佛山市社保操作流程2010[1].10

佛山市社保操作流程2010[1].10 2010年10月编制 cadre education and training system, extensive village (community) training cadres, party members of using distance education site to enhance the attractiveness and effectiveness of education and training. 5 years development members 32. New development of party members in senior high school or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village-level party organization of cultivating reserve cadres, each village each year to determine the 1-2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint system and village works public democratic decision system; further specification has village level financial management, 16 a village, and community all implemented village fiscal town tube; established and 目 录 第一节 流程介绍 ........................................................4 一、目的 .............................................................. 4 二、要求 .............................................................. 4 第二节 佛山社保可行性 方案 气瓶 现场处置方案 .pdf气瓶 现场处置方案 .doc见习基地管理方案.doc关于群访事件的化解方案建筑工地扬尘治理专项方案下载 ...............................................5 第三节 佛山社保用工、增减员、补缴 ........................................6 一、社保增减员申报 .................................................... 6 (一)流程 ......................................................... 6 二、社保补缴申报 ...................................................... 6 (一)流程 ......................................................... 7 (二)提供资料 ..................................................... 7 第四节 基本养老保险申报及指引 ...........................................8 一、基本养老保险待遇 .................................................. 8 法定退休年龄申领待遇 ..................................... 8(一)达到 (二)退休前出境定居或死亡申领待遇 ................................. 8 二、基本养老保险转移 .................................................. 8 (一)转入 ......................................................... 9 (二)转出 ......................................................... 9 第五节 工伤保险申报及指引 .............................................. 10 一、工伤申报 ......................................................... 10 (一)流程 ........................................................ 10 (二)提交资料 .................................................... 10 第六节 失业保险申报及指引 .............................................. 