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Self-employed person
Basic pension insurance: Around 12% of the local average
China wage.
Exchange rate: US$1.00 equals 6.94 yuan. Mandatory individual account: Around 8% of the local aver-
age wage.
Employer
Old Age, Disability, and Survivors
Basic pension insurance: The maximum contribution is
20% of payroll, depending on local government regulations.
Regulatory Framework
Contribution rates vary among provinces.
First law: 1951.
Mandatory individual account: None.
Current laws: 1953 (regulations) and 1978, 1995, 1997,
Government
1999, and 2005 (directives).
Basic pension insurance: Central and local government sub-
Type of program: Social insurance and mandatory indi-
sidies are provided to city/county retirement pension pools
vidual account system. as needed.
Note: China does not yet have national social security legis-
Mandatory individual account: Central and local government
lation. Provincial and city/county social insurance agencies
subsidies are made to the individual accounts of insured
and employers adapt central government guidelines to local
persons through local pension pools as needed.
conditions.
Sickness and Maternity Employer: Around 6% of total payroll for medical benefits
(local government may adjust contribution rates according
Regulatory Framework to local factors). The employer contribution is split between
the insured’s individual account (30%) and the social insur-
First law: 1951. ance fund (70%). Nonparticipating enterprises pay directly
Current laws: 1953; 1978 (permanent employees); 1986 for the cost of benefits.) Up to 1% of total payroll for mater-
(contract workers); 1988 and 1994 (women employees); nity benefits (set by local government).
1998, 1999, 2000, and 2002 (medical insurance and pilot Government: Central and local governments provide tax
rural cooperative medicare); and 2007 (pilot non-salaried concessions and subsidies for administrative costs and
urban resident medical insurance). finance complementary medical insurance systems for civil
Type of program: Social insurance and mandatory indi- servants. Central and local governments finance 80% of the
vidual account system. premiums of the rural cooperative medicare program (less in
well-off provinces). Central and local governments finance
Note: China does not yet have national social security legis-
an average of between 36% and 56% of the non-salaried
lation. The social insurance program applies to urban areas.
urban resident medical insurance program.
Coverage Local governments and employers adapt central government
guidelines on contribution rates to local conditions.
The maternity insurance program covers all employees in
urban enterprises. (Urban enterprises comprise all state-
Qualifying Conditions
owned enterprises, regardless of their location.)
Sickness, maternity, and medical benefits: There is no
The urban medical insurance program covers all employees
in urban areas working in government organizations, enter- minimum qualifying period.
prises, social groups, and nonprofit organizations.
Sickness and Maternity Benefits
A rural cooperative medicare program provides basic cover-
age to all farmers. Sickness benefit (central government guidelines for
permanent workers): According to length of service, 60%
The pilot non-salaried urban resident medical insurance pro- to 100% of the insured’s last monthly wage is paid by the
gram is being gradually extended from 88 cities in 2007 to employer for up to 6 months each year; thereafter, 40% to
229 cities in 2008 (nationwide implementation is expected 60% is paid by the employer until the employee recovers or
by 2010). is assessed as permanently disabled.
Source of Funds Contract workers receive the same benefits as permanent
workers.
Insured person: Around 2% of gross wages for medical
Maternity benefit (central government guidelines for
benefits only (local government may adjust contribution
permanent workers): The average monthly wage of the
rates according to local factors). The contribution is paid
into the insured’s individual account. (Employees do not enterprise for the previous year is paid by the maternity
contribute for maternity benefits.) social insurance fund for up to 90 days for the birth of a
child, 42 days for a pregnancy that lasted at least 4 months,
The minimum earnings for contribution calculation pur- 15 to 30 days for less than 4 months, or 42 days for at least
poses are equal to 60% of the local average wage for the 4 months of gestation before an abortion.
previous year.
The maximum earnings for contribution calculation pur- Workers’ Medical Benefits
poses are equal to 300% of the local average wage for the
Medical benefits (central government guidelines): Cov-
previous year.
ered workers receive medical benefits at a chosen accredited
Self-employed person: Not applicable. hospital or clinic on a fee-for-service basis.
Farmers covered by the rural cooperative medicare program Cost sharing: The individual account is used to finance
contribute a flat-rate 20 yuan a year to the program’s pooling medical benefits only, up to a maximum equal to 10% of the
fund, which is matched by a local and central government local average annual wage. The social insurance fund reim-
contribution of around 40 yuan (varies by province). burses the cost of medical benefits from 10% to 400% of the
Persons insured under the non-salaried urban resident medi- local average annual wage, according to a schedule. Medical
cal insurance program contribute between 150 yuan and 300 treatment in high-grade hospitals results in lower percentage
yuan a year (adults) and between 50 yuan and 100 yuan a reimbursements, and vice versa. Reimbursement for pay-
year (children). ments beyond 400% of the local average annual wage must
be covered by private insurance or public supplementary
systems.