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Handouts on Social Legislation 1.

Concurring with legitimate, legitimated or legally


adopted children – shall be entitled to 50% of the share
a. Social Security System of the legitimate, legitimated, or legally adopted
b. Government Service Insurance System children.
c. Limited Portability Law 2. With no legitimate, legitimated or legally adopted
child – shall be entitled to 100% of the benefits. (R.A. No.
SOCIAL SECURITY SYSTEM (R.A. 1161, AS 8282, Sec. 8 per (k)).
AMENDED BYR.A. NO. 8282)
A wife who is already separated de facto from her
ENACTMENT OF SSS LAW: A VALID EXERCISE OF POLICE husband cannot be said to be “dependent for support”
POWER upon the husband, absent any showing to the contrary.
The SSS Law was enacted pursuant to the policy of the Conversely, if it is proved that the husband and wife were
Republic of the Philippines to develop, establish still living together at the time of his death, it would be
gradually and perfect a social security system which shall safe to presume that she was dependent on the husband
be suitable to the needs of the people throughout the for support, unless it is shown that she is capable of
Philippines and shall provide protection to the employee providing for herself (SSS v. Aguas, et.al. G.R. No. 165546,
against the hazards of disability, sickness, old age, and February 27, 2006).
death. Such enactment is a legitimate exercise of police
power. It affords protection to labor, especially to SECONDARY BENEFICIARIES
working women and minors, and in full accord with the 1. In the absence of the primary beneficiaries, the
constitutional provisions on the promotion of social dependent parents; or
justice to insure the well-being and economic security of 2. in the absence of all the foregoing, any other person
all the people (Roman Catholic Archbishop of Manila v. designated by the covered employee (R.A. No. 8282, Sec.
Social Security Commission, G.R. No. L-15045, January 8 par (k))
20, 1991)
CONTINGENCY
DEPENDENTS UNDER THE SSS LAW Refers to the retirement, death, disability, injury or
1. The legal spouse entitled by law to receive support sickness and maternity of the member.
from the member;
2. The legitimate, legitimated or legally adopted and COVERAGE
illegitimate child who is unmarried, not gainfully 1. Compulsory
employed and has not reached 21 years of age or if 21 a. Employees
years of age, he is congenitally incapacitated or while still i. all private sector employees, whether permanent,
a minor, he has been permanently incapable of self- temporary, or provisional, who are not over 60 years of
support, physically and mentally. age;
3. The parent who is receiving regular support from the ii. Household helper who is not over 60 years of age with
member (R.A. No. 8282, Sec. 8, par (e)) a monthly income of not less than one thousand pesos
and has rendered at least one month of service;
CONTRIBUTIONS iii. A Filipino seafarer, upon signing of the standard
The amount paid to SSS by and on behalf of the members employment contract and actual deployment by the
in accordance with the R.A. 8282. Regular courts do not manning agency and the foreign principal, who are
have jurisdiction over the matter of SSS contributions. As considered as the employers;
between the parties, Art. 224(a)(4) of the Labor Code is iv. All employees of a foreign government, international
applicable. (AMECOS Innovations, Inc. and Antonio organization, or the wholly owned instrumentality which
Mateo v. Eliza Lopez, G.R. No. 178055, July 2, 2014) entered into an agreement with the Philippine
government for the inclusion of such employees in SSS.
PRIMARY BENEFICIARIES
1. The dependent spouse until he/she remarries; and b. Employers
2. the dependent legitimate, legitimated, or legally i. any person who carried on in the Philippines any trade,
adopted and illegitimate children. business, industry, undertaking, and uses the service of
another person, except in the Government;
RULES ON DEPENDENT ILLEGITIMATE CHILDREN
ii. a social civic, professional, charitable, and other non- 5. Salary Loan
profit organization which hire the services of employees 6. Permanent disability benefits
are considered “employers”; 7. Dependent’s pension
iii. any foreign government, international organization, 8. Death benefits
or the wholly owned instrumentality which entered into 9. Funeral benefits
an agreement with the SSS for the coverage of its Filipino
employees; MONTHLY PENSION
iv. a household employer who engages and controls the Monthly pension shall be the highest of the ff:
services of a domestic worker. 1. P300 plus 20% of average monthly salary credit plus
2% of average monthly salary credit for each credited
2. Voluntary year of service in excess of 10 years;
a. Non-working spouse, who is legally married to a 2. 40% of monthly salary credit; or
member who has at least one posted contribution, who 3. P1,000
devotes full time to managing the household and family
affairs and has never been a member of SSS; The monthly pension shall in no case be paid for an
b. Overseas-based Filipinos (OFW) being recruited in the aggregate amount of less than 60 months.
Philippines by foreign-based employers for employment
abroad, or having a source of income in a foreign MINIMUM PENSION
