separation. 3 Separation Benefits payable upon reaching 60 yrs of age or upon separation, whichever comes later: Provided, That the member resigns or separates from the service after he has rendered at least 3 yrs of service but less than 15 yrs. 4. Permanent Disability Benefits A member who suffers permanent disability for reasons not due to his grave misconduct, notorious negligence, habitual intoxication, or willful intention to kill himself or another. 5. Survivorship Benefits (1) basic survivorship pension is 50% of the basic monthly pension (2) dependent children's pension not exceeding 50% of the basic monthly pension. 6. Funeral Benefit The amount of funeral benefit shall be P12,000 - P18,000. 7. Life Insurance Benefits
Bianca Alana Hizon Limjuco
2. Death Benefits Upon the
death of a member who has paid
at least 36 monthly contributions
prior to the semester of death, his
primary beneficiaries shall be
entitled to the monthly pension: Provided, That if he has no primary beneficiaries, his secondary beneficiaries shall be entitled to a lump sum benefit equivalent to 36 times the monthly pension. 3. Permanent Disability Benefits Upon the permanent total disability of a member who has paid at least 36 monthly contributions prior to the semester of disability, he shall be entitled to the monthly pension: Provided, That if he has not paid the required 36 monthly contributions, he shall be entitled to a lump sum benefit equivalent to the monthly pension times the number of monthly contributions paid to the SSS or 12 times the monthly pension, whichever is higher. 4. Funeral Benefit A funeral grant equivalent to Twelve thousand pesos (P12,000.00) shall be paid, in cash or in kind, to help defray the cost of funeral expenses upon the death of a member, including permanently totally disabled member or retiree. 5. Sickness benefit. (a) A member who has paid at least 3 monthly contributions in the 12month period immediately preceding the semester of sickness or injury & is confined therefor for more than 3 days in a hospital or elsewhere with the approval of the SSS, shall, for each day of compensable confinement or fraction thereof, be paid by his ER, or the SSS, if such person is unemployed or selfemployed, a daily sickness benefit equivalent to 90% of his average daily salary credit.
Agrarian Law & Social Legislation
monthly contributions to be entitled to the Programs benefits: (a) Retirees & pensioners of the SSS & GSIS prior to the effectivity of this Act; & (b) Lifetime members.
least 240 monthly membership
contributions with the Fund. For Pag-IBIG Overseas Program (POP) members, membership with the Fund shall be at the end of (5), (10), (15), or (20) yrs depending on the option of the member upon membership registration. 2. Retirement. The member shall be compulsorily retired upon reaching age 65. He may however, opt to retire upon the occurrence of any of the following: a. Actual retirement from the SSS, the GSIS or a separate ER provident/retirement plan, Provided the member has at least reached age 45. b. Upon reaching age 60. 3. Permanent & Total Disability or Insanity. The following disabilities shall be deemed total & permanent: a. Temporary total disability lasting continuously for more than 120 days; b. Complete loss of sight of both eyes; c. Loss of two limbs at or over the ankle or wrist; d. Permanent complete paralysis of two limbs; e. Brain injury resulting in incurable imbecility or insanity; & f. Such other cases which are adjudged to be total & permanent disability by a duly licensed physician & approved by the Board of Trustees. 4. Separation from the service due to health reason 5. Permanent departure from the country 6. Death. In case of death, the Fund benefits shall be divided among the member's legal heirs in accordance with the New Civil Code as amended by the New Family Code.
Atty. Berne Guerrero
Procedures of Availment
Claims for benefits under this
Act XPT for life & retirement shall prescribe after 4 yrs from the date of contingency.
Administration
The GSIS shall formulate,
adopt, amend &/or rescind such rules & regulations as may be necessary to carry out the provisions & purposes of this Act, as well as the effective exercise of the powers & functions, & the discharge of duties & responsibilities of the GSIS, its officers & EEs.
Bianca Alana Hizon Limjuco
6. Maternity Leave Benefit A
female member who has paid at least 3 monthly contributions in the twelvemonth period immediately preceding the semester of her childbirth or miscarriage shall be paid a daily maternity benefit equivalent to 100% of her average daily salary credit for 60 days or 78 days in case of caesarean delivery. Compulsory coverage of the ER shall take effect on the first day of his operation & that of the EE on the first day of his employment: Provided, That the compulsory coverage of the selfemployed person shall take effect upon his registration with the SSS.
The SSS shall submit annually
not later than April 30, a public report to the President of the Philippines & to the Congress of the Philippines covering its activities in the administration & enforcement of this Act during the preceding year including information & recommendations on broad policies for the development & perfection of the program of the SSS.
Agrarian Law & Social Legislation
SEC. 25. Reimbursement &
Period to File Claims. All claims for reimbursement or payment for services rendered shall be filed within a period of sixty (60) calendar days from the date of discharge of the patient from the health care provider. The period to file the claim may be extended for such reasonable causes determined by the Corporation.
The Corporation shall have the
following powers & functions: a) to administer the National Health Insurance Program; b) to formulate & promulgate policies for the sound administration of the Program; c) to set standards, rules, & regulations necessary to ensure quality of care, appropriate utilization of services, fund viability, member satisfaction, & overall accomplishment of Program objectives; d) to formulate & implement guidelines on contributions & benefits; portability of benefits, cost containment & quality assurance; & health care provider arrangements, payment, methods, & referral
The Fund shall be private in
character, owned wholly by the members, administered in trust & applied exclusively for their benefit. All the personal & ER contributions shall be fully credited to each member, accounted for individually & transferable in case of change of employment. They shall earn dividends as may be Provided for in the implementing rules. The said amounts shall constitute the provident fund of each member, to be paid to him, his estate or beneficiaries upon termination of membership, or from which peripheral benefits for the member may be drawn. Section 13. Rule-Making Power. The Board of Trustees is hereby authorized to make & change needful rules & regulations, which shall be published in accordance with law or at least once in a newspaper of general circulation in the Philippines, to provide for, but not limited to the following matters: (a) The effective administration, custody, development, utilization & disposition of the Fund or parts thereof, including payment of amounts credited to members or to their beneficiaries or estates; (b) Extension of Fund coverage to other working