Presentation on theme: "PHILIPPINE HEALTH INSURANCE CORP."— Presentation transcript:
1 PHILIPPINE HEALTH INSURANCE CORP. IKAW at ang PHILHEALTHPHILIPPINE HEALTH INSURANCE CORP.
2 Insurance Program (NHIP) Ang National HealthInsurance Program (NHIP)RA 7875 –Feb. 14, 1995RA 9241-Feb. 10, 2004RA –June 19, 2013
3 Concept of Social Health Insurance Social Solidarity or “Bayanihan”, where:The rich subsidizes the poorThe young subsidizes the oldThe healthy subsidizes the sickly
4 Lahat ng Pilipino ay dapat Miyembro ng PhilHealth, Sino-sino ba angPhilHealth Member?Lahat ng Pilipino ay dapat Miyembro ng PhilHealth,Formal EconomyInformal EconomyIndigent(the poor)SponsoredPensioner at Retiree
5 Sino-sino ba ang PhilHealth Member? Kasama ang mga sumusunod:Government employeesPrivate employeesAll other workers rendering services, whether in government or private offices such as job order contractors, project-based contractors, and the likeOwners of micro enterprisesOwners of small, medium and large enterprisesHousehold helpersFamily DriversFormal Economy
6 REGISTRATION PROCEDURE EMPLOYED SECTOR (GOVERNMENT AND PRIVATE)COMPANY REGISTRATIONER1Attachments:SEC / DTI / CDA RegistrationsLicense to OperateMEMBER-EMPLOYEE REGISTRATIONPMRFfor employees without PhilHealth Identification Number (PIN)ER2List of newly hired employees (with and without PIN)
30 Magkano ang premium? Formal Economy Monthly Salary Range Premium Rate Personal Share (PS)Employer Share (PS)Php 8, and belowPhp 200PhpPhp 8, – 34,999.992.5%1.25%Php 35, and abovePhpPhpemployeremployee
31 OBLIGATIONS OF THE EMPLOYER (Rule III, Section 15 of RA 10606) All government and private employers are required to:Register their employees and their qualified dependents by submitting a list of their employees complete with their salary base and other documents as may be required.Report to the Corporation its newly-hired employees within 30 calendar days from assumption to office.Give notice to the Corporation of an employee’s separation within 30 calendar days from separation.Keep true and accurate work records for such period and containing such information as the Corporation may prescribe.Allow the inspection of its premises including its books and other pertinent records.
32 PAYMENT OF PREMIUM CONTRIBUTIONS (Rule III, Section 18 of RA 10606) The monthly premium contribution of employed members shall be remitted by the employer on or before the date prescribed by the Corporation.The remittance of premium contribution by the employer shall be supported by a Remittance List to be submitted regularly to the Corporation.The failure of the employer to remit the required contribution and to submit the required remittance list shall make the employer for reimbursement of payment of properly filed claim in case the concerned employee or dependent/s avails of Program benefits, without prejudice to the imposition of other penalties as provided for in this Rules.f. Failure and/or refusal of the employer to deduct or remit the complete employees’ and employer’s premium contribution shall not be a basis for denial of a properly filed claim. In such a case, the Corporation shall be entitled to reimbursement of claims paid from the erring or negligent employer, without prejudice to the latter’s prosecution and other liabilities, as may hereafter be provided by this Rules.
