SSS Sickness Benefit is a daily cash allowance paid to a member for the number
of days he/she is unable to work due to sickness or injury.
How to qualify?
- Confinement
either at home or in the hospital for at least four (4) days
- Paid at
least three (3) monthly contributions within the 12-month period preceding
the semester of sickness
- Has notified
his employer; or if unemployed, has notified SSS
- Has used up
all current company sick leave with pay
FIRST STEP: Sickness Notification
Note: SSS has other advise/notification period during lockdown;
ECQ or in case there is still a Covid -19 pandemic which causes the branch to
close or stop their operation at their office.
In general, the following rules is being followed:
For Employed Members:
- Employee
shall advise employer within 5 calendar days after the start of
confinement
- Employer
shall notify SSS within 5 calendar days form the receipt of employee
notification
- If the
employee notifies the employer beyond the prescribed five-day period, the
confinement shall be deemed to have started not earlier than the fifth day
immediately preceding the date of notification.
- If the
employer notifies the SSS beyond five (5) calendar days after receipt of
the notification from the employee, the employer shall be reimbursed only
for each day of confinement starting from the 10th calendar day
immediately preceding the date of notification to the SSS.
- If the
employee has given the required notification to the employer, but the
employer fails to notify the SSS of the confinement within the prescribed
period resulting in the reduction of the benefit or denial of the claim,
the employer shall have no right to recover the daily sickness allowance
advanced to the employee.
- the employer must notify the SSS within ten
(10) calendar days from the start of the employee’s sickness or injury
while he was working or while he was within the company premises.
·
System-generated
Transmittal List (TL) or System-generated Acknowledgment Letter, if filed
through Electronic Notification (three copies); or Employer TL (three copies)
·
Member’s
Sickness Notification Application
·
Member’s
identification card/s or document/s (photocopy)
·
All
attached medical documents and reports, if any;
|
|
|
·
A Medical Specialist
shall determine other required medical documents based on a separate
checklist. |
Amount of Benefit
The daily cash allowance is equivalent to 90% of the average
daily salary credit
Computation of Benefit
- Exclude the
semester of sickness/contingency
- Select the
3-6 highest Monthly Salary Credits within the last 12 months preceding the
semester of contingency to arrive at the Total Monthly Salary Credit
(TMSC)
- Divide the
TMSC by 180 to get the Average Daily Salary Credit (ADSC)
- Multiply the
ADSC by 90%, then further multiply it by the approved number of days
(maximum period of entitlement is 120 days in one
calendar year)
- Employer must
have a registered My.SSS account ;
- Employer is
enrolled in the Sickness and maternity Benefit Payment Thru-the-Bank
Program and has a registered bank account;
- Has an
approved SSS notification that is included in the SBRA claim; and
- Employer has
a certification to advance the sickness benefit of the employee according
to their sickness notification
How to file SBRA for your employees via SSS website
- Log in
to My.SSS
account (sss.gov.ph)
and click Employer
- Encode your
User ID and Password then tick box for the captcha
- Under
E-Services, click Submit SS Sickness Benefit Reimbursement
Application (SBRA)
- Encode the
SS number of the employee. Then select Claim Reference Number button
from the list of approved sickness notifications (ex: confinement period,
number of days approved) Then click Proceed
- Enter other
needed information then click the certification box. Then click Submit.
- Confirmation
page will be displayed. Make sure to get a copy of your Transaction
Reference Number (TRN)
- Confirmation
of successful SBRA will also be sent via the registered email of the
employer.
Manner of Payment & Reimbursement for Employed
Members
- Once
employer successfully sent the sickness notification, employer shall advance the
benefit every regular payday of the employee
- The amount
advanced will be reimbursed 100% by the SSS thru
employer’s depository bank.
Reference: SSS website
