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