ORDER OF THE MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

of March 12, 2012 No. 216n

About approval of the Form of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage and procedure for its filling

For the purpose of realization of Item 2 of part 9 of article 15 of the Federal Law of July 24, 2009 N 212-FZ "About insurance premiums in the Pension Fund of the Russian Federation, Social Insurance Fund of the Russian Federation, Federal Compulsory Health Insurance Fund" (The Russian Federation Code, 2009, N 30, Art. 3738; 2010, N 31, Art. 4196; N 49, of Art. 6409; N 50, of Art. 6597; 2011, N 1, Art. 40; N 29, of Art. 4291; N 49, of the Art. 7057) and Item 1 of article 24 of the Federal Law of July 24, 1998 N 125-FZ "About compulsory social insurance from labor accidents and occupational diseases" (The Russian Federation Code, 1998, 31, Art. 3803; 2003, N 6, Art. 508, N 17, Art. 1554; 2009, N 30, 3739) I order to the Art.:

1. Approve:

calculation form on the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage (form - 4 Social Insurance Funds) according to the appendix N 1;

procedure for filling of form of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage (form - 4 Social Insurance Funds) according to the appendix N 2.

2. Determine that this order is applied from representation of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage, since I quarter 2012.

3. Declare invalid:

the order of the Ministry of Health and Social Development of the Russian Federation of February 28, 2011 N 156 N "About approval of form of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage, and procedure for its filling" (it is registered by the Ministry of Justice of the Russian Federation on March 16, 2011 N 20129);

the order of the Ministry of Health and Social Development of the Russian Federation of November 22, 2011 N 1385 N "About modification of procedure for filling of form of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage (form - 4 Social Insurance Funds), approved by the order of the Ministry of Health and Social Development of the Russian Federation of February 28, 2011 of N 156 N" (it is registered by the Ministry of Justice of the Russian Federation on December 30, 2011 N 22849).

Appendix №1

to the order of the Ministry of Health and Social Development of the Russian Federation from __________ N _____

Calculation form on the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage

See Appendix No. 1 (37Kb In original language)

Appendix № 2

to the order of the Ministry of Health and Social Development of the Russian Federation from __________ N _____

Procedure for filling of form of calculation for the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage (form - 4 Social Insurance Funds)

I. General requirements

1. The calculation form on the assessed and paid insurance premiums for compulsory social insurance for case of temporary disability both in connection with motherhood and on compulsory social insurance from labor accidents and occupational diseases, and also on expenses on payment of insurance coverage (form - 4 Social Insurance Funds) (further - the Calculation form) is filled with use of computer aids or by hand the ball (pen) pen of black or blue color printing letters.

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