1.
DISABILITY
a. TEMPORARY TOTAL DISABILITY:
 As a result of an injury or illness, the employee is
unable to perform any gainful occupation for a
period not exceeding 120 days.
 However, where injury or illness still
requires medical attendance beyond 120
days but not exceeding 240 days
 CONDTITION FOR ENTITLEMENT:
 The employee has been duly reported to
the system,
 The employee sustain the temporary total
disability as a result of injury or illness
which is work related, and
 The injury or sickness is duly reported to the
system
 AMOUNT OF BENEFIT:
 Income benefit of equivalent to 90% of his
average daily salary credit.
 AFTER 120 DAYS:
 Employee could recover or fit to work – the
attending physician shall issue fit to work
certification, failure to do such will result to
conversion to Permanent Total Disability.
 SUSPENSION OF INCOME BENEFIT:
 Employee fails to submit a monthly medical
report certified by his company designate
physician.
b. PERMANENT TOTAL DISABILITY:
 As a result of an injury or sickness, the employee is
unable to perform any gainful occupation for a
continuous period of 120 days or 240 days.
 CONDTITION FOR ENTITLEMENT:
 The employee has been duly reported to
the system,
 The employee sustain the permanent total
disability as a result of injury or illness
which is work related, and
 The injury or sickness is duly reported to the
system
 AMOUNT OF BENEFIT:
 Income benefit of equivalent to 90% of his
average daily salary credit.
 Plus 10% of dependent child not exceeding
5 from the youngest without substitution
 PERIOD OF ENTILEMENT:
 Full monthly income benefit for all
compensable months of disability,
 Guaranteed for 5 years.
 SUSPENSION OF INCOME BENEFIT:
 Failure to present himself for examination
at least once a year upon notice of the
system
 Failure to submit quarterly medical report
certified by the attending physician,
 Complete or full recovery from his
permanent disability
 Upon being gainfully employed.
c. PERMANENT PARTIAL DISABILITY:
 As a result of an injury or sickness, the employee
suffers a permanent partial loss of the use of any
part of his body.
 CONDTITION FOR ENTITLEMENT:
 The employee has been duly reported to
the system,
  The employee sustain the permanent
partial disability as a result of injury or
illness which is work related, and
 The injury or sickness is duly reported to the
system
NOTE: A covered employee shall continue to receive the
income benefits even if he is gainfully employed and
receiving wages.
 PERIOD OF ENTILEMENT:
 The income benefit shall be paid according
to the schedule provided by the
commission.
2. DEATH BENEFIT/SURVIVORSHIP BENEFIT
It is the loss of life resulting from injury or sickness.
 CONDITION FOR ENTITLEMENT:
 The employee has been duly reported to
the system,
 The employee loss his life as a result of
injury or illness which is work related, and
 The injury or sickness that caused the death
as well as the death is duly reported to the
system.
 BENEFIT:
 Income benefit for life to the primary
beneficiaries, guaranteed for 5 years, or
 Secondary beneficiaries are paid not more
than 60 months
 PRIMARY BENEFICIARIES ENTITLEMENT
 Legitimate spouse living with the employee
until he/she remarries,
 Dependent child until the age of majority
3. Disability Benefit:
To provide compensation for disability resulting from injury
or sickness which an employee is unable to perform any
gainful occupation and that such injury of sickness must be
work related and contracted during the term of his
employment.
PERMANENT TOTAL DISABILITY:
 As a result of an injury or sickness, the employee is
unable to perform any gainful occupation for a
continuous period of 120 days or 240 days.
 CONDTITION FOR ENTITLEMENT:
 The employee has been duly reported to
the system,
 The employee sustain the permanent total
disability as a result of injury or illness
which is work related, and
 The injury or sickness is duly reported to the
system
 AMOUNT OF BENEFIT:
 Income benefit of equivalent to 90% of his
average daily salary credit.
 Plus 10% of dependent child not exceeding
5 from the youngest without substitution
 PERIOD OF ENTILEMENT:
 Full monthly income benefit for all
compensable months of disability,
 Guaranteed for 5 years.
SUSPENSION OF INCOME BENEFIT:
 Failure to present himself for examination
at least once a year upon notice of the
system
 Failure to submit quarterly medical report
certified by the attending physician,
 Complete or full recovery from his
permanent disability
 Upon being gainfully employed
4. UNDERGROUND MINING WORKERS:
When to retie:
a. Upon reaching the retirement age established in the
CBA or any other employment contract.
 The employer and employee my set their own
retirement plan in their CBA or any other
employment contract which is made voluntarily,
freely and knowingly agreed by both parties.
b. In the absence of CBA or any other employment
contract, optional retirement of the employee upon
reaching the age of 50 years old, or
c. Or Compulsory retirement upon reaching the age of 60
years old.
RETIREMENT BENEFITS:
 Equivalent to ½ month salary in every year of
service, 6 months being considered as 1 whole year
½ month salary shall compose of:
 15 days salary based on his latest salary
rate,
 The cash equivalent of not more than 5
days of Service incentive leave
 2.5 days representing 1/12 of the 113th
month pay, TOTAL of 22.5 days for every
year of service, and
 Other benefits that employer and employee
may agree upon.
5. RETIREMENT BENEFIT:
When to retie:
a. Upon reaching the retirement age established in the
CBA or any other employment contract.
 The employer and employee my set their
own retirement plan in their CBA or any
other employment contract which is made
voluntarily, freely and knowingly agreed by
both parties.
b. In the absence of CBA or any other employment
contract, optional retirement of the employee upon
reaching the age of 60 years old or more but not
beyond 65 years old and has rendered at least 5
years of service, or
d. Or Compulsory retirement upon reaching the age of 65
years old.
RETIREMENT BENEFITS:
 Equivalent to ½ month salary in every year of
service, 6 months being considered as 1 whole year
½ month salary shall compose of:
 15 days salary based on his latest salary
rate,
 The cash equivalent of not more than 5
days of Service incentive leave
 2.5 days representing 1/12 of the 113th
month pay, TOTAL of 22.5 days for every
year of service, and
 Other benefits that employer and employee
may agree upon.
6. Payment of SSS benefits to the employee is different and distinct
from the Retirement benefit provided by the Labor Code.
Components of Benefits as to Managerial Position:
 15 days for every year of service exclusion of service
incentive leave and 13th month pay since
managerial employees are not entitled thereto.
7. Principle of Universality
All citizens shall be given access to the health care system of
our country. All citizens are compulsory covered regardless
of their ability to pay contributions.
8. Concept Portability under Phil health.