Revised Employer Remittance Report (RF-1) - Philippine Health ...
Revised Employer Remittance Report (RF-1) - Philippine Health ...
Revised Employer Remittance Report (RF-1) - Philippine Health ...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
@~<br />
Republic of the <strong>Philippine</strong>s<br />
PHILIPPINE HEALTH INSURANCE CORPORATION<br />
City.state Centre, 709 Shstw Boulevtud, Pasii; City<br />
HcalthJint: 441-7444 ivii-a:phtlhcalth.gt>v.ph<br />
PHILHEALTH CIRCULAR<br />
No. DOt' . s-2012<br />
TO3<br />
SUBJECT<br />
ALL EMPLOYERS AND EMPLOYEES FROM THE<br />
GOVERNMENT AND PRIVATE SECTOR, and ALL<br />
OTHERS CONCERNED<br />
<strong>Revised</strong> <strong>Employer</strong> <strong>Remittance</strong> <strong>Report</strong> f<strong>RF</strong>-D<br />
Section 6.f of Title III Rule I of the <strong>Revised</strong> I in piemen Ling Rules and Regulations of the<br />
National <strong>Health</strong> Insurance Act of 1995 (R.A. 7875 as amended by R.A 9241), mandates<br />
PhiL<strong>Health</strong> to "establish and maintain an updated membership and contribution database".<br />
In accordance with the above provision, the <strong>Employer</strong> <strong>Remittance</strong> <strong>Report</strong> (<strong>RF</strong>-lJ has been<br />
revised specifically with ihc addition of box no. 8 "Date of Birth and Gender Colnmii' to facilitate<br />
the immediate registration and generation of Phil<strong>Health</strong> Identification Number (PIN) of<br />
unregistered but actively paying employed-members.<br />
Further, tor updating of member data record and/or declaration of dependents, the employer<br />
shall still require their employees to submit a properly accomplished PhilHcalth Membership<br />
Registration Form (PM<strong>RF</strong>) including applicable supporting documents and the same shall be<br />
forwarded to PhilHcalth Regional/Branch Offices together with the <strong>Report</strong> of the Employee-<br />
Members (ER2).<br />
The revised <strong>RF</strong>-1 shall be used in submitting the monthly remittance report applicable for<br />
premium remittances of April 2012 onwards. This apphes to both Hard Copy and Soft Copy<br />
formats.<br />
Other provisions stipulated in PhilHcalth Circular No. 13, s.2010 shall remain in full force and<br />
effect.<br />
This Circular shall take effect fifteen (15) days upon publication in a newspaper of general<br />
circulation.<br />
Please be guided accordingly.fT^T" ""p'h'iCVt^ALTHj<br />
@yT- \\ Isfpi MA.TERESAA.iQUlAOny 1<br />
/^~~ "^IA.Oylv.fch'et-ltffUflS UC<br />
Dk. EDUARDD P. BANZONDate: _JU3dlL~-<br />
President and CRO, . CERTIFIED TRUECO^V @
s%<br />
READ<br />
1NSTR<br />
P"OR<br />
mo<br />
OX)AT<br />
xg<br />
>'a<br />
CD3<br />
FO<br />
PLIS<br />
Date<br />
MGTHISF<br />
_,.<br />
T)<br />
O<br />
><br />
GES<br />
<br />
TYO<br />
FTHE<br />
LAW<br />
><br />
HAT<br />
THE<br />
><br />
30VE1<br />
OJh<br />
><br />
Oil<br />
fn<br />
VIDE<br />
D<br />
X<br />
EINARE<br />
TRUEANDC<br />
o<br />
|<br />
><br />
><br />
o<br />
1<br />
OWLE<br />
ECEIP<br />
TRA<br />
NSA<br />
CTIO<br />
f:<br />
ATE<br />
O<br />
o<br />
a<br />
S%<br />
H<br />
is<br />
S<br />
s<br />
@<br />
1<br />
i<br />
i<br />
-<br />
I<br />
EM<br />
NT<br />
RECE<br />
PT{F<br />
><br />
><br />
FEF<br />
z<br />
m<br />
MO.)<br />
!=<br />
BTOTAL<br />
S<br />
Mr<br />
3<br />
-n<br />
><br />
NAME<br />
SUFFIX<br />
F1P<br />
><br />
S<br />
DC<br />
><br />
m<br />
DATEO<br />
-yyyy)<br />
^w<br />
3!x<br />
ill!<br />
m<br />
niS<br />
^'iZ<br />
sli<br />
X<br />
Lh<br />
LTH<br />
DE<br />
H<br />
FIC<br />
NNOI<br />
c<br />
tflBE<br />
--<<br />
EMPLO<br />
YE<br />
w INF<br />
OR<br />
><br />
O<br />
CO<br />
!Ii<br />
o<br />
nz<br />
on<br />
H^<br />
o<br />
5 ATUS ELE<br />
m<br />
m<br />
AILADDRE<br />
t/j<br />
jjHOU<br />
P<br />
r<br />
5<br />
-<br />
OO<br />
mfn<br />
1|<br />
sS<br />
sm<br />
1@<br />
@n^<br />
11?<br />
PE<br />
ATE<br />
RHMENT<br />
F<br />
>@4<br />
5f<br />
si<br />
-o<br />
OCD<br />
m<br />
HEAL<br />
LOYE<br />
-z<br />
zo<br />
in<br />
JLJ<br />
T<br />
1<br />
X<br />
1<br />
@<br />
@<br />
_<br />
@<br />
n<br />
Signature0<br />
I<br />
><br />
3<br />
-~n<br />
?,Ax<br />
PIME<br />
-,m-a<br />
IP<br />
d<br />
m<br />
-?<br />
-<<br />
R'S<br />
REM<br />
1TTANC<br />
m<br />
m<br />
O<br />
HISPORT<br />
IONTO<br />
BEF<br />
ILL<br />
m:<br />
CD@<br />
-v<br />
LH<br />
EALTH
. 3"<br />
@;:ss:a |<br />
?sss, | |=1<br />
j3^g3o"^6<br />
IaII = >I ^<br />
i15; s" >V z<br />
IS.9.9|||l<br />
"S@ @ s.S. S<br />
Sfg11- 9 I@|<br />
ff1I^3PS<br />
S3 J! I;<br />
;s2,3<br />
'"- to" C<br />
ifI?<br />
Hf I<br />
" a<br />
5 i<br />
= ><br />
3 ^<br />
Iff<br />
-i ^ "5-<br />
1 fz<br />
!il<br />
S n S<br />
l|l<br />
III<br />
Mi<br />
s;<br />
L ? m<br />
I >