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How many days in a year can a member be granted sickness

SSS Benefits/Health Benefits benefit?


A member can be granted sickness benefit for a
Sickness Benefit
maximum of 120 days in one (1) calendar year. Any unused portion
FOR SELF-EMPLOYED, VOLUNTARY, OVERSEAS FILIPINO cannot be carried forward/added to the total number of allowable
WORKER (OFW), NON-WORKING SPOUSE (NWS), AND compensable days for the following year.
MEMBER SEPARATED FROM EMPLOYMENT
• A daily cash allowance paid for the number of days a The sickness benefit shall not be paid for more than 240
days on account of the same illness. If the sickness or injury
member is unable to work due to sickness or injury.
persists after 240 days, the claim will be considered a disability
claim.
Qualifying Conditions
A member is qualified to avail of this benefit if he/she: What is the prescriptive period in the filing of sickness benefit
claim?
1. Is unable to work due to sickness or injury and is
confined either in a hospital or at home for at least four FILING OF SICKNESS BENEFIT APPLICATION (SBA) FORM
(4) days; • HOME CONFINEMENT - SBA Form must be submitted
2. Has paid at least three (3) months of contributions within to SSS within five (5) calendar days after the start date
the 12-month period immediately preceding the of confinement.
semester of sickness or injury • HOSPITAL CONFINEMENT - SBA Form must be
3. Has duly notified the SSS directly of the fact of sickness submitted to SSS within one (1) year from the date of
or injury. hospital discharge.

Amount of Benefit NOTE: Starting August 18, 2015, OFW-members are given a 30-
The amount of the member’s daily sickness benefit allowance is day grace period beyond the existing five-day prescriptive period
equivalent to ninety percent (90%) of his/her average daily salary in the filing of sickness benefit application. This is to address the
credit (ADSC). concern that due to the distance between their place of
1. Exclude the semester of contingency. work/residence and the nearest SSS foreign branch, their claim for
- A semester refers to two (2) consecutive quarters sickness benefit are often penalized for late filing. The additional
ending in the quarter of sickness. 30-day grace period shall be applied only to cases that do not
- A quarter refers to three (3) consecutive months require hospital confinement.
ending in March, June, September, or December
2. Count twelve (12) months backwards starting from the What are the implications of late filing?
month immediately before the semester of contingency. Failure to observe the rule on notification shall be a
3. Select the six (6) highest monthly salary credits within ground for the reduction or denial of the sickness claim application.
the 12-month period to arrive at the total monthly salary If the member notifies the SSS beyond the prescribed five-day
credit. period, the confinement shall be deemed to have started not earlier
- Monthly salary credit (MSC) refers to the than the fifth (5th) day immediately preceding the date of
compensation base for contributions and benefits notification.
related to the total earnings for the month. EXAMPLE: The member gets sick and was confined at home from
4. Divide the total monthly salary credit by 180 days to get March 1 to 31, 2019 for a total of 31 days. The notification was
the average daily salary credit (ADSC). done on March 8, 2019 (two days late).
5. Multiply the ADSC by ninety percent (90%) to get the - Notification should have been made between March
daily sickness allowance. 2 to 6, 2019 or within five (5) calendar days after the
6. Multiply the daily sickness allowance by the approved start date of confinement.
number of days to arrive at the amount of benefit due. - Hence, the compensable period will be from March 3
to 31, 2019 only for a total of 29 days

What if the last day of filing falls on a weekend or a holiday?


Whenever the last day to notify the SSS of a member’s
sickness or injury falls on a Saturday, Sunday, or holiday, the
sickness benefit application may be filed on the immediately
succeeding working day without the penalty of delay.
Holiday refers to the legal, regular, or special non-working
day declared by the government, both national and local.
The same rule shall also be applied for hospital
confinement, if the deadline of the one-year prescriptive period falls
on a Saturday, Sunday, or a holiday.

What is the disbursement procedure of sickness benefit


FREQUENTLY ASKED QUESTIONS: payment?

