Title
PhilHealth Premium Payment and Reporting Rules
Law
Philhealth Circular No. 004-2015
Decision Date
Mar 5, 2015
PhilHealth Circular No. 004-2015 mandates employers in both government and private sectors to utilize accredited collecting agents and the Electronic Premium Reporting System for the payment and reporting of premium contributions, enhancing the efficiency of membership and contribution management.
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Premium Payment Encouragement for Employers

  • Effective April 2015, all employers in both government and private sectors are strongly encouraged to remit premium contributions to PhilHealth.
  • Payments should preferably be made through PhilHealth-accredited collecting agents (ACAs) or via PhilHealth’s e-Payment facilities to streamline processing and improve efficiency.

Implementation of Electronic Premium Reporting System (EPRS)

  • All employers in the Formal Economy must adopt the Electronic Premium Reporting System (EPRS) for the preparation and submission of remittance reports (RF-1).
  • The use of EPRS is mandatory for compliance to ensure timely and accurate reporting of premium contributions.
  • Employers of Kasambahays (domestic workers) are exempt, with EPRS remaining optional for them.

Support During Transition Period

  • PhilHealth Employer Engagement Representatives (PEERs) are tasked to coordinate with PhilHealth Accounts Information Management Specialists (PAIMS) or local PhilHealth offices.
  • Coordinated efforts will include orientation, training, and registration regarding the payment and reporting systems to assist employers during the transition.

Effectivity and Continuity of Previous Issuances

  • This Circular shall take effect fifteen (15) days after publication in a newspaper of general circulation.
  • The Circular shall also be deposited with the National Administrative Register at the University of the Philippines Law Center for official record.
  • All previous issuances consistent with this Circular remain valid and continue in full force and effect.

Key Legal Concepts

  • Emphasis on modernization and digitalization of premium payment and reporting processes.
  • Strengthening data accuracy and transparency in members’ contributions.
  • Ensuring compliance by formal economy employers while providing flexibility to Kasambahay employers.
  • Institutional coordination to facilitate smooth adoption of new systems.

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