Mandatory Employee Benefits Compliance SSS PhilHealth Pag-IBIG Philippines

A practical, everything-you-need-to-know guide. General information only, not legal advice.


1) What’s “mandatory” and who is covered?

Three baseline programs apply to almost all employees in the Philippines:

  1. SSS (Social Security System) — social insurance for private-sector workers (sickness, maternity, disability, retirement, death, funeral, unemployment) plus Employees’ Compensation (EC) for work-related contingencies.
  2. PhilHealth — national health insurance (inpatient/outpatient/Konsulta, case-rate packages, Z benefits).
  3. Pag-IBIG/HDMF — provident savings + access to short-term loans and housing loans.

Covered workers generally include: regular, probationary, project, seasonal, casual, and fixed-term employees; part-timers; piece-rate; commission-based with employer control; kasambahay (household helpers); Filipino employees of foreign entities operating in PH; many expatriates unless covered by a bilateral agreement or otherwise exempt by law. Contractors/freelancers are not employees—but they must self-register and contribute as self-employed/voluntary if they earn from trade/profession.

Government employees are under the GSIS (not SSS) but still PhilHealth and Pag-IBIG members.


2) Employer obligations at a glance (lifecycle)

A) Onboarding (Day 0–30)

  • Register the employer with each agency and obtain employer numbers.
  • Enroll all new hires as members (if new) or link existing member IDs to your employer account.
  • Collect employees’ TIN, SSS number, PhilHealth number, and Pag-IBIG MID; verify names/birthdates vs government IDs.
  • Classify workers properly (employee vs contractor) based on control test; misclassification triggers liabilities.

B) Payroll & deductions (monthly)

  • Compute contributions per published contribution schedules (rates and salary brackets change over time—keep the latest circulars on file).
  • Deduct the employee share and add your employer share; include EC premium (employer-paid).
  • Remit on time using each agency’s e-channels and Payment Reference Number (PRN) systems.
  • Keep payroll registers, proof of remittances, electronic confirmations, and posted ledgers.

C) Changes during employment

  • Update civil status/dependents, salary movements, and employment status (full-time/part-time).
  • Facilitate benefit claims (SSS sickness/maternity, PhilHealth confinement, etc.) by certifying forms/leave credits and submitting required employer certifications.

D) Offboarding

  • Remit final month contributions.
  • Issue Certificate of Employment and, upon request, contribution summaries (e.g., SSS static info printout, PhilHealth MDR update advice, Pag-IBIG contribution history guidance).
  • For terminated/retrenched employees, certify SSS unemployment eligibility when applicable.

3) Registration basics (employer and employee)

SSS

  • Employer registers online; submit business docs (may vary by setup: SEC/DTI, business permit).
  • Report employees for coverage (new hires must be reported immediately; legacy forms: R-1A. Online reporting now standard).
  • Generate PRNs for contributions; EC premium is employer-only.

PhilHealth

  • Employer enrollment; update ER2/ER form equivalents online.
  • Verify employees’ PhilHealth ID; if none, assist with PMRF enrollment.
  • Use PhilHealth PRN to ensure posting per employee.

Pag-IBIG

  • Employer EDF (Employer’s Data Form) + MRF (Member Registration Form) equivalents (now online).
  • Get your Pag-IBIG Employer ID; enroll employees to generate MID or link existing MIDs.

Kasambahay: Household employers must register and remit to SSS, PhilHealth, and Pag-IBIG. If the kasambahay’s monthly pay is below the statutory threshold, the employer shoulders the full contribution (no employee share).


4) Contributions: how they’re computed (without locking rates)

  • SSS: Based on Monthly Salary Credit (MSC) table. A percentage rate applies to the MSC; the employer pays the larger share, the employee a smaller share, and a separate EC premium is employer-paid.
  • PhilHealth: Percentage of monthly basic income subject to a floor and ceiling (both adjust over time under the UHC law). Employer and employee split the premium for employed members.
  • Pag-IBIG: 1%–2% employee share (subject to contribution ceiling), matched by the employer up to the required cap. Many employers top up voluntarily; members can also save in MP2 (optional).

Always use the current tables/circulars. Rates and compensation ceilings change. Maintain the latest issuances in your compliance binder.


5) Remittance timing and proofs

  • Due dates are set by each agency (often monthly with cut-offs dependent on employer number/practical schedules).
  • Use official e-portals (My.SSS, PhilHealth Member/Employer Portal, Virtual Pag-IBIG) to generate PRNs.
  • Keep: bank/e-payment confirmations, PRN printouts, agency posting confirmations, transmittal summaries, and reconciliation reports.

Best practice: Reconcile payroll → contribution worksheets → PRNs → posted ledgers every month; clear any posting variances within the same quarter.


6) Benefits overview (why compliance matters)

SSS (employee entitlements with qualifying contributions):

  • Sickness (daily cash allowance), Maternity (enhanced benefit; employer advances and reimburses per rules), Unemployment (for involuntary separation; employer issues certification), Disability, Retirement (pension or lump sum), Death/Funeral.
  • EC Program (work-related injury/sickness/disability/death): separate schedule; employer-funded.

PhilHealth:

  • Inpatient/outpatient case rates; Konsulta for primary care; catastrophic (Z) benefits; eligible dependents coverage. Correct, timely posting is crucial to availments.

