The document summarizes the various benefits provided by the Government Service Insurance System (GSIS) in the Philippines, including life insurance benefits, retirement benefits, disability benefits, Medicare benefits, survivors' benefits, policy loans, salary loans, and educational assistance loans. It describes the eligibility requirements, covered amounts, claiming process, and other key details for each type of benefit.
The document summarizes the various benefits provided by the Government Service Insurance System (GSIS) in the Philippines, including life insurance benefits, retirement benefits, disability benefits, Medicare benefits, survivors' benefits, policy loans, salary loans, and educational assistance loans. It describes the eligibility requirements, covered amounts, claiming process, and other key details for each type of benefit.
The document summarizes the various benefits provided by the Government Service Insurance System (GSIS) in the Philippines, including life insurance benefits, retirement benefits, disability benefits, Medicare benefits, survivors' benefits, policy loans, salary loans, and educational assistance loans. It describes the eligibility requirements, covered amounts, claiming process, and other key details for each type of benefit.
1. PRIMARY FUNCTIONS form and other necessary documents, including LIFE INSURANCE BENEFIT proof of age and length of service. The retirement benefit may be paid in a lump sum The Government Service Insurance or in monthly pension payments, depending on System (GSIS) in the Philippines provides life the member's preference. insurance benefits to its members and their beneficiaries. The amount of life insurance DISABILITY BENEFIT coverage depends on the member's salary, with The Government Service Insurance a minimum of ₱ 500,000 and a maximum of ₱ 5 System (GSIS) in the Philippines provides million. If a member dies while in active service, disability benefits to its members who become his or her beneficiaries are entitled to receive permanently and totally disabled due to the following benefits: life insurance benefit, sickness or injury. Survivorship pension, and funeral benefit. To qualify for disability benefits, the To claim these benefits, the member must have at least three years of beneficiaries must submit the necessary service and not have reached the compulsory documents to the GSIS, including the death retirement age of 60. certificate of the member and the claimant's birth certificate and valid IDs. The amount of disability benefit that a member can receive depends on the degree of RETIREMENT BENEFIT disability, as determined by the GSIS Medical The Government Service Insurance Board. System (GSIS) in the Philippines provides The benefit is equivalent to the retirement benefits to its members who have member's basic monthly salary multiplied by reached the age of 60, or those who are at least the degree of disability, as follows: 55 years old and have completed at least 15 years of service. 100% degree of disability: 100% of basic monthly salary The amount of retirement benefit that a member can receive depends on their length of 75% to less than 100% degree of disability: 75% service and average monthly salary. The of basic monthly salary formula for computing the retirement benefit is 50% to less than 75% degree of disability: 50% as follows: of basic monthly salary Retirement Benefit = Average Monthly Salary 25% to less than 50% degree of disability: 25% x Length of Service x Multiplier, the multiplier of basic monthly salary. is based on the number of years of service completed by the member, as follows: In addition to the disability benefit, the member may also be entitled to a life insurance 1.5 for the first 10 years of service benefit, if he or she has life insurance coverage 2.0 for the next 10 years of service with the GSIS. To claim disability benefits, the member must submit a disability application 2.5 for every year of service beyond 20 years. form and other necessary documents, including medical records and the GSIS Medical Board's latest monthly salary for the rest of his or her assessment of the degree of disability. life.
