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How to use maternity insurance in social security

Legal subjectivity:

As we all know, social security needs to be purchased according to the purchase conditions. If you buy social security, you will generally buy it according to the actual situation, such as a corresponding purchase ratio. 1. How maternity insurance is used for social security means that public officials have paid maternity insurance for more than 1 year within the family planning scope stipulated by the state, so female employees can get a series of preferential policies given by the state when giving birth. Ordinary employees pay only 1% insurance. Other expenses are generally paid by the employer and the society. If the male worker also participates in maternity insurance, then when his partner gives birth, if his partner does not have maternity insurance, then the male worker's maternity insurance can be given to his partner, and the male worker's partner can also get a series of preferential treatments from the state. Second, what information is needed for maternity insurance reimbursement 1, maternity allowance: original and photocopy of marriage certificate; One original and one copy of the Maternity Service Certificate; One original and one copy of the baby's birth certificate; One original and one copy of the medical diagnosis certificate; "Maternity Allowance Applicant Information Registration Form" in duplicate (filled in with black pen). 2. Maternity medical expenses (prenatal examination): original 1 copy of the Maternity Service Certificate, and copy 1 copy; A copy of the baby's birth certificate; Copy of medical diagnosis certificate; All original receipts and prescriptions (Chinese and western medicine fees) are sorted out smoothly according to the date (medical expenses can be reimbursed to 4 yuan); Maternity insurance medical expenses manual reimbursement declaration form. 3. Medical expenses for family planning operation (hospitalization expenses): original 1 copy of birth service certificate, 1 copy; A copy of the baby's birth certificate; Copy of medical diagnosis certificate; All receipts, prescriptions (Chinese and western medicine fees), details of hospitalization expenses and original hospitalization settlement list are sorted in chronological order (medical expenses can be reimbursed to 4 yuan); Maternity insurance medical expenses manual reimbursement declaration form. Iii. Conditions for reimbursement of abortion in maternity insurance 1. After the pregnancy, abortion or family planning operation of female employees, 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 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. Maternity allowance, maternity medical expenses, family planning operation expenses and other expenses stipulated by the state and this Municipality; (1) Maternity allowance: Maternity allowance is the salary of female employees during maternity leave. If the maternity allowance is lower than my salary standard, the difference will be made up by the enterprise. Maternity allowance is calculated according to the payment base of the month when female employees give birth divided by 30 and multiplied by the number of days of maternity leave. (2) Employees who have participated in maternity insurance for a total of 1 year are still insured when they give birth (abortion) and enjoy maternity insurance benefits according to relevant regulations.

Legal objectivity:

First, female employees who meet the following conditions can apply for maternity insurance benefits to the Medical Insurance Department of the Provincial Social Security Bureau; (a) has participated in the provincial maternity insurance; (two) in line with the family planning policy, belonging to the planned pregnancy; 2. Application Procedures (1) After a female worker gives birth or miscarries, the unit shall go through the application procedures for maternity treatment within 3 months; (2) When applying for maternity insurance benefits, the unit shall provide the following materials: 1, an application form for maternity insurance benefits in duplicate; 2. Original and photocopy of birth permit; 3, the newborn "birth medical certificate" and a copy; 4. Proof of abortion (only for female employees who have had an abortion); 5. Maternity leave certificate and medical certificate; 6. A copy of the ID card of the female worker who gives birth or miscarries. (three) the staff of the medical insurance department will check the applicant's qualification and the integrity of the application materials on the spot after receiving the application for maternity insurance benefits. If you have participated in provincial maternity insurance and applied for treatment on time, and the application materials are complete, you will be accepted on the spot and issue an "Acceptance Receipt". (4) The medical insurance department shall complete the examination within 15 working days after accepting the application for insurance benefits. Do not meet the requirements, will inform the unit in writing. To meet the conditions, the "maternity treatment approval form" will be printed to the unit and the applicant. (5) After 15 working days from the date of acceptance, the unit shall go to the Ministry of Health Insurance to receive the approval form for maternity treatment with the receipt of acceptance. (6) Before the second month after the treatment is approved 10, the provincial social security bureau will allocate the approved maternity treatment to the unit in one lump sum, and the unit will be responsible for the payment according to the regulations. (seven) units or individuals have doubts about the maternity benefits approved by the Provincial Social Security Bureau, and should submit them to the Provincial Social Security Bureau within 15 days. If there is a mistake, it shall apply for a review;