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(d) The following disabilities shall be deemed (g) The percentage degree of disability which is
permanent total: equivalent to the ratio that the designated
number of months of compensability bears to
1. Complete loss of sight of both eyes; seventy-five (75), rounded to the next higher
2. Loss of two limbs at or above the ankle or integer, shall not be additive for distinct,
wrists; separate and unrelated permanent partial
disabilities, but shall be additive for deteriorating
3. Permanent complete paralysis of two limbs; and related permanent partial disabilities to a
maximum of one hundred percent (100%), in
4. Brain injury resulting to incurable imbecility or which case, the member shall be deemed as
insanity; and permanently totally disabled.
5. Such cases as determined and approved by (h) In case of permanent partial disability, the
the SSS. monthly pension benefit shall be given in lump
sum if it is payable for less than twelve (12)
months.
notification to the employer is not necessary:
(i) For the purpose of adjudicating retirement, Provided, That if the member is unemployed
death and permanent total disability pension or self-employed, he shall directly notify the
benefits, contributions shall be deemed paid for SSS of his confinement within five (5)
the months during which the member received calendar days after the start thereof unless
partial disability pension: Provided, That such such confinement is in a hospital in which
contributions shall be based on his last case notification is also not necessary:
contribution prior to his disability. Provided, further, That in cases where
notification is necessary, the confinement shall
"(j) Should a member who is on partial be deemed to have started not earlier than
disability pension retire or die, his disability the fifth day immediately preceding the date
pension shall cease upon his retirement or of notification.
death.
(b) The compensable confinement shall begin
"SEC. 13-B. Funeral Benefit. - A funeral grant on the first day of sickness, and the payment
equivalent to Twelve thousand pesos of such allowances shall be promptly made
(P12,000.00) shall be paid, in cash or in kind, to by the employer every regular payday or on
help defray the cost of funeral expenses upon the fifteenth and last day of each month, and
the death of a member, including permanently similarly in the case of direct payment by the
totally disabled member or retiree. SSS, for as long as such allowances are due
and payable: Provided, That such allowance
"SEC. 14. Sickness Benefit. - (a) A member who shall begin only after all sick leaves of
has paid at least three (3) monthly absence with full pay to the credit of the
contributions in the twelve-month period employee member shall have been
immediately preceding the semester of exhausted.
sickness or injury and is confined therefor
for more than three (3) days in a hospital or Notes:
elsewhere with the approval of the SSS, shall, Commencement of compensable
for each day of compensable confinement or a
fraction thereof, be paid by his employer, or confinement would be the first day of
the SSS, if such person is unemployed or sickness.
self-employed, a daily sickness benefit Payment shall be made every
equivalent to ninety percent (90%) of his regular payday or on the 15th and last
average daily salary credit, subject to the
following conditions:
day of each month.
o This allowance shall be given
(1) In no case shall the daily sickness benefit only upon exhaustion of all
be paid longer than one hundred twenty sick leaves of absence with
(120) days in one (1) calendar year, nor shall full pay.
any unused portion of the one hundred
twenty (120) days of sickness benefit granted
(c) One hundred percent (100%) of the daily
under this section be carried forward and
benefits provided in the preceding paragraph
added to the total number of compensable
shall be reimbursed by the SSS to said
days allowable in the subsequent year;
employer upon receipt of satisfactory proof
of such payment and legality thereof:
(2) The daily sickness benefit shall not be paid
Provided, That the employer has notified the
for more than two hundred forty (240) days
SSS of the confinement within five (5)
on account of the same confinement; and
calendar days after receipt of the notification
from the employee member: Provided, further,
(3) The employee member shall notify his
That if the notification to the SSS is made by
employer of the fact of his sickness or injury
the employer beyond five (5) calendar days
within five (5) calendar days after the start of
after receipt of the notification from the
his confinement unless such confinement is
employee member, said employer shall be
in a hospital or the employee became sick or
reimbursed only for each day of confinement
was injured while working or within the
starting from the tenth calendar day
premises of the employer in which case,
immediately preceding the date of
notification to the SSS: Provided, finally, That (f) The provisions regarding the notification
the SSS shall reimburse the employer or pay required of the member and the employer as
the unemployed member only for well as the period within which the claim for
confinement within the one-year period benefit or reimbursement may be filed shall
immediately preceding the date the claim for apply to all claims filed with the SSS.
benefit or reimbursement is received by the
SSS, except confinement in a hospital in SEC. 14-A. Maternity Leave Benefit. - A female
which case the claim for benefit or member who has paid at least three (3)
reimbursement must be filed within one (1) monthly contributions in the twelve-month
year from the last day of confinement. period immediately preceding the semester
of her childbirth or miscarriage shall be paid a
Notes: daily maternity benefit equivalent to one
hundred percent (100%) of her average daily
100% of the daily benefits shall be
salary credit for sixty (60) days or seventy-
reimbursed provided that the eight (78) days in case of caesarian delivery,
employer has notified the subject to the following conditions:
commission within 5calendar days
from after receipt of notification from Note:
the employee. 100% of her average daily salary
If notification is made beyond the credit.
5day required period, SSS shall
(a) That the employee shall have notified her
reimburse the employer for each day
employer of her pregnancy and the probable
of confinement starting from the 10 th date of her childbirth, which notice shall be
calendar day immediately following transmitted to the SSS in accordance with the
the notification to the SSS. rules and regulations it may provide;
o Reimbursement shall be
(b) The full payment shall be advanced by the
made for a period of one year employer within thirty (30) days from the
only. filing of the maternity leave application;
o If employee is confined, the
claim must be filed within (c) That payment of daily maternity benefits
1year. shall be a bar to the recovery of sickness
benefits provided by this Act for the same
(d) Where the employee member has given period for which daily maternity benefits have
the required notification but the employer been received;
fails to notify the SSS of the confinement or to
file the claim for reimbursement within the period (d) That the maternity benefits provided under
prescribed in this section resulting in the this section shall be paid only for the first four
reduction of the benefit or denial of the claim, (4) deliveries or miscarriages;
such employer shall have no right to recover
the corresponding daily allowance he (e) That the SSS shall immediately reimburse
advanced to the employee member as required the employer of one hundred percent (100%)
in this section. of the amount of maternity benefits
advanced to the employee by the employer
(e)The claim of reimbursement shall be upon receipt of satisfactory proof of such
adjudicated by the SSS within a period of payment and legality thereof; and
two (2) months from receipt thereof:
Provided, That should no payment be received (f) That if an employee member should give birth
by the employer within one (1) month after or suffer miscarriage without the required
the period prescribed herein for adjudication, contributions having been remitted for her
the reimbursement shall thereafter earn by her employer to the SSS, or without the
simple interest of one percent (1%) per latter having been previously notified by the
month until paid. employer of the time of the pregnancy, the
employer shall pay to the SSS damages
equivalent to the benefits which said
employee member would otherwise have
been entitled to.