Power of attorney for obtaining a new medical certificate. Obtaining an Oms Policy
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Samples of powers of attorney for a medical insurance policy
ATTENTION! Look at the completed sample of a power of attorney to receive a medical policy from an individual:
DOWNLOAD power of attorney samples for a medical policy, please follow the links below:
How to draw up a document
Citizens are entitled to receive free medical care only if they have a medical insurance policy. The issuance of the document is carried out by the insurance company. As a general rule, a citizen must receive a policy in person. There may be circumstances in which the insured person cannot independently appear to receive the policy.
The reasons may be different: unexpected departure, illness, personal circumstances. In this case, the document is allowed to be received by a person who has a power of attorney to perform such actions.
Remember! The power of attorney is written in free form.
According to the law, the text of the document contains the following information:
- name (“power of attorney”), place and exact date of registration;
- the surname, name and patronymic of the principal in full, the details of his passport. For organizations - TIN, PSRN, KPP, location (legal address);
- proxy information - full name and passport details. Only honest and conscientious persons should be instructed to receive documents;
- full list of powers granted. In addition to obtaining a policy, other additional actions may be included in the list of transferred rights;
- term of transfer of rights;
- signatures of both parties.
If the authority is delegated by a legal entity, as a general rule, a stamp of the organization is affixed. The legislation does not stipulate separately the mandatory presence of a letter of attorney when receiving a medical policy, but general practice recommends this. It is possible to affix a facsimile instead of a signature.
Watch the video. All about the details of the power of attorney:
What type of document to choose
The law does not require notarization of authority to obtain a policy. In an arbitrary text, it is sufficient to indicate the necessary information listed above. The principal writes the text manually or types on the computer with subsequent printing. Both parties affix decrypted signatures to the document.
Sometimes the representative of the insurance company has doubts about the authority of the representative. Then he may require notarization of the transfer of rights.
Who can be an attorney
Any adult legally capable person is entitled to receive a proxy policy. A relative or acquaintance is entitled to represent interests. The main thing is that the citizen be conscientious and trustworthy.
When it comes to insurance for employees of an organization, usually the policies of employees are received by a lawyer of the company.
Representatives can be not only citizens, but also legal entities.
Who entrusts their authority
A competent citizen who has reached the age of 18 years and concludes an insurance contract is entitled to delegate authority in this area. If the company practices corporate insurance of employees, then the legal entity transfers authority to receive policies.
The procedure for issuing a power of attorney
Remember! General rules for transferring rights to a medical insurance policy:
- compilation of a document in writing (arbitrary form);
- lack of a mandatory requirement for notarization;
- execution of two identical copies of the document. Upon receipt of the policy, both forms will be required.
Differences for individuals and legal entities
The power of attorney issued to the citizen includes information about the trustee:
- surname, name and patronymic;
- year of birth;
- tax payer number (TIN);
- passport series, number, extradition information, place of registration.
In the final part of the document must be affixed with a decryption. Similar data is entered on the principal. The listed information is indicated without abbreviations.
Attention! Our qualified lawyers will assist you for free and around the clock on any issues.
If the authority to receive the policy is transferred or received by the organization, the power of attorney contains the details of the legal entity (full name, TIN, PSRN, legal address, KPP). Abbreviations cannot be applied.
The authority to sign a power of attorney belongs to the head of the organization or to another person specified in the constituent documents. The question arises whether it is mandatory to stamp.
The validity period of the transferred powers is specified in the text. If this is not done, the validity period is considered equal to 1 year from the date of issue (part 1 of article 186 of the Civil Code of the Russian Federation).
Getting a baby policy
As a general rule, the legal representatives of the child are the parents. Powers are confirmed by the birth certificate of a child in combination with their own passport. If necessary, the policy is entitled to receive another authorized person. The mother or father shall issue him a power of attorney, drawn up in writing, without notarization.
In order to receive a child’s medical insurance policy:
- power of attorney received;
- passport or other proof of identity;
- birth certificate of a child;
- identity document of the parent;
- SNILS of the child - if received.
As a general rule, after the application, the trustee receives the issued temporarily valid policy of the principal, it is applied for 30 days. Then, again using the power of attorney, the applicant applies for a permanent insurance policy.
Obtaining employee policies
So that each of the organization’s employees does not have to receive a compulsory medical insurance policy separately, you can entrust the representation of the interests of employees to one person. This will be more expedient in terms of time spent.
Art. 185 of the Civil Code of the Russian Federation determines that the transfer of authority by several persons is also executed in writing.
Important! When issuing a power of attorney on the form are affixed:
- signature of the head of the organization;
- signature of an authorized person;
- imprint of the seal of a legal entity.
Confirmation of authority issued by a legal entity gives the authorized representative the right to:
- receive policies of compulsory medical insurance of employees;
- submit documents required for receipt.
