Shenzhen maternity social security subsidy policy 20 19

The reporter learned from the Shenzhen Human Resources and Social Security Bureau that one year after the implementation of the Regulations on Maternity Insurance for Employees in Guangdong Province, Shenzhen will issue maternity allowance to enterprises for the first time on March 15. This means that the wages paid by enterprises to female employees during maternity leave can receive maternity allowance from the government.

At the same time, since March this year, a group of maternity insurance participants will be insured for a total of 1 year, and the medical expenses paid in advance can be applied for reimbursement online. According to the statistics of Shenzhen Social Security Bureau, by the end of 20 16, 10,000 people in Shenzhen had been included in maternity insurance.

Reduce the burden on enterprises after "comprehensive two children"

"Our organization has been paying maternity insurance for female employees. Before the female colleague took maternity leave, we were also fully paid, which led to the labor cost of the enterprise exceeding the budget. " Ms. Huang, the person in charge of an enterprise, said that the government pays maternity allowance for enterprises and bears maternity expenses for enterprises and employees. "This news is great."

It is understood that Shenzhen has not established a separate maternity insurance system before. In 2003, maternity medical insurance was established in the basic medical insurance system. Until 20 15, maternity insurance was implemented as a separate insurance.

2065438+In March 2005, according to the Regulations of Guangdong Province on Maternity Insurance for Employees, all employers and their employees in Shenzhen participated in maternity insurance. The new maternity insurance policy clearly stipulates that employers are obliged to participate in maternity insurance for employees, and the maternity allowance has been increased.

Luo, director of "New Media Women", said that after the implementation of the "two-child policy", the burden of employing people in enterprises became heavier. In order to avoid maternity allowance, some small and medium-sized enterprises even refuse to admit female employees or less. According to her understanding, some enterprises have a large proportion of female employees, and the total amount of maternity insurance undertaken by enterprises is relatively large. "Maternity allowance can reduce the burden on enterprises and reduce the concerns of recruiting female employees."

You can only apply if you pay the maternity allowance in advance.

It is reported that after the introduction of the new maternity insurance policy, this is the first time that Shenzhen has issued maternity allowance. If you need to apply for maternity allowance, the employer can log in to the "online service hall" to apply and confirm that the maternity allowance has been paid in advance. The system will automatically match the maternity allowance application according to the data. After the matching is successful, the staff will accept, settle and distribute the maternity allowance online, and the employer does not need to go to the social security agency or submit any other information.

Huang Xianfeng, spokesman of Shenzhen Social Security Bureau, stressed that the higher the base for enterprises to pay social security, the higher the maternity allowance they can receive.

The amount of subsidy depends on the average insurance payment base of the insured unit. "For example, if an enterprise wants to apply for maternity allowance in March, the average social security contribution base paid by the enterprise for employees in 20 15 is 5,000 yuan per month. The number of days for employees to enjoy maternity allowance is calculated according to the legal number of days for maternity insurance in Guangdong Province. Assuming that female employee A enjoys maternity allowance for 98 days, the maternity allowance that the enterprise can receive is: the average social security payment base is 5000 yuan ÷ 30 days per month × 98 days on holidays = maternity allowance is 16333 yuan ".

The whole process is handled online and the whole city is open.

"The maternity allowance is collected by the employer in a unified way, and the whole process is settled online, and employees do not need to handle it themselves," Huang Xianfeng said. "However, employees must first complete the reimbursement of maternity medical expenses and leave corresponding matching information in the database for matching control when granting allowances."

Huang Xianfeng said that the employer filed an application for maternity allowance on the website of the Social Security Bureau and checked the specific items related to the maternity expenses of employees in the form. The corresponding holiday days and allowance standards for each project are different. The system matches the medical information left by employees from the medical database, and finally forms a summary table, which is sent directly to the enterprise.

"Employees who have no bookkeeping in Shenzhen must first reimburse the relevant medical expenses before they can be included in the maternity allowance. If you make an appointment at a designated medical institution in Shenzhen, the system can automatically complete the search and matching. " Huang Xianfeng added that if the information is asymmetric due to special reasons, it is necessary to provide the paper materials of the insured person to the window for processing.

It is understood that all maternity insurance businesses will break the past principle of territorial management, regardless of jurisdiction, and cover the whole process. Enterprises and insured persons can apply in the social security window regardless of the place of insurance or household registration.

Calculation method of enterprise receiving maternity allowance

The average social security payment base is 5000 yuan ÷ 30 days × 98 days holiday per month = maternity allowance 16333 yuan.

For example, an enterprise will apply for maternity allowance in March, and the average social security payment base paid by the enterprise for employees in 20 15 is 5000 yuan per month. The number of days employees enjoy maternity allowance is calculated according to the legal days of maternity insurance in Guangdong Province. Assuming that female employee A enjoys maternity allowance for 98 days, the maternity allowance that the enterprise can receive is:

Maternity insurance has been insured 1 year.

Now you can apply for maternity medical reimbursement.

From March 20 16, the insured who has participated in maternity insurance for 1 year can start to apply for reimbursement of maternity medical expenses. Shenzhen Social Security Bureau has improved the medical payment method.

Maternity insurance medical expenses incurred outside Shenzhen are reimbursed according to the project, such as a one-time payment of 2,000 yuan for prenatal examination, 2,700 yuan for singleton delivery, and 5,200 yuan for singleton dystocia including cesarean section.

In the reimbursement procedure, maternity insurance reimbursement has adopted a more transparent and concise procedure. The insured can apply and print the application form through the official website of Shenzhen Social Insurance Fund Administration "Social Insurance Personal Service Website", and then select the nearest social security agency to apply for reimbursement with the application form and related materials.

Compared with the tedious experience of filling out forms in the past, we only need to check the items when applying for reimbursement in the future, "reducing the errors caused by human input".

The reimbursement fee will be paid to the social security financial card of the insured. The staff of the Social Security Bureau reminded the public that in the future, all the money in and out of Shenzhen's social security department must pass the social security financial card, and appealed to the insured who did not apply for it as soon as possible.

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