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(NAR) VOL. 21 NO.4 OCTOBER - DECEMBER 2010

[ PHILHEALTH CIRCULAR NO. 24, S. 2010, November 03, 2010 ]

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 members 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 law, 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

1.1 Existing Individually Paying Members (IPMs) and new enrollees shall register and accomplish the PhilHealth Member Registration Form (PMRF) to reflect the member’s profession and income.

1.2 Professionals 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 monthly family income is P25,000 and below, a photocopy of the Income Tax Return (ITR) shall be attached to the PMRF.

2. Documentary Requirements

2.1 Existing IPMs need not submit required documents for dependents, provided said documents have already been submitted to PhilHealth. Should there be additional dependents, the IPM shall be required to accomplish and submit the PMRF and check the box for updating purpose and attach the documentary requirements for declared dependents as stipulated under the Omnibus Guidelines on Member Registration and Enrolment (Annex A*).

2.2 New enrollees shall be required to present and attach a photocopy of their Birth/Baptismal Certificate or any one of the valid IDs listed in Annex B*. Likewise, the documentary requirements for dependents, as stipulated under Omnibus Guidelines on Member Registration and Enrollment, shall be attached to the accomplished PMRF.

3. Premium Contribution

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

3.2 For the first year of policy implementation, members/new enrollees whose professions are included under the List of Professionals/Other Professionals (Annex C) shall pay P600 per quarter or P2,400 per year. However, for those whose monthly family income in the last 12 months is P25,000 and below shall pay P300 per quarter or P1,200 per year.

3.3 For succeeding years, the said members shall pay P900 per quarter or P3,600 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 P1,200 per year.

3.4 Members/new enrollees whose profession is not included in the said list shall pay P300 per quarter or P1,200 per year.

4. Venue

All existing Individually Paying Members (IPMs) and new enrollees 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 period.

5.2 For inactive and new members, the policy shall take effect immediately.

5.3 The new premium contribution of the Individually Paying Program for self-employed professionals shall take effect on October 1, 2010 which is after the required 15-day period after publication.


(SGD.) DR. REY B. AQUINO
  President and Chief Executive Officer



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