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EMPLOYEE BENEFITS PDF Print E-mail

A.    Benefits from LGU 

      1.  Leave Benefits

           a.      Vacation Leave.  This refers to your leave of absence which will be granted to you for personal reasons, the approval of which is contingent upon the necessity of the service. You are entitled to a 15-day vacation leave annually with full pay exclusive of Saturdays, Sundays, and holidays. 

           b.      Sick Leave.  This is granted to you when you are ill or your immediate family member, who lives in the house where you live or is dependent upon you for support is sick. You are entitled to a 15- day sick leave annually with full pay exclusive of Saturdays, Sundays, and holidays. 

           c.       Special Leave Privileges (SLP).  This refers to your leave of absence which you may avail of for a maximum of three days annually.  SLPs, which are non-commutable, are subject to the hereunder conditions: 

o   Personal Milestone. This is privilege granted on occasions like birthdays, weddings, wedding anniversaries, death anniversaries, mourning period, and other personal milestones. If any of these events fall on Saturday, Sunday, or holiday, you can still avail of the same before or after the occasion.

 

o   Parental Obligation. You can avail of this if you want to attend school programs, PTA meetings, graduations, first communions, or attend to medical needs of your child.

 

o   Filial Obligation. This covers your moral obligation towards your parents and siblings for their medical and social needs.

 

o   Relocation Leave. This will be granted to you whenever you transfer residence.

 

o   Domestic Emergencies. You can avail of this if there is an urgent repair needed at your home, or an absence of a yaya or a house helper, and the like.

 

o   Personal Transactions. You can avail of this if you want to transact business with government and private offices regarding tax payment, court appearances, arrangement of a housing loan etc.

 

o   Calamity/Accident/Hospitalization. This pertains to an event that affects you and your immediate family’s life and property.

 

            d.      Forced/Mandatory Leave.

·         If you have ten (10) days or more vacation leave credits, you shall be required to go on vacation leave whether continuous or intermittent for five working days annually under the following conditions.

 

·         If you have an accumulated vacation leave of less than 10 days, you have the option to go on forced leave or not. However, if you have an accumulated vacation leave of 15 days and have availed of monetization for 10 days, you will be required to go on forced leave.

 

·         Your annual five-day leave shall be forfeited if not availed during the year except if these are cancelled in the exigency of service;

·         Your previously scheduled leave is cancelled in exigency of service;

 

           e.       Maternal Leave.  If you are a female employee, you will be entitled to maternity leave of 60 calendar days in every instance of pregnancy irrespective of frequency, but which payment of maternity leave benefit (MLB) is subject to the following conditions:

·         If you have rendered two or more years of service in government, you are entitled to full payment of the MLB.

·         If you have rendered more than a year but less than two years of service, payment of MLB is in proportion to your length of service

·         If you rendered less than a year of service you are entitled to half of the MLB.

 

           f.       Paternity Leave.

·         If you are a married male employee, you are allowed to avail of the paternity leave of seven working days for the first four deliveries of your legitimate spouse with whom you are cohabiting.

·         If you are a married male employee with more than one legal spouse, you shall be entitled to avail of paternity leave for an absolute maximum of four deliveries regardless of whoever of your spouses gives birth.

          g.      Solo Parent Leave.  You can avail of this seven-day leave if you fall under any of the following:    

                                                ·         A woman who gives birth as a result of rape provided, you keep and raise the child;

                                                ·         A parent left solo or alone with the responsibility of parenthood due to the following:

Ø  Death of spouse

Ø  Detention of the spouse for at least one year;

Ø  Physical/ mental incapacity of spouse as certified by a public medical practitioner;

Ø  Legal separation from spouse provided you have the custody of the children;

Ø  Declaration of annulment of marriage provided you have the custody of the children below 18 years of age; and    

Ø  Abandonment by spouse for at least one year.  

Ø   an unmarried person who has preferred to keep and rear children;

Ø   a person who provides parental care or licensed as a foster parent by the MSWD or you are appointed as legal guardian by the court;

Ø   a family member who assumes the responsibility of the head of the family as a result of:

o   Death;

o   Abandonment;

o   Disappearance or prolonged absence of parents for at least one year.