Pag-IBIG:

  • Provident savings (can be withdrawn at maturity/contingencies).
  • Short-term loans (multi-purpose/calamity).
  • Housing loans at program rates if eligibility and underwriting standards are met.

7) Compliance documentation & audit file (what to keep)

  • Corporate registration docs; employer registration confirmations with all three agencies.
  • Employee masterlist with ID numbers, dates hired/separated, salaries.
  • Monthly contribution computation sheets, signed payroll summaries, and PRNs.
  • Proofs of payment and posting; bank receipts/e-acknowledgments.
  • Copies of filed benefit certifications (e.g., maternity reimbursement, sickness notifications).
  • Policies/SOPs on onboarding, salary changes, and offboarding; data privacy notices.

Retention: keep at least 10 years (or longer if feasible) given prescriptive periods and practical disputes.


8) Penalties, liabilities, and enforcement

  • Non-registration, non-remittance, or misappropriation of employee shares may trigger surcharges, monthly interest, compromise penalties, criminal prosecution, and civil liability under the SSS Law, UHC/PhilHealth Law, and HDMF Law.
  • Officers who consent to or tolerate violations can incur personal liability.
  • Agencies can issue compliance orders, garnish payments due to the employer, and bar business transactions (e.g., requiring clearances for government bidding/permits).

Late posting disputes: Prepare a reconciliation pack (payroll extract, PRNs, proofs) and file a posting correction request promptly.


9) Special categories & edge cases

  • Minimum-wage earners: usually exempt from income tax, not from SSS/PhilHealth/Pag-IBIG (contributions still required; employee share rules may vary per agency schedule).
  • Expatriates: Check totalization agreements or treaty coverage; otherwise generally covered if employed in PH.
  • Multi-site or group employers: Map RDOs/business permits vs agency registration footprints; ensure single source of truth for employee IDs and salaries.
  • No-work-no-pay months: Confirm handling of zero-pay periods (some contributions may still be due depending on policies; document).
  • Salary loans offsetting: Loan amortizations are separate from mandatory contributions; do not skip contributions because loans are being paid.

10) Maternity, sickness, and leave coordination (SSS—employer tasks)

  • Maternity: Validate eligibility and advance the SSS benefit to the employee in full; then seek reimbursement per SSS rules (observe notice timelines and documentary standards).
  • Sickness: Track sickness notifications, advance employer-required portion if applicable, and file reimbursement claims timely.
  • Keep a benefits calendar so statutory deadlines are never missed.

11) Practical monthly/quarterly rhythm (checklist)

Monthly

  • Hire/exit updates posted in HRIS and government portals.
  • Contribution worksheet prepared and reviewed; PRNs generated.
  • Payroll run; employee share deducted; employer share added.
  • Remit SSS, PhilHealth, Pag-IBIG before due dates; save proofs.
  • Reconcile agency posted ledgers vs payroll.

Quarterly

  • Random spot-audit of 5–10 employees for ID/name/birthday mismatches.
  • Clear all variance notices (e.g., unposted PRNs).
  • Refresh contribution tables if new circulars issued.

Annually

  • Compliance refresher for payroll/HR.
  • Archive prior-year binders and validate offboarded employees’ final postings.
  • Review kasambahay (if any) separate compliance file.

12) Governance & controls

  • Written Delegation of Authority for payroll and government remittances.
  • Dual control on PRN generation and payment approval.
  • Cut-off calendar shared with HR/Finance; align with 13th-month and bonus cycles.
  • Data privacy: Limit access to member numbers; encrypt storage; purge redundant copies.

13) Frequently asked questions

Q: Can we delay remittance until the end of the quarter? A: No. Each agency sets monthly due dates. Late remittance triggers surcharges and interest and may expose officers to liability.

Q: Employee forgot or has no SSS/PhilHealth/Pag-IBIG number. Can we hire? A: Yes, but assist registration immediately and do not delay contributions. Use temporary workflows only per agency guidance.

Q: Are trainees/interns covered? A: Students under bona fide school-required OJT without pay are generally not covered as employees; paid interns/trainees typically are.

Q: We hired a contractor who works like an employee. A: If the control test indicates employment, you must register and remit as for employees—plus fix back periods (with penalties).

Q: Do we need to enroll separated employees for benefits claims? A: Contributions remitted during employment continue to count toward their personal eligibility (e.g., SSS sickness/maternity if events fall within qualifying windows).


14) One-page action plan for new or scaling employers

  1. Register your business with SSS, PhilHealth, Pag-IBIG and secure employer numbers.
  2. Audit your employee list for complete government IDs; assist enrollments.
  3. Load the current contribution tables into payroll; set due-date reminders and PRN workflows.
  4. Remit monthly and reconcile postings; fix variances within the quarter.
  5. Train HR/payroll on benefit certification (maternity/sickness/unemployment).
  6. Document controls (dual approvals, retention, privacy).
  7. Review changes in rates/ceilings annually; update policies accordingly.

If you share your headcount, pay schedules, and any special worker categories (e.g., kasambahay, part-timers, expats), I can draft a customized compliance calendar, contribution worksheet template, and step-by-step onboarding/offboarding SOPs for your team.

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