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    Circ20 2000

    Uploaded by

    Mox Lex
    This document outlines PhilHealth's policies regarding National Health Insurance Program (NHIP) premiums that were erroneously remitted to the Social Security System (SSS) after PhilHealth took over collection functions from SSS. Key points: 1) PhilHealth will not credit premium payments made to SSS after July 1, 1999, and employers/members must pay those amounts to PhilHealth. 2) Premiums paid to SSS before July 1, 1999 covering the second quarter of 1999 or later will be credited, as SSS was assumed to have forwarded these payments. 3) Eligibility for NHIP benefits will be determined based on payments to SSS before July 1, 1999 or direct payments

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Circ20 2000

    Uploaded by

    Mox Lex
    18 views2 pages
    This document outlines PhilHealth's policies regarding National Health Insurance Program (NHIP) premiums that were erroneously remitted to the Social Security System (SSS) after PhilHealth took over collection functions from SSS. Key points: 1) PhilHealth will not credit premium payments made to SSS after July 1, 1999, and employers/members must pay those amounts to PhilHealth. 2) Premiums paid to SSS before July 1, 1999 covering the second quarter of 1999 or later will be credited, as SSS was assumed to have forwarded these payments. 3) Eligibility for NHIP benefits will be determined based on payments to SSS before July 1, 1999 or direct payments

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    This document outlines PhilHealth's policies regarding National Health Insurance Program (NHIP) premiums that were erroneously remitted to the Social Security System (SSS) after PhilHealth took over collection functions from SSS. Key points: 1) PhilHealth will not credit premium payments made to SSS after July 1, 1999, and employers/members must pay those amounts to PhilHealth. 2) Premiums paid to SSS before July 1, 1999 covering the second quarter of 1999 or later will be credited, as SSS was assumed to have forwarded these payments. 3) Eligibility for NHIP benefits will be determined based on payments to SSS before July 1, 1999 or direct payments

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views2 pages

    Circ20 2000

    Uploaded by

    Mox Lex
    This document outlines PhilHealth's policies regarding National Health Insurance Program (NHIP) premiums that were erroneously remitted to the Social Security System (SSS) after PhilHealth took over collection functions from SSS. Key points: 1) PhilHealth will not credit premium payments made to SSS after July 1, 1999, and employers/members must pay those amounts to PhilHealth. 2) Premiums paid to SSS before July 1, 1999 covering the second quarter of 1999 or later will be credited, as SSS was assumed to have forwarded these payments. 3) Eligibility for NHIP benefits will be determined based on payments to SSS before July 1, 1999 or direct payments

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    R~-af-14/J~

    ..
    A:

    I PHILIPPINE HEALTH INSURANCE CORPORATION


    Corporate Communications Office
    17tl' Fir. City State Centre Building
    # 709 Shaw Boulevard, Pasig City Tel. 637-6262
    I
    PI-IILHEALTH CIRCULAR
    I N6~ series of 2000

    TO All National Health Insurance Progra1~ (NHIP) members,


    National Government Agencies, Local Government Units,.

    I Government-Owned and/ or Contrail d Corporations, Self-


    Governing Bodies, State Colleges and }Jniversities,

    l
    Constitutional Offices, Private Sector Employers Including
    Household Employers, Accredited Comecting Banks and All
    Concerned

    I , __ I
    SUBJECT Policies on National Health Insurance 1. rogranl. (NHIPI
    premiums erroneouslv• remitted by emMovers I members to
    I •

    the Social Security System (SSS) after uhe turnover of


    I collection function to PhilHealth

    I DATE July 12, 2000

    IN order to address the confusion affecting members and employers as a result of payments of
    premium contribution made to the Social Security System (SSS) after the turnover of collection
    function to this Corporation, the following policies / guidelines are hereby issued:

    I. Treatment of NHIP Premiums paid to the SSS after July 1, 1999

    I The Corporation shall not credit NHIP premium payments erroneously re1TJitted to the SSS
    tb
    after July 1, 1999. Hence, employers / members are required to pay PhilHealth through its
    Accredited Collecting Banks (ACEs) such premium contributions tha were i:l.advertently paid
    I to SSS as mentioned above.

    I In correcting such erroneous payments, the employer / member may not include payments
    for penalties, pending resolution of the issue on whether or not such ~ayments shall be treated
    as late payments. Employers I members may inc.luire from the sss w:r· th regard to the refund

    I of their erroneous payment.

    II. Treatment of NHIP Premiums paid prior to July 1, 1999 but apricable for July 1999
    and onwards I.

    II
    I

    I
    I I
    ,

    •
    Employers / members who paid their NHIP premiums to the SSS p1iot to the turnover
    covering the second quartet of 1999 and onwards shall not be required! to repay their premium
    contributions since these were presumed to have been remitted to Pl-illHealth by the SSS.

    '~
    \ · .... 1
    mb\·/ccirc-:;:.:.pay/07112k
    •
    III. Eligibility to NHIP Benefits

    For purposes of determining benefit eligiblity, NHIP contributions remit ed to ::he SSS prior
    to July 1, 1999 regardless of period coverage shall be presumed to be included in the
    remittances forwarded by the SSS to PhilHealth. Hence, members who dan show proofs of
    I
    payments to the SSS prior to the turnover are considered eligible for NHIP benefits.

    For thooe who erroneouoly paid their NHIP premium contribution to thj SSS a"ter the
    tur~over, their eli?ib~ty to av_ail of the,.,benefits shall not be affe~te~ pw+ded they shall p~y
    thett NHIP contr1butwns until August .J 1, 2000. Failure to pay w1tlun the reglementary penod
    may affect a member's benefit availment eligibility

    Please be guided accordingly.

    ()~
    \
    ENRIQUE M. ZALAMEA
    President and CEO

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