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LEGISLATION
GENERAL CONSIDERATIONS
rules and regulations, shall be resolved in favor of labor (Art 4, Labor Code).
3. in case of doubt, all labor legislation and all labor contracts shall be construed in
favor of the safety and decent living for the laborer (Art. 1702, New Civil Code).
KEY: L L S
PRE-EMPLOYMENT
Prohibited Practices:
it shall be unlawful for any individual, entity, licensee, or holder of authority:
fa) To charge or accept, directly or indirectly, any amount greater than that
specified in the schedule of allowable
fees prescribed by the Secretary of Labor, or to make a worker pay any amount
greater than that actually received by him as a loan or advance;
(b) To furnish or publish any false notice or information or
document in relation to recruitment or employment;
(c) To give any false notice, testimony, information or docu
ment or commit any act of misrepresentation for the pur
pose of securing a license or authority under this Code;
(d) To induce or attempt to induce a worker already employed
to quit his employment in order to offer him to another
unless the transfer is designed to liberate the worker from
oppressive terms and conditions of employment;
(e) To influence or to attempt to influence any person or en
tity not to employ any worker who has not applied for
employment through his agency;
(f) To engage in the recruitment or placement of workers in
jobs harmful to public health or morality or to the dig
nity of the Republic of the Philippines;
(g) To obstruct or attempt to obstruct inspection by the Sec
retary of Labor or by his duly authorized representatives;
(h) To fail to file reports on the status of employment, placement vacancies, remittance of
foreign exchange earnings, separation from jobs, departures and such other matters or
information as may be required by the Secretary of Labor;
(i) To substitute or alter employment contracts approved and verified by the Department of
Labor from the time of actual signing thereof by the parties up to and including the
periods of expiration of the same without the approval of the Secretary of Labor;
(j) To become an officer or member of the Board of any corporation engaged in travel
agency or to be engaged directly or indirectly in the management of a travel agency;
and
(k) To withhold or deny travel documents from applicant workers before departure for
monetary or financial considerations other than those authorized under this Code and its
implementing rules and regulations.
(c) Possess the ability to comprehend and follow oral and written instructions.
LABOR STANDARDS
Conditions of Employment
Hours of Work (Art. 83, Labor Code)
Normal Hours of Work: not to exceed 8 hours = regular wage per day
Health Personnel in cities and municipalities with population of at least 1 million or in
hospitals and clinics with a bed capacity of at least 100 shall hold regular office
hours for eight hours a day for 5 days a week, or a total of 40 hours a week, exclusive
of time for meals, except where the exigencies of the service require that such
personnel work for 6 days or 48 hours, in which case they shall be entitled to an
additional compensation of at least 30% of their regular wages for work on the 6th day.
health Personnel resident physicians, nurses, nutritionists, dietitians, pharmacist,
social workers, laboratory technicians, paramedical technicians, psychologists,
midwives, attendants and all other hospitals or clinic personnel.
computation of Hours Worked Hours of work shall include (Art. 84, Labor
Code)
1. all time during which an employee is required to be on
duty or to be at a prescribed work place; and
2, all time during which an employee is suffered or permit
ted to work.
need to be doing actual work; only required to be on duty regardless of whether or
not such hours are spent in productive labor or involve physical or mental exertion.
Waiting Time: compensable if waiting is an integral part of Work or required or engaged
by employer to wait.
Instances when employer may compel employee to render ove rtime work:
W 1. when country is at war or when any other national or local emergency has
been declared by Congress or the President;
E 2. when it is necessary to prevent loss of life or property or in case of imminent
danger to public safety due to an actual or pending emergency in the locality
caused by serious accidents, fire, flood, typhoon, earthquake, epidemic or
other disaster or calamity;
U 3. when there is urgent work to be performed on machines, installations, or
equipment, in order to avoid serious loss or damage to the employer or
some other cause of similar nature;
L 4. when the work is necessary to prevent loss or damage to perishable goods;
P 5. when the completion or continuation of the work started before the 8 hrs. is
necessary to prevent serious obstruction or prejudice to the business or
operations of the employer; and
W 6. where overtime work is necessary to avail of favorable weather or
environmental conditions where performance or quality of work is
dependent thereon (Art. 89, Labor Code).
KEY:LUPW 2 E
Holiday Pay
Kinds of Holidays:
A. Regular Holidays
1. New Year's Day, 1/1
2. Maundy Thursday, movable date
3. Good Friday, movable date
4. Araw ng Kagitingan, 4/9
5. Labor Day, 5/1
6. Independence Day, 6/12
7. National Heroes' Day, last Sunday of August
8. Bonifacio Day, 11/30
9. Christmas Day, 12/25
10. Rizal Day, 12/30 (E.O. No. 203). B. Special National Days
1. All Saint's Day, 11/1
2. Last Day of the Year, 12/31 (LOI 814 as amended by
LOI 1087)
Pay in case of Two (2) Holidays in Same Day (Araw ng Kagitingan and Good
Friday, April 9):
1. 200% even if unworked for daily paid.
1. 100% or none for monthly paid if worked or unworked,
respectively.
Service incentive leave is commutable to its money equivalent if it is not used or exhausted
at the end of the year.
Service Charges
all service charges collected by hotels, restaurants and similar establishments are to
be distributed at the rate of 85%
for the employees, and 15% for the management,
The employee's share shall be apportioned equally among
all employees, regardless of position or employment status.
The management share will answer for losses and break ages, or at his discretion, to
distribute this to employees receiving more than P2,000 a month (Art. 96, Labor Code)
Wages
Wages remuneration or earnings, however designated, capable of being expressed in
terms of money, whether fixed or ascertained on a time, task, piece, or commission
basis, or other method of calculating the same, which is payable by an employer to
an employee under a written or unwritten contract of employment for work done
or to be done, or for
the services rendered or to be rendered (Art. 97 [j], Labor Code).
Basic Salary rate of pay for a standard work period exclusive of such additional
payments as bonuses and overtime (Boie-Takeda Chemicals, Inc. v. Dela Serna, 46
SCAD 690, Dec. 10, 1993).
Bonus amount granted and paid to an employee for his industry and loyalty which
contributed to the success of the employer's business and made possible the
realization of profits.
Elements of Wages:
1- cash wage monetary currency paid by an employer to an employee for work or
services rendered.
2. facilities vital necessities, articles or services customarily given for the benefit of
the employee or his family, excluding tools of the trade or, articles or services
primarily for the benefit of the employer or necessary to the conduct of the
employers business. Reasonable value of the same may be deducted from the cash
wage (Sec. 5, Rule VII. Book III, Implementing Rules and Regulations).
Time of Payment
at least once every two weeks at intervals not exceeding 16 days.
In no case may employer pay wages with less frequency than once a month.
Payment of wages of employees engaged to perform a task which cannot be
completed in two weeks subject to the following conditions:
1. payments are made at intervals not exceeding 16 days,
in proportion to the amount of work completed;
2. final settlement is made upon completion of the work
(Art. 103, Labor Code).
place of Payment
General rule: at or near the place of undertaking.
exceptions:
E 1. when due to the deterioration of peace and order conditions, or by reason of actual
or impending emergencies caused by a calamity, payment at or near the
workplace is impossible;
T 2. when employer provides free transportation to the em ployees back and forth;
A 3. under any analogous circumstances, provided that time spent in collecting their
wages shall be compensable.
KEY: ETA
Manner of Payment
Exceptions:
W 1. where the employer is authorized in writing by the em ployee to pay his wages to
a member of his family;
2. where payment to another person of any part of employee's wage is:
in both cases, principal concerned is liable jointly and severally with his contractor or
sub-contractor to pay wages of latter's employees to the extent of work performed
under the contract, in the event of failure of contractor or sub-contractor to do so.
in addition to the liability for wages, direct and indirect employers are likewise
jointly and severally liable for violations of the Labor Code and unfair labor
practices.
