Development and reform, finance, human resources and social security, health, taxation and other departments shall, in accordance with their duties, do a good job in maternity insurance. Article 4 Trade unions and women's federations shall supervise the implementation of these Provisions according to law and safeguard the legitimate rights and interests of workers. Article 5 Maternity insurance premiums shall be raised and used according to the principle of fixed income by expenditure and balance of payments, and the payment base shall be approved according to the payment base of medical insurance premiums.
The Municipal People's Government with districts shall, in accordance with the relevant provisions of the state and the province, determine and adjust the payment ratio of the employer according to the expenditure of the basic medical insurance fund for employees. Article 6 The employing unit shall pay the maternity insurance premium according to the payment ratio determined by the municipal people's government with districts. Workers do not pay maternity insurance premiums. Article 7 Where an employer terminates due to bankruptcy or dissolution, it shall pay off the unpaid maternity insurance premium in accordance with the relevant provisions of the Enterprise Bankruptcy Law of the People's Republic of China. Eighth tax authorities in accordance with the provisions of the unified collection of maternity insurance and basic medical insurance.
The maternity insurance premium collected shall be included in the basic medical insurance fund for employees, deposited in the financial special account according to regulations, and managed according to law. No organization or individual may occupy or misappropriate it. Article 9 If an employer participates in maternity insurance according to law and pays maternity insurance premiums in full and on time, and its employees conform to the family planning policy or perform family planning operations, they shall enjoy maternity insurance benefits according to regulations. Tenth maternity insurance benefits include maternity medical expenses and maternity allowance.
Maternity medical expenses include maternity medical expenses, family planning medical expenses and other items stipulated by laws and regulations. Article 11 Maternity medical expenses include examination expenses, delivery expenses, operation expenses, hospitalization expenses, medicine expenses, treatment expenses and medical expenses for diseases caused by childbirth. Twelfth family planning medical expenses include medical expenses incurred by workers in placing (taking out) intrauterine devices, abortion, induced labor, sterilization and recanalization. Thirteenth female workers enjoy maternity insurance benefits during maternity leave or family planning operation, in accordance with the relevant provisions of the state and province. Among them, the maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year. Fourteenth unemployed spouses of male workers who participate in maternity insurance, in line with the provisions of the family planning policy, do not enjoy maternity medical treatment, according to 50% of the standard of maternity medical treatment for female workers to enjoy maternity medical treatment. Fifteenth medical security administrative departments of the people's governments at or above the county level shall improve the payment method of maternity medical expenses, and promote the payment of maternity medical expenses such as hospitalization and delivery according to the disease type and the payment of prenatal examination fees according to the head. Sixteenth maternity insurance is included in the scope of medical insurance designated agreement management. In addition to emergency, employees participating in maternity insurance should go to designated medical institutions for medical treatment.
The medical security agency shall sign a service agreement with the designated medical institution in accordance with the regulations, and clarify the rights and obligations of both parties.
Designated medical institutions shall provide maternity medical services for employees participating in maternity insurance in accordance with the contents of the service agreement; The provision of drugs, medical treatment items and medical service facilities beyond the scope of maternity insurance payment shall be subject to the consent of the employees or their families. Seventeenth online settlement of maternity medical expenses shall be directly settled by medical insurance agencies and designated medical institutions.
Where an employee applies for maternity insurance benefits and provides relevant information according to the requirements of the medical insurance agency, the medical insurance agency shall handle it within the prescribed time limit. Eighteenth employers, employees and designated medical institutions shall truthfully provide the relevant materials of maternity insurance and be responsible for the authenticity of the materials, and shall not cheat maternity insurance benefits by means of fraud or forgery of certification materials. Nineteenth people's governments at or above the county level shall supervise the collection, use and management of maternity insurance premiums according to law. Twentieth the employer fails to participate in maternity insurance in accordance with the provisions or fails to pay maternity insurance premiums in full and on time, in accordance with laws, regulations and relevant provisions of the province. Twenty-first employees have the right to inquire about the maternity insurance benefits they enjoy from the employer or the medical insurance agency.
If a dispute arises because the employer fails to pay the maternity insurance premium according to law and requires the employer to bear the maternity insurance benefits, it may apply for mediation, arbitration or bring a lawsuit according to law. Article 22 If the staff of the administrative department of medical security and its medical security institutions and other relevant departments fail to perform their duties according to law, or abuse their powers, neglect their duties or engage in malpractices for selfish ends, they shall be punished by their units or competent departments according to law.