How to fill out the maternity insurance application form

Question 1: How to fill out the maternity insurance application form Is it the "Application Form for Maternity Insurance Benefits for Enterprise Employees"?

This form is different in every province and city, and should be filled out according to the local form

Question 2: How to write the application for maternity insurance XX Social Security Bureau:

I, XXX, ID card No.: XXX, in XX XX XX month began to XX unit to pay for maternity insurance, and now in X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X, I apply for maternity benefits. Please give processing as a hope, thank you!

Applicant: XXX

Question 3: How to write a personal application form for maternity insurance Is this the Application Form for Maternity Insurance Treatment for Enterprise Employees?

This form is different in every province and city, and should be filled out according to the local form

Question 4: How to fill out the application form for maternity insurance Is it the "Application Form for Maternity Insurance Benefits for Enterprise Employees"?

This form is different in every province and city, and should be filled out according to the local form

Question 5: How to write the handbook number of the maternity insurance declaration form?

Question 6: How to fill in the application form for maternity insurance XX Social Security Bureau:

I XXX, ID card number: XXX, in XX XX XX unit began to pay maternity insurance, now in X years X X month X gave birth to a child, and hereby apply to receive maternity benefits. Please give processing as a hope, thank you!

Applicant: XXX

Question 7: How to fill in the application form for maternity insurance benefits Maternity insurance (embedded in the basic medical insurance) requires more than 1 year of continuous payment (i.e., observation period).

2. According to the Implementing Rules of Maternity Insurance Scheme, the reimbursement is as follows:

A. Meet the conditions for reimbursement -

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

(b) first-time participants in maternity insurance from the month of processing (ii) Those who have participated in maternity insurance for the first time and have paid contributions continuously for 12 months since the month of application. (iii) The birth of a person who has already participated in maternity insurance and has paid contributions for 12 months without interruption (excluding retroactive contributions).

(3) Before the birth or abortion is performed, the person should have a birth index approved by the family planning department.

B. Guarantee for -

Article 8 of the maternity medical expenses for female workers shall be settled at a fixed amount according to the following standards:

1. 3,000 yuan for cesarean section delivery or cesarean section abortion in the first seven months of pregnancy;

2. 2,000 yuan for delivery or abortion in the first seven months of pregnancy;

3.

3. 1,000 yuan for a birth or miscarriage in the third month of pregnancy or less than seven months;

4. 300 yuan for a miscarriage in the third month of pregnancy or less;

5. 400 yuan for each additional baby in the case of multiple births.

Article 9 If a male employee who participates in maternity insurance pays maternity insurance premiums continuously and uninterruptedly for 12 months, and his spouse belongs to the non-urban population not participating in maternity insurance, or urban jobless persons, or has participated in maternity insurance but has paid premiums for less than 12 months (excluding retroactive contributions), he shall be entitled to a one-time subsidy of 50% of the female employee's maternity medical expenses for the maternity medical expenses in accordance with the provisions of Article 8 of the Measures. The subsidy standards are as follows:

1. 1,500 yuan for Caesarean section delivery or Caesarean section abortion in the seventh month of pregnancy;

2. 1,000 yuan for delivery or abortion in the seventh month of pregnancy;

3. 500 yuan for delivery or abortion in the third month of pregnancy but not in the seventh month of pregnancy;

4. 150 yuan for abortion in less than the third month of pregnancy;

5. 5. 200 yuan for each additional baby born in multiple births.

If both husband and wife have joined the maternity insurance, the woman will enjoy the maternity insurance benefits if she meets the conditions for enjoying such benefits, and the man will no longer enjoy the subsidy for maternity medical expenses. If the man is entitled to the maternity medical expense subsidy, and his spouse is already entitled to the maternity insurance treatment according to other policies, but has not reached the standard of the maternity medical expense subsidy stipulated in the Implementing Rules, the difference shall be made up by the Maternity Insurance Fund; if the standard of the subsidy stipulated in the Implementing Rules is reached, the Maternity Insurance Fund shall no longer pay for the subsidy.