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[SUB] 1.01 TITLE OF LECTURE – Dr. Professor
The sickness benefit claims shall be mandatorily signature and at least one
disbursed through the qualified payee’s Unified Multi-purpose with photo.
Identification (UMID) card enrolled as Automated Teller Machine
(ATM) card. In the absence of this, payment shall be made thru NOTE:
participating banks under the Development Bank of the Philippines For sickness/injury that happened abroad, the documents
(DBP) Disbursement Facility via the Philippine Electronic Fund issued by foreign country should be with English translation and
Transfer System and Operations Network (PESONet), electronic duly authenticated by the Philippine Embassy/Consulate Office or
wallets (E-Wallets), or accredited remittance transfer companies duly notarized by notary public in host country.
(RTCs)/cash payout outlets (CPOs). The SSS Medical Specialist may require the submission
Hence, self-employed, and voluntary members, including of additional medical records/documents necessary for the
OFWs and those separated from employment, shall be required to evaluation of the claim.
enroll the following details in the Disbursement Account Enrollment
Module and upload proof of account in the My.SSS Facility in the What are the additional documentary requirements?
SSS website:
• If through PESONet participating banks: Bank name For Self-Employed/Voluntary Member (previously employed)
and account number • If confinement period applied for is within the period of
• If through E-wallet: Mobile number linked to bank account employment or prior to date of separation:
number Certificate of separation from employment with
• If through RTC/CPO: Mobile number effective date of separation and no advance payment was
granted (signed by the employer’s authorized signatory as
Members shall be notified by SSS thru email or SMS upon reflected in the Specimen Signature Card or SS Form L-
crediting of their sickness benefit claims to their PESONet bank/E- 501)
wallet accounts, or if payment is already available through
RTCs/CPOs. For Member Separated from Employment
Crediting of benefit payments shall be made within five (5) • If confinement period applied for is within the period of
banking days from date of settlement. employment or prior to date of separation:
Certificate of separation from employment with
What are the documentary requirements? effective date of separation and no advance payment was
1. Sickness Benefit Application (SBA) Form granted (signed by the employer’s authorized signatory as
2. SS ID/UMID card or any valid primary ID reflected in SS Form L-501)
cards/documents, as follows: • If confinement period applied for is after the date of
a. Driver’s License separation:
b. Passport Certificate of separation from employment with
c. Voter’s ID Card effective date of separation (signed by the employer’s
d. National Bureau of Investigation (NBI) authorized signatory as reflected in SS Form L-501
Clearance
e. Postal Identity Card NOTE: Certificate of separation is not required for self-employed
f. Any other government-issued (secondary) ID and voluntary members (previously employed) or those separated
cards/documents from employment under any of the following conditions in which
3. Supporting medical documents for prolonged other supporting document/s shall be required to be submitted as
confinement/sickness, if any: follows:
a. Laboratory, X-ray, ECG, and other diagnostic • If company is on strike:
results o Notice of strike duly acknowledged by the
b. Operating room/clinical record that will support Department of Labor and Employment (DOLE);
diagnosis and
o Duly notarized Affidavit of Undertaking issued by
FILER DOCUMENTS TO BE the member stating that no advanced payment
PRESENTED was granted
Member Original of any one (1) of the • If company has been dissolved or has ceased operation:
member’s primary ID o Duly notarized Affidavit of Undertaking issued by
cards/documents or two (2) the member stating that no advanced payment
secondary ID was granted and with indicated effective date of
cards/documents, both with separation
signature and at least one • If there is a case pending before a court regarding
with photo. separation of member:
Member's authorized Original of any one (1) of the o Certification from DOLE; and
representative member’s primary ID o Duly notarized Affidavit of Undertaking issued by
cards/documents or two (2) the member stating that no advanced payment
secondary ID was granted and with indicated effective date of
cards/documents, both with separation
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[SUB] 1.01 TITLE OF LECTURE – Dr. Professor
• If separated from employment due to absence without • To qualify for a monthly disability pension, he/she must
leave (AWOL) or with strained relations with the have paid at least 36 monthly contributions prior to the
employer: semester of disability.
o Duly notarized Affidavit of Undertaking issued by • If with less than 36 monthly contributions, he/she is
the member stating that no advanced payment granted a lump sum amount.
was granted and with indicated effective date of
separation Amount of Benefit
• If qualified, the member is granted a monthly pension,
Where can the member file the sickness claim?
plus a P500 monthly supplemental allowance
The sickness benefit application may be filed by self-
• The minimum monthly Disability Pension is P1,000 if the
employed and voluntary members, and those separated from
member has less than ten (10) credited years of service
employment at any SSS branch that is most convenient to them
(CYS); P1,200 if with at least ten (10) CYS; and P2,400 if
with at least twenty (20) CYS.
Maternity Benefit
• Plus P1,000 additional benefit, effective January 2017
A daily cash allowance granted to a female member who • Other supporting documents may be requested
is unable to work due to childbirth or miscarriage/emergency depending on your claim.
termination of pregnancy
Retirement Benefit
Qualifying Conditions
The retirement benefit is a cash benefit paid either in
• The member has paid at least three (3) months of monthly pension or as lump sum to a member who can no longer
contributions within the 12-month period immediately work due to old age.
before the semester of her childbirth or Types of retirement benefits
miscarriage/emergency termination of pregnancy • Monthly pension – a lifetime cash benefit paid to a
• If employed, she must have given notification of her retiree on aregular basis.
pregnancy through her employer • Lump sum amount – one-time payment granted to a
• She must directly notify the SSS if she is separated from retiree. The amount is equal to the total contributions paid
employment, a self-employed or voluntary member by the member and/or by his/her ERs, including interest
including OFW member. earned
Qualifying Conditions
Amount of Benefit Member must have paid at least 120 monthly contributions prior to
The amount of the member's daily Maternity Benefit allowance is the semester of retirement and is any of the following, whichever is
equivalent to the Average Daily Salary Credit (ADSC) applicable:
• at least 60 years old and separated from employment or
ADSC = Ave. MSC / 180 has ceased to be an SE/OFW/Household Helper (optional
x 60 days for miscarriage/emergency termination of pregnancy retirement);
x 105 days for live childbirth (normal or caesarean section • at least 65 years old whether still employed/SE, working
delivery) as OFW/Household Helper or not (technical retirement);
x 120 days for solo parent under R.A. 8972 (Solo Parents' • at least 55 years old and separated from employment or
Welfare Act of 2000) has ceased to be an SE, if an “underground mineworker”
105 days + 15 days (optional retirement);
• at least 60 years old whether still employed/SE or not, if
The Maternity Benefit is granted to a qualified female worker in
an “underground mineworker” (technical retirement); or
every instance of pregnancy, miscarriage or emergency
• a total disability pensioner who has recovered from
termination of pregnancy regardless of frequency.
disability and is at least 60 years old (or at least 55 years
old, if an underground mineworker).
Other supporting documents may be requested depending on your
A former retiree-pensioner whose monthly
claim.
pension was suspended due to reemployment/self-
• Expanded Maternity Leave Law or R.A. No. 11210
employment and is now separated from employment or
has ceased to be an SE.
Disability Benefit
A member who is 60 years old and above, but
A cash benefit granted either as a monthly pension or a not yet 65, with 120 contributions or more may continue
lump sum amount to a member who becomes permanently paying as VM up to 65 years old to avail of the higher
disabled, either partially or totally amount of benefit.

