SSS SICKNESS BENEFIT

How would an employed member be paid his sickness benefit? The payment of the daily sickness allowance is advanced by the employer every regular payday. The SSS will then reimburse the employer of the amount legally advanced upon receipt of satisfactory proof of such payment and legality thereof. The SSS will reimburse the employer only for confinements within the one year period immediately preceding and the date the claim for benefit or reimbursement is received by the SSS, except for confinements in hospital (i.e. SSS receives the employer’s reimbursement claim on Oct. 3, 2004 for the sickness period September 23 to Oct. 14, 2003. The employer will be reimbursed for the period Oct. 4 to 14,2003 only as Sept. 23 to Oct. 3, 2003 falls outside the prescribed one-year period for reimbursement claim. How about the unemployed, self-employed or voluntary member? The sickness benefit will be paid directly by the SSS to the unemployed, self-employed or voluntary members. What is the prescribed period of filing for a member who is confined in a hospital? For hospital confinement, the claim for benefit must be filed within one (1) year from the last day of confinement from the hospital. For home confinement, the claim for reimbursement by the employer must be filed within one (1) year from the start of illness. Failure to file the claim within the prescribed period will result to denial of the claim. What forms are needed in filing for sickness benefit? For the employed member a. SSS Form CLD-9N (Sickness Notification). For the employer b. SSS Form B-304 (Sickness Benefit Reimbursement Application). For the unemployed/self-employed/voluntary membera. SSS Form CLD-9A (Sickness Benefit Claim for Unemployed/Self-employed/Voluntary Members) b. SSS Form MMD-102 (Medical Certificate) Other documents: For unemployed members Certification from last employer showing the effective date of separation from employment or notice of the company’s closure/strike or certification from the Department of Labor and Employment that the employee or employer has a pending labor case. Certification that no advance payment was granted, if the date of separation form employment is within the confinement period being applied for. Presentation of the SS Digitized ID/SSS Form E-6 (acknowledgment stub) with 2 valid Ids, one of which with the recent photo. To ensure receipt of benefits by members, authorized company representatives who file sickness benefit claims shall present the members’ SS digitized ID or E-6 (acknowledgement stub) with two valid Ids (at least one with photo). This requirement is in addition to the presentation by the company representative’s own SSS digitized ID and blue card. Where does the member file his claim for sickness benefit? For the employed/separated member - claims may be filed at the nearest SSS office. However, processing will be done at the branch where the employer and employee records are based. For the voluntary/self-employed member - claims may be filed at the SSS office nearest the members residence. However, processing will be done at the branch where the record is based.   List of accredited banks: Al-Amanah Islamic Investment Bank of the Philippines Allied Banking Corporation Asia United Bank Corporation Bank of Commerce Bank of the Philippine Islands Century Savings Bank China Banking Corporation Citystate Savings Bank, Inc Country Rural Bank of Taguig Inc. Eastwest Bank Land Bank of the Philippines Maybank Philippines Inc. Metropolitan Bank & Trust Company Philippine Bank of Communications Philippine Business Bank Philippine National Bank Philippine Postal Savings Bank Philippine Savings Bank Philippine Veterans Bank RCBC Savings Bank, Inc. Rizal Commercial Banking Corporation Rural Bank of Pililia Inc. Security Bank and Trust Company Standard Chartered Banking Corporation Union Bank of the Philippines