Types of Contracting:
1. Job contracting contractor carries on an independent
business and undertakes the contract work on his own ac
count under his own responsibility, according to his own
manner and method, free from the control and direction of
his employer or principal in all matters connected with the
performance of the work except as to the result thereof, and
the contractor has substantial capital or investment neces
sary in the conduct of his business.
2. Labor-only contracting any person who undertakes to
supply workers to an employer shall be deemed to be en
gaged in labor-contracting where such person: (a) does not
have substantial capital and investment; and (b) the work
ers recruited and placed by such persons are performing ac
tivities directly related to the principal business or opera
tions of the employer in which employees are habitually
employed.
Job contracting is permissible by law; labor-only contracting is prohibited as contrary to
public policy to promote full employment.
Finding that a contractor is a labor-only contractor is equivalent to a finding that there
exists an employer-employee relationship between the owner of the project and the
employees of the labor-only contractor since that relationship is defined and
prescribed by the law itself.
Requisites:
thereof or if there is prima facie evidence that the settlement was obtained
through fraud, misrepresentation, or coercion.
Similarly, compromise agreements with respect to the visitorial power shall be
reduced in writing and signed by the parties in the presence of the Regional
Director or his duly authorized representative.
Duty of the Employer vis-a-vis the Prevention or Deterrence of the Commission of Acts
of Sexual Harassment (Sec. 4, RA 7877):
1. prevent or deter the commission of acts of sexual harass
ment and to provide the procedures for the resolution, set
tlement or prosecution of acts of sexual harassment;
2. promulgate appropriate rules and regulations prescribing the
procedure for the investigation of sexual harassment cases
and the administrative sanctions therefor; and
3. create a committee on decorum and investigation of cases of
sexual harassment.
R.A. No. 7658 Prohibits the employment of children below 15 years of age.
Househelpers receiving at least Pl,000.00 shall be covered by the SSS and entitled to all
benefits therein.
Minimum Cash Wage basic cash wage which shall be paid to the househelpers in
addition to lodging, food and medical attendance (Art. 144, Labor Code).
If the househelper is under the age of 18 years, the employer shall give him/her an
opportunity for at least elementary education which shall be part of the househelper's
compensation, unless there is a stipulation to the contrary (Art. 146, Labor Code).
The employer shall treat the househelper in a just and humane manner. In no case shall
physical violence be used upon the househelper (Art. 147, Labor Code).
The employer shall furnish the househelper free of charge suitable and sanitary living
quarters as well as adequate food and medical attendance (Art. 148, Labor Code).
If the period of household service is fixed, neither the employer nor the househelper may
terminate the contract before the expiration of the term, except for a cause. If the
househelper is unjustly dismissed, he or she shall be paid the compensation already
earned plus that for 15 days by way of indemnity.
If the househelper leaves without justifiable reason, he or she shall forfeit any unpaid
salary due him or her not exceeding 15 days (Art. 149, Labor Code).
Homeworker person who performs in or about his home any processing or fabrication
or of goods or materials, in whole or in part, which have been furnished directly or
indirectly, by an employer and thereafter sold or returned (Alcantara, p. 208).
LABOR RELATIONS
refers to the interactions between employer and employees or their
representatives and the mechanism by which employment standards
are negotiated, adjusted and enforced.
Definitions:
Labor Organizations any union or association of employees which
exists in whole or in part for the purpose of collective bargaining or of
dealing with employers concerning terms and conditions of
employment.
employer includes any person acting in the interest of an employer, directly or
indirectly. The term shall not include
any labor organization or any of its officers or agents, except
when acting as employer.
employee any person in the employ of an employer. Term shall not be limited to
employees of a particular employer, except when Labor Code explicitly states. It
shall include any individual whose work has ceased as a result of or in connection
with any current labor dispute, or because of any unfair labor
if he has not obtained any other substantially equivalent and regular employment.
Legitimate Labor Organization any labor organization duly registered with the
DOLE, and includes any branch or local thereof.
Company Union any labor organization whose formation, . function or
administration has been assisted by any act defined as ULP by the Labor Code.
Bargaining Representative a legitimate labor organization or any officer or agent
of such organization whether or not employed by the employer.
, Labor Dispute any controversy or matter concerning terms
or conditions of employment or the association or representation of persons in
negotiating, fixing, maintaining, changing or arranging the terms and conditions of
employment, regardless of whether the disputants stand in the proximate relation
of employer or employee.
Managerial Employee one who is vested with powers or prerogatives to lay down
and execute management policies and/ or to hire, transfer, suspend, lay-off, recall,
discharge, assign or discipline employees.
Characteristics of Managerial Employee:
1. he is not subject to the rigid observance of regular office
Venue:
All cases which LA's have authority to hear and decide may
be filed in the Regional Arbitration Branch having jurisdic
tion over the work place of the complainant/petitioner.
For purposes of venue, workplace shall be understood as
the place or locality where the employee is regularly assigned
when the cause of action arose. It shall include the place
where the employee is supposed to report back after a tem
porary detail, assignment or travel. In the case of field em
ployees, as well as ambulant or itinerant workers, their
workplace is where They are regularly assigned or where they
are supposed to regularly receive their salaries/wages or work
instructions from and report the results of their assignment
to their employers.
Where two or more regional branches have jurisdiction over
the work place of the complainant or petitioner the branch
that shall first acquire jurisdiction over the case shall ex
clude the others.
When improper venue is not objected to before or at the time
of filing of position papers, such question shall be deemed
waived.
The venue of an action may be changed or transferred to a
different regional arbitration branch other than where the
complaint was filed by written agreement of the parties or
when the NLRC or LA before whom the case is pending so
orders, upon motion by the proper party in meritorious cases.
national Labor Relations Commission
attached to DOLE only for purposes of programs and policy
coordination. Composition: 1 Chairman and 14 members; 5 from labor; 5
from management and chairman and 4 from public sector.
May sit en bane or in 5 divisions, each composed of 3 mem-
bers.
Shall sit en banc only for promulgating rules and regulations governing the hearing
and disposition of cases before any of its divisions and regional branches and
formulating policies affecting its administration and operations.
Period to appeal from decision, awards, or orders of the LA to the NLRC: ten (10)
calendar days from receipt of such decisions, awards, or orders.
grounds:
a. If there is prima facie evidence of abuse of discretion on
the part of the Labor Arbiter;
b. If the decision, order or award was secured through fraud
or coercion, including graft and corruption;
c. If made purely on questions of law; and
d. If serious errors in the findings of facts are raised which
would cause grave or irreparable damage or injury to the
appellant.
In case of a judgment involving a monetary award, an appeal by the employer may be
perfected only upon the posting of a cash or surety bond issued by a reputable bond-
ing company duly accredited by the Commission in the amount equivalent to the
monetary award in the judgment appealed from.
In any event, the decision of the Labor Arbiter reinstating a dismissed or separated
employee, insofar as the reinstatement aspect is concerned, shall immediately be ex-
ecutory, even pending appeal. The employee shall either be admitted back to work
under the same terms and conditions prevailing prior to his dismissal or separation or, at
the option of the employer, merely reinstated in the payroll. The posting of a bond by
the employer shall not stay the execution for reinstatement provided herein.
In all cases, the appellant shall furnish a copy of the memorandum of appeal to
the other party who shall file an answer not later than ten (10) calendar
days from receipt thereof.
The Commission shall decide all cases within twenty (20) calendar days from
receipt of the answer of the appellee. The decision of the Commission shall be
final and executory after ten (10) calendar days from receipt thereof by the
parties.
[ntra-Union Dispute any conflict between and among union members, and includes
all disputes or grievances arising from any violation of or disagreement over any
provision of the constitution and by-laws of a union, including cases arising from
chartering or affiliation of labor organizations or from
any violation of the rights and conditions of union member-inter-Union Dispute
any conflict between and among legitimate labor organizations involving
questions of representation for purposes of collective bargaining. It also includes all
other conflicts which legitimate labor organizations may have against each other
based on any violations of their rights as labor organizations.
If the issue involves the entire membership of the union, the complaint shall be
supported by at least 30% of the membership of the union.
