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  • Philippine Health Insurance Premium Remittance

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    silverwind
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    This document is an Employees Premium Remittance List from the Philippine Health Insurance Corporation (PhilHealth) for Good Shepherd Academy Incorporated. It lists 11 employees with their PhilHealth numbers, applicable months, premium brackets, employee share (ES) and employer share (PS) of premium contributions for the month of September 2015. The total employee share is 1,087.50 and total employer share is 1,087.50, for a grand total of 2,175.00 in premiums reported and remitted for the month.

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    spa_details September 2015.pdf

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    This document is an Employees Premium Remittance List from the Philippine Health Insurance Corporation (PhilHealth) for Good Shepherd Academy Incorporated. It lists 11 employees with their PhilHealth numbers, applicable months, premium brackets, employee share (ES) and employer share (PS) of premium contributions for the month of September 2015. The total employee share is 1,087.50 and total employer share is 1,087.50, for a grand total of 2,175.00 in premiums reported and remitted for the month.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    29 views1 page

    Philippine Health Insurance Premium Remittance

    Uploaded by

    silverwind
    This document is an Employees Premium Remittance List from the Philippine Health Insurance Corporation (PhilHealth) for Good Shepherd Academy Incorporated. It lists 11 employees with their PhilHealth numbers, applicable months, premium brackets, employee share (ES) and employer share (PS) of premium contributions for the month of September 2015. The total employee share is 1,087.50 and total employer share is 1,087.50, for a grand total of 2,175.00 in premiums reported and remitted for the month.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Republic of the Philippines

    PHILIPPINE HEALTH INSURANCE CORPORATION


    www.philhealth.gov.ph

    Date/Time Generated :
    SPA No :
    Report Type :

    EMPLOYEES PREMIUM REMITTANCE LIST

    10/05/2015 09:40:14
    SPA100004003302
    Regular

    PhilHealth Number : 019000020523


    Employer Name : GOOD SHEPHERD ACADEMY INCORPORATED
    Employer Address :
    Employer TIN :
    000228707
    Employer Type :
    Private
    No.

    PhilHealth No.

    Applicable Period

    Bracket

    PS

    ES

    110501511684

    ALONZO

    Surname

    GLORYBELLE

    Given Name

    CARDENAL

    Middle Name

    09-2015

    112.50

    112.50

    Status | Remarks

    110502968653

    AMEDO

    JOMOND

    ROQUERO

    09-2015

    100.00

    100.00

    110501373400

    BUNGAY

    JOYCELYN

    BUENAVENTURA

    09-2015

    175.00

    175.00

    110506282888

    CABALATUNGAN

    SANDRA NORMAE

    ALCACHUPAS

    09-2015

    100.00

    100.00

    110501676160

    LAGO

    JEANNIE

    GUILLEM

    09-2015

    100.00

    100.00

    110504982041

    MORGA

    ARLE MYNE

    NAPAO

    09-2015

    100.00

    100.00

    110507087949

    PALACIOS

    JUDEN MARK

    BAAY

    09-2015

    100.00

    100.00

    110503972891

    QUANICO JR

    NAPOLEON

    BARRACA

    09-2015

    0.00

    0.00

    S 31-AUG-15

    110506649854

    SALAZAR

    ANN GELENE

    ESCANILLAS

    09-2015

    100.00

    100.00

    10

    110505254252

    TILLADO

    JASRAEL

    BUAYA

    09-2015

    100.00

    100.00

    11

    110506639964

    TOMUGDAN

    ARIAN KAY

    ZAMORA

    09-2015

    100.00

    100.00

    Subtotal
    GRAND TOTAL

    Prepared by :

    Certified True and Correct by :

    Signature over Printed Name and Designation

    Signature over Printed Name and Designation

    1,087.50

    1,087.50

    2,175.00

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