12 一、申领条件 ......................................................... 12 二、待遇标准 ......................................................... 12 (一)城镇户口失业人员 ............................................ 12 (二)农业 合同 劳动合同范本免费下载装修合同范本免费下载租赁合同免费下载房屋买卖合同下载劳务合同范本下载 制职工 .............................................. 12 三、失业保险申报 ..................................................... 13 (一)城镇户口失业人员 ............................................ 13 (二)农业合同制职工 .............................................. 13 四、领取方法 ......................................................... 13 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 2 第七节 生育保险申报及指引 ................................................... 14 一、享受条件 ......................................................... 14 二、提交申报及流程 ................................................... 14 (一)生育备案 .................................................... 14 (二)生育待遇及医疗费用报销(异地分娩) ............................ 15 第八节 医疗保险申报及指引 ................................................... 21 一、申请条件 ......................................................... 21 二、异地就医 ......................................................... 21 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education3 第一节 操作流程介绍 一、目的 为了让客服部和结算中心的伙伴正确了解佛山社会保险各项险种的操作流程，让我们工作更高效、专业，特拟定本操作流程指引。 二、要求 具体操作收单时间如下: 序号 项 目 收单时间 备 注 同时以邮件形式告知唐1 社保增员导入公司系统 每月5-10日 思敏 3 社保增员地税申报操作 每月10-15日 佛山分公司操作 4 社保费用申报 每月14日 佛山分公司操作 5 社保费用表核对差异 每月15-17日 客服人员核对 6 社保补缴资料收集 每月13-15日 客服人员提交资料 7 社保补缴地税操作 每月15-25日 佛山分公司操作 8 工伤备案 工伤案发24小时内报备 客服人员提交资料 9 失业申报 发生时报备 客服人员提交资料 10 打印社保清单 每月10日、20日 客服人员提交资料 10 生育申报(报销及待遇申请) 发生时报备 客服人员提交资料 医疗申报(异地就医，零星费用12 每月10日、20日 客服人员提交资料 报销等) 13 社保转入、转出申报 每月10日、20日 客服人员提交资料 14 退保申报(出国或死亡) 每月10日、20日 客服人员提交资料 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 4 第二节 佛山社保可行性方案 佛山2010年10月至2011年6月社保缴费方案 09年度佛生育保09年度佛山养老保险 失业保险 工伤 医疗保险 缴费合计 08年度佛山市职工险 市职工在岗山市职工月平均工方案月平均工资1(佛月平均工资(2842*60%单位 个人 单位 个人 单位 单位 单位 个人 山5资(80%) (2842*8个人缴,300%) 单位缴费 合计 险) 0%) 费 生育、医养老、失业 工伤 10% 8% 0.5% 0.5% 0.45% 0.50% 6% 2% 疗 缴费 额下1655.00 1705.00 2274.00 165.50 132.40 8.28 8.28 7.67 11.37 136.44 45.48 329.26 186.16 515.42 限 缴费41.3额上8277.00 8526.00 2274.00 827.70 662.16 41.39 38.37 11.37 136.44 45.48 1055.27 749.03 1804.30 9 限 备注:1.失业保险外地农村户口个人部分不缴纳。 2.2010年10月1日调整医疗(含生育)、工伤缴费基数。