(1) conforms to the national, provincial and municipal regulations on family planning (excluding remedial measures for unplanned pregnancy).

(2) The insured has continuously paid the basic medical insurance premium for more than 6 months (inclusive) on the date of production (subject to the date of delivery or the date of birth of the newborn), and paid the medical insurance premium on time 1 month before delivery. Insured persons who have paid basic medical insurance premiums for less than 6 months in a row cannot enjoy maternity medical treatment; If the basic medical insurance premium has been paid continuously for 6 months but less than 12 months, it will be paid at 30% of the quota standard; If the basic medical insurance premium has been paid continuously for more than 12 months, it will be paid at 100% of the fixed standard.

(3) Reimbursement conditions for maternity insurance: Only those who have paid social security continuously for 12 months (the interruption does not exceed 3 months) and still paid social security before 1 month can be reimbursed 100% of the national standard.

Second, the conditions for enjoying maternity allowance

Workers who have participated in maternity insurance for a total of one year are still insured during production (abortion) and enjoy maternity insurance benefits according to relevant regulations.

Three. maternity benefits

1, design and development standard

When a female worker gives birth or is pregnant, aborted or induced, she shall enjoy the maternity allowance according to the regulations, which shall be paid by the social insurance agency according to the regulations. During the period when employees enjoy maternity allowance, the unit salary (referring to the payment wage base project) will be stopped. Maternity allowance has been divided by 30 according to the monthly salary base (or last month) of individual payment of maternity insurance, and paid in one lump sum according to the corresponding number of days.

(1) 90 days for natural delivery and 60 days for late delivery; Dystocia increased 15 days, multiple births increased 15 days.

(2) induced labor or stillbirth for 42 days after 4 months of pregnancy, abortion after 4 months of pregnancy 15 to 30 days.

2. Payment method (application)

(1) socialized distribution of maternity allowance.

(2) In the second month after delivery, abortion or induced labor, the insured workers shall apply to the social insurance agency for maternity allowance according to the management authority of social insurance work (female workers who plan to flow in and induce labor should also hold the certificate of family planning operation for urban workers issued by the unit) on the basis of "one certificate and one book" or birth certificate, written client's resident identity card and proof that the unit has stopped paying wages.

(3) The social insurance agency shall, within 7 days from the date when the insured employees apply for the maternity allowance, issue the maternity allowance and obtain the deposit certificate. Among them, employees of enterprises and institutions are paid by social labor insurance agencies, employees of government institutions are paid by social labor insurance agencies, and employees of government institutions are paid by social insurance agencies.

Four, maternity insurance reimbursement:

1, calculation of maternity allowance

Maternity allowance = payment base of the month when female employees give birth /30* maternity leave days (the calculation result is rounded to the nearest minute).

2. Days of maternity leave

Normal maternity leave days are 90 days, dystocia increases by 15 days, multiple births increase by 15 days, and late childbirth increases by 30 days.

3. The medical diagnosis certificate of induced abortion for female employees who have participated in maternity insurance shall indicate the gestational age. Maternity leave less than 12 weeks (inclusive) is 15 days; The maternity leave for abortion within 12 weeks and 16 weeks (inclusive) is 30 days; /kloc-the maternity leave from 0/6 to 28 weeks (inclusive) is 42 days; If the pregnancy is terminated after more than 28 weeks, the normal maternity leave is 90 days.

4. Apply for maternity allowance

Maternity allowance and one-time maternity grants shall be applied to the social insurance agency by himself or his client, and the following materials shall be submitted:

(1) birth certificate or family planning operation certificate issued by the administrative department of population and family planning;

(2) my ID card, if entrusted, submit the power of attorney issued by the client and the client's ID card;

(3) The certificate of birth, death or abortion of the baby, the certificate of family planning operation, and the expense certificate issued by the designated medical institution or the designated family planning technical service institution;

(4) If the male employee's spouse has no work unit, submit the certificate of no work unit issued by the male employee's work unit and the village (neighborhood) committee where the spouse lives;

(five) other certification materials provided by the administrative department of labor security according to law.

5. The applied maternity allowance and late childbirth allowance shall be paid to the unit endowment insurance basic deposit account in the month following the application.

legal ground

Measures of Henan Province on Maternity Insurance for Employees

Eleventh female workers who give birth or terminate pregnancy in accordance with the relevant provisions of population and family planning shall enjoy maternity allowance from the date of receiving wages during the following statutory maternity leave:

(a) pregnant for more than 28 weeks or induced labor, enjoy 90 days of maternity allowance; Maternity allowance for dystocia increased 15 days; In the case of multiple births, the maternity allowance will be increased by 1 5 days for each additional birth1baby; Late childbirth will increase the maternity allowance by 90 days.

(2) If the pregnancy is more than 12 weeks but less than 28 weeks, the pregnant woman will be entitled to 42 days of maternity allowance.

(3) If the pregnancy is less than 8 weeks 12 weeks, she will be entitled to 30 days maternity allowance; Those who are less than 8 weeks pregnant are entitled to 15 days maternity allowance.

The daily standard of maternity allowance is calculated by dividing the average monthly salary of employees in the previous year by 30 in the employer where the female employees work, and paid from the maternity insurance fund. If the maternity allowance is lower than the salary level of female workers before childbirth or family planning operation, the difference shall be made up by the employer.

Female employees of state organs and other employers whose wages are borne by the government do not enjoy maternity allowance when giving birth or terminating pregnancy, and their wages during maternity leave are paid by the employer as usual.

Twentieth maternity allowance, one-time maternity grants by himself or his client to apply to the social insurance agency, and submit the following materials:

(a) the birth certificate or family planning operation certificate issued by the administrative department of population and family planning;

(two) my identity card, if entrusted, submit the power of attorney issued by the client and the client's identity card;

(3) Birth, death or abortion certificate, family planning operation certificate and expense certificate issued by designated medical institutions and designated family planning technical service institutions;

(four) if the spouse of a male employee has no work unit, submit the certificate of no work unit issued by the male employee's work unit and the village (neighborhood) Committee where the spouse lives;

(five) other certification materials prescribed by the administrative department of labor security according to law.