The term of a medical policy is 60 days.
The process can be controlled using online technology. After the trustee receives the employees' policies, they are obliged to transfer them to the employees. This procedure is followed by an entry in the logbook.
Power of Attorney for a Medical Policy - This is a document that gives the power of attorney to represent the insured person in front of the insurance medical organization.
This document is drawn up when a person does not have the opportunity to contact the insurance company on their own.
How to write a power of attorney for a medical policy
The power of attorney for the Oms policy is drawn up in simple writing. The form of this document, as a rule, contains the following details:
- name, place and date of issue of the document (without a date, the power of attorney is invalid);
- surname, name, patronymic, passport details of the principal and the authorized representative;
- list of delegated powers;
- validity period of the document;
- signatures, surname and initials of the principal and the authorized representative.
A power of attorney for a policy does not require notarization.
It is advisable to draw it up in duplicate - both of them may be needed during the procedure for issuing the policy.
Sample Power of Attorney for Oms Policy
POWER OF ATTORNEY
moscow | december sixth two thousand and thirteenth year |
I, Kunitsyna Irina Sergeevna, passport of series 4571 No. 584712, issued by the Department of Internal Affairs of Krasnoselsky district of Moscow, trust Lastochkina Alena Borisovna, passport of series 4623 No. 258745, issued by the Department of Internal Affairs of Arbat of Moscow to submit to the insurance medical organization CJSC MSK Solidarity for Life from my name is an application for the selection (replacement) of an insurance medical organization, an application for the issuance of a policy or a duplicate of it, re-issuance of the policy, receive in my hands a compulsory medical insurance policy or a temporary certificate confirming the execution of the policy, as well as write off on my behalf and perform all actions related to this order.
This power of attorney is issued for a period of one year without the right of substitution.
Signature of Lastochkina Alena Borisovna Lastochkina certify.
Kunitsyna | And S. Kunitsyna |
The power of attorney to receive the policy may be revoked by the principal or the authorized person may renounce his authority.
It does not matter for what reason a person decided to transfer the right to act on his own behalf to another person, the law does not require substantial reasons. You can apply for a competent citizen who has reached the age of majority.
For information on whether to make a power of attorney and for what cases this document is important, find out in.
Where to get the form?
Forms of power of attorney for obtaining a policy are received directly from insurance organizations involved in the issuance of MHI policies.
It is also possible to obtain forms online through the sites of these companies.
Read more about what a power of attorney form and what are the rules for its design, read.
The form shall indicate the information required for filling:
Read more about the basic and additional requirements for the content and execution of a power of attorney.
Basic spelling rules
Read about the power of attorney to receive and how to properly issue it.
In order to receive
Check out an example of a power of attorney to receive a policy of SOGAZ-Med Insurance Company JSC.
moscow, March 16, 2017, I, Pavlov Nikolay Petrovich, series 48 10 passport No. 459026, issued by the Kapotnya Department of Internal Affairs in Moscow, February 20, 2002, registered at Moscow, at. Neglinnaya 9, I authorize Andrei Kirillovich Sergeev with this power of attorney, passport series 49 11 No. 4 39027, issued by the Voikovsky police department in Serpukhov.
Date of issue: February 12, 2002, on my behalf, perform the following actions in the selected insurance medical organization JSC SOGAZ-Med Insurance Company JSC: receive a compulsory medical insurance policy.
Submission is not foreseen. Name of the principal (Pavlov Nikolay Petrovich), signature of the principal.
The delegation of authority for the acquisition of policies may occur in relation to any competent and adult. Authorized insurance companies provide citizens with blank policies.
Find out how to compile and fill out a power of attorney correctly.
If there are no such people in the village, then in order to get a policy, you must apply in person or with the help of a representative (with a power of attorney) to the regional MHI fund. The text indicates a list of actions performed by a proxy on behalf of the principal.
The power of attorney for the Oms policy is drawn up in simple writing. The form of this document, as a rule, contains the following details:
- name, place and date of issue of the document (without a date, the power of attorney is invalid);
- surname, name, patronymic, passport details of the principal and the authorized representative;
- a list of delegated powers;
- validity period of the document;
- Signatures, surname and initials of the principal and the authorized representative.A power of attorney for a policy does not require notarization.
It is advisable to draw it up in duplicate - both of them may be needed during the procedure for issuing the policy.
