Wuhan maternity allowance processing flow

Ways and procedures of handling maternity allowance in Wuhan

1. The maternity allowance shall be applied for by the insured unit for the birth or delivery of female employees. The employing unit shall apply for allowance to the medical insurance agency within three months after the end of maternity leave.

2. After the application materials for maternity allowance are submitted to the unit, if the unit fails to declare in time or the account is provided incorrectly, which leads to the failure of payment and the waiting time is too long, you can contact the medical insurance agency in the area under the jurisdiction of the insured unit, and Wuhan Medical Insurance Bureau will check and handle it in time.

3. Employees can inquire about the declaration records and related progress of maternity allowance through the personal website hall of Hubei medical insurance public service platform-"I want to check"-"maternity allowance declaration records query".

(1) Processing time: within three months after maternity leave.

(2) Handling place: medical insurance handling institution in the jurisdiction.

(3) Processing materials: medical insurance electronic certificate (or valid identity documents and social security cards); Medical records; Bank account information provided by the beneficiary (or unit).

(4) Processing time: The processing time for granting maternity allowance is 10 working day.

1. The maternity allowance shall be applied by the unit within 90 days from the date when the female employee gives birth, and filed with the Social Security Bureau for examination and approval, and paid to the unit, which shall be paid to the female employee by the employer. To receive maternity allowance, you must purchase social security normally, which is in line with maternity treatment. Maternity allowance = per capita wage of the unit in the current month /30 days * holiday days.

Two. Maternity allowance has the following provisions:

The employer has paid maternity insurance premiums, and its employees enjoy maternity insurance benefits, including maternity medical expenses and maternity allowance; Female employees who take maternity leave shall enjoy maternity allowance in accordance with state regulations. Female workers enjoy maternity allowance according to the maternity leave stipulated in the Labor Protection Regulations of the State Council. Normal delivery (including premature pregnancy for more than 7 months), enjoy three months maternity allowance; In case of dystocia (including cesarean section), you can enjoy the maternity allowance for three and a half months. If women's position

Employees have enjoyed maternity allowance, medical allowance and other benefits during maternity leave. If the maternity allowance is higher than the average wage of employees, the enterprise does not need to pay maternity leave wages to them. If it is lower than the average salary, the company needs to make up the difference. For those who have exceeded the payment period of maternity allowance, failed to reach the standard of receiving maternity allowance, or the enterprise has not paid maternity insurance to the employees, the employees have the right to ask the enterprise to pay maternity leave wages.

Three. Materials required for handling maternity allowance

Within three months after the maternity leave of the insured, the unit handling personnel shall carry the following materials to the social insurance agency in the jurisdiction:

(a) Wuhan maternity allowance, nursing leave allowance declaration form;

(two) delivery and hospital induced labor personnel to provide discharge summary or discharge record (copy);

(three) outpatient abortion personnel to provide outpatient medical records or diagnosis certificate (copy);

(four) the birth certificate submitted by the birth and delivery personnel outside the city (copy);

(5) Submitted by those who did not apply for maternity medical registration in the early stage: (copy of marriage certificate); (If you have more than two children, you should promise that this delivery conforms to the national, provincial and municipal family planning policies. )

4. How to collect maternity expenses

(1) Maternity allowance and nursing leave allowance are received by the employer. After inquiring about the amount of expenses in Wuhan Human Resources and Social Security Service Network, the employer shall provide the special settlement form (with financial seal), account information and contact telephone number of Wuhan Social Insurance Fund, and go through the collection procedures at the Municipal Medical Insurance Center.

(2) When receiving the maternity expenses allocated to the financial account of the social security card, the fertility personnel can collect cash at the business outlets of the card-making bank with their ID card and social security card, and the initial password is 888888.

Verb (abbreviation of verb) maternity allowance payment standard

(1) Days of entitlement:

1, normal delivery, in addition to 98 days of maternity leave stipulated by the state, maternity leave is increased by 30 days; In case of death, increase by 15 days; For multiple births, 1 baby shall be increased by 15 days.

2. If the pregnancy is less than 12 weeks, maternity leave is 30 days; Maternity leave is 45 days if the pregnancy is full 12 weeks but less than 28 weeks; If the pregnancy exceeds 28 weeks, the maternity leave is 98 days.