MEDICARE BENEFITS Life insurance benefit is the full amount
of the member's life insurance coverage. GSIS provides Medicare benefits to its members and their qualified dependents. The funeral benefit is equivalent to one Medicare is a health insurance program that year's salary for the member, with a minimum covers medical expenses, including of ₱ 20,000 and a maximum of ₱ 50,000. hospitalization, outpatient care, laboratory The retirement benefit is the remaining tests, and other medical services. balance of the retirement benefit if the member To qualify for Medicare benefits, the has not yet received his or her full retirement member must have at least 15 years of service benefit. and must be receiving regular monthly pension To claim survivor benefits, the or disability benefits from the GSIS. The beneficiaries must submit the necessary member's qualified dependents, including his or documents to the GSIS, including the death her spouse and unmarried children below 21 certificate of the member and the claimant's years old, are also entitled to Medicare birth certificate and valid IDs. The GSIS will then benefits. process the claim and notify the beneficiaries of The benefits include inpatient hospital the amount of benefits they are entitled to care, outpatient care, preventive services, and receive. prescription drugs. SECONDARY FUNCTIONS To avail of Medicare benefits, the POLICY LOANS member and his or her qualified dependents must enroll in the GSIS Medicare program and The Government Service Insurance pay the required premiums. The amount of System (GSIS) in the Philippines allows its premiums depends on the member's pension or members to avail of policy loans against their disability benefit, as well as the number of life insurance policies. qualified dependents enrolled in the program. To qualify for a policy loan, the member must have an existing life insurance policy with the GSIS and have paid at least three years' SURVIVORS BENEFIT worth of premiums. The Government Service Insurance The interest rate for policy loans is System (GSIS) in the Philippines provides currently set at 8% per annum, and the loan is survivor benefits to the beneficiaries of its payable in equal monthly installments over a members who have died while in active service period of one year. or after retirement. To apply for a policy loan, the member These benefits include a survivor's must submit a loan application form and other pension, a life insurance benefit, a funeral necessary documents, including a valid ID and benefit, and a retirement benefit. the policy contract. The GSIS will then process A survivorship pension is a monthly the loan application and notify the member of pension equivalent to 50% of the member's the amount of the loan. It is important to note that policy loans To apply for an educational assistance are subject to certain restrictions and loan, the member must submit a loan conditions, and the member must repay the application form and other necessary loan on time to avoid penalties and possible documents, such as a valid ID, proof of cancellation of the insurance policy. enrollment or admission, and a certification from the school indicating the amount of tuition SALARY LOANS and other expenses. The GSIS will then process The Government Service Insurance the loan application and notify the member of System (GSIS) in the Philippines offers salary the amount of the loan. It is important to note loans to its active members who are currently that educational assistance loans are subject to employed by a government agency. certain restrictions and conditions, and the member must make sure to repay the loan on To qualify for a salary loan, the member time to avoid penalties and possible legal must have at least six months of paid premiums action. and not be on leave of absence without pay. FLY-PAL PAY-LATER PLAN The loan amount depends on the member's monthly salary and the length of SNPL is an educational assistance service, as follows: program implemented by the Government Service Insurance System, together with the For those with less than 10 years of service: Up Social Security System, the Philippine National to one month's salary Bank, the Development Bank of the Philippines, for those with at least 10 years of service: Up to and the Land Bank of the Philippines, in three months' salary. compliance with Presidential Decree (PD) No. 932 dated 13 May 1976 (Educational Assistance To apply for a salary loan, the member Act of 1976). The program later evolved into the must submit a loan application form and other Educational Assistance Loan (EAL), which was necessary documents, including a valid ID and approved under Republic Act (RA) 6728 in 1988 proof of income. The GSIS will then process the and amended by RA 8545 in 1998. loan application and notify the member of the amount of the loan. It is important to note that A similar credit facility for travel salary loans are subject to certain restrictions assistance was offered by GSIS under the Fly and conditions, and the member must make