The prenatal examination fee, delivery fee, operation fee, hospitalization fee and medicine fee of female employees shall be paid by the maternity insurance fund. Reimbursement of self-funded drugs and nutritional drugs. What medical expenses and medical service fees do employees bear?
If the spouse of a male worker meets the requirements of family planning in the province and does not enjoy maternity insurance benefits, the maternity insurance fund will pay a one-time maternity grants, and the standard will be issued to 50% of the maternity allowance stipulated in Item (1) of Article 7.
In line with the provisions of maternity insurance, the enterprise or I shall go through the formalities at the local social labor insurance institution with the relevant birth certificate to receive maternity allowance and maternity medical expenses.
Maternity insurance institutions shall implement the overall management system at the prefecture (city) level.
Social labor insurance institutions are responsible for fund raising, payment and management.
The year-end balance of the maternity insurance fund is included in the financial account management, and the fund is earmarked.
Social labor insurance institutions at all levels for maternity insurance business management fees can be extracted from the fund, the specific proportion determined by the local (city) people's government, but the highest proportion shall not exceed 3% of the maternity insurance fund.
Maternity insurance funds and management fees are exempt from taxes and fees.
Establish financial, accounting and auditing systems for maternity insurance funds. The specific measures shall be formulated separately by the Provincial Labor Department in conjunction with relevant departments.
Enterprise trade unions and women workers' committees shall supervise enterprises to pay maternity insurance premiums according to law; Local trade unions shall supervise the collection, management and payment of maternity insurance funds.
The labor administrative department has the right to inspect the relevant statements of enterprises according to law, and urge enterprises to pay maternity insurance premiums in full and on time according to regulations; Check the operation of maternity insurance fund of labor insurance institutions.
When the maternity insurance benefits enjoyed by female employees during childbirth are infringed, they may appeal to the relevant departments according to law.
Those who are directly responsible for corruption and misappropriation of maternity insurance funds or relevant personnel shall be given administrative sanctions by the relevant departments according to the seriousness of the case, and if the case constitutes a crime, their criminal responsibility shall be investigated according to law.
Social labor insurance institutions refuse to pay maternity insurance premiums without reason, and the labor administrative department shall order them to pay within a time limit. If the circumstances are serious, the administrative responsibility of the legal representative shall be investigated.
Female workers who violate family planning regulations do not enjoy maternity insurance benefits.
Enterprises that fail to pay, underpay or default on maternity insurance premiums according to regulations should pay the amount owed and interest, and pay a late fee of 2‰ per day. Late fees are transferred to maternity insurance fund.
If an enterprise or employee falsely reports or impersonates maternity allowance or maternity medical expenses, the social labor insurance institution shall fully recover the amount of the false report or impersonator, and the labor administrative department shall impose a fine of 2 to 5 times the amount of the false report or impersonator and turn it over to the financial department. Enterprises or employees who refuse to accept the punishment may apply for administrative reconsideration or bring an administrative lawsuit according to law.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.