Guide on the Requirements for SSS Sickness Benefit Claim for Self-Employed Members
REQUIREMENTS FOR SSS SICKNESS BENEFIT CLAIM – Here are the documents that self-employed members of the Social Security System must submit to avail the Sickness Benefit.
One of the benefits of the Social Security System, more popularly called the SSS, for its members is the Sickness Benefit. It was designed to widen the financial resources of members in times of getting sick or injured that results to absence from work for at least four (4) days.
Aside from the loanable amounts under the SSS Cash Loan offer, the Sickness Benefit is another option that members may turn to. The eligibility requirements for the SSS Sickness Benefit claim application for self-employed members of the state-run social insurance agency are as follows:
- paid at least three (3) months of contributions within the 12-month period immediately preceding the semester of sickness or injury
- has duly notified the SSS directly of the fact of sickness or injury
There are documentary requirements for the SSS Sickness Benefit claim application. Here are the documents that the state-run social insurance agency requires from its self-employed members in applying for the specific benefit offer:
- duly-accomplished Sickness Benefit Application (SBA) Form
- SS ID/UMID card or any valid primary ID cards/documents, as follows:
- Driver’s License
- Passport
- Voter’s ID Card
- National Bureau of Investigation (NBI) Clearance
- Postal Identity Card
- Any other government-issued (secondary) ID cards/documents
- Supporting medical documents for prolonged confinement/sickness, if any:
- Laboratory, X-ray, ECG, and other diagnostic results
- Operating room/clinical record that will support diagnosis
According to the Social Security System, if the self-employed member applied for the SSS Sickness Benefit prior to the date of separation from work or the confinement was within the period of employment, the following must be submitted to the state-run social insurance agency for the claim application:
- Certificate of separation from employment with effective date of separation and no advance payment was granted
The said Certificate must have been signed by the employer or the authorized signatory as reflected in the Specimen Signature Card or the SS Form L-501. The following documents must also be presented to the state-run social insurance agency:
- If the claim is processed by the member-borrower:
- original of any one (1) of the member’s primary ID cards/documents or two (2) secondary ID cards/documents, both with signature and at least one with photo
- If the claim is processed by an authorized representative of the member:
- original of any one (1) of the member’s and the authorized representative’s primary ID cards/documents or two (2) secondary ID cards/documents, both with signature and at least one with photo
According to the SSS, the allowance under the SSS Sickness Benefit that the member may get is based on certain factors including his/her average daily credit. In the application for the SSS claim, the requirements should be submitted at any of the branch of SSS nearest to you.
The Sickness Benefit is not the only benefit that SSS members may avail. There is also a long-term benefit, the SSS Retirement Benefits. Under it, the state-run social insurance agency will obtain either a SSS Monthly Pension or a SSS Lump Sum.
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