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GSIS Benefits 3. Disability/Death is caused by work-


connected injury or sickness
Employees Compensation Program
There are exceptions to Compensability or
injury, sickness, disability or death. These
The Employees' Compensation (EC) benefits or exceptions are applicable when any of these is
disability benefits is a compensation package due to the employee's:
for public and private sector employees and
their dependents in the event of work-related 1. Intoxication or drunkenness
injury, sickness, disability or death. The EC is a 2. Willful intention to injure or kill himself
purely employer-based contribution benefit. or another
Thus, the employee is not required to 3. Notorious negligence
contribute any amount to the program. The 4. Not work-related
employee compensation benefits are in the
following options: Here are the Occupational Diseases under
PD626
1. Cash income benefits for disability or
death 1. Papilloma of the bladder
2. Medical and related services for injury 2. Cancer, epithellomatous or ulceration
or sickness of the skin or of the corneal surface of
3. Rehabilitation services ( in addition to the eye
monthly cash income benefit) for 3. Cataracts
permanent disability 4. Deafness
5. Decompression sickness, Caisson
The benefits given to the employee or his disease, and Aeroembolism
beneficiaries are in the form of: 6. Dermatitis due to irritants and
sensitizers
1. Daily cash income benefit for temporary 7. Infections, namely: Anthrax, Brucellosis,
total disability (TTD) Glanders, Rabies, Tuberculosis,
2. Monthly cash income benefit for Tularemia, Weill's disease, Q Fever or
permanent total disability (PTD) on a equine encephalomyelitis, Mite
lifetime basis dermatitis
3. Monthly cash income benefit for 8. Ionizing radiation disease,
permanent partial disability (PPD) inflammation, ulceration or malignant
4. Monthly cash income benefit for death, disease of the skin or subcutaneous
also on a lifetime basis, except for tissues of the bones or leukemia or
benefit paid to secondary beneficiaries, anemia of the aplastic type due to X-
which is a monthly pension not to rays, ionizing particles, radium or other
exceed 60 months but not less than radioactive substances, namely: Acute
fifteen thousand pesos radiation syndrome: Chronic radiation
5. Medical services, appliances and syndrome and Glass blower's cataract
supplies for injury or sickness 9. Poisoning
6. Rehabilitation services for permanent 10. Pneumoconiosis
disability 11. Diseases caused by abnormalities in
7. Carer's allowance for permanent temperature and humidity
disability. 12. Vascular disturbance in the upper
extremities due to continuous vibration
The Compensability Conditions are as follows: from pneumatic tools or power drills,
riveting machines or hammers
1. Injury must be the result of accident 13. Viral hepatitis
arising out of and in the course of 14. Poisoning by cadmium
employment. 15. Leukemia and lymphoma
2. Sickness must be listed /considered an 16. Cancer of the stomach and other
"occupational disease"; or even if not lymphatic and blood forming vessels,
listed as one, it must be shown that the nasal cavities and sinuses
risk of contracting the sickness is 17. Cancer of the lungs, liver and brain
increased by the working conditions. 18. Cardio-vascular diseases
19. Cerebro-vascular accidents

All information found herein were copied from www.gsis.gov.ph


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20. Malaria and schistosomiasis be either:


21. Pneumonia a. Basic Monthly Pension
22. Hernia
23. Bronchial asthma 4. If the member is separated from service
24. Osteoarthritis with 180 monthly contributions prior to PTD,
25. Viral encephalitis benefit can be either:
26. Peptic ulcer a. Basic Monthly Pension
27. Pulmonary tuberculosis
28. Viral hepatitis 5. If the member has at least 3 years service
29. Essential hypertension with contributions, but PTD occurs 5 years after
30. Asbestosis separation from the service, benefit is:
Cash payment equal to 100% of AMC X Service
Disability (but not less than P12,000) payable
immediately. No more separation benefit shall
Disability benefits are benefits granted to a be paid in the future.
member due to the loss or reduction in earning
capacity caused by a loss or impairment of the Injuries resulting in any of the following are
normal functions of the employee's physical deemed Permanent Partial Disability (PPD)
and/or mental faculties as a result of an injury Complete and permanent loss of the use of: any
or disease. one finger, any toe, one arm, one hand, one
foot, one leg, one or both ears, sight of one eye
The loss in earning capacity shall be or such other cases as may be determined by
determined on the basis of the following: the System
1. The employee's actual loss of income from
the usual occupation The benefits for Permanent Partial Disability
2. The capacity to engage in any other gainful are as follows:
occupation because of impairment 1. If member is in the service, benefit is:
Cash payment CP = BMP X nos. of PTD
A disability may either be: months as recommended by the GSIS medical
Permanent Total evaluator
Permanent Partial
Temporary Total
2. If the member is separated from the
Injuries resulting in any of the following are service but has paid 36 monthly contributions
deemed Permanent Total Disability (PTD) within the last 5 years immediately preceding
a. Complete loss of sight of both eyes the disability or has paid at least 180 monthly
b. Loss of two limbs at one or above the ankle contributions, benefit is:
or wrist Cash payment CP = BMP X nos. of PTD
c. Permanent complete paralysis of two limbs months as recommended by the GSIS medical
d. Brain injury resulting in incurable evaluator
imbecility, insanity or other irreversible
conditions Retirement

