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* * %PHILIPPINE HEALTH INSURANCE CORPORATION

\%rii <@&Cilystate Centre. 709 Shaw Boulevard. Pasiy, City
iXrlBHealthlme foi-WW www.nhiUiealth.soy.ph
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PHILHEALTH CIRCULAR

-k)-
TO:ALL INDIVIDUALLY 1'Axiino iudwidcuo

SUB]ECT @.Implementation of the New Premium Contribution of

Self-Employed Professionals/Individuals under the Individually
Paying Program

Pursuant to Section 28 of Republic Act 7875, s. 1995, as amended by Republic Act 9241, s. 2004,

to wit

"All jfiembers of the National Health Insurance Program (NHIP) shall contribute to
the Fund, in accordance with a reasonable, equitable, and progressive contribution

schedule...!>

In consonance with the provisions of the Lw, PhilHealth Board Resolution No. 886 and 887, s.
2006, dated February. 23 and March 24, 2006, respectively, was issued to implement
segmentation of the Individually Paying Program in accordance to the following:

1.Registration

1.1Existing Individually Paying Members (IPMs) and new enrollees shall register and
accomplish die PhilFIealth Member Registration Form (PMRP) to reflect the

member's profession and income.

1.2Professionals shall attach the photocopy of their Professional Regulation.

Commission (PRC) ID while other professionals shall attach a photocopy of their
Business Permit. Should the declared montiiJy family income is P25,000 and below,
a photocopy of the Income Tax Return (ITR) shall be attached to the PMRP.

2.Documentary Requirements

2.1Existing IPMs need not submit required documents for dependents, provided said
documents have already been submitted to PhiLHealth. Should diere be additional
dependents, the 1PM shall be required to accomplish and submit the PMRF and
check the box for updatma; purpose and attach die documentary requirements for
declared dependents as stipulated under the Omnibus Guidelines on Member

Registration and Enrollment (.AnnexA).

2.2New enrollees shall be required to present and attach a photocopy of their

Birth/Baptismal Certificate of any one of die valid IDs listed in Annex B. Likewise,
die documentary requirements for dependents, as stipulated under Omnibus
Guidelines on Member Registration and Enrollment, shall be attached "to the

:@.^l^prl PMRF.
3.Premium Contribution

3.1Premium contribution may be paid quarterly, semi-annually and annually.

3.2For tlie first year of policy implementation, members /new enroliees whose
professions are included under the List of Professionals/Other Professionals (Irln/ia-c
C) shall,pay P600 per quarter or P2,400 per year. However, tor those whose monthly
family income in the last 12 months is P25,000 and below shall pay P300 per quarter

or PI,200 per year,

3.3For succeeding years, the. said members shall, pay P900 per quarter or P3,60Q per
year. However, for those whose average monthly family income in the last 12
months is P25,000 and below shall continue to pay P300 per quarter or Pl,200 per

year.
3.4Members/new enroliees whose profession is not included in the said list shall pay

P300 per quarter or Pl,200 per year.

4.Venue

All existing Individually Paying Members (IPMs) and new enroliees whose professions are
included under the List of Professionals/Other Professionals are required to register at the

nearest Service Office.

5.Effectivity

5.1 For existing members, the policy on the new premium contribution for professionals
shall take effect after completion of payment for the current year membership

5.2 For inactive and new members, the policy shall take erreci imuieuiviLcj.y-

/Tke new premium contribution of die Individually Paying Program for self-employed
5.3
professionals shall take effect on Octobet 1, 2010 which is after the required 15-day

DR. REY
President anfl Chief Executive Officer . h&X)-

/^@'VfetlA-
fflrt
PhilHealth

OP-S10-32837
 Annex A

Documentary Requirements for Declared Uependents:

DocunaentatyRequirements
Dependent

1.Spouse @MarriageCertificate/Contract
@ForMuslimspouse,AffidavitofMarriageissuedbyOfficeofthe
MuslimAffairs(OMA),shallpassthroughtheShari'aCourtandmust
beregistered/authenticatedintheNationalStatisticsOffice(NSO).

