The maternity insurance has not been paid for one year, and the maternity insurance has not been pai

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 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;

Birth certificate of the baby;

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, the maternity insurance premiums shall be allocated 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.

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

Who is responsible for the insurance benefits if the maternity insurance payment is less than one year?

Legal analysis: Individuals who have paid maternity insurance for less than one year cannot be reimbursed after giving birth to a child. Conditions to be met to receive maternity insurance benefits:

1. In-service personnel must participate in the insurance and pay premiums according to the regulations, and pay the maternity insurance premiums for more than 12 months at the time of childbirth, and the month of childbirth and the month of supplementary payment of maternity insurance premiums are not counted or closed. (It is enough to accumulate for 12 months, and it is okay if there is no continuous payment); Unemployed persons must register as unemployed, and those who apply for abortion or family planning surgery subsidies must have maternity insurance contributions in the current month (unemployed people can receive it when they give birth to a child, but they cannot receive it if they have an abortion);

2. Childbirth, abortion, and family planning surgery in medical institutions that have obstetrics and gynecology departments in accordance with national regulations; (Out-of-town hospitals can also be reimbursed).

3. Comply with national, provincial and municipal family planning regulations;

4. Statute of limitations for applying for treatment: The application can only be accepted from the 15th of the next month after the birth, and those who fail to apply in time for more than six months will no longer be accepted.

Legal basis: Social Insurance Law of the People's Republic of China

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 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.

Legal analysis: If the maternity insurance payment is less than one year, the employer can pay the payment for the employee until the full year, and then the female employee who gives birth can enjoy the treatment of maternity insurance in accordance with the law; If the temporary surplus is not entitled to the benefits of maternity insurance, the relevant expenses can be reimbursed from medical insurance and other insurance in accordance with the law.

Maternity insurance has not been paid for one year, and maternity treatment in some areas will be affected, maternity treatment: In some cities, if women have not paid social security (including medical insurance) for 12 consecutive months, they cannot enjoy maternity allowance and maternity medical expenses, and they need to pay for one consecutive year before they can use it. However, in a small number, if the man has paid social security for 12 months (including the month of childbirth), the woman can also reimburse the medical expenses of childbirth through the man.

Legal basis: Special Provisions on Labor Protection of Female Employees

Article 7: Female employees are entitled to 98 days of maternity leave for childbirth, 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.

Article 8 For female employees who have already participated in maternity insurance, the maternity allowance during maternity leave shall be paid by maternity insurance in accordance with the standard of the average monthly wage of the employee of the employer in the previous year; For those who have not participated in maternity insurance, the employer shall pay the salary of the female employee before the maternity leave. The medical expenses of female employees who give birth or have aborted childbirth shall be paid by maternity insurance in accordance with the items and standards of maternity insurance regulations, and for those who have already participated in maternity insurance; For those who have not participated in maternity insurance, the employer shall pay for it.

Legal analysis: Yes, you don't need to pay maternity insurance after one year.

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 maternity insurance premiums in accordance with the provisions of the State, and employees shall not pay 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 the Birth Calendar Divine Birth Insurance**. Maternity insurance benefits include maternity medical expenses and maternity allowances.

Legal analysis: Yes, the sedan car, the maternity insurance is paid for a year, and you don't have to pay it.

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 paid the maternity insurance premium, 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.

First of all, you have to determine how many months you have paid for your Shengfuxin Fertility Insurance, and find out how many months there is still to pay for a full year, you can go to the business handling hall of the social insurance agency in each district to inquire.

Secondly, you need to find the relevant units to understand the local social security payment standards, specifically to understand, how many levels of social security payment are there, and how much is the cost of each level of company payment and individual payment.

Then, you need to find an institution to be affiliated with, that is, you don't have a job, but you still have to pay, you need to find an agency to help you pay, because individuals are not able to pay maternity insurance, but at this time, you need to pay the fees paid by individuals and previous companies.

If you don't pay the fee for a full year until the child is born, it will be useless. Therefore, you must calculate clearly, if you want to make up the fees, you must pay at least three months of fees before you are ready to get pregnant, and the later fees can be paid on your behalf.

Finally, if you pay it before giving birth, you can enjoy the reimbursement of business insurance.

Trial Measures for Maternity Insurance for Employees of Enterprises

Article 6 The examination fees, midwifery fees, surgery fees, hospitalization fees and medicine expenses for the birth of female employees shall be paid by the maternity insurance**. The cost of medical services and medicines (including self-financed drugs and drugs lacking in nutrition) that exceed 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 formalities with the local social insurance agency with the family planning certificate issued by the local family planning department and the certificate of the birth, death or miscarriage of the baby, and receive the maternity allowance and reimbursement of maternity medical expenses.