Chapter I General Principles

Article 1 In order to safeguard the legitimate rights and interests of urban workers and ensure the basic living and medical needs of female workers during their childbearing period, these Measures are formulated in accordance with relevant national laws and relevant provincial regulations and in combination with the actual situation of our city.

Article 2 These Measures shall apply to all types of employing units within the administrative area of Lanzhou City (except as otherwise provided by the province), including all types of urban enterprises, state organs, institutions, social organizations, private non-enterprise units and their employees (hereinafter referred to as urban employees).

Article 3 Maternity insurance shall be governed by the principle of territorial management. Maternity insurance for employees shall be co-ordinated by the society, and a maternity insurance fund for urban employees shall be established. Maternity insurance for employees shall provide socialized management services.

Article 4 The municipal labor and social security administrative department is the competent department of maternity insurance for urban workers in the whole city.

City, county (District) medical insurance agencies, specifically responsible for the area of urban workers maternity insurance business.

Health, family planning, finance, price and other relevant departments shall, in accordance with their respective responsibilities, coordinate the implementation of these measures.

Chapter II Maternity Insurance Fund

Article 5 Insurance funds shall be uniformly distributed, raised and managed throughout the city in accordance with the principle of "fixed income by expenditure and basically balanced income and expenditure". Where the maternity insurance fund is located in Chengguan, Qilihe, Xigu and Anning District, the municipal medical insurance agency shall be responsible for registration, payment declaration and audit; The maternity insurance fund of subordinate units shall be registered, declared and audited by the local medical insurance agency. Yongdeng, Gaolan, Yuzhong County and Honggu District urban workers' maternity insurance funds are registered, declared and audited by county (district) medical insurance agencies.

The collection of maternity insurance premiums shall be carried out in accordance with the measures for the collection of social insurance premiums in our city.

Article 6 Maternity insurance is compulsory social insurance, and the employer must truthfully declare and pay the maternity insurance premium to the medical insurance agency every month. Pay one month's maternity insurance premium in advance when paying for the first time.

Maternity insurance premium shall be paid by the employer according to 1% of the total wages paid by all employees in the previous year.

Self-employed workers do not pay maternity insurance premiums.

Article 7 The maternity insurance premium paid by the employing unit is the same as the pre-basic medical insurance payment base of the government agencies and institutions with full financial allocation, and shall be fully included in the budget expenditure by the financial department; Income obtained by other institutions from expenditures; Maternity insurance premiums of enterprises, private non-enterprise units and other units shall be paid from the unit welfare funds.

Article 8 The employing unit shall, within 30 days after the implementation of these Measures, and the newly-built unit shall, within 30 days after obtaining the business license or being approved for establishment, go to the medical insurance agency to register the maternity insurance for employees.

Unit merger, merger. Division, transfer, lease, contract, the receiving unit or successor unit is responsible for paying maternity insurance premiums.

Article 9 Insurance funds shall be included in the management of special financial accounts for special purposes, and no unit or individual may occupy or misappropriate them. The maternity insurance fund is deposited in the bank, and the interest earned is transferred to the maternity insurance fund.

Tenth maternity insurance fund management and supervision in accordance with the relevant provisions of the social insurance fund management and supervision.

Chapter III Maternity Insurance Benefits

Eleventh employers in accordance with the procedures to participate in maternity insurance and pay maternity insurance premiums on time, their employees enjoy maternity insurance benefits.

Article 12 Medical expenses incurred by employees due to placing (taking out) intrauterine devices, abortion, obstetric surgery, sterilization and reoperation after sterilization are covered by the maternity insurance fund.

Thirteenth female workers during pregnancy and childbirth diagnosis, examination, treatment, examination, delivery, surgery, hospitalization and drug costs, which belong to the scope of payment by the maternity insurance fund, shall be paid by the maternity insurance fund.

