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How is the maternity insurance reimbursed for the second child?
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In 2017, the reimbursement standard for second-child maternity insurance is stipulated.
The reimbursement standards for second-child maternity insurance are as follows:
1. Maternity insurance** compensates the unit in the form of maternity allowance. The compensation standard is: if a female employee is pregnant for more than 7 months (including 7 months) and gives birth smoothly or is born prematurely for less than 7 months, she is entitled to 3 months of maternity allowance; In the case of dystocia and cesarean section, half a month's maternity allowance will be added, and in the case of multiple births, half a month's maternity allowance will be increased for each additional baby; Those who have a miscarriage or induced labor for more than 3 months (including 3 months) and less than 7 months of pregnancy shall enjoy a maternity allowance of one and a half months, and those who have miscarriage due to pathological reasons within 3 months of pregnancy shall enjoy a maternity allowance of one month.
The maternity allowance is calculated and paid on the basis of the average monthly contribution salary of the maternity insurance for the 12 months before the prenatal or family planning surgery of female employees.
2. Maternity nutrition subsidy and perinatal health care subsidy, all female employees who meet the requirements of the state to enjoy maternity leave of more than 90 days (including 90 days) can enjoy a maternity nutrition subsidy of 300 yuan and a perinatal health care subsidy of 700 yuan.
3. One-time birth subsidy, after the female employee who originally participated in the maternity insurance in the unit is unemployed, during the period of receiving unemployment insurance money, when she gives birth in accordance with the provisions of family planning, she can enjoy a one-time birth subsidy: 400 yuan for miscarriage, 2,400 yuan for normal birth, 4,000 yuan for dystocia and multiple births, and for male employees who participate in maternity insurance, their spouses are not included in the scope of maternity insurance, and when they give birth to their first child in accordance with family planning regulations, they can enjoy a one-time birth subsidy of 50%.
4. The maternity allowance shall be compensated to the unit, and the basic salary, bonus and welfare expenses of the insured female employees shall be paid by the unit during the maternity leave.
5. Family planning surgery expenses, including the expenses incurred in the placement (removal) of intrauterine devices, abortion, induction of labor, skin burial, sterilization and reversal surgery due to the needs of family planning, are included in the scope of maternity insurance.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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Legal analysis: Legal second child maternity insurance can be reimbursed.
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. That is, the legal birth of a second child can be reimbursed for maternity insurance.
During pregnancy, childbirth and breastfeeding, women enjoy special labor protection and may receive assistance and compensation in accordance with the relevant provisions of the State. Citizens who undergo family planning surgery are entitled to leave as prescribed by the state; Local people** can give incentives.
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**.
Legal basis: Article 25 of the Family Planning Law 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.
Article 26: During pregnancy, childbirth, and breastfeeding, women shall enjoy special labor protection and may receive assistance and compensation in accordance with the relevant provisions of the State.
Citizens who undergo family planning surgery are entitled to leave as prescribed by the state; Local people** can give incentives.
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The reimbursement criteria are as follows:
Maternity insurance per mu of simple insurance** in the form of maternity allowance to the unit to be compensated, fertility nutrition subsidy and perinatal health care subsidy, who meet the requirements of the state to enjoy more than 90 days (including 90 days) of maternity leave female employees can enjoy a maternity nutrition subsidy of 300 yuan, perinatal health care subsidy of 700 yuan. The maternity allowance shall be compensated to the unit, and the basic salary, bonus and welfare expenses of the insured female employees shall be paid by the unit during the maternity leave.
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Maternity insurance process:
Maternity insurance is a compulsory insurance, paid by the unit where I belong, and the employer must pay for you, individuals are unable to pay, maternity insurance is a social policy to protect the rights and interests of female employees under the national law of the state, and regardless of whether the fetus is born normally, even if the fetus dies, miscarriage and so on can enjoy maternity insurance.
1.Before enjoying the maternity allowance, the unit needs to apply for maternity insurance for itself, and needs to prepare three forms, the basic pension, work-related injury and maternity insurance declaration summary table for enterprise employees, the social security registration form, and the increase and decrease table of pension, work and maternity insurance personnel, and these three forms are prepared by the enterprise;
2.The unit shall go to the social labor insurance department with these three forms to declare, and after the labor insurance department accepts the application, it will return two stamped forms;
3.Wait until the next month, the unit can normally pay the maternity insurance premiums of the new employees, which must be paid by the tax department;
5.After giving birth, a female employee submits materials to the social labor insurance department for insurance payment before the maternity leave reaches 30 days (pay attention to the time, it is more troublesome to handle it overdue);
6.After waiting for review, the staff will issue an application form for maternity insurance premiums for employees of urban enterprises;
7.The materials for insurance payment mainly include: the birth status form of employees of urban enterprises, identity information, birth certificates, medical certificates of hospitals, medical settlement lists, etc.;
8.After the approval of the social labor insurance department is completed, I can bring the relevant official documents to the social security department to receive the reimbursement of maternity insurance.
Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"
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Maternity insurance can be reimbursed for the second child. As long as you participate in maternity insurance, the maternity allowance will be paid by maternity insurance** according to the average salary of the employer in the previous year.
Article 54 of the Social Insurance Law provides that if 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**. That is, the basic condition for reimbursement of the second child maternity insurance is that the maternity insurance premiums must be paid on time and in full in accordance with the regulations.
Article 8 of the Special Provisions on the Labor Protection of Female Employees shall be paid by the maternity insurance for those who have already participated in maternity insurance according to the standard of the average monthly salary of the employees of the employer in the previous year; For those who have not participated in the maternity insurance, they shall be paid by the employer in accordance with the standard of wages before the maternity leave of the female employee. 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.
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Legal analysis: maternity insurance can be reimbursed for the second child. At present, the country has opened up the two-child policy.
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 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.
Legal basis: Article 56 of the Social Insurance Law of the People's Republic of China provides that 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 salary of the employee in the previous year.
1. In-service personnel must participate in insurance and pay premiums according to regulations, and the cumulative payment of maternity insurance premiums for more than 12 months at the time of childbirth is not included in the month of childbirth and the month of supplementary payment of maternity insurance premiums. (It is enough to accumulate for 12 months, and it is okay if there is no continuous payment); Unemployed persons must register as unemployed, and those who apply for abortion or family planning surgery subsidies must have maternity insurance contributions in the current month (unemployed people can receive it when they give birth to a child, but they cannot receive it if they have an abortion); >>>More
The reimbursement process of maternity insurance refers to the procedure for the employer and the employee to reimburse the maternity medical expenses, maternity allowance and other expenses of the female employee during the childbirth period, and the nursing leave and leave allowance of the male employee during the childbirth period to the overall regional maternity insurance. The specific process is as follows: >>>More
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). >>>More
If the insured employee paid the maternity insurance premium in full in the previous month and has paid the insurance premiums for 12 months in total, his unemployed spouse shall enjoy the maternity medical expense treatment according to the corresponding standard of the basic medical insurance maternity medical expense reimbursement treatment, and shall not enjoy the maternity allowance.
Insured male employees who meet the following conditions can apply for a one-time maternity subsidy: >>>More