MSS Reviewer

FUNERAL BENEFITFUNERAL BENEFIT

TRAINING COURSE ON Elizabeth C. ReyesSSS BRANCH OPERATIONS OIC, NCR RPD

“SEC 13-B. Funeral Benefit. - A funeral grant equavalent to Twelve thousand pesos (P12,000.00) shall be paid, in cash or in kind, to help defray the cost of funeral expenses upon the death of a member, including permanently totally disabled member or retiree.

FUNERAL BENEFITFUNERAL BENEFIT

FUNERAL GRANT OF P20,000

PAID TO HELP DEFRAY FUNERAL EXPENSES

UPON THE DEATH OF A MEMBER.

PAID TO THE PERSON WHO SHOULDERED THE

FUNERAL EXPENSES.

SSS Code

ART. 61. The funeral benefit shall be paid upon the death of a covered employee, permanently totally disabled employee or retiree.ART. 63. As a general rule, the funeral benefit shall be paid to the following persons in this order*:

(1.) The spouse;(2.) The descendants of the nearest degree;(3.) The ascendants of the nearest degree;(4.) The brothers and sisters.

In case of descendants of the same degree or brothers and sisters, the oldest shall be preferred. In the case of ascendants, the paternal shall have a better right.

EXCEPTION: The foregoing provision shall not apply should notice be received by the System before payment, from any other person, that he has actually defrayed the funeral expenses, in which case payment shall be made to him.

Section 5. Funeral benefit

OFFICE ORDER NO. 189. V Fact of Death (FOD) prior to payment from two sources

Funeral parlor ChurchHospital EmployerNBI/Police Brgy. CaptainDSWD/NDCC Townspeople/NeighborsCemetery

No Need for FOD

With certificate from an SSS officer.Member died abroad and death certificate is duly certified

by the Philippine Consulate. Death is known by General Public.Member died in a sea mishap without recovering his/her

body and fact of death is supported by a Marine Protest and Passengers Manifest or Quit Claim authenticated by employer.

Death certificate issued by a Tertiary Hospital.Certification from Memorial Company that member

used a memorial plan.

OFFICE ORDER NO. 2011 – 069

INVESTIGATION AND EVALUATION OF FUNERAL AND DEATH CLAIMS FOR MEMBERS WITH LESS THAN SEVEN (7) MONTHLY CONTRIBUTIONS

A. Verification of coverage of deceased member through the Inspectorate Section shall be conducted in any of the following conditions:

1. Date of death is within twelve (12) months from date of coverage;

2. No date of coverage per On-line Inquiry but has proof of coverage/employment;3. With date of coverage but without posted contribution;4. Employed by a single proprietor who was either his son,

daughter, spouse or parent who was covered prior to 24 May 1997, and still employed on or after the said date.


B. Verification of coverage shall no longer be required if: (in any of the following conditions):

1. Date of death is beyond 12 months from date of coverage;2. Coverability has already been determined/established based on

available SSS records as follows:

a. For Covered Employeea.1 Employment Report (SS Form R1-A); ora.2 Contribution Collection List (SS Form R-3)

b. For Self-Employed (SE) Memberb.1 Self-Employed Data Record (SS Form RS-1); andb.2 Validated Contributions Payment Return (SS Form RS-5) or

SS Form RS-5 with Special Bank Receipt (SBR)

c. For Overseas Workerc.1 Overseas Worker Record (SS Form OW-1) ; andc.2 Validated Contributions Payment Return (SS Form

RS-5) or SS Form RS-5 with Special Bank Receipt (SBR)

d. For Non-Working Spoused.1 Non-Working Spouse Record (SS Form NW-1);

andd.2 Validated Contributions Payment Return (SS Form

RS-5) or SS Form RS-5 with Special Bank Receipt (SBR)


B.

DOCUMENTS NEEDED

OFFICIAL RECEIPT FROM THE FUNERAL PARLOR

FUNERAL CLAIM APPLICATION

DEATH CERTIFICATE DULY REGISTERED WITH THE LOCAL CIVIL REGISTRAR/NATIONAL STATISTICS OFFICE (NSO)*

PROOF OF FILIATION IF TO CLAIM UNDER THE SSS CODE.

SSS ID OR TWO VALID IDS AT LEAST ONE W/ PICTURE

*OTHER PROOFS OF DEATH

OTHER PROOFS OF DEATH

IF DEATH CERTIFICATE IS NOT AVAILABLEFROM LCR OR NSO:

• DEATH CERTIFICATION ISSUED BY PARISH/CHURCH; ORBURIAL CERTIFICATION FROM THE CEMETERY ADMINISTRATOR WITH CERTIFICATION OF NON-AVAILABILITY BY LCR AND NSO

IN CASE OF LATE REGISTRATION:

• DEATH CERTIFICATION ISSUED BY PARISH OR BURIAL CERTIFICATION FROM THE CEMETERY ADMISTRATOR AND PROPERLY FILLED-OUT AFFIDAVIT AT THE BACK OF THE DEATH CERTIFICATE EXPLAINING THE REASON FOR THE DELAY


FOR MISSING PERSONS DURING EMERGENCIESAND DISASTERS:

• CERTIFICATE OF MISSING PERSON BELIEVED TO BE DEAD IN

TIMES OF DISASTER FROM NATIONAL DISASTER RISK

REDUCTION AND MANAGEMENT COUNCIL; AND

• NOTARIZED UNDERTAKING EXECUTED BY CLAIMANT IN THE

FORM PRESCRIBED BY THE SYSTEM STATING THE FUNERAL

BENEFIT SHALL BE RETURNED SHOULD MEMBER APPEAR AND

PROVEN TO BE ALIVE


FOR VICTIMS OF AIR OR SEA MISHAP:

