Maoming News Recently, reporters learned from the Maoming Municipal Social Security Fund Management Bureau that in order to combat infringements on social insurance funds and maintain the safety and integrity of social insurance funds, the Guangdong Provincial Department of Human Resources and Social Security and the Guangdong Provincial Department of Public Security jointly issued the "Guangdong Provincial Measures for Investigating and Punishing Infringements on Social Insurance Funds" (hereinafter referred to as the "Measures"), which regulates the investigation and punishment of infringements on pension, work-related injury, and unemployment insurance funds (hereinafter collectively referred to as "Social Insurance Funds").
The "Measures" clarify that units or individuals who defraud social insurance benefits or fund expenditures and are referred to the public security organs for suspected crimes include the following: fabricating social insurance participation conditions by fictitious labor relations, providing false certification materials, appraisal opinions, etc., and defrauding social insurance benefits; falsely using other people's personal information by forging and altering age, special type of work information, labor ability appraisal conclusions, and employee files. Those who illegally increase the deemed payment period, obtain the qualifications for pension insurance benefits, and defraud pension insurance benefits; those who falsely report work-related injuries, forge or alter certification materials to conduct work-related injury identification or work ability identification, or provide false work-related injury identification or work ability identification conclusions, and defraud work-related injury insurance benefits; those who defraud work-related injury insurance benefits by forging or altering medical information, Bills, etc., or falsely use the identity of a work-injured person to seek medical treatment or configure assistive devices to defraud work-related injury insurance benefits; work-related injury medical institutions, rehabilitation institutions, assistive device allocation agencies and other social insurance service institutions defraud work-related injury insurance funds or help others defraud work-related injury insurance benefits by providing false disease diagnosis certificates, hospitalization records, medical records, reports, prescriptions and other medical information or medical bills, etc. those who defraud special expenses for work-related injury insurance and unemployment insurance fund expenses by providing false information and materials; those who have lost their qualifications for unemployment insurance benefits such as re-employment, military service, etc., but still fabricate facts for qualification certification through false promises and other methods to defraud unemployment insurance benefits; others defraud social insurance benefits or fund expenses through fraud, forged certification materials, and other means.
For the above situations, the human resources and social insurance administrative departments will investigate and handle cases of insurance fraud in accordance with regulations, and make administrative handling and administrative penalty decisions. If suspected of committing a crime, they will be transferred to the public security organs for processing in accordance with regulations.
In addition, in order to increase the intensity of fund recovery and maintain the safety and integrity of the fund, in response to the excessive payment of social insurance benefits and excessive expenditure of social insurance funds, Article 16 of the "Measures" clarifies that the handling agency shall take recovery measures after investigation and verification. If the relevant unit or individual still does not return the funds, a recovery decision shall be made within 15 days from the date of refusal. Article 22 of the "Measures" stipulates that if the social security agency makes a recovery decision in accordance with the law, and the party fails to perform within the time limit and does not file for administrative review or administrative litigation, the social security agency shall urge the people's court in accordance with the law and promptly apply to the people's court for enforcement.
Maoming Daily all-media reporter Ke Shihua
