Title
PhilHealth Coverage for Barangay Officials
Law
Phic Philhealth Circular No. 08, S. 2003
Decision Date
Feb 3, 2003
Guidelines establish the enrollment of barangay officials, personnel, and volunteers in the National Health Insurance Program (NHIP), ensuring their access to health benefits funded by local government units.

Law Summary

Definition and Composition of Barangay Officials

  • Barangay officials as per Section 387, Local Government Code (LGC): Punong Barangay, seven Sangguniang Barangay members, Sangguniang Kabataan Chairperson, Barangay Secretary, Barangay Treasurer.
  • Inclusion of Lupong Tagapamayapa in every barangay.
  • Other officials such as barangay tanods and volunteers designated by law or ordinance as agents of authority (Section 388, LGC).
  • Appointive barangay officials governed by Local Government Code and relevant laws or ordinances (Section 396, LGC).

Status of Barangay Personnel as Public Officials and Employees

  • Barangay officials and personnel considered public officials/employees under the New GSIS Act (R.A. 8291), including elected and appointed persons receiving compensation.
  • Covered by the Code of Conduct and Ethical Standards for Public Officials and Employees (R.A. 6713), regardless of compensation amount or employment status.

Benefits for Barangay Officials and Personnel

  • Authorized honoraria, allowances, and emoluments under Section 393, LGC.
  • Coverage includes barangay tanods and members of the lupong tagapamayapa.

Coverage Scope Under NHIP Guidelines

  • Covered individuals include:
    • Barangay Officials: Punong Barangay, seven Sangguniang Barangay members, SK Chairperson, Barangay Secretary, Barangay Treasurer
    • Lupong Tagapamayapa
    • Barangay Tanod Brigades
    • Other Barangay Volunteers

Enrollment Scheme and Income Classification

  • Enrollment under Medicare for the Employed Government Sector with the barangay as the Local Government Unit (LGU)-employer.
  • Income threshold of Php 3,500 differentiates premium payment brackets:
    • Less than Php 3,500: Bracket 1 premium
    • Php 3,500 and above: Corresponding higher premium share
  • Income ceiling subject to changes by PhilHealth Board.

Enrollment Procedures

  • PhilHealth, in coordination with DILG, issues guidelines for coverage and enrollment.
  • Barangays must pass an ordinance allocating funds for philhealth enrollment of officials and personnel.
  • Submission of required membership forms to PhilHealth:
    • M1a Form (Member Data Record) for first-time registrants
    • M2 Form (Member Amendment Form) for registered members changing sector
    • ER1 Form (Employer Data Record) if barangay not previously registered
    • ER2 Form (Report of Employee Members) listing enrolled individuals
  • Billing statements issued only for arrears or under-remittance situations according to prescribed guidelines.

Premium Contribution and Payment Remittance

  • Premium shared between barangay (employer) and barangay official/personnel (employee).
  • Employer counterpart paid from barangay funds; barangays may shoulder full premium via ordinance.
  • Remittance to PhilHealth via accredited banks due by the 10th day of the following month.

Monitoring and Evaluation Responsibilities

  • Barangays required to submit quarterly reports on program implementation to DILG's National Barangay Operations Office (NBOO) and PhilHealth Regional Offices.
  • Submission of quarterly Employer's Remittance Report and corresponding validated documents.
  • DILG field officers consolidate data and maintain masterlist of enrolled barangay officials.
  • PhilHealth Program Management Group conducts regular evaluations with DILG NBOO.

Separate Enrollment Rules for Other NHIP Programs

  • Barangay officials and volunteers enrolled under Indigent or Individually Paying Programs governed by their respective rules and issuances.

Effectivity

  • The circular takes effect immediately upon issuance.
  • Signed by Francisco T. Duque III, M.D., M.Sc., President and CEO of PhilHealth.

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