                                    

h.      Study Leave.  This refers to time-off from work not exceeding six months with pay for the purpose of assisting you, you are qualified in preparing for your bar/board review and in writing your thesis/dissertation to complete a masters or doctoral degree. The leave shall be covered by a contract between you and the Municipal Mayor.

 

i.        Rehabilitation Leave for Job-Related Injuries or Illness.  This can be availed of on account of wounds, injuries or illnesses you incurred in your performance of duty.  Application must be in the prescribed form, supported by the proper medical certificate, injury/illness report and evidence showing that the wounds injuries or illnesses were incurred in the performance of your duty.

               

      Your department head shall direct your absence during your period of disability thus occasioned which shall be on full pay, but not to exceed six months.  Your absence shall not be charged against sick or vacation leave, if there is any.

 

j.        Leave Without Pay.  All absences in excess of your accumulated vacation or sick leave credits earned shall be without pay.  When you had already exhausted your sick leave credits, you can use your vacation leave credits but not the other way around.

 

k.      Terminal Leave.  This refers to the money value of your total accumulated leave credits based on the highest monthly salary you received anytime during your period of employment in the government service.  This is applied for if you intend to sever your employment with the local government.

 

 2.      Monetization of Leave Credits.  This is about payment in advance under the prescribed limits and subject to specified terms and conditions of the money value of your leave credits upon your request without actually going on leave.  You may be able to monetize a minimum of 10 days provided that at least five days are retained after monetization and provided further that a maximum of 30 days may be monetized in a given year.  Monetization of 50% or more of the accumulated leave credits may be allowed for valid and justifiable reasons. 

3.      Supplementary Benefits

      a.      Clothing Allowance.  This will be given to you if you are in the service for at least six consecutive months, provided you will serve the agency for another six months from the day you will receive your allowance. (This shall not apply to job order employees) 

      b.      Year End Bonus.  You may receive one-half of the amount of year-end-bonus and cash gift in May, provided that you have rendered at least four months of service, including leaves of absence with pay, from January 1 to April 30 of the given year, regardless of whether or not you will still be in the service as of October 31 of the same year.  The other half may be given in the month of November. 

     c.       Step Increment.  This will be granted to you based on length of service (if you have rendered continuous satisfactory service in a particular position for at least three years). 

     d.      Loyalty Bonus.  You will receive this if you have rendered 10 years of continuous and satisfactory service in the government. If you incurred an aggregate of not more than 50 days authorized vacation leave without pay within the 10-year period, you will still be considered as having rendered continuous service for purposes of granting the loyalty award.In the same way, if you incurred an aggregate of not more than 25 days authorized vacation leave without pay within the five-year period, you may qualify for the loyalty award every five years of service, i.e. if you have already enjoyed the first loyalty award granted because of the ten-year service. 

     e.       Productivity Incentive Bonus.  You will receive this benefit if you have obtained at least a satisfactory performance rating for the two semesters immediately preceding the year in which the incentive pay shall be released. 

      f.       PERA/ADCOM.    Public Employees Recovery Allowance (PERA) shall be received by all employees every 15th of the month in the amount of Five Hundred (P500.00) Pesos.  Additional Compensation (ADCOM) in the amount of One Thousand Five Hundred (P1,500.00) Pesos shall be received every 30th of the month.                                                                                                                            

     g.      Compensatory Overtime Credit.  This refers to the accrued number of hours you earn as a result of services rendered beyond regular working hours and or those rendered on Saturdays, Sundays, holidays or scheduled days off without the benefit of  overtime pay. 

     h.      Compensatory Time Off.  This refers to the number of hours or days you are excused from reporting for work with full pay and benefits. It is a non-monetary benefit provided to you in lieu of overtime pay. 

 

B.     Benefits from GSIS Your membership in the GSIS is compulsory irrespective of employment status, provided you have not reached compulsory retirement age at the time of election or appointment.

