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How to pay maternity leave salary, maternity allowance and maternity leave salary in Weifang from 2065438 to 2007?
As one of the five social insurances, maternity insurance is quite special: first, the insurance costs are completely paid by enterprises; Second, the premise of enjoying reimbursement treatment is that it must be during production. So what is maternity insurance?
Maternity insurance is a kind of material help given by the state and society to female workers during pregnancy and childbirth. The main content of maternity insurance is to provide medical services and personal insurance benefits for female employees during childbirth and before and after childbirth.
The purpose of maternity insurance is to provide maternity allowance, maternity leave and medical services for female workers, to ensure their basic economic income and medical care when they temporarily lose their working ability due to childbirth, and to help female workers recover their working ability and return to work, thus reflecting the support and care given to women by the state and society in this special period.
Maternity insurance benefits in China mainly include two items. First, maternity allowance is used to protect the basic needs of female employees during maternity leave; The second is maternity medical care, which is used to ensure the basic medical care needs of female employees during pregnancy, childbirth and birth control surgery.
Weifang maternity insurance reimbursement process
birth insurance reimbursement process
Maternity insurance reimbursement process refers to the procedure that employers and employees themselves reimburse maternity medical expenses, maternity allowance and other expenses of female employees and nursing leave allowance of male employees' spouses during childbirth to the overall regional maternity insurance fund.
1. After a female worker is pregnant, before abortion or family planning operation, the employing unit or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for handling;
2, the staff to accept the examination and approval, issued a medical certificate;
3. Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance agency for treatment settlement;
4, workers accept the examination and approval, pay maternity medical expenses and maternity allowance.
Insured employees who meet the following conditions can enjoy maternity insurance benefits according to regulations:
(1) conforms to the national, provincial and municipal family planning policies;
(2) When giving birth or carrying out family planning operation, the employer has participated in maternity insurance and paid the maternity insurance premium in full 12 months.
(3) Prenatal check-up fee and production fee, the parties bring marriage certificate, social security card (citizen card) and family planning certificate issued by the street to the designated maternity insurance hospital for direct credit card settlement. ......
How much is Weifang maternity insurance reimbursed?
How much is the maternity insurance reimbursement?
The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. The medical service fee and medicine fee (including self-funded medicine and nutritional medicine) exceeding the prescribed amount shall be borne by the employees themselves. After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.
The maternity insurance policy emphasizes that if the maternity allowance is higher than my maternity leave salary standard, the employer may not deduct it; If the maternity allowance is lower than my maternity leave wage standard, the difference shall be made up by the employer. For example, the monthly maternity allowance for female employees is 5,000 yuan, while the average monthly salary of employers is 4,500 yuan. After being paid to the unit by the maternity insurance fund, the employer who exceeds the average wage of 500 yuan cannot deduct it; The monthly maternity allowance for female employees is 3,500 yuan, and the average monthly salary of the employer is 4,500 yuan. The difference of 1 0,000 yuan needs to be made up by the employer.
For the employees who originally participated in maternity insurance, those who had given birth or family planning before 2012/kloc-0 and enjoyed maternity leave, but later declared maternity allowance, the new scheme will be implemented. ......
Weifang maternity insurance reimbursement time
Reimbursement time of maternity insurance
Maternity insurance is a social policy that the state provides economic and material assistance to maternity workers through social insurance legislation. Its purpose is to provide maternity allowance, maternity leave and medical services for female workers, to ensure their basic economic income and medical care when they temporarily lose their working ability due to childbirth, and to help female workers recover their working ability and return to work, thus reflecting the support and care given to women by the state and society in this special period.
Maternity insurance should be purchased continuously for 12 months, reimbursed within 18 months after the baby is born, and insured at the same time. Maternity insurance is a typical local policy, which varies from 10 months to 6 months or even lower. Therefore, the local social security center should prevail.
Weifang maternity insurance regulations
Maternity insurance is a social policy that the state provides living security and material assistance for pregnant women. Male and female workers who meet the relevant provisions can enjoy maternity insurance benefits according to law. Maternity insurance can guarantee the basic economic income and medical care of maternity workers who temporarily lose their working ability due to production, and help female workers recover their working ability and return to work, thus reflecting the support and care given to women by the state and society in this special period.
The calculation method of maternity allowance for male and female employees is as follows:
Female staff and workers
1, maternity allowance
Maternity allowance = the average payment salary of this unit in the current month ÷30 (days) × holiday days.
Holidays:
(1) Normal maternity leave is 90 days (including prenatal examination 15 days);
(2) The one-child leave is increased by 35 days;
(3) Late maternity leave is increased by 30 days;
(4) Difficult maternity leave. Caesarean section and third degree perineal rupture increased 15 days; Suction delivery, forceps delivery and breech delivery increased 15 days;
(5) Multiple birth leave, every extra baby 15 days;
(6) Abortion leave: less than 2 months pregnant, 15 days; Less than 4 months and 30 days pregnant; 4 months or more (including 4 months) to 7 months is 42 days; In case of stillbirth, stillbirth or premature delivery for more than 7 months, it takes 75 days.
2. Maternity medical expenses
(1) The medical expenses for medical treatment after the maternity medical treatment is confirmed shall be settled by the Municipal Labor and Social Security Bureau and the hospital (the part exceeding 1 10,000 yuan shall be settled according to the approved number).
(3) If the medical expenses for delivery in different places are lower than the quota standard, they shall be reimbursed according to the facts; Above the quota standard, according to the quota standard reimbursement.
3. One-time childbirth nutrition subsidy
Normal delivery, abortion for more than 7 months; Last year, the average monthly salary of employees in the city was ×25%.
Dystocia and multiple births: the average monthly salary of employees in the previous year ×50%.
4. One-time subsidy
In primary and secondary hospitals, each person will receive a one-time increase in 300 yuan subsidy.
Male workers
Male spouses who receive the "One-Child Preferential Card" enjoy 10 days holiday, and are paid according to the unified salary of the unit in the month when the child is born.
Male spouse's holiday salary = unified salary paid by the unit in the current month ÷30 (days) × 10 (days).
Second, others.
The approved maternity allowance and male spouse's holiday salary are allocated to the unit by the social insurance agency and managed and paid by the unit. The employing unit shall pay the laborer himself in accordance with the relevant provisions of relevant documents.
One-time childbirth nutrition subsidies and one-time childbirth subsidies in first-and second-class hospitals shall be paid by the employer to the parturient according to the standards allocated by the social insurance agency.
III. Confirmation of reproductive medical procedures
When a female worker enjoys treatment such as abortion, induced labor, prenatal examination and maternity insurance after one week of pregnancy. , by the employer to the medical insurance management service center to confirm the medical procedures, and from.
Provisions on delivery in different places
Insured workers need to give birth in different places due to special circumstances, and should fill out the "Approval Form for the Application of Maternity Insurance in Different Places" and go through the examination and approval procedures at the maternity insurance agency. Maternity medical expenses are paid by individual employees. After discharge, the maternity insurance agency shall review and reimburse the expenses that meet the maternity medical payment items with the maternity insurance treatment registration card, discharge summary, expense details and original invoice. Exceed the quota standard, according to the quota reimbursement. After giving birth in different places for two months, the relevant information will be submitted to the unit, and the unit will go to the maternity insurance agency to handle the relevant treatment.
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