[ PHIC PHILHEALTH CIRCULAR NO. 22, S. 2003, June 20, 2003 ]

NEW PREMIUM CONTRIBUTION SCHEDULE FOR THE EMPLOYED AND SPONSORED (INDIGENT) SECTORS STARTING CY 2004



Pursuant to PhilHealth Board Resolution No. 553, s. 2003 dated May 8, 2003 which was passed to maintain the actuarial viability of the Health Insurance Fund (HIF) in view of the implementation of new benefit package such as the TB Outpatient Benefit Package and Second Normal Delivery and to enable development and introduction of new and more responsive benefits to address the need of the greater populace, please be advised that the premium contribution schedule for members of the Employed and Sponsored (Indigent) Sectors shall be revised, as follows:

For the Employed Sector

A. Effective January 1, 2004

The minimum Salary Base (SB) shall be revised from P3,000 to P4,000 and the maximum SB shall be revised from P10,000 to P15,000. The contribution schedule effective January 2004 shall be:

Monthly
Salary
Bracket

Monthly Salary
Range

Salary Base
(SB)

Total Monthly
Contribution
Personal Share
(PS=SB x 1.25%)

Employer
Share (ES)
ES=PS
1
P 4,999.99 and below
P 4,000.00
P100.00
P 50.00
P 50.00
2
5,000.00 to 5,999.99
5,000.00
125.00
62.50
62.50
3
6,000.00 to 6,999.99
6,000.00
150.00
75.00
75.00
4
7,000.00 to 7,999.99
7,000.00
175.00
87.50
87.50
5
8,000.00 to 8,999.99
8,000.00
200.00
100.00
100.00
6
9,000.00 to 9,999.99
9,000.00
225.00
112.50
112.50
7
10,000.00 to 10,999.99
10,000.00
250.00
125.00
125.00
8
11,000.00 to 11,999.99
11,000.00
275.00
137.50
137.50
9
12,000.00 to 12,999.99
12,000.00
300.00
150.00
150.00
10
13,000.00 to 13,999.99
13,000.00
325.00
162.50
162.50
11
14,000.00 to 14,999.99
14,000.00
350.00
75.00
175.00
12
15,000.00 and up
15,000.00
375.00
187.50
187.50

B. Effective January 1, 2005

The maximum SB shall be revised from P15,000 to P20,000. The contribution schedule effective January 2005 shall be:

Monthly
Salary
Bracket

Monthly Salary
Range

Salary Base
(SB)

Total Monthly
Contribution
Personal Share
(PS=SB x 1.25%)

Employer
Share (ES)
ES=PS
1
P 4,999.99 and below
P 4,000.00
P100.00
P50.00
P 50.00
2
5,000.00 to 5,999.99
5,000.00
125.00
62.50
62.50
3
6,000.00 to 6,999.99
6,000.00
150.00
75.00
75.00
4
7,000.00 to 7,999.99
7,000.00
175.00
87.50
87.50
5
8,000.00 to 8,999.99
8,000.00
200.00
100.00
100.00
6
9,000.00 to 9,999.99
9,000.00
225.00
112.50
112.50
7
10,000.00 to 10,999.99
10,000.00
250.00
125.00
125.00
8
11,000.00 to 11,999.99
11,000.00
275.00
137.50
137.50
9
12,000.00 to 12,999.99
12,000.00
300.00
150.00
150.00
10
13,000.00 to 13,999.99
13,000.00
325.00
162.50
162.50
11
14,000.00 to 14,999.99
14,000.00
350.00
175.00
175.00
12
15,000.00 to 15,999.99
15,000.00
375.00
187.50
187.50
13
16,000.00 to 16,999.99
16,000.00
400.00
200.00
200.00
14
17,000.00 to 17,999.99
17,000.00
425.00
212.50
212.50
15
18,000.00 to 18,999.99
18,000.00
450.00
225.00
225.00
16
19,000.00 to 19,999.99
19,000.00
475.00
237.50
237.50
17
20,000.00 and up
20,000.00
500.00
250.00
250.00

Contributions from the public and private sector employers should be remitted on or before the 10th day of the month following the applicable month at any PhilHealth Offices or through Accredited Collecting Agents and their branches nationwide.

Failure to deduct and/or consequently remit said contributions shall make the employer liable under the penal provisions provided in Article X of the National Health Insurance Act of 1995 (RA 7875).

In addition, to ensure proper and immediate posting of employees' contribution payments, employers are enjoined to submit the Quarterly Remittance Reports textfile format on or before the 15th day of the month following the applicable quarter.

For the Sponsored (Indigent) Sector

Premiums for members of the Sponsored (Indigent) Sector shall also be revised from the annual rate of P1,188 to P1,200 per family effective for enrollment and Renewals commencing January 2004.

All issuances inconsistent with this Circular are hereby repealed or modified accordingly.

Adopted: 20 June 2003

(SGD.) FRANCISCO T. DUQUE III, MD, MSc
President and CEO