 1.      Life Endowment Plan (LEP)

       a.      Maturity.  Upon maturity of your life insurance, the face amount thereof, less any indebtedness shall be paid to you. 

       b.      Cash Surrender Value.  After the insurance shall have been in force for one year and if you have been separated from the service prior to the maturity of your insurance, you may be paid the cash value less any indebtedness unless the terms of your separation provide otherwise. 

       c.       Waiver of Premium.  If you are separated from the service due to permanent total disability as determined by the system, your contribution that may become due and payable during the period of disability shall be deemed waived and considered paid. 

      d.      Death Benefit.  If you die prior to the maturity of your insurance and during its continuance, the System shall pay your designated beneficiaries or your legal heirs, as the case may be, the face amount less any indebtedness. 

      e.       Accidental Death.  If you die and the cause of your death is due to accident, the GSIS shall pay your designated beneficiaries or legal heirs, an additional amount equivalent to the face amount of your compulsory life insurance. 

      f.       Dividend.  Your policy shall earn dividend on the basis of earnings realized by the accumulated value of the policy.  The declared interest earnings rate shall be determined by the actuary and approved by the Board of Trustees. 

2.      Enhance Life Plan

      a.      Termination Value.  You can withdraw the termination equivalent to 25% for every life insurance premium due and paid in full only upon your separation from the government service less your total indebtedness. 

      b.      Death.  Upon your death, during the term of the policy, your qualified beneficiaries are entitled to receive the death benefits based on the latest salary preceding your death to which salary the corresponding life insurance premium was paid and remitted to the GSIS. 

      c.       Annual Dividend.  Your policy shall earn dividend on the basis of your earnings realized by the accumulated termination value of your policy.  The declared interest earnings shall be determined by the actuary and approved by the Board of Trustees. 

3.      Retirement

     a.      RA 1616 (Gratuity Benefit).  If you choose this, the benefit that you will receive is equivalent to one month salary for each year of service for your first 20 years; one and half months salary for each year of service in excess of 20 up to 30 years, and two months salary for each year of service over thirty years, based on the highest salary received 

     b.      RA 660 or Magic 87.  Retirement is at the age of 52-64 with 16-35 years of service or what is labeled as “Magic 87”, i.e., the sum of your age and the length of your service must be 87. If you retire at age 57, the amount of your monthly annuity (pension) shall be P30.00 plus 1.2% of each year of service rendered before June 16, 1951 of the average monthly salary during the last three years prior to the date of retirement, but said amount shall not exceed 75% of the average monthly salary.For other ages, your annuity shall be adjusted actuarially but the amount must not exceed 80% of the average monthly salary.

     c.       RA 8291.  If you are not receiving a monthly pension benefit from Permanent Total Disability, retirement is at age 60 with 15 years of creditable service.  

4.      Unemployment Benefit

This is given to you if you have paid the required 12 months integrated conditions under RA 8291 and is involuntarily separated from the service as a result of the abolition of your office or position usually resulting from the re-organization. The benefit is in the form of a cash payment equivalent to 50% of the Average Monthly Compensation.

 5.      Separation Benefit

      This will be given to you if you leave the municipal government through a choice of your own or when circumstances force you to resign.

 6.      Disability Benefit

      This will be granted to you due to the loss or reduction in your earning capacity caused by the loss or impairment of the normal functions of your physical and/or mental faculties as a result of injury of sickness.

 7.      Survivorship Benefit

      If you are either a beneficiary of a deceased member or a pensioner, this benefit is extended to your surviving and qualified beneficiaries to cushion them against the adverse economic effects resulting from your death.

 8.      Funeral Benefit

      This will be granted to your beneficiaries if you are: an active member; a member who has been separated from the service but who is entitled to future separation or retirement benefit; a member who is an old-age pensioner; a retiree who at the time of retirement is of pensionable age under RA 8291 but opted to retire under RA 1616;or a member who retired under RA 1616 prior to the effectively  of RA 8291 with at least 20 years of service , regardless of age.

 

 

 C.    Benefits from Pag-IBIG

1.      Providents/Saving.  The Pag-Ibig Funds offers you a fast, easy and affordable way of savings for your future needs. 

