SSS Maternity Benefit Claim for Miscarriage

 Updated February 25, 2019

Here’s a list of documents that you need to submit when filing your SSS maternity benefit claim for miscarriage:

FOR COMPLETE MISCARRIAGE:
(Raspa or D&C was not performed)

1.  Maternity Benefit Application (if Voluntary, Self-employed, OFW or Separated)

Maternity Benefit Reimbursement Application (if Employed)

2.  Maternity Notification
(stamped by SSS before date of miscarriage)

Note: If you were not able to file your Maternity Notification before miscarriage, fill up a Maternity Notification form, and then attach a letter to SSS explaining why your Maternity Notification was not filed before miscarriage.

3. SSS ID card
(or your SSS ID application acknowledgment stub
and 2 valid IDs with signature and at least 1 ID
with photo)

4. Obstetrical History indicating number of pregnancies and
Hydatidiform Mole (H-mole), certified by attending doctor,
with PRC License No., printed name and signature

5. Pregnancy Test result before and after miscarriage
or Ultrasound Report before and after miscarriage

6. Medical Certificate, indicating circumstances of miscarriage, with explanation of why D and C or Raspa was not performed, issued by attending doctor
 

 
FOR INCOMPLETE MISCARRIAGE:
(Naraspa or D&C was performed)

1.  Maternity Benefit Application (if Voluntary, OFW, Self-Employed, or Separated)

Maternity Benefit Reimbursement Application (if Employed)

2.  Maternity Notification
(stamped by SSS before date of miscarriage)

Note:  If  you were not able to file your Maternity Notification before miscarriage, fill up a Maternity Notification form and attach a letter, addressed to SSS, explaining why you were not able to file your notification before miscarriage.

3. SSS ID card
( or your SSS ID application acknowledgment stub
and 2 valid IDs with signature and at least 1 ID
with photo)

4. Obstetrical History indicating number of pregnancies and
Hydatidiform Mole (H-Mole), certified by attending doctor,
with PRC License No., printed name and signature

5. Dilatation & Curettage (D&C) Report,
certified by authorized hospital representative

6. Histopathology Report, certified by authorized hospital representative

7. Pregnancy Ultrasound Reports or Pregnancy Test results
before and after D&C

8. SSS might require additional documents if basic documents are defective or
not valid

FOR SEPARATED, PREVIOUSLY EMPLOYED, SELF-EMPLOYED, or VOLUNTARY MEMBERS:

If your miscarriage occurred while employed or within 6 months of your date of separation from your company, submit these additional documents:

.  Certificate of Separation from Employment,
with effective date of separation
.  Certification of Non-Advancement of Maternity Benefit
(certification from employer that no advance payment was granted to you)
. Two sheets of L501 Form from your former Employer
– The signatory in all these 3 documents should be the same person.
– The signatures in all 3 forms should be the same.
– When you go to your former company to ask for L501, bring 2 sheets of L501 form in case your former employer does not have this form. You can get this from SSS or you can download from sss.gov.ph

NOTE:
Remember that the maternity benefit is a payment for the no. of days you missed work due to child delivery or miscarriage, so you should take your maternity leave, as this is the type of leave being paid by the SSS maternity benefit.

Make sure also that you’re eligible for the maternity benefit based on the basic requirements, such as no. of contributions within the 12-month period before your semester of delivery.

For Those Who Went AWOL, or Have a Labor Complaint Against Their Former Company, or Have Strained Relations with Their Former Employer,

you can use this Affidavit of Undertaking form, issued by SSS.

Here’s helpful information from Michelle who filed her SSS Maternity Claim for Miscarriage in May 2016:

I had filed my Maternity Claim for MISCARRIAGE (Incomplete Abortion with D&C Procedure) this May 30,2016. I wasn’t able to talk to the doctor (cause there’s none on duty), so I was told to go back on June 1 for approval.

I just got my claim and was APPROVED already (yeey!) and luckily my company would reimburse me right away this coming pay-out. Here is the list of the documents I’d submitted. Hope this will be of great help.