Labor Organizations
Rjght of Self-Organization:
4 Constitutional provisions: The State shall guarantee the rights of all workers
to self-organization.
entitled to such right = all workers in:
C 1. commercial;
I 2. industrial;
A 3. agricultural enterprises;
R 4. religious;
M 5. medical; and
E 6. educational institution; whether for profit or not.
right to self-organize, form, assist or join labor union for purpose of collective
bargaining;
A 7. ambulant;
I 8. intermittent;
I 9. itinerant workers;
S 10. self-employed people;
R 11. rural workers; and
W 12. those without any definite employer.
KEY: MARI'CARSEW
If federation, plus:
a. proof of affiliation 10 locals in industry it operates in; and
b. names and addresses of companies where they operate.
significance of Registration as labor organization:
acquisition of legal personality;
represent its members for collective bargaining;
Workers' Association :
Not necessarily a union. Defined as any association of work ers organized for the
mutual aid and protection of its members or for any legitimate purpose other than
collective bargaining.
4. Employees who may be excluded by a CBA which classifies union and non-union
members.
Unfair Labor Practice violates the constitutional rights of workers and employees
to self-organization, are inimical to the legitimate interests of both labor and
management, including their rights to bargain collectively and otherwise deal with
each other in an atmosphere of freedom and mutual respect, disrupt industrial
peace and hinder the promotion of healthy and stable labor-management relations.
Unfair labor practices are not only violations of the civil rights of both labor and
management, but are also criminal offenses against the state, which shall be subject
to prosecution and punishment.
Certification Election
investigation of a non-adversary, fact-finding character to
determine the exclusive representative of employees in a bar
gaining unit for the purpose of collective bargaining.
Where no petition for certification election is filed at the_ expiration of the freedom
period, the employer shall continue to recognize the majority status of the
incumbent bargaining agent.
Collective Bargaining
ULP's in Bargaining:
1- Failure or refusal to meet and convene; 2. Evading the mandatory subjects of
bargaining; 3. Bad faith in bargaining, including failure or refusal to execute the
collective agreement, if requested; and
4. Gross violation of the CBA.
Surface Bargaining sophisticated pretense in the form of apparent bargaining. Does
not satisfy the statutory duty to bargain.
matters considered Mandatory Subjects of Bargaining: w 1. Wages and other types of
compensation;
H 2. Working hours and working days including work shift-
V 3. Vacations and holidays;
B 4. Bonuses;
P 5. Pensions and retirement plans;
S 6. Seniority;
T 7. Transfer;
L 8. Lay-offs;
W 9. Employee workloads;
R 10. Work rules and regulations;
R 11. Rent of company houses; and
S 12. Union Security arrangements.
KEY: S2 W R2 B L T P H V
Points
Remember with Regard to Term of Collective Bargaining Agreement:
1. 5 years.
2. All other provisions of the CBA shall be renegotiated not later than 3 years after
its execution.
3.Any agreement on such other provisions entered into within (6 months from date of expiry
of term of such other provisions as fixed in the CBA, shall retroact to the day
immediately following such date.
4. If any such agreement is entered into beyond 6 months, the parties shall agree on
duration of retroactivity thereof.
5. In case of a deadlock in the renegotiation of the CBA, par ties may exercise their
rights under the Labor Code.
Substitutionary Doctrine employees cannot revoke the validly executed collective
bargaining contract with their employer by the simple expedient of changing their
bargaining agent.
Wiley Doctrine the disappearance by merger of a corporate employer which has
entered into a collective bargaining agreement with a union does not
automatically terminate all rights of the employees covered by the agreement,
even though the merger is for genuine business reasons.
'formal Requirements of Collective Bargaining Agreements :
Within 30 days from execution of a CBA, parties shall submit copies of the same
directly to the BLR or the regional office of the DOLE for registration accompanied
with verified proofs of its posting in 2 conspicuous places in the place of work and
ratification by the majority of all workers in the bargaining unit.
The BLR or the regional offices shall act upon the applica tion for registration of
such CBA within 5 calendar days from receipt.
Management Prerogative right of employer to regulate according to his own
discretion all aspects of employment including employment, hiring, time, tools, transfers of
employees, lay-off and discipline, dismissal and recall of employee.
characteristics of a strike.:
Conciliation Efforts
1. Improved offer balloting DOLE shall conduct a refer
endum by secret balloting on the improved offer of the em
ployer on or before the 30th day of the strike.
2. Reduced offer balloting DOLE shall likewise conduct
a referendum by secret balloting on the reduced offer of un
ion on or before the 30th day of the lockout.
post-Employment
security of Tenure
Constitutional and statutory right of workers applies only to regular employees
Distinctions
Just Causes Authorized Causes
a. With separation pay
a. No separation pay b. Not subject to review but
b. Subject to review before must comply with the re-
labor arbiter in arbitration quirements
process
i. Optional: 50 years old or more but not beyond 60 and served for at
least 5 years.
ii. Compulsory: 60 years old II. Benefits:
a. All retirement benefits as he may have earned
under existing laws and any collective bargain
ing agreement and other agreements;
b. Retirement pay equivalent to at least one-half
(1/2) month salary for every year of service with
a fraction of at least six (6) months being consid
ered one year.
Unless the parties provide for broader inclusions, term "one-half (1/2)
month salary" shall mean fifteen (15) days plus one-twelfth (1/12) of
the 13th month pay and the cash equivalent of not more than five (5)
days of service incentive leaves.
Retail, service and agricultural establishments or operations employing not more
than ten (10) employees or workers are exempted from the coverage.
Workmen's Compensation laws providing for compensation for loss resulting from the
injury, disablement, or death of workmen through industrial accident, casualty or
disease.
Employe means any person compulsorily covered by the GSIS under Commonwealth
Act Numbered One hundred eighty-six, as amended, including the members of the
Armed Forces of the Philippines, and any person employed as casual, emergency,
temporary, substitute or contractual, or any person compulsorily covered by the
SSS under Republic Act Numbered Eleven hundred sixty-one, as amended.
Dependent means the legitimate, legitimated or legally adopted or acknowledged
natural child who is unmarried, not gain-
fully employed, and not over twenty-one (21) years of age or
over twenty-one (21) years of age provided he is incapaci-
tated and incapable of self-support due to a physical or mental defect which is congenital
or acquired during minority;
the legitimate spouse living with the employee and the par ents of said employee
wholly dependent upon him for regular support.
beneficiaries means the dependent spouse until he/she remarries and dependent children,
who are the primary beneficiaries. In their absence, the dependent parents and subject
III: to the restrictions imposed on dependent children, the ille gitimate children and
legitimate descendants, who are the secondary beneficiaries: Provided, That the
dependent acknowledged natural child shall be considered as a primary beneficiary
when there are no other dependent children who are qualified and eligible for monthly
income benefit.
Injury means any harmful change in the human organism from I any accident arising
out of and in the course of the employment.
Extent, of liability:
Unless otherwise provided, the liability of the Fund shall be exclusive and in place
of all other liabilities of the employer to the employee, his dependents or anyone
otherwise entitled to receive damages on behalf of the employee or his dependents.
Liability of third party/ies :
When the disability or death is caused by circumstances cre
ating a legal liability against a third party, the disabled em
ployee or the dependents, in case of his death, shall be paid
by the Fund. In case benefit is paid, the Fund shall be sub rogate d to the rights
of t he di sa ble d employee or the
dependents, in case of his death, in accordance with the gen
eral law.
Where the Fund recovers from such third party damages in
excess of those paid or allowed, such excess shall be deliv
ered to the disabled employee or other persons entitled
thereto, after deducting the cost of proceedings and expenses
of the Fund.
Employers' contributions :
Under such regulations as the Fund may prescribe, begin
ning as of the last day of the month when an employee's com
pulsory coverage takes effect and every month thereafter
during his employment, his employer shall prepare to re
mit to the Fund a contribution equivalent to one per
cent of his monthly salary credit.
