The employer has paid maternity insurance, and its employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations.
If you pay social security, there will be a display asking whether you have had several children before.
What is the reimbursement standard of social security maternity insurance?
The formulation of reimbursement standards for maternity insurance is a standard for different protection items in maternity insurance. The items guaranteed by maternity insurance generally include maternity allowance, maternity medical expenses and expenses incurred by employees due to the implementation of family planning operations. Therefore, when reimbursing maternity insurance, it is necessary to prepare relevant materials in order to get compensation quickly.
Maternity insurance reimbursement standard:
1. The maternity insurance fund compensates the unit in the form of maternity allowance. The compensation standard is: female workers who have been pregnant for more than 7 months (including 7 months) and delivered naturally or have been born prematurely for less than 7 months are entitled to 3 months of maternity allowance; In case of dystocia or cesarean section, the maternity allowance will be increased by half a month, and in case of multiple births, the maternity allowance will be increased by half a month for each additional baby; Those who have miscarried or induced labor for more than 3 months but less than 7 months are entitled to 1.5 months' maternity allowance, and those who have miscarried for pathological reasons within 3 months are entitled to 1 month's maternity allowance. Maternity allowance is calculated and paid according to the average monthly payment salary of maternity insurance for female employees before prenatal or family planning operation 12 months;
2. Maternity nutrition subsidies and perinatal health care subsidies. Those who meet the national regulations and enjoy maternity leave for more than 90 days (including 90 days) can enjoy maternity nutrition subsidies in 300 yuan and perinatal health care subsidies in 700 yuan;
3. One-time maternity allowance: female employees who participate in maternity insurance in our company are unemployed, and during the period of receiving unemployment insurance benefits, they can enjoy one-time maternity allowance: 2,400 yuan for miscarriage in 400 yuan, 4,000 yuan for multiple births in difficult labor, 50% for male employees who participate in maternity insurance, and 50% for their spouses who give birth to their first child in accordance with family planning regulations;
4. Maternity allowance shall be compensated by the unit, and my basic salary, bonus and welfare expenses shall be paid by the unit during the maternity leave of the insured female employees;
5, family planning operation fees, including due to the needs of family planning, the implementation of the placement (removal) of intrauterine devices, induced abortion, induced labor, skin burial, sterilization and recanalization surgery costs, included in the scope of maternity insurance fund settlement.
Male maternity insurance reimbursement standard:
1. Male employees who meet the following conditions can apply for a one-time maternity allowance:
(1) conforms to the national family planning policy and statutory fertility conditions;
(2) When the spouse gives birth or miscarries due to pathological reasons, the employer has participated in maternity insurance and paid maternity insurance premiums for male employees normally and continuously (excluding overdue, unpaid and interrupted payment) 10 months or more;
(3) the spouse did not participate in maternity insurance and gave birth to the first child.
2. Male employees who meet the above conditions can apply for a one-time maternity allowance: 200 yuan, the abortion; Natural childbirth 1200 yuan; 2000 yuan for dystocia or multiple births;
3. After the spouse gives birth or miscarries due to pathological reasons, the male employee holds the spouse's resident ID card, marriage certificate, birth status certificate or first birth certificate issued by the family planning department, medical certificate of newborn birth, discharge record, detailed list of expenses (the above materials must be original and photocopy), my medical card, original invoice, and the street (town) where the spouse's household registration is located, and there is no work unit and no fixed. After the audit by the social security agency, the Payment Form of One-time Maternity Allowance for Male Employees will be printed, and the male employees will receive the subsidy amount after signing for confirmation;
4, "birth certificate" or "first birth certificate" to the family planning commission. No proof of unemployment time is required, but a proof of no work unit and no fixed income source issued by the street (town) where the spouse's household registration is located.
Legal basis:
Article 2 of People's Republic of China (PRC) Social Insurance Law
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
Article 12
The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of its employees stipulated by the state, and record it in the basic old-age insurance pooling fund. Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Article 33
Employees shall participate in work-related injury insurance, and the employer shall pay the work-related injury insurance premium, and the employees shall not pay the work-related injury insurance premium.