Maternity insurance has been paid for five years, and there is a break in the middle, can the matern

Still worrying about what is fertility, what is the use, and how to reimburse it? Take a look at this article:How to buy maternity insurance? How much does it cost? How much is the maternity allowance? Can I pay it myself? 》

First of all, the requirement for the use of maternity insurance must be in the state of insurance, if the resignation is cut off from the maternity insurance, it cannot be used normally; Secondly, the reimbursement of maternity insurance should also be decided according to local policies, and some places need to pay for a certain period of time before they can enjoy these benefits. If you don't know much about maternity insurance, you can take a look at the following introduction first.

Maternity insurance refers to a social insurance system in which the state and society provide medical services, maternity allowances and maternity leave when women workers temporarily interrupt their work due to pregnancy or childbirth. There are two main benefits of maternity insurance: one is maternity allowance, and the other is maternity medical treatment.

The reimbursement conditions for maternity insurance and other insurance are different, and the following points must be met in order to reimburse maternity insurance:

1.Strictly abide by national, provincial and municipal regulations on family planning.

2.The insured person has paid social security for more than 6 consecutive months (including this number) before the date of miscarriage, induction of labor, birth canal delivery, and cesarean section (subject to the date of birth of the fetus or newborn).

For example, Beijing and Guangzhou require a total of 9 consecutive months, and Guangzhou requires a cumulative period of 1 year.

3.Other conditions required by the local social security bureau.

Under the premise of satisfying the above conditions, the benefits that maternity insurance can enjoy for female employees and male employees are different.

Female employees can enjoy both maternity allowance and maternity medical treatment. For male employees, if their spouse is a female employee, they are only entitled to 15 days of paid paternity leave; If the wife of a male employee is a full-time woman, then he is also entitled to maternity medical treatment.

Maternity insurance is also one of the types of social insurance, if you want to know more about social insurance, take a look at this articleWhat is the use of social security? How high is the "income" of social security? Why do you have to pay social security? 》Hope!

Look at the continuous payment time before childbirth, generally at least 6 consecutive months.

Maternity insurance. Reimbursement cannot be made after the payment is stopped.

Maternity insurance payment.

Maternity insurance is a social policy for the protection of the rights and interests of female employees in national legislation, and regardless of whether the fetus is born normally, even if the fetus dies and has a miscarriage, etc., you can enjoy maternity insurance.

In the enjoyment of maternity allowance.

Before, the unit needs to apply for maternity insurance for you, and you need to prepare three forms, a summary form of basic pension, work-related injury and maternity insurance declaration for employees of the enterprise, and social security.

Registration form, pension, work and maternity insurance personnel increase and decrease table, and some three forms are prepared by the enterprise;

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;

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;

Female employees are on maternity leave after giving birth to a broken old child.

Submit materials to the social labor insurance department for insurance payment within 30 days (note the collapse time, it is more troublesome to apply after the deadline);

The main materials for insurance payment are: birth status form of employees of urban enterprises, identity information, and birth certificates.

Medical certificate from the hospital, medical settlement slip, etc.

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

Maternity insurance cannot be reimbursed after 2 years of payment. Maternity insurance reimbursement is subject to two conditions:

1. Maternity insurance has been paid for one year;

2. When applying for reimbursement, the maternity insurance must be in a normal payment state.

If the user happens to stop when he needs maternity insurance, he will not be able to apply for reimbursement even if he has paid for 10 consecutive years.

Employees who enjoy maternity insurance benefits shall meet the following conditions at the same time:

1. The employer has paid social security for the employee for a certain period of time; For example, Beijing requires social security to be paid for 9 consecutive months, Guangzhou requires a cumulative payment of social security for 1 year, and Shanghai requires social security to be paid in the month of production.