PAL, Pay Later (FPPL) Program, which was sure to repay the loan on time to avoid approved by the Board under Board Resolution penalties and possible legal action. No. 637 dated 29 August 1978 and implemented under Policies and Procedural EDUCATIONAL ASSISTANCE LOANS Guidelines (PPG) No. 48-78 (a) dated 7 The Government Service Insurance December 1978 and No. 48-78 (b) dated 31 System (GSIS) in the Philippines offers October 1979. The program was implemented educational assistance loans to its members from 1978 to 1989. who are currently employed by a government agency and have at least three years of service. SALE OF HOUSING UNITS The maximum amount of the loan is Php 100,000 per academic year and the interest The Government Service Insurance rate is set at 8% per annum. System (GSIS) in the Philippines offers housing units for sale to its members at affordable prices through its GSIS Affordable Housing Program (GAHP). SUPPORTIVE FUNCTIONS The GAHP aims to provide affordable housing to active GSIS members, retirees, and The Government Service Insurance pensioners, as well as their immediate family System (GSIS) in the Philippines has several members, who are first-time homebuyers. The supportive functions, including investment in housing units are located in various areas across loans for housing and real estate, investment in the Philippines and are sold at prices that are stocks, bonds, treasury and promissory notes, lower than market rates. production and sale of non-compulsory insurance policies, and general insurance and To qualify for the GAHP, the member reinsurance businesses. must have an active GSIS membership and must not have any outstanding loan obligations with 1. Investment in loans for housing and the GSIS. The member must also be able to real estate: The GSIS invests in loans for provide the required down payment and must housing and real estate to help provide have the capacity to pay the monthly affordable housing options to its amortization. members. It offers housing loans at low- interest rates and has also established The housing units offered under the the GSIS Affordable Housing Program GAHP range from socialized housing units to (GAHP) to provide affordable housing low-cost housing units, depending on the units to its members. member's income and financial capacity. The member may choose from a variety of housing 2. Investment in stocks, bonds, treasury, options, including single-attached units, and promissory notes: The GSIS invests townhouses, and condominium units. in stocks, bonds, treasury and promissory notes, and other financial To apply for a housing unit under the instruments to generate income and GAHP, the member must submit a housing loan provide returns to its members. It application form and other necessary invests in both government and private documents, including a valid ID, proof of securities, as well as money market income, and proof of billing. The GSIS will then placements to diversify its investment process the loan application and notify the portfolio. member of the availability of housing units that match his or her preferences and financial 3. Production and sale of non-compulsory capabilities. insurance policies: The GSIS produces and sells non-compulsory insurance It is important to note that the sale of housing policies to its members, including car units under the GAHP is subject to certain insurance, personal accident insurance, conditions and restrictions, and the member and travel insurance. These policies are must make sure to comply with the terms of the optional and are designed to provide loan agreement to avoid penalties and possible additional protection to members and legal action. their families. 4. General insurance and reinsurance his disability is not compensable businesses: The GSIS also operates a under any other law. general insurance and reinsurance business, which offers insurance coverage for various types of risks, 3. Survivorship benefits – When a including fire, marine, motor, and member or pensioner dies, the personal accident insurance. It provides beneficiary shall be entitled to insurance coverage to both government survivorship benefits. agencies and private companies and individuals, helping to mitigate the The survivorship pension shall consist of: impact of losses and damages caused a. basic survivorship pension by unforeseen events. which is 50% of the basic Overall, these supportive functions help the monthly pension; and GSIS provide a wide range of benefits and b. dependent’s pension not services to its members, enabling them to exceeding 50% of the monthly achieve financial stability and security. pension payable in accordance BENEFITS FOR GSIS Members (PD No. 1146) with the rules and regulations prescribed by the system. 1. Retirement benefits – Old-age pension shall be paid to a member who:
a. has at least fifteen years of 4. Funeral benefit – A funeral benefit of
service; P10,000 shall be paid upon the death of a member or pensioner. b. is at least sixty years of age; and
c. is separated from the service.
