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14 BOSH - Module 6 Employees Compensation Program

This document provides an overview of the Employees' Compensation Program (ECP) in the Philippines. It discusses that the ECP is designed to provide income benefits and medical coverage for work-related sickness, injuries, and death. It also outlines who is covered under the program, the legal basis, contributions, compensable diseases and injuries, available benefits including loss of income, medical care, death, and rehabilitation benefits, and how to avail of these benefits.

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100% found this document useful (1 vote)
270 views29 pages

14 BOSH - Module 6 Employees Compensation Program

This document provides an overview of the Employees' Compensation Program (ECP) in the Philippines. It discusses that the ECP is designed to provide income benefits and medical coverage for work-related sickness, injuries, and death. It also outlines who is covered under the program, the legal basis, contributions, compensable diseases and injuries, available benefits including loss of income, medical care, death, and rehabilitation benefits, and how to avail of these benefits.

Uploaded by

beng acosta
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© © All Rights Reserved
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WELCOME to the seminar on Prescribed

40-Hours Basic OSH Training Course for


Safety Officer 2 (SO2) – ONLINE
Content:
a. Objectives
b. ECP and ECC
c. Legal Basis and Contributions
d. Compensable Diseases
e. Compensable Injuries
f. EC Benefits
g. Availing of ECP Benefits
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Objective:

Discuss the employee’s compensation


programs, entitlement and benefits.

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


What is ECC?
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
What is ECC?
The Employees’ Compensation Commission (ECC) is a
government agency mandated by law to provide meaningful
and appropriate compensation and related benefits that can
be claimed from the Employees’ Compensation Commission’s
(ECC) administering agencies - the Government Service
Insurance System (GSIS) for the public sector workers or the
Social Security System (SSS) for the private sector employees,
for injury, disease or death due to work-related contingencies.
ECC is an attached agency of Department of Labor and
Employment (DOLE).

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


What is ECP?
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
What is ECP?
The Employees’ Compensation Program (ECP) is
designed to provide employees and their families with
income benefits and medical and other benefits in the
event of work-connected sickness, injury or death.

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Who are
covered?
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Who are covered?

All Mandatory Members of All Mandatory Members of GSIS


SSS including Self-Employed including Uniformed Personnel

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Legal Basis

Presidential Decree 626 (PD 626), as


amended.
Employees’ Compensation and State
Insurance Fund
(March 17, 1975)

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Contributions
 For a covered employee in the private sector, his
employer shall remit to the SSS a monthly
contribution in accordance with the following
schedule:

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Compensable Diseases
 Not all diseases are compensable
 Only diseases caused by work or the working environment
are compensable.
o Work or work environment must involve risk/s that caused the
development of the illness.
o the disease was contracted as a result of the employee’s
exposure to described risks;
o the disease was contracted within a period of exposure and
under such factors necessary to contract it; and
o there was no deliberate act on the part of the employee to
disregard the safety measures or ignore established warning or
precaution.
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Compensable Diseases

Selected from the List of Compensable Diseases


(http://ecc.gov.ph/wp-content/uploads/2017/03/List_Compensable_Diseases.pdf)

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Compensable Diseases
Other diseases not in the list may still be
compensable if employee can establish causal
connection with:
 The nature of his work or the working
environment. It is called “Increased Risk
Theory”. The degree of proof required
varies on a case to case basis.

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Compensability of Injuries

For the injury and the resulting disability or


death to be compensable, the injury must be
the result of an accident arising out of and in
the course of employment.

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Instances where Injury can be Compensable:
1. Happened at the workplace.
2. Happened while performing official function.
3. Outside of workplace but performing an order of his
employer.
4. When going to or coming from work.
5. While ministering to personal comfort.
6. While in company shuttle bus
7. During a company sponsored activity
8. Death of an Employee Due to Assault
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Excepting Circumstances
No compensation shall be allowed to the employee or
his/her dependents in cases when the sickness, injury,
disability, or death was occasioned by any of the
following:
 Intoxication USE
PROTECTIVE
 Notorious Negligence GEAR

 Willful Intent to Injure Oneself or Another

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


ECP Benefits
1. Loss of Income Benefit
2. Carer’s Allowance
3. Medical Benefit
4. Death Benefit
5. Rehabilitation Services

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


ECP Benefits
1. Loss of Income Benefit – under the ECP, it is the
disability, or the incapacity to work, which is being
compensated and not the illness or the injury.
Three (3) Types of Loss Income benefits
a. Temporary Total Disability (TTD)
b. Permanent Total Disability (PTD)
c. Permanent Partial Disability (PPD)

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a. Temporary Total Disability (TTD) - for a disability that
prevents an employee from performing his work for a
continuous period not exceeding 120 days. (i.e. max. Php
400/day daily income benefit, Executive Order No. 54 Series
of 2018)
b. Permanent Total Disability (PTD) – a monthly income benefit
granted for disabilities, such as, but not limited to, complete
loss of sight of both eyes, loss and function loss of both
limbs, and brain injury resulting to imbecility or insanity.
c. Permanent Partial Disability (PPD) – a monthly income
benefit is granted for disabilities that result in physical loss
(amputation) or functional loss of a body part.
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Monthly Income Benefit for Permanent Loss of the Use of Body
Part or Permanent Partial Disability (PPD)

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2. Carer’s Allowance – a supplemental pension per month (i.e.
Php 1,000.00/month, Executive Order No. 54 Series of 2018)
is provided to pensioners under the ECP who suffer from
work-connected PPD and PTD.
3. Medical Benefit – it includes reimbursement of the cost of
medicines for the illness or injury, payment to providers of
medical care, hospital care, surgical expenses, and the costs
of rehabilitation appliances and supplies. The medical
services are limited to ward services of hospitals duly
accredited by the Department of Health (DOH).

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


4. Death Benefit – a monthly pension granted to beneficiaries
of an employee who dies as a result of sickness/injury
arising out of or in the course of employment. Funeral
benefit (i.e. Php 30,000) for private and public sector
employees.
5. Rehabilitation Services – include physical restoration
services, skills training for re-employment or new
employment and entrepreneurship training by partner
hospitals & training centers to enable the persons with work
related disability to become more productive

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


Availing of ECP Benefits
All EC claims may be filed by the claimant or his
beneficiary at the System (SSS/GSIS), nearest to the place
of work or residence.
Fill up prescribed forms and attach supporting documents
such as:
 Proof of job description
 Medical/hospital records
 Incident/accident report
 EC logbook
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Availing of ECP Benefits – Prescriptive Period
Claims for compensation must be filed with the Systems
(SSS/GSIS), within three (3) years from the time the
cause of the action accrued.
Reckoning date of the prescriptive period:
 For sickness, it is the time the employee lost his earning
capacity
 For injury, it is from the time it was sustained.
 For death, at the time of death of the covered
employee.
AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Availing of ECP Benefits
The System shall evaluate the claim upon submission of the
complete requirements.
 If approved by the System, compensation is awarded to the
employee.
 In case the claim is denied, a Motion for Reconsideration (MR)
may be filed with the System, attaching additional proofs to
support claim. If MR is denied, write Letter of Appeal (LOA) to:

If denied, If denied,
Submit to: Submit to:

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


The ECP benefits are welcome
but it is better to be safe than
be injured or have an illness
because of work.

AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570


AD Safety – adsmcservices@yahoo.com / 046-4509860 / 0927-9057998 / 0921-4162570
Thank you for listening!

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