中国7部门日前联合发布通知，针对灵活就业、农民工、新就业形态人员参加职工医保制定了具体规定。1 当前中国灵活就业人数已达3亿人，预计今年将增至3.2亿人，占就业人数40%以上。1 根据最新数据，2025年全国农民工总量为3亿115万人，全国新就业形态人员达8400万人。1
为扩大职工医保覆盖面，通知明确允许灵活就业人员职工医保缴费年限按月累计，每满12个月折算为1年缴费年限。1 同时鼓励平台企业采取"个人缴费加平台补贴"的方式支持参保人员缴纳费用。1 官方计划用3年左右时间提高灵活就业人员等群体参加基本医保人数，特别是职工医保人数。1 据统计，2025年全国基本医保参保人数达13.31亿人，其中灵活就业等其他人员参加职工医保6982.18万人，年增长率为5.54%。1
China's seven government departments jointly released a directive on January 8 establishing provisions for flexible workers, rural migrant workers, and new-form employment personnel to participate in workers' medical insurance 1. The flexible employment population in China has already reached 3 billion people, with projections indicating it will climb to 3.2 billion this year, accounting for over 40 percent of total employment 1.
The directive explicitly permits flexible workers' medical insurance contribution periods to accumulate on a monthly basis, with every 12 months counting as one full year of contributions 1. The authorities are encouraging platform enterprises to support enrollment through a combined approach of individual contributions supplemented by platform subsidies 1. China's rural migrant worker population totals 301.15 million as of 2025, while the new-form employment workforce comprises 84 million people 1.
Current enrollment data shows that 1.331 billion people nationwide are covered by basic medical insurance as of 2025, including 69.8218 million flexible and other workers enrolled in workers' medical insurance, representing a year-on-year increase of 5.54 percent 1. The government plans to gradually expand basic medical insurance coverage for flexible workers and similar populations over approximately three years 1.
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