BODIES WERE NOT RECOVERED BUT NAMES APPEARED IN THE PASSENGER MANIFEST, ANY OF THE FOLLOWING IN ADDITION TO THE UNDERTAKING:

• MARINE PROTEST ISSUED BY THE PHIL. COAST GUARD AND PASSENGER’S MANIFEST ISSUED BY THE SHIPPING COMPANY

• PASSENGER’S MANIFEST ISSUED BY AIRLINE COMPANY• MARINE PROTEST SUPPORTED BY QUIT CLAIM OR FAX MESSAGES

FROM THE MANNING AGENCY RE THE DISAPPEARANCE AND AUTHENTICATED BY EMPLOYER

• CERTIFICATION FROM THE SHIPPING/AIRLINE COMPANY OR PHIL. COAST GUARD OR INTER-AGENCY TASK FORCE CREATED BY THE PRESIDENT OF THE PHILS.


BODIES WERE NOT RECOVERED AND NAMES DID NOT APPEAR IN THE PASSENGER MANIFEST, ANY OF THREE OF THE FOLLOWING IN ADDITION TO THE UNDERTAKING:

• CERTIFICATION FROM EMPLOYER THAT VICTIM HAS NOT REPORTED FOR WORK FROM THE TIME THE ACCIDENT HAPPENED UP TO THE PRESENT TIME, IF EMPLOYED

• CERTIFICATION FROM BARANGAY CHAIRMAN ON THE DISAPPEARANCE OF THE MEMBER AND A JOINT AFFIDAVIT OF TWO PERSONS PREFERABLY IMMEDIATE RELATIVES OF THE DECEASED MEMBER THAT IT IS A COMMON KNOWLEDGE WITHIN THE BARANGAY THAT VICTIM DIED IN THE ACCIDENT, IF UNEMPLOYED


• LIST OF PASSENGERS, WHERE THE NAME OF THE VICTIM APPEARS, COMPILED BY THE DEPT. OF LOCAL GOVERNMENT AND DULY CERTIFIED BY THE CHAIRMAN OF THE GOVERNMENT’S INTER-AGENCY TASK FORCE CREATED BY THE PRESIDENT OF THE PHILS.

• CERTIFICATION FROM THE SHIPPING/AIRLINE COMPANY STATING THAT IT HAS RECOGNIZED THE FACT THAT THE VICTIM WAS ABOARD THE SHIP/AIRPLANE DURING THAT PARTICULAR TRIP

• AFFIDAVIT OF AT LEAST TWO PERSONS STATING THAT THEY SAW THE DECEASED ACTUALLY BOARD OR ACTUALLY ON BOARD THE SHIP/AIRPLANE ON ITS LAST, ILL-FATED VOYAGE

• DUPLICATE COPY OF TICKETS FILED BY THE SHIPPING/AIRLINE COMPANY

• COAST GUARD REPORT

FOR MISSING PERSONS WITHOUT CREDIBLE PROOF OFDEATH:

THE FOLLOWING ARE NEEDED IN ADDITION TO THE UNDERTAKING:

• POLICE INVESTIGATION REPORT CONDUCTED IMMEDIATELY AFTER THE DISAPPEARANCE OF THE MEMBER WHICH TENDS TO SHOW THAT THE MEMBER IS ALREADY DECEASED; AND

• CONFIRMATION REPORT FROM POLICE AUTHORITY OR OTHER GOVERNMENT AGENCY AFTER FOUR (4) YEARS OR SEVEN (7) YEARS FROM DATE OF DISAPPEARANCE OF THE MEMBER TO THE EFFECT THAT MEMBER HAS NOT YET BEEN FOUND.

WHEN SHALL BE THE PRESUMPTIVE DEATH OF A

MISSING PERSON

Art. 391 of the Civil Code – After an absence of

four years, on the date of disappearance if with

imminent danger.

Art. 390 of the Civil Code – After an absence of seven years, on the last day of the period of absence if missing under ordinary circumstance

COMPENSABILITY UNDER EC

1. Death from an injury which is the result of an accident arising out of and in the course of the employment

2. Death from sickness which is the result of an occupational disease

NOT COMPENSABLE

DEATH DUE TO Member's:

1. Intoxication;

2. Willful intention to injure or kill himself or another; or

3. Notorious negligence.

DOCUMENTS NEEDED

REPORT OF DEATH / ACCIDENT REPORT DULY ACCOMPLISHED BY THE EMPLOYER

STATEMENT OF DUTIES AND RESPONSIBILITIES

POLICE INVESTIGATION REPORT OR EMPLOYER’S REPORT OF INJURY, DEATH OR CASUALTY SPOT REPORT, WHEN APPLICABLE

IF CAUSE OF DEATH IS WORK-CONNECTED:

IF CAUSE OF DEATH IS WORK-CONNECTED:

MISSION/JOB OR TRAVEL ORDER, WHEN APPLICABLE

PHOTOCOPY OF PAGE OF THE COMPANY LOGBOOK / RECORD OF ACCIDENT SIGNED BY THE EMPLOYER OR,

HARD COPY OF THE ELECTRONIC FILE OF THE EMPLOYER RECORDING THE CONTINGENCY.

ALL EMPLOYERS SHALL KEEP A LOGBOOK TO RECORD CHRONOLOGICALLY THE SICKNESS , INJURY OR DEATH OF THEIR EMPLOYEES.

FAILURE TO RECORD SHALL MEAN ER LIABILITY OF 50% OF THE LUMP SUM EQUIVALENT OF THE BENEFIT.

PD 626, ART 205

EXERCISES (5 Cases)Prepare:

1. Facts of the case

2. Recommendation

Indicate:a. Amount of Benefit dueb.Lacking Document/s, if any

Government & Nonprofit

MSS Reviewer