What documents do I need to prepare when reimbursing maternity insurance?

Updated on society 2024-03-18
9 answers
  1. Anonymous users2024-02-06

    Legal analysis: 1. Application materials to be submitted by female employees who give birth: 1. The original and photocopy of the family planning certificate issued by the family planning department, the birth (death) certificate of the baby issued by the medical department, and the ID card of the female employee who gave birth to the child and the employee who underwent family planning surgery; 2. Examination and approval form of maternity medical certificate, application form for medical certificate of family planning surgery, application form for reimbursement of maternity medical expenses, approval and settlement form of maternity insurance benefits, and application form for foreign medical treatment of maternity insurance for employees of the enterprise; 3. Original materials such as maternity medical expense bills, expense lists, outpatient medical records, and discharge summaries; 4. Receipt of payment.

    2. Materials to be submitted by a male employee whose spouse gives birth: family planning certificate issued by the family planning department, birth (death) certificate of the baby issued by the medical department, and the original and photocopy of the male employee's ID card. When an employee insured by maternity insurance declares prenatal medical expenses due to miscarriage or induction, he or she may use a valid marriage certificate as proof of his or her enjoyment of maternity insurance benefits, and it is not necessary to provide a maternity registration service form.

    When applying for maternity insurance benefits, if the man does not have a workplace, it is sufficient to provide a description of the marriage and childbirth situation signed by the man. The prenatal examination and medical expenses of insured employees who seek medical treatment in other places are also included in the scope of maternity insurance**. Legal basis:

    Social Insurance Law of the People's Republic of China Article 54 Where 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.

    Law of the People's Republic of China on the Protection of Women's Rights and Interests》 Article 29: The State is to promote a maternity insurance system, and establish and complete other safeguards related to childbirth. All levels of local people** and relevant departments shall follow relevant provisions to provide necessary childbirth assistance to impoverished women.

  2. Anonymous users2024-02-05

    What documents are required for maternity insurance reimbursement.

  3. Anonymous users2024-02-04

    The materials to be prepared for reimbursement of maternity insurance are: 1. Family planning certificate (i.e., birth permit). 2. Medical certificate of birth of the newborn (i.e. birth certificate) or household registration booklet.

    3. Diagnosis certificate (production certificate issued by the production hospital, issued at the time of discharge), expense certificate (printed at the time of discharge). 4. My ID card (the agent will provide the original ID card of the agent).

    Legal basis: Article 56 of the "Social Insurance Failure Law": 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 family planning leave with liquid cherry blossoms; (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.

  4. Anonymous users2024-02-03

    1. Family planning certificate issued by the family planning department;

    2. Baby's birth certificate;

    3. ID card of female employees who give birth to women and employees who have undergone family planning surgery;

    4. Maternity Medical Certificate Examination and Acquisition Form;

    5. Application form for medical certificate for family planning surgery;

    6. Application form for reimbursement of medical expenses;

    7. Maternity insurance benefits approved settlement and settlement table;

    8. Original materials such as medical expense bills, expense lists, outpatient medical records, and discharge summaries;

    9. Receipt of payment.

    Social Insurance Law of the People's Republic of China

    Article 54.

    If the employer has already paid the maternity insurance premium, its employees are entitled to maternity insurance pending judgment; 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.

  5. Anonymous users2024-02-02

    1. Maternity allowance

    1. Required materials:

    Original and one photocopy;

    Original and one photocopy;

    The original and a copy of the baby's birth certificate;

    Original and a copy of the medical diagnosis certificate;

    Must be filled in with a black pen).

    Note: The above photocopies must be made on A4 paper.

    3. Qingdan handling process: The person in charge of the unit shall report to the Social Security Center with the above materials, and pay the maternity allowance within 30 working days after acceptance and approval.

    If the husband and wife meet the conditions for enjoying the incentive allowance for late childbirth (at the age of 23), the husband and wife should choose the object of the late childbirth allowance, and the husband and wife themselves should sign and confirm it, and the units of both parties shall affix their seals.

    If both husband and wife have participated in the maternity insurance, the woman's unit shall fill in the report; If the woman has not participated in maternity insurance, but the man has participated in maternity insurance, and the man is entitled to late childbirth allowance, the man's unit must fill in the "Information Registration Form for Persons Applying for Maternity Allowance" () and declare it.

    2. Maternity medical expenses (prenatal examination).

    1. Required materials:

    Original and one photocopy;

    A copy of the baby's birth certificate;

    A copy of the medical diagnosis certificate;

    All the original receipts and prescriptions (Chinese and Western medicine fees) will be sorted out smoothly according to the date, (the diagnosis and treatment fee of 4 yuan can be reimbursed);

    A copy of the Maternity Insurance Medical Expense Reimbursement Declaration Form (must be filled in with a black signature pen).

