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关于切实做好广州亚运保险服务保障工作的通知

中国保险监督管理委员会


关于切实做好广州亚运保险服务保障工作的通知

保监发〔2010〕90号


各保险公司、广东保监局:

第16届亚洲运动会将于2010年11月在广州举行,为切实做好2010年广州亚运会保险工作,确保保险服务保障全面到位,提升亚运保险服务水平,现就做好亚运保险服务保障工作通知如下:

一、提高认识,高度重视亚运保险工作

广州亚运会是继北京奥运会、上海世博会之后,我国举办的又一次举世瞩目的国际性体育文化盛事。办好广州亚运会对巩固和改善我国国际形象,增进我国与周边国家和地区的交流合作具有重要意义。

亚运保险工作是广州亚运会运营服务保障的重要组成部分,各亚运会保险承保公司要高度重视亚运会保险服务保障工作,采取切实措施做好相关工作,提供周全、细致、可靠的风险保障,提升保险服务水平,改善保险服务质量,为亚运会成功顺利举行发挥保险业的作用。

二、加强组织领导,合力做好亚运保险工作

各亚运保险承保公司要加强对亚运保险工作的组织领导,成立本公司亚运保险工作领导小组,由总公司高管人员担任组长,加强对广东保险分支机构的指导、协调和管理力度,为亚运保险服务提供必要的人力、财力、物力等方面支持,确保亚运期间保险工作万无一失。

广东保监局要进一步加强与当地相关政府部门的协调,营造有利于做好亚运保险工作的环境;要加大对广东辖区内相关保险机构、人员的指导和督查力度,确保各项工作落实到位。

三、认真做好保险承保、理赔和风险管理服务工作

中国人民保险集团股份有限公司(以下简称人保公司)作为亚运会保险合作伙伴,要根据第16届亚运会组委会(以下简称亚组委)保险保障需求,组织、指导各相关子公司提供充分和必要的风险保障,要针对实际需要,及时开发、完善亚运保险产品;要积极配合亚组委有关部门,针对亚运会场馆、设施、人员等可能存在的风险点进行梳理排查,为亚组委的风险防范工作提供专业建议与意见,及时提出风险管理方案;要重点完善亚运会比赛及活动场区保险服务网点布局,建立“一站式”承保、理赔服务平台,方便客户获得便捷的保险服务。

各亚运保险承保公司要进一步细化亚运会保险服务工作方案,强化保险服务规范和标准;要建立安全高效、服务优质的保险服务体系,树立保险服务窗口形象;要本着“特事特办”的原则,设立亚运会保险服务绿色通道,加快理赔速度,努力实现亚运保险零投诉。

四、确保亚运期间保险业运行稳定

各保险公司要建立亚运会期间的维稳责任制,要妥善处理保险信访,规范处理程序,建立快速应对机制,及时研判并制定预防化解矛盾的综合措施;要加强内控管理,防范各种区域性、系统性风险;要确保相关软硬件系统运转顺畅,并建立应急处理机制。

各保险公司要加强信息系统安全管理,严格防范病毒及“黑客”侵入,保证核心业务系统稳定良好运行。

五、开展服务演练,提高亚运保险应急管理水平

亚运保险承保公司要对承保、防灾、理赔、投诉等各个保险服务环节,开展认真细致的评估与演练,细化服务工作预案,合理配置资源,确保亚运会保险服务保障到位。

各保险机构要切实履行职责,加强协作,杜绝任何推诿扯皮、逃避责任等现象。对于未按照要求及时妥善处理相关问题,造成群访群诉以及不良社会反映的,将严肃追究有关责任人的责任。

亚运保险承保机构自11月5日起至广州亚运会结束期间,要建立重大事项报告制度,对于重大理赔案件及重大事项必须立即报送保监会及广东保监局。请各亚运保险承保公司于2010年11月5日前,将本公司亚运保险工作领导小组成员名单、联系方式报广东保监局。

