国家医保局公布5起骗取生育保险基金典型案例
Yang Shi Wang·2025-12-03 01:13

Core Viewpoint - The National Healthcare Security Administration emphasizes the importance of maternity insurance in protecting the rights of insured individuals and maintaining fairness in employment, while highlighting the serious issue of fraudulent claims that disrupt the management of maternity insurance funds [1][2]. Group 1: Fraud Cases - Case 1: Yunnan Tongsheng Tea Trade Co., Ltd. was found to have 30 employees registered, with an average monthly contribution base of over 17,000 yuan. 24 employees claimed maternity benefits totaling 2.271 million yuan, with suspicious activity of transferring insurance shortly before childbirth [1]. - Case 2: Two companies in Zhangjiakou, Hebei, were discovered to have fabricated labor relationships, leading to 50.7 million yuan in fraudulent maternity benefits claimed by employees who were not actually working [3][4]. - Case 3: Chao Yi Tax Consulting Co., Ltd. in Fujian was found to have four employees falsely claiming maternity benefits totaling 71,000 yuan, resulting in criminal convictions for the company's representatives [5]. - Case 4: Dayu Hongyi Decoration Design Co., Ltd. in Jiangxi was found to have inflated the contribution base for two employees, leading to a fraudulent claim of 84,000 yuan in maternity benefits [6]. - Case 5: Sichuan Hongyu Chunfan Agricultural Co., Ltd. was flagged for suspicious claims of 229,000 yuan in maternity benefits by employees who joined the company after becoming pregnant, raising concerns about the legitimacy of their employment [8].