Guide on the Requirements for GSIS Disability Benefit Claim Member Application
REQUIREMENTS FOR GSIS DISABILITY BENEFIT CLAIM – Here are the details about the coverage and the documents needed in filing a claim to the Government Service Insurance System (GSIS).
The members of the Government Service Insurance System, more popularly called GSIS, has a benefit offer to turn to when an unfortunate instance causing disability takes place.
Aside from the GSIS cash loan that a member may apply for, the state-run social insurance institution also offers the Disability Benefit. It aims to help members who physical and mental impairment became a stumbling block for him/her to work resulting in the loss of income.
There is an eligibility criteria under the Disability Benefit offer of the Government Service Insurance System. It is open for all active government employees who sustained disability or injury that is considered as “non-work-related”. The member must be:
- in the service at the time of disability;
- has paid at least 180 months contributions prior to the disability
In case the member is separated from service, he/she must have posted at least 36 monthly contributions within the five year period preceding the filing of the claim.
Under this benefit offer, the coverage includes Permanent Total Disability (PTD), Permanent Partial Disability (PPD), and Temporary Total Disability (TTD). The loss of these parts of the body are covered:
- any finger
- one arm
- one foot
- any toe
- one hand
- one leg
- one or both ears
- hearing of one or both ears
- sight of one eye
- complete loss of sight for both eyes
- loss of two limbs at or above the ankle or wrists;
- permanent complete paralysis of two limbs
- brain injury resulting in incurable imbecility or insanity
For face-to-face applications for claim, here are the documentary requirements for GSIS Disability Benefit claim application:
- duly-accomplished Disability Claim Application Form
- original and duplicate copy of Report of Injury/Sickness
- duly-accomplished Form for Income Benefit Claim for Payment, Parts I and II; (1 copy, original)
- duly-accomplished Form for Hospitalization Claim for Payment, Parts I, II and III (1 copy, original)
If you will be filing your claim via email, prepare the following documentary requirements for GSIS Disability Benefit claim application:
- duly-accomplished Disability Claim Application Form
- original and duplicate copy of Report of Injury/Sickness
- duly-accomplished Form for Income Benefit Claim for Payment, Parts I and II; (1 copy, original)
- duly-accomplished Form for Hospitalization Claim for Payment, Parts I, II and III (1 copy, original)
- clear photo of the claimant holding the duly accomplished application form and his/her UMID card
The email attachments must be in a readable format with a file size that is not over 4 MB. You should save the Application Form and the photos as JPEG or PDF File. Email your documents to your GSIS handling branch with the subject on its format “GSIS_TYPE OF CLAIM_BP NO_LAST NAME_FIRST NAME_AGENCY NAME”.
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