中国保险监督管理委员会

二○一○年十月二十五日

Chapter IV
Function of Panels: Art. 11 of the DSU


OUTLINE


I Introduction
II Application of Art. 11 as a General Standard of Review
III Review in “neither de novo nor total defence”
IV Allegation against Panels’ Standard of Review
V Exercise of Judicial Economy





I Introduction
The function of panels is expressly defined in Art. 11 of the DSU, which reads as follows:

“The function of panels is to assist the DSB in discharging its responsibilities under this Understanding and the covered agreements. Accordingly, a panel should make an objective assessment of the matter before it, including an objective assessment of the facts of the case and the applicability of and conformity with the relevant covered agreements, and make such other findings as will assist the DSB in making the recommendations or in giving the rulings provided for in the covered agreements. Panels should consult regularly with the parties to the dispute and give them adequate opportunity to develop a mutually satisfactory solution.”

This provision suggests that the function of panels is to make an objective assessment such as to assist the DSB in making the recommendations or in giving the rulings provided for in the covered agreements. However, how do panels fulfill their functions as provided in Art. 11 of the DSU? It is the issue that we will touch on in this chapter. In this chapter, the author explores on the standard of review issue under the WTO, i.e. “an objective assessment”; as well as on the exercised judicial economy principle developed in panel’s review.
With regard to the standard of review issue, the GATT/WTO dispute settlement procedures have increasingly confronted questions concerning the degree to which an international body, under the GATT/WTO, should “second guess” a decision of a national government agency concerning economic regulations that are allegedly inconsistent with an international rule. It seems clear that the international agreement doesn’t permit a national government’s determination always to prevail, otherwise the international rules could be easily evaded or rendered ineffective. But should the international body approach the issues involved without any deference to the national government? It has been argued in the GATT/WTO proceedings that panels should respect national government determinations, up to some point. That “point” is the crucial issue that has sometimes been labelled the “standard of review”.1
Of course, this issue is not unique to the GATT/WTO. Naturally, the standard-of-review issue is one that many legal systems face. “The standard-of-review question is faced at least implicitly whenever sovereign members of a treaty yield interpretive and dispute settlement powers to international panels and tribunals. Moreover, as national economies become increasingly interdependent, and as the need for international cooperation and coordination accordingly becomes greater, the standard-of-review question will become increasingly important.” 2 And “it can be seen that the standard-of-review question is a recurring and delicate one, and one that to some extent goes to the core of an international procedure that must (in a rule-based system) assess a national government’s actions against treaty or other international norms”. 3
However, for the immediate purpose, we want to focus below on the more particular question of the proper standard of review for a WTO panel when it undertakes to examine a national government’s actions or rulings that engage the question of consistency with the various WTO agreements and are subject to the DSU procedures.

