Conditions for reimbursement of social security maternity insurance in Shenzhen

The reimbursement conditions of maternity insurance refer to the maternity medical expenses and maternity allowance for female employees who participate in maternity insurance, the nursing leave allowance for male employees' spouses during childbirth, and the conditions for coordinating regional maternity insurance funds. The basic condition is that the spouse of a female worker or a male worker conforms to the national family planning policy or performs family planning surgery. In addition, the employer shall participate in maternity insurance for employees according to law, and the employer who fails to participate in maternity insurance for employees according to law shall bear maternity insurance benefits for employees according to the standards paid by the maternity insurance fund. The reimbursement of maternity insurance in Shenzhen must meet the following conditions: (1) Employees who have participated in maternity insurance 1 year shall submit the application materials for reimbursement of maternity medical expenses within 1 year after delivery/after family planning operation 1 year; (2) Employees who have participated in maternity insurance for less than 1 year shall submit the application materials for reimbursement of maternity medical expenses after participating in maternity insurance for 12 months; (3) Employees who have participated in maternity insurance 1 year, and whose unemployed spouse gives birth, shall submit application materials to handle the procedures for reimbursement of maternity medical expenses of their unemployed spouse within 1 year after their unemployed spouse gives birth/after family planning operation 1 year; (4) If the unemployed spouse of an employee who has participated in maternity insurance for less than 1 year gives birth, he shall submit the application materials for reimbursement of maternity medical expenses of his unemployed spouse after the employee has participated in maternity insurance for 12 months; The maternity medical expenses applied for reimbursement shall be the expenses incurred by the insured during the normal insurance period. Article 54 of the Social Insurance Law: If the employer has paid maternity insurance premiums, its employees shall 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.

Legal objectivity:

Article 53 of the Social Insurance Law, employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with state regulations, while employees shall not pay maternity insurance premiums. Article 54 of the Social Insurance Law: If the employer has paid maternity insurance premiums, its employees shall 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. Article 55 of the Social Insurance Law includes the following items: (1) Maternity medical expenses; (two) family planning medical expenses; (3) Other project expenses stipulated by laws and regulations.