Xinhua News Agency, Beijing, February 24th question: How to prevent and combat insurance fraud and embezzlement? The new version of the Supervision Measures for Social Security Funds stipulates
Xinhua News Agency's "Xinhua Viewpoint" reporter Jiang Lin
In order to further strengthen fund supervision and severely crack down on illegal activities that infringe on funds, the Ministry of Human Resources and Social Security recently announced a new version of the "Administrative Supervision Measures for Social Security Funds" , effective from March 18. How can
better prevent and combat fraud, misappropriation, and embezzlement? "Xinhua Viewpoint" reporters interviewed authoritative departments and experts.
Detail the illegal situations and clarify legal responsibilities
my country's original "Measures for the Administrative Supervision of Social Insurance Funds" has been implemented for more than 20 years. According to the Ministry of Human Resources and Social Security, considering that the original method is quite different from the current work needs, the method was re-formulated closely based on the actual administrative supervision of local social security funds and problem-oriented.
Data from the Ministry of Human Resources and Social Security show that my country’s pension insurance has covered more than 1 billion people, more than double that of 10 years ago; the annual revenue and expenditure of the three funds for pension, unemployment and work-related injury exceeds 13 trillion yuan, an increase of more than 10 years ago. three times.
"The rapid growth of the fund scale and the substantial extension of the business chain have brought new challenges to supervision work. The introduction of new measures is timely and very necessary." said Zheng Bingwen, director of the World Social Security Research Center of the Chinese Academy of Social Sciences.
By integrating and refining the original regulations, the method clarifies the legal liability of social security agencies, hospitals, insurance companies and other service agencies, employers, individuals, human resources and social security departments, labor ability appraisal agencies and other entities for losses caused to social security funds, and The cases of fraud and insurance fraud by social security service institutions, employers, and individuals were detailed one by one.
"There has been no particularly specific definition of which behaviors constitute fraud and defrauding insurance, and which behaviors constitute dereliction of duty. There are only a few principled descriptions in the Social Insurance Law." Chu Fuling, director of the Social Security Research Center of the Central University of Finance and Economics, believes that "various situations Once clarified, it will be more operable, improve the effectiveness of crackdowns, tighten the cage of the system, and curb relevant illegal activities. The "
" method details illegal situations and clarifies legal responsibilities, so as to prevent crackdowns on social security service agencies and employers. Fraudulent insurance fraud by units and individuals, and prevent and crack down on occupational crimes that embezzle and endanger funds committed by social security agencies and departments that exercise approval and recognition responsibilities," said Tang Xiaoli, director of the Social Insurance Fund Supervision Bureau of the Ministry of Human Resources and Social Security.
Broaden the objects and scope of supervision to supervise all aspects of supervision to prevent "drifting"
"Compared with the old version, a major improvement of this new version of the method is to broaden the objects and scope of supervision. From purely focusing on the supervision of social security fund capital accounts, It has been expanded to include all aspects closely related to fund safety, including the front-end early retirement approval, work-related injury identification, labor ability assessment, etc., making the protection more comprehensive," Chu Fuling said.
Many industry experts said that after years of rectification, the social security fund management system has been continuously improved, internal control and supervision have become stricter, and traditional cases of direct corruption and misappropriation of social security funds have been significantly reduced. However, there are still a few areas that do not pay enough attention to supervision and have weak supervision effectiveness. In addition, the management of social security funds is lax and weak, the information system is imperfect, and information sharing is not in place to varying degrees. This has led to frequent cases of fraud and embezzlement of social security funds. There have been cases, including false claims after death, repeated claims, and inmates receiving pensions in violation of regulations.
Chu Fuling said that the social security fund business chain is long and has many risks. From policy formulation, service management, information management to fund revenue and expenditure, every link may cause the loss of social security funds, and the entire process and all-round supervision must be further strengthened.
In order to timely analyze the income and expenditure of social security funds, manage risks, and discover existing problems, the method stipulates on-site inspections, off-site inspections, third-party agency inspections, hiring professionals to assist in inspections, and other means to strengthen the intensity and effectiveness of supervision. sex.
“Focusing on high-risk businesses, complaints and reporting clues, etc., social audit agencies can be used to carry out irregular inspections to quickly discover suspicious points and prevent social security funds from ‘running, risking, dripping, and leaking’ to the greatest extent.” Zheng Bingwen said.
While strengthening the inspection of social security funds, the Measures also place special emphasis on the supervision and handling of staff members of social security agencies and human resources and social security departments who violate the provisions of the Measures or abuse their power, practice favoritism, or neglect their duties.
In addition, the measures also require social security agencies to promptly report corruption, misappropriation, fraud and other infringements of social security funds to the human resources and social security department at the same level, and the local human resources and social security department to the higher-level human resources and social security department. Those who conceal or fail to report important information discovered, make false reports or delay in reporting will be held accountable.
"Once clues are discovered, they can be quickly investigated and punished; once there are violations and violations, they must be severely punished." Zheng Bingwen said that by implementing these points of the method, early prevention, early detection, and early treatment can be achieved to avoid causing greater disasters. Loss and harm.
Build a supervision system to form a high-pressure situation against illegal activities.
According to the regulations, human resources and social security departments at all levels should strengthen the construction of administrative supervision teams for social security funds, ensure the funds required for work, ensure the independence of supervision work, and ensure that some people are caught and others are not in charge of supervision work. Failed. The
Measures clarify the coordination obligations of relevant agencies within the human resources and social security departments and the coordination requirements with external departments such as public security, judicial administration, and finance. At the same time, they encourage and support all aspects of society to participate in supervision and form joint efforts to jointly maintain the safety of social security funds.
"Cases often occur in grassroots areas, and these places are limited by staffing, lack of personnel, and insufficient supervision. Some places do not even have a supervision agency for social security funds. Some places have set up social security supervision committees, but the supervision effect is not good. Ideal." Chu Fuling said.
Experts generally believe that the introduction of the measures will help streamline the administrative supervision system of social security funds, promote the standardization of supervision, and form a high-pressure situation against illegal activities that infringe on social security funds.
"Now that social security has been collected by the tax department, this requires cross-departmental cooperation. In terms of 'collection', all dues should be paid and all receivables are collected, and in terms of 'payment', strict control and inspections are strengthened." Zheng Bingwen said , At present, there are still many levels of pension insurance co-ordination in our country, and social security funds are mainly used and distributed at the local level. We must increase efforts to prevent local inaction and random actions.
Chu Fuling believes that the current measures are only departmental regulations, and the legal effect is not enough. There should also be higher-level legislation, such as the introduction of regulations on the supervision of social security funds.
Tang Xiaoli introduced that in the next step, the Ministry of Human Resources and Social Security will guide various localities to implement measures and strengthen supervision, investigation and punishment. It will also carry out special inspections of social security funds for all types of insurance, and investigate and deal with each discovery; continue to promote the establishment of rules and regulations, and study and introduce social security funds. Regulations on fund supervision shall be formulated and the social security fund supervision system shall be continuously improved.
Source: Xinhuanet
