Difference Between SSS Death Claim and Pension Benefits Philippines

Difference Between SSS Death Claim and Pension Benefits in the Philippines

A comprehensive legal guide under the Social Security Act of 2018 (Republic Act No. 11199) and related issuances


Introduction

The Social Security System (SSS) provides a basket of statutory benefits designed to replace or supplement income when certain contingencies occur. Two of the most commonly confused benefits are (1) Death Benefits—claimed by a deceased member’s survivors, and (2) the various Pension Benefits (retirement or disability) that an SSS member personally receives while alive. Although both arise from the same law and share some procedural similarities, they differ fundamentally in triggering event, eligibility standards, documentary requirements, computation, payees, tax and estate treatment, and prescriptive periods.


I. Legal Foundations

Instrument Key Provisions
Republic Act No. 11199 (Social Security Act of 2018) §§13–16 (benefits), §24 (powers of the Commission)
SSS Circulars & Memoranda Funeral Benefit increase (Circular 2024-011), Revised Implementing Rules (2021)
SSS Manual of Operations (Survivorship) Step-by-step filing, hierarchy of beneficiaries
Civil Code & Rules of Court Intestate succession rules (fallback for disputes), venue of estate proceedings

II. SSS Death Benefit (Death Claim)

A. Nature and Purpose

A death claim is survivor’s insurance: a one-time or continuing income replacement for qualified beneficiaries when an insured member dies, regardless of cause, as long as the contingency occurs while the member is covered or within the prescribed period after coverage ceases.

B. Types of Death Benefit

Type When Granted Monthly Amount / Lump-Sum Formula
Monthly Death Pension If the deceased paid ≥ 36 monthly contributions prior to semester of death Higher of (a) ₱1,200–₱2,400 base + 10 % of AMSC** per credited year >10, or (b) 40 % of AMSC, but not less than ₱1,000; plus ₱250 fixed subsidy; plus ₱80 each qualified dependent (max 5 and up to age 21/unlimited if incapacitated)
Lump-Sum Death Benefit If < 36 contributions Total contributions + 6 % annual interest, or computed 5-year guaranteed pension—whichever is higher

AMSC = Average Monthly Salary Credit (sum of the 60 higher MSCs within the last 5 years ÷ 60)

C. Beneficiary Hierarchy (Sec. 13-A, RA 11199)

  1. Primary – Legitimate spouse until remarriage and dependent legitimate, legitimated, legally adopted, and illegitimate children < 21 yrs (or incapacitated)
  2. Secondary – Dependent parents
  3. Designated – Other persons expressly named in the member’s records only if no primary/secondary survivors exist
  4. Legal heirs – By intestate rules if none of the above qualify

Important: Illegitimate parents and siblings are not statutory beneficiaries.

D. Ancillary Benefits

  • Funeral Grant – ₱20,000 – ₱60,000 (amount indexed to MSC bracket; raised to ₱60k in 2024)
  • 13th-Month Pension – released every December
  • Loan Condonation – Any outstanding member salary loan is deducted from lump-sum; it is not inherited as personal debt.

E. Documentary Proof (core set)

  1. Death certificate (PSA)
  2. Report of Death (if employer-reported)
  3. SS Form DDR-1 (Death, Disability & Retirement claim)
  4. Beneficiary IDs & birth certificates
  5. Marriage certificate / CENOMAR (to establish spouse entitlement)
  6. UMID/SSS biometrics of filing claimant
  7. Funeral Receipts (for funeral grant)

Electronic filing via My.SSS portal has been mandatory for funeral claims since 2023; biometrics still required onsite for pension set-up.

F. Prescriptive Period

No explicit statute of repose, but SSS imposes an administrative filing window of 10 years from date of death; jurisprudence treats limitation as directory rather than jurisdictional, but late filing risks evidentiary loss.


III. SSS Pension Benefits (for the Living Member)

A. Retirement Pension

Qualifying Event Key Requirements Pension Basis
Optional Retirement (60 – 64 yrs) At least 120 monthly contributions; separated or self-employed ceasing to earn income Same AMSC-based formula used in death claims
Compulsory Retirement (65 yrs) No minimum contributions but pension depends on credited years
Portability Totalization under RA 7699 (SSS + GSIS) allowed Pro-rata pension

B. Disability Pensions

  1. Permanent Total Disability (PTD) – loss of ≥ 100 % working capacity (blindness, two limbs, etc.)
  2. Permanent Partial Disability (PPD) – loss of a body part/function; normally lump-sum unless long duration.

