骗取生育保险基金 主犯获刑十年!国家医保局曝光典型案例
Zhong Guo Ji Jin Bao·2025-10-16 02:26

Core Viewpoint - The article highlights the importance of maternity insurance in the social insurance system and addresses the issue of fraudulent claims that disrupt the management of maternity insurance funds and harm public interests [1] Group 1: Fraudulent Cases - Case 1: Hubei Province's He Shun Human Resources Co., Ltd. was found to have fabricated labor relationships to pay for uninsured pregnant women, resulting in a fraudulent claim of 2.4916 million yuan in maternity benefits [2] - Case 2: Three companies in Heilongjiang Province, including Ba Si Te Trading Co., Ltd., were identified for falsifying labor contracts and agreements, leading to the discovery of shell companies and fraudulent claims [3][4] - Case 3: In Guangxi Zhuang Autonomous Region, two companies were found to have reported inflated insurance contributions for employees, resulting in a fraudulent claim of 70,090.69 yuan [5][6] - Case 4: In Liaoning Province, an individual conspired with a company to fabricate employment documents, resulting in a fraudulent claim of 18,803.37 yuan [7] - Case 5: A participant in Shanghai was found to have forged medical documents to claim maternity benefits of 62,725.9 yuan, leading to legal action [8] Group 2: Legal Actions and Recoveries - Legal actions have been initiated against individuals involved in fraudulent activities, with several arrests made and cases sent to the public prosecution [2][3][4][5][6][7][8] - A total of 26.02 million yuan in misappropriated maternity benefits has been recovered from fraudulent claims [4]

骗取生育保险基金 主犯获刑十年!国家医保局曝光典型案例 - Reportify