ORDER OF THE GOVERNMENT OF THE RUSSIAN FEDERATION

of November 9, 2018 No. 1337

About approval of Rules of determination of number of insured persons for the purpose of forming of the budget of Federal Compulsory Health Insurance Fund, budgets of subjects of the Russian Federation and budgets of territorial funds of compulsory medical insurance

According to part 2 of article 10 of the Federal law "About Compulsory Medical Insurance in the Russian Federation" Government of the Russian Federation decides:

Approve the enclosed Rules of determination of number of insured persons for the purpose of forming of the budget of Federal Compulsory Health Insurance Fund, budgets of subjects of the Russian Federation and budgets of territorial funds of compulsory medical insurance.

Approved by the Order of the Government of the Russian Federation of November 9, 2018 No. 1337

Rules of determination of number of insured persons for the purpose of forming of the budget of Federal Compulsory Health Insurance Fund, budgets of subjects of the Russian Federation and budgets of territorial funds of compulsory medical insurance

1. These rules establish procedure and technique of determination of number of insured persons, including unemployed, for the purpose of forming of the budget of Federal Compulsory Health Insurance Fund, budgets of subjects of the Russian Federation and budgets of territorial funds of compulsory medical insurance (further respectively - Federal fund, territorial funds).

2. The number of insured persons, including unemployed, is determined by Federal fund together with territorial funds on the basis of data of the personified accounting in the sphere of compulsory medical insurance.

3. Territorial funds provide:

a) updating of the single register of insured persons as of January 1 of the current year according to the Rules of conducting the personified accounting in the sphere of compulsory medical insurance approved by the order of the Government of the Russian Federation of November 5, 2022 No. 1998 "About approval of Rules of conducting the personified accounting in the sphere of compulsory medical insurance" including reflection in the single register of insured persons of information about the working insured persons, - no later than March 15 of the current year;

b) calculation of number of insured persons, including unemployed, according to Items 5 and 6 of these rules - no later than April 1 of the current year;

c) submission to Federal fund of information about insured persons, including the unemployed, as of January 1 of the current year in the form established by Federal fund - no later than April 15 of the current year.

4. The federal fund provides:

a) processing of information about insured persons, including the unemployed provided by territorial funds according to the subitem "v" of Item 3 of these rules - no later than May 1 of the current year;

b) submission to the Ministry of Finance of the Russian Federation the insured persons, including the unemployed this about number, - no later than May 15 of the current year.

5. The number of insured persons, including unemployed determined for the purpose of forming of the budget of territorial fund is equal to the number of persons who are insured in the subject of the Russian Federation, including according to Item 5 (1) these rules, as of January 1 of the current year.

5(1). Persons specified regarding 1.1 articles 10 of the Federal law "About Compulsory Medical Insurance in the Russian Federation" (further - the Federal Law), are considered by territorial funds in the single register of insured persons as the working insured persons in case of simultaneous observance of the following conditions for January 1 of the current year:

a) began confirmation of the status working at the basis of data on the facts with them employment relationships (operation of the agreements of civil nature) received from Fund of pension and social insurance of the Russian Federation in compliance by part 2.1 of article 49 of the Federal Law;

b) availability of the bases provided by part 1.1 of article 16 of the Federal Law.

5(2). Persons specified regarding 1.1 articles 10 of the Federal Law are excluded by territorial funds from the single register of insured persons in the presence of one of the following conditions for January 1 of the current year:

a) loss of the status of the termination of the employment relationships by them (operations of agreements of civil nature) received from Fund of pension and social insurance of the Russian Federation in compliance by part 2.1 of article 49 of the Federal Law working at the basis of data on the facts;

b) lack of the bases provided by part 1.1 of article 16 of the Federal Law.

6. The number of unemployed insured persons determined for the purpose of forming of budgets of subjects of the Russian Federation is equal to the number of persons who, being insured in the subject of the Russian Federation as of January 1 of the current year, according to Item 7 of these rules are considered as the unemployed.

7. Insured persons (except for persons specified regarding 1.1 articles 10 of the Federal Law) are considered by territorial funds in the single register of insured persons as unemployed insured persons in case of simultaneous observance of the following conditions:

a) for benefit of insured persons the payers of insurance premiums specified in the subitem 1 of Item 1 of article 419 of the Tax Code of the Russian Federation during settlement period did not charge the payments and other remunerations which are subject to taxation by insurance premiums for compulsory medical insurance, or the amounts, not subject to taxation by such insurance premiums;

b) insured persons are not the payers of insurance premiums specified in the subitem 2 of Item 1 of article 419 of the Tax Code of the Russian Federation or the payers applying special tax regime "Tax on the professional income";

c) the information about insured persons is absent as a part of the personified information about the working insured persons received during the settlement period from tax authorities according to part 2 of article 49 of the Federal Law.

8. The number of insured persons, including unemployed, in the Russian Federation for the purpose of forming of the budget of Federal fund (ChZL Russian Federation) is determined based on the data provided by territorial funds according to the subitem "v" of Item 3 of these rules by formula:

where ChZLI - the number of insured persons, including unemployed, in i-m the subject of the Russian Federation, determined according to Item 5 of these rules.

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