Contributions under this Title shall be paid in their entirety
by the employer and any contract or device for the deduc
tions of any portion thereof from the wages or salaries of the
employees shall be null and void.
When a covered employee dies, becomes disabled or is separated from employment, h i s
employer's obligation to pay the'
monthly contribution arising from that employment shall
cease at the end of the month of contingency and during such
months that he is not receiving wages or salary.
government guarantee :
medical services :
Immediately after an employee contracts sickness or sustains an injury,
he shall be provided by the System during the subsequent period of his
disability with such medical services and appliances as the nature of
his sickness or injury and progress of his recovery may require,
subject to the expense limitation prescribed by the Commission.
The monthly income benefit shall be guaranteed for five years, and shall be
suspended if the employee is gainfully employed, or recovers from his permanent
total disability, or fails to present himself for examination at least once a year
upon notice by the System.
One toe 3
One arm 50
One hand 39
One foot 31
One leg 46
One ear 10
Both ears 20
Hearing of one ear 10
Hearing of both ears 50
Sight of one eye 25
A loss of a wrist shall be considered as a loss of the hand, and a loss of an elbow shall be
considered as a loss of the arm. A loss of an ankle shall be considered as loss of a foot, and a
loss of a knee shall be considered as a loss of the leg. A loss of more than one joint shall be
considered as a loss of one-half of the whole finger or toe: Provided, That such a loss shall be
either the functional loss of the use or physical loss of the member.
In case of permanent partial disability less than the total loss of the member, the same
monthly income benefit shall be paid for a portion of the period established for the total
loss of the member in accordance with the proportion that the partial loss bears to the
total loss. If the result is a decimal fraction, the same shall be rounded off to the next
higher integer.
In cases of simultaneous loss of more than one member or a part thereof, 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. If the result is a decimal fraction, the same
shall be rounded off to the next higher integer.
In cases of injuries or illnesses resulting in a permanent partial disability not listed in the
schedule, the benefit shall be an income benefit equivalent to the percentage of the per-
manent loss of the capacity to work.
The income benefit payable in case of permanent partial disability may be paid in monthly
pension or in lump sum if the period covered does not exceed one year. (As added by Section
7, Presidential, Decree No. 1368).
Death Benefits:
Pay to the primary beneficiaries upon the death of the covered employee an amount
equivalent to his monthly income benefit, plus ten percent thereof for each
dependent child but not exceeding five, beginning with the youngest and without
substitution, provided, however, that the monthly income benefit shall be guaranteed
for five years: provided, further, that if he has no primary beneficiary, the System
shall pay to his secondary beneficiaries the monthly income benefit but not to
exceed sixty months: Provided, finally, That the minimum death benefit shall not be
less than Fifteen thousand pesos.
Pay to the primary beneficiaries upon the death of a covered employee who is under
permanent total disability eighty percent of the monthly income benefit and his
dependents to the dependents' pension: Provided, That the marriage must have
been validly subsisting at the time of disability: Provided, further, That if he has no
primary beneficiary, the System shall pay to his secondary beneficiaries the
monthly pension excluding the dependents' pension, of the remaining balance of
the five-year guaranteed period: Provided, finally, That the minimum death benefit
shall not be less than Fifteen thousand pesos.
Funeral benefit:
A funeral benefit of Three thousand pesos (P3,000.00) shall
be paid upon the death of a covered employee or permanently
totally disabled pensioner.
Second injuries:
If any employee under permanent partial disability suffers another injury which
results in a compensable disability greater than the previous injury, the State
Insurance Fund shall be liable for the income benefit of the new disability
Provided, That if the new disability is related to the previous disability, the System
shall be liable only for the difference in income benefits.
Assignment of benefits:
No claim for compensation is transferable or liable to tax, attachment,
garnishment, levy or seizure by or under any legal process whatsoever, either
before or after receipt by the person or persons entitled thereto, except to pay any
debt of the employee to the System.
Inscriptive period :
No claim for compensation shall be given due course unless said claim is filed
with the System within three (3) years from the time the cause of action accrued.
Bunkhouse Rule a rule in workmen's compensation which provides that, where the
employee is required to stay in the premises or quarters furnished by the employer,
injuries sustained therein are in the course of employment regardless of the time the
same occurred.
Going and Coming Rule (Street Peril Principle) in the absence of special
circumstances, an employee injured in going to and coming from his place of work
is excluded from benefits of the workmen's compensation act, except:
a. employee is proceeding to or from his work on the
premises of his employer;
b. employee is about to enter or about to leave the premises
of his employer by way of the exclusive or customary
means of ingress and egress;
c. employee is charged with a special errand; and
d. employer, as an incident to the employment, provides
means of transportation to and from the place of employ
ment.
increased Risk Theory disease is deemed compensable when the risk of contracting
the same is increased by the working.
conditions which a laborer or employee is exposed, provided the disease is work
connected.
Personal Doctrine injuries occurring on the premises during a regular lunch hour
arise in the course of employment, even though the interval is technically outside the
regular hours of employment in the sense that the worker receives no pay for the time
and is no degree under the control of the employer, being free to go where he pleases
is compensable. Work Connected Rule injuries sustained by an employee while in the
course of his employment as a result of an assault by another employee, or by a third
person, no question of the injured employee's own culpability being involved, are
compensable where a rational mind is able to trace the injury to a cause set in motion
by the nature of the employment, or some other condition, obligation or incident
therein, and not by some other agency.
The general conduct of the operations and management functions of the SSS shall be
vested in the SSS President who shall serve as the chief executive officer
immediately responsible for carrying out the program of the SSS and the policies of
the Commission
He shall be appointed by the President.
Settlement of Disputes
Any dispute arising with respect to coverage, benefits, con
tributions and penalties or any other matter related thereto,
shall be cognizable by the Commission, and any case filed
with respect thereto shall be heard by the Commission, or
any of its members, or by hearing officers' duly authorized
by the Commission and decided within twenty (20) days af
ter the submission of the evidence. The filing, determina
tion and settlement of disputes shall be governed by the rules
| and regulations promulgated by the Commission.
Appeal to Courts
Any decision of the Commission, in the absence of an appeal therefrom as herein
provided, shall become final and executory fifteen (15) days after the date of
notification, and judicial review thereof shall be permitted only after any party
claiming to be aggrieved thereby has exhausted his remedies before the
Commission. The Commission shall be deemed to be a party to any judicial action
involving any such decision, and may be represented by an attorney employed by
the Commission, or when requested by the Commission, by the Solicitor General
or any public prosecutors.
The decision of the Commission upon any disputed matter may be reviewed both
upon the law and the facts by the Court of Appeals. For the purpose of such
review, the procedure concerning appeals from the Regional Trial Court shall be
followed as far as practicable and consistent with the purposes of this Act. Appeal
from a decision of the Commission must be taken within fifteen (15) days from
notification of such decision. If the decision of the Commission involves only
questions of law, the same shall be reviewed by the Supreme Court.
Execution of Decisions. The Commission may, motu prop-rio or on motion of any
interested party, issue a writ of execution to enforce any of its decisions or awards,
after it has become final and executory, in the same manner as the decision of the
Regional Trial Court, by directing the city or provincial sheriff or the sheriff whom
it may appoint to enforce such final decision or execute such writ; and any person
who shall fail or refuse to comply with such decision, award or writ, after being
required to do so shall, upon application by the Commission pursuant to Rule 71 of
the Rules of Court, be punished for contempt.
Employer under SSS Law Any person, natural or juridical, domestic or foreign, who
carries on in the Philippines any trade, business, industry, undertaking, or activity of
any kind and uses the services of another person who is under his orders as regards
the employment, except the Government and any of its political subdivisions,
branches or instrumentalities, including corporations owned or controlled by the
Government: Provided, That a self-employed person shall be both employee and
employer at the same time.
Employee under the SSS Law Any person who performs services for an employer in which
either or both mental or physical efforts are used and who receives compensation for
such services, where there is an employer-employee relationship: provided, That a self-
employed person shall be both employee and employer at the same time.