country, or residing permanently in a foreign country. 1. P1,200 – for members with at least 10 years of credited
service
EFFECTIVE DATE OF COVERAGE 2. P2,400 – for members with at least 20 years of credited
1. Compulsory Coverage service
a. Employer – on first day he hires the first employee
b. Employee – on the first day of his employment DEPENDENT’S PENSION
Self-employed – on the month and year of first monthly 1. Equivalent to 10% of monthly pension or P250,
contribution provided that it is not earlier than the whichever is higher;
declared start of business. 2. Payable on account of death, permanent total
d. Domestic Worker – upon rendering at least 1 month of disability or retirement;
service. 3. Payable to each dependent child conceived on or
before the date of the contingency but not exceeding 5,
2. Voluntary Coverage beginning with the youngest and without substitution,
a. OFW – upon first payment of contribution based on with preference on legitimate child.
the payment deadline for OFWs, which may be earlier
than the date of registration; The monthly pension and dependent’s pension shall be
b. Non-working spouse – on the applicable month and suspended upon the reemployment or resumption of
year of the first payment of contribution self-employment or the recovery of the disabled
c. Separated Member – on the month he/she resumed member from his permanent total disability or his failure
payment of contribution. to present himself for examination at least once a year
upon notice by the SSS.
WITHDRAWAL OF MEMBERSHIP
A member cannot withdraw his membership with the SSS RETIREMENT BENEFITS
since membership with the same is for life. However, a It is a cash benefit paid either in monthly pension or as a
member who was separated from employment or lump sum to a member who can no longer work due to
ceased to be self-employed or OFW has the option to old age
continue paying SSS contributions as a voluntary
member to maintain the right to full benefits provided by Requirements:
the SSS. 1. A member who has paid at least 120 monthly
contributions prior to the semester of retirement shall be
BENEFITS entitled to monthly pension as long as he lives, provided
1. Monthly pension that:
2. Maternity leave benefits a. he has reached the age of 60 years and is already
3. Retirement benefits separated from employment or has ceased to be self-
4. Sickness benefits employed; or
b. He has reached the age of 65 years; or
c. He is a surface or underground mineworker whose SALIENT FEATURES OF THE NEW DISABILITY PROGRAM
date of actual reinstatement is not earlier than April 27, 1. Use of the new Manual on Medical Benefits (Disability,
2016; or Sickness and Maternity), which is a compilation of 3
d. A total disability pensioner who has recovered from medical benefits granted by SSS to its members. It adopts
disability and is at least 60 years old. the International Classification of Diseases and Related
Health Program codes (ICD-10) and includes the most
Member has the option to receive his first 18 monthly recent medical management of illness/injuries and their
pensions in lump sum at a preferential rate of interest as corresponding ratings. It has been validated
determined by the SSS. internationally and locally by the different medical
societies.
2. A covered member who is sixty (60) years old but was 2. The evaluation of guidelines of illness/injuries also
not able to contribute at least 120 monthly contributions consider the current physical state of the member, thus,
prior to the semester of his retirement shall still be allowing several claims to be evaluated first based on
entitled to a lump sum benefit equal to the total supporting documents.
contributions paid by him and on his behalf, provided, he
is separated from employment and is not continuing QUALIFIED PERSON FOR DISABILITY BENEFIT UNDER
payment of contributions to the SSS on his own. THE NEW PROGRAM
A member who suffers partial or total permanent
SUSPENSION OF MONTHLY PENSION disability, with at least 1 monthly contribution paid to the
The monthly pension shall be suspended upon the re- SSS prior to the semester of contingency, is qualified,
employment or resumption of self-employment or a
retired employee who is less than 65 years of age. The disabled member shall again be subject to
compulsory coverage and considered a new member if:
DEATH BENEFITS
Upon death of member 1. He has received a lump sum benefits;
1. His primary beneficiaries as of the date of his 2. is re-employed or has resumed self-employment not
retirement shall be entitled to receive the monthly earlier than 1 year from the date of his disability.
pension;
2. If he has no primary beneficiaries and he dies within INJURIES DEEMED AS PERMANENT TOTAL DISABILITIES
sixty (60) months from the start of his monthly pension, 1. Complete loss of sight of both eyes;
his secondary beneficiaries shall be entitled to a lump 2. Loss of 2 limbs at or above the ankle or wrists;
sum benefit equivalent to the total monthly pensions 3. Permanent complete paralysis of 2 limbs;
corresponding to the balance of the five-year guaranteed 4. Brain injury resulting to incurable imbecility or
period, excluding the dependents' pension. insanity;
5. Such cases as determined and approved by the SSS.
