Maternity insurance for state organs, institutions, social organizations and their employees who have established labor contract relations with them shall be implemented with reference to these Provisions. Article 3 Maternity insurance and basic medical insurance for urban workers shall be implemented simultaneously. Article 4 The administrative department of labor security of the people's governments at or above the county level shall be in charge of maternity insurance within their respective administrative areas. Social insurance agencies shall undertake maternity insurance work in accordance with these provisions. Article 5 According to the provisions of Article 29 of the Provisional Regulations on the Collection and Payment of Social Insurance Fees in the State Council, the Regulations shall apply to the collection and payment of maternity insurance fees within the administrative area of this province. Article 6 The maternity insurance fund, its income and maternity insurance benefits shall not be taxed according to the provisions of the state. Article 7 The overall level of maternity insurance is consistent with the overall level of basic medical insurance for urban workers.
The central and military units stationed in this province and provincial units participate in their local maternity insurance in accordance with the basic medical insurance for urban workers. Article 8 The administrative departments of finance, auditing, personnel, health, population and family planning, drug supervision, prices, taxation, industry and commerce of the people's governments at or above the county level shall, according to their respective functions and duties, do a good job in maternity insurance. Chapter II Maternity Insurance Fund Article 9 Maternity insurance funds shall be raised according to the principle of fixed income by expenditure and balance of payments. Tenth maternity insurance fund consists of the following funds:
(1) Maternity insurance premium paid by the employer;
(two) the interest of maternity insurance fund;
(3) Maternity insurance premium;
(4) financial subsidies;
(five) other funds incorporated into the maternity insurance fund according to law. Eleventh maternity insurance premiums paid by the employer on a monthly basis. Self-employed workers do not pay maternity insurance premiums.
The employing unit shall pay maternity insurance premiums according to a certain proportion of the total wages of its employees. The proportion of maternity insurance payment shall be determined by the people's government in the overall planning area according to the treatment items and expenses of maternity insurance, and adjusted in time according to the expenses, with the maximum not exceeding 1% of the total wages of the employees of the unit. Article 12 The maternity insurance fund shall be deposited in the special financial accounts of social security funds opened by state-owned commercial banks and state-controlled banks, which shall be used exclusively and shall not be used for other purposes.
The maternity insurance fund shall bear interest according to the interest-bearing method of the basic medical insurance fund for urban workers. Thirteenth maternity insurance fund shall not pay the following fees:
(a) does not meet the national and provincial basic medical insurance for urban workers and maternity insurance drug list, diagnosis and treatment projects, medical service facilities and related medical management regulations;
(2) Expenses incurred due to medical accidents;
(three) the cost of treatment of childbirth complications outside the delivery period. Chapter III Maternity Insurance Benefits Article 14 Employees who enjoy maternity insurance benefits shall meet the following conditions:
(1) The employer has paid more than 1 year for its employees and continues to pay for them;
(two) in line with national and provincial population and family planning laws and regulations. Fifteenth maternity insurance benefits include:
(1) Maternity medical expenses. Medical expenses incurred by female workers during pregnancy, childbirth or termination of pregnancy.
(2) Maternity allowance. Female employees enjoy maternity allowance during maternity leave. Maternity allowance is based on the average monthly salary of employees in the last year as a whole, and is calculated and paid in accordance with the provisions of maternity leave. If the maternity allowance is lower than my salary standard, it shall be made up by the employer.
(3) One-time childbirth nutrition subsidy. According to a certain proportion of the average monthly salary of employees in the overall planning area last year. The specific proportion shall be determined by the people's government of the overall planning area.
(four) the cost of family planning surgery. Including medical expenses incurred by workers in placing or taking out intrauterine devices, abortion, induced labor, sterilization and recanalization due to family planning.
(5) Holiday allowance for male employees. The nursing leave allowance enjoyed by the insured male workers according to the regulations shall be calculated and paid according to the stipulated holiday time based on the average monthly salary of employees in the last year in the overall planning area.
Among the maternity insurance benefits provided for in this article, except for item (1), whether items (2) to (5) should be paid shall be stipulated by the people's government of the overall planning area. Sixteenth workers to apply for maternity insurance benefits procedures, by the employer to the local township (street) population and family planning institutions issued by the relevant certificates to the local social insurance agencies. Among them, those who apply for maternity allowance or one-time maternity nutrition allowance shall also hold certificates of birth, death or termination of pregnancy. Seventeenth to apply for maternity insurance benefits for the time limit:
(a) maternity medical expenses, should be applied during the period from pregnancy to delivery or termination of pregnancy;
(2) A female worker applies for maternity allowance, one-time maternity nutrition allowance and maternity medical expenses for medical treatment in different places within 1 year after giving birth or terminating pregnancy;
(three) the cost of family planning operation should be applied before operation;
(4) The leave allowance for male employees shall be claimed within 1 year after their spouses give birth.
If it fails to bid within the time limit, the social insurance agency will not accept it.
If the employer fails to handle maternity insurance benefits for its insured employees in the local social insurance agency within the prescribed time limit, the maternity insurance benefits for employees shall be paid by the employer in accordance with the overall regional treatment items and standards.