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education5 佛山社保增减员、补缴办理 一、 社保增减员申报 (一)流程 客服专员收齐客户提交社保专员在2个工作日内，根据客服专员 的增减员名单，在每月所导入的增减员名单进行汇总，统一在每10号前(遇节假日提前)月14号进行地税增员操作，25号进行减 提交当月增员名单，25员操作，并把增减员信息异常情况及时以 号前提交次月减员名单 邮件方式反馈到客服专员。 社保专员对成功申报社保的客服专员应在每月15-17号(遇节假日 人员名单作好汇总，在每15提前)完成核对《社保费用核对表》填 号前完成《社保花名册》和、 写，并确保数据的正确性。 《社保费用核对表》的制作。 二、 社保补缴申报 (一) 流程 每月15-17号(遇节假日内勤社保专员在3个工作日内，根据外勤提前)， 客服专员收齐客客服专员所导入的补缴名单做好汇总，统户提交的补缴名单，并按一在每月15-25号进行地税前台补缴操 要求导入公司内外勤增作，并在把信息异常情况及时反馈到外勤 减员系统。 客服专员。 社保专员把成功申报补缴社 保的人员名单作好汇总，在 每10号前完成《补缴花名 册》 (二)提供资料(客服部提供) 正常参保后人员，如需补缴分两种情况: 1. 补缴前6个月社保费，需提交:《佛山市社会保险个人明细申报表》一式两份、身份证 复印件; 2. 补缴前7个月及前期社保费，需提交:《佛山市社会保险个人明细申报表》一式一份、 身份证复印件、《劳动合同》复印件、《工资条》复印件。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 6 第三节 基本养老保险申报及指引 一、 基本养老保险待遇 (一)达到法定退休年龄申领待遇 客服专员应在职工达到法定退休年龄前一个月(备注:法定退休=员工生日当月)，为退休职工停保。职工在退休年龄当月到社会保险经办机构办理申领退休手续。 (二) 退休前出境定居或死亡申领待遇 (客服部提供) 一般资料: 1. 《佛山市基本养老保险个人账户手册》或《佛山市职工劳动手册》; 2. 《佛山市社会保险个人明细申报表》一式两份; 特殊资料: A. 出境定居需提供 1. 公安机关确认的出境定居证明;派出所注销的户口、护照(非中文版的，提供职工本人 的书面申请); (注:提供上述资料之一及复印件) 2. 本人申领时，还需提供本市开户的工、农、建行结算帐户活期存折及印 有账户的页面复印件或银行卡(原件及复印件)及开卡 申请表 食品经营许可证新办申请表下载调动申请表下载出差申请表下载就业申请表下载数据下载申请表 (原件及复印件) ;他人 代办的:除了提供上述资料外，还要提供代办人身份证及公证机关确认的 委托书(非中 文版的，需公证机关翻译确认); 、死亡 B 1. 死亡的证明材料原件及复印件(殡殓证明或《死亡报告书》等); 2. 由继承人申领时，还需提供户口簿原件(户口簿无法证明申办人享有法定继承权的，需 提供经公证机关确认的公证书);他人代办的，还需提供继承人经公证机关确认的委托 书。 二、 基本养老保险转移 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education7 (一) 转入 (1)流程 员工提出办理社保转入手续，向社保局接受社保转入办理，当场 仕邦公司提供相关资料，仕邦公接受申办资料并完成办理，完成 司前往社保局办理转移手续。 后将相关资料返还仕邦公司经办 人。 自受理转入手续后仕邦公司于5天内将所 2个月，社保帐户转办理完毕的资料归还员 入当地社保局。 工，并作好签收手续。 (2)提供资料(客服部提供) 1. 本人户口本、身份证原件及复印件; 2. 转出地参保凭证，含实际缴费起止时间原件及复印件; 3. 业务代办的需提供代办人身份证原件及复印件; 4. 原机关、事业单位人员转入需同时提供人事局调令; 5. 参保人属省内转入的提供劳动合同或就业备案资料。 (二) 转出 (1)流程 员工离职时提出办理社保局受理并发仕邦公司于5天 《基本养老保险参保出《基本养老保内将所办理完 缴费凭证》要求并向险参保缴费凭毕的资料归还 仕邦公司提供相关资证》，完成后将员工，并作好签 料，仕邦公司前往社保相关资料返还仕收手续。 局办理转移手续。 邦公司经办人。 (2)提供资料(客服部提供) 1. 申请养老保险关系转移参保人的身份证原件及复印件; 2. 离职证明(由我司提供)。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 8 第四节 工伤保险指引 一、 工伤保险流程 员工发生工伤事故用工单位应于事故发生后仕邦公司在资料收集 后，用工单位应于5天内向仕邦公司提供相完毕后，于事故发生24小时内通知仕邦关工伤申报所需资料，仕后10天内向佛山劳 公司，由仕邦公司邦公司应马上检查资料是动局经办部门提出工 向佛山劳动局报告否齐全，并反馈客户于2伤认定申报，并提交备案。 天内补齐。 相关资料。 自办理申领待遇手员工医疗完毕后，用工单位佛山劳动局经办部 续后45-60天内，于5天内收集相关资料并提门自受理工伤认定 由社会保险经办机供仕邦公司，由仕邦公司于申请后60天内作出构或仕邦公司将理工伤认定决定后30天内到工伤认定结论。 赔金额划拨受伤员社会保险经办机构办理申领 工个人帐户。 