In order for the beneficiary of an employee to be entitled
to death benefits under the SSS, the cause of death of the The illness which caused the death of a member must be
employee must be a sickness listed as an occupational work-related. The claimant should prove that the illness
disease by ECC; or any other illness caused by was caused by employment and the risk of contracting
employment subject to proof that the risk of contracting the disease is increased by the working conditions. The
the same is increased by the working conditions (Banez new principle is a system based on social security
v. SSS, G.R. No. 189574, July 18, 2014) principle; thus, the introduction of “proof increased risk”
(Esmarialino v. ECC, G.R. No. 192352, July 23, 2014)
DISABILITY BENEFITS
Adopting the World Health Organization’s definition of INJURIES DEEMED AS PERMANENT PARTIAL DISABILITY
disability as any restriction or lack of ability to perform see SSS Guidebook, 2017 p. 62
an activity in the manner or within the range considered
normal for a human being, the SSS redesigned the BENEFITS
granting of disability to its members with the objective of 1. In case the permanent disabled member dies, it would
Improving the delivery of services without compromising be given the same treatment as a retiree dying.
the need to ensure that the appropriate disability benefit
is paid to deserving members.
2. For permanent partial disability, the pension is not General Rule: The SSS shall promptly pay the benefits
lifetime (i.e. loss of thumb entitled the member to only provided to persons entitled thereto in accordance with
10 months of pension, while loss of arm is 50 months) this Act.
a. it shall be paid in lump sum if the period is less than 12
months BENEFITS UNDER SSS LAW NOT PART OF THE ESTATE OF
b. For multiple partial disabilities, they shall be additive THE MEMBER
when related to deteriorating – the percentage shall be the benefits due under the SSS Law do not form part of
equal to the number of months the partial disability is the estate of the covererd employee. Besides, persons
entitled to divided by 75 months. (i.e. loss of sight in one other than the heirs of the deceased employee may be
eye – 25/75; loss of arm – 50/75; if both occur due to the entitled to the said benefits.
same cause, then 25/75 = 50/75 = 100%, hence, treated
as if it were permanent total disability) GOVERNMENT SERVICE INSURANCE SYSTEM (R.A.
3. Aside from disability benefit, a supplemental NO. 8291)
allowance of P500 is paid to the total or partial disability
pensioner to meet the extra needs arising from disability COVERAGE
4. Total disability pensioner is entitled to 13th month All government personnel, whether elective or
pension payable every December and in case of partial appointive, irrespective of status of appointment,
disability pensioner, a 13th month pension shall be paid, provided they are receiving fixed monthly compensation
provided that the pension duration is at least 12 months. and have not reached the mandatory retirement age of
5. As of January 1, 2017, all total disability pensioners are 65 years, are compulsory covered as member of GSIS and
also entitled to an additional P1,000 benefit on top of shall be required to pay contributions.
their computed basic monthly pension.
EXCEPTIONS TO THE COMPULSORY COVERAGE
FUNERAL BENEFITS 1. Members of the PNP, subject to the condition that
The funeral grant is the amount given to whomever pays they must settle first their financial obligation with the
the burial expenses of the deceased member of the GSIS.
pensioner 2. Members of the AFP, subject to the condition that they
must settle first their financial obligation with the GSIS.
SICKNESS BENEFITS 3. Contractual who have no employer-employee
It is a daily cash allowance paid for the number of days a relationship with the agencies they serve.
member is unable to work due to sickness or injury. 4. Uniformed personnel of the BJMP
5. Uniformed personnel of BFP
Requirements: 6. Baranggay and Sanggunian officials who are not
A member is qualified to avail of this benefit if: receiving fixed monthly compensation.
1. he is unable to work due to sickness or injury and 7. Employees who do not have monthly regular hours of
confined either in a hospital or at a home for at least 4 work and are not receiving fixed monthly compensation.
days;
2. he has paid at least 3 months of contributions within All members of the GSIS shall have life insurance,
the 12-month period immediately before the semester retirement, and all other social security protections such
of sickness or injury; as disability, survivorship, separation, and
3. He has used up all current company sick leaves with unemployment benefits.
pay;
4. he has notified the employer, or directly the SSS, if Exception: Members of the Judiciary and Constitutional
separated from employment, voluntary member or self- Commissions shall have life insurance only.
employed regarding his/her sickness or injury.
EFFECTIVITY OF MEMBERSHIP
SALARY LOAN The effective date of membership shall be the date of the
It is a loan privilege granted by SSS to eligible members member’s assumption to duty on his original
to meet their short-term needs. appointment or election to public service.

