O:llr: Philippine Health Insurance Corporation
O:llr: Philippine Health Insurance Corporation
O:llr: Philippine Health Insurance Corporation
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PHILHEALTH CIRCULAR
No. O:llr Zvl~
Tide III, Rule I, Section 6(t) of the Implementing Rules and Regulations of Republic Act
7875 as amended mandates Phi!Health to establish and maintain an updated membership
and contribution database.
To Jiifftll this mandate, we are further strengthening our engagement with the employers through the
Phi/Health Employer Engagement &presentatives (PEERs) who shall be assigned and authorized by
their respective employers to seroe as o.f!icialpoint persons/ account o.f!icers.
The PEERs will help the employers to ensure that the membership and contribution records of their
agency/ compm!J, among others, are updated with Phi/Health. The PEERs will also seroe as the link
between the employer and Phi/Health in the effective dissemination ofpertimnt ill[ormation regarding the
latest Phi/Health issuances conceming the FormalS ector.
2. FUNCTIONS OF PEERs
PruviLEGES
3.1 Direct link and easy access to Phi!Health through the P AIMS assigned to the
employer.
3.3 Priority to available training courses on Social Health Insurance (SHI) and the
National Health Insurance Program (NHIP), and other related activities of
Phi!Health.
4. REGISTRATION
4.1 The PEER shall fill-out and submit the PEER Information Sheet. (Annex A)
4.2 Thry will be given a certification stating their rights and responsibilities as PEER of their
employer.
5. EFFECTIVITY
This Circular shall take effect 15 s after its publication in any newspaper of general
be depo ·ted at the National Administrative Register at the
aw Center.
INFORMATION SHEET
IF~mli'JI lflr11 N•rnel (Mlddlo: Name) ISullb)
Name
Mailing Address
EIV!PLOYEn !NFO!!!\..llAT!ON
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Name of
Company/Agency
l-lt":1r! nf
ornce/Owner
Mailing Address
ADDITIONALID INFORMATION
1 X liD Picture
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(Sign<~tUrP. over Printed Nilme)
1- ~ P~ALTH
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~·,. Republic of.thc Philippines ANNEX13,
~ PHILIPPINE HEALTH INSURANCE CORPOR~TION
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Cltystate Centre Building. 709 Shaw Boulevard, Pasls City
Health line 441-7444 www.phllhealth.gfl\l.ph
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NON-DISCLOSURE AGREEMENT
Should you be Identified as a Phi/Health Employer's Engagement Representative (PEER), please be lnfonned
that:
Employer and employee-member infonnafion from any source and In any forjll (I.e, written, verbal or electronic)
is confidential. Access to these pieces of infonnation Is allowed ONLY If it Is needed for you to effectively and
efficientiy perfonn your tasks as a PEER.
In the course of the perfonnance of your tasks as il PEER, you ma}'-come across confidential infonnation about
)> EMPLOYER (registiation records, premium remittance records, billing, and the· like)
)> EMPLOYEE-MEMBERS (past and current hospital records; conversations, 'billing lnfonnatlon, contact
infonnatlon, salaries, employment records, complaints, benefit availment, and the like)
)> OTHER PHILHEALTH DATA (summons, filed cases, survey results, reports, and the like)
./ PROTECT the privacy of your employer, employee-members and other stakeholders· at all times?
./ ONLY access the lnfonnafion needed to effectively and efficiently discharge your tasks as a PEER?
./ NOT misuse or be Imprudent with confidentlallnfonnatlon?
./ ENSURE that documents containing confidential infonnation are disposed, If needed, properly In the manner
that will preclude others from knowing such confiaential infonnatlon?
./ KEEP your·usemame and password secret and not share these pieces of infonnation to anyone?
./ NOT use usemame and password other than my own In accessing any Phl!Heallh lnfonnallon System?
./ Be RESPONSIBLE for the use or misuse of corifidentiallnfonnallon?·
./ NOT make any unauthorized copies of PhiiHeallh's ~lata, statistlcs,. and other related infonnation?
./ NOT share any confidential infonnatlon even if you are no longer connected with .the employer who identified
you as its PEER?
./ REPORT any unauthorized use or disclosure of confidential health Jnfonnatlon?
YES 0 NO 0
I fully und.erstand the concepts regarding confidentiality and privacy of confidential health infonnatlon. In
addition, I also know,and agree that my failure to fulfill any of the agreements set forth In this Agreement and/or
my violations of any tenns of this Agreement shall result In my being subject to appropriate disciplinary andlor
legal action. •
Name of Agency/Corporation:
Name and Signature of Immediate Superior. Date signed:
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("> PHILHEALTr-
In trlpDcale: I~ M 'I.P.F.:SA/L OUIAOIT
PhiJH..)th Regional Olllce .· .. ~ •.- .,, Ctll~~f·RCI.MS i
PhiJHealth Employefs Ergegement Represantalive !PEER) 0"''
lmmedlale SUpenor or the PEER (':-·- ... -·'TRUE CO
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tcamphilhealth I7{J www.fnccbnok.C<)miPhiiHoolth ~ [email protected]