SSS Sickness Benefits Videos:
SSS SICKNESS COMPUTATION / PAANO IKOMPYUT ANG SICKNESS BENEFITS
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SSS SICKNESS APPLICATION OR PROCEDURES / PAANO MAGAPPLY NG SSS SICKNESS SA ONLINE ACCOUNT
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P72,000! sa sickness benefits Self Employed
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P72,000! sa sickness benefits Employed
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P72,000! sa sickness benefits SeaFarer
• P72,000 SSS Sickness B...
A member is qualified to avail of this benefit if:
1. He is unable to work due to sickness or injury and confined either in a hospital or at home for at least four (4) days;
2. He has paid at least three (3) months of contributions within the 12-month period immediately before the semester of sickness or injury;
3. He has used up all current company sick leaves with pay; and
4. He has notified the employer or the SSS, if unemployed, voluntary or self-employed member regarding his sickness or injury.
SICKNESS BENEFIT APPLICATION
Self-employed and voluntary paying members should notify the SSS directly within five (5) calendar days after the start of confinement, unless such confinement is in a hospital, in which case, notification should be made within one (1) year from start of confinement.
If a self-employed or voluntarily paying member notifies SSS beyond the prescribed five-day period, the confinement shall be deemed to have started not earlier than the fifth day immediately preceding the date of notification.
PROCEDURE AND DOCUMENTARY REQUIREMENTS
A member can file for sickness notification personally or through the company representative.
If filed personally, the member should submit the following:
Duly accomplished Sickness Notification
Identification card/s or document/s. See list
Medical documents, if any
Plus the following documents, if needed:
-In case of work-related claims:
Accident/Sickness Report from employer, if work-connected; and
Police Report (for vehicular accident with third party involvement), if work-related; and
Photocopy of employer’s logbook
-In case of prolonged confinements or sickness, original/certified true copy of the following:
Laboratory, X-ray, ECG and other diagnostic results
Operating room/clinical records that will support diagnosis
-In case of sickness that occurred while on strike/shutdown/and member will file to SSS personally, submit the above-mentioned requirements together with the following:
Certificate of Notice of Strike issued by DOLE
Certificate of Foreclosure
Certification from the DOLE that the employee or employer has a pending labor case
Certificate of Non-advancement of Payment from Employer
If filed through Company Representative, the following documents should be forwarded to SSS:
System-generated Transmittal List (TL) or System-generated Acknowledgment Letter, if filed through Electronic Notification (three copies); or Employer TL (three copies)
Member’s Sickness Notification Application
Member’s identification card/s or document/s (photocopy)
All attached medical documents and reports, if any
FOR COMPUTATION:
1. Exclude the semester of sickness.
A semester refers to two consecutive quarters ending in the quarter of sickness.
A quarter refers to three consecutive months ending March, June, September or December.
2. Count 12 months backwards starting from the month immediately before the semester of sickness.
3. Identify the six highest monthly salary credits within the 12-month period.
4. Add the six highest monthly salary credits to get the total monthly salary credit.
5. Divide the total monthly salary credits by 180 days to get the average daily salary credit.
6. Multiply the average daily salary credit by 90 percent to get the daily sickness allowance.
7. Multiply the daily sickness allowance by approved number of days to arrive at the amount of benefit due.
For example, let us say that an SSS member gets sick or injured in October 2013 for 20 days:
A.) The semester of sickness would be from July 2013 to December 2013.
B.) The 12-month period would be from July 2012 to June 2013 within which the six highest monthly salary credits will be chosen.
C.) Let us assume that the six highest monthly salary credits are P15, 000 each. The total monthly credit would be P90, 000 (P15, 000 x 6).
D.) The total monthly salary credit would be divided by 180 to get the average daily salary credit of P500 (P90,000/180).
E.) The daily sickness allowance is 90 percent of the of the average daily salary credit or P450 (P500 x 90%).
F.) The sickness benefit due is P9,000 (P450 x 20 days).
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