Can maternity insurance be reimbursed after social security is broken?

After the social security is cut off, maternity insurance cannot be reimbursed.

Because maternity insurance in social security is the basic guarantee for insured employees, and once social security is broken, the payment of maternity insurance will stop, and at this time you will not enjoy the relevant treatment of maternity insurance.

First, the relationship between social security and maternity insurance

Social security is a social security system established by the state to ensure that citizens can maintain their basic living standards in cases of illness, death and unemployment. Among them, maternity insurance is an important part of social security, aiming at providing medical and economic security for insured employees during their maternity.

Second, the impact of the interruption of social security.

When individual social security contributions are interrupted, various social security benefits will also be affected. For maternity insurance, once the social security is broken, the payment status of maternity insurance will be interrupted, and you will not be able to enjoy the relevant benefits of maternity insurance at this time.

Three, maternity insurance reimbursement conditions

Generally speaking, in order to enjoy the reimbursement of maternity insurance, certain conditions need to be met. This includes, but is not limited to: insured employees must be in a normal social security payment state during childbirth; Provide invoices and supporting documents for relevant medical expenses; And other requirements that meet the local maternity insurance policy.

Fourth, the response measures after the social security broke off

Personal social security is broken, it is necessary to pay social security fees in time and restore social security benefits. At the same time, for the maternity medical expenses that have already occurred, we can try to reimburse them through other channels, such as commercial medical insurance. However, it should be noted that the scope and conditions of compensation for different insurance products may be different, so please refer to the terms of the insurance contract for details.

To sum up:

After the social security is broken, maternity insurance is generally not reimbursed. Therefore, individuals should ensure that their social security contributions are normal, so as not to affect the enjoyment of maternity insurance and other related benefits. At the same time, in the face of breaking off social security, we should take timely measures to repay the loan or seek other security channels.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 54 provides that:

The employer has paid maternity insurance, and its employees 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.

People's Republic of China (PRC) social insurance law

Article 63 provides that:

If the employer fails to pay social insurance premiums in full and on time, the social insurance collection agency shall order it to pay or make up within a time limit. If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance collection agency may require the employer to provide guarantee and sign a holdover agreement. If the employer fails to pay the social insurance premium in full and fails to provide guarantee, the social insurance collection agency may apply to the people's court to seal up, detain or auction the property whose value is equivalent to the social insurance premium that should be paid, and the proceeds from the auction will be used to offset the social insurance premium.