待遇手续。 (一)工伤认定申报 提交资料: 1.一般资料(客服部提供) , 工伤事故报告:内容包括时间、地点、受伤部位、事发经过、事故原因等; , 受伤时目击证人的证明及其身份证复印件; , 受伤员工身份证复印件; , 送院救治的首诊病历及诊断证明原件和复印件; , 劳动合同复印件 , 死亡证和火化证明或火葬收费发票和户口注销复印件、殓葬证; , 发生事故30天内需申请认定，超过30天需交延期 申请报告 工作调动申请报告申请赶工费用报告农业普查经费申请报告幼儿园办园申请报告设备购置项目申请报告 2.特殊资料(视不同情况而定)(客服部提供) , 公安交警部门的《责任认定书》、《赔偿调解书》; , 上下班路线图(标明:住所地址、单位地址、出事地点、勘查人、绘图人以及日期); , 住所地户口簿、居(租)住地证明或暂住证; , 驾驶证、行驶证; , 属意外事故的:提供遭受自然灾害、高空坠物、遭受抢劫报警证明。如有目击证人: 要有目击证人的书面证明，及其身份证复印件和可联系的地址或电话; , 职业病:提供省、市职业病防治院作出的职业病诊断证明。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education9 (二)工伤医疗费用申领 提交资料: 1.一般资料(客服部提供) , 《社会工伤保险医疗待遇申请表》(一式三份); , 《工伤认定决定书》; , 《佛山市伤病职工劳动能力鉴定表》(未达等级不用提交); , 医疗期内医院原始单据、病历、药费电脑清单;看门诊的，要有处方单;如有转院的， 需提供医院出具的转院证明; , 工伤职工提供本人《身份证》复印件(A4纸); , 交通事故伤亡的，提供交警部门的《责任认定书》、《赔偿调解书》; , 评定为1,4级残废可根据其需求来选择何种方式来办理退休方式。即:可办理残疾退 休或待到法定退休年龄才办理退休; 2.特殊资料(视不同情况而定)(客服部提供) (1) 失踪的 , 失踪者重新出现，提供单位证明; , 失踪后法院宣告死亡或宣告死亡后失踪者重新出现，法院撤消死亡结论的，提供法院 裁决书。 (2) 工伤死亡的 , 提供火化证明原件; , 如有供养直系亲属的，提供死者和供养人的《户口簿》及复印件，当地派出所证明。 , 如供养人未满十八岁并且在读的，需提供所在学校证明;及所有供养人的存折复印件。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 10 第五节 失业保险操作指引 一、 申领条件 , 按规定参加失业保险，履行缴费义务满一年或虽不满一年但本人仍有领取失业保险金期 限的。 , 非因本人意愿中断就业的。 , 按规定办理了失业保险金申领手续;本市城镇户口的人员已办理失业登记，并有求职要 求和接受职业介绍 二、 待遇标准 失业人员根据个人的实际情况，可选择申领或不申领失业保险待遇;选择领取失业保险待遇的，本人需在《通知书》规定的有效期内或劳动争议裁决、判决生效之日起60天内办理申领手续。无正当理由逾期办理的，每超过一个月减少一个月的失业保险待遇(不满一个月的按一个月计算)。 (一)城镇户口失业人员 1、享受期限 , 缴纳失业保险费1-4年，每满1年领取1个月的失业保险金;缴纳4年以上，超过4 年的部分，每满半年增加1个月的失业保险金;享受期限最长不超过24个月。 , 重新就业后再次非自愿性失业的，本次享受的失业保险期限可与前次失业应领而未领 的失业保险期限合并计算，但最长不得超过24个月领取失业保险期间重新就业后缴费 不满1年再次非自愿性失业，可继续申领前次失业尚未领完的失业保险金。 2、发放标准 , 按本市最低工资标准的80%逐月计发。 (二)农民合同制职工 连续缴费满一年的按失业前12个月平均缴费工资的20%计发一次性失业生活补助，每多缴一个月加发月平均缴费工资的2%。领取一次性生活补助金后，失业保险关系自行终止。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education11 三、 失业保险申领 (一) 城镇户口失业人员 A、 提交申报资料 1. 《社会保险登记证》; (结算中心提供) 2. 《社会保险增减人员申报表》; (结算中心提供) 3. 《佛山市职工劳动手册》或《佛山市流动人员劳动手册》;(客服部提供) 4. 事业单位的非工勤人员还需提供职工最后一次《标准工资升级审批表》; 5. 中央、部队、省属驻穗单位需提供《养老保险个人账户对账单》(须加盖广东省社会 保险基金管理局专用章)原件及复印件; (二) 农民合同制职工 A、 提交申报资料 1. 《佛山市职工劳动手册》或《佛山市流动人员劳动手册》;(客服部提供) 2. 本人在本市工、农、建行开户的个人结算账户活期存折及复印件，或银行卡(原件及 复印件)及开卡申请表(原件及复印件);(客服部提供) 3. 《非本市城镇户口参保人员申领一次性待遇表》一式2份 ;(结算中心提供) 四、 领取方法 本市城镇户籍的失业人员到户籍所属区的失业保险发放机构办理申领失业保险手续;外地城镇户籍的失业人员选择在本市享受失业保险待遇的，到原单位所在区的失业保险发放机构办理申领失业保险手续。 选择不申领失业保险待遇的，不需办理申领手续，其失业保险缴费年限自动与下次重新就业后的失业保险缴费年限合并计算。