Dongguan social security maternity insurance reimbursement conditions?

Dongguan social security in the maternity insurance reimbursement conditions are first of all have to have social security, and secondly to ensure that the employer has organized the maternity insurance, to comply with the relevant provisions of the State. In addition, freelancers do not have maternity insurance premiums and are responsible for their own.

A, Dongguan social security maternity insurance reimbursement conditions are?

1, Dongguan social security maternity insurance reimbursement conditions are: to determine whether the company has a maternity insurance for workers. Because some units do not pay maternity insurance premiums. And, freelance social security does not include maternity insurance. In general, according to the regulations, the unit to give employees for maternity insurance; secondly, in line with the national and provincial family planning and social insurance regulations; childbirth continuous participation in hospitalization basic medical insurance and full payment for more than 12 months (birth time to the "birth medical certificate" time of birth shall prevail); in accordance with the requirements of the city's family planning management, before giving birth to a child, has been registered as required in the family planning management department and accept the relevant The family planning technical services.

2, Dongguan social security maternity insurance reimbursement required to handle the material:

(1) hospitalization medical fee receipts original;

(2) birth of the hospital "diagnosis of disease" original;

(3) "Guangdong Province, family planning services" or in line with the family planning policy of a copy of the supporting materials;

(4) "medical certificate of birth" copies;

(5) Marriage and Childbirth Certificate of the Floating Population" copy (the province's household registration of the insured do not need to provide this);

(6) "one-child certificate" copy (limited to apply for the birth of a one-child allowance);

(7) my ID card or social security card copy of the front and back, other people on behalf of the need to provide on behalf of the ID card or social security card copy of the front and back;

(8) my bank passbook copy (limited to hold the social insurance card does not have the financial function of the participants to provide);

3, Dongguan social security maternity insurance reimbursement process

(1) belongs to the maternity insurance reimbursement of medical expenses within the scope of the medical costs of sporadic medical expenses, the first by the participant personal advances, childbirth or termination of pregnancy (less than 1 year to be cumulative contributions after the full 12 months) within 1 year, the participant will be the relevant information to the participating units )

(2) The unit operator (agent) will bring the relevant information to the Dongguan Municipal Health Insurance Agency for piecemeal reimbursement;

(3) The Dongguan Municipal Health Insurance Agency accepts, audits and settles the medical expenses reimbursed by the participant on a piecemeal basis;

(4) The medical expenses payable will be disbursed by the Social Security Fund Center.

The treatment and duration of maternity insurance

1. Maternity insurance treatment includes:

(1) Maternity medical expenses. Female workers during pregnancy and childbirth, because of pregnancy, childbirth or termination of pregnancy occurred in accordance with the provisions of the medical expenses.

(2) Maternity allowance. Female workers are entitled to maternity allowance during maternity leave. The maternity allowance is based on the average monthly salary of the employees on duty in the previous year in the coordinating area to which she belongs, and is paid according to the prescribed maternity leave. If the maternity allowance is less than the standard of her salary, the employer shall make up for it.

(3) One-time childbirth nutrition allowance. It is paid as a percentage of the average monthly salary of the on-the-job workers in the previous year in the coordinating area to which it belongs. The specific proportion shall be determined by the people's government of the coordinating region.

(4) Family planning surgery costs. Includes the medical expenses incurred by the employee for family planning, placing or removing intrauterine devices, abortion, induced abortion, sterilization and reopening surgeries.

(5) Vacation allowance for male employees. The stipulated vacation allowance for caregiver leave for insured male employees shall be based on the average monthly salary of on-the-job employees in the previous year in the coordinating area to which they belong, and shall be paid according to the stipulated duration of the leave.

Among the maternity insurance treatment items stipulated in this article, except for item (1) which shall be paid, whether items (2) to (5) are paid or not shall be stipulated by the people's government of the coordinating area to which it belongs.

2. The procedures for applying for maternity insurance benefits for employees shall be handled by the employer with the relevant certificates issued by the population and family planning organizations of the local townships (streets) at the local social insurance agencies. If the employer applies for a maternity allowance or a one-time childbirth nutritional supplement, the employer should also hold a certificate of birth, death or termination of pregnancy.

3, the period of application for maternity insurance benefits:

(1) maternity medical expenses, should be in the female worker pregnancy to childbirth or termination of pregnancy before the application;

(2) maternity allowance, a one-time childbirth nutritional subsidies and maternity medical expenses for medical treatment in a different place, should be in the female worker childbirth or termination of pregnancy within one year after the application;

(3) the cost of family planning surgery should be in the operation of the surgery;

(3) the cost of family planning surgery should be in the surgery before the application;

(3) the cost of family planning surgery should be the cost of family planning surgery should be in the operation before the application.

To sum up, as long as the worker's institution has to buy the appropriate maternity insurance, the employee can reimburse the maternity insurance premiums; of course, meet the relevant conditions and regulations, with all the relevant documents and materials needed to handle the process, in accordance with the process step by step to apply for the reimbursement of the specific what materials and steps are also described in detail above.