II Application of Art. 11 as a General Standard of Review
Under the WTO jurisprudence, it’s demonstrated that Art. 11 of the DSU has been applied as a general standard of review. Art. 11 suggests that the function of panels is to make “an objective assessment” so as to assist the DSB in making the recommendations or in giving the rulings provided for in the covered agreements.
For example, in US-Shirts and Blouses (DS33), the Panel rules that, “although the DSU does not contain any specific reference to standards of review, we consider that Article 11 of the DSU which describes the parameters of the function of panels, is relevant here”. 4
And the application of Art. 11 as a general standard of review under the DSU is analyzed systematically in EC-Hormones (DS26/DS48) where the Appellate Body rules that: 5
“The first point that must be made in this connection, is that the SPS Agreement itself is silent on the matter of an appropriate standard of review for panels deciding upon SPS measures of a Member. Nor are there provisions in the DSU or any of the covered agreements (other than the Anti-Dumping Agreement) prescribing a particular standard of review. Only Article 17.6(i) of the Anti-Dumping Agreement has language on the standard of review to be employed by panels engaged in the ‘assessment of the facts of the matter’. We find no indication in the SPS Agreement of an intent on the part of the Members to adopt or incorporate into that Agreement the standard set out in Article 17.6(i) of the Anti-Dumping Agreement. Textually, Article 17.6(i) is specific to the Anti-Dumping Agreement.
[…]
We do not mean, however, to suggest that there is at present no standard of review applicable to the determination and assessment of the facts in proceedings under the SPS Agreement or under other covered agreements. In our view, Article 11 of the DSU bears directly on this matter and, in effect, articulates with great succinctness but with sufficient clarity the appropriate standard of review for panels in respect of both the ascertainment of facts and the legal characterization of such facts under the relevant agreements […]”
In sum, for all but one of the covered agreements, Art. 11 of the DSU sets forth the appropriate standard of review for panels. As stated on more than one occasion, Art. 11 of the DSU, and, in particular, its requirement that “a panel should make an objective assessment of the matter before it, including an objective assessment of the facts of the case and the applicability of and conformity with the relevant covered agreements”, sets forth the appropriate standard of review for panels examining the consistency or inconsistency of alleged measures under the WTO jurisprudence. And the only exception is the Agreement on Implementation of Article VI of the General Agreement on Tariffs and Trade 1994, in which a specific provision, Art. 17.6, sets out a special standard of review for disputes arising under that Agreement(to be discussed in subsequent chapter).6

