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Shanghai Municipal Medical Insurance Bureau

The major duties are:

1. To implement the guidelines and policies and enforce laws, rules and regulations related to basic medical insurance of staff members and workers; to study and draw up the drafts of local rules and regulations on basic medical insurance of staff members and workers of this municipality, and formulate relevant policies in the light of the actual circumstances in this Municipality, and organize the implementation of relevant rules, regulations, and policies.

2. To be responsible for the formulation of the development planning and the annual plans of this Municipality's basic medical insurance of staff members and workers, and organize the implementation of such planning and plans; to be responsible for the reform of this Municipality's basic medical insurance of staff members and workers.

3. To formulate or revise the norms of administration according to the national and this Municipality' relevant provisions on the payment standards, consultation items, scope of medication and medical service facilities, designated medical institutions and designated pharmacies, settlement and examination and verification expenses of this Municipality's of staff members and workers basic medical insurance, jointly with relevant department, and supervise the implementation of such norms

4. To supervise and administrate the operation of this Municipality's basic medical insurance funds of staff members and workers according to the national and this Municipality's provisions; to be responsible for the budget and final accounts of this Municipality's basic medical insurance expenses funds.

5. To be responsible for the administration of personal medical accounts of this Municipality's of staff members and workers and the seeking of medical treatment in the scope of basic medical insurance of staff members and workers; to be responsible for the supervision of this Municipality's system of basic medical insurance of staff members and workers.

6. To be responsible for the development and administration of the computer system of staff members and workers' basic medical insurance; to do a good job of statistical work of staff members and workers' basic medical insurance jointly with relevant departments; to be responsible to issue bulletin and release information related to this Municipality's staff members and workers' basic medical insurance.

7. To be responsible for acceptance and handling of administrative reconsideration cases and response to administrative actions.

8. To be responsible for the administration of the district/county medical insurance agencies.

9. To administrate the medical allowance funds of civil servants which centralizedly managed, to administrate medical guarantee of special objects belonging to those staff members and workers used to enjoy free medical service.

10. To undertake other matters assigned by the Municipal Government.