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Mianyang maternity insurance reimbursement standard 2023
1. Maternity insurance benefits:
(1) medical expenses for childbirth;
(2) medical expenses for family planning;
(3) expenses for other items stipulated by laws and regulations;
2. Employees with one of the following circumstances may enjoy maternity Allowance:
(1) Female workers are entitled to maternity leave for giving birth;
(2) Leave for family planning surgery;
(3) Other cases stipulated by laws and regulations.
3. The Maternity Insurance Fund mainly comes from the maternity insurance premiums paid by employers. This includes the following:
(1) maternity insurance premiums paid by employers;
(2) interest income from the Maternity Insurance Fund;
(3) late payment fees. Enterprises must pay maternity insurance premiums on time. For late payment, a late fee of 2 per thousand is added per day. The late payment fee is transferred to the maternity insurance fund. The late payment fee is included in non-operating expenses and adjusted at tax time;
(4) other funds that should be included in the Maternity Insurance Fund according to law.
The following two conditions must be met to be eligible for maternity insurance:
1. Payment of maternity insurance must have accumulated for one year;
2. You must be in employment during the period of maternity and continue to pay maternity insurance premiums.
Calculation of the payment standard of maternity allowance and nursing leave allowance:
1. Maternity allowance = the contribution base of the month prior to the month of the employee's childbirth or abortion (induced abortion) divided by 30 * the number of days of maternity leave.
2. Nursing leave allowance = the contribution base of the male employee in the month before the spouse gives birth divided by 30 * the number of days of nursing leave.
In summary, the health insurance maternity insurance is a social insurance system which is stipulated by the national legislation to provide timely material assistance by the state and the society when the labor force is temporarily interrupted due to the birth of a child by a worker.
Legal basis:
Article 53 of the Law of the People's Republic of China on Social Insurance
Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with the state regulations, and the employee shall not pay maternity insurance premiums.
Article 54
Where an employer has paid maternity insurance premiums, its employees shall be entitled to maternity insurance benefits; the employee's unemployed spouse shall be entitled to maternity medical expenses in accordance with State regulations. The necessary funds shall be paid from the Maternity Insurance Fund.
Maternity insurance benefits include maternity medical expenses and maternity allowances.
Article 55
Medical expenses for maternity include the following:
(1) medical expenses for giving birth;
(2) medical expenses for family planning;
(3) expenses for other items stipulated by laws and regulations.
Article 56
Employees shall be entitled to maternity allowances in accordance with the State's provisions in any of the following cases:
(1) female workers enjoying maternity leave for giving birth;
(2) enjoying leave for family-planning surgery;
(3) other cases stipulated by laws and regulations.
Maternity allowance is paid in accordance with the average monthly salary of the employees of the employer where the employee works in the previous year.
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