Employees Compensation Program

Objectives
• By the end of the ECC Module, the participant
will be able to list the different compensable
diseases and injuries under the law and can
also point out the instances that will label the
injury as work-related.
• Many workers who suffer physical injuries get
assistance through the Employees Compensation
Commission Program (ECP).
• It was established as an improvement over the old
Workmen’s Compensation Program (WCP), as
created by a written policy (P.D.626) under the
Labor Code of the Philippines. Both programs
provide benefits to workers in case of work-
connected contingencies
• WCP provides for a litigious process between the
employee and employer where the responsibility of
compensating the employee is with the employer.
ECP is simple and non-litigious, benefits are paid from
a fund that is managed and guaranteed by the
government.
 Work Related Contingency Data
PSA SAFE
WORK AVERAGE AVE. DAILY
2015 % INC/DEC
ENVIRONMENT (2009-2013) (2009-2015)
DATA

Occupational
181 156 -14% 1
Injuries, Fatal

Occupational
Injuries, Non- 19, 502 17, 703 -9% 72
Fatal

Occupational
109, 721 125, 973 15% 431
Diseases
 Mandate of ECC
• 1. Formulate policies and guidelines for the
improvement of the employee’s compensation
program
• 2. To review and decide on appeal all EC claims
disapproved by the Systems
• 3. To initiate policies and programs towards adequate
occupational health and safety and accident
prevention in the working environment.
 Employees’ Compensation
Program
• It is a package of benefits for public and private
sector employees and their dependents in the
event of work-related contingencies such as
sickness, injury, disability, or death.
• It is managed by the Employees’ Compensation
Commission and administered by the SSS and
GSIS
 Eight Members of the Commission
1. Secretary of Labor – Chairman
2. EC Exec Director
3. SSS Head
4. GSIS Head
5. Phil Health Chair
6. CSC Chair
7. Employer Representative
8. Employee Representative
• ECP is the present compensation package for public
and private sector employees and their dependents in
the event of work-related contingencies. It was
created under Presidential Decree No. 626, which
was made effective on January 1975.
• The ECP is for public and private sector
employees and their dependents. All sectors in
industry are covered. All employers are
required by law to have their employees
covered by the SSS or GSIS, which is a
requirement for them to be covered by the ECP
Designed to provide employees & their
families
• Income benefits

• Medical and other benefits

If it is or work-connected sickness/disease,
injury or death!
 Compensable Diseases
1. The employee’s work and / or the working conditions
must involve risk/s that caused the development of the
illness;
2. The disease was contracted as a result of the
employee’s exposure to described risks;
3. The disease was contracted within a period of
exposure and under such other factors necessary to
contract it;
4. There was no deliberate act on the part of the
employee to disregard the safety measures or ignore
established warning or precaution.
 Compensable Diseases
5. Not any disease is compensable.

6. Only diseases caused by work or the

working environment is compensable.

7. List of 32 Occupational Diseases with

specific conditions set - conditions or risk
factors on the job must be present for the
disease to be compensable.
Newly amended rules in Annex “A” of PD 626:

• Cardiovascular Diseases, BR No.11-05-13,

May 26, 2011
• Cerebrovascular Accidents, BR No.11-05-13,
May 26, 2011
• Essential Hypertension, BR No.11-05-13,
May 26, 2011
• Tuberculosis (Pulmonary & Extra pulmonary)
BR No.11-11- 29,
 Nov 28, 2011
• Pneumoconiosis BR No.12-09-18, Sept 27,
2012
• Pneumonia, BR No.12-09-18, Sept 27, 2012
• Occupational Asthma, BR No.12-09-18, Sept
27, 2012
• Asbestos-related Diseases, BR No.12-09-18,
Sept 27, 2012
• Hypersensitivity Pneumonitis, BR No.12-09-
18, Sept 27, 2012
 Year 2012

• Byssinosis, BR No.12-09-18, Sept 27,

2012
• Other diseases not in the list may still be
compensable if employee can establish
causal connection with the nature of his
work or the working environment.
 Compensable Injuries

