Job Recruitment Website - Social security inquiry - Can personal social security reimburse his wife's maternity insurance?
Can personal social security reimburse his wife's maternity insurance?
Maternity insurance refers to the medical security system enjoyed by female employees under certain circumstances such as pregnancy, childbirth and abortion, which is mainly paid by the unit for female employees. Personal social security refers to social insurance paid by individuals for themselves, including endowment insurance, medical insurance, unemployment insurance and work-related injury insurance. Therefore, personal social security does not include maternity insurance, nor can it reimburse the wife's maternity insurance expenses.
Social security includes:
1. Old-age insurance can guarantee the basic needs of the elderly. Pay enough 15 and above, reach the legal retirement age, and receive monthly pension benefits;
2. Unemployment insurance can provide material help for workers who temporarily lose their livelihood because of unemployment;
3, medical insurance, the average individual only bears 40% of the medical expenses, and 60% is borne by the medical insurance department;
4. Industrial injury insurance is generally paid by the unit. You can enjoy a certain proportion of reimbursement for work-related accidents during work;
5, maternity insurance, general male workers should also participate in maternity insurance. Before giving birth to a child, as long as the payment is continuous 12 months or more, you can enjoy partial expense reimbursement.
To sum up, only under the premise of participating in social medical insurance as a whole and participating in maternity medical insurance at the same time can you enjoy medical insurance reimbursement.
Legal basis:
Article 4 of People's Republic of China (PRC) Social Insurance Law
Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 53
Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, and employees shall not pay maternity insurance premiums.
Article 54
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.
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