. Only those that have obtained such Registration may engage in international ship management services.
Article 11 Where anyone is to establish a foreign-funded enterprise to engage in international maritime container freight station and container yard services or international maritime cargo warehousing services, it shall firstly make an application to the Ministry of Communications in accordance with the provisions of the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations; if such application is approved by the Ministry of Communications, the applicant shall, in accordance with the laws and administrative regulations on foreign investment of the State and on the strength of the approval document issued by the Ministry of Communications, go through the approval procedures for obtaining the Approval Certificate for Foreign-funded Enterprise with the competent commerce administration department of the people’s government of the province where such enterprise is to be located by submitting the documents specified in Article 15 of these Provisions.
After the establishment of a foreign-funded enterprise engaging in international maritime container freight station and container yard services or international maritime cargo warehousing services, the applicant shall, by presenting the business license issued by the administrative department for industry and commerce, apply to the competent communications administration department of the people’s government of the province where such enterprise is located for obtaining the Registration for Operation of Auxiliary Businesses Relating to International Maritime Transportation. Only those that have obtained such Registration may engage in the relevant services.
The establishment of a foreign-funded enterprise engaging in loading and unloading of international shipments shall be governed by the relevant provisions of the State.
Article 12 Where an established foreign-funded enterprise applies to add international maritime transportation business or the auxiliary business relating thereto to its business scope, it shall go through the corresponding formalities in accordance with the procedures for establishing a foreign-funded enterprise engaging in specific international maritime transportation businesses set forth in these Provisions.
Where an established foreign-funded enterprise engaging in international maritime transportation is to establish branches, it shall go through the corresponding formalities with the Ministry of Communications and the Ministry of Commerce or their authorized agencies in accordance with the laws and administrative regulations on foreign investment of the State, the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations.
Where an established foreign-funded enterprise engaging in international maritime transportation is to modify the essential contents such as investment contribution, structure of the shares or scope of business of its contact of joint venture or articles of association, it shall go through the corresponding formalities with the Ministry of Commerce or its authorized agencies in accordance with the laws and administrative regulations on foreign investment of the State. Any modification to the matters specified in Article 21 of the Implementing Rules of the Maritime Transportation Regulations shall be filed with the Ministry of Communications for the record.
Article 13 A foreign company engaging in shipping may establish a Chinese-foreign equity joint venture, Chinese-foreign contractual joint venture or wholly foreign-owned enterprise to offer such routine services as canvassing of cargoes, issuance of bills of lading, settlement of freight and signing of service contracts for the vessels owned or operated by investors. The procedures for establishment application of such an enterprise shall be governed by the relevant provisions jointly issued by the Ministry of Communications and the Ministry of Commerce on approval of establishment of wholly foreign-owned shipping companies.
Article 14 Where a foreign-funded enterprise within the territory of China is to engage in non-vessel-operating services, it shall, in accordance with the provisions of the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations, make an application to the Ministry of Communications for registration and obtaining the Registration of Non-vessel-operating Services Qualification, and go through the approval formalities with the Ministry of Commerce in accordance with the relevant laws and administrative regulations on foreign investment of the State.
Article 15 Where an applicant makes an application to the Ministry of Communications, it shall submit the documents specified in the Maritime Transportation Regulations and the Implementing Rules of the Maritime Transportation Regulations. Where an applicant makes an application to the Ministry of Commerce or its authorized agencies, he shall submit the following documents:
(1) the letter of application;
(2) the feasibility study report;
(3) the contract of the joint venture and the articles of association of the company (in case of a wholly foreign-owned company, the articles of association of the company only);
(4) the registration certificate and credit-standing certificate of investors;
(5) the identity certification of the chairperson of the board of directors and the general manager of the enterprise to be established;
(6) other documents required by laws or administrative regulations.
Article 16 These Provisions are mutatis mutandis applicable to the establishment of enterprises engaging in international maritime transportation and the auxiliary services relating thereto in other provinces, autonomous regions or municipalities directly under the Central Government by the investors form Hong Kong Special Administrative Region, Macao Special Administrative Region or Taiwan region.