• For the INJURY and the resulting

disability or death to be
compensable, the injury must be
the result of an accident arising
out of or in the course of
employment.
 Work-Connected Injuries
• Happened in the workplace
• Happened while performing official function
• Outside of workplace but performing an order of his
employer
• When going to or coming from work
• While ministering to personal comfort
• While in a company shuttle bus
• During a company sponsored activity
 Progression of Illness
(deterioration) or injury
• Where the primary illness or injury is shown to
have arisen in the course of employment, every
natural consequence that flows from the illness
or injury shall be deemed employment related.
 Excepting Instance:

1.Intoxication

2. Notorious negligence

3. Willful intent to injure

oneself or another
ECP Benefits:
Primary Benefits
Temporary Total Disability
(Sickness Benefit)
Permanent Partial Disability
Permanent Total Disability
Death/Survivorship Pensio
Accessory Benefits
Medical Benefits
Rehabilitation Services
Medical Benefits
Carer’s Allowance
Rehabilitation Services
Medical Benefits
Carer’s Allowance
Rehabilitation Services
Funeral Benefits
Loss of income benefit

• It is the incapacity to work

(DISABILITY) as a result
of the illness or injury that
is being compensated.
 Types of Disability:

• Total temporary TTD

• Partial Total PTD

• Partial Permanent
PPD
 Daily Income Benefit for TTD
• for disability not exceeding 120 days
• paid from first day of disability
• may go beyond 120 days but not to exceed
240 days
• P90/day for public sector employees (P200/day
starting May 31, 2013)

• P200/day for private sector employees

 Monthly Income Benefit for PTD
• for disability that is permanent and total
• also paid for
o Complete loss of sight of both eyes,
o Loss of two limbs/permanent complete paralysis of two limbs
o Brain injury resulting in imbecility/insanity
• Guaranteed for life if disability remains until death of the worker
but may be suspended
• Failure to present for examination
• Failure to submit quarterly medical report Complete or full
recovery
• Upon being gainfully employed
• Réhabilitation Appliance & Training for entrepreneurship
Permanent Partial Disability
 Medical Benefits:
• Ward services for hospital confinement

• Medical attendance by an accredited doctor

• Surgical expense benefit

• Reimbursement of cost of medicines

 Carer’s Allowance

• Granted to employee who gets permanently

and totally disabled and has difficulty taking
care of basic personal needs
• PhP575/month allowance for the private
sector employees only (for public sector
employees starting May 31, 2013)
 Death Benefits
• Monthly Income Benefit pension to
beneficiary plus 10% for each dependent child
not exceeding five
•Funeral benefit of PhP10,000 for private
sector; PhP3,000 for public sector (PhP10,000
for public sector starting May 31, 2013)
Equalized and Enhanced EC Benefits
 Enhanced EC Benefits

Primary Benefits Enhanced and Equalized

1. Temporary Total • Equalized at P200/day in 2013

Disability (Sickness from P90/day
Benefit) • Increased the minimum to P110
and maximum to P480 in 2018
 Enhanced EC Benefits
Primary Benefits
2. Permanent Partial Disability,
Permanent Total Disability,
Death/Survivorship
Enhanced and Equalized
• Lifted suspension in 2012 (prospective
application)
• Lifted suspension in 2018 (retroactive
application)
• Enhanced with a 10% across the board
increase for the private sector in 2013
and public sector in 2015
• Enhanced with P1, 150 across the
board increase for private sector
effective January 2017
 Enhanced EC Benefits
Primary Benefits Enhanced and Equalized
2. Permanent Partial • Confirmed the amount of EC
Disability, Permanent monthly pension of qualified
Total Disability, beneficiaries of deceased PTD
Death/Survivorship pensioners in the private sector
from 80% to 100%
• Confirmed the minimum EC
disability and survivorship
pensions at P2, 000 per month.
 Enhanced EC Benefits
Primary Benefits Enhanced and Equalized
3. Carer’s Allowance • Equalized at P575 in 2013
• Increased to P1, 000 per month
for both sectors in 2018

