All banks whether commercial, thrift or rural bank with five (5) branches or more as defined in Subsection 1604.6 (Book I) and 3604.6 (Book III) of the Manual of Regulations of Bangko Sentral ng Pilipinas (BSP) as amended, can apply as collecting agent of the Philippine Health Insurance Corporation (PhilHealth).
Benefits
What are the benefits of Accredited Collecting Agents (ACAs) from PhilHealth
1) The bank will be given 15-day float period within which to consolidate and remit premium collections.
2) As partner of PHIC, the bank will have the opportunity to serve PhilHealth members.
Responsibilities
What are the responsibilities of Accredited Collecting Agents (ACAs)
1) Upon approval of accreditation, the applicant bank together with its head offices and branches, as collecting agent of PhilHealth, must be willing to accept premium contributions from PhilHealth members classified as follows:
Member Type Remittance Period
Government and Private Sector Monthly
Individually Paying Member(self-employed/ voluntary/OFW) Quarterly/Semi-annually/Annually
Indigent Member As per contract agreement
2) Collections from members shall be remitted to PhilHealth by means of Managers Check or inter-branch deposit on the following schedule:
Collection Period Due Date Grace Period
1st to 15th day of the month 25th day of the month Five (5) calendar days
16th to 31st day of the month 10th day of the following month Five (5) calendar days
Note: If the last day of the period falls on Saturday, Sunday or Non-Working Day, remittance shall be made not later than the last working day within the grace period.
3) The Head Office of the Bank shall submit to Treasury Department of PhilHealth within the specified period the following reports and documents:
a. Bank Remittance Report (RF2a)
b. Abstract of Daily Collection (RF2)
c. Duly validated PhilHealth Agents Receipt (PAR) and
Contribution Payment Return Form (CPR) (green copy)
d. Other reports required by PhilHealth
4) The bank will undertake information dissemination campaign regarding arrangements embodied in the agreements. It will also distribute and allow to be posted in all its branches nationwide PhilHealth posters and information materials needed for effective collection of premium.
5) The bank will be directly liable for damages or losses caused to PhilHealth or its member for any anomaly or irregularity in any transaction covered by agreement arising out of gross negligence of the Banks employees as may be established after due investigation in an appropriate proceedings.
6) The Head Office of the bank shall be responsible in monitoring the supply of Payment Forms (ME5 and MI5).
1. The interested bank shall apply in writing as follows:
For applicants located in NCR and Metro Manila areas
Chita S. Marzan
Chairperson on Accreditation of Collecting Agents
Manager, Finance Dept.
Rm. 1708, 17th Flr.,
709 CityState Bldg., Brgy Oranbo,
Shaw Blvd., Pasig City
For applicants located in Provincial areas
PRO CAR-Baguio CityAVP, Elvira C. Ver4/F SSS Bldg., Harrison Road, Baguio City, 2600PRO I-Dagupan CityAVP, Ernesto V. Beltran2/F Esperacion Bldg., II 23 MH del Pilar St.,Dagupan City, 2400PRO II-Tuguegarao CityAVP, Atty. Domingo A. PauigThe Builders Place, Del Rosario St.,Tuguegarao City, 3500PRO III-San Fernando CityAVP, Tito M. Mendiola2/F Victoria Square Bldg., Lazatin Blvd., San Agustin, San Fernando,Pampanga, 2000PRO IV-ALucena CityAVP, Dra. Carmelita A. LaureanoAMCJ Square Bldg., Diversion Road, Barangay Bocohan, Lucena City, 4301.PRO IV-BBatangas CityAVP, Paolo Johann C. PerezPSDC Bldg., #89 Burgos cor. Alegre St.,Batangas City, 4200PRO V-Legaspi CityAVP, Orlando D. IigoMed-optic Bldg., Rizal St.,Old Albay, Legaspi CityPRO VI-Iloilo CityAVP, Marilyn C. Geduspan3/F Arguelles Bldg., E. Lopez St., Jaro, Iloilo City, 5000 PRO