Fourteenth female workers enjoy maternity allowance in accordance with the regulations, and maternity allowance shall be borne by maternity insurance fund. Maternity allowance is based on my last year's salary, and calculated according to the number of days corresponding to the Implementation Regulations on Labor Protection of Female Workers in Gansu Province (Decree No.27 of the provincial government in 2002).

(1) maternity leave for female employees is 90 days, including prenatal leave 15 days; Maternity leave will be increased 15 days for dystocia and 15 days for multiple births.

(2) Maternity leave 150 days for those who give birth late and receive the honor certificate from the parents of the only child.

(3) If a female employee is less than four months pregnant and miscarries, the maternity leave is 15 to 30 days; Maternity leave for more than four months and less than seven months is 42 days; Maternity leave for more than seven months is 90 days.

Article 15 After the medical termination of maternity or abortion of insured female workers, the employing unit shall apply for maternity insurance benefits to the medical insurance agency with the certificate of maternity health care service issued by the local family planning department, the certificate of honor of the one-child parents, the certificate of birth or death of the baby issued by the hospital, the certificate of abortion, my ID card and medical documents.

Sixteenth insured female workers due to maternity illness hospitalization expenses, paid by the maternity insurance fund.

Seventeenth female workers during pregnancy, childbirth and postpartum complications, family planning complications and other diseases of medical expenses, in accordance with the relevant provisions of the basic medical insurance for urban workers in our city.

Eighteenth female workers in violation of national and provincial and municipal family planning regulations, do not enjoy maternity insurance benefits.

Article 19 The municipal labor and social security administrative department may make appropriate adjustments to the payment scope and payment standard of the maternity insurance fund according to the operation of the maternity insurance fund and the changes of the single maternity medical level, and report to the Municipal People's Government for the record before implementation.

Chapter IV Management of Medical Services

Twentieth maternity insurance medical services to implement fixed-point management. City, county (District) medical insurance agencies and maternity insurance designated service agencies should sign an agreement to clarify the responsibilities, rights and obligations of both parties.

Twenty-first insured workers can choose maternity insurance designated service institutions for prenatal examination, hospital delivery and family planning surgery.

Twenty-second maternity insurance designated service institutions shall strictly implement the scope of maternity insurance services and fees and standards approved by the price department.

Twenty-third expenses incurred by the insured in the designated maternity insurance service institutions shall be settled by the medical insurance agency and the designated maternity insurance service institutions according to the disease quota. If the expenses exceed the scope of maternity insurance fund payment and are paid, the excess shall be borne by the individual.

Chapter V Legal Liability

Article 24 According to the Provisional Regulations on the Collection and Payment of Social Insurance Fees (Order No.259 of the State Council), if the employer fails to register, change or cancel the registration of social insurance in accordance with these measures, or fails to declare the amount of maternity insurance fees that should be paid in accordance with these measures or fails to fulfill the payment obligations, the administrative department of labor security shall order it to make corrections within a time limit; If the circumstances are serious, the directly responsible person in charge and other directly responsible personnel may be fined more than 5000 yuan 1000 yuan; If the circumstances are particularly serious, a fine of not less than 5,000 yuan but not more than 20,000 yuan may be imposed.

Article 25 If the employer fails to pay and withhold maternity insurance premiums on time, the local tax authorities shall order it to pay them in full within a time limit; Fails to pay, in addition to the amount owed, from the date of default, an additional 2/1000 of the daily fines. Late fees are incorporated into the maternity insurance fund.

Article 26 If the staff of an agency abuses their powers, engages in malpractices for selfish ends or neglects their duties, resulting in the loss of maternity insurance funds, the administrative department of labor security or the tax authorities shall recover the lost funds according to law, and give administrative sanctions to the responsible personnel. If the circumstances are serious enough to constitute a crime, criminal responsibility shall be investigated according to law.

Chapter VI Supplementary Provisions

Twenty-seventh approach by the municipal labor and social security administrative department is responsible for the interpretation of.

Article 28 These Measures shall come into force as of May 1 2004. Where the relevant provisions in the past are inconsistent with these Measures, these Measures shall prevail.

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