tii) eh ctatoM me eerie Program Employees’ (cy, Compensation CommissionWhat is Employees’ Compensation? It is the compensation and related benefits that can be claimed from the Employees’ Compensation Commission's (ECC) administering agencies - the Government Service Insurance System (GSIS) for the public sector workers or the Social Security System (SSS) for the pri- vate sector employees, for injury, disease or death due to work-related contingencies. Are you covered under the ECP? Covered Not Covered ‘* All employees in the public sector,]* Any engagement or contract for including uniformed personnel of the| performance of work or service Armed Forces of the Philippines] which has no employer- (AFP) and the Philippine National! employee relationship. Police (PNP) the Bureau of Fire Pro- tection (BFP) and the Bureau of Jail] Voluntary members of the SSS Management and Penology (BJMP), Bureau of Corrections (BuCor), Phi ippine Coast Guard (PCG), and elec- tive officials who are receiving regu- lar salaries. * All employees in the private sector who are registered as compulsory members of the Social Security Sys- tem (SSS) When does the effectivity of Coverage commence? An employee's coverage shall take effect on the first day of employment. What can you claim? 1. Loss of Income Benefit + Temporary Total Disability/ Sickness Benefit. For a disability that pre-vents an employee from performing his work for a continuous period not exceeding 120 days. >) 90% of the employee's average daily salary credit as deter- mined by the Systems, which shall not be more than P480 per day, + Permanent Total Disability (PTD). A monthly income benefit, granted for disabilities, such as, but not limited to, complete loss of sight of both eyes, loss or function loss of both limbs, brain injury resulting to imbecil- ity or insanity. =) The amount of monthly income benefit for PTD shall be de- termined by the Systems based on the average monthly sal- ary credit or average monthly compensation (AMSC/AMC). + Permanent Partial Disability (PPD). A monthly income benefit is granted for disabilities that result in physical loss (amputation) or func- tional loss of a body part. >) A lump sum or monthly pension for PPD shall be granted, the amount of which shall be determined by the Systems based on the AMSC/AMC. [) The number of monthly pensions is based on the corre- ‘sponding body part loss or functional loss, as provided under Art. 199 of P.D. No. 626, as amended and EC schedule of Compensation. 2. Carer’s Allowance + A supplemental pension of P1,000 per month for pensioners in the private and public sector who ‘suffer from work-connected Permanent Partial and Permanent Total Disabilities.3. Medical Benefits + Include reimbursement of the cost of medicines for the illness or injury, payment to providers of medical care, hospital care, surgical expenses, and the costs of rehabilitation appliances and supplies. The medical services are limited to ward services of hospitals duly accredited by the Department of Health (DOH). 4.’Death and Funeral Benefit + A monthly pension granted to beneficiaries of an employee who dies as a result of sickness or injury arising out of or in the course of employment. + Funeral benefit of P 30,000.00 5. Rehabilitation Services + Rehabilitation services include physical restoration services, skills training for re-employment or new employment and entrepreneur- ship training by partner hospitals & training centers to enable the persons with work related disability to become more productive. When can you file your claim? Claims for compensation must be filed with the Systems (GSIS/SSS), within three (3) years from the time the cause of the action accrued. However, when a claim for SSS or GSIS disability or death benefits for the same contingency has already been filed with the Systems, the claim for the same benefits under the EC law shall be con- sidered as filed. ' The reckoning date of the 3-year prescriptive period would start on: for TTD (for multiple confinements due to the same illness), from last confine-ment or from the last time the employee was unable to report for work due to sickness, whichever is applicable; for PTD, from the time the employee lost his earning capacity (terminated or separated due to an illness); for injury, from the time of the accident; for death, from the time of death. Where can you file your claim? All EC claims may be filed by the claim- ant or his beneficiary at the System (SSS for private sector employees, and the GSIS for the public sector employees) nearest to the place of work or residence. How can you Avail of EC benefits? Step 1. In case of injury, sickness, or death, the employee or his depend- ents or anybody on his behalf, shall notify his/her employer within five (5) days from the occurrence of the contingency. Step 2. After notifying his employer, the employee, his dependents, or his employer on his behalf, must file an EC claim with the System within three (3) years. Step 3. The System shall evaluate the claim upon submission of the com- plete requirements, and the decision denying or awarding com- pensation will be made promptly. a. If approved by the System, compensation is awarded to the employee. b. In case the claim is denied, a Motion for Reconsideration (MR) may be filed with the System, attaching additional proofs to support claim. c. If the MR is likewise denied, an appeal may be filed with the Employees’ Compensation Commission. Where can you File an Appeal when your case was denied by the ECC? Appeal may be taken to the Court of Appeals within 15 days from re- .Ceipt of the decision of the Commission. If still denied, an appeal may be brought to the Supreme Court.