1. How to issue the maternity allowance in Taizhou?
1. If the unit has participated in maternity insurance for its employees, the maternity allowance shall be paid by the maternity insurance fund;
2 units did not participate in maternity insurance for employees, maternity allowance paid by the unit in accordance with the relevant provisions;
3. If the foreign registered employees do not participate in the local maternity insurance, the maternity allowance shall be paid to the female employees by the unit in accordance with the relevant regulations (local wage payment methods, labor security regulations for female employees and other documents); Therefore, maternity allowance is actually maternity leave salary, not a treatment that can be received repeatedly.
Workers who have not participated in maternity insurance, but have participated in social medical insurance, can enjoy medical insurance benefits during hospitalization and childbirth, and the related expenses arising from childbirth shall be borne by the medical insurance pooling fund in proportion.
How long can I report the maternity allowance? The maternity allowance is submitted by the unit within 90 days from the date of birth, reviewed and filed by the Social Security Bureau, and then distributed to the company, which takes about 2 months.
Two, Taizhou maternity allowance conditions and materials.
Procedure:
1, Taizhou maternity insurance application procedure: 1 Maternity insurance premium is paid by the employer at the rate of 0.5% based on the average monthly salary of employees in the province in the previous year. Individual employees do not pay fees. Maternity insurance premiums are collected by the local tax authorities on a monthly basis. 3 maternity insurance employers do not need to declare separately, but they will automatically participate in maternity insurance as long as they participate in medical insurance. The determination of the payment base, the time to participate in insurance and enjoy treatment, and the increase or decrease of personnel are the same as those of medical insurance.
2. Taizhou Maternity Insurance Reimbursement Procedure: 1 The employee's maternity or family planning operation expenses shall be handled by the employer or the employee himself in the work-related injury maternity department of the Municipal Medical Insurance Center, and a designated hospital shall be determined voluntarily. And provide the following materials: the original and photocopy of employee ID card, and the original and photocopy of reproductive health service certificate. 2 The employer shall, within 30 days after the employee's maternity leave expires or the family planning operation, bring the following materials to the settlement window of the municipal medical insurance center to review the maternity insurance benefits: a copy of the maternity medical certificate; Hospitalization records; Hospitalization medical invoice; List of medical expenses; Maternity medical certificate. Plus: a copy of the marriage certificate of the male employee at the time of reimbursement; Copy of the woman's ID card; Copy of the woman's rural household registration book or the woman's unemployment, unemployment and laid-off certificate. At the end of each month, all the money signed by the employer or employees shall be remitted to the account provided by the unit.
Taizhou maternity insurance applicant qualification: all urban enterprises, state organs, institutions, social organizations, private non-enterprise units and their employees who have participated in medical insurance. However, the owners of individual economic organizations and their employees and freelancers are not included in maternity insurance for the time being.
Conditions for Taizhou Maternity Insurance to enjoy maternity insurance benefits: (1) Employers must participate in maternity insurance in accordance with regulations and fulfill their payment obligations; (2) Workers who have given birth or performed family planning operations must meet the conditions stipulated in the Population and Family Planning Law of the People's Republic of China, that is, those who have given birth to their first child in line with the national family planning policy, or those who have given birth to another child with the approval of the family planning department, or those who have given birth in line with the above conditions but have miscarried after pregnancy (induced labor).
Taizhou maternity insurance maternity insurance benefits include: (1) maternity living allowance (excluding the salary of male employees during nursing leave). During maternity leave, the employer shall pay maternity leave wages according to regulations. If the maternity leave salary is lower than the maternity allowance, it shall be paid according to the maternity allowance; If it is higher than the maternity allowance, it will be paid according to the actual salary, and the difference will be borne by the employer. (2) Maternity medical expenses. Maternity medical expenses refer to medical expenses such as prenatal examination expenses, delivery expenses, operation expenses, hospitalization expenses, treatment expenses, medicine expenses, postpartum visit expenses, etc. Maternity medical expenses shall be compensated according to the quota. (3) the cost of family planning operation. Family planning operation includes: 1 placing intrauterine contraceptive ring; ② Take out the intrauterine contraceptive ring; 3 take residual ring and inlay ring; ④ subcutaneous implantation; 5. Excision and subcutaneous implantation; ⑥ Tubal ligation; 7 vasectomy; 8 tubal anastomosis; Incision of vascular variation. The medical expenses incurred by the workers in compliance with the provisions of the above-mentioned family planning operation shall be paid in full by the maternity insurance fund. Abortion and induced labor operations shall be handled according to the quota standard of maternity medical expenses.
The quota standard of maternity medical expenses compensation: (1) early pregnancy outpatient abortion (including drug abortion) 150 yuan; (2) Early pregnancy (within 3 months of pregnancy) induced abortion 900 yuan; (3) Induced labor in the second trimester (3-7 months) 1200 yuan; (4) Normal vaginal delivery 1500 yuan; (5) Vaginal surgery midwifery (instrument midwifery, lateral incision midwifery) 2000 yuan; (6) Cesarean section (including analgesic pump) 3500 yuan.
Within the above-mentioned quota standard, it shall be paid in full, and the part beyond the quota shall be borne by the employee himself.
The medical expenses for the following complications of the worker's birth shall be paid by the maternity insurance fund after the worker's birth 10%: (1) ectopic pregnancy; (2) Pregnancy induced hypertension syndrome; (3) Placenta previa; (4) Early placental abruption; (5) stillbirth; (6) Blood group incompatibility between mother and infant; (7) cholestasis of pregnancy; (8) uterine rupture; (9) postpartum hemorrhage; (10) Amniotic fluid embolism; (1 1) Sheehan syndrome; (12) eclampsia; (13) Postpartum infection.
Treatment of male workers: male workers who have participated in maternity insurance, whose spouses are unemployed or unemployed in rural or urban areas, can be reimbursed for 50% of maternity medical expenses if they meet the requirements stipulated in the Population and Family Planning Law of the People's Republic of China.
Maternity leave regulations: 1 normal delivery: maternity leave for 90 days (3 months); 2 midwifery (including instrumental midwifery and lateral midwifery): maternity leave is 97 days; 3 Cesarean section: maternity leave is 105 days (3.5 months); 4 Multiple births: maternity leave is increased for each additional baby 15 days; 5 Abortion within three months of pregnancy: maternity leave for 20-30 days; 6 induced labor for more than three months and less than seven months: maternity leave for 50 days; 7 premature delivery for more than seven months: treated as normal maternity leave.