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[Philippines] How to Apply for a Maternity Leave?

Items Process and Particulars Qualifying Conditions To qualify for SSS maternity benefits, the female member must meet the following re...

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Written by Thomas Derum

Items

Process and Particulars

Qualifying Conditions

To qualify for SSS maternity benefits, the female member must meet the following requirements:

  • She must have paid at least three (3) months contributions within the 12-month period immediately before the semester of childbirth, miscarriage, or emergency termination of pregnancy.

  • She must have notified her employer of her pregnancy and expected date of delivery if she is employed.

  • She must directly notify SSS if she is a voluntary member, an OFW, or a self-employed member.

For Employed Female Member

  1. Notify your employer. Maternity notification should be done at least 60 days from the date of conception. Submit the Maternity Notification Form (SSS Form MAT-1) together with your proof of pregnancy like a trans-vaginal ultrasound report to your employer.

  2. After giving birth, submit your Maternity Reimbursement Form (SSS MAT-2) to your employer. Requirements vary depending on the type of delivery.

  • For Normal Delivery

    • Child's birth or fetal death certificate duly registered with the Local Civil Registrar.

  • For Caesarian Delivery

    • Child's birth or fetal death certificate duly registered with the Local Civil Registrar.

    • Any of the following documents issued by the hospital indicating the type of delivery:

      • Operating Room Record (ORR)

      • Surgical Memorandum

      • Discharge Summary Report

      • Medical/Clinical Abstract

      • Delivery Report

      • Detailed invoice showing caesarian delivery charges (for deliveries abroad only)

  • For Complete Miscarriage - one in which pregnancy-related tissue has come out of the uterus. This type of miscarriage has happened on its own with no medical intervention. It probably also happened before the end of the first trimester.

    • Obstetrical History indicating the number of pregnancies duly certified by the attending physician with his/her Professional License Number with printed name and signature; and

    • Any of the following:

      • Pregnancy test before and after miscarriage

      • Ultrasound report indicating proof of pregnancy

      • Medical Certificate issued by the attending physician on the circumstance of pregnancy

  • For Incomplete Miscarriage - one where only some of the tissues have been expelled. Medication or surgery can be used to remove anything that is remaining.

    • Obstetrical History indicating the number of pregnancies duly certified by the attending physician with his/her Professional License Number with printed name and signature; and

    • Any of the following:

      • Certified true copy of Hospital/Medical Records

      • Dilation & Curettage (D&C) report

      • Histopathological report

      • Pregnancy test before and after miscarriage

      • Ultrasound report indicating proof of pregnancy

  • For Ectopic Pregnancy

    • Obstetrical History indicating the number of pregnancies duly certified by the attending physician with his/her Professional License Number with printed name and signature; and

    • Any of the following:

      • Certified true copy of Hospital/Medical Records

      • Certified true copy of ORR

      • Histopathological report

      • Pregnancy test before and after miscarriage

Important Reminders:

  • The filer shall upload the required supporting document/s corresponding to the type of claim being filed to proceed with the submission of the Maternity Benefit Reimbursement Application (MBRA). Uploaded document/s shall be reviewed by SSS.

  • The receipt of advance payment shall be confirmed/certified by the employee within seven (7) working days from the date of sending of email by SSS. In case the member confirmed that she did not receive the advance payment or failed to act within the prescribed period, the MBRA shall be rejected and must be resubmitted/refiled and shall be considered as a new transaction.

  • The filing date of MBRA shall be the date of confirmation/certification of the employee, or the date of successful submission of the claim if the employee is already separated, on Absence Without Official Leave (AWOL), or deceased.

  • Claims that have been previously submitted, but were not accepted based on SSS evaluation, may be refiled as new online transactions once the requirements are fully compiled.

  • Exempted from online filing are the following, and shall be filed over-the-counter or through Dropbox at any SSS branch:

    • Unclaimed reimbursement of inactive/closed/terminated/retired employer

    • Denied claim reconsidered for payment

Additional References:

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