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As long as it is a legal husband and wife, if the woman does not have maternity insurance, and the man has continuously participated in and paid medical insurance in the unit for more than one year, the woman can reimburse the maternity expenses incurred by the woman due to childbirth ** reimbursement in proportion to the man's unit with the payment voucher. (Reimbursement ratio consults with the man's unit).
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1. According to the provisions of the Labor Law, employers and workers must participate in social insurance in accordance with national regulations. The employer fails to insure the employee in accordance with the regulations, if.
1) If an employee is injured on the job, the worker may apply to the local social security bureau for recognition of work-related injury within one year from the date of occurrence of the work-related injury, and if it is recognized as a work-related injury, the employer shall bear the work-related injury insurance benefits according to the regulations;
2) If the employee is sick or injured not due to work, the employer shall bear the medical insurance benefits that he or she should enjoy according to the local policy.
Note: The medical expenses for work-related injuries can be fully borne by the employer, but the medical expenses for illness or non-work-related injuries can only be reimbursed by the company for the expenses within the scope of the diagnosis and treatment items and drug catalogue stipulated by the state.
2. If the labor contract is terminated upon expiration and the employer maintains or improves the existing working conditions, and the employee is unwilling to renew the contract, the employer shall not pay economic compensation. Therefore, if the company unilaterally terminates the labor contract, it shall pay economic compensation;
3. The standard of payment of severance is one month's salary according to the working time of the worker in the unit, and one year if it is more than half a year but less than one year. Therefore, the company should pay you one month's salary as severance payment.
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If the medical insurance is not paid in the current month, whether you can enjoy the reimbursement depends on whether the deduction date has passed. If the medical insurance has not been paid after the deduction date, then the reimbursement function cannot be used, that is, the medical insurance card cannot be used to handle the medical insurance settlement of hospitalization, but the money in the personal account of the medical insurance card can still be used, but the reimbursement function of the overall account cannot be used.
Legal basisArticle 86 of the Social Insurance Law of the People's Republic of China.
If the employer fails to pay the social insurance premiums in full and on time, the social insurance premium collection agency shall order the employer to pay or make up the amount within a time limit, and impose a late fee of 5/10,000 per day from the date of non-payment; If the payment is still not made within the time limit, the relevant administrative department shall impose a fine of not less than one time but not more than three times the amount owed.
Article 26.
The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28.
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.
How to pay for medical insurance.
1. If you participate in the work and pay the employee's medical insurance, the employer shall withhold and pay it;
2. If you pay for flexible employment medical insurance, you can bring your ID card and social security card to the local social security bureau to pay; or pay through online channels;
3. For medical insurance for urban and rural residents, it is enough to bring your ID card and other materials to the designated place of the sub-district office or neighborhood committee where the household registration is located at the centralized payment time specified every year.
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Summary. Relatives, the reimbursement of the overall account of medical insurance can not be reimbursed from the next month after the social security is cut off, and the reimbursement can not be resumed until a certain period of time after the repayment is repaid.
As long as there is a balance in the personal account of medical insurance, it can be used, and it is not affected by whether the social security is cut off; It's just that if the relationship is broken for a long time, the balance will be used up and it will not be used.
I haven't paid social security this month, can I be reimbursed?
Hello, dear, can be reimbursed. After the social security is cut off, the medical insurance is not immediately unusable; The employee medical insurance will have a pooled account and a personal account, and the pooled account can be reimbursed for relevant medical expenses when hospitalized; The balance in the personal account can be used for daily medical treatment, drug purchase, and the balance of the personal account can be used as much as you want.
Relatives, the reimbursement of the overall account of medical insurance can not be reimbursed from the next month after the social security is cut off, and the reimbursement can not be resumed until a certain period of time after the repayment is repaid. As long as there is a balance in the personal account of medical insurance, it can be used, and it is not affected by whether the social security is cut off; It's just that if the relationship is broken for a long time, the balance will be used up and it will not be used.
Okay thank you. <>
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Hello, if you haven't paid medical insurance for two months, you can't be reimbursed for medical treatment, because when you review it, you will see the payment status of medical insurance.
If the purchase is an employee medical insurance, Li sentenced that he did not pay the fee for two months, and then continued to pay the fee, and after it took effect, he could also see a doctor and be reimbursed the next month.
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No reimbursement is possible. Medical insurance cannot be interrupted, and the use of medical insurance will be stopped if it is interrupted. Chong Wang Kai learned that after paying for three consecutive months, he could use the medical hardship insurance to reimburse Sun Zheng's medical expenses.
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Generally speaking, if the medical insurance has not been paid after the deduction date, then the reimbursement function cannot be used, that is, the medical insurance card cannot be used for the medical insurance settlement of hospitalization, but the money in the personal account of the medical insurance card can still be used, but the reimbursement function of the overall account cannot be used.
Legal basis: Social Insurance Law of the People's Republic of China
Article 23 Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State.
Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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Legal analysis: purchase social security for employees within one month after employment, and if they do not purchase social insurance, they can go to the social security bureau for repentance.
Legal basis: Social Insurance Law of the People's Republic of China Article 16 Individuals who participate in basic old-age insurance and have paid contributions for 15 years when they reach the statutory retirement age shall receive a basic pension on a monthly basis. Individuals who participate in the basic hunger pension insurance, when they reach the statutory retirement age, the cumulative payment is less than 15 years, they can pay to the full 15 years, and the basic pension can be transferred to the new rural social pension insurance or urban residents' social pension insurance, and enjoy the corresponding pension insurance treatment in accordance with the regulations.
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