In which department is maternity insurance reimbursed?

Social security bureau. I want to go to the social security bureau in person. Application materials required to be submitted by the employer:

1. social insurance registration form;

2 to participate in the basic pension, work injury and maternity insurance personnel increase or decrease table;

3 enterprise employees basic pension, work injury and maternity insurance declaration summary table.

Maternity insurance is a social insurance system that the state and society provide medical services, maternity allowance and maternity leave when pregnant and childbirth female workers temporarily stop working through legislation. Insurance is paid by the enterprise.

Maternity insurance covers four aspects: first, maternity allowance; Second, maternity medical expenses; Three, family planning surgery medical expenses; Four, other expenses stipulated by the state and the city.

Medical expenses shall be paid by the employer according to state regulations, and employees shall not pay maternity insurance premiums.

coverage

crowd

All employees, including male employees, who have established labor relations with the employing unit shall participate in maternity insurance.

Payment of expenses

Employers pay maternity insurance premiums in accordance with state regulations, and employees do not pay maternity insurance premiums.

pay back

situation

Employees who enjoy maternity insurance benefits shall meet the following conditions:

1, the employer has paid social security for the employees for a certain period of time; Policies vary from place to place. For example, Beijing requires continuous payment of social security for 9 months, Guangzhou requires cumulative payment of social security 1 year, and Shanghai requires payment of social security in the month of production.

2, has been insured for the record, and was born locally;

3. Other conditions required by the local human resources and social security bureau.

general clause

1, reproductive medical expenses

The examination fee, delivery fee, operation fee, hospitalization fee and medicine fee for the birth of female employees shall be paid by the maternity insurance fund. Medical business expenses and medicine expenses (including self-funded drugs and nutritional drugs) exceeding the prescribed amount shall be borne by the employees themselves.

After the female workers are discharged from the hospital, the medical expenses for diseases caused by childbirth shall be paid by the maternity insurance fund; The medical expenses of other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs rest and treatment due to illness, it shall be handled in accordance with the relevant provisions on sick leave and medical insurance benefits.

2. Maternity allowance

Female employees shall enjoy maternity allowance according to law during maternity leave, which shall be calculated and paid by maternity insurance fund according to the average monthly salary of employees in the previous year.

Declaration and processing

Declare payment

1, application materials

(1) social insurance registration form;

(2) to participate in the basic pension, work injury, maternity insurance personnel increase or decrease table;

(3) Summary of basic pension, work injury and maternity insurance declaration for enterprise employees.

2. Procedure:

(1) The employer shall report to the business hall of the social labor insurance department with the application materials;

(2) The staff accepts the application materials, seals them after approval, and returns the summary table 1 copy and the increase and decrease table 1 copy;

(3) The employer shall pay the fee to the local tax department in the following month.