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As long as it is full of one year, it can be reimbursed.
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Can maternity insurance be reimbursed for less than one year?
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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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Legal analysis: maternity insurance cannot be reimbursed if it has not been paid for one year. For the reimbursement of maternity insurance, several conditions must be met:
1. The employer has paid maternity insurance for the employee for one year; 2. Have gone through the insurance filing and give birth locally; 3. Other conditions required by the local social security bureau.
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 salary of the employee in the previous year.
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Legal analysis: maternity insurance cannot be reimbursed for less than one year. First of all, there are three conditions that must be met before you can receive maternity insurance benefits:
1. In-service personnel must participate in insurance and pay premiums according to regulations, and the cumulative payment of maternity insurance premiums for more than 12 months at the time of childbirth is not included in the month of childbirth and the month of supplementary payment of maternity insurance premiums. 2. Childbirth, abortion, and family planning surgery in medical institutions that have obstetrics and gynecology departments in accordance with national regulations; 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: Article 54 of the Social Insurance Law of the People's Republic of China Where an employer has paid maternity insurance premiums, its employees shall enjoy maternity insurance benefits, and the unemployed spouses of employees shall enjoy 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.
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If the maternity insurance is not paid for a full year at the time of pregnancy, but it has been paid for a full year at the time of birth, the maternity insurance can be reimbursed.
Hello, yes, because maternity insurance needs to wait for the completion of the birth before reimbursement. 1. Reimbursement conditions for maternity insurance: 1. The employer has paid for the employee for more than one year and continues to pay for it; 2. Comply with national and provincial population and family planning regulations.
2. Reimbursement scope of maternity insurance: 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 for self-financed drugs and nutritional drugs) in excess of the prescribed regulations shall be borne by the employees themselves. After a female employee is discharged from the hospital after giving birth, the medical expenses for illness caused by the prenatal congratulations shall be paid by the 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.
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. 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) 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 of the employer.
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If I have a child after one year of unpaid maternity insurance, can I still be reimbursed by maternity insurance?
Non-in-service employees can only pay medical insurance and endowment insurance when they pay social security, and maternity insurance payment needs to be paid for 12 months. Maternity insurance can only be reimbursed after one year.
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Can maternity insurance be reimbursed for less than one year?
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Reimbursement is possible. However, it will not be reimbursed immediately, and it will not be reimbursed until 1 year has passed.
In other words, you need to pay until October of this year before you can go for reimbursement. During this period, you give birth in May, keep all the invoices and documents. Just go to the social security department for reimbursement in October.
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Summary. Hello, glad to answer for you! <>
Maternity insurance cannot be reimbursed if it has not been paid for one year. The reimbursement of maternity insurance must meet several conditions: 1. The employer has paid maternity insurance for the employee for one year; 2. Have gone through the insurance filing and give birth locally; 3. Other conditions required by the local social security bureau.
If the insured person is pregnant or undergoes family planning surgery during the period of participating in maternity insurance, but the cumulative payment is less than one year, he or she can apply for reimbursement after the cumulative payment is full.
Can maternity insurance be reimbursed for less than one year?
Hello, glad to answer for you! <>
Maternity insurance cannot be reimbursed if it has not been paid for one year. For the reimbursement of maternity insurance, Wu Luo must meet several conditions: 1. The employing unit has paid maternity insurance for the employee Bi Chengsan for one year; 2. Have gone through the insurance filing and give birth locally; 3. Other conditions required by the local social security bureau.
If the insured person is pregnant or undergoes family planning surgery during the period of participating in maternity insurance, but the cumulative payment is less than one year, he or she can apply for reimbursement after the cumulative payment is full.
Legal basis: Article 8 of the "Provisions on Labor Protection of Female Employees" stipulates that the maternity allowance for female employees during maternity leave shall be paid by maternity insurance according to the standard of the average monthly salary of the employee in the previous year of the employer; 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 for childbirth or miscarriage shall be paid by the maternity insurance in accordance with the items and standards stipulated in the maternity insurance, and if the lead bureau has participated in the maternity insurance; For those who have not participated in maternity insurance, the employer shall pay for it.
Hello. You have a good sedan car type, I guess that the social security company is Chengdu that noisy Hongbian social security transferred to Lhasa in July this year to pay the expected date of delivery in February next year Can you apply for maternity insurance.
Dear, this is not reimbursable, because it has not been paid for 12 months.
Pro, if you can't be reimbursed due to the company's reasons, you can find the company for compensation.
Then transfer Chengdu's social security to Lhasa, do you need to go to Chengdu?
Pro, maternity insurance is not transferable, and it needs to be recalculated after the payment is broken.
Then this year, in Lhasa, which will be handed over in July, will the expected date of delivery in February next year be reimbursed in July next year?
In general, it is possible, but according to the local social security policy.
Okay, before that, Chengdu social security is going to be transferred to Lhasa, do I need to go to Chengdu in person?
Dear, you can call the 12333 Social Security Center to inquire about the local policy, because the number of months of compensation in each place is also different.
If you don't need it, you can go to the local social security agency to apply for continuation, and other procedures can be handled by the social security agency within the specified time.
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Summary. Hello dear<>
We're happy to answer your questions! When giving birth to a child, the maternity insurance has not been paid for one year and cannot be reimbursed.
When I give birth to a child, can I be reimbursed if I have not paid for maternity insurance for more than one year?
Hello dear<>
We're happy to answer your questions! When giving birth to a child, the maternity insurance has not been paid for one year and cannot be reimbursed.
Hardship or maternity insurance cannot be reimbursed for less than one year. Maternity insurance reimbursement must meet several conditions:1.
The employer has paid maternity insurance for the employee for one year; 2. Have been insured for the record and born locally; 3.Other conditions required by the local social security bureau. Legal basis:
Article 8 of the Regulations on the Labor Protection of Female Employees stipulates that the maternity allowance for female employees during maternity leave shall be paid by maternity insurance** according to the standard of the average monthly goodwill of employees in the previous year. If the employee does not participate in maternity insurance, the employer shall pay the salary standard for the female employee before the maternity leave. If a female employee has participated in maternity insurance for the medical expenses of childbirth or miscarriage, it shall be paid by maternity insurance** according to the items and standards stipulated in maternity insurance; If the employee does not participate in the maternity insurance, the employer shall pay the premium.
So what to do? Do you want to pay in full? Pay for yourself?
Dear Yes. So how to reimburse for having a child?
Reimbursement process for medical insurance for children 1: The application and acceptance of children's medical insurance shall be paid by the employer for the employee, and the individual does not need to pay any insurance premiums. Correspondingly, when applying for reimbursement of medical insurance for childbirth, the employer or labor security service personnel should not be the first to declare.
Specifically, when an insured female employee becomes pregnant, has a miscarriage or has a family plan, she needs to report the situation to the relevant department of the employer or the local labor security service department, and then they will bring the application materials to the medical insurance window of the local social insurance center to declare. The application materials include the employee social insurance registration form, the maternity insurance declaration summary form, etc.
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