Article 17 In accordance with the relevant provisions of the Mainland and Hong Kong Closer Economic Partnership Arrangement, the Mainland and Macao Closer Economic Partnership Arrangement and their Annexes, from January 1st, 2004, service suppliers from Hong Kong or Macao may established a wholly Hong Kong or Macao-owned enterprise in Chinese mainland to engage in international ship management services, international maritime cargo warehousing, international maritime container freight station and container yard services, and non-vessel-operating services; they may also establish a wholly Hong Kong or Macao-owned shipping company in Chinese mainland to offer such routine services as canvassing of cargoes, issuance of bills of lading, settlement of freight and signing of service contracts for their owned or operated vessels.
Article 18 The Ministry of Communications and the Ministry of Commerce are responsible for the interpretation of these Provisions.
Article 19 These Provisions shall take effect as of June 1st, 2004.
揭阳市城镇职工基本医疗保险规定
广东省揭阳市人民政府
揭阳市人民政府令第38号
《揭阳市城镇职工基本医疗保险规定》已经2012年8月1日揭阳市人民政府第五届5次常务会议通过，现予发布，自2012年10月1日起施行。
市长
二0一二年八月十二日
揭阳市城镇职工基本医疗保险规定
第一章 总 则
第一条 为维护职工的合法权益，保障职工基本医疗权利，根据《中华人民共和国社会保险法》、《国务院关于建立城镇职工基本医疗保险制度的决定》及有关法律、法规的规定，结合我市实际，制定本规定。
第二条 揭阳市行政区域内城镇所有用人单位，包括企业、机关、事业单位、社会团体、民办非企业单位及其职工、城镇个体经济组织及其职工、中央部、委、办和省属及其他驻揭阳市单位及其职工，都必须参加职工基本医疗保险。
无雇工的个体工商户、未在用人单位参加职工基本医疗保险的非全日制从业人员以及其他灵活就业人员可以参加职工基本医疗保险，由个人按规定缴纳基本医疗保险费。
第三条 人力资源和社会保障部门是职工基本医疗保险的行政部门。社会保险经办机构负责职工基本医疗保险的经办业务和基金管理。
第四条 城镇职工基本医疗保险实行市级统筹，基金纳入市社会保障基金财政专户管理，统一核算，各县（市、区）分别建帐。
第五条 离休人员、老红军、一至六级以上革命伤残军人不参加职工基本医疗保险，其医疗待遇不变，医疗费用按原资金渠道解决。
国家公务员在参加职工基本医疗保险的基础上，享受医疗补助政策。
第六条 政府运用法律、行政、经济手段保证医疗保险基金的筹集和支付；遇有特殊情况，医疗保险基金不敷使用时，由同级地方财政给予补贴。