Qualifying Conditions Terms and conditions for retirement of Underground


• The member has paid at least 1 month of contribution Mineworkers
before the semester of disability

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[SUB] 1.01 TITLE OF LECTURE – Dr. Professor
An Underground Mineworker is any person employed to (CYS); P1,200 if with at least with ten (10 CYS); and
extract mineral deposits underground or whose workplace is P2,400 if with at least twenty (20) CYS.
beneath the ground performing and coordinating activities for the • Plus P1,000 additional benefit, effective January 2017.
purpose of searching for and extracting mineral deposits, which • Other supporting documents may be requested
includes the muckers,miners, bull-gang workers, etc. and any other depending on your claim
person working underground regardless of positions such as
geologist, security guards, mechanics or sampler. Funeral Benefit
A cash benefit given to whoever paid for the burial
Lump sum amount expenses of the deceased member.
Member is at least 60 years old (or 55 years old, if an
underground mineworker) for optional retirement, or 65 years old
Qualifying Conditions
(or 60 years old, if an underground mineworker) for technical
retirement, and has paid less than 120 monthly contributions. A • The employee-member was reported for coverage by
member filing for retirement benefit and has paid less than 120 his/her employer.
monthly contributions shall be given the option to continue paying • A self-employed member/OFW/non-working spouse who
the contributions as a VM to complete the 120 months to avail the had at least one (1) contribution payment.
full benefits thru monthly pension. • A voluntary member who was previously covered either
as an employed/self-employed/OFW and had at least one
Death Benefit (1) contribution payment.
• The employee-member was subject to compulsory
A cash benefit granted - either as a monthly pension or a
coverage but was not reported for coverage by his/her
lump sum amount to the beneficiaries of a deceased member.
employer.
Amount of Benefit
Qualifying Conditions
• The Funeral Benefit is a variable amount ranging from a
• A monthly death pension is granted to the primary
minimum of P20,000.00 to maximum of P40,000.00,
beneficiary/ies of the deceased member who had paid at
depending on the member’s number of paid contributions
least 36 monthly contributions prior to the semester of
and average monthly salary credit.
death
o Primary beneficiary/ies:
Unemployment Benefit
▪ the dependent spouse until he/she
remarries, and • Also called Unemployment Insurance or Involuntary
▪ dependent legitimate, legitimated or Separation Benefit
legally adopted and illegitimate children • It is a cash benefit granted to covered employees,
who are below 21 years old, not including kasambahays and OFWs (sea-based and land-
gainfully employed, not married. based) who are involuntarily separated from employment
• Meanwhile, a lump sum amount is granted to: (e.g. due to retrenchment or downsizing, closure or
o the beneficiary/ies of the deceased member who cessation of operation, installation of labor-saving
has paid less than 36 monthly contributions prior devices, redundancy, etc.)
to the semester of death. Qualifying Conditions
o If there are no primary beneficiaries, the • Member should not be over 60 years old at the time of
member’s secondary beneficiaries (dependent involuntary separation; not over 50 if an underground or
parents) shall be given a lump sum amount. surface mineworker; and not over 55, if a racehorse
o A lump sum amount is also granted to: jockey.
▪ designated beneficiary/ies and legal • Member has paid at least 36 monthly contributions, 12
heirs in the absence of primary and months of which should be in the 18-month period
secondary beneficiaries immediately preceding the month of involuntary
Amount of Benefit separation.
• If qualified, the member’s primary beneficiary is granted a Note:
monthly death pension, plus a 13th Month Pension every An employee shall not be qualified to receive the benefit if he/she
December. has been involuntarily separated from employment due to the
• If the member has dependent minor children, they are following:
given a Dependent’s Pension equivalent to ten percent • Serious misconduct;
(10%) of the member’s monthly pension, or P250.00 • Willful disobedience to lawful orders;
whichever is higher. • Gross and habitual neglect of duties;
o Only five (5) minor children, beginning from the • Fraud or willful breach of trust/loss of confidence;
youngest, are entitled to Dependent’s Pension. • Commission of a crime or offense; or
o No substitution is allowed. • Analogous cases like abandonment, gross inefficiency,
• The minimum monthly Death Pension is P1,000 if the disloyalty/ conflict of interest/ dishonesty.
member had less than ten (10) Credited Years of Service

