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What are the reimbursement conditions of maternity insurance this year? What materials do you need?

​&# 8203;&# 8203;&# 8203;&# 8203;&# 8203;&# 8203; Now most companies will pay social security to their employees. The social security includes maternity insurance. When female employees are pregnant, this maternity insurance can play its role. So how is maternity insurance reimbursed? What are the reimbursement conditions of maternity insurance? What documents are needed? What is the treatment of second child birth insurance? Let's take a look at this article.

1、 What are the reimbursement conditions of maternity insurance?

1. The compensation standard is: female employees who give birth naturally for more than 7 months of pregnancy (including 7 months) or give birth prematurely for less than 7 months of pregnancy shall enjoy 3 months of maternity allowance; For dystocia and cesarean section, the maternity allowance for half a month shall be increased. For multiple births, the maternity allowance for half a month shall be increased for each additional baby; Those who miscarry or induce labor for more than 3 months (including 3 months) and less than 7 months are entitled to one and a half months' maternity allowance. Those who miscarry due to pathological reasons within 3 months of pregnancy are entitled to one month's maternity allowance. The maternity allowance is calculated and paid based on the average monthly payment salary of maternity insurance of female employees 12 months before prenatal or family planning operation.

2. Maternity nutrition subsidy and perinatal health care subsidy. Female employees who meet the national regulations and enjoy maternity leave of more than 90 days (including 90 days) can enjoy maternity nutrition subsidy of 300 yuan and perinatal health care subsidy of 700 yuan.

3. One time maternity subsidy: after the female employees who originally participated in maternity insurance in the unit are unemployed, they can enjoy one-time maternity subsidy when they meet the family planning regulations during the period of receiving unemployment insurance benefits: abortion 400 yuan, natural birth 2400 yuan, dystocia and multiple births 4000 yuan. For male employees participating in maternity insurance, their spouses are not included in the scope of maternity insurance, When the first child is born in accordance with the provisions of family planning, 50% of the one-time birth subsidy can be enjoyed.

4. The maternity allowance shall be compensated to the unit, and the basic salary, bonus and welfare expenses of the insured female employees during the maternity leave shall be paid by the unit.

5. Family planning operation expenses, including the expenses incurred in the implementation of IUD placement (removal), abortion, induced labor, skin burial, sterilization and recanalization due to the needs of family planning, shall be included in the settlement scope of the maternity insurance fund.

2、 Second child birth insurance benefits

1. Maternity living allowance: within 90 days after childbirth or termination of pregnancy, the maternity worker himself or his written client shall apply for it at the maternity insurance agency with the specified materials.

2. Prenatal examination fee: it shall be paid in full by the individual employee. Within 90 days after childbirth or termination of pregnancy, the childbearing employee himself or his written client shall apply for it at the maternity insurance agency with the specified materials.

3. Medical expenses incurred in outpatient (emergency) consultation, in other places and in non maternity insurance agreement service institutions: medical expenses incurred in outpatient (emergency) consultation of insured employees in childbirth, termination of pregnancy and treatment of complications, implementation of family planning surgery, or medical expenses incurred in medical treatment in other places and non maternity insurance agreement service institutions shall be paid in full by individuals first, and relevant vouchers shall be properly kept. Within 90 days after the operation or treatment, the maternity worker himself or his written client shall apply for it at the maternity insurance agency with the specified materials.

4. Inpatient medical expenses for childbirth, termination of pregnancy and treatment of complications: the part of the inpatient medical expenses for childbirth, termination of pregnancy and treatment complications of the insured employees in their specified maternity insurance agreement service institutions that shall be paid by individuals shall be settled directly between the employees and the hospital and shall be paid by the fund, The settlement shall be made by the maternity insurance agency and the agreement service agency.

3、 Materials required for reimbursement of second child birth insurance

1、 Materials required for declaration after termination of pregnancy

1. My ID card and copy;

2. Apply on behalf of the applicant, and submit the applicant's ID card and power of attorney, as well as the trustee's ID card and copy;

3. The (re -) birth service certificate and its copy;

4. Medical expense receipt, expense list, discharge certificate, medical certificate of infant birth, death, induced abortion, expert identification certificate, etc. issued by the agreement service organization;

5. Unit certificate and hospital level certificate shall be provided for childbirth in other places;

6. Other supporting materials stipulated by the municipal labor and social security administrative department.

After joining a new employer, the employer also needs to pay social insurance. The social insurance can be reimbursed after special or specified circumstances occur. When the employer fails to pay social insurance in time after joining the employer, it will also infringe on the legitimate rights and interests of employees, Therefore, the parties can protect their rights through labor arbitration or other legal means.