Article 10 of the price standard for family planning surgery fees in accordance with the relevant provisions of the provincial and municipal price authorities. That is: 45 yuan for intrauterine implementation of the placement of birth control devices; 46 yuan for intrauterine implementation of the removal of birth control devices; 127 yuan for medication abortion (47 yuan increase for incomplete medication abortion for removal of the uterus); 85 yuan for abortion (12 yuan increase for clamping); 366 yuan for induced abortion in the middle of the pregnancy [more than seven months (including seven months) induced abortion increased by 50 yuan]; 150 yuan for vasectomy; 510 yuan for tubal ligation; Vasectomy $370; tubal anastomosis $400.

Article 11 The above maternity medical fees, family planning operation fees and maternity medical fee subsidies are gradually adjusted in accordance with the adjustments made by the price authorities of the city. The specific adjustment plan shall be put forward by the municipal labor security administrative department in conjunction with the municipal financial department *** and reported to the municipal *** for approval before implementation.

Article 12 The hospitalization medical expenses incurred by the insured during childbirth or family planning surgery caused by cholestasis of pregnancy, postpartum hemorrhage, rupture of the uterus, amniotic fluid embolism complications of childbirth and family planning surgery are included in the payment of the maternity insurance fund.

The reimbursement of hospitalization medical fees for complications of childbirth and family planning surgery is implemented in accordance with the provisions of the basic medical insurance. For the one-time hospitalization medical expenses of the insured person in accordance with the provisions of the basic medical insurance, the portion of the medical expenses below the maximum payment limit above the starting standard of the basic medical insurance fund shall be paid by the maternity insurance fund on a pro rata basis after the individual pays a part of the special expenses out of his own pocket first. The portion below the starting standard and the portion exceeding the maximum payment limit of the basic medical insurance shall not be reimbursed. The starting standard and maximum payment limit for hospitalization medical expenses for childbirth and complications of family planning surgery, as well as the special expenses paid by the individual first, are implemented in accordance with the provisions of the basic medical insurance.

Maternity allowance: the maternity allowance is calculated by dividing the total amount of the female worker's maternity insurance contribution salary for the 12 months prior to the birth by 365 days, according to different circumstances:

a. Multiply the maternity allowance by 90 days for a birth or miscarriage that takes place after a full seven months of pregnancy;

b. Multiply the maternity allowance by 42 days for a birth or miscarriage that takes place after a full three-month pregnancy or a miscarriage that takes place after a full seven months;

c. Multiply the maternity allowance by 42 days for a birth or miscarriage that takes place before a three-month pregnancy. 14 days for a miscarriage at less than 3 months of gestation;

d. 15 days for a cesarean section;

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

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Question 8: How to fill in the application form for maternity insurance May I ask if it is the Application Form for Maternity Insurance Benefits for Enterprise Employees?

This form is different in every province and city, and should be filled out according to the local form

Question 9: How to fill out the application form for maternity allowance Procedures:

1, declaration

The employer within the stipulated period of time (within three months after the expiration of maternity leave for the insured female employees, that is, the maximum period of time for the claim is eight and a half months after the delivery; the male employees of the insured one-time maternity allowance claim period is eight and a half months after the delivery; the male employees of the insured one-time maternity allowance claim period is eight and a half months after the delivery. Maternity benefits claim period for 6 months after delivery) to provide the following information to the entitlement of the person to the public hall of the government health insurance center maternity registration audit window, and fill out the "maternity allowance (one-time maternity benefits) claim form":

(1) health insurance manual; (2) birth certificate; (3) the baby's birth certificate; (4) one-child parents honor card; (5) the husband and wife identity card (6) Marriage certificate; (7) Copy of the first page of the hospitalization case (stamped with the hospital seal); (8) Diagnostic certificate; (9) Detailed invoice of hospitalization expenses; (10) Spouse of the male employee has no work unit and no economic income certificate (issued by the village or community committee where the household registration is located); (11) Unemployment Insurance Benefit Recipient Certificate of the unemployed female employee.

