How to prevent and combat fraud and embezzlement?

In order to further strengthen fund supervision and crack down on illegal acts that violate funds, the Ministry of Human Resources and Social Security recently announced a new version of the "Administrative Supervision Measures for Social Insurance Funds", which will come into force on March 18
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How to better prevent, crack down on fraud and insurance fraud, misappropriation and embezzlement? "Xinhua Viewpoint" reporters interviewed authoritative departments and experts
.
Refine illegal situations and clarify legal responsibilities China's original "Administrative Supervision Measures for Social Insurance Funds" has been implemented for more than 20 years
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According to the introduction of the Ministry of Human Resources and Social Security, considering that the original method is quite different from the current work needs, it closely follows the actual situation of the administrative supervision of the local social security fund and is problem-oriented, and re-developed the method
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According to data from the Ministry of Human Resources and Social Security, China's endowment insurance has covered more than 1 billion people, more than double the number 10 years ago; the annual revenue and expenditure of the pension, unemployment and work-related injury funds exceeded 13 trillion yuan, an increase of more than 3% compared with 10 years ago.
times
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"The rapid growth of the fund scale and the substantial extension of the business chain have brought new challenges to the supervision work.
The introduction of new measures is timely and 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 measures clarify the legal responsibilities of social security agencies, hospitals, insurance companies and other service agencies, employers, individuals, human resources and social security departments, labor capacity appraisal agencies and other entities for the loss of social security funds, and provide Fraud and insurance fraud by social security service agencies, employers, and individuals has been detailed item by item
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"Which behaviors are fraudulent and insurance fraud, and which behaviors are dereliction of duty, there has been no specific definition before, and there are only a few principled descriptions in the Social Insurance Law
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" Chu Fuling, director of the Social Security Research Center of the Central University of Finance and Economics, believes, "The various situations are clear Afterwards, it will be more operable, improve the effectiveness of crackdowns, tighten the cage of the system, and curb related violations of laws and regulations
.
" "The measures have refined the violations and clarified legal responsibilities, which not only prevent and crack down on social security service agencies, employers and Personal fraud and insurance fraud, and prevent and crack down on social security agencies and departments that exercise approval and accreditation responsibilities to embezzle and endanger funds.

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"Tang Xiaoli, director of the Social Insurance Fund Supervision Bureau of the Ministry of Human Resources and Social Security, said
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Broaden the objects and scope of supervision and supervise all links to prevent "running and leaking".
"Compared with the old version of the method, a major improvement in the new version of the method is to broaden the scope of supervision and supervision.
range
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From simply focusing on the supervision of the social security fund fund account, it has expanded to include all links closely related to fund security into the supervision, including the most advanced early retirement approval, work-related injury identification, labor capacity appraisal, etc.
, and the protection is more comprehensive
.
"Chu Fuling said
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Many industry experts said that after years of rectification, the social security fund management system has been continuously improved, the internal control supervision has become more stringent, and the traditional cases of direct corruption and misappropriation of social security funds have been greatly reduced
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However, there are still a few areas that do not pay enough attention to supervision, and the supervision efficiency is not effective.
In addition, the social security fund management is loose and soft, the information system is imperfect, and the information sharing is not in place to varying degrees, resulting in cases of fraudulent deception and embezzlement of social security funds from time to time, including death and false claims, repeated claims, and prisoners.
Receiving pensions in violation of regulations, etc.

Chu Fuling said that social security funds have a long business chain and many risk points
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From policy formulation, service handling, information management to fund revenue and expenditure, each link may cause the loss of social security funds, and it is necessary to further strengthen the whole process.
Process and all-round supervision
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In order to track the income and expenditure of social security funds, manage risks in a timely manner, and discover existing problems, the measures stipulate on-site inspections, off-site inspections, third-party inspections, and hiring professionals to assist in inspections.
Strengthen the intensity and effectiveness of supervision
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"Focusing on high-risk businesses, complaints and reporting clues, etc.
, we can use social audit institutions to carry out irregular inspections, quickly find doubts, and prevent social security funds from 'running, risking, dripping, and leaking' to the greatest extent
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Zheng Bingwen said
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While strengthening the inspection of social security funds, the measures also emphasize the supervision and handling of staff of social security agencies and human resources and social security departments who violate the regulations or abuse their powers, practice favoritism, and neglect their duties. .
In addition, the measures also require social security agencies to promptly report corruption, misappropriation, fraud, and other violations of social security funds to the human resources and social security departments at the corresponding level and the local human resources and social security departments to the human resources and social security departments at higher levels
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Those who conceal and fail to report, falsely report, or delay and fail to report the essential information discovered shall be investigated for relevant responsibilities
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"Once clues are found, they can be investigated and dealt with quickly; once there are violations of laws and regulations, they must be strictly punished
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" Zheng Bingwen said that by implementing these measures, early prevention, early detection, and early treatment can be avoided to avoid causing greater losses.
and hazards
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The establishment of a supervision system creates a high-pressure situation for violations of laws and regulations.
According to the regulations, the human resources and social security departments at all levels shall strengthen the construction of the administrative supervision team of social security funds, ensure the funds required for the work, ensure the independence of the supervision work, and ensure that the supervision work will not fail
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The measures clarify the coordination obligations of relevant agencies within the human resources and social security departments and the coordination and cooperation requirements with external departments such as public security, judicial administration, and finance
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"Cases often occur in grass-roots areas, which are limited by the establishment, lack of personnel, and insufficient supervision.
Some places do not even have a supervisory agency for social security funds, and some places set up a social security supervision committee, but the effect of supervision is not satisfactory.

" Chu Fuling said
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Experts generally believe that the promulgation of the measures will help to straighten out the administrative supervision system of social security funds, promote the standardization of supervision, and form a high-pressure situation against violations of laws and regulations of social security funds
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"Now that social security has been levied by the tax department, it requires more inter-departmental cooperation.
In terms of 'collection', all payments should be paid and all receivables should be collected.
In terms of 'disbursement', strict control and strengthening of inspections
.
" Zheng Bingwen said, At present, there are still many levels of co-ordination of pension insurance in China, and the use and distribution of social security funds are mainly at the local level
.
Chu Fuling believes that the current measures are only departmental regulations, and the legal effect is not enough.
There should be higher-level legislation, such as the introduction of social security fund supervision regulations, etc. .
Tang Xiaoli introduced that in the next step, the Ministry of Human Resources and Social Security will carry out special inspections on social security funds of all types of insurance while instructing local governments to implement measures and strengthen supervision and investigation.
Supervise relevant regulations and continuously improve the social security fund supervision system
.