第二章 医疗保险基金的筹集
第七条 建立职工基本医疗保险基金，基金主要由用人单位和职工共同缴纳的基本医疗保险费组成。
医疗保险基金按“以收定支、收支平衡、略有结余”的原则筹集。
第八条 用人单位按职工工资总额的6.0%，职工个人按本人工资总额的2% 缴纳基本医疗保险费，个人缴费由单位在工资中代扣缴。个人工资总额高出上年度全市城镇在岗职工月平均工资300%部分不缴纳医疗保险费。低于上年度全市城镇在岗职工月平均工资60%的，按 60%缴纳。
第九条 失业人员在领取失业保险金期间，参加职工基本医疗保险，享受基本医疗保险待遇。失业人员应当缴纳的基本医疗保险费从失业保险基金中支付，个人不缴纳基本医疗保险费。
第十条 参加职工基本医疗保险的个人，达到法定退休年龄时累计缴费年限达到15年的，退休后用人单位及个人均不再缴纳基本医疗保险费，享受基本医疗保险待遇；缴费年限未达到15年的，可以通过一次性或延缴的方式缴费至规定年限。今后国家或省对职工基本医疗保险缴费年限有统一规定的，从其规定。
（一）一次性缴纳：由单位选择一次性按全市上年度社平工资、以每年递增10%为基数，按6.5%的缴费比例（含大额补充医疗保险）缴纳。
（二）逐月缴纳：以退休人员本人缴费工资为基数（退休人员本人缴费工资低于全市上年度社平工资的，按全市上年度社平工资计算，下同），由用人单位按6.5%的缴费比例（含大额补充医疗保险）逐月缴纳。
（三）社会申办退休人员参加职工医保的可按第一项、第二项规定的缴费办法，选择一次性缴纳或逐月缴纳职工医保费。
第十一条 缴纳职工医疗保险费的列支渠道：
（一）国家机关在单位预算内资金列支；
（二）事业单位、社会团体按原资金供给渠道及《事业单位财务规则》规定列帐；
（三）企业和企业化管理的事业单位，在职工福利费中列支。
第十二条 用人单位未按照规定为职工办理社会保险登记或未按时足额缴纳医疗保险费的，按照《中华人民共和国社会保险法》第八十四条、第八十六条的规定处理。单位欠缴费的，从欠缴次月起基本医疗保险统筹基金停止支付用人单位职工的医疗保险待遇，个人帐户余额仍归个人使用。
用人单位未依照本规定参加基本医疗保险或未足额申报单位工资总额，损害职工基本医疗保险权益的，由用人单位按照本规定的基本医疗保险待遇项目和标准向职工支付。
用人单位参加职工基本医疗保险并补足应当缴纳的基本医疗保险费、滞纳金后，由基本医疗保险基金依照本规定支付补足后新发生的费用。
第十三条 用人单位依法转让、分立、合并、终止时，必须清偿欠缴的医疗保险费。企业破产，欠缴的医疗保险费按照《中华人民共和国企业破产法》第一百一十三条规定清偿。职工分流，由接收单位负责缴纳医疗保险费。
第十四条 企业在参加职工基本医疗保险的基础上，建立企业补充医疗保险。企业补充医疗保险在工资总额5%以内部分，从职工福利费中列支，福利费不足列支部分，经同级财政部门核准后列入成本。
职工参加基本医疗保险的同时应参加大额补充医疗保险，由个人缴纳大额补充医疗保险费；达到累计缴费年限的退休人员不缴纳大额补充医疗保险费，享受大额补充医疗保险待遇。
第十五条 首次参加职工基本医疗保险的单位，应先垫付1个月的医疗保险费作为职工基本医疗保险启动资金。
第十六条 单位和职工个人缴纳的医疗保险费，可由各级地方税务机关征收。
第十七条 用人单位和职工个人缴费率，每年可根据我市经济发展和医疗费用水平变化情况，由市政府报省政府批准后，作相应的调整。
第三章 统筹基金和个人帐户
第十八条 建立职工基本医疗保险统筹基金和个人帐户。职工基本医疗保险基金由统筹基金和个人帐户两部分构成。各县（市、区）可根据实际情况，单建住院统筹或统帐结合。
（一）统筹基金：用人单位缴纳的职工基本医疗保险费，一部分划入个人帐户，剩下部分作为统筹基金，统筹基金的利息收入、收取的滞纳金等计入统筹基金，统筹基金用于支付职工基本医疗保险待遇。
（二）个人帐户：个人帐户由两部分组成：一是职工个人缴纳的基本医疗保险费。二是用人单位缴纳的基本医疗保险费中以上年度社会平均工资的6%为基数，按不同年龄段不同比例划入个人帐户，即35岁以下的划入16%；36-45岁的划入20%；46岁至退休前划入24%；退休人员划入32%。
