Guide on the Requirements for SSS Maternity Benefit Claim Application for Members
REQUIREMENTS FOR SSS MATERNITY BENEFIT – Here are the documents needed in processing a Maternity Benefit claim to the Social Security System.
One of the biggest social insurance institutions in the country is the Social Security System or more popularly called the SSS. It is under the government. Individuals working in the private sector are mandated to have an SSS membership.
There are several SSS benefits as well as SSS loans for the members of the state-run social insurance institution who have qualified accounts. One of the offers is exclusive for the pregnant female members of the government entity — the SSS Maternity Benefit.
In processing a claim, there are two sets of requirements for SSS Maternity Benefit application. The first set is for the notification process and the other set is for the claim or reimbursement.
For employed members of the Social Security System who will process a claim, to notify your employer, you need to submit the following documents:
- Maternity Notification Form
- UMID or SSS biometrics ID card or two (2) other valid IDs
- both with signature and at least one (1) with photo and date of birth
- proof of pregnancy (ultrasound report)
If you are employed, submit the aforementioned documents to your employer and your employer will be the one to inform the state-run social insurance agency. If you are self-employed, unemployed, or a voluntary member of the government agency, notify the SSS directly.
There is another set of requirements for SSS Maternity Benefit application to make the claim. Here are the documents that you must prepare and submit to the state-run social insurance agency:
If employed:
- Maternity Notification Form duly stamped and received by SSS
- Maternity Reimbursement Form
- UMID or SSS biometrics ID card or two (2) other valid IDs, both with signature and at least one (1) with photo and date of birth.
If self-employed or voluntary member:
- Maternity Notification Form duly stamped and received by SSS
- Maternity Reimbursement Form
- UMID or SSS biometrics ID card or two (2) other valid IDs, both with signature and at least one (1) with photo and date of birth
If separated from employment:
- Maternity Reimbursement Form
- Certification from the last employer showing the effective date of separation from employment or notice of company’s closure/strike or certification from the Department of Labor and Employment that the employee or employer has a pending labor case.
- Certification that no advance payment was granted (if confinement days applied for are within or prior to separation).
- UMID or SSS biometrics ID card or two (2) other valid IDs, both with signature and at least one (1) with photo and date of birth
There are also additional requirements based on delivery. Here are the documents that you must submit to the Social Security System in filing a claim:
- For normal delivery — Certified true or authenticated copy of the duly registered birth certificate
- For caesarean delivery — Certified or authenticated copy of the duly registered birth certificate and certified true copy of operating room record/surgical memorandum
- For miscarriage:
- obstetrical history stating the number of pregnancies certified by the attending physician and dilatation and curettage (D&C) report
- pregnancy test before and after abortion with the age of gestation