How much sickness benefit is a member entitled to receive?The amount of a member’s sickness benefit per day is equivalent to ninety percent (90%) of the member’s average daily salary credit.
- How is the sickness benefit computed?
Exclude the semester of sickness.
A semester refers to two consecutive quarters ending in the quarter of sickness.
A quarter refers to three consecutive months ending March, June, September or December.
Count 12 months backwards starting from the month immediately before the semester of sickness.
Identify the six highest monthly salary credits within the 12-month period.
Monthly salary credit means the compensation base for contributions and benefits related to the total earnings for the month. (The maximum covered earnings or compensation is P15,000 effective Jan 1, 2002).
Please refer to the following table:
Range of
Compensation | Monthly
Salary Credit |
| 1,000 - 1,249.99 | 1,000 |
| 1,250 - 1,749.99 | 1,500 |
| 1,750 - 2,249.99 | 2,000 |
| 2,250 - 2,749.99 | 2,500 |
| 2,750 - 3,249.99 | 3,000 |
| 3,250 - 3,749.99 | 3,500 |
| 3,750 - 4,249.99 | 4,000 |
| 4,250 - 4,749.99 | 4,500 |
| 4,750 - 5,249.99 | 5,000 |
| 5,250 - 5,749.99 | 5,500 |
| 5,750 - 6,249.99 | 6,000 |
| 6,250 - 6,749.99 | 6,500 |
| 6,750 - 7,249.99 | 7,000 |
| 7,250 - 7,749.99 | 7,500 |
| 7,750 - 8,249.99 | 8,000 |
| 8,250 - 8,749.99 | 8,500 |
| 8,750 - 9,249.99 | 9,000 |
| 9,250 - 9,749.99 | 9,500 |
| 9,750 - 10,249.99 | 10,000 |
| 10,250 - 10,749.99 | 10,500 |
| 10,750 - 11,249.99 | 11,000 |
| 11,250 - 11,749.99 | 11,500 |
| 11,750 - 12,249.99 | 12,000 |
| 12,250 - 12,749.99 | 12,500 |
| 12,750 - 13,249.99 | 13,000 |
| 13,250 - 13,749.99 | 13,500 |
| 13,750 - 14,249.99 | 14,000 |
| 14,250 - 14,749.99 | 14,500 |
| 14,750 - O V E R | 15,000 |
Add the six highest monthly salary credits to get the total monthly salary credit.
Divide the total monthly salary credits by 180 days to get the average daily salary credit.
Multiply the average daily salary credit by 90 percent to get the daily sickness allowance.
Multiply the daily sickness allowance by approved number of days to arrive at the amount of benefit due.
For example, let us say that an SSS member gets sick or injured in October 2004 for 20 days:
The semester of sickness would be from July 2004 to December 2004.
The 12-month period would be from July 2003 to June 2004 within which the six highest monthly salary credits will be chosen.
Let us assume that the six highest monthly salary credits are P15, 000 each. The total monthly credit would be P90, 000 (P15, 000 x 6).
The total monthly salary would be divided by 180 to get the average daily salary credit or P500 (P90, 000/180).
The sickness benefit due is P9,000 (P450 x 20 days).
- How many days in a year can a member avail himself of the sickness benefit?
A member can be granted sickness benefit for a maximum of 120 days in one calendar year. Any unused portion of the allowable 120 days sickness benefit cannot be carried forward and added to the total number of allowed compensable days for the following year.
The sickness benefit shall not be paid for more than 240 days on account of the same illness. If the sickness or injury still persists after 240 days, his claim will be considered a disability claim.
- Who should an employee notify regarding his sickness or injury?
A member should notify the employer within five (5) calendar days after the start of sickness or injury. The employer, in turn, must notify the SSS of the confinement within (5) calendar days after receipt of the notification from the employee member.
Notification to the employer is not necessary if the member’s confinement is in a hospital or if the member got sick or was injured while working or was within the company premises. In this case, the employer must notify the SSS within five (5) calendar days from the start of the employee’s sickness or injury while working or was within the company premises.
- What is the procedure for notification for unemployed, self-employed and voluntary members?
Unemployed, self-employed or voluntary paying members should notify the SSS directly within five (5) calendar days after the start of confinement, unless such confinement is in the hospital,in which case, notification is not necessary.
- What are the effects of failure or delay in notification?
If the employee notifies the employer, or the SSS, in the case of an unemployed, self-employed or voluntary paying member, beyond the prescribed five-day period, the confinement shall be deemed to have started not earlier than the fifth day immediately preceding the date of notification.
If the employer notifies the SSS beyond the five (5) calendar days after the receipt of the notification from the employee, the employer shall be reimbursed only for each day of confinement starting from the 10th calendar day immediately preceding the date of notification to the SSS.
If the employee has given the required notification to the employer, but the employer fails to notify the SSS of the confinement within the prescribed period resulting in the reduction of the benefit or denial of the claim, the employer shall have no right to recover the daily sickness allowance advanced to the employee.
Hi, Im Teresa. I was hospitalized and I was able to submit all the requirements to my employer covering Oct.7, 2013 to Oct. 27, 2013. To date, my employer has not advanced any amount to me and they just informed me that they lost my file. Is there anything I can do? It's not easy to get and complete all the requirements again, and it has been more than 3 months from the time I submitted the requirements to them. Thanks!
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