2.Legitimateorillegitimate BirthCertificate/s
childrenbelow21years
old
3.Adoptedchildrenbelow CourtDecreeofAdoption
21yearsold
4.Parent/s60yearsold BirdiCertificateofbothregistrantandparent
(IntheabsenceotBirthCertificateofparent,anyprootattestingtothe
above
dateofbirthoitheparent/s)

MarriageCertificatebetweenthenaturalparentsand
5.Stepchildrenbelow21
stepfather/stepmotherandBirthCertificate/softhestepchildren
yearsold
BirthCertificateandMedicalCertificateissuedbytheattendingphysician
6.Mentallyorphysically
statinganddescribingtheextentofdisability.TheconcernedOfficeshall
disabledchildrenwho
are21yearsandabove observediefollowingprocedures:
>TransmittheMedicalCertificatetotheMedicalOfficer/sofdie
ClaimsUnitforevaluation
^ClaimsUnittovalidatetheresultot"theevaluationandensurethe
certificatebearsthesignatureoftheMedicalOfficer,affirmingthe
eligibilityofdisableddependent
r-MembershipUnittoprocessthedataandupdatedierecordofthe

member

>-MarriageCertificate/Contractbetweenbiologicalparentofthe
7.Stepparents60yearsold
andabove memberchildanddiestepparent;
>BirthCertificateofthestepparent(initsabsence,anotarizedaffidavit
oftwodisinterestedpersonsattestingtothedateofbirth);
>-BirthCertificateofthemember-childindicatingthenameofhis/her
biologicalparent;and
>DeathCertificateofmember'sdeceasedbiologicalparent

>@*CourtDecree/ResolutionofAdoptionorphotocopyofBirth
8.Adoptiveparents60
Certificateofthechildinwhichtheadoptionisannotatedthereto;
yearsoldandabove
and
*-BirthCertificate/sofadoptiveparentsorinitsabsence,anotarized
affidavitoftwodisinterestedpersonsattestingtothedateofthebirth')

NOTE:
Affidavits administered by the following officials authorised to adniiiiistet oatli, as provided in
Republic Act No. 6733, Section 41, shall be accepted as valid supporting documents:

@Members and Secretaries of both houses of the Legislative Body

@Members of die Judiciary

@Department Secretaries
 AnnexB

prrwFR APPFPTART.F IDKN T.LHCAJUU1N ^akjlis

Aside from die Birth or Baptismal Certificate, any of the t olio wing valid laennncanou
cards may be attached to die accomplished PMRF by new enrollees/registrants:

1.Passport
2.Driver's License
3.Professional Regulation Commission ID
4.National Bureau of Investigation (NBI) Clearance
5.Police Clearance
6.Postal ID
7.Voter's ID
S.Barangay Certification
9.Government Service Insurance System (GSIS) e-Card
10.Social Security System (SSS) Card
11.Senior Citizens Card
12.Overseas Workers Welfare Administration (OWWA) ID

13.OFWID
14.Seaman's Book
15.Alien Certification of Registration/Immigrant Certification of Registration
16.Government Office or GOCC ID
e.g. Armed Forces of the Philippines ID, Home Development "Mutual Fund

(HDMF) ID
17.Certification from the National Council for the Welfare of Disabled Persons (NCVvDP)
18.Department of Social Welfare and Development (DSWD) Certification

19.Integrated Bar of the Philippines (ID)

20.Company IDs issued by private entities or insutA.itn.ons registered with or
supervised either by the Bangko Senttal ng Pilipinas (BS'P), Securities and
v!^^un^,-tP fnmmiwinn ("SRO or Insurance Commission (IC)

Rnnrce: BSP Ciiculai No. 608, series ot 2UU8

 Annex C

t T5T OF PROPFSSTONALS/OTHER IJKUi-iib,hlUJNA^s

Othet Professionals
Professionals

29.Agriculturist
1.Accountant
30.Artist
2.Architect
31.Businessman/Business Owner
3.Criminologist
32.Consultant
4.Customs Broker
33.Environmental Planner
5.Dentist
34.Fisheries Technologist
6.Dietician
35.Forester
7.Engineer
36.Guidance Counselor
7.1Aeronautical
37.Interior Designer
7.2Agricultural
38.Industrial Engineer
7.3Chemical
39.Media
7.4Civil
39.1Actor and Actress
7.5Electrical
7.6Electrical Communications 39.2Director
39.3Scriptwriter
7.7Geodetic
39.4News correspondent
7.8Marine
40.Professional Athlete, Coach, Tr-ainor,
7.9Mechanical
7.10Metallurgical Referee, etc"~ "-

7.11Mining
. 7.12 Sanitary
S. Geologists
9 Landscape architect
10.Law Practitioner
11.Librarian
12.Marine Deck Of fleet
13.Marine Engineer Officer
14.Master Plumber
15.Medical Technologist
16.Medical Doctor
17.Midwife
18.Naval Architect
19.Nurse
20.Nutritionist
21.Optometrist
22.Pharmacist
23.Physical and Occupational Therapist
24.Professional Teacher
25.Radiologist and X-Ray Technician
26.Social Worker
27.Sugar Technologist
@ 9ft. Veterinarian