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