Dependents:
(1) The legal spouse entitled by law to receive support from the member;
(2) The legitimate, legitimated or legally adopted, and illegitimate child who is
unmarried, not gainfully employed, and has not reached twenty-one (21) years of age,
or if over twenty-one (21) years of age, he is congenitally or while still a minor has
been permanently incapacitated
and incapable of self-support, physically or mentally; and
';(3) The parent who is receiving regular support from the mem-
ber.
compensation All actual remuneration for employment, including the mandated cost-of-
living allowance, as well as the cash value of any remuneration paid in any medium
other than cash except that part of the remuneration in excess of the maximum
salary credit.
Monthly The period from one end of the last payroll period of the preceding month to the
end of the last payroll period of the current month if compensation is on hourly,
daily or weekly
basis; if on any other basis, 'monthly' shall mean a period of one (1) month.
Beneficiaries:
1. Dependent spouse until he or she remarries;
2. Dependent legitimate, legitimated or legally adopted, and
illegitimate children, who shall be the primary benefici
aries of the member: Provided, That the dependent ille
gitimate children shall be entitled to fifty percent (50%)
of the share of the legitimate, legitimated or legally
adopted children: Provided, further, That in the absence
of the dependent legitimate, legitimated children of the
member, his/her dependent illegitimate children shall be
entitled to one hundred percent (100%) of the benefits.
3. In their absence, the dependent parents who shall be the
secondary beneficiaries of the member.
4. In the absence of all the foregoing, any other person des
ignated by the member as his/her secondary beneficiary.
Contingency The retirement, death, disability, injury or sickness and maternity of the
member.
Self-employed Any person whose income is not derived from employment.
Net earnings Net income before income taxes plus non-cash charges such as
depreciation and depletion appearing in the regular financial statement of the
issuing or assuming institution.
Coverage:
1. Coverage in the SSS shall be compulsory upon all employees not over sixty (60) years
of age and their employers.
In the case of domestic helpers, their monthly income shall not be less than One
thousand pesos (P1,000.00) a month:
Spouses who devote full time to managing the household and family affairs, unless
they are also engaged in other vocation or employment which is subject to
mandatory coverage, may be covered by the SSS on a voluntary basis.
4. Filipinos recruited by foreign-based employers for employment abroad may be
covered by the SSS on a voluntary ba-
Dependents' Pension :
Where monthly pension is payable on account of death, per
manent total disability or retirement, dependents' pension equivalent to ten percent
(10%) of the monthly pension or Two hundred fifty pesos (P250.00), whichever is
higher, shall also be paid for each dependent child conceived on or before the date of
the contingency but not exceeding five (5), beginning with the youngest and without
substitution: Provided, That where there are legitimate or illegitimate children, the
former shall be preferred.
retirement Benefits:
A member who has paid at least one hundred twenty (120)
monthly contributions prior to the semester of retirement and who:
1. has reached the age of sixty (60) years and is already
separated from employment or has ceased to be self-em
ployed; or
2. has reached the age of sixty-five (65) years, shall be en
titled for as long as he lives to the monthly pension: Pro
vided, That he shall have the option to receive his first
eighteen (18) monthly pensions in lump sum discounted
at a preferential rate of interest, to be determined by the
SSS.
A covered member who is sixty (60) years old at retirement and who does not
qualify for pension benefits under paragraph (a) above, shall be entitled to a lump
sum benefit equal to the total contributions paid by him and on his behalf: Pro-
vided, That he is separated from employment and is not continuing payment of
contributions to the SSS on his own.
The monthly pension shall be suspended upon the reemployment or
resumption of self-employment of a retired member who is less than sixty-five
(65) years old.
Upon the death of the retired member, his primary benefici aries as of the date of
his retirement shall be entitled to receive the monthly pension: Provided, That if
he has no primary beneficiaries and he dies within sixty (60) months from the start
of his monthly pension, his secondary beneficiaries shall be entitled to a lump
sum benefit equivalent to the total monthly pensions corresponding to the
balance of the five-year guaranteed period, excluding the dependents' pension
The monthly pension of a member who retires after reach
ing age sixty (60) shall be the higher of either: (1) the monthly
pension computed at the earliest time he could have retired
had he been separated from employment or ceased to be self-
employed plus all adjustments thereto; or (2) the monthly
pension computed at the time when he actually retires.
Death Benefits:
Upon the death of a member who has paid at least thirty-six
(36) monthly contributions prior to the semester of death,
his primary beneficiaries shall be entitled to the monthly
pension: Provided, That if he has no primary beneficiaries,
his secondary beneficiaries shall be entitled to a lump sum
benefit equivalent to thirty-six (36) times the monthly pen
sion. If he has not paid the required thirty-six (36) monthly
contributions, his primary or secondary beneficiaries shall
be entitled to a lump sum benefit equivalent to the monthly
pension times the number of monthly contributions paid to
the SSS or twelve (12) times the monthly pension, which
ever is higher.
COMPLETE
AND PERMANENT NUMBER OF
LOSS OF USE OF MONTHS
One thumb 10
One index finger 8
One middle Finger 6
One ring finger 5
Funeral Benefit:
A funeral grant equivalent to Twelve thousand pesos
(P12,000.00) shall be paid, in cash or in kind, to help defray
the cost of funeral expenses upon the death of a member,
including permanently totally disabled member or retiree.
sickness Benefit:
A member who has paid at least three (3) monthly contribu
tions in the twelve-month period immediately preceding the
semester of sickness or injury and is confined therefor for
more than three (3) days in a hospital or elsewhere with the
approval of the SSS, shall, for each day of compensable con
finement or a fraction thereof, be paid by his employer, or
the SSS, if such person is unemployed or self-employed, a
daily sickness benefit equivalent to ninety percent (90%) of
his average daily salary credit, subject to the following conditions:
(1) In no case shall the daily sickness benefit be paid longer
than one hundred twenty (120) days in one (1) calendar
year, nor shall any unused portion of the one hundred
twenty (120) days of sickness benefit granted under this
section be carried forward and added to the total number
of compensable days allowable in the subsequent year;
(2) The daily sickness benefit shall not be paid for more than
two hundred forty (240) days on account of the same con
finement; and
(3) The employee member shall notify his employer of the
fact of his sickness or injury within five (5) calendar days
after the start of his confinement unless such confine-
ment is in a hospital or the employee became sick or was injured while working or
within the premises of the employer in which case, notification to the employer is
necessary: Provided, That if the member is unemployed or self-employed, he shall
directly notify the SSS of his confinement within five (5) calendar days after the
start thereof unless such confinement is in a hospital in which case notification is
also not necessary: Provided, further, That in cases where notification is
necessary, the confinement shall be deemed to have started not earlier than the
fifth day immediately preceding the date of notification.
* The compensable confinement shall begin on the first day of
sickness, and the payment of such allowances shall be
promptly made by the employer every regular payday or on
the fifteenth and last day of each month, and similarly in
the case of direct payment by the SSS, for as long as such allowances are due and
payable: Provided, That such allowance shall begin only after all sick leaves of
absence with full pay to the credit of the employee member shall have been exhausted.
One hundred percent (100%) of the daily benefits provided in the preceding paragraph
shall be reimbursed by the SSS to said employer upon receipt of satisfactory proof of
such payment and legality thereof: Provided, That the employer has notified the SSS
of the confinement within five (5) calendar days after receipt of the notification from the
employee member: Provided, further, That if the notification to the SSS is made by the
employer beyond five (5) calendar days after receipt of the notification from the
employee member, said employer shall be reimbursed only for each day of confinement
starting from the tenth calendar day immediately preceding the date of notification to
the SSS: Provided, finally, That the SSS shall reimburse the employer or pay the un-
employed member only for confinement within the one-year period immediately
preceeding the date the claim for benefit or reimbursement is received by the SSS,
except confinement in a hospital in which case the claim for benefit or reimbursement
must be filed within one (1) year from the last day of confinement.