(two) the daily payment standard of maternity allowance shall be calculated according to the average monthly salary of employees in the previous year actually declared and paid by the employer in the month when the female employees give birth or give birth (cited), divided by 30 days; If a female employee changes her work unit within 12 months before giving birth or abortion, it shall be calculated according to the weighted average of the average monthly salary of employees in each employer in the previous year when the employee worked within 12 months before giving birth or abortion; If the employer's payment is less than 12 months, it shall be calculated according to the average monthly salary of the employees of the unit during the actual payment time (from 1, implemented in August 2065438).

(3) Maternity Allowance = Daily Payment Standard of Maternity Allowance × Days of Maternity Leave.

(four) the expenses allocated are lower than the employee's own salary and welfare standards, and the difference is made up by the employee's unit; If it is higher than the employee's own salary and welfare standard, the balance will be included in the employee welfare fund of the employee's unit. If a woman gives birth or induces labor before August 1 2065438, the daily payment standard of maternity allowance shall be calculated according to the maternity insurance premium base paid by the employer for the last month of giving birth or inducing labor for female employees divided by 30 days.

Payment standard of nursing leave allowance based on intransitive verb

(1) Male employees are required to pay insurance premiums, and if their spouses meet the national, provincial and municipal family planning regulations, they can enjoy 15 days of nursing leave allowance.

(two) the daily payment standard of male employees' nursing leave allowance is calculated according to the average monthly salary of employees in the previous year actually declared by the employer in the month when the male employee's spouse was born, divided by 30 days; If a male employee changes his/her work unit within/0/2 months before his/her spouse gives birth, it shall be calculated according to the weighted average of the average monthly salary of employees in each employer in the previous year when the male employee worked within/0/2 months before his/her spouse gives birth; If the employer's payment is less than 12 months, it shall be calculated according to the average monthly salary of the employees of the unit during the actual payment time (from 1, implemented in August 2065438).

(3) Nursing leave allowance = daily payment standard of nursing leave allowance × maternity leave days.

(four) the expenses allocated are lower than the employee's own salary and welfare standards, and the difference is made up by the employee's unit; If it is higher than the employee's own salary and welfare standard, the balance will be included in the employee welfare fund of the employee's unit. For those who gave birth before August 1 2065438, the daily payment standard of nursing leave allowance is calculated according to the maternity insurance premium paid by the employer for male employees in the last month when the spouse gave birth, divided by 30 days.

7. Under what circumstances can I apply for cash reimbursement of maternity expenses?

(1) Overseas personnel: the expenses for delivery, abortion and family planning operations in long-term resident.

(two) due to emergency in non maternity insurance designated medical institutions to implement delivery, abortion, family planning surgery costs.

(three) confirmed by the municipal medical center by the maternity insurance designated medical institutions to non designated hospitals to implement delivery, abortion, family planning surgery costs. The above situation shall be paid by the individual in advance, and the cash reimbursement shall be applied within 30 days after the medical treatment is terminated with the application materials. (For the delivery, abortion and family planning operations implemented in tongji hospital or Union Medical College Hospital due to emergency, if the expenses are declared in non-designated medical institutions, they shall be reported to the municipal medical insurance center, and the rest shall be reported to the social insurance agencies under their jurisdiction).

legal ground

People's Republic of China (PRC) Social Insurance Law (revised on 20 18)

Fifty-third employees should participate in maternity insurance, the employer should pay maternity insurance premiums in accordance with state regulations, and employees do 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. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance.

People's Republic of China (PRC) Social Insurance Law (revised on 20 18)

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. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowance.

People's Republic of China (PRC) Social Insurance Law (revised on 20 18)

Fifty-fifth maternity medical expenses include the following:

(1) Maternity medical expenses;

(two) family planning medical expenses;

(3) Other project expenses stipulated by laws and regulations.

Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations. Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.

People's Republic of China (PRC) Social Insurance Law (revised on 20 18)

Fifty-sixth employees in any of the following circumstances, can enjoy maternity allowance in accordance with state regulations:

(1) Female employees enjoy maternity leave;

(2) Enjoy family planning operation leave;

(3) Other circumstances stipulated by laws and regulations.

Maternity allowance is calculated and paid according to the average monthly salary of employees in the previous year of the employer.