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印發《常州市農業保險機構監測評價指導意見(暫行)》的通知

2019-12-07 09:01:23 來源:常州市農業農村局 財政局 閱讀量:20819 評論

  【農機網 通知公告】各轄市(區)農業農村局、財政局:
 
  按照《省政府辦公廳關于進一步完善農業保險經營模式的通知》(蘇政辦發〔2018〕92號)和《關于進一步完善全市農業保險經營模式的通知》(常政辦發〔2019〕7號)要求,現將《常州市農業保險機構監測評價指導意見(暫行)》印發你們,請各地結合實際參照實施。
 
  附件:常州市農業保險機構監測評價指導意見(暫行)
 
  常州市農業農村局          常州市財政局
 
  2019年12月2日
 
  (此件公開發布)
 
常州市農業保險機構監測評價指導意見(暫行)
 
  按照《省政府辦公廳關于進一步完善農業保險經營模式的通知》(蘇政辦發〔2018〕92號)和《關于進一步完善全市農業保險經營模式的通知》(常政辦發〔2019〕7號)要求,為進一步提高農業保險服務現代農業發展的水平,建立政府對農業保險機構的剛性約束評價機制,現就農業保險機構監測評價提出如下指導意見。如遇國家、省農業保險政策重大調整,本《指導意見》適時修訂完善。
 
  一、監評對象
 
  監評對象為經政府采購在我市開展農業保險業務的主承保保險機構和共保保險機構。
 
  二、基本原則
 
  依法依規原則。依據《農業保險條例》、農業保險險種條款、承保理賠操作規范、保費補貼資金管理等法規政策,對農業保險機構開展監測評價。
 
  分級負責原則。市級農業保險主管部門會同本級成員單位,負責農險保險機構監測評價工作的指導與統籌,督促各地監評結果反饋。各轄市(區)農業保險主管部門負責具體實施,承擔主體責任;各地可以會同同級成員單位開展對本區域農業保險經辦機構的監評;也可以委托第三方機構(會計師事務所)開展監評。
 
  公平公開原則。突出承保理賠規范性、資金管理制度完善性、大災風險應對機制健全性、農戶滿意度等重點領域,公平、公正開展監評工作,監評結果及時向社會公開。
 
  三、制度安排
 
  監評方向。主要包括五方面:政策貫徹情況,險種承保情況,定損理賠情況,資金管理情況,服務管理情況。險種范圍。范圍為各級財政提供保費補貼的農業保險險種,以及市或轄市(區)財政提供保費補貼的改革試驗險種。時間區間。監評時間區間為保險機構經辦農業保險業務的整個工作年度,即每年1月1日至12月31日。評分等次。監測評分采取百分制,根據評價得分(S)的分值,確定相應的評價等次;共分為優秀(S≥90)、良好(90>S≥75)、合格(75>S≥60)、不合格(S<60)四個評價等次。剛性罰則。主承保機構凡是虛報承保(理賠)標的,套取保費補貼資金,以理賠資金抵頂農戶上繳保費,無故拒保,發生重大信訪或民生事件,視為當年度監評不合格。對在我市農業保險業務經營活動中受到銀保監部門處罰和通報,以及連續兩年在轄市(區)級監評得分在合格以下(S<75)的主承保機構,待市級成員單位會商并報銀保監部門備案后,取消其下一輪在本市范圍內開展農業保險的資格。共保合作。主承保機構與共保機構共同遵守共保協議內相關權責約定,對無故履約不到位并產生嚴重后果的保險機構給予通報,并納入不誠信保險機構名單。
 