5. Sickness benefits – A member who suffers a non-work-connected sickness or injury resulting in temporary total 2. Permanent disability benefits – A disability is entitled to 90% of his member shall be entitled to the current daily compensation for each day permanent disability benefits effective or fraction thereof of sickness or injury, from the date of his disability, provided but not exceeding sixty days in one that: calendar year after exhausting all his nakapagbayad na siya ng hindi sick leave credits. However, the bababa sa 36 buwanang member cannot enjoy the sickness kontribusyon sa loob ng limang- income benefits and sick leave pay at taong-taon bago ang kanyang the same time. The sickness income kakayahan; benefit is neither less than P10 nor more than P175. nakapagbayad na siya ng kabuuang hindi bababa sa 180 6. Life Insurance benefits – All employees buwanang kontribusyon bago shall be compulsorily covered with life siya nagkaroon ng kapansanan; insurance which shall automatically at take as follows: a. For those employed after his System (GSIS) in the Philippines depend on the act, their insurance shall take employee's salary grade and employment effect on the date of their status. employment. (Read the table) Para sa mga nagtatrabaho pagkatapos ng For employees with a temporary or kanyang gawain, ang kanilang insurance ay contractual status, the employer and employee magkakabisa sa petsa ng kanilang trabaho. are required to contribute based on their actual B. For those whose insurance matured and salary or compensation. not renewed prior to this act, their It is important to note that GSIS insurance shall be deemed renewed on contributions are mandatory for all government the day following the effectivity of this employees, and failure to remit the correct act. amount of contributions may result in penalties Para sa mga taong ang insurance ay matured at and other legal consequences. hindi nanibago bago ang batas na ito, ang SOCIAL SECURITY SYSTEM kanilang insurance ay ituturing na panibagong sa araw kasunod ng pagiging epektibo ng batas The Social Security System (SSS) started na ito operations in 1957 with 211 personnel and assets of P6,372. It granted death, disability, C. For those whose insurance will mature sickness, and old-age benefits to workers in the or will expire after this act, their private sector. insurance shall be deemed renewed on the day following the maturity or expiry Over the years, additional benefits have been date of their previous insurance. incorporated into the scheme, such as hospitalization benefits, employee Para sa mga taong ang insurance ay mature o compensation benefits, and maternity benefits. mag e expire pagkatapos ng batas na ito, ang kanilang insurance ay ituturing na renewed sa SSS provides seven out of the nine benefits araw kasunod ng maturity o expiry date ng endorsed by the International Social Security kanilang nakaraang insurance. Association (ISSA). D. For those without any life insurance The International Social Security Association as of the effectivity of this act, their insurance (ISSA) is a global organization that brings shall take effect on the day following said together national social security institutions, effectivity. agencies, and organizations from around the world to promote social security as a basic Para sa mga walang anumang seguro sa buhay human right and improve the quality of social bilang ng pagiging epektibo ng batas na ito, ang security programs and services. It was founded kanilang seguro ay magkakabisa sa araw in 1927 and has over 330 member organizations kasunod ng nasabing pagiging epektibo. from more than 160 countries.
The ISSA provides a forum for its
members to share knowledge, best practices, and experiences in the design, implementation, *The monthly contributions of employees and and management of social security systems. employers in the Government Service Insurance It is organized into four specialized social security protection for Filipino workers sections: Social Security for Workers in the and their families. The Board is also responsible Informal Economy, Administrative Issues and for the management and investment of the SSS Financing, Prevention in the Workplace, and funds to ensure the sustainability of the social Employment Policies and Unemployment security system. Insurance. The SSS is headed by a President and The ISSA plays an important role in Chief Executive Officer (CEO), who is appointed promoting social security as a basic human right by the President of the Philippines. The CEO is and supporting its members in their efforts to responsible for the day-to-day management of provide effective, efficient, and sustainable the SSS, including the implementation of social security programs and services. policies, programs, and services approved by the Board of Directors. Family allowance and unemployment insurance are the other benefits not yet implemented in The Philippines' government has the country. appointed Rolando L. Macasaet as acting president and chief executive officer of the SSS ADMINISTRATION Social Security System (SSS). The Social Security System (SSS) is a Under the CEO, the SSS is organized into government agency in the Philippines various departments, divisions, and units responsible for providing social security responsible for specific functions such as protection to Filipino workers and their families. contributions collection, benefits processing, The SSS is administered by a Board of Directors, information technology, finance and which is composed of the following: investments, legal services, and public affairs. 1. The Secretary of Finance, who serves as These departments work together to ensure the the ex officio chairperson of the board. effective and efficient delivery of social security services to SSS members and their beneficiaries. 2. The Director-General of the National Economic and Development Authority (NEDA), who serves as the vice- chairperson.
3. The Secretary of Labor and
Employment.
4. Two members representing the
employer’s sector.
5. Two members representing the
employees’ sector; and
6. One member representing the self-
employed sector.
The SSS Board of Directors is responsible for
setting policies, issuing rules and regulations, and approving programs and services related to