Decoding of the FFOMS, the main functions and tasks of the fund, the budget of the organization

Federal fund of compulsory medicalInsurance (hereinafter referred to as "the Fund" or "Fund") is a state fund established to finance medical care for the population of the Russian Federation. The fund is extrabudgetary, that is, the money for financing is not allocated from the state budget, but from the funds coming from the insured (citizens and legal entities). FFOMS is a non-profit legal entity, a financial and credit organization, has an independent balance and own property.

Explanation of FFOMS

Consider each word from the title. What does it mean and why was it chosen?

• Federal. The fund is centralized at the federal level, has its own territorial offices in every constituent entity of the Russian Federation, and the basis of its activities is regulated by federal laws.
• Fund. This is a non-profit organization that has its own budget, designed for a specific social and social goal - providing quality free medical care to the population.
• Mandatory. This term means that all citizens of the Russian FederationFederations must be insured without fail. According to the Constitution of the Russian Federation, every citizen has the right to receive free medical care from the state, and in order to properly organize it, everyone must pay insurance contributions (independently or through the employer) to the Fund, from which they will be spent.
• Medical. The main goal of the Foundation is medical care, that is, rendering assistance to people who have health problems.
• Insurance. This is a special type of economic relations instate, in which citizens are paid certain insurance premiums, accumulate in one place, and in case of need are given back to citizens in the form of an insurance amount or insurance service.

Thus, the interpretation of the FRIF is not difficult - it is sufficient to have a general understanding of the terms used in the Russian Federation to designate important organizations.

State regulation

The activities of the Fund are regulated by the legislation of the Russian Federation at the federal and regional levels. The main documents on the basis of which the main body and its territorial branches operate are:

1. The Constitution of the Russian Federation.
2. FZ of 29.11.10 "On compulsory medical insurance in the Russian Federation".
3. Foundation Charter.
4. Decisions of the Armed Forces "On the Procedure for Financing Mandatory Medical Insurance of Citizens" for each year.
5. Budget Code of the Russian Federation.
6. Other legislative acts of the Russian Federation.

Fund Functions

The main functions of the FFOMS are those tasks thatHe performs to achieve the main goal of his creation - to provide funding for medical care for citizens. They are enshrined in paragraph 8 of ch. 6 of the Law on Insurance and states that the FFOMS:

1. Participates in the development of the main program of providing free medical services.
2. Accumulates and manages funds to support the program.
3. Aligns the conditions for the provision of funding for local authorities.
4. Supervises the activities of territorial bodies and the targeted use of funds within the program.
5. Controls the observance of the conditions of use of funds within the program and their mandatory contributions by insurance entities.
6. It has the right to charge and collect arrears, fines and penalties from insurers (individuals and legal entities), which are sent to provide medical care to non-working persons.
7. Keeps his own statements, establishes its forms, determines the order of accounting, issues regulatory legal acts, forms of documents and publishes necessary instructions within the framework of his authority.
8. It maintains uniform registries of organizations providing medical care and medical insurance, rosters of quality experts and insured citizens.
9. Performs other functions within its authority.

OMS policy

The main document issued by the Mandatory Medical Insurance Fund and for which a citizen of the Russian Federation has the right to receive free qualified medical care is a policy.

The policy can be obtained from the territorial bodies of the Federal Fund for Medical Insurance Fund or from commercial organizations to which the Foundation has delegated its authority to issue policies (medical insurance companies).

To contact the territorial MHIF (orThose organizations that have been transferred the necessary powers for insurance) only need a passport; when applying for a policy for a child, a birth certificate must be presented. After receiving the application, employees issue a temporary certificate (for a period of 1 month), which allows you to use all the services on the policy until it is actually received.

What is the budget of the fund

In order to understand what is going onthe budget of the fund, you need to remember what the abbreviations have decoding. The FFOMS receives money from the so-called social contributions, which are paid to the Pension Fund and amount to 22% for 2014 (from the annual salary amount in the range of 624 thousand rubles). The FFOMS tax is 5.1% of this amount. If the annual amount of income exceeds 624 thousand rubles, the contribution from the subsequent amounts to the Pension Fund is 10%, and only 3.7% are deducted to the Federal Fund for Health Insurance Fund.

In addition, there are certain categories of organizations for which lower rates of insurance premiums are established.

The tax is paid to the Pension Fund on a quarterly or monthly basis, depending on the form of the organization and the taxation system (UTII or simplified payment system).

Conclusion

Thus, the FFOMS decryption is sufficiently accessible and understandable to all citizens of Russia, because we all apply for medical services under the OMI policy and pay taxes to replenish the Fund’s budget.