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 12 第六节 生育保险申报及指引 一、 享受条件 参加生育保险累计满一年的职工，在生育(流产)时仍在参保的，按有关规定享受生育保险待遇。 二、 提交申报及流程 (一) 生育备案 A、流程 女职工在怀孕 16 周后，凡享受人流、引产、产检、生育等生育保险各项待遇时， 由用人单位到佛山市医疗保险管理服务中心(以下简称“医保中心”)进行就医手续确认及申报生育定点医院。 B、 提交申报资料(客服部提供) llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education13 1(一般资料: , 《员工生育定点医院申报资料交接清单》; , 《计划生育服务证》原件; , 医院诊断怀孕证明(证明怀孕周数)或围产手册原件 ; , 近期小一寸彩色照片一张。 2( 特殊资料 , 军人军属人员不受参加生育保险累计满一年的限制。在享受各项生育保险待遇前，需提 供另一方的军官证或士兵证和结婚证(原件)。军人军属人员须先到社会保险经办机构 备案然后到医保中心进行生育就医手续确认。 , 原来在省社保或是在外地参保后转入本市人员提供省社保局或外地社保机构出示的参 加生育保险年限的证明，在本市必须是参保状态，并且参加了生育保险，本市与外地或 省社保的生育缴费年限累计满一年的，先报社保经办机构备案，再到医保中心进行生育 就医身份确认。 (二) 生育待遇及医疗费报销(异地分娩)(包括产后42天内的一次复检费 用) A、 生育待遇申领 1. 流程 女职工生育或流产后一年内，分别由女职工，男配偶所在单位申领生育保险待遇。超过一年的，不予支付生育保险待遇。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 14 2. 提交申报资料 , 一般资料 , 如有《佛山市职工劳动手册》或《广东省就业失业手册》原件;(客服部提供) , 《职工生育保险待遇审核表》一式二份;(结算中心提供) , 《员工生育保险待遇申报资料交接清单》;(客服部提供) , 特殊材料 (1)顺产、难产(客服部提供) , 《生育证》原件及复件; , 《出生证》原件及复件; , 《独生子女父母光荣证》原件及复件或《不能提供独生子女证件通知书》原件; , 难产的附医院诊断证明书和出院小结原件及复件; , 领取二孩《生育证》符合晚育规定的，附单位证明。 , 身份证复印件; , 异地分娩的需提交异地分娩申请表(有医院等级和盖章)原件及复件。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education15 (2)婴儿死亡(客服部提供) , 《生育证》原件及复件; , 《死亡报告书》原件及复件。 (3)流产(客服部提供) , 《同意生育通知书》或《生育证》原件及复件; , 医院诊断证明书原件及复件。 (4)男配偶假期工资(客服部提供) , 《出生证》原件及复印件; , 《独生子女父母光荣证证》原件及复印件; , 身份证复印件。 注:1、医院诊断证明应为区级(或镇级)及以上医院证明方有效; 2、所有复印件都必需要用A4纸复印。 3、待遇标准 生育保险津贴、假期工资以及一次性分娩营养补助费的核发，具体的生育保险待遇: (1)生育津贴 , 女职工按规定享受产假期间的生育津贴、以生育(流产)时当月本单位人平缴费工资 计发。 , 生育津贴=当月本单位人平缴费工资/30*享受假期 (2)女职工享受的假期: 正常产假90天(包括产前检查15天);独生子女增加35天;晚育假增加15天; 难产假:剖腹产、3度会阴破裂增加30天;吸引产、钳产、臀位产增加15天;多胞胎 生育，每多生育一个婴儿增加15天;产假:怀孕不满2个月15天;怀孕不满4个月 30天;怀孕满4个月以上(含4个月)至7个月以下的42天;怀孕满7个月以上遇死 胎、死产和早产不成活的75天。 (3)凡是在一、二级医院分娩的参保职工，每人给予300元的一次性补贴，随生育津贴一并发放。 (4)一次性分娩营养补助费 , 正常产、满7个月以上流产，补助费用为:上年度市属企业职工月平均工资*25%; , 难产、多胞胎，补助费用为:上年度市属企业职工月平均工资*50% (5)男配偶假期工资 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 16 , 领取《独生子女优待证》的男配偶可享受10天的假期。以孩子出生当月的单位人平缴 费工资计发。 , 男配偶假期工资=单位人平缴费工资/30*假期天数 (6)注意事项 , 女工因生育而导致死亡，婴儿同时死亡者，社保机构按原产式支付生育保险待遇。 , 女工因生育而导致死亡，婴儿同时死亡者，生育津贴按产前15天及产后至死亡前的实 际天数计发。 , 单位核发生育津贴给职工时，若职工本人平均工资低于全市最低工资标准的，按全市 最低工资标准计发;职工按规定享受的生育保险待遇高于社会保险机构支付标准的， 超过部分由用人单位自行解决。一次性分娩营养补助费，用人单位要按社会保险机构 拨付的标准支付给产妇。 B、医疗费报销(异地分娩)(包括产后42天内的一次复检费用) 1、时间限制 女职工生育或流产后一年内，由女职工所在单位申报生育保险医疗费报销。 