What are the conditions for reimbursement of maternity insurance for male employees?

1. Regardless of whether you pay the fee by yourself or the unit, the payment for childbirth or family planning surgery needs to last for ten months to enjoy the maternity insurance (the time limit is different in different places, please consult the local social security agency for details).

2. Comply with the provisions of the national family planning policy;

3. Maternity insurance reimbursement for childbirth in designated medical institutions for maternity insurance or family planning surgery must be carried out on the premise of participating in social insurance. When giving birth in accordance with the provisions of family planning, the following materials are required for reimbursement: marriage certificate, birth permit, birth medical certificate of newborn, discharge record, hospitalization invoice, medical insurance IC card, and ID card of male employees.

Reimbursement process for maternity insurance for male employees:

1. The spouse of a male employee who participates in the insurance in accordance with China's maternity insurance regulations is not included in the scope of these measures, and his or her spouse is entitled to a one-time maternity subsidy when he gives birth.

2. After the spouse gives birth or has a miscarriage due to pathological reasons, the male employee shall go to the local social security bureau to apply for a one-time birth subsidy with the following materials.

Required documents: Resident ID card of the applicant and his/her spouse;

Marriage Certificate; "Certificate of Birth Status" or "Birth Certificate of the First Child" issued by the family planning department;

Medical Certificate of Birth for Newborns;

Discharge records; A detailed list of expenses (the above materials must be original and photocopy) and my medical card;

Original invoices, etc.

Male employees should go to the city or district social security agency where their social security relationship is located to apply for a one-time maternity subsidy with the certificate of no work unit and no fixed income issued by the street (town) where their spouse's household registration is located. After the social security agency reviews it, it prints the "One-time Maternity Subsidy Payment Form for Male Employees", and the male employee signs and confirms the subsidy amount.

Note: The Certificate of Birth Status or the Certificate of Birth of the First Child should be issued by the Family Planning Commission. A certificate of unemployed time is not required, and a certificate of no work unit and no fixed income** issued by the street (town) where the spouse's household registration is located is required.

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Maternity insurance for male workers is also very useful!

Legal analysis: According to the law, the conditions for reimbursement of the man's maternity insurance are as follows:1

The man should comply with the national family planning policy and meet the legal conditions for childbirth; 2.The husband's employer has paid the maternity insurance premiums for the husband for more than 10 consecutive months; 3.The woman is not covered by maternity insurance.

Legal basis: Article 54 of the Social Insurance Law of the People's Republic of China.

If the employer has 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.

The main conditions that male employees need to meet to enjoy maternity insurance reimbursement are as follows: 1. Maternity insurance must be taken for 9 consecutive months before childbirth in order to enjoy maternity insurance reimbursement; 2. Postpartum national regulations are reimbursement within 18 months of the baby's birth (different regions and different enterprises have different requirements); 3. Childbirth-related expenses incurred in outpatient clinics shall be paid by individuals in cash in advance, and cannot be settled by swiping the social security card.

Legal basis

Article 54 of the Social Insurance Law of the People's Republic of China provides that if an employer has paid maternity insurance premiums, its employees shall enjoy 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.

Legal analysis: The reimbursement standard subsidy standard for the man's maternity insurance is as follows: 1. 1,500 yuan for cesarean section delivery after 7 months of pregnancy; 2. 1,000 yuan for 7 months of pregnancy; 3. The number of multiple births will increase by 200 yuan for each additional baby.

Legal basis: Article 54 of the Social Insurance Law of the People's Republic of China provides that if an employer has paid maternity insurance premiums, its employees shall enjoy 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.

If the spouse of a male employee meets the following three conditions when giving birth, he or she shall be entitled to a maternity subsidy of 50% of the standard of maternity medical expenses.

1.No work unit for more than six months before childbirth;

2.Childbirth is in line with the provisions of the family planning policy;

3.Male employees have participated in maternity insurance in accordance with the regulations and have paid in full for more than one consecutive year. The maternity medical treatment of the spouse of a male employee during the period of receiving unemployment insurance money shall be implemented in accordance with the relevant provisions of unemployment insurance, and the provisions of the preceding paragraph on enjoying 50% of the maternity subsidy shall no longer be implemented.

If the spouse of a male employee has already enjoyed the maternity reimbursement treatment of the basic medical insurance for residents, he or she shall no longer enjoy the maternity insurance subsidy treatment.

The subsidy standards are as follows:

1. 1,500 yuan for cesarean section or cesarean abortion after 7 months of pregnancy;

2. 1,000 yuan for delivery or miscarriage after 7 months of pregnancy;

3. 500 yuan for delivery or miscarriage after 3 months of pregnancy but less than 7 months;

4. 150 yuan for miscarriage less than 3 months of pregnancy;

5. The number of multiple births will increase by 200 yuan for each additional baby.

Legal basis] Article 54 of the Social Insurance Law If an employer has paid maternity insurance premiums, its employees shall enjoy 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.

The conditions that must be met to reimburse maternity insurance are:

1) Conform to the national family planning policy;

2) If the insured person gives birth in the following month after paying the premiums continuously for 12 months, the maternity insurance shall pay the benefits according to the regulations;

If the insured employee of the unit gives birth or undergoes family planning surgery for less than 12 consecutive months, the employer where the employee gives birth or performs the family planning operation shall pay the maternity insurance benefits in advance, and the maternity insurance shall be paid by the employer according to the provisions after the unit has paid the continuous and uninterrupted payment for the employee for 12 months.

