(NAR) VOL. 22 NO. 2, APRIL - JUNE 2011
This is to certify that all monthly premium contributions for and in behalf of the member while employed in this company, including the applicable nine (9) monthly premium contributions within the past twelve (12) months period prior to the first day of this confinement, have been deducted/collected and remitted to PhilHealth, and that the information supplied by the member of his/her representative on Part I are consistent with our available records.
The employer of his/her authorized representative shall affix his/her signature certifying that all monthly premium contributions for and in behalf of the member, while employed in their company, including the applicable nine (9) monthly premium contributions have been deducted/collected and remitted to PhilHealth during the past twelve (12) month period prior to the first day of confinement and the information supplied by the member or his/her representative are consistent with their available records.