Sample
POWER OF ATTORNEY
moscow, the sixth of December, two thousand and thirteen
I, Kunitsyna Irina Sergeevna, passport of series 4571 No. 584712, issued by the Department of Internal Affairs of Krasnoselsky district of Moscow, trust Lastochkina Alena Borisovna, passport of series 4623 No. 258745, issued by the Department of Internal Affairs of Arbat of Moscow to submit to the insurance medical organization CJSC MSK Solidarity for Life from my name is an application for the selection (replacement) of an insurance medical organization, an application for the issuance of a policy or a duplicate of it, re-issuance of the policy, receive in my hands a compulsory medical insurance policy or a temporary certificate confirming the execution of the policy, as well as write off on my behalf and perform all actions related to this order.
This power of attorney is issued for a period of one year without the right of substitution.
Signature Lastochkina Alena Borisovna Lastochkina certify.
Kunitsyna And S. Kunitsyna
Form
The power of attorney required to obtain a policy is in writing. It includes the following details:
- name, date and place of paper processing (without a date, the power of attorney is not valid);
- Name and passport data of both the trustee and the principal;
- a list of powers that are transferred;
- validity period of the paper;
- Name and signature of the trustee and the trustee.The power of attorney intended for obtaining a policy does not require certification.
It should be noted that the power of attorney is issued in 2 copies, which may be needed when applying for an insurance policy.
Compulsory medical insurance policies (hereinafter referred to as “compulsory medical insurance”) issued to persons insured under compulsory medical insurance prior to January 1, 2011, are valid until they are replaced by compulsory medical insurance policies of a single sample.
To receive or exchange an MHI policy, you must personally or through your representative (by proxy) contact an insurance medical organization.
Compulsory medical insurance for children from the day of birth until the expiration of thirty days from the date of state registration of birth is carried out by an insurance medical organization in which their mothers or other legal representatives are insured. After thirty days from the date of state registration of the birth of the child and until he reaches the age of majority or until he has acquired full legal capacity, compulsory medical insurance is carried out by an insurance medical organization selected by one of his parents or another legal representative.
The policy of compulsory medical insurance is issued on the basis of with the application of relevant documents.
Re-issuance of the MHI policy is carried out in the following cases:
1) changes in surname, name, patronymic;
2) changes in the date of birth and gender of the insured person;
3) the establishment of inaccuracy or erroneous information contained in the policy;
4) the need to extend the policy to refugees, foreign citizens and stateless persons (permanently and temporarily residing in the territory of the Russian Federation), temporarily staying in the Russian Federation to working foreign citizens of the EAEU member states, while retaining their right to compulsory health insurance in the next calendar year.
Re-issuance of the MHI policy is carried out by and upon presentation of documents confirming the changes.
Issuance of a duplicate of the compulsory medical insurance policy carried out in cases:
1) the decay and unsuitability of the policy for future use (loss of parts of the document, tears, partial or complete fading of the text, mechanical damage to the electronic policy and others);
2) loss of the policy.
The issuance of a duplicate of the compulsory medical insurance policy is carried out by
Applications may be submitted:
In writing - when applying directly to the insurance medical organization (other organization);
In electronic form (for users who have the right to submit applications in electronic form) - through the official website of the Territorial Health Insurance Fund in the information and telecommunication network "Internet" (provided that the insured person or his legal representative undergoes the identification and authentication procedure in accordance with the legislation of the Russian Federation ), or through the Unified portal of state and municipal services (functions).
Duration of the MHI policy
Compulsory medical insurance policies (hereinafter referred to as “compulsory medical insurance”) issued to persons insured under compulsory medical insurance prior to January 1, 2011, are valid until they are replaced by compulsory medical insurance policies of a single sample.
Citizens of the Russian Federation are issued a single compulsory medical insurance policy without a time limit.
Foreign citizens and stateless persons permanently residing in the territory of the Russian Federation are issued a paper policy with a validity period until the end of the calendar year.
Persons entitled to receive medical care in accordance with the Federal Law “On Refugees” are issued a paper policy with a validity period until the end of the calendar year, but no more than the period of stay established in the documents specified in list of documents for obtaining a compulsory medical insurance policy.
Foreign citizens and stateless persons temporarily residing in the territory of the Russian Federation are issued a paper policy with a validity period until the end of the calendar year, but no more than the validity of the temporary residence permit.
Temporarily staying in the Russian Federation workers of the EAEU member states are issued a paper policy with a validity period up to the end of the calendar year, but no more than the term of the labor agreement concluded with the worker of the EAEU member state.
Temporarily staying in the Russian Federation, foreign citizens belonging to the category of members of the Board of the Commission, officials and employees of EAEU bodies are issued a paper policy with a validity period until the end of the calendar year, but no more than the term of their respective powers.
Service at home / call a specialist at home
SOGAZ-Med, for servicing persons with disabilities, including persons with disabilities, organized individual services for processing applications, issuing temporary certificates and issuing compulsory health insurance at home, in accordance with paragraph 70 of the Rules of Mandatory Medical Insurance approved by the Order of the Russian Ministry of Health 02/28/2019 No. 108н.