  四、具體內容
 
  (一)政策貫徹方面
 
  1.遵循國家、省、市等農業保險法規政策,貫徹落實省、市農業保險文件精神,執行統一的險種條款,合規開展農業保險業務。
 
  2.有良好的農業保險經營戰略目標,并符合政府“三農”工作總體戰略部署,始終把取得“三農”良好效益和社會利益擺在工作*。
 
  3.有穩健的大災風險應對和農業再保險預案,建立完備的天氣預警、災害處置和防災救災機制。
 
  4.能將農業保險經營收益積極回饋“三農”發展,助力全市鄉村振興戰略發展和現代農業建設。
 
  (二)險種承保方面
 
  1.農業保險深度符合鄉村振興戰略總體部署;主要種植業保險承保面和高效農業保險覆蓋面與農業現代化省定目標相適應。
 
  2.結合農業保險保單周期和農時,在規定時間內完成種植業、養殖業、農機設施等險種承保工作,業務規范,服務到位。農戶承保信息單據完整、真實。
 
  3.保單記載承保數量與實際承保標的一致,無虛構保險合同、虛報承保數量等方式騙取財政補貼資金的現象。
 
  4.根據地方政府要求,開展農業保險創新型險種的改革試驗,探索建立農產品“基本險+大災險(補充險)+商業險”保障模式,能及時報省備案審批。
 
  (三)定損理賠方面
 
  1.接到農戶報案后,在規定時間內進行現場查勘。查勘的影像資料真實,單據完備,查勘報告要素齊全、內容完整。定損標準和理賠方案符合《江蘇省農業保險承保理賠操作規范》要求。
 
  2.發生重大自然災害和養殖業重大疫病時,及時啟動應急處置預案,能保持與政府之間聯動共商。
 
  3.農業保險賠款一律直接賠付到被保險人銀行賬戶或農戶“一折通”賬戶。
 
  4.未出現平均賠付、封頂賠付、拖賠惜賠等損害農戶合法權益的現象。建立理賠投訴機制,理賠糾紛調處及時,未發生群體性重大矛盾糾紛。
 
  (四)資金管理方面
 
  1.農業保險資金實行專戶管理,專賬核算,定向使用。
 
  2.按照財政部門要求上報承保理賠報表,數據全面真實,及時做好保費補貼資金結算。準確收繳農戶應承擔的保費,做到不少繳、不多收。
 
  3.建立本機構巨災風險準備金,償付實力能應對重特大天氣自然災害和養殖業疫病。
 
  4.農業保險資金管理使用過程中無違法違規行為。
 
  (五)服務管理方面
 
  1.市、轄市(區)、鎮(街道)三級服務網絡體系完善。基層(鎮、街道)服務能力與該縣域農業保險業務規模相匹配,合理配備農險專員,并能掛牌服務,業務咨詢、報案理賠渠道暢通。
 
  2.能做好農業保險政策、險種、承保理賠流程的宣傳,投保農戶對參保險種的主要內容知曉度良好。能對基層農險專員和鎮村協保員定期開展業務培訓。
 
  3.按照《江蘇省農業保險承保理賠檔案真實性、完整性標準指引》(蘇農險辦發〔2018〕5號)要求,做好承保理賠的檔案歸檔工作。村(組)集體承保理賠業務落實公示制度。承保理賠按比例落實回訪制度。每年度隨機開展服務問卷調查,農戶滿意度保持在90%以上。
 
  4.積極配合完成農業保險主管部門部署的日常工作,及時報送各類報表、臺賬資料。
 
  五、監評要求
 
  (一)加強組織領導。農業保險機構監評是對保險機構年度工作的總體評價,是營造良好市場競爭環境,建立優勝劣汰機制的具體手段。各轄市(區)農業保險主管部門要高度重視農業保險機構監評,加強與同級成員單位對接和分工協作,共同部署好保險機構的監評工作。
 
  (二)把握幾個環節。監評時間上,各地應在每年一季度末(3月31日前)完成對保險機構上年度的監評工作,監評結果及時報市備案。組織實施上,各地可以細化本地監評指標和評分權重,制定符合當地實際的監測評價表,確保監評工作具有量化性、可操作性。經費安排上,各地可以與當地農業保險機構協商,在保險機構計提的管理費中列支。
 
  (三)注重結果反饋。在主動公開保險機構監評結果的基礎上,各地農業保險主管部門要加強監評結果的反饋與運用,針對監評中的不足,督導保險機構查擺問題與原因,提出改進措施,不斷促進農業保險市場可持續發展,提升農業保險機構保障“三農”發展的水平。
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