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ENROLLMENT OF MEMBERS with 6 and above PhilHealth Member Registration Forms (PMRFs)

You get bulk registration of six or more members and receive their Member Data Records and ID cards.

At a glance

  • Office: Local Health Insurance Offices (LHIOs)
  • Classification: Simple
  • Who may apply: All Filipinos and Foreign Nationals
  • Total fees: None
  • Total processing time: 2 days and 6 hours**

Requirements

RequirementWhere to get it
PhilHealth Member Registration Form (PMRF)Public Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO)
Duly accomplished PhilHealth Member Registration Form (PMRF) (1 original copy) - For all MembersPublic Assistance and Complaint’s Desk (PACD) PhilHealth Website (www.philhealth.gov.ph/downloads) or in any PhilHealth Local Insurance Office (LHIO)
Report of Employee-Member (ER-2) duly signed by the Head of the Agency/Authorized Representative (2 original copies) - For Employed (Private or Government) and Migrant Worker (Sea-based) MembersEmployer
Birth Certificate/Any valid Government-issued ID with DOB/Notarized Affidavit of 2 disinterested persons attesting to the date of birth (1 photocopy) - For ALL MembersPhilippine Statistics Authority (PSA)/Local Civil Registrar (LCR)/Government ID-issuing Agency/Notary Public
Office of the Senior Citizens Affairs (OSCA) ID / Any valid Government-issued ID with Date of Birth/Notarized Affidavit of 2 disinterested persons attesting to the date of birth (1 photocopy); Transmittal List - Senior CitizenOffice of the Senior Citizen Affairs (OSCA)/Government ID-issuing Agency/Notary Public; OSCA of Local Government Units (LGUs)
Certificate of Financial Assessment (1 original copy); Transmittal List - Financially Incapable (FI)Medical Social Worker of Hospitals/City/Municipal Social Welfare Officer (MSWDO) of Local Government Units (LGUs); LGUs
Letter of Intent/Memorandum of Agreement/Non-Disclosure Agreement (1 original copy); Certified List - Group Enrolment Program (GEP)GEP Partner
Marriage Certificate/Contract with Registry Number (1 photocopy) - Dependent SpousePhilippine Statistics Authority (PSA)/Local Civil Registry (LCR)
Marriage Certificate stamped “Received” by the Philippine Embassy or Consular Office exercising jurisdiction over the place of marriage or copy of the Marriage Contract duly issued by the PSA indicating that such marriage has been registered thereat (1 photocopy) - Dependent Spouse (for Marriage which took place abroad)Philippine Embassy / Consular Office in the country where the marriage took place / PSA
Affidavit of Marriage issued by the National Commission on Muslim Filipinos which passed through Shari’a Court and must be registered/authenticated in the PSA (1 photocopy) - Dependent Muslim SpousePSA
Birth Certificate / Baptismal Certificate with Registry Number (1 photocopy) or, Notarized Affidavit of 2 disinterested persons attesting to the date of birth (1 original copy) - Dependent Children (Unmarried and unemployed, legitimate, illegitimate children below 21 years old)PSA/LCR/Church where the baptism took place
Court Decree of Adoption (1 photocopy) - Dependent Children (Legally adopted children below 21 years old)Trial Court where the adoption proceedings took place
Marriage Certificate with Registry Number between the biological parents and stepmother/stepfather (1 photocopy); Birth Certificates with Registry Number of the Stepchildren (1 photocopy) - Dependent Children (Stepchildren below 21 years old)PSA/LCR; PSA/LCR
Birth Certificate with Registry Number (1 photocopy); Medical Certificate issued by the Attending Physician stating and describing the extent of disability as diagnosed in the past 6 months and when the disability was acquired (1 original copy) - Dependent Mentally or Physically Disabled Children who are 21 years old or abovePSA/LCR; Attending Physician
Birth Certificate with Registry Number / Foundling Certificate / Child Profile (1 photocopy); Foster Family Care License and Foster Placement Authority (FPA) (1 photocopy) - Dependent Foster Children as defined in RA 10165 (Foster Care Act of 2012)PSA / DSWD; FPA
Medical Certificate issued by the Attending Physician stating and describing the extent of disability as diagnosed in the past 6 months and when the disability was acquired (1 original copy); Birth Certificate of Member (1 photocopy) - Dependent Parents below 60 years old but with permanent disability (IRR Sec. 3 or RA 10606)Attending Physician; PSA

Steps

What you doWhat the office doesFeeTime
Get queuing number and wait for the number to be called.Issue queuing number and advise client to proceed to designated counter when the number is called. (PACD)None1 hour and 1 minute
Submit duly accomplished PhilHealth forms and corresponding documentary requirementsReceive forms and documentary requirements (Frontline Officer)None5 minutes
Cross match actual forms versus transmittal list (Frontline Officer)None1 hour
Endorse forms and documentary requirements for backroom processing (Frontline Officer)None10 minutes
Screen forms and documents as to completeness and accuracy (Backroom Officer)None1 hour
Encode the data entries (Backroom Officer)None2 days
Print the MDR and PIC (Backroom Officer)None2 hours
Endorse MDR and PIC for frontline releasing (Backroom Officer)None10 minutes
Validate the accuracy of encoded data in the MDR and PICEndorse for checking (Frontline Officer)None30 minutes
Receive/Acknowledge receipt the MDR and PICRelease MDR and PIC (Frontline Officer)None4 minutes

Source

Read from the office's Citizen's Charter by Muse Spark. Fees and steps change: check the PDF and the office before you go.

ENROLLMENT OF MEMBERS with 6 and above PhilHealth Member Registration Forms (PMRFs) | PhilHealth (unofficial RE:GOV concept) · RE:GOV