Medical insurance reimbursement process for off-site production

Medical insurance reimbursement process for production in different places:

1. Go to the local social security bureau to get the application form for giving birth in different places, fill it out and apply according to law;

2. After approval, prepare all materials and certificates according to the contents of the application form;

3, the child is born within 3 months, to declare.

The application materials to be submitted by the maternity female worker:

1, the family planning certificate issued by the family planning department;

2. The baby birth certificate issued by the medical department;

3, the birth of female workers, family planning workers my ID card;

4. Application form for maternity medical certificate of enterprise employees;

5, enterprise employees family planning surgery medical certificate application form;

6, enterprise employees maternity medical expenses reimbursement application form;

7, maternity insurance benefits of enterprise employees approved settlement table;

8, enterprise employee maternity insurance field medical application form;

9, maternity medical bills, cost list, outpatient medical records, discharge summary and other raw materials;

10, receipt.

Application method of maternity allowance:

1, for female employees who have enjoyed maternity leave for 3 months or more according to state regulations, the fund will pay a one-time nutrition fee of 2% of the average salary of employees in the previous year;

2. The maternity allowance shall be based on the average payment base of female employees before delivery or induced abortion 12 months (if the insured person is over 10 months but less than 12 months, it shall be based on the average payment base of female employees before delivery or induced abortion 10 months), and shall be paid according to the maternity leave days specified by the population and family planning department. Those who have already enjoyed maternity allowance will no longer enjoy it;

3. Abortion allowance is paid according to the standard of 20 days of early pregnancy and 42 days of mid-term abortion;

4. If the maternity leave salary paid by the employer is lower than the maternity allowance standard, it shall be supplemented by the employer according to the prescribed standard.

To sum up, after reviewing the materials, the medical insurance center confirms that it meets the conditions of maternity insurance benefits and is included in the account of the insured unit according to relevant regulations. Maternity allowance is paid monthly, and employees begin to enjoy it in the month of delivery or abortion.

Legal basis:

Article 53 of the Labor Law of People's Republic of China (PRC)

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. Fifty-fourth employers have paid maternity insurance premiums, and their employees enjoy maternity insurance benefits; Unemployed spouses of employees enjoy maternity medical expenses in accordance with state regulations.