2(提交申报资料(客服部提供) , 一般资料 , 《员工生育保险医疗费报销资料交接清单》; , 特殊材料 (1)未办理《佛山市企业职业生育保险就医确认凭证》(简称《就医凭证》)已急诊流产) , 医院病历原件及复印件; , 医院诊断证明原件及复印件; , 财税部门印制的医疗费用专用收据或发票(背面需有报销人签名); , 打印的与收据(发票)金额相符的医疗费用明细清单(或有医疗机构印章的手工记录 清单); , 《佛山市企业职工生育保险医疗费用报销审核表》一式三份; , 以下资料之一:《计划生育服务证》或《同意生育通知书》或夫妇双方街道计生部门 《证明》的原件(有计生部门盖章)及复件; , 在非定点医院治疗，需提供个人报告。 (2)异地分娩 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education17 , 在医保经办机构已办好的《佛山市企业职工生育保险异地分娩申请表》或《生育保险 选择定点医院申请表》，并按表要求由分娩医院填写医院级别及盖章; , 医院病历或出院小结原件及复件; , 医院诊断证明原件及复印件; , 财税部门印制的医疗费用专用收据或发票(背面需有报销人签名); , 打印的与收据(发票)金额相符的医疗费用明细清单(或有医疗机构印章的手工记录 清单) , 《佛山市企业职工生育保险医疗费报销审核表》一式三份; , 《生育证》或《计划生育服务证》原件及复件; , 《就医凭证》未被医院收回，需附上医保中心代收。 (3)已办结《就医凭证》，在非定点医院急诊 , 医院病历原件及复件; , 医院诊断证明原件及复印件; , 财税部门印制的医疗费用专用收据或发票(背面需有报销人签名); , 打印的与收据(发票)金额相符的医疗费用明细清单(或有医疗机构印章的手工记录 清单) , 《佛山市企业职工生育保险医疗费报销审核表》一式三份; , 《就医凭证》原件及复印件; , 《生育证》或《计划生育服务证》原件及复件。 (4)未办就医凭证已分娩 , 医院病历原件及复件; , 医院诊断证明原件及复印件; , 财税部门印制的医疗费用专用收据或发票(背面需有报销人签名); , 打印的与收据(发票)金额相符的医疗费用明细清单(或有医疗机构印章的手工记录 清单) , 《佛山市企业职工生育保险医疗费报销审核表》一式三份; , 单位和个人证明; , 《生育证》或《计划生育服务证》原件及复件。 (5)产后并发症 , 医院病历原件及复件; , 医院诊断证明原件及复印件; lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 18 , 财税部门印制的医疗费用专用收据或发票(背面需有报销人签名); , 打印的与收据(发票)金额相符的医疗费用明细清单(或有医疗机构印章的手工记录 清单) , 《佛山市企业职工生育保险医疗费报销审核表》一式三份; , 《生育证》或《计划生育服务证》原件及复件。 第七节 医疗保险申报及指引 一、申请条件 1. 单位退休人员在境内同一异地居住半年以上的参保人员; 2. 用人单位的在职职工常驻境内异地工作半年以上的参保人员。 二、异地就医 (1) 流程 非佛山市员工参加员工按照申请表内相关内容仕邦公司汇总异佛山 医疗保险后，前往医院和工作当地医保中地就医名单，连同仕邦公司向员工提心办理盖章手续，办理完毕相关资料到佛山供办理异地就医申后连同其他相关资料回交仕医保局办理申请请表。 邦公司。 手续。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education19 员工发生住院医疗，应前自异地就医申请手续医保中心接受申请 往申报登记的医院就医，办理完毕，员工于参保办理，发放受理回 并于入院后2个工作日3个月后发生住院医执，办理完毕后通内报仕邦 疗，可享受住院医疗费知仕邦公司取回相 用报销。 关资料。 医保中心经办人检查仕邦公司根据员工提医疗完毕后，于5天内 资料是否齐全，当场接供的资料向佛山医保向仕邦公司提交相关受报销手续办理。进行 中心备案，医保中心作申报资料，仕邦公司于内部审批流程，确认实好相关备案手续。 7天内到医保局办理报 际报销金额，划入员工销手续。 个人账号。 (2) 异地就医申请提交资料(客服部提供) 1. 《派遣员工工作的证明》; 2. 《佛山市城镇职工异地就医申请确认汇总表》; 3. 5人以上需填写《异地就医电子导盘表》; 4. 身份证复印件; 5. 异地分支机构营业执照(复印件)或者政府部门开具的驻外机构相关证明材料; 6. 参保单位与参保人劳动合同(有效期限半年以上)原件; 7. 异地就医记录册(需有定点医院、当地医保局盖章及贴小一寸相片)(原件)。 (3) 办理医疗费用报销所需资料(客服部提供) 异地就医医疗费用及其它原因产生的零星医疗费用，先由参保人员个人垫付，自出院(或结付医疗费)之日起1个月内向所属单位或退管办办理申报手续;由单位经办人携带相关资料，到市医疗保险二级经办机构指定窗口办理零星医疗费用报销手续。 携带资料 序 报销类别 号 专项资料 基本资料 已办理异地就医手续的～异地就医经市医保中心审批的《佛山市基本医疗保险参?财政部门印制的医疗1 的住院及门诊特定项目的基本医保人员选择异地就医定点医疗机构登记表》复费用专用收据,发票,, 疗费用 印件或《异地就医记录册》原件。 