Maternity reimbursement procedures.

1) After a female employee becomes pregnant, has a miscarriage or has a family planning operation, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office;

2) After the staff accepts and approves, the medical certificate will be issued;

3) Within 30 days of maternity leave, the employer or the staff of the street or town labor security service station shall bring the application materials to the maternity insurance window of the district social labor insurance office to handle the settlement of benefits;

4) After the staff accepts and approves the payment, the maternity medical expenses and maternity allowance shall be paid.

Conditions for reimbursement of maternity insurance for men: Maternity insurance is a social insurance system that is adopted by national legislation to provide living security and material assistance to working women in a timely manner when they temporarily interrupt their work due to the birth of children. The "Social Insurance Law" stipulates that as long as a labor contract is signed with an employer or a de facto labor relationship is formed, both men and women shall participate in maternity insurance.

The purpose of maternity insurance for male employees is to share the maternity expenses of female employees with the whole society, reduce the burden of single jobs where female employees account for the majority, and avoid the phenomenon that employers are reluctant to hire women of childbearing age. After male employees participate in insurance, their family planning surgery expenses can be reimbursed according to regulations; It is also possible to receive maternity allowance during the period of late maternity incentive leave (but the late maternity bonus can only be enjoyed by one of the spouses, not by the husband after the wife has been entitled to it). Maternity insurance is a kind of social insurance, and individuals do not pay maternity insurance, and the state stipulates that the employer shall pay it.

What conditions do you need to have in terms of reimbursement for male maternity insurance 1At the same time, insured male employees who meet the following conditions can apply for a one-time birth subsidy: meet the provisions of the national family planning policy and the statutory birth conditions; When the spouse gives birth or has a miscarriage due to pathological reasons, the employer has participated in maternity insurance and has paid the maternity insurance premiums for the male employee for more than 10 months (excluding supplementary payment, underpayment and interruption payment); The spouse is not covered by maternity insurance and has a first child.

2.Male employees who meet the above conditions can apply for a one-time birth subsidy standard of 200 yuan for miscarriage; 1,200 yuan for smooth delivery; 2,000 yuan for dystocia or multiple births.

3.After the spouse gives birth or has a miscarriage due to pathological reasons, the male employee shall bring the resident ID card of himself and his spouse, the "Marriage Certificate", the "Certificate of Birth Status" or the "First Child Birth Certificate" issued by the family planning department, the "Birth Medical Certificate" of the newborn, the discharge record, the detailed list of expenses (the original and copies of the above materials are required) and the medical card of the person, the original invoice, and the certificate of no work unit and no fixed income issued by the street (town) where the spouse's household registration is located, to the city where the social security relationship of the unit is located. The district social security agency shall handle the application procedures for a one-time birth subsidy. After the social security agency reviews it, it prints the "One-time Birth Allowance Payment Form for Male Employees", and the male employee signs and confirms the subsidy amount.

4. The "Certificate of Fertility Status" or the "Certificate of Birth of the First Child" shall be issued by the Family Planning Commission. It is not necessary to bring a certificate of sale when unemployed, and a certificate of no work unit and no fixed income** issued by the street (town) where the spouse's household registration is located is required. We hope that you will continue and provide valuable suggestions and comments on our work.

In the process of reimbursement of male maternity insurance, the relevant materials should be prepared to avoid unnecessary troubles when needed.

Legal analysis: First, the man should comply with the national family planning policy and regulations, and also meet the legal conditions for childbirth;

second, the husband's employer paid the maternity insurance premiums for the husband for more than 10 consecutive months;

Third, it is required that the woman is not included in the scope of maternity insurance;

Fourth, the requirement must be that the man's wife does not have maternity insurance.

Legal basis: "Population and Family Planning Law of the People's Republic of China" Article 25 Couples who give birth to children in accordance with the provisions of laws and regulations may receive incentives or other benefits for extended maternity leave.

Special Provisions on Labor Protection for Female Employees》 Article 7 Female employees are entitled to 98 days of maternity leave after giving birth, of which 15 days may be taken before childbirth; In case of dystocia, the maternity leave shall be increased by 15 days; In the case of multiple births, the maternity leave can be increased by 15 days for each additional child. If a female employee has a miscarriage before 4 months of pregnancy, she is entitled to 15 days of maternity leave; If the pregnancy is 4 months old and the miscarriage is completed, the type search is entitled to 42 days of maternity leave.

Social Insurance Law of the People's Republic of China

Article 53 Employees shall participate in maternity insurance, and the employer shall pay the maternity insurance premiums in accordance with the provisions of the State, and the employees shall not pay the maternity insurance premiums.

Article 54 Where an employer has already paid maternity insurance premiums, its employees shall enjoy 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.

Article 56 Under any of the following circumstances, employees may enjoy maternity allowance in accordance with the provisions of the State:

1) Female employees are entitled to maternity leave when they give birth;

2) Take leave for family planning surgery;

3) Other circumstances where laws and regulations provide for credit rental.

The maternity allowance shall be calculated and paid according to the average monthly salary of the employee in the previous year by the employer where the employee is employed.