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What documents are required for maternity insurance reimbursement.
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The materials that need to be prepared for reimbursement of giving birth to a child are as follows:
1. Marriage certificate, eugenics certificate, birth medical certificate, ID card of both men and women;
2. Receipts and prescriptions for outpatient prenatal examinations;
3. Copies of diagnosis certificates, receipts, detailed list of expenses, and inpatient cases are required for neonatal rescue;
4. When the maternity employee needs to be transferred to the hospital under special circumstances, the transfer procedures must be opened. to Medicare maternity signing;
5. When the woman does not have maternity insurance but the man has maternity insurance, in addition to the above materials, she must also provide the certificate of the male employee's unit, and the certificate of no unit issued by the street, community or village committee where the spouse lives;
6. Medical certificates must be provided for ring removal, upper ring, **, medical abortion and ectopic pregnancy.
Legal basisArticle 53 of the Social Insurance Law of the People's Republic of China.
Employees shall participate in maternity insurance, and the employer shall pay maternity insurance premiums in accordance with national regulations, and employees shall not pay maternity insurance premiums.
Article 54.
If the employer has already paid the maternity insurance premium, its employees are entitled to maternity insurance benefits; The unemployed spouse of an employee shall be entitled to maternity medical expenses in accordance with the provisions of the state. The required funds are paid out of maternity insurance**.
Maternity insurance benefits include maternity medical expenses and maternity allowances.
Article 55.
Maternity medical expenses include the following:
1) Medical expenses for childbirth;
2) Medical expenses for family planning;
3) Other project expenses as provided for by laws and regulations.
What is the reimbursement process for having a child.
1. Bring the materials to apply for reimbursement. This procedure can be handled by the female employee herself or by the employer, the staff of the street or town labor security service station with the materials to the maternity insurance window of the district social labor insurance office;
2. The relevant departments will review the application;
3. After passing the audit, the audit department will issue a voucher;
4. Female employees can claim maternity allowance with handling certificates.
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The documents required for reimbursement of the birth of a child are as follows:
1. Family planning certificate;
2. Newborn birth medical certificate or household registration booklet;
3. Diagnosis certificate and expense voucher;
4. ID card;
5. Provide a breakdown of hospitalization expenses for dystocia in other places or abroad;
6. Provide surgical certificate and cost voucher for caesarean section in a different place or abroad.
Legal basisArticle 8 of the Special Provisions on Labor Protection of Female Employees.
For female employees who have participated in maternity insurance, the maternity allowance during maternity leave shall be paid by maternity insurance according to the standard of the average monthly salary of employees of the employer in the previous year; For those who have not participated in maternity insurance, the employer shall pay the salary of the female employee before the maternity leave.
The medical expenses for childbirth or miscarriage of female employees shall be paid by the maternity insurance in accordance with the items and standards stipulated in the maternity insurance, and for those who have already participated in the maternity insurance**; For those who have not participated in maternity insurance, the employer shall pay for it.
What is the process for a newborn child to register for a new child?
1. Go to the neighborhood committee with the birth certificate to issue a notice of newborn household entry;
2. Bring the household registration booklet, ID card, marriage certificate, birth certificate of the child, maternity service certificate, and household registration notice to the sub-district office for sealing;
3. Go to the household registration department of the police station in the street to apply for household registration, and bring the household registration booklet, ID card, marriage certificate, birth certificate of the child, and birth service certificate of both parents.
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Legal analysis: The following materials should be prepared for reimbursement after giving birth to a child:
1. The mother's "ID card", "marriage certificate" and "family planning service certificate", see the original and keep a copy;
2. The original copy of the "Birth Medical Certificate" issued by the hospital above the town, the original valid bill issued by the hospital at the time of discharge, and the invoice (including the examination and laboratory fees and hospitalization fees during the prenatal establishment of the university and the small card).
Legal basis: Trial Measures for Maternity Insurance for Employees of Enterprises
Article 7 After a female employee gives birth or has a miscarriage, she or the enterprise to which she belongs shall go through formalities with the local social insurance agency with a family planning certificate issued by the local family planning department and a certificate of birth, death or miscarriage of the child, and receive a maternity allowance and reimbursement of maternity medical expenses.
Article 8 Maternity insurance** shall be collected, paid and administered by the social insurance agency under the labor department. Maternity insurance** shall be deposited into a special maternity insurance account opened by the social insurance agency in the bank. Banks shall calculate interest according to the interest rate of personal savings deposits of urban and rural residents for the same period, and the interest obtained shall be transferred to maternity insurance**.
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Legal analysis: Female employees who reimburse maternity insurance should bring the following documents: (1) their ID card.
2) Family planning certificate. (3) Baby's birth certificate. (4) One-child certificate.
5) Discharge summary. (6) Invoices for medical expenses. (7) If the invoice amount for caesarean section is more than 5,000 yuan, and the amount for normal delivery is more than 3,000 yuan, the doctor's order and drug list of the hospital shall be provided.
8) Fill in the "Application Form for Maternity Insurance Benefits for Enterprise Employees" and go to the Work-related Injury and Maternity Payment Department on the fifth floor for processing.
Legal basis: "Social Insurance Law of the People's Republic of China" Article 56 Employees may enjoy maternity allowance in accordance with national provisions under any of the following circumstances: (1) Female employees are entitled to maternity leave for childbirth; (2) Enjoy leave for family planning surgery; (3) Other circumstances provided for by laws and regulations.
The maternity allowance shall be calculated and paid according to the average monthly salary of the employee in the previous year.
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The following documents need to be prepared for reimbursement of maternity insurance:
1. Family planning certificate, including original or photocopy;
2. The original or photocopy of the birth certificate letter issued by the hospital, the hospital discharge record, and the hospitalization invoice;
3. Leave certificate issued by the hospital and reimbursement of maternity insurance**, etc.
Social Insurance Act
Article 55.
Maternity medical expenses include the following:
1) Medical expenses for childbirth;
2) Medical expenses for family planning;
3) Other project expenses stipulated by laws and mountain rental regulations.
Social Insurance Act
Article 56.
Employees who have any of the following circumstances may enjoy maternity allowance in accordance with national regulations:
1) Female employees are entitled to maternity leave when they give birth;
(2) Enjoy leave for family planning surgery;
(3) Other circumstances provided for by laws and regulations.
The maternity allowance shall be calculated and paid according to the average monthly work of the employee in the previous year.
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