Where the employee member has given the required notification but the employer fails
to notify the SSS of the confinement or to file the claim for reimbursement within the
period prescribed in this section resulting in the reduction of the benefit or denial of the
claim, such employer shall have no right to recover the corresponding daily allowance he
advanced to the employee member as required in this section. The claim of
reimbursement shall be adjudicated by the SSS within a period of two (2) months from
receipt thereof: Provided, That should no payment be received by the employer within
one (1) month after the period prescribed herein for adjudication, the reimbursement
shall thereafter earn simple interest of one percent (1%) per month until paid.
The provisions regarding the notification required of the member and the employer as
well as the period within which the claim for benefit or reimbursement may be filed
shall apply to all claims filed with the SSS.
maternity Leave Benefit:
A female member who has paid at least three (3) monthly contributions in the
twelve-month period immediately preceding the semester of her childbirth or
miscarriage shall be paid a daily maternity benefit equivalent to one hundred
percent (100%) of her average daily salary credit for sixty (60) days or seventy-eight
(78) days in case of caesarian delivery, subject to the following conditions:
(a) That the employee shall have notified her employer of her pregnancy and the
probable date of her childbirth, which notice shall be transmitted to the SSS in
accordance with the rules and regulations it may provide;
(b) The full payment shall be advanced by the employer
within thirty (30) days from the filing of the maternity
leave application;
(c) That payment of daily maternity benefits shall be a bar
to the recovery of sickness benefits provided by this Act
for the same period for which daily maternity benefits
have been received;
(d) That the maternity benefits provided under this section
shall be paid only for the first four (4) deliveries or mis
carriages;
(e) That the SSS shall immediately reimburse the employer
of one hundred percent (100%) of the amount of mater
nity benefits advanced to the employee by the employer
upon receipt of satisfactory proof of such payment and
legality thereof; and
(f) That if an employee member should give birth or suffer
miscarriage without the required contributions having been remitted for her by her
employer to the SSS, or without the latter having been previously notified by the
employer of the time of the pregnancy, the employer shall pay to the SSS damages
equivalent to the benefits which said employee member would otherwise have been
entitled to.
non-Transferability of Benefits:
Such benefits are not transferable and no power of attorney or other document
executed by those entitled thereto in favor
of any agent, attorney or any other person for the collection thereof on their behalf
shall be recognized, except when they are physically unable to collect personally
such benefits-Provided, further, That in case of death benefits, if no beneficiary
qualifies under this Act, said benefits shall be paid to the legal heirs in accordance
with the law of succession.
Government Service Insurance System Act of 1997 Republic Act No. 8291
Employer under GSIS The national government, its political subdivisions, branches,
agencies or instrumentalities, including government-owned or -controlled
corporations, and financial institutions with original charters, the constitutional
commissions and the judiciary.
Employee or Member Any person receiving compensation while in the service of an
employer as defined herein, whether by election or appointment, irrespective of
status of appoint ment, including barangay and Sanggunian officials.
(a) the legitimate spouse dependent for support upon the member or pensioner;
(b) the legitimate, legitimated, legally adopted child, includ ing the illegitimate
child, who is unmarried, not gainfully employed, not over the age of majority,
or is over the age of majority but incapacitated and incapable of self-support
due to a mental or physical defect acquired prior to age of majority; and
(c) the parents dependent upon the member for support.
Primary beneficiaries The legal dependent spouse until he/she remarries and the
dependent children.
{Secondary beneficiaries The dependent parents and, subject to the restrictions on
dependent children, the legitimate descendants.
^Compensation The basic pay or salary received by an employee, pursuant to his
election/appointment, excluding per diems,
bonuses, overtime pay, honoraria, allowances and any other emoluments received in
addition to the basic pay which are not integrated into the basic pay under existing
laws.
pensioner Any person receiving old-age permanent total disability pension or any
person who has received the lump sum
excluding one receiving survivorship pension benefits.
Disability Any loss or impairment of the normal functions of the physical and/or mental
faculty of a member which reduces or eliminates his/her capacity to continue with
his/her current gainful occupation or engage in any other gainful occupation;
total Disability Complete incapacity to continue with his present employment or engage
in any gainful occupation due to the loss or impairment of the normal functions of the
physical and/or mental faculties of the member;
Permanent Total Disability Accrues or arises when recovery from the impairment is
medically remote;
Temporary Total Disability Accrues or arises when the impaired physical and/or mental
faculties can be rehabilitated and/or restored to their normal functions;
Separation Benefits :
The separation benefits shall consist of:
1. a cash payment equivalent to one hundred percent (100%)
of his average monthly compensation for each year of
service he paid contributions, but not less than Twelve
thousand pesos (P12,000) payable upon reaching sixty
(60) years of age upon separation, whichever comes later:
Provided, That the member resigns or separates from the
service after he has rendered at least three (3) years of
service but less than fifteen (15) years; or
2. a cash payment equivalent to eighteen (18) times his basic
monthly pension at the time of resignation or separa
tion, plus an old-age pension benefit equal to the basic
monthly pension payable monthly for life upon reaching
the age of sixty (60): Provided, That the member resigns
or separates from the service after he has rendered at
least fifteen (15) years of service and is below sixty (60)
years of age at the time of resignation or separation.
Retirement Benefits :
Retirement benefits shall be:
(1) the lump sum payment as defined in this Act payable at
the time of retirement plus an old-age pension benefit
equal to the basic monthly pension payable monthly for
life, starting upon expiration of the five-year (5) guaran
teed period covered by the lump sum; or
(2) cash payment equivalent to eighteen (18) months of his
basic monthly pension plus monthly pension for life pay
able immediately with no five-year (5) guarantee.
Conditions for Entitlement :
A member who retires from the service shall be entitled to the retirement
benefits enumerated in paragraph (a) of Section 13 hereof: Provided, That:
(1) he has rendered at least fifteen years of service;
(2) he is at least sixty (60) years of age at the time of
retirement; and
(3) he is not receiving a monthly pension benefit from
permanent total disability.
The following disabilit ies shall be deemed total and perma nent:
( 1) complete loss of sight of both eyes:
(2i loss of two (2) limbs at or above the ankle or wrist;
(3) permanent complete paralysis of two (2) limbs;
brain injury resulting in incurable imbecility or insan
ity: and
(5) such other cases as may be determined by the GSIS Permanent Partial
Disability Benefits :
If the disability is partial, he shall receive a cash payment in accordance with a
schedule of disabilities to be prescribed by the GSIS: Provided, That he satisfies
either conditions (1) or (2) for permanent total disability.
The following disabilities shall be deemed permanent p artial:
(1) complete and permanent loss of the use of:
(i) any finger;
(ii) any toe;
(iii) one arm;
(iv) one hand;
(v) one foot;
(vi) one leg;
(vii) one or both ears;
(viii) hearing of one or both ears; and
(ix) sight of both eyes.
(2) such other cases as my be determined by the GSIS. Temporary Disability
Benefits:
A member who suffers temporary total disability for reasons not due to any of the
conditions enumerated in Section 15 hereof, shall be entitled to seventy-five percent
(75%) of his current daily compensation for each day or fraction thereof of
temporary disability benefit not exceeding one hundred twenty (120) days in one
calendar year after exhausting all his sick leave credits and collective bargaining
agreement sick leave benefits, if any, but not earlier than the fourth day of his
temporary total disability: Provided, That:
(1) he is in the service at the time of his disability: or
(2) if separated, he has rendered at least three (3) years of
service and has paid at least six (6) monthly contribu
tions in the twelve-month period immediately preced
ing his disability.
Provided, however, That a member cannot enjoy the temporary total disability benefit
and sick leave pay simultaneously: Provided, further, That if the disability requires
more extensive treatment that lasts beyond one hundred twenty (120) days, the
payment of the temporary total disability benefit may be extended by the GSIS but
not to exceed a total of two hundred forty (240) days.
