How to fill in the maternity insurance approval form

Question 1: How to fill in the application form for maternity allowance:

1, declaration

The employer shall, within the specified time (within 3 months after the maternity leave of the insured female employee expires, that is, the longest application period is 8 and a half months after delivery; The time limit for the insured male workers to apply for one-time maternity grants is within 6 months after delivery). Enjoy the treatment of personnel to provide the following information to the audit window of birth registration of medical insurance center in the open hall of government affairs, and fill in the application form of birth allowance (one-time maternity grants):

(1) medical insurance manual; (2) birth certificate; (3) the baby's birth certificate; (4) Honorary certificate of the parents of the only child; (5) ID cards of both husband and wife; (6) marriage certificate; (7) A copy of the first page of the inpatient medical record (stamped with the seal of the hospital); (8) diagnosis certificate; (9) Detailed invoice of hospitalization expenses; (10) The spouse of the male employee has no work unit and no proof of economic income (issued by the village or community neighborhood committee where the household registration is located); (1 1) Unemployed female employees receive unemployment insurance payments for evidence collection.

Among them, female employees provide information on normal birth (1), (2), (3), (4) and (5), termination of pregnancy (1), (5), (6) and (8), and male employees' spouses (1).

2. Business audit

The maternity insurance department shall review the conditions for receiving maternity allowance and one-time maternity grants, issue a receipt, verify the expenses to be reported, and report to the section chief and the competent leader for approval.

3. Financial audit

The finance department shall conduct financial audit on the expense documents approved by the maternity insurance department, and the section chief shall approve them.

Step 4 agree

The competent director of maternity insurance shall review the expense reimbursement and sign an opinion.

Step 5 get a check

The medical insurance Commissioner of the unit shall collect the check from the medical expense payment window of the medical insurance center in the open government hall with the receipt issued by the maternity insurance department and the regular settlement receipt of the unit.

Applicant: (seal)

Unit medical insurance code unit name unit average

Payable salary RMB/month Applicant's name Applicant

Id number applicant

Medical insurance code spouse name work unit or

The medical insurance code of the registered permanent residence (please fill in my ID number if there is no work unit). The name of the client.

Customer ID number

Labor or termination in the unit

Time of parity or termination of pregnancy

Whether the pregnancy sequence is dystocia maternity leave date (year-month-day) to year-month-day legal maternity leave days is related to materials, materials, names, issuing units, issuing dates, audit results and handling personnel.

Member audit signature

(1) Birth certificate (2) Honorary certificate of only-child parents (3) Identity certificate of both men and women (4) Certificate that the woman has no work unit issued by the village (community) committee (5) Unemployment certificate issued by unemployed female workers and unemployment insurance agencies (6) Baby birth certificate (including multiple births) or baby death certificate (7) Medical certificate of termination of pregnancy (8)

2. Fill in (1), (3), (7) and (10) for termination of pregnancy;

3, unemployed female workers to fill in (5 points);

4. The woman has no job to fill in (4);

5. Increase the number of unemployed female employees and male employees whose wives are unemployed (9);

6. All materials shall be provided with originals or certified copies (except item 9).

Question 2: How to fill in the maternity insurance reimbursement approval form? It is best to have a sample maternity insurance (embedded in the basic medical insurance) that requires continuous payment of more than 1 year (that is, the observation period).

2. According to the detailed rules for the implementation of maternity insurance measures, the reimbursement situation is as follows:

I. Eligible for reimbursement-

(a) in line with the family planning policy, marriage law and other laws and regulations;

(2) Persons who participate in maternity insurance for the first time have been pregnant for 12 months without interruption since the month of handling. Those who have participated in maternity insurance will be given birth after continuous payment 12 months (excluding supplementary payment).

(three) before the implementation of fertility and abortion, the birth index approved by the family planning department should be held.

B, the guarantee is-

Eighth female workers maternity medical expenses according to the following standards:

1. 3,000 yuan for cesarean section or cesarean section abortion after 7 months of pregnancy;

2. 2,000 yuan for delivery or abortion after 7 months of pregnancy;

3. 1 1,000 yuan for delivery or abortion after being pregnant for more than 3 months but less than 7 months;

4. 300 yuan who miscarried within 3 months of pregnancy;

5. Multiple births increase 400 yuan for each additional baby.

Article 9 Male employees who have participated in maternity insurance have paid maternity insurance premium for 12 months continuously, and their spouses belong to non-urban population and unemployed people in cities and towns who have not participated in maternity insurance, or have participated in maternity insurance but paid less than 12 months (excluding overdue payment), and enjoy a one-time maternity medical subsidy of 50% of female employees' maternity medical expenses according to Article 8 of the Measures. The subsidy standards are as follows:

1. Cesarean section or cesarean section abortion after 7 months of pregnancy 1500 yuan;

2. Delivery or abortion after 7 months of pregnancy 1000 yuan;

3.500 yuan, pregnant for 3 months but less than 7 months, having given birth or aborted;

4. Abortion within 3 months of pregnancy 150 yuan;

5. Multiple births increase 200 yuan for each additional baby.

Both husband and wife participated in maternity insurance. If the woman meets the conditions for enjoying maternity insurance benefits, she will enjoy it, and the man will no longer enjoy maternity medical expenses subsidies. The man enjoys maternity medical expenses subsidies, and his spouse has enjoyed maternity insurance benefits according to other policies and regulations, but has not reached the maternity medical expenses subsidy standards stipulated in these rules, and the difference is made up by the maternity insurance fund; Has reached the subsidy standard stipulated in these rules, the maternity insurance fund will no longer pay.

