Reimbursement conditions of social security maternity insurance in Guangzhou

First, employees who meet the requirements to participate in maternity insurance for a total of one year, and Guangzhou household registration employees who are still insured at the time of childbirth (abortion), enjoy maternity insurance benefits according to relevant regulations. Second, the payment standard Note: Maternity insurance allowance: it will be processed within five months after giving birth to a child, and the units where female employees and male spouses work apply for maternity insurance benefits respectively. (a), female workers 1, maternity allowance in the month of childbirth (abortion) as the base of the average salary of the unit according to the provisions of the holiday plan. Maternity allowance = average paid salary of the unit in the current month ÷30 (days) × holiday days: (1) normal maternity leave is 90 days (including prenatal check-up 15 days); (2) The one-child leave is increased by 35 days; (3) Maternity leave for late childbirth is increased by 15 days; (4) dystocia maternity leave and third degree perineal rupture cesarean section increased by 30 days; Suction delivery, forceps delivery and breech delivery increased 15 days. (5) The maternity leave is increased by 65,438+05 days for each additional baby born in multiple births. (6) Abortion false pregnancy is less than 2 months 15 days; Less than 4 months and 30 days pregnant; Pregnant for more than 4 months (including 4 months) to less than 7 months for 42 days; Pregnant for more than 7 months, surviving less than 75 days in case of stillbirth, stillbirth or premature delivery; 2. Maternity medical expenses (1) The medical expenses for medical treatment after the status of maternity medical treatment is confirmed by the medical insurance center shall be settled by the Guangzhou Municipal Labor and Social Security Bureau and the hospital (the part exceeding 1 10,000 yuan shall be settled according to the approved number). (2) Sudden abortion before pregnancy 16 weeks, and obstetric complications during emergency and maternity leave in non-designated hospitals, shall be reimbursed 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 delivery nutrition subsidy (1) Normal delivery and abortion for more than 7 months; Last year, the average monthly salary of employees in the city was × 25%; (2) Dystocia and multiple births: the average monthly salary of employees in the previous year was ×50%. 4, a one-time subsidy in one or two hospitals delivery, each additional one-time subsidy 300 yuan. (2) The male spouse who receives the One-Child Preferential Card for male employees enjoys 10 day holiday, and the holiday is calculated according to the unified salary paid by 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).

Legal objectivity:

Article 54 of the Social Insurance Law of People's Republic of China (PRC), if the employer has paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance. 3. During the period when the insured enjoys maternity leave or family planning operation leave in accordance with the regulations, if the employer stops paying maternity insurance premiums for him for special reasons and fails to pay maternity leave wages, the insured may apply to the social insurance agency for payment after the end of maternity leave or family planning operation leave 1 year.