The temporary total disability benefit shall in no case be less than Seventy pesos
(P70.00) a day.
survivorship Benefits:
When a member or pensioner dies, the beneficiaries shall be entitled to survivorship
benefits provided in Sections 21 and 22 hereunder subject to the conditions therein
provided for. The survivorship pension shall consist of: (1) the basic survivorship
pension which is fifty percent (50%) of the basic monthly pension; and (2) the
dependent children's pension not exceeding fifty percent (50%) of the basic monthly
pension.
death a Member: Upon the death of a member, the primary beneficiaries shall be
entitled to: (1) survivorship pension: Provided, That the deceased: (i) was in the
service at the time of his death; or (ii) if separated from the service, has at least
three (3) years of service at the time of his death and has paid thirty-six (36)
monthly contributions within the five-year period immediately preceding his
death; or has paid a total of at least one hundred eighty (180) monthly
contributions prior to his death;or
2) the survivorship pension plus a cash payment equivalent to one hundred percent
(100%) of his average monthly compensation for every year of service: Provided, That the
deceased was in the service at the time of his death with at least three (3) years of service;
or
(3) a cash payment equivalent to one hundred percent (100%) of his average
monthly compensation for each year of service he paid contributions, but not
less than Twelve thousand pesos (P12,000.00): Provided, That the deceased has
rendered at least three (3) years of service prior to his death but does not
qualify for the benefits under item (1) or (2) of this paragraph.
Death of a Pensioner:
Upon the death of an old-age pensioner or a member receiv
ing the monthly income benefit for permanent disability, the qualified beneficiaries
shall be entitled to the survivorship pension defined in Section 20 of this Act, subject
to the provisions of paragraph (b) of Section 21 hereof. When the pensioner dies
within the period covered by the lump sum, the survivorship pension shall be
paid only after the expiration of the said period.
Funeral Benefits:
| The amount of the funeral benefits shall be determined and specified by the GSIS in
the rules and regulations but shall not be less than Twelve thousand pesos (P12,000.00):
Provided, That it shall be increased to at least Eighteen thousand pesos (P18,000.00)
after five (5) years and shall be paid upon the death of:
(a) an active member as defined under Section 2 (e) of this
Act; or
(b) a member who has been separated from the service, but
who may be entitled to future benefit pursuant to Sec-
tion 4 of this Act; or
(c) a pensioner, as defined in Section 2 (o) of this Act; or
(d) a retiree who at the time of his retirement was of pensionable age under this Act
but who opted to retire under Republic Act No. 1616.
(3) for those without any life insurance as of the effectivity of this Act, their
insurance shall take effect following said effectivity.
Appeals:
Appeals from any decision or award of the Board shall be governed by Rules 43 and
45 of the 1997 Rules of Civil Procedure. Provided that the appeal shall take
precedence over all other cases except criminal cases when the penalty of life
imprisonment or death or reclusion perpetua is imposable.
Administration Implementing Body:
The Government Service Insurance System as created under Commonwealth Act
No. 186 shall implement the provisions of the law.
18. Care for the Indigent -- The government shall be responsible for providing a basic
package of needed personal health
services to indigents through premium subsidy, or through direct service provision
until such time that the program is fully implemented.
general Objectives:
1 . provide all citizens of the Philippines with the mechanism to gain financial access
to health services;
2.. create the National Health Insurance Program, hereinafter referred to as the Program,
to serve as the means to help the people pay for health care services;
3. prioritize and accelerate the provisions of health services to all Filipinos, especially
that segment of the population who cannot afford such services; and
' 4. establish the Philippine Health Insurance Corporation, here inafter referred to as the
Corporation, that will administer the Program at central and local levels.
beneficiary Any person entitled to health care benefits under this Act.
Capitation A payment mechanism where a fixed rate, whether per person, family,
household, or group, is negotiated with the health care provider who shall be
responsible for delivering or arranging for the delivery of health services required by
the covered person under the conditions of a health provider contract.
)dependent :
The legal dependents of a member are:
1) the legitimate spouse who is not a member;
1) the unmarried and unemployed legitimate, legitimated,
illegitimate, acknowledged children as appearing in the
birth certificate; legally adopted or stepchildren below
twenty-one (21) years of age;
3) children who are twenty-one (21) years old or above but
suffering from congenital disability, either physical or
mental, or any disability acquired that renders them to
tally dependent on the member for support;
4) the parents who are sixty (60) years old or above whose monthly income is below
an amount to be determined by the Corporation in accordance with the guiding
principles set forth.
Emergency An unforeseen combination of circumstances which calls for immediate
action to preserve the life of a person or to preserve the sight of one or both eyes;
the hearing of one or both ears; or one or two limbs at or above the ankle or wrist.
Employee under NHIA Any person who performs services for an employer in which
either or both mental and physical efforts are used and who receives compensation
for such services, where there is an employer-employee relationship.
Employer under NHIA A natural or juridical person who employs the services of an
employee.
Coverage:
All citizens of the Philippines shall be covered by the Na tional Health Insurance
Program. In accordance with the principles of universality and compulsory coverage,
implementation of the Program shall, furthermore, be gradual and phased in over a
period of not more than fifteen (15) years: Provided, That the Program shall not be
made compulsory in certain provinces and cities until the Corporation shall be able
to ensure that members in such localities shall have reasonable access to adequate
and acceptable health care services.
Benefit Package :
The following categories of personal health services granted to the member or his
dependents as medically necessary or appropriate, shall include:
a) Inpatient hospital care:
1) room and board;
2) services of health care professionals;
3) diagnostic, laboratory, and other medical examina
tion services;
4) use of surgical or medical equipment and facilities;
5) prescription drugs and biologicals; subject to the limi
tations stated in Section 37 of this Act;
6) inpatient education packages;
b) Outpatient care:
1) services of health care professionals;
2) diagnostic, laboratory, and other medical examina
tion services;
3) personal preventive services; and
4) prescription drugs and biologicals, subject to the limi
tations described in Section 37 of this Act;
c) Emergency and transfer services; and
c) Such other health care services that the Corporation shall
determine to be appropriate and cost-effective: Provided,
That the Program, during its initial phase of implemen
tation, which shall not be more than five (5) years, shall
provide a basic minimum package of benefits which shall
be defined according to the following guidelines:
1) the cost of providing said packages is such that the available national and
local government subsidies for premium payments of indigents are sufficient
to ex
tend coverage to the widest possible population.
2) the initial set of services shall not be less than half
of those provided under the current Medicare Program I in terms of overall
average cost of claims paid per beneficiary household per year.
3) the services included are prioritized, first, according
to its cost-effectiveness and, second, according to its
potential of providing maximum relief from the fi
nancial burden on the beneficiary: Provided, That,
in addition to the basic minimum package, the Pro
gram shall provide supplemental health benefit cov
erage to beneficiaries of contributory funds, taking
into consideration the availability of funds for the
purpose from said contributory funds: Provided, fur
ther, That the Program progressively expand the ba
sic minimum benefit package as the proportion of the
population covered reaches targeted milestone so that
the same benefits are extended to all members of the
Program within five (5) years after the implementa
tion of the NHIA. Such expansion will provide for the
gradual incorporation of supplementary health ben
efits previously extended only to some beneficiaries
into the basic minimum package extended to all ben
eficiaries: And Provided, finally, That in the phased
implementation the NHIA, there should be no reduc
tion or interruption in the benefits currently enjoyed
by present members of Medicare.
d) cosmetic surgery;
e) home and rehabilitation services;
f) optometric services;
g) normal obstetrical delivery; and
h) cost ineffective procedures which shall be defined by the Corporation.
Entitlement to Benefits :
A member whose premium contributions for at least three
(3) months have been paid within six (6) months prior to the
first day of his or his availment, shall be entitled to the ben
efits of the Program: Provided, That such member can show
that he contributes thereto with sufficient regularity;
The following need not pay the monthly contributions to be entitled to the Program's
benefits :
a) Retirees and pensioners of the SSS and GSIS prior to
the effectivity of this Act;
b) Members who reach the age of retirement as provided
for by law and have paid at least one hundred twenty
(120) contributions; and
c) Enrolled indigents.
