What materials are required for maternity insurance reimbursement, and what materials are required f

1. Relevant persons who meet the requirements of the state, autonomous region and municipal family planning regulations; 2. Before childbirth, the employer has paid the maternity insurance in full for more than half a year. The employer shall assist in the application procedures for maternity insurance benefits. Among them, those who apply for maternity allowance or one-time childbirth nutrition subsidy shall also present a certificate of birth, death or termination of pregnancy.

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.

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:

1.Application materials to be submitted by the employer:

2.Social insurance registration form;

3.Increases and decreases of persons participating in basic old-age, work-related injury and maternity insurance;

4.Summary table of basic pension, work-related injury and maternity insurance declaration for employees of enterprises.

5.Application materials to be submitted by female employees who give birth:

6.Family planning certificate issued by the family planning department (original and photocopy);

7.Certificate of birth (death) of the baby issued by the medical department (original and photocopy);

8.ID card of female employees who give birth to women and employees who have undergone family planning surgery (original and photocopy);

9.Examination and approval form of maternity medical certificate for enterprise employees;

10.Application Form for Medical Certificate for Family Planning Surgery for Employees of Enterprises;

11.Application form for reimbursement of maternity medical expenses for employees of the enterprise;

12.Approval and settlement of maternity insurance benefits for employees of enterprises;

13.Application Form for Maternity Insurance for Employees of Enterprises to Seek Medical Treatment in Other Places;

14.Maternity medical expense bills, expense lists, outpatient medical records, discharge summaries and other original materials;

15.Receipt of payment.

Extended reading: [Insurance] How to buy, which one is better, teach you to avoid these insurance"pits"

What documents are required for maternity insurance reimbursement.

Legal analysis: (1) Prenatal examination reimbursement materials: Check the original invoice; List of invoice expenses (B-ultra-bill, laboratory test list, drug cost list, of which B-ultra-clear should be provided with a copy if you need to save it); Invoices and lists are separated by themselves.

2) The reimbursement materials for hospitalization and fetal protection shall be paid by the basic medical insurance for employees, that is, they must participate in the basic medical insurance for employees at the same time as participating in maternity insurance; Original invoice for hospitalization expenses; a master list of hospitalization expenses; Certificate of Diagnosis of Disease; Discharge summary; 2 copies of medical certificate (or social security card); 2 copies of ID card; 1 copy of the unit bank (stamped with the official seal of the unit) or personal bank card and passbook (it is recommended to prefer Agricultural Bank of China). 3) Reimbursement materials for hospital delivery, original invoices for hospitalization expenses; Disease diagnosis certificate, discharge record; a master list of hospitalization expenses; 2 copies of marriage certificate; 2 copies of ID card; 2 photocopies of birth admission certificates; 2 copies of birth certificate; One original and one copy of the unit certificate; The bank of the unit (write the bank of the account clearly, and affix the official seal of the unit); A copy of your social security card.

Legal basis: 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 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.

The following materials are required for reimbursement of maternity insurance: the employee's ID card and social security card; Certificate of planned rebirth issued by the local family planning department; Certificate of birth and miscarriage of the baby; As well as documents for examination fees, surgical fees, etc.

Legal basis] Article 6 of the Trial Measures for Maternity Insurance for Employees of Enterprises.

The examination fees, midwifery fees, surgery fees, hospitalization fees and medicine expenses for female employees who give birth are paid by maternity insurance**. The medical service fees and drug expenses (including the drug expenses for self-financed drugs and nutritional drugs) in excess of the prescribed regulations shall be borne by the employees.

After a female employee is discharged from the hospital after giving birth, the medical expenses for diseases caused by childbirth shall be paid by maternity insurance**; Medical expenses for other diseases shall be handled in accordance with the provisions of medical insurance benefits. After the expiration of maternity leave, if a female employee needs to rest due to illness, it shall be handled in accordance with the provisions on sick leave and medical insurance benefits.

Article 7. After a female employee gives birth or has a miscarriage, she or the enterprise to which she belongs shall go through the formalities with the local social insurance agency with the family planning certificate issued by the local family planning department and the certificate of birth, death or miscarriage of the baby, and receive the maternity allowance and reimbursement of maternity medical expenses.

Article 8. Maternity insurance** is collected, paid and managed by the social insurance agency under the labor department.

Legal analysis: materials for applying for reimbursement of maternity insurance: 1. Family planning certificate issued by the family planning department (original and photocopy); 2. Birth (death) certificate of the baby issued by the medical department (original and photocopy); 3. ID card of female employees and family planning surgery employees (original and photocopy); 4. "Examination and Collection Form of Maternity Medical Certificate for Enterprise Employees" and other materials.

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

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 copy 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 cannot provide it, they need to provide the 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. 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.