4. Funeral Benefit • Equalized at P10, 000 in 2013

• Enhanced to P20, 000 for both
sectors in 2014
• Enhanced to P30, 000 for both
sectors in 2017
 Enhanced EC Benefits
Primary Benefits Enhanced and Equalized
5. Physical Therapy • Increased the amount of reimbursement
for physical therapy sessions to a
maximum of P500 per person in 2017
from P65

6. Doctor’s Professional Fee • Equalized at the private sector rate in

2013
• Increased fees of physicians ranging
from P80 to P80 to P150 to a fee ranging
from P400 to P1, 400 in 2018
 Enhanced EC Benefits
Primary Benefits Enhanced and Equalized
7. Medical Reimbursement for • Lifted suspension of public sectors in
retires and workers separated 2013 (prospective application)
from the service • Lifted suspension of private sectors in
2016 (retroactive application)

8. Schedule of Reimbursement • Equalized the Schedule of

Rates for Laboratory, X-ray, and Reimbursement Rates for Laboratory, X-
other Diagnostic Exams ray, and other Diagnostic exams (for the
approval of the Office of the President)
 Processing of Claims
Benefit GSIS SSS ECC (Cases)

Sickness/TTD 60 working days

a. Notification 5 working days

b. Reimbursement 12 working days

Disability 60 working days 23 working days

(PPD/PTD) 20 working days
Medical 60 working days 25 working dayds (since March 2015)
Reimbursement

Rehabilitation 12 working days

Services

Funeral Benefits 30 working days 5 working days

Death Pension 60 working days 33 working days

Process Flow for Claims
Rehabilitation Programs
 Rehabilitation Programs & Services

• Quick Response Program

• Physical Restoration
– PT/OT
– Rehabilitation appliances
 Rehabilitation Services for ODWs
• What is the KAGABAY Program?
• It is a component of the ECP that extends
Rehabilitation services to Occupationally
Disabled Workers (ODWs)
• Re-skilling for re-employment
• Training for entrepreneurship
 ECC-Quick Response Program

• The ECC believes that there is a need for

its presence to be felt as soon as the
contingency occurs. It is on this premise
that the ECC-QRP was created.
The STATE INSURANCE FUND
 Sourced from
employers’
contributions
 10.00/30.00/
Government worker/month for
and Private private sector
Employers’ State  100.00/worker/
Contributions month/for public
Insurance sector
Fund

EC EC BENEFITS
BENEFITS Private Employees
Government
Employees
 Availing of ECP benefits
• Claims for EC Benefits are filed with the Systems
o SSS for private sector
o GSIS for public sector

• Fill up prescribed forms and attach support

documents such as
o job description
o medical/hospital records
o PEME and annual exam reports
 Prescriptive Period
• No claim for compensation shall be given
due course unless said claim is filed with
the Systems within THREE (3) years from
the time the cause of action occurred.
– Enjoyed only by those with Employee -
Employer relationship
– Coverage/entitlement to benefits begin on first
day of employment
– Benefits are in addition to SSS and Phil
Health benefits
 The Employees Compensation Program

• is a program concretizing the State’s

concern for the Filipino working man.
• It has benefited more than 5 million
workers and their families to the tune of
over Php 33.6 Billion.
 The Employees’ Compensation Program

• Enjoyed only by those with Employee

Employer relationship
• Coverage/entitlement to benefits begin on
the first day of employment
• Benefits are in addition to SSS, GSIS, Pag-
ibig and PhilHealth benefits
The ECP Benefits are welcome
but…
“ di bale ng hindi ako
mabiyayaan ng Employees’
Compensation Program
huwag lang akong
magkasakit o ma-aksidente
ng dahil sa trabaho.”
Employees’ Compensation
Commission
Address: 4th and 5th Flr, ECC Building, 355
Sen. Gil J. Puyat Avenue, Makati City
http://www.ecc.gov.ph
Any questions?