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PhilHealth Citizen' Charter 2013 - Philippine Health Insurance ...

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E. Frontline Services Offered and Clientele<br />

1. Registration (Employer, Employee, Retiree)<br />

Frontline Services &<br />

Documentary Requirements <strong>Phil<strong>Health</strong></strong> Forms Fee/s Duration<br />

Clientele<br />

1.1 Employer<br />

1.1.1 Government • Employer Data Record (ER1) Form (in duplicate) • Employer Data • No service fee • 20 minutes<br />

sector • <strong>Phil<strong>Health</strong></strong> Membership Registration Form (PMRF) for Record (ER1) Form<br />

each employee (in duplicate)<br />

• Report of Employee-<br />

• Employee-Members (ER2) form (in duplicate)<br />

Members (ER2) Form<br />

1.1.2 Private Sector • Employer Data Record or ER1 Form (in duplicate); • PMRF<br />

• No service fee • 20 minutes<br />

• PMRF for each employee (in duplicate); and<br />

• ER1 Form<br />

• Business permit/license to operate and/or any of the<br />

following:<br />

• ER2 Form<br />

a) Department of Trade and Industry (DTI)<br />

Registration (for single proprietorship)<br />

b) Securities and Exchange Commission (SEC)<br />

Registration (for partnerships, corporations,<br />

foundations, & non-profit organizations)<br />

c) Cooperative Development Authority (CDA)<br />

Registration (for cooperatives)<br />

d) Barangay Certification and/or Mayor’s Permit (for<br />

backyard industries/ventures and micro-business<br />

enterprises)<br />

For employers listed in the <strong>Philippine</strong> Business Registry<br />

(PBR), only the Employer Registration Number (ERN)<br />

issued by PBR need to be presented.<br />

Page 4 of 66

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