  • MAT2
  • Med certificate (Orig copy)
  • Complete Obstetrical History (form available at SSS or your HR Dept)
  • Clinical Case summary/medical abstract (Certified true copy)
  • Discharge summary (certified true copy)
  • Surgical Memorandum (certified true copy)
  • Histopathogy Report (certified true copy)
  • Mat 1
  • Ultrasound result before my miscarriage (certified true copy)

(I didn’t have ultrasound result after since I have other supporting docs)

  • Photocopy of valid IDs
  • Anesthesia Record (I guess this was just a supporting document but will be given still by the hospital)
  • Our HR dept also provided me with my cert of contributions to SSS for the past 6 months (but I guess this is just a supporting doc also)

P.S.
Make sure to have the hispathology report to be certified true copy because this was a big issue with my colleague’s application. Since it was done by another lab, the hospital refused to certify it and SSS wants it certified.
If your hospital is also conducting the same test, better do it there if the price is reasonable. I got mine at P1,200 but the price range outside is from 900-2500 depending on the laboratory.
And lastly, make sure the date of your procedure would be the same in all your documents to avoid inconvenience at SSS.
I hope this will help because before I was confused with the list of requirements given by SSS as what were given at the Record Section because they were labeled differently.

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  569. Nora November 3, 2016
  570. Michelle November 3, 2016
  571. Nora November 3, 2016
  572. Nora November 3, 2016
  573. Sophie November 2, 2016
  574. Zandra Marie Onayan November 2, 2016
  575. Nora November 1, 2016
  576. sandra November 1, 2016
  577. Nora November 1, 2016
  578. Sophie October 31, 2016
  579. Nora October 31, 2016
  580. Jam October 26, 2016
  581. Nora October 26, 2016
  582. Sophie October 25, 2016
  583. Nora October 25, 2016
  584. Nora October 25, 2016
  585. Sophie October 24, 2016
  586. Jane October 24, 2016
  587. Nora October 23, 2016
  588. Paulina Cuenca October 22, 2016
  589. Nora October 22, 2016
  590. Nora October 22, 2016
  591. Jane October 22, 2016
  592. Joy October 21, 2016
  593. Nora October 19, 2016
  594. Jiza Requina October 19, 2016
  595. Michelle Francis,o October 19, 2016
  596. Nora October 5, 2016
  597. maria corazon barbosa October 5, 2016
  598. Nora September 30, 2016
  599. Janel September 30, 2016
  600. Nora September 26, 2016
  601. joan September 25, 2016
  602. joan September 25, 2016
  603. Nora September 25, 2016
  604. Mhi September 23, 2016
  605. Nora September 21, 2016
  606. Nora September 21, 2016
  607. Ara September 20, 2016
  608. Ayca September 19, 2016
  609. Nora September 19, 2016
  610. Spot September 18, 2016
  611. Nora September 16, 2016
  612. Isay September 16, 2016
  613. Girlie September 13, 2016
  614. Nora September 11, 2016
  615. Nora September 10, 2016
  616. Girlie September 10, 2016
  617. Angel September 10, 2016
  618. Nora September 7, 2016
  619. Jadeen September 6, 2016
  620. Nora September 5, 2016
  621. Glaedyn September 5, 2016
  622. Nora September 5, 2016
  623. JANICE September 5, 2016
  624. Nora September 4, 2016
  625. Spot September 3, 2016
  626. Nora September 1, 2016
  627. judy castillo September 1, 2016
  628. Nora August 31, 2016
  629. rhen August 30, 2016
  630. Nora August 25, 2016