Among them, female workers provide (1), (2), (3), (4), (5) information for normal childbirth, (1), (5), (6), (8) information for termination of pregnancy, (1), (2), (3), (4), (5), (7), (8), (9), (10) information for spouses of male workers, (1), (2), (3), (4), (5), (7), (8), (9), (10) information for unemployed female workers, (1), (2), (3), (4), (5), (7), (8), (9), (10) information. (3), (4), (5), (7), (8), (9), (11).

2. Business Audit

The Maternity Insurance Section audits the conditions for receiving the maternity allowance and the one-time maternity grant, issues a receipt, approves the expenses to be reported, and submits it to the section chief and the supervisor for approval.

3, financial audit

The Financial Services Section of the Maternity Insurance Section to review and approve the expenses of the financial audit, the section chief for approval.

4, approval

The director in charge of maternity insurance to approve the reimbursement of expenses, sign the opinion.

5, get a check

unit health insurance specialist with the voucher issued by the Maternity Insurance Section, the unit of formal settlement receipts, to the open hall of the government health insurance center medical expenses payment window to get a check.

Claiming unit: (seal)

Unit health insurance code Unit name Unit average

Contributed salary yuan/month Claimant's name Claimant

ID card number Claimant

Health insurance code Spouse's name Work unit or

Household location Health insurance code (no work unit fill in my ID card number) Claimant name The name of the delegator

ID number of the delegator

Location of the delegator Childbirth or termination

Time of gestation Fetal order or termination

Sequence of gestation Whether it is difficult to give birth The date of maternity leave is from January to January Legal maternity leave days Relevant materials Name of the materials Issuing organization Date of issuance Result of the examination and verification by the organization

Signature of examination and verification by the officer

(1) Certificate of birth permit (2) Single birth permit (2) Single birth certificate (1) Birth certificate (2) Certificate of honor for parents of one-child (3) Identity of both men and women (4) Certificate issued by the village (community) committee of the woman's non-working unit (5) Unemployment certificate issued by the unemployment insurance agency for unemployed female workers (6) Birth certificate of the baby (including multiple births) or death certificate of the baby (7) Medical certificate of termination of pregnancy (8) Medical certificate of difficult birth or settlement list of hospitalization medical expenses (9) Medical certificate of difficult birth or settlement list of hospitalization medical expenses (10) Medical certificate of the birth of a child (including multiple births) or settlement list of hospitalization medical expenses Hospitalization medical expense settlement list (9) hospital expense invoices (10) the unit to stop paying wages Note: 1, normal childbirth fill in (1), (2), (3), (6), (10); difficult births fill in (8);

2, the termination of pregnancy fill in (1), (3), (7), (10);

3, unemployed women workers fill in (5);

4, the woman does not have a job, the woman has no work to do, the woman is not the only one who has to pay for the work of the hospital. p> 4, the woman is not working to fill in (4);

5, unemployed female workers, male workers, the woman is not working to fill in (9);

6, all the materials are provided in the original, or certified true copies (except for item 9).

Question 10: How to fill out the application form for employee maternity insurance benefits The declaration form for employee maternity insurance benefits is in duplicate, one for each of the financial and maternity insurance sections, and can be filled out in accordance with the requirements of the form.

In general, when preparing to apply for maternity benefits, employees need to declare the following materials: baby's birth certificate, marriage certificate, both sides of the original ID card and a copy, hospital receipts, cost details, diagnostic certificates, copies of medical records, the male employees to declare maternity benefits need to provide the original household registration of both husband and wife and a copy of the original two-child, and the second child of the original certificate and a copy of the original birth certificate. Usually, it is directly handed over to the enterprise maternity insurance operator for unified processing.

We know that the implementation of maternity insurance is to protect the basic life of female workers. Female workers leave their jobs during maternity and cannot work normally. The State, through the formulation of relevant policies to ensure that they enjoy the relevant treatment during the period of absence from work. These include maternity allowance, medical services, and special protection policies when they are unable to work normally during pregnancy.