NON-TRANSFERABILTY OF BENEFITS EFFECT OF SEPARATION FROM SERVICE


The member shall continue to be a member and entitled
to whatever benefits he has qualified to in the event of
any contingency compensable under the act. This is accrues or arises when recovery from the impairment or
without prejudice to the application of the Limited disability is medically remote.
Portability Act (R.A. 7699)
TEMPORARY TOTAL DISABILITY
DEPENDENTS accrues or arises when impaired physical and/or mental
1. The legitimate spouse dependent for support upon the faculties can be rehabilitated and/or restored to their
member or pensioner; normal functions.
2. The legitimate, legitimated or legally adopted and
illegitimate child who is unmarried, not gainfully PERMANENT PARTIAL DISABILITY
employed and has not over the age of majority or is over accrues or arises upon the irrevocable loss or impairment
the age of majority but incapacitated and incapable of of certain portion/s of the physical faculties, despite
self-support due to mental or physical defect acquired which the member is able to pursue a gainful occupation.
prior to age of majority;
3. The parent who is receiving regular support from the BENEFITS
member. 1. Monthly pensions (see R.A. No. 8291 Sec. 9(b))
2. Separation Benefits (see R.A. No. 8291 Sec. 11)
PRIMARY BENEFICIARY 3. Unemployment or Involuntary Separation Benefits
Includes the legal dependent spouse until he/she (see R.A. No. 8291 Sec. 12)
remarries and the dependent children. 4. Retirement Benefits (see R.A. No. 8291 Sec.13; see
GSIS v. CSC G.R. Nos. 98395-102449, June 19, 1995; GSIS
SECONDARY BENEFICIARY v. De Leon G.R. No. 186560, November 17, 2010)
Includes the dependent parent and, subject to the 5. Permanent Disability (Total and Partial – see see R.A.
restrictions on the dependent children, the legitimate No. 8291 Secs. 15-17)
descendants. 6. Temporary Disability (see R.A. No. 8291 Sec. 18)
7. Survivorship Benefits (see R.A. No. 8291 Sec. 20)
COMPENSATION 8. Funeral Benefits (see R.A. No. 8291 Sec. 23)
Is the basic pay or salary received by an employee, 9. Life Insurance Benefits (see R.A. No. 8291 Sec. 26)
pursuant to his election/appointment, excluding per 10. Loan Grant (see R.A. No. 8291 Sec. 36)
diems, bonuses, overtime pay, honoraria, allowances
and any other emoluments received in addition to the LIMITED PORTABILITY LAW (R.A. NO. 7699)
basic pay which are not integrated into the basic pay
under existing laws. R.A. No. 7699 institutes a scheme for totalization and
portability of social security benefits. A covered worker
CONTINGENCY who transfers employment from one sector to another
1. Retirement or is employed in both sectors shall have his creditable
2. Death services or contributions in both Systems credited to his
3. Disability service or contribution record in each of the Systems and
4. Injury or Sickness shall be totalized for the purpose of old-age, disability,
5. Maternity of the member survivorship, and other benefits in case the covered
member does not qualify for such benefits on either or
DISABILITY both Systems without totalization: Provided, however,
Is any loss or impairment of the normal functions of the that overlapping periods of membership shall be
physical and/or mental faculty of a member, which credited only once for totalization.
reduces or eliminates his/her capacity to continue with
his/her current gainful occupation. COVERAGE
All worker/members of SSS or GSIS
TOTAL DISABILITY 1. who transfer from one sector to another;
Is the complete incapacity to continue with present 2. who wish to retain their membership in both system.
employment or engage in any gainful occupation due to
the loss or impairment of the normal functions of the CONTRIBUTIONS
physical and/or mental faculties of the member. refer to that paid by the employer or worker either to the
SSS or GSIS on account of the worker’s membership.
PERMANENT TOTAL DISABILITY
TOTALIZATION
Refers to the process of adding up the periods of
creditable services or contributions under each of the
Systems, for purposes of eligibility and computation of
benefits.

PORTABILITY
refers to the transfer of funds for the account and benefit
of a worker who transfers from one system to another.

CREDITABLE SERVICES
For the public sector, the following shall be considered
creditable services:
1. all previous services rendered by an official/employee
pursuant to an appointment whether permanent,
provisional or temporary;
2. all previous services rendered by an official/employee
pursuant to a duly approved appointment to a position
in the Civil Service with compensation of salary;
3. The period during which an official/ employee was on
authorized sick leave of absence without pay not
exceeding one year;
4. the period during which an official or employee was
out of the service as a result of illegal termination of his
service as finally decided by the proper authorities;
5. all previous services with compensation or salary
rendered by elective officials.

BENEFITS
1. Old-age benefit;
2. Disability benefit;
3. Survivorship benefit;
4. Sickness benefit;
5. Medicare benefit;
6. Such other benefits common to both systems that may
be availed of through totalization.

TOTALIZATION SHALL APPLY IN THE FOLLOWING


INSTANCES:
1. If a worker is not qualified for any benefits from both
Systems;
2. If a worker in the public sector is not qualified for any
benefits in the GSIS;
3. If a worker in the private sector is not qualified for any
benefits in the SSS.

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