  631. Nora August 25, 2016
  632. Michelle Anthonette R. Eusebio August 24, 2016
  633. mizpah August 21, 2016
  634. Nora August 17, 2016
  635. Joamie August 16, 2016
  636. SHIRLEY August 13, 2016
  637. victoria August 8, 2016
  638. mizpah July 24, 2016
  639. Joanna July 17, 2016
  640. khaycee July 16, 2016
  641. Joanne July 16, 2016
  642. Nora July 11, 2016
  643. Morena lampas July 11, 2016
  644. princess July 7, 2016
  645. Nora July 6, 2016
  646. Nora July 6, 2016
  647. christine July 4, 2016
  648. mary joy domingo castillo July 4, 2016
  649. Nora July 2, 2016
  650. Mary anne July 1, 2016
  651. Nora June 26, 2016
  652. mizpah June 25, 2016
  653. Nora June 24, 2016
  654. Juliefer Racaza June 23, 2016
  655. Rhoda Fernando June 17, 2016
  656. Rhoda Fernando June 17, 2016
  657. Nora June 14, 2016
  658. Jesa June 13, 2016
  659. Nora June 5, 2016
  660. Mary ann pereli June 5, 2016
  661. Nora June 4, 2016
  662. michelle June 3, 2016
  663. michelle June 3, 2016
  664. Nora June 1, 2016
  665. Erika June 1, 2016
  666. Nora June 1, 2016
  667. Nora June 1, 2016
  668. ann cris valiroso June 1, 2016
  669. michelle June 1, 2016
  670. Katheleen dela Rosa May 21, 2016
  671. Nora May 21, 2016
  672. Katheleen dela Rosa May 20, 2016
  673. Nora May 20, 2016
  674. Nora May 20, 2016
  675. Michelle D. Reyes May 20, 2016
  676. michelle May 20, 2016
  677. Nora May 20, 2016
  678. michelle May 18, 2016
  679. Katheleen dela Rosa May 16, 2016
  680. aprill natiola May 16, 2016
  681. Celle May 12, 2016
  682. Nora May 10, 2016
  683. mae May 8, 2016
  684. beverlyn gopez May 6, 2016
  685. liah May 6, 2016
  686. beverlyn gopez May 6, 2016
  687. Nora May 6, 2016
  688. liah May 6, 2016
  689. beverlyn gopez May 5, 2016
  690. beverlyn gopez May 5, 2016
  691. Nora May 5, 2016
  692. Yna May 4, 2016
  693. Nora May 4, 2016
  694. Nora May 4, 2016
  695. Sie May 4, 2016
  696. liah May 4, 2016
  697. Yna May 3, 2016
  698. Nora April 27, 2016
  699. Katheleen dela Rosa April 27, 2016
  700. Sel April 27, 2016
  701. Nora April 26, 2016
  702. Sel April 26, 2016
  703. Nora April 26, 2016
  704. Nora April 26, 2016
  705. Sel April 26, 2016
  706. Maricel April 25, 2016
  707. Maricel April 25, 2016
  708. Nora April 19, 2016
  709. Nora April 19, 2016
  710. Maricel April 18, 2016
  711. Maricris April 15, 2016
  712. Maricris April 15, 2016
  713. Nora April 15, 2016
  714. Ayene Lorenzo April 14, 2016
  715. Nora April 14, 2016
  716. Freyleen April 13, 2016
  717. Nora April 13, 2016
  718. Katheleen dela Rosa April 12, 2016
  719. Grace Salaza April 6, 2016
  720. Nora April 5, 2016
  721. jam April 5, 2016
  722. liah April 4, 2016
  723. Nora April 4, 2016
  724. Ana Marie Vasquez April 3, 2016
  725. jenelyn lipez April 1, 2016
  726. Nora March 31, 2016
  727. Grace March 30, 2016
  728. regina a. prado March 28, 2016
  729. Nora March 22, 2016
  730. mitch March 22, 2016
  731. Nora March 19, 2016
  732. Erika March 18, 2016
  733. Nora March 15, 2016
  734. Emilyn March 14, 2016
  735. Nora March 12, 2016
  736. Arlene cEtra March 12, 2016
  737. Nora March 10, 2016
  738. Erika March 10, 2016
  739. Nora March 8, 2016
  740. Mary Janille Briones March 6, 2016
  741. Nora March 5, 2016
  742. Erika March 5, 2016
  743. Erika March 5, 2016
  744. Erika March 5, 2016
  745. Nora March 2, 2016
  746. Nora March 2, 2016
  747. Nora March 2, 2016
  748. reg March 2, 2016