III Review in “neither de novo nor total defence”
In EC-Hormones (DS26/DS48), in the view of the European Communities, “the principal alternative approaches to the problem of formulating the ‘proper standard of review’ so far as panels are concerned are two-fold. The first is designated as ‘de novo review’. This standard of review would allow a panel complete freedom to come to a different view than the competent authority of the Member whose act or determination is being reviewed. A panel would have to ‘verify whether the determination by the national authority was…correct (both factually and procedurally)’. The second is described as ‘deference’. Under a ‘deference’ standard, a panel, in the submission of the European Communities, should not seek to redo the investigation conducted by the national authority but instead examine whether the ‘procedure’ required by the relevant WTO rules had been followed”.7 In this respect, the Appellate Body rules that:8
“So far as fact-finding by panels is concerned, their activities are always constrained by the mandate of Article 11 of the DSU: the applicable standard is neither de novo review as such, nor ‘total deference’, but rather the ‘objective assessment of the facts’. Many panels have in the past refused to undertake de novo review, wisely, since under current practice and systems, they are in any case poorly suited to engage in such a review. On the other hand, ‘total deference to the findings of the national authorities’, it has been well said, ‘could not ensure an 'objective assessment' as foreseen by Article 11 of the DSU’.”
The ruling is confirmed on many other occasions. For example, the Panel on US-Underwear (DS24) finds that: 9
“In our opinion, a policy of total deference to the findings of the national authorities could not ensure an ‘objective assessment’ as foreseen by Article 11 of the DSU. This conclusion is supported, in our view, by previous panel reports that have dealt with this issue, and most notably in the panel report on the ‘Transformers’ case.
The panel in the ‘Transformers’ case was confronted with the argument of New Zealand that the determination of ‘material injury’ by the competent New Zealand investigating authority could not be scrutinized by the panel. The ‘Transformers’ panel responded to this argument as follows:
‘The Panel agreed that the responsibility to make a determination of material injury caused by dumped imports rested in the first place with the authorities of the importing contracting party concerned. However, the Panel could not share the view that such a determination could not be scrutinized if it were challenged by another contracting party. On the contrary, the Panel believed that if a contracting party affected by the determination could make a case that the importation could not in itself have the effect of causing material injury to the industry in question, that contracting party was entitled, under the relevant GATT provisions and in particular Article XXIII, that its representations be given sympathetic consideration and that eventually, if no satisfactory adjustment was effected, it might refer the matter to the CONTRACTING PARTIES, as had been done by Finland in the present case. To conclude otherwise would give governments complete freedom and unrestricted discretion in deciding anti-dumping cases without any possibility to review the action taken in the GATT. This would lead to an unacceptable situation under the aspect of law and order in international trade relations as governed by the GATT’.”
In short, for the panel to adopt a policy of total deference to the findings of the national authorities could not ensure an “objective assessment” as foreseen by Art. 11 of the DSU. This conclusion is supported, in our view, by previous panel reports that have dealt with this issue. However, panels do not see their review as a substitute for the proceedings conducted by national investigating authorities, either. For example, in Argentina-Footwear (DS121), the Panel doesn’t consider that they have the mandate to conduct a de novo review: 10
“This approach is consistent with the reports of panels reviewing national investigations… The panel on United States - Anti-dumping Duties on Import of Salmon from Norway concluded that it should not engage in a de novo review of the evidence examined by the national investigating authority.
The panel on United States - Underwear followed this approach by noting, however, that it did not see its ‘review as a substitute for the proceedings conducted by national investigating authorities or by the Textiles Monitoring Body (TMB). Rather…the Panel's function should be to assess objectively the review conducted by the national investigating authority, in this case the CITA. We draw particular attention to the fact that a series of panel reports in the anti-dumping and subsidies/countervailing duties context have made it clear that it is not the role of panels to engage in a de novo review. In our view, the same is true for panels operating in the context of the ATC, since they would be called upon, as in the cases dealing with anti-dumping and/or subsidies/countervailing duties, to review the consistency of a determination by a national investigating authority imposing a restriction under the relevant provisions of the relevant WTO legal instruments, in this case the ATC. …’
Accordingly, the panel on United States - Underwear decided, ‘in accordance with Article 11 of the DSU, to make an objective assessment of the Statement issued by the US authorities … which, as the parties to the dispute agreed, constitutes the scope of the matter properly before the Panel without, however, engaging in a de novo review. … an objective assessment would entail an examination of whether the CITA had examined all relevant facts before it, whether adequate explanation had been provided of how the facts as a whole supported the determination made, and, consequently, whether the determination made was consistent with the international obligations of the United States’.
The panel on United States - Shirts and Blouses also stated that ‘[t]his is not to say that the Panel interprets the ATC as imposing on the importing Member any specific method either for collecting data or for considering and weighing all the relevant economic factors upon which the importing Member will decide whether there is need for a safeguard restraint. The relative importance of particular factors including those listed in Article 6.3 of the ATC is for each Member to assess in the light of the circumstances of each case’.
These past GATT and WTO panel reports make it clear that panels examining national investigations in the context of the application of anti-dumping and countervailing duties, as well as safeguards under the ATC, have refrained from engaging in a de novo review of the evidence examined by the national authority.”
However, as emphasized by the Appellate Body, although panels are not entitled to conduct a de novo review of the evidence, nor to substitute their own conclusions for those of the competent authorities, this does not mean that panels must simply accept the conclusions of the competent authorities. In this respect, the phrase “de novo review” should not be used loosely. If a panel concludes that the competent authorities, in a particular case, have not provided a reasoned or adequate explanation for their determination, that panel has not, thereby, engaged in a de novo review. Nor has that panel substituted its own conclusions for those of the competent authorities. Rather, the panel has, consistent with its obligations under the DSU, simply reached a conclusion that the determination made by the competent authorities is inconsistent with the specific requirements of the covered Agreement. 11

关于推进混合所有制企业和非公有制经济组织从业人员参加医疗保险的意见

劳动部办公厅


关于推进混合所有制企业和非公有制经济组织从业人员参加医疗保险的意见

劳社厅发〔2004〕5号

各省、自治区、直辖市劳动保障厅(局):

  根据《中共中央关于完善社会主义市场经济体制若干问题的决定》关于进一步改革城镇职工基本医疗保险制度的精神,为进一步扩大医疗保险覆盖面,完善医疗保险制度,现就推进混合所有制企业和非公有制经济组织从业人员参加医疗保险工作提出如下意见:

