Compulsory social health insurance (OSMS)

Insurance medicine allows employees who are at your disposal to receive all types of medical care, regardless of the earned income. This includes planned inpatient care, drug provision, highly specialized medical services, rehabilitation, diagnostic and advisory assistance, nursing care, and palliative care. For example, if an employee at your disposal has a serious illness. Due to the need to do expensive treatment, he will have to take a vacation due to a long illness. Due to the inability to reimburse the cost of medical services, the cost of which is growing, the employer and the labor collective seek help. This will undoubtedly increase the costs of all parties. The costs of treatment, care and rehabilitation of a patient in the social health insurance system are borne by the medical insurance fund. In addition, the contributions of employers and employees will primarily be used to expand the starting part (links) in the health care system, increase preventive measures to reduce the facts of hospitalization. As a result, the downtime of employees is reduced due to effective outpatient care. Unfortunately, now not all employers in the market can provide their employees with a social package, including medical insurance. Only the number of large companies using it as a priority in attracting highly qualified specialists is limited. After the introduction of mandatory social health insurance, this social package will be available to all participants of the labor market. This, in turn, will solve the personnel issue. For example, countries with developed economies and high labor productivity give priority to the system of compulsory medical insurance. This is due to the fact that this insurance model brings economic benefits to the business, reducing costs, increasing production volumes and the profit of the enterprise. The main advantage of the health insurance system is that it allows you to reduce the production costs that arise when an employee is temporarily unable to work. According to statistics, there are 2.6 million people in Kazakhstan annually. it turned out that more people receive disability certificates due to temporary disability. Taking into account the fact that each employee produces (or provides services) products worth 12.6 thousand tenge every day, the annual expenses of employers will amount to $ 370 billion. it will approach tenge. The possibility of obtaining high-quality first aid within the framework of mandatory social health insurance, providing the necessary medicines, effective treatment and expensive operations in the best clinics of the country will help to preserve the health of every working citizen, reduce the duration of disability and reduce the costs of employers.

According to the law, in order to obtain the status of an insured citizen, it is necessary to pay off the debt for the past 12 months. A citizen who has a debt of 3 months retains the right to receive medical care within the framework of the OSHI package.

The state revenue bodies (the tax committee) monitor the timely and complete transfer of deductions and contributions. If an individual entrepreneur evades payment of deductions and (or) contributions, then in accordance with Article 92-1 of the Code of the Republic of Kazakhstan On Administrative Offenses, administrative liability is provided in the following order: 1. Non-payment of social payments by the State Social Insurance Fund and the state corporation «Government for Citizens» within the terms established by the legislation of the Republic of Kazakhstan On compulsory social insurance entails a fine on officials in the amount of thirty monthly calculation indicators. 2. failure by the payer of social contributions to the state revenue body: 1) lists of participants in the compulsory social insurance system for whom social contributions are made; 2) non-payment (non-transfer), untimely and (or) incomplete payment (non-transfer) of social contributions; 3) non-fulfillment or improper fulfillment of obligations provided for by the legislation of the Republic of Kazakhstan On mandatory social insurance, committed by the order of state revenue bodies in cases provided for by the legislation of the Republic of Kazakhstan On mandatory social insurance, in the form of non-termination of all expenditure operations on the cash register. 3. The actions provided for in part two of this article, committed repeatedly within a year after the imposition of an administrative penalty, entail a fine on private notaries, private bailiffs, lawyers, small business entities or non – profit organizations in the amount of twenty, on medium – sized businesses-in the amount of thirty, on large business entities-in the amount of fifty percent of the amount of unpaid (non-transferred), untimely and (or) incompletely paid (listed) social contributions.