Employers Contribution

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Employer remits to the system the monthly contribution equivalent to 1% of his actual salary or monthly salary credit. (Public /Private Sector)
Monthly

Salary Credit The wage base for contributions or actual salary.

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Salary Bracket I II III IV V VI VII VIIII IX X XI XII XIV XV XVI XVII XVIII XIX

Range of Wage or Salary 1 144.99 150 199.99 200 249.99 250 349.99 350 499.99 500 699.99 700 899.99 900 1099.99 1100 1399.99 1400 1749.99 1750 2249.99 2250 2749.99 3250 3749.99 3750 4249.99 4250 4749.99 4750 5249.99 5250 5749.99 5750 OVER

Monthly Salary Credit 125 175 225 300 425 600 800 1000 1250 1500 2000 2500 3500 4000 4500 5000 5500 6000

Employers Contribution 10.00 14.00 18.00 24.00 34.00 48.00 64.00 80.00 100.00 120.00 160.00 200.00 280.00 320.00 360.00 400.00 440.00

4/22/12 480.00

Rate shall be reviewed periodically and may be revised as the experience in the following: o Risk o Cost of Administration o Actual, anticipated and unexpected losses
Shall

be paid in entirety, otherwise deductions from wages or salaries shall be null and void. (Art. 183c) In case of death, disability or separation from employment, employers obligation as to contributions shall cease.

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Payment of Delinquent Contributions

Penalties:
As

provided in SSS Circular No. 3-V, delinquent employers shall be allowed to pay on installment all unpaid contributions and a 3% monthly penalty.

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Amount of Delinquency
More Than P10,000 50,000 100,000 500,000 1,000,000 2,000,000 But Less Than P10,000 50,000 100,000 500,000 1,000,000 2,000,000 Monthly Installment Within 4 months Within 6 months Within 8 months Within 12 months Within 18 months Within 22 months Within 24 months

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Medical Benefits
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Types of Benefits (Income or Services)

Medical

Services, appliances and supplies Rehabilitation Services Permanent Total Disability Permanent Partial Disability Death Prescriptive Period: Within three years from the time the cause of action accrued.
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Medical Benefits As defined in Art. 167 Medical Benefits mean all payments made to the providers of medical care, rehabilitation services and hospital care, such as attending physicians and the hospitals. Medical Services Employee shall be provided with such medical services and appliances during the subsequent period of his disability as the nature of ailment or injury and progress of his recovery may require.
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Conditions: He has been duly reported to the System He sustains an injury or contracts sickness The System has been duly notified of the injury or sickness
Period

Extent: The employee shall be entitled only for the ward services of an accredited hospital and physician.
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 The

System shall have the authority to choose or order a change of physician, hospital or rehabilitation facility. the sick or injured party unreasonably refuses to submit to medical examinations or treatment, the System shall stop the payment of further compensation. fees and other charges for hospital services, medical case and appliances shall be minimal and not higher than those charges prevailing in other hospitals for the same services. However, professional fees shall only be appreciably higher than those
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Where

All

Rehabilitation
A

process is provided where a balanced program of remedial treatment, vocational assessment and preparation which is designed to help restore the employee to suitable employment and help them become physically independent. Assistance within its resources to help rehabilitee to develop his mental, vocational or social potential.

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General Terms
Rehabilitee

Disabled Individual Center (Ex. WRCC) Site Facility Services

Rehabilitation Rehabilitation Governing Placement

Board Provides Policy Guidance

Officer Person practicing the allied medical profession or discipline

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Suitable

Conditions: He has been reported to the system He sustains a permanent disability as a result of a compensable injury or sickness He has not been placed in suitable employment Period - It shall be provided during the period of disability unless suspended or terminated under any of the ff. conditions: Upon suitable employment Upon suspension or termination of such services by the Rehabilitation Center By self-termination
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Extent of Benefit
Rehabilitation services shall consist of the ff.:
Medical-surgical Hospitalization Necessary

Management

appliances and supplies Vocational training Assistance for Placement

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Liability Limitations
The System shall not be liable for the injury, sickness, disability or death during rehabilitation caused by the ff.:
His His

intoxication

willful intention to injure or kill himself or another notorious negligence

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His

 Suspension,

rehabilitee.

termination of Student or

Cause Recommendation Within 15 days from notice of the governing board.

