APPROVING THE RETROACTIVE PAYMENT OF ALL PENDING QUALIFIED CLAIMS FOR EC MEDICAL REIMBURSEMENT PRIOR TO THE EFFECTIVITY OF BOARD RESOLUTION NO. 13-10-30
WHEREAS, on October 29,2013, this Commission issued Board Resolution No. 13-10-30 on “Policy on Lifting the Suspension of Payment of EC Medical Reimbursement for Public Sector Retirees and Workers Separated from the Public Service” which became effective on 22 December 2013;
WHEREAS, the said Resolution provides that the said policy shall apply prospectively to those who have retired or are separated from public service and to those whose medical reimbursements have been stopped as a result of the suspension;
WHEREAS, the GSIS has committed to review, through an actuarial study, the retroactive application of the lifting of the suspension for purposes of processing claims for medical reimbursement of expenses which were incurred prior to the effectivity of BR No. 13-10-30;
WHEREAS, the GSIS conducted an inventory of possible qualified retroactive claims for EC medical reimbursement and calculated this to be in the amount of Php 7,077,955.91;
WHEREAS, considering that the financial status of the State Insurance Fund (SIF) in the public sector has improved and the GSIS has guaranteed that payment of all unpaid claims for EC Medical Reimbursement in the amount of Php 7,077,955.91 will have no significant effect on the fund life of the SIF;
WHEREAS, this Commission finds the need to facilitate the speedy processing of all claims for the above EC medical reimbursement subject to submission of the prescribed requirements;
WHEREAS, Article 177 (c) empowers this Commission to approve rules and regulations governing the processing of EC claims;
NOW THEREFORE, ON MOTION DULY MADE AND SECONDED,
This Commission RESOLVES as it hereby RESOLVED to approve as a policy the immediate processing and payment of all pending qualified claims for EC Medical Reimbursement prior to the effectivity of BR No. 13-10-30;
RESOLVED FURTHER that the GSIS is authorized to formulate the necessary guidelines to carry out the abovementioned directives;
RESOLVED FINALLY, that this Resolution shall take effect 15 days after its publication in a newspaper of general circulation.
DONE, this 31st day of May 2016, in Makati City, Philippines .
(SGD.) CIRIACO A. LAGUNZAD
Chairperson-Alternate
Department of Labor and Employment
(SGD.) BRENDA P. VIOLA
Member-Designate
Social Security System
(SGD.)DIONISIO C. EBDANE, JR.
Member – Designate
Government Service Insurance System
(SGD.) CARLITO P. ROBLE
Member
Employees’ Sector
(SGD.) ALEXANDER A. PADILLA
Member-Designate
Philippine Health Insurance Corporation
(SGD.) STELLA ZIPAGAN-BANAWIS
Member
Employees’ Compensation Commission – Secretariat