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Sickness Benefit

The amount of a member's sickness benefit per day is equivalent to ninety percent (90%) of the member's average daily salary credit.

Benefit Computation:

  1. 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.

  2. Count 12 months backwards starting from the month immediately before the semester of sickness.

  3. Identify the six highest monthly salary credits within the 12-month period.

    Monthly salary credit 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 P16,000 effective January 1, 2014).

    Please refer to the following table:


  4. Add the six highest monthly salary credits to get the total monthly salary credit.
  5. Divide the total monthly salary credits by 180 days to get the average daily salary credit.
  6. Multiply the average daily salary credit by 90 percent to get the daily sickness allowance.
  7. 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 2013 for 20 days:

    1. The semester of sickness would be from July 2013 to December 2013.
    2. The 12-month period would be from July 2012 to June 2013 within which the six highest monthly salary credits will be chosen.
    3. 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).
    4. The total monthly salary credit would be divided by 180 to get the average daily salary credit of P500 (P90,000/180).
    5. The daily sickness allowance is 90 percent of the of the average daily salary credit or P450 (P500 x 90%).
    6. The sickness benefit due is P9,000 (P450 x 20 days).

IMPORTANT!

For example, SSS receives the employer's reimbursement claim on Oct. 3, 2013 for the sickness period September 23 to Oct. 14, 2012. The employer will be reimbursed for the period Oct. 4 to 14,2012 only as Sept. 23 to Oct. 3, 2012 falls outside the prescribed one-year period for reimbursement claim.