个人帐户主要用于支付职工及其直系亲属的门诊费用，也可用于支付职工及其直系亲属住院医疗费用的自负部分。个人帐户不得提取现金，不得透支，超支不补，节余滚存使用；职工（包括退休人员）死亡时，其个人帐户余额可以继承。
第十九条 统筹基金和个人帐户划定各自的支付范围，分别核算，不得互相挤占。
第四章 医疗待遇
第二十条 参保人就医，实行定点医疗制度。
第二十一条 参保人在定点医疗机构门诊享受普通门诊待遇，具体办法另行规定。
第二十二条 参保人在本市定点医疗机构住院发生的符合本省基本医疗保险政策范围内的医疗费用，在起付标准以上、最高限额以下的由统筹基金和个人按比例支付，超最高限额的由大额医疗保险按比例赔付。
（一）起付标准和最高限额
1、本市定点医疗机构就医起付标准：一级医院400元，二级医院500元，三级医院600元；
2、本市以外异地住院起付标准：一级医院600元，二级医院800元，三级医院1000元；参保职工当年患病多次异地住院的，从第二次起起付标准统一为600元。
3、基本医疗保险最高限额6万元。
（二）报销比例。参保人在定点医疗机构住院发生的基本医疗费用在起付标准以上最高限额以内的，在职人员由统筹基金支付80%以上，个人自付20%以下；退休人员由统筹基金支付85%以上，个人自付15%以下。
（三）对特殊病种（只限恶性肿瘤、透析疗法、器官移植）的医疗费用给予照顾。职工每次住院发生的基本医疗费用，在起付标准以下的由职工个人自付；起付标准以上，最高限额以下的医疗费用，职工个人自付5%，统筹基金支付95%。
（四）职工多次住院，年度累计基本医疗费用在基本医疗保险最高限额以上部分由大额医疗保险按85%以上比例赔付,年度累计实际最高赔付限额为15万元以上（具体赔付额以医保经办机构与商业保险公司签订的服务协议为准）。
第二十三条 建立门诊特定病种制度，参保人患病在门诊治疗且病情达到特定病种鉴定标准的，经批准可享受门诊特定病种待遇。具体病种待遇标准按《揭阳市城镇职工基本医疗保险门诊特定病种认定暂行办法》（揭府[2007]117号）及有关规定执行。
第二十四条 新生儿应参加城乡居民基本医疗保险。超过参保办理时间且母亲已参加职工基本医疗保险的新生儿，在出生年度内随母亲享受职工基本医疗保险待遇，但母婴两人享受的待遇总额不能超过其母亲基本医疗保险年度最高限额。
第二十五条 统筹基金起付标准、最高限额和支付比例须调整时，由市人力资源和社会保障局会同市财政局拟定报市人民政府批准执行。
第二十六条 职工患病住院，经批准须转诊、转院以及特殊检查和治疗的，按有关规定执行。
第二十七条 因急诊抢救不能赴定点医疗机构就诊者可在附近医院就诊，凭就诊医院诊断证明书、病历和处方、有效报销收据和费用清单报支医疗费。
职工出差、探亲（在国内）患病可在就近医院就诊，凭医院诊断证明书、病历和处方、有效报销收据和费用清单，经社保经办机构批准，住院医疗费用可按职工异地住院处理。
第二十八条 下列医疗费用不纳入基本医疗保险基金支付范围：
（一）应当由工伤保险基金支付的；
（二）应当由第三人负担的；
（三）应当由公共卫生负担的：
（四）在境外就医的；
（五）法律法规规定的其他不予支付的费用。
第五章 医疗管理
第二十九条 职工基本医疗保险实行定点医疗机构协议管理。参保人在定点医疗服务机构就医，其医疗费用应当符合本省基本医疗保险药品目录、诊疗项目目录和医疗服务设施目录的管理规定。
第三十条 职工基本医疗保险实行定点医疗和定点零售药店管理。市直定点医疗机构和零售药店由市人力资源和社会保障部门认定资格，市社保经办机构签订服务协议；县（市、区）定点医疗机构由当地县级人力资源和社会保障部门认定资格，社保经办机构签订服务协议，并报市人力资源和社会保障部门。
第三十一条 医疗保险定点医疗机构和定点零售药店，必须与社保经办机构签订有关职工基本医疗保险服务范围、项目费用等内容的协议，以明确各自的责任、权利和义务，超出规定的医疗服务范围和用药的医疗费用，医疗保险基金不予支付。
