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The employer shall apply to the social insurance agency within 18 months after the employee's childbirth or surgery, and shall fill in the Application Form for Employees' Maternity Benefits and provide the following information:
Birth certificate issued by the family planning administrative department;
Original materials such as maternity medical certificates, outpatient medical records, discharge summaries, and family planning surgery records;
Baby's birth certificate.
The social insurance agency shall, within 15 working days from the date of acceptance of the application, review the materials provided by the employer, and after the review is completed, allocate the maternity insurance premiums to the employee's employer, and the employer shall issue the maternity insurance benefits to the employee in accordance with the items and standards of maternity insurance provided for in these Measures.
If the employer fails to go through the formalities for the employee to participate in the maternity insurance in accordance with the regulations, the maternity insurance expenses incurred by the employee shall be paid by the employer in accordance with the maternity insurance benefits and standards stipulated in these Measures.
The materials that need to be brought for reimbursement are:
Medical Expense Declaration;
ID card or social security card;
My bank card with the UnionPay logo;
My medical record;
Original production charges;
Itemized Expenses;
Discharge summary. It's a good idea to bring your birth permit with you. If you are collecting it on your behalf, you need to bring the identity card of the person collecting it on your behalf.
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You can go directly to your local social security office.
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For the sake of China's population problem, the country has also opened up the two-child and three-child policy, wanting young people to have more children to ensure that the rate of population growth is stable, but under the influence of the general environment, everyone is actually a little resistant to having children, after all, it takes a lot of money to raise a child today, from education, daily food and clothing, toys and so on, etc., a lot of money is consumed, which also makes many parents unable to afford such high expenditures. Many times for the sake of the child's future, as a parent, of course, they leave the best for their children, but many times they reflect their sense of powerlessness.
So after deciding to have a second child, the parents are already fully prepared, so that the family is about to attract the living environment of the second child, when the second child is born, not everything is solved, but there is a lot of work that we need to carry out in advance, that is, to buy a medical insurance for the second child, this medical insurance is very important for the second child, so after the purchase of medical insurance, how long will the reimbursement of the insurance last? What should we pay attention to as parents?
The purchase of medical insurance is carried out according to a year, no matter when the second child is born, as long as we are not within the purchase period, then we need to buy the next year's medical insurance, and this medical insurance as long as it is a reminder that the deduction is successful, then the role of medical insurance will begin to take effect, and they can also help the child to reimburse medical expenses, and medical insurance is a one-time charge for a year's expenses, the biggest reimbursement failure is a whole year, beyond the year there is no way to continue medical insurance reimbursement, only continue to buy to be able to enjoy, and you should also pay attention to the purchase time limit of medical insurance, beyond the purchase time can not help children continue to buy, so this purchase time should also be paid attention to, can not be missed. <>
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After the hospitalization for delivery, it is valid for half a year. You should take all your own materials, handle them at the specified time, and stamp the official seal of the unit.
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This time, the reimbursement period of the insurance should be one year, and our insurance can only be purchased year by year, if you renew the policy next year, the insurance will definitely continue to protect you. One of the most important safety matters is to renew the insurance immediately after it expires, and it is also necessary to pay attention to the fact that you must go to some more formal places to buy insurance.
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The reimbursement period for this insurance is about 60 to 90 days. At the same time, you also need to pay 6 months of medical insurance, and you also need to write the birth certificate of the good child and the corresponding identity certificate of the parents, and then go to the local relevant departments for reimbursement.
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It can have a timeliness of about half a year, pay attention to the reimbursement process, but also pay attention to the preparation of documents, pay attention to other information, pay attention to the way of reimbursement, and also pay attention to the problems.
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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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Since most of the provinces and cities will formulate relevant regulations according to the actual local situation, the reimbursement time of maternity insurance is different in various places, and the reimbursement time of maternity insurance should be based on the provisions of the local social security center, and the long time can be reimbursed within 18 months of the birth of the child, but some regions and cities are limited to 6 months.
Legal basis: Social Insurance Law of the People's Republic of China Article 54 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 funds are required to be paid out of maternity insurance**.
Maternity insurance benefits include maternity medical expenses and maternity allowances.
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Second Child Maternity Insurance Reimbursement Process Is there a time limit for maternity insurance reimbursement, let me take a brief look at it below.
Reimbursement process for maternity insurance for the first and second children.
1) Application materials to be submitted by the employer:
1. Social insurance registration form.
2. The increase and decrease table of personnel participating in basic pension, work-related injury and maternity insurance.
3. Summary form of old-age, work-related injury and maternity insurance declaration for enterprise employees.
2) Application materials to be submitted by female employees who give birth:
1. Family planning certificate issued by the family planning department (original and copy) 2. Birth (death) certificate of the baby issued by the medical department (original and copy) 3. ID card of female employees who give birth and employees who have undergone family planning surgery (original and copy) 4. Examination and collection form of maternity medical certificate for enterprise employees.
5. Application form for medical certificate for family planning surgery for enterprise employees.
6. Application form for reimbursement of maternity medical expenses for enterprise employees.
7. Approval and settlement of maternity insurance benefits for employees of enterprises.
8. Application form for foreign medical treatment of maternity insurance for enterprise employees.
9. Original materials such as medical expense bills, expense lists, outpatient medical records, and discharge summaries.
10. Receipt of payment.
3) Materials to be submitted by male employees whose spouses give birth:
1. Family planning certificate issued by the family planning department (original and copy) 2. Birth (death) certificate of the baby issued by the medical department (original and copy) 3. ID card of the male employee (original and copy).
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Since most of the provinces and cities will formulate relevant regulations according to the actual situation of the local world, the reimbursement time of maternity insurance varies from place to place, and the reimbursement time of maternity insurance should be based on the provisions of the local social security center, and the long time can be reimbursed within 18 months of the birth of the child, but some regions and cities are limited to 6 months.
Legal basis: Article 54 of the Social Insurance Law of the People's Republic of China 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**.
The benefits of the insurance include maternity medical expenses and maternity allowance.
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How long does it take for maternity insurance to be reimbursed is valid, and the standards vary from place to place. Within 30 days of the employee's birth, the employer shall go through the formalities with the social security agency with the registration form, the certificate of birth and the discharge summary. The social security agency shall allocate the employee's maternity allowance and nursing leave allowance to the employer.
The employer must use it for the wages and benefits that the employee should enjoy during the period of maternity leave and nursing leave.
Legal basis
Article 23 of the Social Insurance Law of the People's Republic of China stipulates that employees shall participate in the basic medical insurance for repentant workers, and the employer and the employee 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 can 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.
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Legal analysis: Under normal circumstances, maternity insurance can be reimbursed in about a month. The social insurance agency shall, within 15 working days from the date of acceptance of the application, review the materials provided by the unit, and after the review is completed, the maternity insurance premiums shall be allocated to the employer where the employee belongs, and the employer shall issue the maternity insurance benefits to the employee in accordance with the items and standards of maternity insurance provided for in these Measures.
Legal basis: Social Insurance Law of the People's Republic of China Article 54 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 the maternity insurance policy.
Maternity insurance benefits include maternity medical expenses and maternity allowances.
How is the maternity insurance reimbursed for the second child?
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