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[SUB] 1.01 TITLE OF LECTURE – Dr. Professor
Amount of Benefit What will happen if the employer fails to record the sickness,
• If qualified, the employee is granted an amount that is injury or death of any of the employees in the logbook?
equivalent to twice the half of the member’s average Failure of the employer to keep a logbook or to give false
monthly salary credit (AMSC). information or withold material information already in possesion
• The benefit is granted thru a one-time payment, and the shall make the employer liable for fifty per cent (50%) of the lump
claim must be filed within a year from the date of sum equivalent of the income benefit to which the employee may
involuntary separation. be found to be entitled, the payment of which shall accrue to the
State Insurance Fund.
Employees' Compensation (EC) Program In case of payment of benefit for any claim which is later
determined to be fraudulent and the employer is found to be a party
The Employees' Compensation (EC) program aims to assist
to the fraud, such employer shall reimburse the System the full
workers who suffer work-connected sickness or injury resulting in
amount of the compensation paid.
disability or death. The benefits under the EC program may be
enjoyed simultaneously with benefits under the social security
Who are the legal dependents of a member?
program effective June 1984.
The primary beneficiaries of a member are the:
1. legitimate spouse living with the employee at the time of
Under what conditions can an injury, sickness or death be
his/her death until he remarries; and the
compensable under EC?
2. legitimate, legitimated, legally adpoted or acknowledged
A sickness, injury, disability or death resulting from an employment
natural children, who are unmarried, not gainfully
accident is compensable if:
employed, not over 21 years of age, or over 21 years of
• The employee is injured at the workplace;
age, provided that they are incapacitated and incapable
• The employee is performing official functions; and
of self-support due to physical or mental defect which is
• If the injury is sustained elsewhere, the employee is
congenital or acquired during minority; provided further,
executing an order for the employer.
that a dependent acknowledged natural child shall be
considered as a primary beneficiary only when there are
Under what conditions can an injury, sickness or death be
no other dependent children who are qualified and eligible
deemed incompensable under EC?
for monthly income benefit; provided finally, that if there
No compensation will be allowed to an employee or the
are two or more acknowledged natural children, they shall
dependents if the injury, sickness, disability or death is due to:
be counted from the youngest and without substitution,
• drunkenness; but not exceeding five (ECC Resolution No. 2799, July 25,
• willful intention to injure or kill himself or another; or 1984)
• notorious negligence. The secondary beneficiaries are the:
1. legitimate parents wholly dependent upon the employee
What should an employee do to file for an EC claim? for regular support:
The employer should be notified of the member's 2. the legitimate descendants and illegitimate children who
sickness, injury or death within five days from the occurrence of the are unmarried , not gainfully employed, and not over 21
contingency. Notice is not necessary if the contingency occured years of age, or over 21 years of age provided they are
during working hours, at the place of work and with the knowledge incapacitated and incapable of self-support due to
of the employer or representative. physical or mental defect which is congenital or acquires
during minority.
On the other hand, what should the employer do upon the
employee's submission of his notice? What will happen to the monthly death pension if the member
Pursuant to Section 2 Rule XVI - Employer's Records and has no primary and secondary beneficiaries?
Notices of PD 626 or the Employee?s Compensation Law, all If the deceased member has no primary and secondary
employers are required to keep a logbook to record chronologically beneficiaries at the time of death, the benefit will accrue to the EC
the sickness, injury or death of their employees setting forth therein fund.
their names, dates and places of contingency and absences.
Entries in the logbook shall be made within five (5) days from notice Links/References (if you want to read and explore further):
of knowledge of the occurrence of the contingency. Within five (5) https://www.sss.gov.ph/sss/appmanager/pages.jsp?page=ecprog
days after entry in the logbook, the employer shall report to the ram02
SSS those contingencies it deems to be work-connected.
https://www.sss.gov.ph/sss/appmanager/pages.jsp?page=ssbene
All entries in the employer's logbook shall be made by the fits
employer or any of the authorized official after verification of the
contingencies or the employee's absence for a period of a day or
more. Upon request by the System, the employer shall furnish the
necessary certificate regarding information about any contingency
appearing in the logbook, citing the entry number, page number
and date. Such logbook shall be made available for inspection to
the duly authorized representative of the System.