第三十二条 定点医疗机构应当按医疗保险规定为参保人员提供基本医疗服务，坚持“因病施治、合理检查、合理用药、合理治疗、合理收费”的原则，有义务控制不合理的费用支出，杜绝浪费。定点医疗机构和定点零售药店医疗服务的收费必须符合市物价标准，不得擅自增设收费项目和提高收费标准，不得分解和重复收费。凡不符合物价规定的将不予支付医疗保险基金。
定点医疗机构内部要有专人负责职工基本医疗保险工作，协调处理参保人门诊、住院、费用结算等有关事宜。
第三十三条 职工可选择定点医疗机构诊病和选择定点零售药店购药。定点医疗机构医生开的处方，职工可在定点医院购药，也可在定点零售药店购药。定点医疗机构必须设立职工医疗保险服务窗口，便于职工的诊病、购药和结算。
工作或居住（指退休异地居住）在外地的医疗保险对象，也实行定点医疗，按住址就近原则，确定1-2家定点医疗机构，由用人单位或参保人报社保经办机构审核、备案。
第三十四条 职工基本医疗保险的参保人凭身份证和医保卡到定点医疗机构、定点零售药店就诊、购药、结算。须住院治疗的应向定点医疗机构缴纳押金并办理住院手续，其医药费用采取记帐方式，按有关规定进行结算。
第三十五条 严格执行特殊检查、特殊治疗、转诊、转院的审批制度，严格执行用药管理规定、费用开支范围等制度。
第三十六条 门诊费用实行项目结算。住院费用采用定额管理和质量考核相结合的办法管理。定额标准以医院上年度人次平均住院费用（剔除超范围、超标准费用）计算，每年由社会保险经办机构同定点医疗机构协商确定，报人力资源和社会保障部门批准执行。
定额管理：当实际支出低于定额标准时，节余部分按一定比例奖励给定点医疗机构，超出定额标准部分，医疗机构与统筹基金各负担一定比例。
质量考核是对定点医疗机构所发生的基本医疗费用，按定额费用办法结算，根据年度考核结果进行结算偿付。
第三十七条 各级人力资源和社会保障部门会同卫生主管部门按照职工基本医疗保险的有关政策规定，定期或不定期对定点医疗机构、医务人员进行检查考核和实施监督奖惩。同时，对用人单位、社保经办机构人员、财务人员以及参保人员执行职工基本医疗保险管理的情况，进行检查和监督。
第六章 基金的管理、监督和处罚
第三十八条 职工基本医疗保险纳入财政专户管理，专款专用，任何单位和个人不得挤占挪用。
第三十九条 社保经办机构的事业经费由各级财政预算解决，不得从职工基本医疗保险基金提取。
第四十条 社保经办机构要建立健全资金的预决算制度、财务会计制度和内部审计制度。
第四十一条 各级人力资源社会保障部门和财政部门要加强对医疗保险基金的监督管理。审计部门要依法对职工基本医疗保险基金收支情况和管理情况进行审计监督。
第四十二条 政府设立由政府有关部门代表、用人单位代表、医疗单位代表、工会代表和有关专家参加的市医疗保险基金监督小组，负责对职工医疗保险基金的收支、使用、管理进行检查、监督，协调医疗保险有关方面的关系。检查和监督情况定期向社会公布。
第四十三条 职工基本医疗保险基金的银行计息办法，按国家有关规定执行。
第四十四条 定点医疗机构和定点零售药店从业人员如有违反医疗保险规定者，在考核时给予扣分；情节严重的，可取消定点机构资格。
第四十五条 参保人员有下列违反职工基本医疗保险规定行为之一的，社保经办机构有权追回发生的费用：
（一）将本人医疗保险证转借给他人就医的；
（二）持他人的医疗保险证就诊的；
（三）私自伪造处方、单据多报冒领的；
（四）诈病就医的；
（五）其他违反职工基本医疗保险规定的行为。
第四十六条 社保经办机构工作人员有下列行为之一的，视其情节轻重，给予行政处分，构成犯罪的，依法追究刑事责任：
（一）在征收医疗保险费，审核、报销、给付医疗费用时徇私舞弊，损公肥私的；
（二）利用职权和工作之便索取贿赂、谋取私利的；
（三） 玩忽职守和违反财经纪律造成医疗保险资金重大损失的；
（四）其他不法行为被投诉，并经查证属实的。
第七章 附 则
第四十七条 本规定自2012年10月1日起施行，有效期至2017年9月30日止。2000年11月6日市人民政府颁发的《揭阳市城镇职工基本医疗保险暂行规定》（揭府〔2000〕70号）同时废止。