骗取生育保险基金,主犯获刑十年!国家医保局曝光
第一财经·2025-10-16 02:08

Core Viewpoint - The article highlights the importance of maternity insurance as a crucial part of the social insurance system, emphasizing the need for compliance and the consequences of fraudulent activities that undermine the integrity of the maternity insurance fund [3]. Group 1: Fraud Cases - A case involving Heshun Human Resources Co., Ltd. in Daye City, Hubei Province, revealed that the company fabricated labor relationships to pay for medical insurance for pregnant women not covered by insurance, resulting in a fraud of 2.4916 million yuan [4][5]. - In Qiqihar City, Heilongjiang Province, three companies were found to have falsified labor contracts and payrolls, leading to the recovery of 260,200 yuan in misappropriated maternity benefits [6][7]. - In Guangxi Zhuang Autonomous Region, two companies were discovered to have submitted inflated salary claims to fraudulently obtain maternity benefits totaling 70,090.69 yuan [8][9]. - A case in Anshan City, Liaoning Province, involved individuals fabricating employment documents to claim maternity benefits of 18,803.37 yuan, which were subsequently recovered [10][11]. - In Shanghai, an individual was found to have forged medical documents to claim maternity benefits of 62,725.9 yuan, which were also recovered [12][13]. Group 2: Regulatory Actions - The National Medical Insurance Administration has taken steps to expose fraudulent activities and remind participants to provide accurate information when applying for maternity benefits [3]. - Law enforcement agencies have been actively involved in investigating and prosecuting individuals and companies involved in these fraudulent schemes, ensuring that misappropriated funds are returned to the maternity insurance fund [7][9][11][13].