Appeal

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Participation of the System

Systems participation in payment of wages of placed rehabilitee:
50%

first 2 weeks after the start of the onthe-job training for 3rd and 4th weeks of the on-the-job training 0% for the rest of the period of the on-thejob training
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25%

Disability Benefits
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3 Kinds of Disability Benefits

Temporary Permanent Permanent

Total Disability Total Disability Partial Disability

Income Benefit Disabilities compensable by cash payments. In case of failure to submit a monthly medical report certified by attending physician, monthly income benefit shall be suspended.
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Conditions:
He He

has been duly reported to the System

sustains such disability as a result of the injury or sickness System has been duly notified of the injury or sickness which caused his disability.

The

His employer shall be liable for the benefit if such illness or injury occurred before the employee is 4/22/12

Temporary Total Disability

Employee

is unable to perform any gainful occupation for a continuous period not exceeding 120 days.

Period of Entitlement: Shall not be paid longer than 120 consecutive days
Recurrence

of illness after recovery which results to a disability

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An employee under such disability shall be subject to the following conditions:

Shall

be pain an income benefit equivalent to 90% of his average daily salary credit for each day of such disability, subject to the ff. conditions: Daily income benefit shall not be less than P10 nor more than P90 for a period of 120 days. Unless injury or sickness requires extensive treatment, it may go beyond 120 days but does not exceed 240 days
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Permanent Total Disability

Employee

is unable to perform any gainful occupation for a continuous period exceeding 120 days.

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An employee under such disability shall receive the ff. compensation:

Shall

be paid by the System an amount equivalent to the monthly income benefit defined in Sec. 8(3), Rule VI of these Rules. ten percent thereof for each dependent child, but not exceeding five, beginning with the youngest and without substitution. that the monthly income benefit shall be the new amount of the monthly benefit for all covered pensioners.
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Plus

Provided,

The monthly income benefit shall be guaranteed for five years, and shall be suspended under the ff. circumstances:
Failure

to present himself for examination at least once a year upon notice by the System to submit a quarterly medical report certified by his attending physician or full recovery from his permanent disability being gainfully employed
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Failure

Complete

Upon

Total and Permanent:

1.

Temporary total disability lasting continuously for more than one hundred twenty days, except as otherwise provided for in the Rule X; Complete loss of sight of both eyes; Loss of two limbs at or above the ankle or wrist; Permanent complete paralysis of two limbs; Brain injury resulting in incurable 4/22/12 imbecility

1.

1.

1.

1.

Permanent Partial Disability

Employee

suffers a permanent partial loss of the use of any part of his body. employee shall continue to receive benefits even after he is gainfully employed and receiving his wages or salary. benefit shall be paid for not more than the period designated in the following schedules:
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Covered

The

Complete and permanent loss of the use of One thumb One Index finger One middle finger One ring finger One little finger One big toe Any toe One arm One hand One foot One leg One ear Both ears Hearing of one ear Hearing of both ears Sight of one eye

No. of months 10 8 6 5 3 6 3 50 39 31 46 10 20 10 50 25 4/22/12

loss of a wrist shall be considered as a loss of the hand loss of an elbow shall be considered as a loss of the arm. loss of an ankle shall be considered as loss of a foot loss of a knee shall be considered as a loss of the leg. loss of more than one joint shall be considered as a loss of one-half of the whole 4/22/12

 In

case of permanent partial disability less than the total loss of the member specified in the preceding paragraph, the same monthly income benefit shall be paid for a portion of the provided in the chart. cases of simultaneous loss of more than one member or a part, the same monthly income benefit shall be paid for a period equivalent to the sum of the periods established for the loss of the member or the part thereof. the result is a decimal fraction, the same 4/22/12 shall be rounded off to the next higher

In

If

Unlisted Injuries and Illnesses

In

cases of injuries or illnesses resulting in a permanent partial disability not listed in the preceding schedule, the benefit shall be an income benefit equivalent to the percentage of the permanent loss of the capacity to work.

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