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[SUB] 1.01 TITLE OF LECTURE – Dr. Professor

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Types of Benefit
3. P1,200, if with at least 10 CYS; P2,400, if
There are two types of retirement benefit: with at least 20 CYS.

 Monthly pension - a lifetime cash benefit A retiree has the option to receive the first 18
paid to a retiree who has paid at least 120 months pension in lump sum, discounted at
monthly contributions to the SSS prior to the a preferential rate of interest to be
semester of retirement. determined by the SSS. This option can be
 Lump sum amount - granted to a retiree who exercised only upon filing of the first
has not paid the required 120 monthly retirement claim, and only advance
contributions. It is equal to the total payments shall be discounted on the date of
contributions paid by the member and by the payment. The Dependent’s Pension and 13th
employer including interest. Month Pension are excluded from the
advanced 18 months pension.
MONTHLY PENSION
The retiree will receive the regular monthly
A lifetime cash benefit paid to a retiree who has pension on the 19th month and every month
made at least 120 monthly contributions prior to thereafter.
the semester of retirement. The monthly pension
is paid for not less than 60 months. If a member who filed for optional retirement
at age 60, becomes re-employed, and then re-
Benefit Computation applies for technical retirement at age 65, his
monthly pension will be the higher of the
The monthly pension depends on the member’s following:
paid contributions, his or her credited years of
service (CYS), and the number of dependent 1. the monthly pension computed at the
children, which should not exceed five. The earliest time the member could have
amount of monthly pension will be the highest retired had he been separated from
result of the following formulae: employment or ceased to be self-
employed, plus all adjustments thereto; or
1. the sum of P300 plus 20 percent (20%) of the
average monthly salary credit plus two 2. the monthly pension computed at the
percent (2%) of the average monthly salary time when the member actually retires. A
credit for each CYS in excess of 10 years; or pensioner who retires more than once
2. 40 percent (40%) of the average monthly shall be entitled to the higher of:
salary credit; or
o the monthly pension computed for Who are "Dependents"?
the first retirement claim; or Those considered "Dependents" are as follows:
o the re-computed monthly pension for
the new claim. 1. Legitimate, legitimated, legally adopted
and illegitimate child who is:
Other Benefits
 unmarried;
The retiree is entitled to a 13th Month Pension  not gainfully employed; and
payable every December.  has not reached 21 years of age, or if
over 21 years old, he/she is
Moreover, retiree pensioners prior to the congenitally incapacitated or while
effectivity of RA 7875 on March 4, 1995 are still a minor was permanently
automatically considered members of incapacitated and incapable of self-
PhilHealth, and they and their legal dependents support, physically or mentally.
are entitled to its hospitalization benefits. On the 2. A child who has entered into a common-
other hand, retirees effective March 4, 1995 up to law relationship and has not attained the
the present will be entitled to hospitalization age of eighteen.
benefits under PhilHealth only if they have
contributed 120 monthly Medicare contributions. However, upon reaching the age of 18, the
The counting of 120 monthly contributions shall child shall stop receiving dependent’s
start in 1972, when the Medical Care Act of 1969 pension.
started implementation.
In cases where there are five (5) or more
A copy of DDR print-out indicating the type of dependent legitimate, legitimated, legally
claim is retirement in nature and the effectivity adopted and illegitimate children, the
date of pension or in its absence, a Copy of dependent legitimate, legitimated, and legally
Retiree-Pensioner Certification issued by SSS adopted children shall be preferred. Where
shall be required. They need to register with there are less than five (5) legitimate,
PhilHealth for the issuance of a PhilHealth ID legitimated, or legally adopted children, the
card for Non-Paying members. illegitimate children shall be considered to
complete the maximum five (5) dependents.
Dependent’s Pension
Until when is Dependent's Pension paid out?
The legitimate, legitimated or legally adopted,
Payment of the Dependent's Pension shall
and illegitimate children – conceived or adopted stop when the dependent:
on or before the date of retirement of a retiree –  dies;
will each receive dependent’s pension equivalent  reaches 21 years old, unless
to 10 percent (10%) of the member’s monthly congenitally incapacitated, or while
pension, or P250, whichever is higher. still a minor was permanently
incapacitated and incapable of self-
support, physically or mentally;
Only five (5) minor children, beginning from the
 is gainfully employed;
youngest, are entitled to the dependent’s  marries;
pension. No substitution is allowed. If there are  enters into a common-law
more than five dependents, the legitimate, relationship upon attaining at least 18
legitimated or legally adopted children shall be years of age; or
preferred.  attains the age of 18 while having a
common-law relationship.
“Gainfully employed” refers to one who is
employed/self-employed where he/she renders  The monthly pension shall be
regular work and receives compensation or suspended upon the re-employment or
derives income for at least six (6) continuous resumption of self-employment of a
months in any given year, as shown in the retired member who is less than 65
member’s contributions records/Annual years of old. The member shall again be
Confirmation of Pensioner (ACOP), or based on subjected to compulsory coverage. At
findings. 65 years old, whether employed or not,
he can already claim for retirement
Suspended dependent’s pension of a gainfully benefit.
employed dependent may be resumed, upon  Upon the death of a retiree pensioner,
submission of proof that he/she was the primary beneficiaries shall be
separated from employment or ceased to be entitled to 100 percent of the monthly
self-employed and provided that he/she is pension and the dependents to the
unmarried and has not reached 21 years of age, dependent’s pension.
or if over 21 years of age, he/she is congenitally  If the retiree pensioner dies within sixty
incapacitated or while still a minor was (60) months from the start of the
permanently incapacitated and incapable of monthly pension and has no primary
self-support, physically or mentally. beneficiaries, the secondary
beneficiaries shall be entitled to a lump
Benefit Payment sum benefit equivalent to the total
monthly pensions corresponding to the
The monthly pension is paid thru the designated balance of the five-year guaranteed
bank account opened by the member under the period, excluding the dependent’s
“SSS Pensioner’s Remittance thru Bank” pension.
Program. This became mandatory effective
September 1, 1993.

