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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


Citystate Centre Building, 709 Shaw Boulevard, Pasig City
Healthline: 441-7444 Website: www.philhealth.gov.ph

STATEMENT OF PREMIUM ACCOUNT (SPA) - FORMAL SECTOR


Date generated : January 09, 2023
PEN: 003040000125
Employer Type : PRIVATE SPA100033081349
Business/Agency Name : HONLADEC GROUP CORP

Group Name :

CURRENT CHARGES :
Applicable Month : April 2022
No. of Employees : 6
Report Type : Differential
Amount of Premium:
Employee Share : 454.42
Employer Share : 454.41

Premium Due for the Current Applicable Period 908.83

Due Date:
TOTAL AMOUNT DUE 908.83 On or Before 31
December 2022

IMPORTANT REMINDER
Per available records, it appears that your account has deficiencies as follows:

Reference Deficiency Applicable Month/s Amount


SPA100005684994 No Premium payment Nov 2015 700.00
SPA100005685024 No Premium payment Dec 2015 700.00
SPA100006978001 No Premium payment May 2016 1,254.20
SPA100006978095 No Premium payment Jul 2016 1,250.00
SPA100007464319 No Premium payment Aug 2016 825.00
SPA100007846368 No Premium payment Sep 2016 1,250.00
SPA100007846401 No Premium payment Oct 2016 1,250.00
SPA100008991181 No Premium payment Feb 2017 2,000.00
SPA100009119049 No Premium payment Mar 2017 2,925.00
SPA100009771615 No Premium payment May 2017 2,025.00
SPA100010171478 No Premium payment Jun 2017 2,025.00
SPA100010918587 No Premium payment Aug 2017 2,550.00
SPA100014340966 No Premium payment Jun 2018 2,850.88
SPA100014685870 No Premium payment Jul 2018 2,250.88
SPA100020346788 No Premium payment Dec 2019 2,025.49
SPA100021163811 No Premium payment Feb 2020 2,281.51
SPA100022647550 No Premium payment Jul 2020 2,322.72
SPA100023015857 No Premium payment Aug 2020 2,322.72
SPA100023225081 No Premium payment Sep 2020 2,322.72
SPA100023590618 No Premium payment Oct 2020 2,322.72
SPA100033198951 No Premium payment Jan 2022 867.06
SPA100033198952 No Premium payment Feb 2022 884.33
SPA100033198953 No Premium payment Mar 2022 933.29
SPA100031640626 No Premium payment May 2022 939.25
SPA100032863792 No Premium payment Nov 2022 3,088.00
SPA100033198957 No Premium payment Dec 2022 3,390.49

Please settle the above deficiencies immediately as indicated. All reports must be posted within five (5) days after payment.
For assistance, coordinate with the PAIMS assigned to your account or visit the nearest PhilHealth Office. Thank you.
Date generated : January 09, 2023
PEN: 003040000125
Employer Type : PRIVATE SPA100033081349
Business/Agency Name : HONLADEC GROUP CORP

Group Name :

CURRENT CHARGES :
Applicable Month : April 2022
No. of Employees : 6
Report Type : Differential
Amount of Premium:
Employee Share : 454.42
Employer Share : 454.41

Premium Due for the Current Applicable Period 908.83

Due Date:
TOTAL AMOUNT DUE 908.83 On or Before 31
December 2022

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