QuestionsQuestions (EXECUTIVE ORDER NO. 672)
The Circular is anchored on Rule V, Section 3 of the IRR of R.A. 10361 (protection and welfare of domestic workers), which requires the household employer to register/enroll the kasambahay in the SSS, PhilHealth, and Pag-IBIG. It also cites Section 21, Rule IV of the IRR of R.A. 7875, as amended (National Health Insurance Act of 2013), emphasizing sustained PhilHealth membership through registration and premium payment until separation.
All household employers and their kasambahays, as defined under R.A. 10361 and its IRR.
The household employer must submit: (1) Household Employer Unified Registration Form (PPS-HEUR1), (2) Household Employer Unified Report Form (PPS-HEUR2), and (3) Kasambahay Unified Registration Form (PPS-KURF) if the kasambahay is not yet enrolled with PhilHealth, SSS, or Pag-IBIG.
It is required if the kasambahay is not yet enrolled with PhilHealth, SSS, or the Pag-IBIG Fund; it must be attached to the accomplished PPS-HEUR2.
The employer must provide: (1) last name, first name, suffix, middle name; (2) date of birth, sex, and Tax Identification Number if available; (3) address, contact number (landline/mobile), and email; and (4) signature certifying correctness of information.
No. The Circular states that no supporting documents will be required if the household employer submits personally.
A letter of authorization from the household employer, a valid ID of the household employer, and a valid ID of the authorized representative are required.
PhilHealth assigns a unique and permanent PhilHealth Employer Number (PEN), linked to the employer’s own PhilHealth Identification Number (PIN).
The household employer registers and/or reports kasambahays by submitting the duly accomplished PPS-KURF to be attached to PPS-HEUR2.
They are issued their unique and permanent PIN, PhilHealth ID Card, and Member Data Record (MDR) as members under the Formal Economy.
Within thirty (30) days from the date of separation, the employer must submit a duly accomplished PPS-HEUR2 to PhilHealth indicating the date of separation, among others.
Failure to remit premiums makes the household employer liable for reimbursement of payment for a properly filed claim if the kasambahay or qualified dependents avail of PhilHealth benefits, without prejudice to other penalties.
Generally, premiums are shouldered solely by the household employer. Exception: if the kasambahay earns a monthly salary of Php 5,000.00 or above, the kasambahay pays the proportionate share.
On or before the 25th calendar day of the month following the applicable month for which payment is due. If the deadline falls on a weekend/holiday, payment is due on the next working day.
PhilHealth accepts payment only in CASH and in Philippine currency.
The household employer must fill-out and submit a PhilHealth Payment Slip (PPS) for each kasambahay to the cashier, containing the kasambahay’s PIN/name, the employer’s PEN/name, the applicable month(s) being paid for, and the amount, signed by the employer. The payment is acknowledged through a PhilHealth Official Receipt (POR) under the kasambahay’s name and PIN.
Coverage starts from the time of enrollment and payment of premium contributions, and it remains valid as long as premium contributions are regularly paid.
They are entitled to in-patient hospital care benefits (including case rate packages and catastrophic illnesses under Case Type Z), out-patient and other special benefit packages under NHIP, and the No Balance Billing privilege in accredited government institutions (or selected cases in accredited private HCIs), consistent with PhilHealth Circular No. 003, s. 2014.
They may avail of TSeKaP (Tamang Serbisyo para sa Kalusugan ng Pamily), a primary care benefit package including consultations with primary care doctors, preventive/promotive services, selected diagnostic tests upon recommendation, and selected medicines for specific primary illnesses.