      Your savings enjoy the following features:

o   double or triple savings

o   annual dividend earnings

o   portability

o   tax-free and government guarantee

 

You shall get back your Total Accumulated Value (TAV) consisting of your personal contributions, your employer counterpart contributions and dividend earnings upon the occurrence of any of the following:

 

o   Membership maturity ( 20 years monthly contributions) or optional after 10 or 15 years , i.e, if you joined the fund in 1995

o   Retirement

o   Permanent departure from the country;

o   Permanent/total physical disability;

o   Insanity; and

o   Termination from service by reason of health. Your beneficiary can also claim the TAV upon your death.

 

 2.      Short Term Loan/Multi-Purpose Loan (MPL)

You may apply for a multi- purpose loan (MPL) if you are an active member who was made at least 24 monthly contributions.

      a.      Loan Amount

Your loan entitlement will depend on the number of contributions you have made, based on the following:

·         Loan amount is up to 60% of TAV if you have made 24-59 monthly contributions;

·         Loan amount is up to 70 %  of TAV if you have made 60-119 monthly contribution;

      b.      Loan Term

Your loan will bear an interest at the rate of 10.75 % per annum for the duration of the loan

      c.       Loan Payments

The loan shall be paid over a maximum period of 24 months.

Your loan shall be amortized in equal monthly amortizations in such amounts as may fully cover the loan obligation. A penalty of one-half percent (1/2%) shall be charged to you for every month of delay

 

If you are a member with an outstanding PAG-IBIG housing loan, you may be allowed to avail of an MPL, provided that the account is not more than nine (9) months in arrears and is not yet cancelled or foreclosed.

 

However, If you are a member with an outstanding PAG-IBIG housing loan, that is not more than nine (9) months   in arrears and is not yet cancelled or foreclosed, you may be allowed to avail of an MPL, provided that the purpose of the MPL is to update your housing loan arrearages, The MPL proceeds to be applied on the housing loan arrearages shall be subject to your loan entitlement.

 

 3.      Housing Loan

If you are an active member who has made at least 24 monthly contributions at the time of loan application and has a net take home pay of at least 3,000.00 after deducting the monthly amortization, you may avail of a housing loan up to 2,000,000 for any of the following purposes:

·         Purchase of a residential unit;

·         Purchase of a house and lot;

·         Construction or completion of a residential unit on a lot owed by you;

·         Home improvement; and

·         Refinancing of an existing mortgage loan with an institution acceptable to Pag-IBIG Fund, provided that the loan to be refinanced is current and updated at the time of loan application, and the account reflects a perfect repayment history for at least two years, duly supported by your ledger.

 

 

 

 D.    Benefits from PhilHealth.  An employee is deducted from his/her salary an amount of P___ as PhilHealth contribution.  In return, a member can avail of hospitalization and medical benefits from Philhealth.   A member can avail of Philhealth Benefits if the following conditions are met: 

·         Confinement in a PhilHealth accredited hospital;

·         Confinement of not less than 24 hours;

Note: Ambulatory/day surgeries (e.g. cataract extraction, endoscopy), chemotherapy, radiotherapy and dialysis are the only procedures covered on an outpatient basis;

·         Availability of the room and board allowance (45 days per year for the member and 45-day allowance for all his/her dependents)

 

The Hospital and Doctor/s are to deduct PhilHealth Benefits from the total charges before the member makes the payment.

 *      Filing of Claim in the Hospital

To enable the hospital to deduct Philhealth benefits from the hospital bill:

ü  Properly fill out the PhilHealth Claim Form 1.

ü  Submit the form to the hospital billing section prior to discharge of patient.

ü  Agree with your doctor/s on how much you should pay for their services after PhilHealth benefits are deducted. If there are no PhilHealth benefits deducted and you pay the full and actual Professional Fee, ask for a Waiver from the physician.  Attach the doctor’s waiver and the official receipt to your Claim Form 1.

ü  Submit the official receipts of medicines bought outside the hospital during confinement for possible refund.

 

The hospital and doctor/s are supposed to deduct the benefits from the total bill before payment.

