Maternity Benefits

Female insured person who had given birth within her insurance coverage may claim to receive maternity benefits.

【Qualification】

1. Childbirth occurring more than 280 days after her insurance coverage.
2. Premature labor occurring more than 181 days after her insurance coverage.
3. For within one year after an insurance policy has been terminated, an insured person who is pregnant during the period of her insurance policy, and conforms to the provisions of coverage days in "1." or "2.", shall be entitled to maternity benefits for childbirth or premature due to the pregnancy.
   1. After the enforcement of national health insurance, the female insured person who miscarried and the spouse of male insured person who had given birth, premature delivery, or miscarried may not apply for maternity benefits.
   2. The premature delivery shall refer to the situation where the mother gives birth during the certain pregnancy period, between the 20th week to 37th week (140~258 days).

【Claim Standard】
In the case of childbirth or premature delivery of an insured person, she shall receive a lump sum of maternity benefit equivalent to 60 days’ salaries computed on the basis of her average monthly insurance salary of the last 6 months. In case of a plural birth resulting from childbirth, the payment shall be increased proportionately.

For those insured persons who are also eligible for maternity benefits under related social insurance programs, or for military, civil and educational personnel who also qualify for national maternity allowances, they have to choose one type of maternity benefits or allowances only. However, those covered by the farmers’ health insurance are not limited by this rule.

【Documents Required】
To apply for maternity benefits, please provide the following documents and make the documents sealed.

1. Labor Insurance Maternity Benefit Application Form and Payment Receipt.
2. The original birth certificate of the baby. If the birth has been registered, the certificate may be exempted.
   With regard to stillbirth, original copy of stillbirth certificate issued by medical institution covered by the national health insurance or licensed doctor or midwife shall be submitted (indicating date of stillbirth, reasons, and the date of last menstruation).
3. If an insured person who is pregnant during the valid period of the insurance policy and, due to the pregnancy, has a full-term childbirth or premature delivery overseas within one year after the insurance policy has been terminated, the insured person should provide relevant supporting documents to prove that she has received medical services in the hospitals or clinics in Taiwan for the same pregnancy. If it is difficult to provide any medical service record from Taiwan, please attach relevant supporting documents to evidence the medical services received in overseas hospitals or clinics. (The aforementioned supporting documents should carry the date receiving the medical service, the number of weeks of pregnancy or the first day of the last menstruation period.)
4. If the birth certificate or relevant supporting documents are issued by entities other than the government agencies of the Republic of China, they shall be notarized by the following agencies. A copy of the insured person’s passport shall be attached as well:
   1. If the foreign birth certificate is made abroad, it should be certified by a ROC embassy, representative offices, liaison office or any other organization authorized by the Ministry of Foreign Affairs (the diplomatic agencies); If the foreign birth certificate is issued by a foreign ambassador agencies in Taiwan or authorized institutions, it should be verified and certified by the Ministry of Foreign Affairs. (Depending on the nature of the documents to be reviewed/verified and the administrative procedures, the Ministry of Foreign Affairs is entitled to accept or reject the case. If you have any questions, please feel free to contact the Bureau of Consular Affairs, Ministry of Foreign Affairs, TEL: 02-23432888)
   2. If the certificate is completed in Mainland China area, it should be certified by the institutes designated or setup by Executive Yuan or the delegated civilian groups.(Straits Exchange Foundation)
   3. If the certificate is completed and issued in Hong Kong or Macau, it should be certified by the institutes designated or setup up by Executive Yuan or the delegated civilian groups in Hong Kong or Macau.(Taipei Economic and Cultural Office (HK) or (Macau))
   4. Documents that are written in a foreign language should also include a Chinese translation under the certification of the agencies listed above or the notary in Taiwan. Unless it is considered necessary by the insurer, the Chinese translation is not required if the document is made in English.

【Note】

1. A claim for maternity benefits shall be extinguished if not filed within five years from the day on which the benefits become payable.
2. For within one year after an insurance policy has been terminated, an insured person who is pregnant during the period of her insurance policy, and conforms to the provisions of coverage days shall be entitled to maternity benefits for childbirth or premature due to the pregnancy. The application may be filed by the insured in person.
3. The insure person may not apply for maternity benefits in case of miscarriage, mole pregnancy, and extra-uterine pregnancy.

【Form Downloading】
 “Public Service>Table Download>Labor Insurance>Insurance Benefits>Labor Insurance Maternity Benefit Application Form and Payment Receipt”