PHIC PHILHEALTH CIRCULAR NO. 01, S. 2005, January 21, 2005
[ PHIC PHILHEALTH CIRCULAR NO. 01, S. 2005, January 21, 2005 ]
NEW PREMIUM CONTRIBUTION SCHEDULE FOR THE EMPLOYED SECTOR STARTING CY 2006
Pursuant to PhilHealth Board Resolution No. 735, s-2004 dated 16 December 2004 which was passed to ensure that social solidarity is achieved and financial viability of the Health Insurance Fund (HIF) is sustained, please be advised that the premium contribution schedule for members of the Employed Sector shall be revised as follows:
A. Effective January 1, 2006
Monthly Salary Bracket
Monthly Salary Range
Salary Base (SB)
Total Monthly Contribution
Employee Share (EeS)
Employer Share (ErS)
(EeS=0.5 x TMC)
1
4,999.99 and below
4,000.00
100.00
50.00
50.00
2
5,000.00 to 5,999.99
5,000.00
125.00
62.50
62.50
3
6,000.00 to 6,999.99
6,000.00
150.00
75.00
75.00
4
7,000.00 to 7,999.99
7,000.00
175.00
87.50
87.50
5
8,000.00 to 8,999.99
8,000.00
200.00
100.00
00.00
6
9,000.00 to 9,999.99
9,000.00
225.00
112.50
112.50
7
10,000.00 to 10,999.99
10,000.00
250.00
125.00
125.00
8
11,000.00 to 11,999.99
11,000.00
275.00
137.50
137.50
9
12,000.00 to 12,999.99
12,000.00
300.00
150.00
150.00
10
13,000.00 to 13,999.99
13,000.00
325.00
162.50
162.50
11
14,000.00 to 14,999.99
14,000.00
350.00
175.00
175.00
12
15,000.00 to 15,999.99
15,000.00
375.00
187.50
187.50
13
16,000.00 to 16,999.99
16,000.00
400.00
200.00
200.00
14
17,000.00 to 17,999.99
17,000.00
425.00
212.50
212.50
15
18,000.00 to 18,999.99
18,000.00
450.00
225.00
225.00
16
19,000.00 to 19,999.99
19,000.00
475.00
237.50
237.50
17
20,000.00 to 20,999.99
20,000.00
500.00
250.00
250.00
18
21,000.00 to 21,999.99
21,000.00
525.00
262.50
262.50
19
22,000.00 to 22,999.99
22,000.00
550.00
275.00
275.00
20
23,000.00 to 23,999.99
23,000.00
575.00
287.50
287.50
21
24,000.00 to 24,999.99
24,000.00
600.00
300.00
300.00
22
25,000.00 and up
25,000.00
625.00
312.50
312.50
B. Effective 1 January 2007
Monthly Salary Bracket
Monthly Salary Range
Salary Base (SB)
Total Monthly Contribution
Employee Share (EeS)
Employer Share (ErS)
(EeS=0.5 x TMC)
1
4,999.99 and below
4,000.00
100.00
50.00
50.00
2
5,000.00 to 5,999.99
5,000.00
125.00
62.50
62.50
3
6,000.00 to 6,999.99
6,000.00
150.00
75.00
75.00
4
7,000.00 to 7,999.99
7,000.00
175.00
87.50
87.50
5
8,000.00 to 8,999.99
8,000.00
200.00
100.00
100.00
6
9,000.00 to 9,999.99
9,000.00
225.00
112.50
112.50
7
10,000.00 to 10,999.99
10,000.00
250.00
125.00
125.00
8
11,000.00 to 11,999.99
11,000.00
275.00
137.50
137.50
9
12,000.00 to 12,999.99
12,000.00
300.00
150.00
150.00
10
13,000.00 to 13,999.99
13,000.00
325.00
162.50
162.50
11
14,000.00 to 14,999.99
14,000.00
350.00
175.00
175.00
12
15,000.00 to 15,999.99
15,000.00
375.00
187.50
187.50
13
16,000.00 to 16,999.99
16,000.00
400.00
200.00
200.00
14
17,000.00 to 17,999.99
17,000.00
425.00
212.50
212.50
15
18,000.00 to 18,999.99
18,000.00
450.00
225.00
225.00
16
19,000.00 to 19,999.99
19,000.00
475.00
237.50
237.50
17
20,000.00 to 20,999.99
20,000.00
500.00
250.00
250.00
18
21,000.00 to 21,999.99
21,000.00
525.00
262.50
262.50
19
22,000.00 to 22,999.99
22,000.00
550.00
275.00
275.00
20
23,000.00 to 23,999.99
23,000.00
575.00
287.50
287.50
21
24,000.00 to 24,999.99
24,000.00
600.00
300.00
300.00
22
25000.00 to 25,999.99
25,000.00
625.00
312.50
312.50
23
26,000.00 to 26,999.99
26,000.00
650.00
325.00
325.00
24
27,000.00 to 27,999.99
27,000.00
675.00
337.50
337.50
25
28,000.00 to 28,999.99
28,000.00
700.00
350.00
350.00
26
29,000.00 to 29,999.99
29,000.00
725.00
362.50
362.50
27
30,000.00 and up
30,000.00
750.00
375.00
375.00
Contributions from the public and private sector employers should be remitted on or before the 10th calendar day of the month following the applicable month at any PhilHealth Offices or through Accredited Collecting Agents and their branches nationwide. The remittance of premium contribution by the employer shall be supported by a Quarterly Remittance List to be submitted to PhilHealth not later than 15 calendar days after the end of each calendar quarter.
Failure of the employer to remit the required contribution and to submit the required remittance list shall make the employer liable for reimbursement of payment of a properly filed claim in case the concerned employee or his/her qualified dependent/s avail/s of PhilHealth benefits, without prejudice to the imposition of other penalties as provided for in the revised Implementing Rules and Regulations of the National Health Insurance Act of 1995 (Republic Act 7875 as amended).
All issuances inconsistent with this Circular are hereby repealed or modified accordingly.
(SGD.) FRANCISCO T. DUQUE III, MD, MSc Secretary President and CEO
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