Workflow of Maternity Insurance in Social Security Service Center of Wuhu Economic and Technological Development Zone-Maternity Insurance Registration and Reimbursement Inquiry
Accepting department: Social Security Center
Declaration conditions:
(1) Female employees: 1. The employer shall participate in maternity insurance and fulfill the obligation of payment in accordance with these measures; 2, according to the provisions of the establishment of obstetrics and gynecology medical institutions or family planning technical service institutions, in line with national and provincial family planning regulations, the implementation of abortion, induced labor or family planning surgery;
(2) Male employees: The spouse of the male employee of the employer gives birth to the first child, and his spouse is unemployed or does not participate in maternity insurance.
Materials required:
(1) treatment registration: 1. The form is in triplicate. 2. I apply for 3. Id card 4. Marriage certificate 5. Certificate in reproductive health services. Handbook of neonatal health care (cover, first visit record) 7. Male employees need to provide proof that their spouses have no employment (copy of female household registration, household registration location and current residence) or cannot enjoy maternity insurance.
(2) Application for treatment: 1. The form is in triplicate. 2. Original invoice. 3. Birth certificate. 4. Honorary certificate of only child (not required for male employees). 5. Discharge summary. 7. List of expenses. Abortion or family planning operation must provide 1/2/ marriage certificate/medical record/diagnosis certificate/ID card/invoice. 8. If the spouse of a male employee has a work unit, it should also provide a certificate issued by the unit whether the salary has been paid and whether any medical expenses have been reimbursed.
Note: 1. The originals of all certificates should be submitted for review. 2. If it is necessary to give birth outside the home, an application for giving birth outside the home shall be submitted before giving birth. 3. All applications must be submitted to the unit first, and then handled by the unit in the agency. 4. The first birth of a male employee's spouse means that both husband and wife have never given birth to children.
Processing time:
1. Receive the application materials of maternity insurance benefits of the insured units on May 20th every month, and accept the registration materials of maternity insurance of the insured units on June 30th every month.
2 20-30 days of each month to review the materials received to declare maternity insurance benefits, and transfer the completed materials to the municipal medical insurance center.
3. The municipal medical insurance center will review the materials handed over by the district agency from 1 to 10 in the following month.
4. The municipal medical insurance center reports the audit to the district agency every month10-0/5.
5. Every month 15-25, the insured unit will check out at the municipal medical insurance center. Tel: 399 1305.
Precautions:
1, treatment registration: pregnant 120 days to submit a written application; 2. Treatment application: submit a written application within 180 days after delivery or operation; 3, the new insured units for pregnant female workers should be in the month of payment for maternity insurance benefits declaration and registration procedures, overdue.