Tenth family planning operation fee price standards in accordance with the relevant provisions of the provincial and municipal price departments. Namely: intrauterine device 45 yuan; Take out the intrauterine device 46 yuan; Drug abortion 1.27 yuan (curettage due to incomplete drug abortion increases 47 yuan); 85 yuan of induced abortion (Jia Zeng 12 yuan); Induced labor in the second trimester is 366 yuan [50 yuan will be increased if induced labor is more than seven months (including seven months)]; Vasectomy 150 yuan; Tubal ligation 5 10 yuan; Vasectomy 370 yuan; Tubal anastomosis, 400 yuan.

Eleventh maternity medical expenses, family planning surgery fees, maternity medical expenses subsidies and gradually adjusted with the adjustment of the price department of this Municipality. The specific adjustment plan is proposed by the municipal labor security administrative department in conjunction with the municipal finance department and implemented after being approved by the municipal government.

Article 12 When the insured gives birth or carries out family planning operation, the hospitalization medical expenses caused by cholestasis of pregnancy, postpartum hemorrhage, uterine rupture, amniotic fluid embolism and complications of family planning operation shall be included in the scope of payment of maternity insurance fund.

Measures for reimbursement of hospitalization medical expenses for complications of birth and family planning operations shall be implemented in accordance with the provisions of basic medical insurance. The insured person meets the one-time hospitalization medical expenses stipulated in the basic medical insurance, and the amount is above the Qifubiaozhun of the basic medical insurance pooling fund and below the maximum payment limit. After the individual pays part of the special expenses first, the maternity insurance fund will pay in proportion. The part below Qifubiaozhun and the part exceeding the maximum payment limit of basic medical insurance will not be reimbursed. Qifubiaozhun and maximum payment limit of hospitalization medical expenses and special expenses paid by individuals in advance for complications of birth and family planning operations shall be implemented in accordance with the provisions of basic medical insurance.

Maternity allowance: The maternity allowance shall be calculated according to different situations after dividing the total wages paid by maternity insurance for female employees 12 months before delivery by 365 days:

A. 90 days for delivery or abortion after 7 months of pregnancy;

B. If the pregnancy is more than 3 months but less than 7 months, it shall be multiplied by 42 days;

C. If the pregnancy is less than 3 months, multiply by 14 days;

D. cesarean section increased by 15 days;

E 15 days for each additional baby born in multiple births.

C.>& gt

Question 3: How to write the manual number of maternity insurance declaration form? If the form has not been modified so far, write the social security number in the manual number.

Question 4: How to write an individual application form for maternity insurance? Is it an application form for maternity insurance benefits for enterprise employees?

This form is different in each province and city, so it should be filled in according to the local form.

Question 5: How to fill in the maternity insurance application form? Is it an application form for maternity insurance benefits for enterprise employees?

This form is different in each province and city, so it should be filled in according to the local form.

Question 6: How to fill in the maternity insurance application form? Is it an application form for maternity insurance benefits for enterprise employees?

This form is different in each province and city, so it should be filled in according to the local form.

Question 7: How to fill in the maternity insurance application form of 7:XX Social Security Bureau:

I, XXX, ID number: XXX, started to pay maternity insurance in XX, and now I give birth on XX, XX, and I hereby apply for maternity treatment. Please deal with it. Thank you!

Applicant: XXX

Question 8: How to fill in the maternity insurance application form? Is it an application form for maternity insurance benefits for enterprise employees?

This form is different in each province and city, so it should be filled in according to the local form.

Question 9: How to fill in the application form for maternity insurance benefits for employees? The Application Form for Maternity Insurance for Employees is made in duplicate, one for the Finance Department and one for the Maternity Insurance Department, which can be filled in according to the requirements of the form.

When preparing to apply for maternity benefits, ordinary employees need to apply for the following materials: baby birth certificate, marriage certificate, original and photocopy of ID cards of both parties, hospitalization receipt, expense details, diagnosis certificate and photocopy of medical records. Male employees are required to provide the original and photocopy of the husband and wife household registration book and the original and photocopy of the second child birth certificate. Usually, it is directly handed over to the maternity insurance handling personnel of the enterprise for unified handling.

We know that the implementation of maternity insurance is the guarantee for the basic life of female workers. Female employees leave their jobs during childbirth and cannot work normally. The state has formulated relevant policies to ensure that they enjoy relevant treatment when they leave their jobs. These include maternity allowance, medical services and special protection policies when you can't stick to your normal work during pregnancy.

Question 10: asking for help. How to fill in maternity insurance benefits in the declaration form? The employing unit shall apply to the social insurance agency within 18 months after the delivery or operation of the employee. When applying, an Application Form for Maternity Allowance for Employees shall be filled in, and the following materials shall be provided:

Birth certificate issued by the family planning administrative department;

Original materials such as reproductive medical certificate, outpatient medical records, discharge summary, and family planning operation records;

A baby's birth certificate.

The social insurance agency shall, within 15 working days from the date of accepting the application, review the information provided by the employer, and after the completion of the review, allocate the maternity insurance premium to the employer where the employee is located, and the employer shall distribute it to the employee according to the maternity insurance treatment items and standards stipulated in the present Measures.

If the employer fails to handle the maternity insurance procedures for the employees as required, the maternity insurance expenses incurred by the employees shall be paid by the employer in accordance with the maternity insurance treatment items and standards stipulated in these Measures.

The materials required for reimbursement are:

Declaration form for medical expenses;

My ID card or social medical security card;

I have a bank card with UnionPay logo;

My medical record book;

Original production cost;

A detailed list of expenses;

Summary of discharge. You'd better take your birth certificate. If someone else picks it up, you need to bring the ID card of the person who picks it up.