    3. Handling process: The manager of the insured unit shall report to the Social Security Center with the above materials, and pay the maternity medical (prenatal examination) expenses within 30 working days after acceptance and approval.

    3. Medical expenses (hospitalization expenses).

    1. Required materials:

    Original and one photocopy;

    A copy of the baby's birth certificate;

    A printed copy of the medical diagnosis certificate;

    The originals of all receipts, prescriptions (Chinese and Western medicine fees), hospitalization expense details, and hospitalization settlement lists are sorted out in chronological order (4 yuan for diagnosis and treatment can be reimbursed);

    A copy of the Maternity Insurance Medical Expense Reimbursement Declaration Form (must be filled in with a black signature pen).

    3. Handling process: The person in charge of the unit shall report to the social security center from the 1st to the 20th of each month with the above materials, and pay the medical expenses within 30 working days after acceptance and approval.

    Please click to enter a description (up to 18 words).

  6. Anonymous users2024-02-01

    The documents to be prepared for maternity insurance reimbursement for childbirth are as follows:

    1. One original and two copies of the Marriage Certificate;

    2. One and two copies of the original "Maternity Service Certificate" (for employees who participate in maternity insurance with foreign household registration, it is best to provide the maternity service certificate in Beijing, if they are not able to provide it, they need to provide a formal maternity service certificate from other places);

    3. One original and two copies of the Medical Certificate of Birth;

    4. One original and two copies of the "Medical Blueprint";

    5. One original and two copies of the Certificate of Diagnosis issued by the hospital;

    6. Original receipts from all hospitals;

    7. The "Maternity Reimbursement Approval Form" is closed in two copies and stamped with the official seal;

    8. Two copies of "Life Table 1", both male and female units are stamped with official seals;

    9. Two copies of "Life Table 2", stamped with the official seal;

    10. A copy of the "Maternity Reimbursement Summary Form", stamped with the official seal.

  7. Anonymous users2024-01-31

    What information is required for maternity insurance reimbursement?

    1) Maternity insurance reimbursement for childbirth:

    1. One original and two copies of the Marriage Certificate;

    2. One copy of the original maternity service certificate (for employees who participate in maternity insurance with foreign household registration, it is best to provide the maternity service certificate in Beijing, if they cannot provide it, they need to provide a formal maternity service certificate from other places), and two copies of the missing prints;

    3. One original and two copies of the Medical Certificate of Birth;

    4. One original and two copies of the "Medical Blueprint";

    5. One original and two copies of the Certificate of Diagnosis issued by the hospital;

    6. Original receipts from all hospitals;

    7. Two copies of the "Maternity Reimbursement Approval Form", stamped with the official seal;

    8. Two copies of "Life Table 1", both male and female units are stamped with official seals;

    9. Two copies of "Life Table 2", stamped with the official seal;

    10. A copy of the "Maternity Reimbursement Summary Form", stamped with the official seal.

    2) Reimbursement of maternity insurance for family planning:

    1. The original and two copies of the Marriage Certificate;

    2. The original and two copies of the "Medical Blueprint";

    3. The original and two copies of the "Certificate of Diagnosis" issued by the hospital (the number of weeks of pregnancy shall be indicated in the case of induced abortion);

    4. Original documents of all hospitals;

    5. Two copies of the "Maternity Reimbursement Approval Form", stamped with the official seal;

    6. Two copies of "Life Table 1", stamped with the official seal;

    7. Two copies of "Life Table II", stamped with the official seal.

    3) Precautions and stamped instructions for "Life Table 1" and "Life Table 2".

    1. The woman has maternity insurance, and the man has maternity insurance

    1) The woman has reimbursement of maternity expenses, the woman enjoys maternity allowance, and those who meet the conditions for late childbirth can enjoy the late childbirth allowance and need to choose to enjoy it in the man or the woman, and both husband and wife sign to confirm, and all the allowances are paid to the woman's account;

    2) The "unit name" in the upper left corner of the birth table is stamped with the official seal of the woman's unit, and the "man's unit" in the lower right corner of the birth table is stamped with the official seal of the man's unit with the hail;

    3) The seal stamped by the second table is consistent with the official seal stamped in the upper left corner of the first table.

    2. The woman has maternity insurance, but the man has no maternity insurance

    1) The woman has reimbursement of maternity expenses, and the woman enjoys maternity leave allowance, and those who meet the conditions for late childbirth can enjoy the late childbirth allowance and enjoy it with the woman, and both husband and wife sign and confirm, and all the allowances are paid to the woman's account;

    2) The "unit name" in the upper left corner of the birth table is stamped with the official seal of the woman's unit, and the "man's unit" in the lower right corner of the birth table is marked by the man "I have no unit" and signed in the "handler" column;

    3) The seal stamped by the second table is consistent with the official seal stamped in the upper left corner of the first table.