33 DEADLINE OF PAYMENT and Re-imposition of Interest on Employer’s Non- and/or Late Remittances of PhilHealth Premium ContributionsApplicable to all employers and following shall be observed:1Monthly premium contributions shall be remitted on or before the month following the applicable periodPENs ending in 0-4Every 11th -15th dayPENs ending in 5-9Every 16th – 20th day
34 In case the deadline for the payment of premium falls on a weekend or holiday, payment shall be made on the next working day2All premium contribution payments beyond the aforementioned shall be charged two percent (2%) monthly interest3** Reporting schedule is within 5 days after the payment deadline
36 Over-the-Counter (Banks) Asia United BankBanco de Oro (former EPCIB branches)Bank of CommerceBank One Savings & Trust Corp.Camalig Rural BankCentury Rural BankCentury Savings BankChina Bank SavingsChina Bank CorpCitystate Savings BankCountry Builders Bank, Inc.Development Bank of the PhilsEast West Rural BankEnterprise BankLand Bank of the Phils.16. Maybank of the Philippines17. Metropolitan Bank & Trust Co.18. Moneymall Rural Bank19. One Network Bank20. Penbank, Inc.21. Philippine Business Bank22. Philippine National Bank(including former Allied Bank branches)23. Postalbank, A Savings Bank24. Philippine Veterans Bank25. Planters Development Bank26. Rural Bank of Bambang27. Rural Bank of Jose Panganiban28. Rural Bank of Sta. Catalina29. RCBC Savings Bank30. Rizal Commercial Banking Corp.31. Robinsons Bank Inc.32. Saviour Rural Bank33. Union Bank of the Phils.34. United Coconut Planters BankUCPB Savings BankNote: OTC Banks have no service fee
37 Non-Banks OVERSEAS E-Pay CIS Bayad Center*Mlhuillier*SM Retail, Inc.*Philippine Postal Corporation**Local Government Unit** (PROs CAR, 2, 4A,4B, 5, 6, 8, 10 & 12)Bank of Commerce***Development of the Philippines***I-Remit***Land Bank of the Philippines***Philippine Veterans Bank***Ventaja Corporation****Convenience Fee (paid by payors)**Service Fee (paid by PhilHealth)***Overseas remittance fee (paid by OFW)E-PayE-Gov/Bancnet (AUB,CBC,CTBC,DBP,EWB,PNB,RCBC,PVB)Bank of the Philippine IslandsCitibank, N.A.Security Bank CorporationUnion Bank of the PhilippinesNote: E-Pay ACAs have no service fee
38 Electronic Premium Remittance System (EPRS)v.3.2
39 What is EPRS? Premium Remittance System application designed • EPRS is an acronym for ElectronicPremium RemittanceSystemWhat is EPRS?• A web-basedapplication designedfor PhilHealthemployers, to use in reporting premium contributions
40 How to get access to the EPRS? • Register to secure auser account and passwordHow to get access to the EPRS? Registration can be done through walk-in tonearestPRO/Branch/LHIOs andfill-out the POAF* or Electronically:and look for EPRS - ePOAF link*PhilHealth Online Access Form (POAF)
47 * Two (2) Electronic Certificate files to install in the web browser: Dear (Employer Name): Greetings from PhilHealth-Electronic Premium Reporting System (EPRS)! Thank you for your continued support to the National Health Insurance Program. To start using the EPRS, please follow the steps below to enable connection to the system. 1. Download all attached documents and save in your computer. 2. Depending on the browser that you will be using, read and follow the Guidelines on How to connect to EPRS. You may now start your transaction online by visiting our site at Enter the network user account to display the EPRS web page. The following is your network user account and password which are both case sensitive: In the EPRS web page, enter the EPRS user account to start using the system. The following is your user account and password which are both case sensitive: Your username : Your password : FD3VOZ6V Please keep your assigned Username and Password in utmost secrecy to prevent unauthorized users from accessing your account. Also, the above-issued password is only temporary and it will be deleted within five (5) working days from the time of activation. Kindly create your own permanent password on or before the expiration period. Thanks, PhilHealth Online AdminPlus:* Two (2) Electronic Certificate files to install in the web browser:1. Publicrootca2. EPRS Certificate* Client password* Instruction on How to connect to EPRS* User’s Manual of EPRSInternet ExplorerMozilla Firefox
48 POAF/submitte d registration through ePOAF, • Please check yourHave filled-outand carefullyfollow the instruction.thePOAF/submitte d registration through ePOAF, You will be required to confirm your identity Membership clean-up Install the SSL Certificate User account andwhat’s next?password activation
49 installed the certificate, What’s next? • You may now start to prepare your monthlyI have my userremittance report.account forthe EPRS, haveinstalled the certificate, What’s next?