Research of our country all the people health insurance dispute consideration system
Date Issued
2009
Date
2009
Author(s)
Chen, Yi-Ping
Abstract
In order to seek the social welfare, and promotes the national health, realized the constitution safeguard of regarding the people''s right to subsistence, our country applies all the people health insurance system officially in March 1, 1995. All the people health insurance is the compulsory social security, its goal is based on the self-service, the cooperation principle, and the danger shares, consideration of the public interest, gathers the national and government''s economic capacity, provides the basic medical service to the national. Therefore, every conforms to the additional insurance qualifications the insured object, has takes out insurance continually legally by the suitable identity and duty of the payment insurance premium, and do not interrupt. The so significant transformation, affects right and the duty insured of, the insurance unit and the healing institute is really great, therefore the dispute item must not be possible to exempt. Since all the people health insurance launch, the central health insurance bureau has been the only insurer, qualifications, the sum insured, the insurance premium, the fine for delayed payment, the fine, the insurance the related insured object pay, all the people health insurance events and so on insurance practice of medicine Service organization special management, makes the checking by the central health insurance bureau. Possibly has the massive medical expense dispute case for the solution, considers this dispute case nature to involve highly the medicine specialty, fears is unable the eligibility for the general petition institution, and avoids the insurer questioning that the player concurrently referee, is supposes in all the people healthy law of insurance 5th tax considers sole responsibility of institution all the people health insurance dispute case for all the people health insurance dispute consideration committee. The people or the special healing institute refuse to accept to the central health insurance bureau for the punishment, must to this meeting propose first application of the dispute consideration, can mentions the petition and the administrative proceedings to the Executive Yuan Department of health and the administrative court. Therefore, Chang Wei public opinion filthy sickness, thought that has suspicion of the unnecessary duplication. This article namely take the above question as the research core, first defines clearly of legal relationship all the people health insurance, outlines under each kind of legal relationship following it the present administrative relief way jing. Then, take foreign country as mirror, case for auxiliary, proposed that the health insurance struggle examines the system reform plan, the time can give dual attention to realization of the people''s right, can also reduce the Higher organ load effectively, promotes the administrative potency.
Subjects
All the people health insurance
Dispute consideration
The health insurance struggle examines the system
The struggle examines the meeting
Administrative relief
Rights and interests case
Special management case
Medical expense case
Petition advance procedure
Type
thesis
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