QCG DEPENDENT ENROLLMENT GUIDELINES

1) Hierarchy ruling shall be strictly implemented during enrollment;

2) Only the immediate family members are to be considered as eligible dependent
members;
3) Only active employees who are Cocolife cardholders are allowed to enroll their
qualified dependents;
4) Enrollment shall be done by submitting the names of your qualified dependent/s on a
prescribed enrollment form;
5) No limit in the number of qualified dependents may be enrolled;
6) Enrollment of dependents shall be submitted directly with the Insurance Provider;
7) Mode of Payment is ANNUAL. The Insurance Provider shall provide a bank account
number for settlement of payment. Proof of payment shall be submitted together
with the enrollment form;
8) No payment means No enrollment;
9) Enrollment of dependents shall go thru underwriting process. Only those dependents
who passed the underwriting process shall be considered. those who failed must
comply with necessary documents to justify eligibility;
10) No cash payment shall be accepted as form of payment;
11) Extended dependents are not qualified in the program
12) Benefits and rates provided are for a nine (9) months period, which means all plan
limit and inner limit of the program is also based on a nine (9) month coverage.
13) Enrollment form for dependents shall submit thru email at
qcdepscocolife@gmail.com

WHO ARE THE ELIGIBLE DEPENDENTS FOR ENROLLMENT?

A. Married Employees:
 Spouse not more than 65 years old;
 Child/ren from 3 months old up to 21 years old;

B. Single Employees:
 Parents not more than 65 years old;
 Siblings 3 months old up to 21 years old (single and unemployed)

C. Single Parent Employees:

 Child/ren 3 months old up to 21 years old;
 Parents not more than 65 years old
 PROPOSED PREMIUM TABLE for DEPENDENTS

A. QUEZON CITY GOVERNMENT EMPLOYEES – PLANTILLA

B. QUEZON CITY BARANGAY OFFICIALS

PLAN OPTIONS I
Maximum Benefit Limit (MBL) per illness 75,000 Pre-existing Medical
Coverage Period: 01 April 2024 – 31 December 2024 Conditions (PEC) Benefits
(9 months)
Enrollees:
100% participation 11,617 COVERED up to MBL

Direct Access to all major hospitals such as but not limited to following:
1) Asian Hospital and Medical Center (AHMC);
2) St. Luke’s Medical Center (SLMC) – Q.C. & BGC;
3) Makati Medical Center (MMC);
4) Cardinal Santos Medical Center (CSMC); and
5) The Medical City (TMC)
6) Healthway Medical Clinics

C. CONTRACTUALS / JOB ORDERS / CONSULTANTS

PLAN OPTIONS I II
Annual/Aggregate Benefit Limit (ABL) 75,000 56,250 Pre-existing Medical
Coverage Period: 01 April 2024 – 31 December 2024 Conditions (PEC) Benefits
( 9 months )
Enrollees:
2,500 and below 10,025 8,156 Covered up to ABL
2,500 and below 9,022 7,340 NOT COVERED
2,501 to 4,000 8,521 6,932 Covered up to 25% of ABL
4,001 and above 8,019 6,526 Covered up to 50% of ABL

Direct access to all major hospitals EXCEPT the following:

1) Asian Hospital and Medical Center (AHMC)
2) St. Luke’s Medical Center (SLMC) – BGC;
3) Makati Medical Center (MMC);
4) The Medical City (TMC);
5) Colinas Verdes Hospital Managers formerly Cardinal Santos Medical Center ; and
6) Healthway Medical Center.