    3. The woman has no maternity insurance, and the man has maternity insurance

    1) The woman does not have reimbursement for maternity expenses, and the woman can not enjoy the maternity leave allowance, and those who meet the conditions for late childbirth can enjoy the late childbirth allowance and enjoy it with the man, and the husband and wife sign and confirm, and all the allowances are paid to the man's account;

    2) The "unit name" in the upper left corner of the birth table is stamped with the official seal of the man's unit, and the "man's unit" in the lower right corner of the birth table is stamped with the official seal of the man's unit;

    3) The seal stamped by the second table is consistent with the official seal stamped in the upper left corner of the first table.

  8. Anonymous users2024-01-30

    The documents to be prepared for maternity insurance reimbursement for childbirth are as follows:

    1. One original and two copies of the Marriage Certificate;

    2. One and two copies of the original "Maternity Service Certificate" (for employees who participate in maternity insurance with foreign household registration, it is best to provide the maternity service certificate in Beijing, if they are not able to provide it, they need to provide a formal maternity service certificate from other places);

    3. One original and two copies of the Medical Certificate of Birth;

    4. One original and two copies of the "Medical Blueprint";

    5. One original and two copies of the Certificate of Diagnosis issued by the hospital;

    6. Original receipts from all hospitals;

    7. The "Maternity Reimbursement Approval Form" is closed in two copies and stamped with the official seal;

    8. Two copies of "Life Table 1", both male and female units are stamped with official seals;

    9. Two copies of "Life Table 2", stamped with the official seal;

    10. A copy of the "Maternity Reimbursement Summary Form", stamped with the official seal.

  9. Anonymous users2024-01-29

    1. What materials do you need to bring for maternity insurance reimbursement?

    After giving birth or having a miscarriage, a woman who meets the conditions for enjoying maternity insurance benefits may go directly to the nearest district or county social insurance agency to go through the application procedures for enjoying maternity insurance benefits.

    When applying for maternity insurance benefits, women who meet the conditions for maternity insurance should fill in the "Application Form for Maternity Insurance" at the counter and provide the following materials, including one original and one photocopy:

    1) ID card.

    2) Marriage certificate of both husband and wife.

    3) The original and photocopy of the household registration booklet of both husband and wife (in the case of collective household registration, bring the household registration certificate issued by the public security department at the place of household registration) or the "Only Child Certificate" or "Only Child Honor Certificate";

    4) The hospital issues a "Fertility Medical Certificate", that is, a discharge summary, which indicates whether it is a normal birth or a difficult birth.

    5) The hospital issues a "birth certificate" for the baby, which is unified across the country.

    6) Current savings card (woman's real-name card): Shanghai Pudong Development Bank, Industrial and Commercial Bank of China, Bank of Shanghai, Agricultural Bank of China, Postal Savings Bank.

    7) If the child is approved to give birth again, it is also necessary to provide the birth approval letter issued by the city, district or county Shantang population and family planning administrative department.

    8) Unemployed women who give birth are also required to provide the Labor Handbook that has been reviewed by the unemployment insurance agency.

    9) Women who give birth to participate in the city's rural social insurance shall also provide the "Application Form for Maternity Insurance Benefits (Agricultural Insurance)" issued by the district or county rural social endowment insurance management center where their rural insurance account is located.

    10) Women who are not registered in this city and give birth to women who are not registered in this city shall also provide a certificate of permission to give birth issued by the county-level people's ** family planning administrative department or the township (town) people** or sub-district office where the household registration is located.

    11) Childbirth women who meet the conditions for enjoying maternity insurance benefits may entrust others to go through the application procedures after giving birth or having a miscarriage, and the entrusted person shall also provide their ID card (original and copy) and the power of attorney of the client.

    2. Description of specific operation problems:

    1. The applicant provides the household registration book and marriage certificate of both husband and wife, and does not need to provide the "Only Child Certificate".

    2. The "Only Child Certificate" is provided, and the first two certificates do not need to be provided again.

    3. If one or both parties are collectively registered in a unit, they do not need to provide the household registration booklet, but they need to provide the household registration certificate issued by the police station where the household registration is located.

    4. The husband is an active soldier and should provide relevant certificates to replace his household registration booklet.

    5. Foreign nationals and persons with household registration in other provinces and cities do not need to provide household registration booklets. However, it must be clearly filled in the relevant fields of the application form.

    6. The applicant who plans to give birth to a second child shall provide a copy of the "Birth Approval Certificate" provided by each center, and the original copy shall be returned to the applicant himself.

    7. For remarriage and miscarriage, the materials provided should be carefully reviewed, and if the materials provided are complete, each center should be operated, and if difficult problems are encountered in the audit, they can contact the District Family Planning Commission. Finally, there will be a district family planning commission to check, if it is found that there are duplicate enjoyment personnel, according to the original provisions of the treatment.

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