21.05.2014 Views

Revised Employer Remittance Report (RF-1) - Philippine Health ...

Revised Employer Remittance Report (RF-1) - Philippine Health ...

Revised Employer Remittance Report (RF-1) - Philippine Health ...

SHOW MORE
SHOW LESS

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 >

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!