Organization : Republic of the Philippines
Portal : Social Security System (SSS)
Facility : Sickness Benefit
Country : Philippines
Website : https://www.sss.gov.ph/sickness-benefit/
What is SSS Sickness Benefit?
Sickness benefit is a daily cash allowance paid for the number of days a member is unable to work due to sickness or injury.
Related / Similar Facility : MySSS Card Philippines
Who Can Apply For SSS Sickness Benefit?
A member is qualified to avail of this benefit if he/she:
** Is unable to work due to sickness or injury and is confined either in a hospital or at home for at least four (4) days.
** Has paid at least three (3) months of contributions within the 12-month period immediately preceding the semester of sickness or injury. In determining the SE/VM/OFWs entitlement to the benefit, the SSS shall only consider those contributions paid prior to the semester of contingency.
** Has notified the employer, if employed, or the SSS, if SE/VM/OFW/separated from employment regarding his/her sickness or injury.
** Has used up all current company sick leave with pay for the current year, if employed, except sea-based OFWs.
Amount of SSS Sickness Benefit
The amount of the member’s daily sickness benefit allowance is equivalent to ninety percent (90%) of his/her average daily salary credit (ADSC).
Benefit Computation:
1. Exclude the semester of contingency.
** A semester refers to two (2) consecutive quarters ending in the quarter of sickness.
** A quarter refers to three (3) consecutive months ending in March, June, September, or December.
2. Count twelve (12) months backwards starting from the month immediately before the semester of contingency.
3. Identify and add the (6) highest monthly salary credits within the 12-month period to arrive at the total monthly salary credit. Monthly salary credit (MSC) refers to the compensation base for contributions and benefits related to the total earnings for the month.
Benefit Disbursement:
The sickness benefit claims shall be mandatorily disbursed through the qualified payee’s Unified Multi-Purpose Identification (UMID) card enrolled as Automated Teller Machine (ATM) card. In the absence of this, payment shall be made thru participating banks under the Development Bank of the Philippines (DBP) Disbursement Facility via the Philippine Electronic Fund Transfer System and Operations Network (PESONet), electronic wallets (E-Wallets), or accredited remittance transfer companies (RTCs)/cash payout outlets (CPOs).
How To Apply For SSS Sickness Benefit?
Submission of Sickness Notification (for Employed Members and Employers);
The member who got sick or injured shall immediately notify his/her employer of such fact and submit the following proof of illness or injury:
Medical Certificate (Med 01688) indicating the following:
** Complete diagnosis
** Recommended number of days of sick leave including recuperation
** Clinic Address
** Contact Number
** License number written legibly
** Certified true copy of supporting medical documents
Upon receipt of the above documents, the employer shall in turn notify SSS online through its My.SSS account. Submission of documents over the counter is no longer necessary.
Submission of SBA (for SE/VM/OFW/NWS and Members Separated from Employment);
** Log in to your My.SSS account.
** Click “Submit Sickness Benefit Application” under the E-Services tab.
** Read the important reminders, then click “Proceed” to continue.
** Supply all required information, then click “Proceed”.
** Upload the required supporting document/s. You may click the “I” icon to view the list of documentary requirements and important reminders. Read and understand the Certification portion, then click “I Certify and Submit” to proceed. Then click “OK” to confirm the transaction.
** The System will display a notification message. Click “View” and then take note of your transaction details. Also check your inbox for email notification from SSS.
Submission of SBRA (for Employers):
** Log in to Employer’s My.SSS account.
** Click the “Submit SS Sickness Benefit Reimbursement Application (SBRA)” Tab.
** Enter the member’s CRN/SS Number or Claim Reference Number or Date Filed, then click the “Search” button.
** The details of the approved Sickness Notification will be displayed.
** Click the Claim Reference Number to proceed with the SBRA submission.
** Enter the required details as approved.
** The encoded information will display for employer’s review and certification.
** Email confirmation will be sent to the Employer of successful submission of SBRA.