The benefits for Partial Total Disability are as To qualify for this retirement mode:
follows.
1. If the member is in the service with less 1. The retiree must have rendered at least
than 15 years of service, benefit can be either: 15 years of service and must be at least
a. Basic Monthly Pension 60 years of age upon retirement.
2. He /she must not be a permanent total
2. If the member is in the service with at least disability pensioner.
15 years of service, benefit can be either:
a. Basic Monthly Pension Unlike other retirement modes, the last three
b. Cash payment of 18 times the Basic years of service of a retiree need not to be
Monthly Pension continuous under RA 8291

3. If the member is separated from service Packages in store for you


with 36 monthly contributions within the 5-year
period immediately preceding PTD, benefit can

All information found herein were copied from www.gsis.gov.ph


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Retiring members who will opt to retire under Burial


RA 8291 are entitled to either of the following:
Beneficiaries are entitled to a P20,000 funeral
Option 1: 5-Year Lump Sum and Old Age benefit payable upon the death of a member or
Pension old age pensioner.

Under this option, the retiree can get his/her The requirements to avail of the burial benefit
five-year worth of pension in advance. The lump are:
sum is equivalent to 60 months of the Basic
Monthly Pension (BMP) payable at the time of If claimant is the legal spouse
retirement. After five years, the retiree will start
receiving his/her monthly pension. 1. Original copy of Death Certificate of the
member from NSO.
Option 2: Cash payment and Basic Monthly 2. Original copy of Marriage Contract from
NSO
In option 2, the retiree will receive a Cash 3. Two valid ID (original to be shown,
Payment equivalent to 18 times the Basic photocopy to be submitted)
Monthly Pension (BMP) payable upon 4. Original copy of NSO certified Birth
retirement and then a monthly pension for life Certificate of the claimant (if there will
payable immediately after his retirement date. be claims for death and survivorship
benefits). If not registered, may apply
for late registration.
The BMP is computed as follows:

a) If length of service is less than 15 years: For immediate full payment of the benefits, and
in the absence of NSO Birth Certificate, valid
BMP = .375 x RAMC (Revalued Average Monthly passport or visa; driver’s license; PRC ID with
Compensation) record of birth

b) If length of service is 15 years and more : Claimant’s birth certificate is not required
BMP = .025 x RAMC x Length of service if the claimant is a GSIS member or pensioner.

The BMP, however, shall NOT exceed 90% of


the Average Monthly Compensation (AMC). If the claimant is other than the legal spouse
(Application will be accepted only if the legal
RAMC stands for Revalued Average Monthly spouse is already deceased. In this
Compensation and is computed as follows : case, priority is given to legitimate children)
RAMC= P700 + AMC (Average Monthly
Compensation) 1. Original copy of Death Certificate of the
member from NSO.
AMC 2. GSIS Affidavit of Funeral Expense Form
3. Original & Xerox copy of Official Receipt
= Average Monthly Compensation under the claimant’s name or if a
= Total Monthly Compensation received during Funeral Plan was used, a Certification
the from the memorial service provider that
last 36 months of service divided by 36 the plan was availed of.
4. Two valid ID’s (original to be shown,
Application of the AMC Limit photocopy to be submitted)
The maximum amount of the Average Monthly 5. Birth certificate of the claimant or
Compensation (AMC) to be used as the base for valid ID (issued by the government)
computing pensions and other benefits of a indicating his/her date of birth.
member shall be the AMC limit prevailing at the
time the contingency/ies occurred. Thus,
pursuant to the lifting of the AMC limit, the
monthly pension of a member with at least 15
years of creditable service who is in the service
on or after January 1, 2003 shall be computed
on the basis of his/her AMCs without limit.

All information found herein were copied from www.gsis.gov.ph

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