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FAQ

Frequently Asked Questions on Philippine Health Insurance Corporation

You can ask your employee to view the registration procedures here.

PhilHealth helps reduce members' expenses during confinement or availing of selected health services in accredited facilities.

As an employer, your responsibilities include:

  • Registering your company with PhilHealth

  • Registering your employees with PhilHealth

  • Notifying PhilHealth of an employee’s separation
    Informing PhilHealth of any changes in company data (such as address, business name, or temporary/permanent cessation of business operations)

  • Remitting the premium contributions of employees, together with the employer’s counterpart premium

  • Settling with PhilHealth any money owed on premium remittances

  • Observing and complying with PhilHealth rules on contributions and remittances

  • Submitting the Employer’s Remittance Report (RF-1) on schedule

  • Keeping employees updated on amendments in PhilHealth policies and increases in benefits

  • Properly providing requirements to enable employees to avail of their benefits

  • Seeking clarification on any unclear guideline or requirement in benefit availment

To enroll your employee in PhilHealth:

  1. Ask your employee to accomplish 2 copies of the Member Data Record for Employed Sector Form (M1a) for new registrants, or the Member Data Amendment Form (M2) for those already registered with PhilHealth.

  2. If your employee is new to PhilHealth, get a clear copy of his birth or baptismal certificate, SSS ID, or other valid ID.

  3. If your employee is declaring dependents, you also need to get a clear copy of his marriage certificate (for the dependent spouse) or the birth certificate of his dependent children or parents (60 years old and above).

  4. Submit the Report of Employee-Members (Er-2) Form together with the accomplished M1a or M2 forms to the nearest PhilHealth office.

  5. Wait for instructions on the release of the following:
     

  • PhilHealth Number Cards (PNCs), which indicate the PhilHealth Identification Number (PIN) of employees

  • Member Data Records (MDRs)

  • Liaison agents shall inform the attending PhilHealth staff on the mode of release of the above documents (mail or pickup).

If you need to update information about your company, you need to submit the Employer Data Amendment Form (ER3) and the following applicable documents:

  • For change of business name/legal personality: Certificate of filing of business name with DTI or Articles of Partnership or Incorporation

  • For temporary suspension of operation: If due to bankruptcy: Financial statement, income tax return or board resolution

  • If due to separation of employees: Latest submitted prescribed PhilHealth form and separation paper of the last employee

  • If due to fire or demolition: Certification from the City/Municipal Fire Department, and certification from the concerned city or municipality

  • For termination/dissolution

    • For single proprietorship: Approved application for business retirement by the City or Municipal Treasurer's Office, and death certificate in case of death of owner

    • For partnership or corporation: SEC-approved Deed of Dissolution or Minutes of the Meeting certified by the corporate secretary

    • For cooperative: CDA-issued Certificate/Order of Dissolution/Cancellation

    • For mergers: SEC-certified Deed of Merger/Merger Agreement or Memorandum of Agreement filed with SEC

    • For change of ownership: Deed of Sale/Transfer/Assignment

  • For resumption of operation: Prescribed PhilHealth form reporting newly hired or re-hired employees

  • For closure due to fortuitous events: Submit applicable documents as determined by PhilHealth

Keep your employee records up to date by submitting the necessary forms on time:

  • For newly hired employees: Submit the ER2 Form within 30 days from their first day. Download here

  • For separated employees: Submit the RF-1 Form within 30 days of their separation. Download here
     

You can ensure a smooth claim process by preparing the necessary claim forms and required documents before the employee's hospital discharge.

You can review PhilHealth’s official rules and regulations here

Payment due dates depend on the last digit of your employees’ PhilHealth Employer Number (PEN):

  • 0 to 4: Pay between the 11th and 15th of the following month.

  • 5 to 9: Pay between the 16th and 20th of the following month.

Follow these steps to pay PhilHealth contributions correctly:
 

  1. Deduct the employee’s share from their monthly salary.

  2. Remit both the employee’s and employer’s share to any accredited collecting agent before the due date

  3. Submit the Remittance Report via the Electronic Premium Remittance System (EPRS). Access EPRS here.

View the full list of accredited collecting agents for PhilHealth contributions here.

Check the PhilHealth Premium Contribution Table for the latest contribution rates here.

Submit your monthly Remittance Report on or before the 15th day of the following month (e.g., July’s report is due by August 15).

Late payments and report submissions can lead to penalties. If an employee or their dependent needs PhilHealth benefits, you may be liable to reimburse the claim amount.

EPRS is a secure, web-based system that allows employers to manage employee records, submit remittances, and ensure compliance with PhilHealth regulations.

Find step-by-step instructions in the EPRS User Manual.Download Here

If you’re not using EPRS, you can submit manually or electronically. For employers with more than 50 employees, the electronic method is recommended.

 

Manual Method:

  1. Prepare two copies of the RF-1 Form.

  2. Visit the nearest PhilHealth office with the forms and proof of payment (ME-5, PAR, or POR copies).

  3. Wait for the release of the receiving copy of your documents.

 

Electronic Method:

  1. Schedule an RF-1 preparation orientation at the nearest PhilHealth office.

  2. Prepare the RF-1 in Excel and Text formats for submission.

  3. Visit the nearest PhilHealth office with the soft copy, printout, and proof of payment.
    Wait for the release of the receiving copy of your documents.

  4. By keeping up with these requirements, you ensure smooth transactions and uninterrupted PhilHealth benefits for your employees!