Issue of Overpayment Due to Multiple Employment
- Members with multiple employment may have aggregate monthly premium contributions exceeding the maximum prescribed rate.
- Overpayment occurs when total deducted premiums go beyond the allowable limit.
- Guidelines are established to address such overpayments.
One-Time Adjustment of Overpayment in Personal Share
- Members can request a one-time adjustment for overpayment under specific conditions:
- Separation from all employers.
- Aggregate monthly premium contributions exceed the prescribed maximum.
- Overpayment due to multiple employment.
- Overpayment occurred only after the circular's effectivity.
- Covered periods posted in PhilHealth systems (PMAIS and Treasury Database).
- Overpayment reflected as an advanced payment under the Individual Paying Program (IPP) per Office Order No. 48, s. 2008.
Refund of Overpayment in Personal Share
- Refund of excess personal share allowed if all of the following apply:
- Overpayment incurred from multiple employment.
- Overpayment occurred only since the guideline took effect.
- Coverage period posted in PMAIS and Treasury Database.
- Member aged 60 or older with at least 120 monthly premium contributions paid.
- Member is no longer employed.
Documentary Requirements for Adjustment or Refund Requests
- Members must submit the following to any nearest PhilHealth Regional Office Collection Section:
- Duly accomplished request form or letter specifying adjustment/refund.
- Copies of any two valid photo IDs (e.g., SSS ID, GSIS E-Card, Passport, Company ID).
- Proof of employment with monthly income and status from each employer, via either:
- Employment contract, or
- Certificate of Employment signed by employer.
- Additional documents if required by the Collection Section.
Effectivity
- The Circular is effective fifteen (15) days after publication.
- It applies to premium contributions beginning January 2009 onwards.