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How to reimburse personal social security when having children?
Because personal social security usually only includes pension insurance and medical insurance, there is no maternity insurance. Maternity insurance is a social insurance system that the state and society provide medical services for pregnant women who temporarily stop working through legislation.
To enjoy maternity insurance benefits, you need to meet the following conditions:
1, which conforms to the national family planning policy or fertility conditions and belongs to family planning.
2. The employer has paid maternity insurance for employees for a total of 12 months or for 9 consecutive months.
3, in the provisions of the medical institutions for production (flow) production.
The reimbursement process is as follows:
1. Prepare relevant documents, such as ID card, marriage certificate, employee basic medical insurance certificate, medical certificate of baby's birth, birth registration service certificate, etc.
2. The time limit for paying maternity insurance premiums to the unit to reach the local social security department is generally more than half a year.
3. Submit reimbursement materials, including ID card, marriage certificate, employee basic medical insurance certificate, medical certificate of baby's birth, birth registration service certificate, etc.
4. Wait for the social security department to review. After the approval, the relevant maternity insurance benefits will be paid to the unit account.
The application materials to be submitted by the maternity female worker:
1, the family planning certificate issued by the family planning department (original and photocopy);
2. Birth (death) certificate issued by the medical department (original and photocopy);
3. My ID card (original and photocopy) of female workers and family planning operators;
4. Approval Form for Maternity Medical Certificate of Enterprise Employees;
5, enterprise employees family planning surgery medical certificate application form;
6, enterprise employees maternity medical expenses reimbursement application form;
7, maternity insurance benefits of enterprise employees approved settlement table;
8, enterprise employee maternity insurance on-site medical application form;
9, maternity medical bills, cost list, outpatient medical records, discharge summary and other raw materials;
10, receipt.
To sum up, maternity allowance, one-time maternity nutrition allowance, and medical expenses for maternity in different places should be applied within 1 year after female employees give birth or terminate pregnancy.
Legal basis:
Social insurance law
Article 56
Workers in any of the following circumstances can enjoy maternity allowance in accordance with state regulations:
(1) Female employees enjoy maternity leave;
(2) Enjoy family planning operation leave;
(3) Other circumstances stipulated by laws and regulations.
Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.
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