A member must open a single savings account LUMP SUM AMOUNT


and submit to the SSS his savings account
To qualify for lump sum retirement benefit, a
number and a photocopy of his passbook upon member is at least 60 years old (or 55 years
filing of his application, or he may accomplish old, if an underground mineworker) for
the Visa Cash Card Enrollment Form. The optional retirement, or 65 years old (or 60
original copy of the passbook must be presented years old, if an underground mineworker)
for authentication purposes. for technical retirement, and has paid less
than 120 monthly contributions.

For ATM accounts, the name of the member


A member filing for retirement benefit and
must be embossed and the savings account has paid less than 120 monthly contributions
number must be indicated in the ATM card; shall be given the option to continue
otherwise, a copy of the deposit slip must be paying the contributions as a VM to
submitted. complete the 120 months to avail the full
benefits thru monthly pension.
Payment of Lump sum Benefit

Effective May 2016, the member may opt


to receive the lump sum benefits for SS
and EC Disability, SS Death and
Retirement directly through his/her
bank account, instead of receiving the
check through the mail. The Payment
thru-the-Bank Program shall become
mandatory upon implementation of the
Benefits Workflow System.

Upon filing of benefit application, the


member will be asked to open a single
savings account (or use an existing
one, if any) and submit to SSS a
photocopy of any of the following:

 the savings account passbook;


 the ATM card bearing the
member’s name and account
number;
 a validated initial deposit slip;
 bank statement or certification;
or
 Visa Cash Card Enrollment Form.

The original passbook/ATM card must


be presented for authentication
purposes.

For members without an existing single


savings account, the SSS shall issue a
Letter of Introduction (LOI) form to be
presented to his/her chosen SSS-
accredited bank for the purpose of
opening a single savings account.

Upon approval of the claim, the SSS will


mail a notice voucher to the member
informing him/her when to withdraw the
benefit from the bank.
 