C. Other Living-Member Benefits

  • Sickness & Maternity cash allowances
  • Unemployment Insurance (up to two months)
  • Calamity & Salary Loans

D. Payee & Taxation

Pensions are paid directly to the member, treated as excluded from gross income under NIRC § 32(B)(6)(a). They do not form part of the estate for estate-tax purposes.


IV. Death Claim vs. Pension Benefits – Key Distinctions

Dimension Death Claim Pension Benefit (Retirement/Disability)
Triggering contingency Member’s death (any cause) Old-age, disability, unemployment, etc.
Payee Beneficiaries (survivors) The member himself/herself
Contribution threshold 36 MSCs for monthly pension; otherwise lump-sum 120 MSCs for retirement; none for compulsory 65 but low amount
Form of payment Monthly survivor pension or lump-sum Monthly pension; limited lump-sum (e.g., advance 18 months)
Computation base Deceased’s AMSC and CYS* Member’s own AMSC and CYS
Termination Spouse: upon remarriage; Child: age 21/emancipation Member’s life (for retirement); end of disability rating
Tax/estate treatment Part of estate only upon receipt of lump-sum; monthly survivor pension excluded Excluded from gross estate and income taxes
Documentary focus Proof of death & relationship Proof of age, separation, or disability
Jurisdiction for disputes SSS Commission → Court of Appeals → SC Same, but member vs. SSS disputes, not heirs

*CYS = Credited Years of Service (years with at least 6 posted contributions)


V. Common Misconceptions & Clarifications

  1. “My father had only 20 contributions—SSS will still pay a pension.” No. It will be a lump-sum death benefit; pension requires 36 MSCs.

  2. “If I die after starting my own retirement pension, my spouse gets the same amount.” Survivor’s pension after a pensioner’s death is 100 % of the basic pension (before any advance lump-sum) plus dependents’ pension, but no return of already-received monthly payouts.

  3. “Death claim and funeral claim are separate.” The funeral grant is an integral ancillary of the death benefit. It may, however, be advanced to any payor of funeral expenses even if not a statutory beneficiary.


VI. Practical Filing Tips

  • Check posting gaps early using the My.SSS portal. Unposted contributions can slash pension amounts or convert a pension claim into mere lump-sum.
  • Secure an SSS-accredited funeral parlor: they can file the funeral grant online and offset against burial costs.
  • Spouse-claimants should update their Membership Data Change (SS Form E-4) to reflect “married” and submit a CENOMAR if the deceased had multiple registered spouses.
  • For overseas Filipino workers (OFWs), claims may be lodged at SSS foreign representative offices or by mail with consular authentication of documents.

VII. Appeals & Jurisdiction

  1. Initial denial – file a Motion for Reconsideration within 60 days.
  2. SSS Commission appeal – within 6 months from denial (§5, Rule IV, 2021 Rules).
  3. Judicial review – petition for review under Rule 43 to the Court of Appeals, then to the Supreme Court via Rule 45 on pure questions of law.

VIII. Interaction with Other Schemes

  • GSIS members in dual coverage may totalize service credit under RA 7699; pro-ration applies to both death and retirement pensions.
  • Employees’ Compensation (EC) death and disability benefits are separate; dual entitlement is expressly allowed (Sec. 1-A, PD 626).

IX. Tax, Estate, and Financial Planning Implications

  1. Estate Tax – Monthly survivor pensions are not part of the gross estate; lump-sum proceeds received after death are.
  2. Creditor Protection – SSS benefits are exempt from attachment, garnishment, levy, or execution except to enforce child support (RA 11199, §24[f]).
  3. Insurance vs. SSS – Private life-insurance proceeds are likewise estate-tax-exempt but may coexist with SSS survivor benefits.

X. Recent Updates (as of June 18 , 2025)

Year Change Impact
2023 Mandatory online funeral claim filing; biometric capture only on release day Faster processing (3–5 working days)
2024 Funeral grant ceiling raised to ₱60,000 Larger non-contributory benefit
2025 Pending Senate Bill 42 seeks to index minimum pension to 20 % of latest poverty threshold Would raise baseline for both old-age and death pensions once enacted

Conclusion

While both SSS Death Claims and Pension Benefits stem from the same social-insurance mandate, they serve different constituencies at different life stages and therefore operate under distinct rules. Understanding the divergence—in contingency, contribution requirements, beneficiary structure, computation, and tax/estate treatment—allows members and their families to plan proactively, prevent benefit forfeiture, and, where needed, assert their rights before administrative and judicial fora. Keep personal records updated, monitor contributions diligently, and consult qualified counsel or accredited SSS representatives for complex, multi-heir or disputed claims.

Disclaimer: This content is not legal advice and may involve AI assistance. Information may be inaccurate.