1. Conditions for receiving maternity allowance in Shenzhen: 1. Workers who give birth or perform family planning operations shall participate in maternity insurance 1 year; 2, the insured workers delivery or the implementation of family planning operation from the month to the end of the month by the same unit for its normal payment of maternity insurance premiums; 3. The employer has paid maternity allowance to the workers according to the regulations. 2. Maternity medical expenses will not be reimbursed if the employee is under any of the following circumstances: 1. Maternity medical expenses have been reimbursed by other departments; 2, maternity medical expenses have been paid by the basic medical insurance fund; 3. Maternity medical expenses incurred abroad or in Hong Kong, Macao and Taiwan. In the above three special cases, the employer shall provide a detailed list of medical expenses.

Legal objectivity:

It is reported that Ministry of Human Resources and Social Security recently drafted the Maternity Insurance Measures (Draft for Comment) for public consultation. The exposure draft covers workers of individual economic organizations and other social organizations with employees, and it is clear that the amount of maternity allowance is the average monthly salary of employees in the previous year. The exposure draft will halve the upper limit of the employer's contribution ratio, stipulating that if the employer does not pay maternity insurance for employees, it must pay maternity insurance benefits for employees by itself. The scope of application covers a single unit, and the draft for comment is clear. No matter whether the unit recruits male or female employees, they must participate in maternity insurance according to law. The legislative explanation points out that, especially under the background that it is difficult for women to find jobs for men, the establishment of maternity insurance system to realize the risk burden is conducive to balancing the burden of maternity expenses of employers, eliminating gender discrimination in employment and ensuring women's equal employment rights. The unit payment ratio is halved. The exposure draft still stipulates that the employer should take its total salary as the payment base, but it greatly reduces the payment ratio from the current no more than 1% to no more than 0. 5%, the specific proportion is calculated and submitted for approval by all localities; Individual employees still don't have to pay. The method is clear for the first time. If the unit fails to handle maternity insurance for employees according to law, resulting in employees not enjoying maternity insurance benefits, the employer must pay their maternity insurance benefits. There are two kinds of maternity insurance benefits: reimbursement of maternity medical expenses and maternity allowance. The exposure draft clarifies that the maternity medical expenses incurred by the insured in the agreed hospital meet the standards of maternity insurance drug list, diagnosis and treatment items and medical service facilities, and will be fully reimbursed by the maternity insurance fund. At the same time, it is also stipulated that emergency and rescue personnel can seek medical treatment in non-agreement hospitals. Regarding the maternity allowance known as "maternity leave salary", the draft for comment once again clarifies that "the average monthly salary of employees in the above years is the standard", which is the same as the current trial measures. The difference is that the exposure draft also includes the "family planning surgery vacation period" in the scope of receiving maternity allowance. Considering that public health services have been included in some fertility check-up projects, the exposure draft clarifies that "the maternity medical expenses paid by public health services or the basic medical insurance fund according to state regulations will not be paid by the maternity insurance fund". Beijing's birth insurance has covered foreign registered employees. Since June 65438+1 October1this year, the city has included all kinds of employees of employers in the coverage of maternity insurance, including employees with foreign household registration and employees working in Beijing, which has greatly improved a number of reimbursement standards for medical expenses and added a number of reimbursement items. At present, the city stipulates that maternity insurance units should pay 0.5% of their total base. 8% pay maternity insurance.