9

systems;

Despute-Resolution

Bianca Alana Hizon Limjuco

1. The GSIS shall have original

& exclusive jurisdiction to settle
any dispute arising under this
Act & any other laws
administered by the GSIS.
2. Appeals from any decision
or award of the Board shall be
governed by Rules 43 & 45 of
the 1997 Rules of Civil
Procedure.

1. Dispute arising with respect to

coverage, benefits, contributions
& penalties shall be heard by the
Commission.
2. The decision of the
Commission upon any disputed
matter may be reviewed both
upon the law & the facts by the
Court of Appeals.

Agrarian Law & Social Legislation

Grievance & Appeal Procedures.

A member, a dependent, or a
health care provider may file a
complaint for grievance based
on any of the above grounds, in
accordance with the following
procedures:
(a) A complaint for grievance
must be filed with the
Corporation which shall refer
such complaint to the Grievance
& Appeal Review Committee.
The Grievance & Appeal Review
Committee shall rule on the
complaint through a notice of
resolution within sixty (60)

groups, & waiver or

suspension of coverage or its
enforcement for reasons
herein stated;
(c) Grounds for & effects of
termination of membership
other than by completion of
term;
(d) Fund earnings & their
distribution, investment &/or
plowing back for the exclusive
benefit of the members;
(e) Interim disbursements of
accumulated values to
members of ameliorative &
similar purposes;
(f) Housing & other loan
assistance programs for
members;
(g) Adjudication & settlement
of claims & disputes & the
procedures for the same on
any matters involving the
interests of members in the
Fund;
(h) Optimize the effectiveness
of the initial coverage drive
through phased
implementation based on
reasonable classifications of
ERs &/or EE groups; &
(i) Other matters that, by
express or implied provisions
of this Act, shall require
implementation by appropriate
policies, rules & regulations.
The Fund shall have original &
exclusive jurisdiction over all
claims & disputes on any
other matter relative to the
implementation of the
provisions of RA 9679 & these
Rules affecting the rights &
interest of the members. The
decision of the Chief Executive
Officer of the Fund shall final
& executory, unless appealed
to the Board, after the lapse of
30 days from receipt by the
aggrieved party of such
decision. The decision of the
Board shall, unless appealed

Atty. Berne Guerrero

10
calendar days from receipt
thereof.
(b) Appeals from the decision of
the Grievance & Appeal Review
Committee must be filed with the
Board within thirty (30) calendar
days from receipt of the notice of
resolution.

Bianca Alana Hizon Limjuco

Agrarian Law & Social Legislation

to a competent court, become

final & executory after 15 days
from receipt of such decision.

Atty. Berne Guerrero