SSS Sickness Benefit Features & Requirements in Filing Claim
SSS SICKNESS BENEFIT – Here’s a guide on the Sickness Benefit offer for the Social Security System members.
Sickness is one of the most inevitable things during the entire lifetime of a person. In fact, most people gets sick at least twice (2) a year and there are cases that really require home or hospital confinement for at least four (4) days.
However, truth be told that there are a lot of situations when a person forces his/her body to report to work despite the sickness because of his/her financial needs. This is where the advantage of being an SSS member sets in.
In times of sickness, the members of the Social Security System may turn to the SSS Sickness Benefit that is designed to provide financial solution to sick members are under a home or hospital confinement for at least four (4) days.
Here are the qualifications under the SSS Sickness Benefit offer:
- sick or injured and is unable to report to work
- confined at a hospital or at home for at least four (4) days
- paid at least three (3) months of contributions within the 12-month period immediately before the semester of sickness or injury
- used up all company sick leaves with pay for the current year
- duly notified his or her employer
How much is the amount that a member may get under the Sickness Benefit offer? The state-run social insurance agency may extend an “equivalent to ninety percent (90%) of the member’s average daily salary credit” on a daily basis.
According to the SSS, a member may file for the Sickness claim for up to 120 days. However, it is important to remember that unused parts of the benefit offer may not be carried over to the next year and the amount extended by the state entity is payable for not more than 240 days since it was released.
The requirements in filing for the SSS Sickness Benefit claim depends who will file the claim. If the member will be filing it, here are the documents that must be submitted to the Social Security System:
- Sickness Benefit Application (SBA) Form
- 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
- SS ID/UMID card or any valid primary ID cards/documents, as follows:
- Passport
- Driver’s License
- National Bureau of Investigation (NBI) Clearance
- Voter’s ID Card
- Postal Identity Card
- Any other government-issued (secondary) ID cards/documents
- Supporting medical documents for prolonged confinement/sickness, if any:
- Laboratory
- X-ray
- ECG
- Other diagnostic results
- Operating room/clinical record supporting diagnosis
A family member or an authorized representative of the SSS member may file the claim. In this case, here are the documentary requirements set by the SSS for application:
- Sickness Benefit Application (SBA) Form
- 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
- SS ID/UMID card or any valid primary ID cards/documents, as follows:
- Passport
- Driver’s License
- National Bureau of Investigation (NBI) Clearance
- Voter’s ID Card
- Postal Identity Card
- Any other government-issued (secondary) ID cards/documents
- Supporting medical documents for prolonged confinement/sickness, if any:
- Laboratory
- X-ray
- ECG
- Other diagnostic results
- Operating room/clinical record supporting diagnosis
Aside from the Sickness Benefit offer, the Social Security System also has the Disability Benefit offer that members may turn to when an unfortunate situation leaves him/her disabled and unable to work.