  一、统一思想认识,明确工作重点
  (一)随着经济体制改革进一步深化,国有企业向混合所有制企业转制的进程加快,个体、私营等非公有制经济组织迅速发展,混合所有制企业和非公有制经济组织成为我国城镇新增劳动力、下岗失业人员和农村进城务工人员就业的主要渠道。推进混合所有制企业和非公有制经济组织从业人员参加医疗保险,是贯彻党的十六届三中全会精神、坚持和落实以人为本的科学发展观的重要任务,是进一步深化国有企业改革、完善社会主义市场经济体制的迫切要求,是改善经济环境、促进就业和再就业的重要措施,是提高医疗保险保障能力、确保医疗保险制度稳健运行和可持续发展的客观需要。当前要采取切实措施,加大推进混合所有制企业和非公有制经济组织从业人员参加医疗保险的工作力度,促进基本医疗保险事业全面协调可持续发展。
   (二)推进混合所有制企业和非公有制经济组织从业人员参加医疗保险,要以做好在职职工医疗保险关系接续和解决退休人员医疗保险资金为重点,巩固和扩大国有企业转制为混合所有制企业后的参保面。要以私营、民营等非公有制企业为重点,提高中小企业参保率。要以与城镇用人单位建立了劳动关系的农村进城务工人员为重点,积极探索他们参加医疗保险的有效途径和办法。要以大中城市为重点,加强工作指导,妥善处理各方面关系,梯次推进。

  二、坚持基本原则,进一步完善政策
  (三)对混合所有制企业和非公有制经济组织从业人员,要坚持权利和义务相对应、缴费水平与待遇水平相挂钩的原则,通过建立统筹基金和参加大额医疗费用补助办法将他们纳入医疗保险范围,重点解决大额医疗费用风险。对门诊等未纳入医疗保险支付范围的医疗费用,用人单位应给予适当补助。
  (四)逐步将与用人单位形成劳动关系的农村进城务工人员纳入医疗保险范围。根据农村进城务工人员的特点和医疗需求,合理确定缴费率和保障方式,解决他们在务工期间的大病医疗保障问题,用人单位要按规定为其缴纳医疗保险费。对在城镇从事个体经营等灵活就业的农村进城务工人员,可以按照灵活就业人员参保的有关规定参加医疗保险。
  (五)切实保障参保人员的医疗保险权益。统一执行基本医疗保险定点管理、医疗服务项目支付范围和标准等医疗服务管理政策和办法,及时结算医疗费用,保证待遇落实。在坚持医疗保险待遇支付基本政策的同时,可以根据不同的保障方式,采取待遇支付标准与连续缴费年限挂钩、建立最低缴费年限制度等办法,鼓励用人单位和各类从业人员连续参保。

  三、强化医疗保险管理,提高经办服务水平
  (六)加强参保登记、缴费基数核定和基金征缴。对灵活就业人员、个体经济组织业主及其从业人员、外来务工人员以及规模较小的企业等难以准确核定缴费基数的,可以参照当地上年度职工平均工资确定。
   (七)根据混合所有制企业和非公有制经济组织用工制度灵活、人员流动性大的特点,充分发挥街道社区劳动保障工作平台的作用,将医疗保险管理服务延伸到街道社区。充分利用银行、邮局等社会窗口,委托办理缴费手续,为参保人员提供方便快捷的服务。

  四、加强统筹协调,精心组织实施
  (八)各级劳动保障部门要在当地党委和政府的领导下,加大宣传力度,加强部门协调,积极争取工商、税务等部门的支持配合,为推进混合所有制企业和非公有制经济组织从业人员参加医疗保险工作创造良好条件。
  (九)各地要在认真调研的基础上,制定重点突出、措施得力的具体方案。加大督促检查力度,及时了解有关情况,分析和研究工作中出现的新情况、新问题,不断总结经验,完善政策和管理措施,积极稳妥地将混合所有制企业和非公有制经济组织从业人员逐步纳入医疗保险范围。

                             劳动和社会保障部办公厅
                             二○○四年五月二十八日