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PHILIPPINE HEALTH INSURANCE CORP.

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Presentation on theme: "PHILIPPINE HEALTH INSURANCE CORP."— Presentation transcript:

1 PHILIPPINE HEALTH INSURANCE CORP.
IKAW at ang PHILHEALTH PHILIPPINE HEALTH INSURANCE CORP.

2 Insurance Program (NHIP)
Ang National Health Insurance Program (NHIP) RA 7875 – Feb. 14, 1995 RA 9241- Feb. 10, 2004 RA – June 19, 2013

3 Concept of Social Health Insurance
Social Solidarity or “Bayanihan”, where: The rich subsidizes the poor The young subsidizes the old The healthy subsidizes the sickly

4 Lahat ng Pilipino ay dapat Miyembro ng PhilHealth,
Sino-sino ba ang PhilHealth Member? Lahat ng Pilipino ay dapat Miyembro ng PhilHealth, Formal Economy Informal Economy Indigent (the poor) Sponsored Pensioner at Retiree

5 Sino-sino ba ang PhilHealth Member?
Kasama ang mga sumusunod: Government employees Private employees All other workers rendering services, whether in government or private offices such as job order contractors, project-based contractors, and the like Owners of micro enterprises Owners of small, medium and large enterprises Household helpers Family Drivers Formal Economy

6 REGISTRATION PROCEDURE
EMPLOYED SECTOR (GOVERNMENT AND PRIVATE) COMPANY REGISTRATION ER1 Attachments: SEC / DTI / CDA Registrations License to Operate MEMBER-EMPLOYEE REGISTRATION PMRF for employees without PhilHealth Identification Number (PIN) ER2 List of newly hired employees (with and without PIN)

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8 ELECTRONIC REGISTRATION SYSTEM
(ERS)

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19 After saving

20 Upon confirmation of email

21 E-mail notification (for complete document)

22 E-mail notification (for incomplete document)

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24 After updating

25 Upon click of previous given link

26 E-mail for Approved Application
        pdf pdf

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28 member.proqc@philhealth.gov.ph 332-3132 and 332-3023
For inquiries regarding Membership you may contact us at : and

29 CONTRIBUTIONS & REPORTING

30 Magkano ang premium? Formal Economy Monthly Salary Range Premium Rate
Personal Share (PS) Employer Share (PS) Php 8, and below Php 200 Php Php 8, – 34,999.99 2.5% 1.25% Php 35, and above Php Php employer employee

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 Contributions Applicable to all employers and following shall be observed: 1 Monthly premium contributions shall be remitted on or before the month following the applicable period PENs ending in 0-4 Every 11th -15th day PENs ending in 5-9 Every 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 day 2 All premium contribution payments beyond the aforementioned shall be charged two percent (2%) monthly interest 3 ** Reporting schedule is within 5 days after the payment deadline

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36 Over-the-Counter (Banks)
Asia United Bank Banco de Oro (former EPCIB branches) Bank of Commerce Bank One Savings & Trust Corp. Camalig Rural Bank Century Rural Bank Century Savings Bank China Bank Savings China Bank Corp Citystate Savings Bank Country Builders Bank, Inc. Development Bank of the Phils East West Rural Bank Enterprise Bank Land Bank of the Phils. 16. Maybank of the Philippines 17. Metropolitan Bank & Trust Co. 18. Moneymall Rural Bank 19. One Network Bank 20. Penbank, Inc. 21. Philippine Business Bank 22. Philippine National Bank(including former Allied Bank branches) 23. Postalbank, A Savings Bank 24. Philippine Veterans Bank 25. Planters Development Bank 26. Rural Bank of Bambang 27. Rural Bank of Jose Panganiban 28. Rural Bank of Sta. Catalina 29. RCBC Savings Bank 30. Rizal Commercial Banking Corp. 31. Robinsons Bank Inc. 32. Saviour Rural Bank 33. Union Bank of the Phils. 34. United Coconut Planters Bank UCPB Savings Bank Note: 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-Pay E-Gov/Bancnet (AUB,CBC,CTBC,DBP,EWB,PNB,RCBC,PVB) Bank of the Philippine Islands Citibank, N.A. Security Bank Corporation Union Bank of the Philippines Note: 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 Electronic Premium Remittance System What is EPRS? • A web-based application designed for PhilHealth employers, to use in reporting premium contributions