Quasi-Judicial Po wers:
The Corporation, to carry out its tasks more effectively, shall
be vested with the following powers, in addition to those enu
merated in the law:
a) to conduct investigations for the determination of a question, controversy,
complaint, or unresolved grievance brought to its attention, and render
decisions, orders, or resolutions thereon. It shall proceed to hear and determine
the case even in the absence of any party who has been properly served with
notice to appear. It shall conduct its proceedings or any part thereof in public or
in executive session; adjourn its hearings to any time and place; refer technical
matters or accounts to an expert and to accept his reports as evidence; direct
parties to be joined in or excluded from the proceedings; and give all such
directions as it may deem necessary or expedient in the determination of the
dispute before it;
b) to summon the parties to a controversy, issue subpoenas
requiring the attendance and testimony of witnesses or
the production of documents and other materials neces
sary to a just determination of the case under investiga
tion;
b) to suspend temporarily, revoke permanently, or restore
the accreditation of a health care provider or the right to benefits of a member
and/or impose fines after due notice and hearing. The decision shall immediately
be executory, even pending appeal, when the public interest so requires and as
may be provided for in the implementing rules and regulations. Suspension of
accreditation shall not exceed twenty-four (24) months. Suspension of
the rights of the members shall not exceed six (6) months. The Corporation shall not be
bound by the technical rules of | evidence.
Ancestral Lands:
Ancestral lands of each indigenous cultural community shall include,
but not be limited to, lands in the actual, continuous and open
possession and occupation of the community and its members:
Provided, That the Torrens System shall be respected.
The right of these communities to their ancestral lands shall be
protected to ensure their economic, social and cultural well-being. In
line with the other principles of self-determination and autonomy, the
systems of land ownership, land use, and the modes of settling land
disputes of all these communities must be recognized and respected.
The PARC may suspend the implementation of this Act with respect
to ancestral lands for the purpose of identifying and delineating such
lands: Provided, That in the autonomous regions, the respective legislatures may
enact their own laws on ancestral domain subject to the provisions of the Consti-
tution and the principles enunciated in this Act and other national laws.
Land Acquisition
Procedure for Acquisition of Private Lands :
a. After having identified the land, the landowners and the
beneficiaries, the DAR shall send its notice to acquire
the land to the owners thereof, by personal delivery or registered mail, and post
the same in a conspicuous place in the municipal building and barangay hall of
the place where the property is located. Said notice shall contain the offer of the
DAR to pay a corresponding value in accordance with the valuation set forth in
Sections 17, 18, and other pertinent provisions hereof.
b. Within thirty (30) days from the date of receipt of writ
ten notice by personal delivery or registered mail, the
landowner, his administrator or representative shall in
form the DAR of his acceptance or rejection of the offer.
c. If the landowner accepts the offer of the DAR, the LBP
shall pay the landowner the purchase price of the land
within thirty (30) days after he executes and delivers a
deed of transfer in favor of the Government and surren
ders the Certificate of Title and other muniments of
title.
d. In case of rejection or failure to reply, the DAR shall con
duct .summary administrative proceedings to determine the compensation of the
land by requiring the landowner the LBP and other interested parties to submit
evidence as to the just compensation for the land, within fifteen (15) days from
the receipt of the notice. After the expiration of the above period, the matter is
deemed submitted for decision. The DAR shall decide the case within thirty (30)
days after it is submitted for decision.
e. Upon receipt by the landowner of the corresponding pay
ment or in case of rejection or no response from the land
owner, upon the deposit with an accessible bank desig
nated by the DAR of the compensation in cash or LBP
bonds in accordance with this Act, the DAR shall take
immediate possession of the land and shall request the
proper Register of Deeds to issue a Transfer Certificate
of Title (TCT) in the name of the Republic of the Philip
pines. The DAR shall thereafter proceed with the redis
tribution of the land to the qualified beneficiaries.
f. Any party who disagrees with the decision may bring the
matter to the court of proper jurisdiction for final deter
mination of just compensation.
Compensation:
Determination of Just Compensation:
In determining just compensation, the cost of acquisition of
the land, the current value of like properties, its nature,
actual use and income, the sworn valuation by the owner,
the tax declarations, and the assessment made by govern
ment assessors, shall be considered. The social and economic
benefits contributed by the farmers and the farmworkers and
by government to the property as well as the non-payment
of taxes or loans secured from any government financing in
stitution on the said land shall be considered as additional
factors to determine its valuation.
the absence thereof, landless residents of the same municipality in the following
order of priority:
(a) agricultural lessees and share tenants;
(b) regular farm workers;
(c) seasonal farm workers;
(d) other farm workers;
(e) actual tillers or occupants of public lands;
(f) collective or cooperatives of the above beneficiaries; and
(g) others directly working on the land.
Provided, however, That the children of landowners who are qualified shall be given
preference in the distribution of the land of their parents and: Provided, further, That
actual tenant-tillers in the landholding shall not be ejected or removed therefrom.
A basic qualification of a beneficiary shall be his willingness, aptitude and
ability to cultivate and make land as produc tive as possible.
If due to landowner's retention rights or to the number of tenants, lessees, or
workers on the land, there is not enough land to accommodate any or some of
them, they may be granted ownership of other lands available for distribution, at
the option of the beneficiaries.
Farmers already in place and those not accommodated in
Payment by Beneficiaries :
Lands awarded pursuant to this Act shall be paid for by the
beneficiaries to the LBP in thirty (30) annual amortiza
tions at six percent (6%) interest per annum. The pay
ments for the first three (3) years after the award may be at
reduced amounts: Provided, That the first five (5) annual
payments may not be more than five percent (5%) of the value
of the annual gross production is paid. Should the scheduled
annual payments after the fifth year exceed ten percent (10)
of the annual gross production and the failure to produce
accordingly is not due to the beneficiary's fault, the LBP may
reduce the interest rate or reduce the principal obligation to
make the payment affordable.
The LBP shall have a lien by way of mortgage on the land
awarded to beneficiary and this mortgage may be foreclosed
by the LBP for non-payment of an aggregate of three (3) an
nual amortizations. The LBP shall advise the DAR of such
proceedings and the latter shall subsequently award the for
feited landholding to other qualified beneficiaries. A benefi
ciary whose land as provided herein has been foreclosed shall
thereafter be permanently disqualified from becoming a ben
eficiary.
Corporate Landowners :
Corporate landowners may voluntarily transfer ownership
over their agricultural landholdings to the Republic of the
Philippines or to qualified beneficiaries, as they may agree
upon, subject to confirmation by the DAR.
Upon certification by the DAR, corporations owning agricultural lands may give their
qualified beneficiaries the right to purchase such proportion of the capital stock of the
corporation that the agricultural land, actually devoted to agri cultural activities, bears in
relation to the company's total assets, under such terms and conditions as may be agreed
upon by them. In no case shall the compensation received by the workers at the time the
shares of stocks are distributed be reduced. The same principle shall be applied to
associations, with respect to their equity or participation.
appellate courts until the hearing shall have been terminated and the case decided
on the merits.
Appeals. An appeal may be taken from the decision of the Special Agrarian Courts
by filing a petition for review with the Court of Appeals fifteen (15) days from receipt
of notice of the decision; otherwise, the decision shall become final.
An appeal from the decision of the Court of Appeals, or
from any order, ruling or decision of DAR, as the case
may be, shall be by a petition for review with the Su
preme Court within a non-extendible period of fifteen (15)
days from receipt of a copy of said decision.
Procedure on Review. Review by the Court of Appeals
or the Supreme Court, as the case may be, shall be gov
erned by the Rules of Court. The Court of Appeals, how
ever, may require the parties to file simultaneous memo
randa within a period of fifteen (15) days from notice,
after which the case is deemed submitted for decision.
Preferential Attention in Courts. All courts in the Philippines, both trial and
appellate, are hereby enjoined to give preferential attention to all cases arising from
or in connection with the implementation of the provisions of this Act.