If maternity insurance reimburses for non local births, the second child is now open, and what is th

Hello! The maternity allowance for the first child is the same as the maternity allowance for the second child. The specific policies (taking Beijing as an example) are as follows:

The payment method and payment standard of maternity allowance in China are divided into two situations: first, in the area where the social co-ordination of maternity insurance is implemented, the payment standard shall be paid according to the standard of the average monthly wage of the employees of the enterprise in the previous year, and the period shall not be less than 90 days;

Second, in areas where there is no social co-ordination of maternity insurance, the maternity allowance is paid by the enterprise or unit, and the standard is the basic salary and price subsidy for female employees before giving birth, and the period is generally 90 days. In some areas, policies to encourage working women who marry late and give birth later have appropriately extended the period for the payment of maternity allowances.

Female employees who have participated in maternity insurance can enjoy the benefits of maternity insurance and receive maternity allowance after giving birth to a baby. Female employees often pay attention to how much maternity allowance they can receive? How to get it? How is maternity allowance calculated?

1. The amount of maternity allowance = the average monthly salary of the employer's employer where the employee works 30 * the number of days of maternity leave.

2. If the maternity allowance is higher than the maternity leave salary standard, the employer shall not deduct it, and if the maternity allowance is lower than the maternity leave salary standard, the difference shall be made up by the employer.

3. Maternity medical expenses.

One-time maternity nutrition supplement.

1) Normal childbirth, miscarriage for more than 7 months: the average monthly salary of municipal employees in the previous year * 25%; 2) Dystocia and multiple births: the average monthly salary of municipal employees in the previous year * 50%.

One-time subsidy.

For those who give birth in primary and secondary hospitals, a one-time subsidy of 300 yuan per person will be added.

Note: The maternity allowance must be processed within five months after the birth of a child.

How to receive maternity allowance in Beijing?

After pregnancy, bring the household registration booklet, marriage certificate, ID card and other relevant documents, and the person in charge of the unit will handle the registration of maternity insurance for medical treatment. Determine the hospital where the baby will be given a prenatal check-up. Note: If you need to apply for a birth permit, bring the medical registration form to the hospital.

In this way, it is convenient to use maternity insurance settlement after verification by the social security bureau and the hospital. After giving birth to a baby, bring the relevant documents, and the unit clerk will apply to the Social Security Bureau to apply for maternity allowance.

Since the policies of each city are different, it is recommended that you call the local social security bureau **12333 for inquiries.

OK. Out-of-town maternity insurance reimbursement process.

1) Female employees bring materials to apply for reimbursement;

2) The medical maternity treatment review department (generally the social security center) conducts the audit;

3) After the review is passed, the audit department will issue a certificate for female employees;

4) Female employees go to the bank to receive money with the application voucher.

Generally speaking, the process of reimbursement of maternity insurance in a different place is not much different from that in the local area, but the required materials are different.

Materials required for reimbursement of non-local maternity insurance.

1.If the insured female employee gives birth to the first child (the first miscarriage after marriage is also counted), the following documents must be provided:

1) Birth Permit.

2) Birth certificate.

3) ID card.

4) One-child certificate.

5) Invoices for medical expenses.

6) Discharge summary.

7) Provisions on Maternity Leave for Employees of Enterprises

8) Application Form for Maternity Insurance Benefits for Employees of Enterprises

9) Caesarean section, the invoice amount exceeds 5,000 yuan; Smooth delivery, the invoice amount is more than 3,000 yuan; Miscarriage, the amount of more than 300 yuan, the three cases of the mountain Zhaodi need to provide a copy and seal of the hospital's doctor's order and a summary of the list of medical expenses.

10) For induced abortion, you need to bring your perinatal outpatient medical records, doctor's orders, medical expenses list and family planning certificate.

11) If both parents are only children, and both husband and wife do not have an only child certificate, they need to provide the only child certificate of both parents.

2.If the spouse of the insured male employee does not have a work unit, then in addition to bringing the above documents, he also needs to bring:

1) Marriage certificate.

2) ID cards of both parties.

3) The woman's household registration book (if the household registration book does not indicate whether it is an agricultural population, it is necessary to provide a certificate of the nature of the household registration issued by the local household registration department).

4) If the spouse is registered in the city, he or she must provide an unemployment certificate; If it is an agricultural household registration, it is necessary to provide a certificate of unemployment from the village committee.

3.If the enterprise manager is going through the maternity insurance procedures, it is also necessary to provide:

1) The "General Tax Payment Book" (work-related injury and maternity) of the current month

2) Proof of payment of arrears for work-related injuries and maternity.

3) The "Social Insurance Premium Declaration Schedule" of the current month

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Reimbursement conditions for second-child maternity insurance.

The insurance conditions of the second child birth insurance are the same as the reimbursement of the first child, that is, there is an additional birth permit.

Generally speaking, after a female employee gives birth or has a miscarriage, she or her enterprise shall go through 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.

Calculation method of second-child maternity insurance.

1. Maternity allowance.

Maternity allowance = 30 (days) of the average salary paid by the unit in the current month (slightly different from province to province).

2. Maternity medical expenses.

1) The medical expenses for medical treatment after confirming the identity of childbirth and medical treatment shall be settled by the Municipal Labor and Social Security Bureau and the hospital in a fixed amount (the part exceeding 10,000 yuan shall be settled according to the approved amount).

2) The medical expenses for delivery in other places shall be reimbursed if they are lower than the quota standard; If it is higher than the quota standard, it will be reimbursed according to the quota standard.

3. One-time nutrition subsidy for childbirth, normal delivery, and miscarriage for more than 7 months; The average monthly wage of municipal employees in the previous year was 25%.

4. A one-time subsidy is in.

For those who give birth in the first and second level hospitals, a one-time subsidy of 300 yuan per person will be added.

What information does the insured employee need to provide when applying for childbirth or termination of pregnancy?

1.ID card and photocopy of KGI;

2.Apply on behalf of the applicant, submit the applicant's ID card and power of attorney, as well as the ID card and copy of the entrusted person;

3.(Re)Fertility Service Certificate and a photocopy;

4.Medical expense receipts, expense lists, discharge certificates, medical certificates of birth, death, and abortion of infants, expert appraisal certificates, etc., issued by the agreement service organization;

5.If you give birth in a different place, you need to provide a unit certificate and a hospital-level certificate;

6.Other supporting materials stipulated by the Municipal Labor Model and Obstacle Protection Administrative Department.

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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.

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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.

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, the maternity allowance of half a month will be increased, and in the case of multiple closed lead fetuses, the maternity allowance of half a month will be increased for each additional baby; If the pregnancy is more than 3 months (including 3 months) and less than 7 months of miscarriage or induced labor, the maternity allowance of one and a half months shall be enjoyed, and the miscarriage due to pathological reasons within 3 months of pregnancy shall be entitled to the 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 workers who originally participated in the maternity insurance in the unit are unemployed, during the period of receiving unemployment insurance money, when they give birth in accordance with the provisions of family planning, they 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 50% maternity subsidy for the elderly.

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"

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.