40 How to get access to the EPRS?
• Register to secure a user account and password How to get access to the EPRS?  Registration can be done through walk-in to nearest PRO/Branch/LHIOs and fill-out the POAF*  or Electronically: and look for EPRS - ePOAF link *PhilHealth Online Access Form (POAF)

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42 Electronic Philhealth online access form (ePOAF)

43 Electronic Philhealth online access form (ePOAF)

44 Electronic Philhealth online access form (ePOAF)

45 Confirmation of application for eprs account

46 After Confirmation

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 Admin Plus: * Two (2) Electronic Certificate files to install in the web browser: 1. Publicrootca 2. EPRS Certificate * Client password * Instruction on How to connect to EPRS * User’s Manual of EPRS Internet Explorer Mozilla Firefox

48 POAF/submitte d registration through ePOAF,
• Please check your Have filled-out and carefully follow the instruction. the POAF/submitte d registration through ePOAF,  You will be required to confirm your identity  Membership clean-up  Install the SSL Certificate  User account and what’s next? password activation

49 installed the certificate, What’s next?
• You may now start to prepare your monthly I have my user remittance report. account for the EPRS, have installed the certificate, What’s next?

50 What’s inside the EPRS?

51 • Employer Profile module
 Displays the employer profile Sync icon - Updates employer profile in the EPRS based on what is in the Membership Database

52 • Employees Management Module

53 Managing Employees Remittance Status using the
Remittance Status Module

54 • Employees Remittance Status Module

55 • Employees Remittance Status Module

56 Setting Applicable Period
• Employees Remittance Status Module Setting Applicable Period

57 • Employees Remittance Status Module

58 • Employees Remittance Status sub-module
•Updating of employees’ employment status - “Active status”

59 • Employees Remittance Status sub-module
•Updating of employees’ salary bracket (Required if the status is “Active”

60 • Employees Remittance Status sub-module
•Updating of employees’ employment status - “No Earnings status”

61 • Employees Remittance Status sub-module
•Updating of employees’ employment status - “Separated status”

62 • Payment Management module
- Print PEPRL (Mandatory) - Generate SPA/PPPS - Payment for Posting - SPA History

63 • Payment Management module - PEPRL

64 • Payment Posting module - Generation of SPA

65 Payment Management module - Generated SPA
Payment Management module - Generated SPA

66 Payment Management module - SPA for Payment and Posting
Payment Management module - SPA for Payment and Posting

67 • SPA for Payment and Posting

68 • SPA for Payment and Posting

69 • SPA for Payment and Posting

70 • SPA for Payment and Posting

71 • SPA for Payment and Posting

72 • SPA for Payment and Posting

73 • SPA for Payment and Posting

74 ONLINE PAYMENT via EPRS
BANK CONFIRMATION NUMBER EPRS SPA EMPLOYER Electronic PhilHealth Acknowledgment Receipt ELECTRONIC BANK CONFIRMATION DETAILS PHILHEALTH EPRS (EPAR)

75 • Online Payment facility

76 • Online Payment facility

77 (will be available in EPRS v.3.1)
• Online Payment facility (will be available in EPRS v.3.1)

78 • Transaction Monitoring module

79 • Transaction Monitoring module
eRF-1 in PDF format

80 Last page of the Posted eRF-1
• Transaction Monitoring module Last page of the Posted eRF-1

81 EPRS CONCERNS: to 25

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83 FOR QUESTION & INQUIRIES:
web site : address:

84 Thank You


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