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女教师患癌被开除:涉事学院被曝不止一次这么干

2016-08-19 22:28:06   新京报

目前我国城镇职工医保住院治疗的报销水平在75%左右。“初步估算,刘伶利至少一半以上的医疗费是可以走医保报销的。”蔡翔说。

北京市康达律师事务所律师韩骁认为,本案中,刘伶利患病期间被停社保,其家人可以向劳动行政部门举报。“争议期间的医疗费用,一般由劳动者自己垫付,补缴后由社保支付。”韩骁表示。

不过,纵然事后可能追讨损失,但治病期间停医保造成的自负开支也让刘伶利及其家人不堪重负。

阎天认为,用人单位和劳动者共同承担医保缴费的一个重要的问题,就是用人单位一断供,劳动者的权利就得不到保障。“虽然单位分担了缴费的义务,但它就因此可以决定是否开闸放水。这是个两难的问题。”

对于医保被停后如何筹款,阎天表示,社会救助方面可以寻求大病救助甚至寻求慈善,但同时阎天也表示,刘伶利的事件也反映出,医保应该更加社会化,劳动关系存续与否不应影响医保缴费,甚至不工作也应该享受医保。

为何法院不受理刘伶利“恢复社保”请求?

在本案中,一审和二审法院都没有支持刘伶利关于恢复其社保关系的诉讼请求。如果职工遇到此类问题,是否都不能通过司法途径加以解决?

阎天介绍,最高人民法院对于劳动争议有过专门的司法解释,其中明确,因用人单位欠缴、拒缴社会保险费发生的争议,应由社保管理部门解决处理,不应纳入人民法院受案范围。

只有对于因用人单位没有为劳动者办理社保手续,且社保经办机构不能补办导致劳动者不能享受社保待遇,要求用人单位赔偿损失的,才属于典型的社保争议纠纷,法院才会受理。

“法院系统受理社保纠纷是非常谨慎的。我们每个人都有几项社保,这类纠纷数量庞大。同时社保信息掌握在行政机关手中,行政机关处理这类纠纷会更加容易一些。”阎天向重案组37号(微信ID:zhonganzu37)表示。

新京报记者吴为编辑张太凌校对郭利琴

责任编辑:李皓 CN002
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