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Advisory ID# 8
MMG ADVISORY as of 02-FEB-2018

Application of PhilHealth Circular No. 2017-0021 to All Admissions Starting October 1, 2018

To give PhilHealth members ample time to pay their premium contributions and comply with the prescribed sufficient regularity of payment prior to the first day of confinement, PhilHealth Circular No. 2017 - 021 shall be applied to all admissions starting October 1, 2018. 

Hence, the rule on three (3) months contributions within the immediate six (6) months prior to the first day of confinement (3/6) shall be required for benefit availment covering the period January 1, 2018 to September 30, 2018.
 
All members admitted January 1, 2018 onwards who were unable to avail themselves of benefits due to lacking sufficient regularity may file claims directly with PhilHealth.

Further inquiries pertaining to this advisory may be referred to our 24/7 Corporate Action Center Hotline (02) 441-7442 or through email: actioncenter@philhealth.gov.ph.

Reference URL: https://www.philhealth.gov.ph/advisories/2018/adv2018-0011.pdf

Advisory ID# 6
MMG ADVISORY as of 30-JAN-2018

Temporary Use of Unamended PhilHealth Claims Form 1 and Claim Signature Form

PhilHealth Circular 21, s.2017 entitled Application of Sufficient Regularity of Payment of Premium Contributions to the Required Qualifying Contributions for Eligibility to PhilHealth Benefits, defines “sufficient regularity” as the premium payment of “...six (6) months of contributions preceding the three (3) months qualifying contributions within the twelve (12) month period prior to the first day of confinement...”

Relative to this, to ensure continuous access to PhilHealth benefits, Health Care Institutions may still use the current PhilHealth Claim Signature Form and PhilHealth Claim Form 1, until the said forms’ parts for “Employer’s Certification” have been officially amended to read as follows:

“This is to certify that all monthly premium contributions for and in behalf of the member, while employed in this company, including the applicable three (3) monthly premium contributions within the past six (6) months prior to the first day of this confinement, have been deducted / collected and remitted to PhilHealth with sufficient regularity (when applicable), and that the information supplied by the member or his / her representative on Part I are consistent with our available records.” 

Further, employers who affix their signatures on the unamended PhilHealth Claim Signature Form and Claim Form I are deemed to have certified their compliance to the sufficient regularity rule.

Reference URL: https://www.philhealth.gov.ph/advisories/2018/adv2018-0008.pdf

Advisory ID# 5
MMG ADVISORY as of 18-JAN-2018

Sample Premium Computation of the Formal Sector

To all Employers and PEERs:

For clarification purposes in the computation for the adjusted premium as per PhilHealth Circular No. 2017-0024, please be guided by the sample in the link provided.

For any queries, you may contact the assigned PAIMS to your account.

Thank you!

Reference URL: https://www.philhealth.gov.ph/advisories/2018/adv2018-0003.pdf

Advisory ID# 4
MMG ADVISORY as of 16-JAN-2018

DBM Circular Letter 2018-003

To All National Government Agencies

Please be advised that the Department of Budget and Management has released Circular Letter 2018-003 on the Adjustment in the Employer (Government) Share in the Health Insurance Premium (HIP) Contributions to the Philippine Health Insurance Corporation (PhilHealth).

You may download a copy for reference purposes in the link provided.

Thank you for your continued support to the National Health Insurance Program!

Reference URL: http://www.dbm.gov.ph/index.php/197-latest-issuances/circular-letter/2018/459-circular-letter-no-2018-3

Advisory ID# 3
MMG ADVISORY as of 01-DEC-2017

Updating/Uploading of Basic Salary

To All PEERs/Employers:

In relation to PhilHealth Circular No. 2017-0024 on the Adjustment in the Premium Contributions of the Employed Sector effective on the applicable month of January 2018 onwards, all PEERs/employers may update and upload the employee basic salaries starting December 4, 2017. 

The File Uploading Module is accesible only by employers with 100 or more employees. To upload/update the basic salaries please follow these instructions in the EPRS FILE UPLOADING module:

1. Based on the actual payroll, fill in the details on an excel sheet to update the employee’s monthly basic salary using the following format: 
PIN	                      MONTHLY 
                           BASIC SALARY	STATUS EFFECTIVITY DATE  BIRTH DATE
010002143858	35000	              A      	     
010002151893	35000	              A      	         
042503376592	0	                     NE     11/01/2017	         
050251814152	0	                     NE     11/01/2017	         
010254549725	27000	             NH	11/01/2017	         03/12/1991
010254974825	30000	             NH	11/01/2017	         11/05/1993
020265329889	0	                      S	12/01/2017	         
020265460594	0	                      S	12/01/2017	        

PIN is the 12-digit PhilHealth Identification Number encoded without the hyphen.
Monthly Basic Salary is the the fixed basic rate of an employee which shall not include sales commission, overtime pay, allowances, thirteenth month pay, bonuses or other gratuity payments. Salary deductions occasioned by his/her undertime, tardiness, leave(s) without pay, absences, or other similar circumstances shall also be excluded in this computation. The value should be encoded without a comma and any decimal point is applicable to indicate the 2-digit centavos.

Status is the remittance status of the employee which may be NH for newly-hired, S for separated, NE for no earnings or A for active.

Effectivity Date is applicable only for newly-hired, separated and no earning status to indicate the effectivity date using the following the format MM/DD/YYYY.

Date of Birth to use the format MM/DD/YYYY.

2. After completing all the information, convert the excel file to a CSV file.
3. In the EPRS Uploading Menu, select the CSV file then click "choose file."Select the file to be uploaded.
4. Select the applicable period and click "Validate CSV File Format."
5. Click okay to proceed with the uploading.
6. The uploaded file will be validated and the validation result will be displayed.
7. If there are errors in the validation result of the uploaded file, the text "View Error Details" will appear. Click to view the validation errors. (Validation status 6 means that there are PINs included in the uploaded CSV file that are also included in another group.)
8. Click "View Active and No Earning Employees” to view employees already assigned in your group but have not been included in the uploaded CSV file.
9. If there are corrections to be made, the corrected/edited excel file should be saved again as a CSV file and re-uploaded as in step 1. 
10. The text Without errors will be displayed if no errors are found. 
11. Click finalize to update the list of employees.

For further inquiries, please coordinate with your assigned PAIMS.

Thank you.
 
Sunday, February 18, 2018

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