lage, and community all implemented village fiscal town tube; established anda vilsystem and village works public democratic decision system; further specification has village level financial management, 16 dres at the village level. Four is in village level affairs management aspects, sound and perfect has village two Board Joint2 focus on training the young reserve ca-level party organization of cultivating reserve cadres, each village each year to determine the 1-or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening villagechool nd effectiveness of education and training. 5 years development members 32. New development of party members in senior high sextensive village (community) training cadres, party members of using distance education site to enhance the attractiveness acadre education and training system, 20 因工出差、公派学习以及享受探亲?医疗费用开支明细清 单位人事部门出具的某时到某地出差、公派学 单, 2 假期间患急性疾病的住院及门诊 习或享受探亲假的证明。 特定项目的基本医疗费用 ?住院病历复印件或急因急诊在本统筹地区内非定点医由参保人或其家属出具的书面报告,并填写 诊留观证明(加盖医院公3 疗机构的急诊留观或住院～经核准《佛山市城镇职工基本医疗保险参保人非定 章),属于门诊特定项目的基本医疗费用 点医疗机构就医申请表》。 的～需提供《佛山市城镇各种原因欠缴医保费～欠费3个月单位说明延期缴纳欠缴医保费原因证明,非单 职工基本医疗保险参保 4 内补缴完毕的～欠费期间的住院及位原因的～同时提交地税、银行或市社保基金 人员门诊特定项目申请门诊特定项目的基本医疗费用 中心确认原因证明,。 单》复印件, 经市医保医保系统故障未能 就诊医院出具的相关证明。 中心认定正常记帐 ?医疗保险卡正、反面复的各种特因遭受打劫受伤～案?由参保人或其家属出具的书面报告,?案发印件。 殊情况的发三个月后仍未结三个月后公安部门出具的仍未结案的相关证 5 住院及门案 明。 诊特定项?由参保人或其家属出具的书面报告,?市医 目的基本其他特殊情况 保中心根据各种情况而要求参保人提供的资 医疗费用 料。 llage, and community all implemented village fiscal town tube; established andem and village works public democratic decision system; further specification has village level financial management, 16 a viand perfect has village two Board Joint syst 2 focus on training the young reserve cadres at the village level. Four is in village level affairs management aspects, sound-organization of cultivating reserve cadres, each village each year to determine the 1level party -or above 70 per cent respectively above, members overall quality improved significantly. Third, strengthening village fectiveness of education and training. 5 years development members 32. New development of party members in senior high schoolsite to enhance the attractiveness and ef cadre education and training system, extensive village (community) training cadres, party members of using distance education21