2. Have gone through the insurance filing and give birth locally;

3. Other conditions required by the local social security bureau.

Scope of reimbursement: 1. Maternity medical expenses. 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 business expenses and drug expenses (including the drug expenses of self-financed drugs and drugs for the maintenance of the intellectuals) that exceed the laws and 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 the birth and childbirth insurance**; Medical expenses for other diseases shall be handled in accordance with the regulations on 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 relevant laws and regulations on sick leave and medical insurance benefits.

2. Maternity allowance.

Female employees are entitled to maternity allowance during maternity leave in accordance with the law, which is calculated and paid according to the average monthly salary of employees in the previous year of the enterprise, and is paid by maternity insurance.

Legal basisArticle 55 of the Social Insurance Law of the People's Republic of China.

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.

Legal analysis: maternity insurance has been paid for 2 years, and it will not be reimbursed if it is stopped, and when employees want to enjoy maternity insurance benefits, they need to pay for more than 1 year, and they are required to be insured, if they stop maternity insurance, they may not be reimbursed normally. Maternity insurance generally refers to maternity insurance, which is a social insurance system in which the state provides medical services, maternity allowance and maternity leave by the state and society when pregnant and childbirth women workers temporarily interrupt their work.

If both husband and wife have participated in maternity insurance, the woman's unit shall fill in the "Information Registration Form for Persons Applying for Maternity Allowance", if the woman has not participated in maternity insurance, and the man has participated in maternity insurance, he can use the man's application for reimbursement, but the strength is not very large. In the process of giving birth, you can directly use maternity insurance to reimburse part of the expenses, and after giving birth, you can apply for maternity allowance, and the amount of maternity allowance is 30 (days) of leave per capita per month.

Legal basis: Article 55 of the Social Insurance Law of the People's Republic of China Maternity medical expenses include the following:

1) Medical expenses for childbirth, (2) Medical expenses for family planning, and (3) Other expenses for other items stipulated 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 for childbirth, (2) Leave for family planning surgery, and (3) other circumstances provided for by laws and regulations.

Summary. 1.Comply with national, provincial and municipal family planning policies.

2.The insured person has paid social insurance for more than 6 consecutive months (including this number) before the date of delivery or abortion (subject to the date of fetal discharge or fetal separation from the mother).

For example, Guangzhou requires the cumulative payment of basic medical insurance premiums for 1 year or more, while Beijing only needs to pay for 9 consecutive months.

3.Other conditions required by the local social security bureau.

If the above conditions are met at the same time, the coverage of maternity insurance is different for male and female employees.

The maternity insurance has been paid for a year in a row, and now that it is interrupted, can I reimburse all the expenses if I continue to pay it before giving birth?

Hello, I have seen your question and am sorting out the answer, please wait a while

1.In line with the national, provincial and municipal planning and breeding policies. 2.

The insured person has paid social insurance for more than 6 consecutive months (including this number) before the date of delivery or abortion (subject to the date of fetal discharge or separation of the fetus from the mother). For example, Guangzhou requires the cumulative payment of basic medical insurance premiums for 1 year or more, while Beijing only needs to pay for 9 consecutive months. 3.

Other conditions required by the local social security bureau. In the case of satisfying the above conditions at the same time, the maternity insurance content is different for male and female employees.

It's been a year since I paid in Beijing, so it's okay.

It's been 6 months since the payment was stopped, and now if you continue to pay, you can enjoy it, right?

I am a foreigner, do I have to give birth in Beijing to enjoy maternity insurance?

Yes, yes, yes.

Legal Analysis: No. 1. Participate in maternity insurance for a total of one year, in line with the national family planning policy, and must be in the insurance status.

2. If the company really goes bankrupt, you can continue to pay maternity insurance in another company, but you need to bear the cost. If both husband and wife have participated in maternity insurance, the woman's unit shall fill in the "Information Registration Form for Persons Applying for Maternity Allowance". If you have not paid for more than one year, you cannot enjoy 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 occurs, the employee 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 provided for by laws and regulations.

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