   *      Direct Filing with PhilHealth

If you cannot submit a properly filled out Claim Form 1, the hospital will not deduct PhilHealth Benefits.  In which case, you shall pay the hospital charges in full.  You may file your claim directly with PhilHealth to be refunded of payments, by submitting the following requirements:

ü  PhilHealth Claim Form 1

ü  PhilHealth Claim Form 2

ü  PhilHealth Claim Form 3

ü  PhilHealth Claim Form 4 (for Maternity Care Package)

ü  Hospital Waiver

ü  Physician’s Waiver (if full and actual professional fee has been paid)

ü  Official Receipts of Medicines bought outside the hospital during confinement.

 

The claim must be filed with PhilHealth within 60 calendar days from discharge of patient.

 *      Supporting Documents to Claim Form

For Employee – Members

Ø  Member Data Record (MDR), if the patient is a dependent.

In the absence of MDR, a photocopy of the dependent’s birth certificate or marriage contract, whichever is applicable, shall be submitted.

 *      Benefit Payment Notice

PhilHealth shall send a Benefit Payment Notice (BPN) to the member after the claim is processed.  The BPN notifies the member of the reimbursements paid by PhilHealth to the hospital, physician and/or member.

 

If there is an under-deduction made by the hospital, the member shall present the BPN to the hospital to claim the difference.  On the other hand, if there is an over-deduction made by the hospital, the member shall settle the difference with the hospital.

                       

Reminder:  Write \your complete mailing address in the Claim Form 1 so you may promptly receive the cheque and/or the BPN from PhilHealth.

 *      Unified benefit Schedule

The following charts show the maximum allowances that may be deducted from the hospital bill/doctor’s professional fee before discharge per single period of confinement:

     
LEVEL 3 and 4 HOSPITALS (Tertiary)
Case Type A B C D

Room & Board*

P400/day

P400/day

P400/day

P1,035/day

Drugs & medicines**

3,000.00

9,000.00

16,000.00

35,555.00

X-ray, Lab & Supplies**

1,700.00

4,000.00

14,000.00

29,430.00

Operating Room

RVU 30 and below = P1,060.00;  RVU 31 to 80 = P1,350.00 RVU 81 – 200 = P3,490.00 RVU 201 – 500 = P3,490.00 RVU > 500 = P10,470.00
LEVEL 2 HOSPITALS (Secondary)
Case Type A B C D

Room & Board*

P300/day

P300/day

P300/day

P660/day

Drugs & medicines**

P1,700.00

P4,000.00

P8,000.00

P19,725.00

X-ray, Lab & Supplies**

P850.00

P2,000.00

P4,000.00

P10,215.00

Operating Room

RVU 30 and below = 670.00;  RVU 31 to 80 = P1,140.00 RVU 81 – 200 = P2,160.00 RVU 201 – 500 = P2,160.00 RVU > 500 = P6,480.00
LEVEL 1 HOSPITALS (Primary)
Case Type A B C D

Room & Board*

P200/day

P200/day

N/A

N/A

Drugs & medicines**

P1,500.00

P2,500.00

N/A

N/A

X-ray, Lab & Supplies**

P350.00

P700.00

N/A

N/A

Operating Room

RVU 30 and below = P385.00; N/A N/A N/A
PROFESSIONAL FEES
Case Type A B C D
General Practitioner P150/day not exceeding P600 P150/day not exceeding P900 P150/day not exceeding P900 P315/day not exceeding P2,430
Specialist P250/day not exceeding P1,000 P250/day not exceeding P1,500 P250/day not exceeding P2,500 P450/day not exceeding P4,050
Surgeon (P40 per RVU) not exceeding P16,000.00 (P40/RVU) multiplied by 3 (the D case-type multiplier) but not exceeding P47,790
Anesthesiologist 30% Surgeon’s fee not exceeding P5,000 30% Surgeon’s fee not exceeding P14,355
                 
 

Each benefit is subject to a limit depending on the case/type of illness and the category of hospital you are in.  PhilHealth covers the maximum allowance given for each benefit item as indicated in the Benefit Schedule.

  
 

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