Summary of SSS Benefits Amount of - The amount of the daily cash
Benefit allowance is equivalent to
I. Sickness 100% of the member’s ADSC
● A daily cash allowance paid for the number for a compensable period of
of days a member is unable to work due to 105 days for normal or
sickness or injury. cesarean section delivery, 120
days for solo parents under
Qualifying - The member is unable to work R.A. 8972 or the Solo Parent’s
Conditions due to sickness or injury and is Welfare Act, or 60 days for
confined either in a hospital or miscarriage or emergency
at home for at least four (4) termination of pregnancy
days. including stillbirth.
- He/she has paid at least three - The Maternity Benefit is
(3) months of contributions granted regardless of
within the 12-month period member’s civil status and
immediately before the frequency of pregnancy.
semester of sickness or injury.
- He/she has used up all III. Disability
company sick leaves with pay ● A cash benefit granted – either as a monthly
for the current year and has pension or a lump sum amount – to a
duty notified his/her employer. member who becomes permanently
- He/she must notify the SSS disabled, either partially or totally.
directly by filing a sickness
benefit application if he/she is Qualifying - The member has paid at least
separated from employment, a Conditions one (1) month contribution
self-employed or voluntary before the semester of
member, including overseas disability.
Filipino worker (OFW) - To qualify for a monthly
member. disability pension, he/she must
Amount of - The amount of the member’s have paid at least 36 monthly
Benefit daily Sickness Benefit contributions prior to the
allowance is equivalent to semester of disability.
ninety percent (90%) of his/her - If less than 35 monthly
average daily salary credit contributions, he/she is
(ADSC). granted a lump sum amount.
- The Sickness Benefit is Amount of - The minimum monthly
granted up to a maximum of Benefit Disability Pension is P1,000 if
120 days in one (1) calendar the member has less than ten
year. (10) credited years of service
(CYS); P1,200 if with at least
II. Maternity 10 CYS; and P2,400 if with at
● A daily cash allowance granted to a female least 20 CYS.
member who is unable to work due to - If qualified, the member is
childbirth or miscarriage. granted a monthly Disability
● Expanded Maternity Leave per RA No. Pension, plus P500 monthly
11210. Supplemental Allowance.
- Dependent’s Pension (for total
disability) – 10% of the
Qualifying - The member has paid at least
member’s basic monthly
Conditions three (3) monthly contributions
pension, or P250, whichever is
in the 12-month period
higher. Only five (5) dependent
immediately preceding the
minor children, beginning from
semester of childbirth,
the youngest, are entitled to
miscarriage or emergency
dependent’s pension. No
termination of pregnancy.
substitution is allowed.
- If employed, she must have
- Plus, P1,000 additional benefit
notifies her employer of her
effective January 2017.
pregnancy and the probable
- 13th month pension – payable
date of her childbirth, notice of
every December to total
which shall be transmitted to
disability pensioners; for partial
the SSS in accordance with the
disability pensioners, 13th
rules and regulations it may
month pension shall be
provide.
provided that pension is at
- She must directly notify the
least 12 months.
SSS is she is unemployed, a
self-employed or voluntary
member, non-working spouse,
including OFW-member.

