SURVEY ON THE PROCUREMENT OF HEALTH MAINTENANCE SERVICE (HMS) December 1, 2017 to November 30, 2018 This isa survey onthe procurement of HMS by the Pantalan NEB of interested meme avail. The attached letter, dated 26 September 2017 by the NE President,eimphasized One-Time payment basis. However, this was superseded by another letter from him thru official Pantalan e-mail dated 19 October 2017, copy attached, clarifying that said payment isnot yet final, and this wll be dependent on the number of 1d members who may want to ingrerested enrollees. AVAIL HMO aaa Yer | No | Payment Scheme | Numi No. | LaSTNAME | FIRST NAME Ta oe SIGNATURE a 7 a I aia 2 |eateo Ieymond 7 DQ, 3 [ealadad [Aileen Vv ome 4 [barameda —_[pricilo 7 i 5 _[buenviae _ioey 7 v7 6 |carreon Huberto Fede H-0. 7 [eraver _[srerwintemuet [| | 7 8 [DeGuzman —_|Russvie oe ae 10 [oevita fan Z - 11 _[beiMundo __[Honorato Z a A 12 [Delacra __[tueviminds 7 v wh 13 [Francisco [Reynaldo Vv vy 14 |Gamet oe! hall Cal 1 15 _[Graycochea [angela — 16 [eryeochea Joo Ca ee a7 [jardin Ima. concepcion | 7 v L 18 |Largado [kevin Emmanuel | = 19 _[tibatique [Raul Wa £ oe 20 [Mercado |Cecitla of - 21 [Noseal [Gemeniano ~ 7 # Maan tue) 22 |Panizal Leonardo Vv ey 23 _[Pastolero__faanet 7 24 [Picardal Bernardino a cea eeu ee 25 |Quimson [Ronaldo ~ with existing KMS 26 _[Reves Sherwin v ez 28 [Roberto Lourdes vO v Liokider 29 _[Samiero [sally I 30 [santos Lorida ae Li” 31 [Ubaido Leandro ma 32__|Muring Jernthi 33_[combi israel wo oe 34 [Nabio [caine 35 [Mendoza |Demomthenes Z 36 [arenas FRosauro Diego 37 [Dei Prado [wit ”SURVEY ON THE PROCUREMENT OF HEALTH MAINTENANCE SERVICE (HMs) December 1, 2017 to November 30, 2018 This is a survey on the procurement of HMS by the Pantalan NEB of interested members who ney want to roa the attached letter, dated 26 September 2017 by the NE President has emphasized (One-Time payment basis. reac htnis wes superseded by another eter from him thr official Pantalan e-mail dated 29 Over 2017, copy attached, clarifying that sald payment isnot yet final and this wil be dependent on the number of ingterested enrollees. “AVAIL HMO ne | uastname | insrname [Yee] Ne | Pevesnt Scheme Number of] SIGNATURE mul | one-tine| ere 38 [Tejeda Jovat 39_|Revaio Ronaldo 40 [Aguilar rotbert Al a1 [Pied Mark Andrew 42 ranganiban [rel Amir EZ ; 43 [Padilla Francisco wv we eS ‘44 [Pinede aime 45 [ilena us ihvael actailed @ 10. submitted by: aa