[ CIRCULAR LETTER NO. 2018-3, January 18, 2018 ]
ADJUSTMENT IN THE EMPLOYER (GOVERNMENT) SHARE IN THE HEALTH INSURANCE PREMIUM (HIP) CONTRIBUTIONS TO THE PHILIPPINE HEALTH INSURANCE CORPORATION (PHILHEALTH)
Adopted: 16 January 2018
Date Filed: 18 January 2018
Date Filed: 18 January 2018
1.0 Purpose
This Circular is issued to:
1.1 Prescribe the guidelines on the adjustment in the employer (government) share in the HIP contributions to the PhilHealth effective January 2018 and onwards; and
1.2 Provide information on the PhilHealth s Primary Care Benefits.2.0 Adjustment in the Employer (Government) Share in the HIP Contributions
2.1 The employer (government) share in the HIP contributions to the PhilHealth of all National Government Agencies (NGAs), including SUCs, Constitutional Offices, GOCCs, and LGUs, effective January 2018 and onwards shall be based on Item IV of PhilHealth Circular No. 2017-0024[1] dated September 11, 2017.As indicated in said PhilHealth Circular, the monthly premium contributions shall be at the rate of 2.75% computed straight based on the monthly basic salary of individual employees, with a salary floor of P10,000 and a ceiling of P40,000, to be equally shared by the employees and their employer.
The computation of the premium contributions shall be based on the following table:
Month ly Basic S a l ar y |
Adjus t ed Mont hly Premium per It em IV of Phil Hea l t h |
||
2 . 75% of MB S ! |
Emp l oyee Share |
Emp l oyer Share |
|
P10 , 000. 00 and bel ow |
P275 . 00 |
P137 . 50 |
P137 . 50 |
P10 , 001 to P39, 999. 99 |
P275 . 02 to P1 , 099. 99 |
P137 . 51 to P549 . 99 |
P137 . 51 to P549 . 99 |
P40 , 000. 00 and above |
P1 , 100. 00 |
P550 . 00 |
P550 . 00 |
2.2 Under Republic Act (RA) No. 10964 or the FY 2018 General Appropriations Act (GAA), the funding requirements for the employer (government) share in the HIP contributions of government employees of NGAs concerned are provided through the following:
2.2.1 Agency Specific Budgets - The requirements based on existing rates of government contributions to PhilHealth are provided under the agency-specific budgets and included in the comprehensive release of allotments through the GAA as Allotment Order.2.3 For GOCCs, the amounts required for the adjustment in the employer (government) share in the HIP contributions of government employees shall be charged against their respective approved Corporate Operating Budgets under the Personnel Services expense. GOCCs are prohibited to source the payment for the purpose from the following:
2.2.2 Miscellaneous Personnel Benefits Fund (MPBF) - The amounts required to adjust the employer (government) share in the HIP contributions effective January 2018, which is based on the rates indicated under Section 2.1 of this Circular, are included in the MPBF.
2.3.1 Loans; and2.4 For LGUs, they are enjoined to implement the adjusted employer (government) share in the HIP contributions of government employees to the PhilHealth as provided under Section 2.1 of this Circular.
2.3.2 Subsidy from the National Government for the GOCC' s operations, except for subsidy income or subsidy given by the Department of Budget and Management for the adjustment of HIP contributions.
In this regard, all LGUs are likewise enjoined to adopt the appropriate measures in their respective FY 2018 annual budgets and onwards, subject to the provisions of RA No. 7160 or the Local Government Code of 1991, and other existing budgeting rules and regulations.
3.0 Primary Care Benefits
The primary care benefits under the National Health Insurance Program, which are being provided to and availed by certain member-groups, shall be extended to government employees who are PhilHealth members under the Formal Employed Sector. The details of the primary care benefit are described in Annex A of this Circular.
4.0 This Circular shall take effect immediately.
(SGD) BENJAMIN E. DIOKNO
Secretary
Secretary
[1] Adjustment in the Premium Contribution of the Employed Sector to Sustain the National Health Insurance Program (NHIP)
[2] If an excess of a centavo will occur when equally sharing the computed monthly premium contributions, the excess centavo shall be deducted from the employee s share.