The maternity insurance fund is a social insurance fund established by the state to protect the basic living and medical needs of female employees during childbirth. The application must be based on the true facts of childbirth and abortion. This is a support fund set up by the state to protect employees' reproductive rights, but some people have evil thoughts about it.
Zhu, who lives in Shanghai, forged medical documents, fabricated miscarriage experiences, and defrauded maternity insurance funds eight times in two months. Recently, the Shanghai Minhang District People's Court concluded the case.
After successfully applying for maternity benefits, I thought it was “convenient to get money”
The defendant Zhu confessed that in 2025, she saw a video on the Internet and learned that "you can apply for maternity insurance funds online after a miscarriage." She legally received maternity benefits based on her true previous abortion medical records. This made her feel that it was "convenient to get money" and she actually became greedy.
The court found that from December 30, 2025 to January 19, 2026, Zhu forged medical treatment materials five times and successfully defrauded maternity insurance funds totaling more than 30,000 yuan.
From January 23 to February 24, 2026, Zhu forged materials three more times to apply for maternity insurance funds totaling more than 19,000 yuan, but failed because he failed to pass the review.
On February 26, 2026, the case was solved and Zhu was arrested by the public security agency. After arriving at the case, Zhu truthfully confessed his crime and withdrew all illegal gains.
Being held criminally responsible for committing fraud
From legal application to forging certificates and fabricating miscarriage records to defraud maternity benefits, what is the price?
Judge Ma Chengui of the Criminal Tribunal of the People's Court of Minhang District, Shanghai, who is presiding over the case, said that in this case, Zhu forged medical documents, fabricated birth facts, and submitted multiple applications to the "One-online All-in-One" system to defraud the maternity insurance fund. This was a method of defrauding public property by fabricating facts and concealing the truth, and the amount was relatively large, which met the constituent elements of the crime of fraud. The more than 19,000 yuan that has not yet been obtained is an attempted crime. Together with his confession, admission of guilt, and withdrawal of all illegal gains, the court finally sentenced him to one year in prison, suspended for one year, and fined him 5,000 yuan.
"One-stop service" leaves traces throughout the process
Breaking the law will be discovered sooner or later
The starting point of this case was a completely legal claim, and the turning point occurred after the defendant thought it was "too convenient to get money." This reminds all insured persons that they should distinguish the boundaries between legality and illegality from the beginning.
Ma Chengui reminded that true and valid supporting materials must be provided truthfully.
Ma Chengui: Insured persons should apply for maternity insurance benefits based on the true facts of childbirth or miscarriage, and remain vigilant against the so-called "multiple claim strategies" on the Internet. Any fraud will leave traces and it is difficult to escape legal prosecution.
Huo Wei, assistant judge of the Criminal Tribunal of the Minhang District People's Court of Shanghai, emphasized that one must cherish personal credit and never lose big for small things.
Huo Wei: In the process of using "one-stop processing", every declaration is fully traceable and well-documented. The system can identify abnormal situations such as multiple applications in a short period of time. In this case, Zhu’s subsequent applications were blocked because of the functioning of the review mechanism.
In just two months, Zhu applied for maternity benefits 8 times, of which 5 were successful. How can convenience services prevent "false hands"?
Ma Chengui: Preventing the "hands of counterfeiting" requires coordinated efforts from all parties to continuously improve the process. Handling agencies need to further strengthen and improve the verification of the authenticity of medical documents and medical records, promote data sharing and cross-reference with medical institutions, and set up automatic early warnings and key verifications for abnormal situations such as multiple applications in a short period of time; online platforms should fulfill their content management responsibilities and promptly clean up the information about "collecting" and "handling" social security benefits on behalf of others.
Reporter丨Sun Ying
