Title
PhilHealth Lifetime Member Program Enrollment
Law
Philhealth Circular No. 28, S. 2010
Decision Date
Sep 20, 2010
Retiring employees who have paid at least 120 monthly contributions are automatically enrolled in the Lifetime Member Program, with employers required to facilitate the process three months prior to retirement, ensuring access to National Health Insurance benefits without further contributions.

Law Summary

Mandatory Enrollment and Timing

  • Retiring employees from both government and private sectors who meet eligibility are to be enrolled automatically in the Lifetime Member Program (LMP).
  • Employers must facilitate this enrollment at least three months prior to the employee's retirement.

Application Process

  • Application for LMP is filed with PhilHealth immediately after the employee's retirement application approval.
  • Employer’s HR Office or authorized representative is responsible for submission.

Required Documents for Processing

  • Two copies of the duly accomplished PhilHealth Member Registration Form (PMRF).
  • Two recent 1x1 photographs of the member.
  • Certified copies of:
    • Birth certificate or alternative documents as specified.
    • Approved retirement application.
    • For private sector: Employer certification confirming 10 years continuous employment and remittance of PhilHealth contributions with notes on leave without pay.
    • For government sector: Signed Service Record indicating credited service and leave without pay, plus certification of premium contributions with official receipt numbers.

Computation of Contributions

  • Contributions from previous employers or other PhilHealth program categories count towards the required 120 months.
  • Submission of payment proofs or certification with official receipt numbers is mandatory.

Special Cases

  • Retiring members without 120 contributions but who reached retirement age can still be enrolled if proof of payments from other sources exist.
  • Members who completed 120 contributions but have not reached retirement age are advised to continue as Individually Paying Members until eligible for LMP.

Submission and Issuance

  • Application documents must be submitted to the nearest PhilHealth Regional, Service, or Branch Office.
  • Upon validation, PhilHealth issues the Lifetime Member ID card and Member Data Record (MDR).
  • Employers’ representatives must ensure release of these documents before the last day of employment.

Effectivity

  • This Circular takes effect fifteen days after publication in a newspaper of general circulation.

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