015020001075
Private
AGLAYAN PHOENIX STATION
SPA NO : SPA100004948755
DATE : 02/19/2016
500.00
Employer Share
500.00
_____________
Amount Due :
Interest Incurred :
1,000.00
0.00
_____________
1,000.00
_____________
_____________
1,000.00
EPRS 6 EASY STEPS IN PREMIUM PAYMENTS
(Timelines)
(Requirement)
Mandatory
Optional
Mandatory
Mandatory
Mandatory
Mandatory
Note :
1. This Statement of Premium Account reflects the total amount due based on membership records as of the last day of the applicable month
2. The total amount due in this SPA shall only pertain and apply to the total amount of premium remittance for the applicable month for which this SPA
was generated. Any arrearages, interest incurred from unpaid remittances, penalty and surcharges that may be due from the employer shall not be
deemed included hereof, unless it is otherwise specifically stated in the SPA.
3. PhilHealth Circular No. 057, s.2012 states that the premium contributions for the Employed Sector, starting January to December 2013 only, shall be in
accordance with the following premium contribution schedule using the following baselines:
a. Premium rate at 2.5% of the basic monthly salary
b. Use of salary bracket
c. Salary bracket floor shall start at P7,000.00
d. Salary bracket ceilling shall be at P35,000.00
4. Please Print the SPA as your supporting document to the disbursement voucher. To remit your contribution, please detach and bring the PPPS to
your nearest PhilHealth LHIO or Business Center or to our Accredited Collecting Agents (ACAs).
................................................................. Cut-off Here .....................................................................
015020001075
AGLAYAN PHOENIX STATION
January 2016
Amount of Premium:
Employee Share
Employer Share
500.00
500.00
_____________
Amount Due :
Interest Incurred :
1,000.00
0.00
_____________
1,000.00
_____________
_____________