The document is an employees premium remittance list from the Philippine Health Insurance Corporation for employer OWENG ELECTRICALSUPPLY. It lists one employee, MICHELLE MAIGUE DEL BARRIO, with a PhilHealth number of 100502579554, and premium amounts of 137.50 each for PS (Personal Share) and ES (Employer Share), for a total of 275.00. The list was generated on May 10, 2018 and is applicable for the period of May 2018.
The document is an employees premium remittance list from the Philippine Health Insurance Corporation for employer OWENG ELECTRICALSUPPLY. It lists one employee, MICHELLE MAIGUE DEL BARRIO, with a PhilHealth number of 100502579554, and premium amounts of 137.50 each for PS (Personal Share) and ES (Employer Share), for a total of 275.00. The list was generated on May 10, 2018 and is applicable for the period of May 2018.
The document is an employees premium remittance list from the Philippine Health Insurance Corporation for employer OWENG ELECTRICALSUPPLY. It lists one employee, MICHELLE MAIGUE DEL BARRIO, with a PhilHealth number of 100502579554, and premium amounts of 137.50 each for PS (Personal Share) and ES (Employer Share), for a total of 275.00. The list was generated on May 10, 2018 and is applicable for the period of May 2018.
SPA No : SPA100013593967 Applicable Period : 05-2018 Report Type : Regular EMPLOYEES PREMIUM REMITTANCE LIST PhilHealth Number : 010050001487 Employer Name : OWENG ELECTRICALSUPPLY Employer Address : CORNER SAN VICENTE ST BARANGAY II (POB.) VINZONS CAMARINES NORTE Employer TIN : 904971612 Employer Type : Private No. PhilHealth No. Surname Given Name Middle Name PS ES Status | Remarks 1 100502579554 DEL BARRIO MICHELLE MAIGUE 137.50 137.50 A
Subtotal 137.50 137.50
GRAND TOTAL 275.00
Prepared by : Certified True and Correct by :
Signature over Printed Name and Designation Signature over Printed Name and Designation