1
duly licensed by the Philippine
IV. Retirement Racing Commission
● A cash benefit granted – either as a monthly (PHILRACOM).
pension or a lump sum amount – to a - Must have been working as a
member who can no longer work due to old racehorse jockey for at least
age. five (5) years (either
continuous or accumulated)
Qualifying - Member is at least 60 years prior to the semester of
Conditions old, separated from retirement, whose actual fate
employment or ceased to be of retirement is not earlier than
self-employed/OFW/household May 24, 2016.
helper (optional retirement). Amount of - If qualified, the member is
- Member is at least 65 years Benefit granted a monthly Retirement
old, whether Pension, plus a 13th Month
employed/self-employed, Pension payable every
working as OFW/household December.
helper or not (technical - If the member has dependent
retirement). minor children, they are
- Member has paid at least 120 entitled to receive a
monthly contributions prior to Dependent’s Pension
the semester of retirement. equivalent to 10% of the
- If with less than 120 monthly member’s basic monthly
contributions, the member pension, or P250, whichever is
shall be entitled to a lump sum higher. Only five (5) dependent
amount equivalent to the minor children, beginning from
contributions paid by him/her the youngest, are entitled to
on his/her behalf. However, Dependent’s Pension, No
member has the option to substitution is allowed.
continue paying contributions
to complete the 120 months to V. Death
become eligible for monthly ● A cash benefit granted – either as a monthly
pension. pension or a lump sum amount – to the
beneficiaries of a deceased member.
FOR SURFACE
UNDERGROUND MINWORKERS Qualifying - For primary beneficiaries to be
Conditions entitled to monthly pension,
- Member is at least 55 years deceased member must have
old (optional retirement) or at paid at least 36 monthly
least 60 years old (technical contributions prior to the
retirement) for Underground semester of death.
Mineworkers whose date of - If with less than 36 monthly
actual retirement is not earlier contributions prior to the
than March 13, 1998 but not semester of death, a lump
later than April 26, 2016. amount is granted to the
- Member is at least 50 years primary beneficiaries.
old (optional retirement) or at - Second/designated
least 60 years old (technical beneficiaries and legal heirs
retirement) for Surface or are entitled to lump sum
Underground Mineworkers benefit only regardless of the
whose date of actual number of contributions paid
retirement is not earlier than by the member.
April 27, 2016. Amount of - If qualified, the member’s
- Must have been working as Benefit primary beneficiary is granted
Surface/Underground a monthly Death Pension, plus
Mineworker for at least five (5) a 13th Month Pension payable
years (either continuous or every December.
accumulated) prior to the - If there are no primary
semester of retirement. beneficiaries, the member’s
secondary beneficiaries
FOR RACEHORSE JOCKEYS (dependent parents) shall be
given a lump sum amount. In
- Member is at least 55 years their absence, the lump sum
old (technical retirement) and benefit is paid to the member’s
have paid at least 120 monthly designated beneficiaries or
contributions prior to the his/her legal heirs.
semester of retirement. - If the member has dependent
- Must have been employed and minor children, they are
certified as racehorse jockey entitled to receive a
by his employer, who must be
2
Dependent’s Pension Qualifying - Member should not be over 60
equivalent to 10% of the Conditions years old at the time of
member’s monthly pension or involuntary separation; not
P250, whichever is higher. over 50 is an underground or
Only five (5) minor children surface mineworkers; and not
beginning from the youngest, over 55, if a racehorse jockey.
are entitled to Dependent’s - Member had paid at least 36
Pension. No substitution is monthly contributions, 12
allowed. months of which should be in
- The minimum monthly Deathly the 18-month period
Pension is P1,000 is the immediately preceding the
member had less than 10 month of involuntary
CYS; P1,200 if with at least 10 separation.
CYS and P2,400 if with at least
20 CYS. NOTE: An employee shall not be
- Plus, P1,000 additional benefit qualified to receive the benefit if
January 2017. he/she has been involuntarily
separated from employment due
VI. Funeral to the following:
● A cash benefit given to whoever paid for the - Serious misconduct;
funeral expenses of the deceased member. - Willful disobedience to
lawful orders;
Qualifying - The employee-member was - Gross and habitual neglect
Conditions reported for coverage by of duties;
his/her employer. - Fraud or will breach of
- A self-employed trust/loss of confidence;
member/OFW/non-working - Commission of a crime or
spouse who had at least one offense; or
(1) contribution payment. - Analogous cases like
- A voluntary member who was abandonment, gross
previously covered either as inefficiently,
employed/self-employed/OFW disloyalty/conflict of
and had at least one (1) interest/dishonesty.
contribution payment. Amount of - If qualified, the employee is
- The employee-member was Benefit granted an amount that is
subject to compulsory equivalent to twice the half of
coverage but was not reported the member’s average monthly
for coverage by his/her salary credit (AMSC).
employer. - The benefit is granted thru a
Amount of - The Funeral Benefit is a one-time payment, and the
Benefit variable amount ranging from a claim must be filed a year from
minimum of P20,000 to a the date of involuntary
maximum of P40,000, separation.
depending on the member’s
number of paid contributions VIII. Employees’ Compensation (EC) Program
and average monthly salary
credit. Qualifying FOR SICKNESS BENEFIT:
Conditions
VII. Unemployment Benefit - Sickness or injury is
● Also called unemployment insurance or work-connected.
involuntary separation benefit, it is a cash - Employee has been duly
benefit granted to covered employees, reported to SSS.
including Kasambahay and OFWs - SSS has been notified of
(sea-based and land-based) who are such sickness or injury.
involuntarily separated from employment
(e.g. due to retrenchment or downsizing, FOR DEATH BENEFIT:
closure or cessation of operation,
installation of labor-saving devices, - Member had paid at least
redundancy, etc). one (1) month contribution
prior to the semester of
death.
Amount of Temporary Total Disability (TTD)
Benefit – Minimum of P110 and maximum
of P480, effective May 19, 2018.

Permanent Partial
Disability/Permanent Total
Disability (PPD/PTD)

3
- The amount of minimum
pension is P2,000.
- Member is entitled to an
additional pension
amounting to P1,150
effective January 1, 2017.
- Supplemental or Carer’s
allowance increased to
P1,000 effective May 19,
2018.
- 13th month.
- The dependent minor
children is entitled to a
Dependent’s Pension (for
total disability) equivalent
to 10% of the monthly
pension. Only five (5)
dependent minor children
beginning from the
youngest are entitled to
dependent’s pension,
without substitution.

Death
- The amount of benefit
granted is equivalent to
monthly pension plus 15%
difference.
- The dependent minor
children is entitled to
dependent’s pension
equivalent to 10% of the
monthly to dependent’s
pension, without
substitution.
- The amount of minimum
pension is P2,000.
- Member is also entitled to
P1,150 additional benefit
effective January 2017.

Funeral
- The amount of benefit is
P30,000 effective August
2, 2017.

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