VII-Cebu CityAVP, William O. Chavez8/F Golden Peak Tower, Gorordo Ave., cor. Escario St.,Cebu City, 6000PRO VIII-Tacloban CityVLC Bldg., #208 MH del Pilar Near P. Burgos St., Tacloban City6500PRO IX-Zamboanga CityAVP, Romeo D.Alberto2nd & 3rd Level BG InvestmentCorporation Bldg., Gov. Lim Ave.,Zamboanga City 7000PRO X-Cagayan de Oro CityAVP, Datu Masinding M. Alonto, Jr.6/F Trinidad Bldg., Yacapin cor. Corrales St.,Cagayan de Oro City, 9000PRO XI-Davao CityAVP, Dennis B. Adre3/F RC Reyes Bldg., R. Quimpo Blvd.,Matina, Davao City, 8000PRO XII-Koronadal CityAVP Ramon F. Aristoza, Jr.Plaza del Espaol Bldg., Posadas cor.Abad Santos St., Koronadal City, 9506PRO CARAGA-Butuan CityAVP, Johnny Y. Sychua3/F D&V Plaza, JC Aquino Ave., Butuan City, 8600
Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
Mineral Economics, Information & Publications Division
North Avenue, Diliman, Quezon City
MONTHLY REPORT ON PRODUCTION, SALES AND INVENTORY OF QUARRY RESOURCES (EXCEPT SAND & GRAVEL) & SMALL SCALE NON-METALLIC
REPORT PERIOD: MONTH ________ YEAR ______
INSTRUCTIONS:
1. This form must be accomplished in duplicate
2. Submit the original copy to MGB Central Office through the Mineral Economics, Information & Publications Division (MEIPD) , copy furnished the Concerned Region
within 15 working days after the end of each calendar month.
3. Submission of this report is in compliance with SECTION 270, CHAPTER XXIX, OF DENR AO 96-40 or the implementing rules and regulations of REPUBLIC ACT NO. 7942.
4. Information to be supplied by the reporting Contractor/Operator/Permit Holder should cover the period from the first day to the last day of the report month.
5. This report form must be accomplished by Contractors/Operators/Permit Holder of Mineral Agreements, FTAAs or Mineral Processing Permits producing non-metallic minerals.
6. Fill-up production portion of this form on a per quarry resource produced.
7. For any non-metallic minerals not included in the list, please fill up the form and specify the mineral.
8. Do not leave any of the requirements unanswered. If a requirement does not apply, write NA (Not Applicable). If the question is applicable but you have no answer, write NONE.
9. This document should be signed by the resident manager or equivalent position thereof.
10. This report should be duly notarized.
11. Use additional sheet if necessary
12. For any comments, suggestions or clarifications regarding this form please consult your nearest MGB Regional Office in your area
DEFINITION OF TERMS:
Contractor/Operator is composed of one Head Office and one or more Quarry Sites
Quarry Site refers to the location where mineral extraction takes place (Barangay, Municipality, Province)
Capacity refers to the capacity of the mill or processing facility used by the permittee/operator expressed in Metric Ton Per Day (MTPD).
Rated Capacity refers to the maximum fixed output of a mill or processing facility expressed in Metric Tons Per Day (MTPD). It is also the measure of the theoretical amount of material that can be
handled/recovered in any given time by the mill.
Actual Capacity refers to the attained capacity of the mill or processing facility in Metric Tons Per Day (MTPD). It also refers to the constant amount of material that can be recovered/handled
in a given actual time per day
Number of days in operation refers to the total number of days the company is in operation during the reporting period
Grade Analysis refers to the grade composition of the most important components of the mineral.
Production quantity refers to the total volume of mineral extracted during the reporting period expressed in Metric Ton (MT).
Production value r efers to the total value or gross output of mineral extracted during the reporting period as defined in Chapter 1, Section 5 of the Revised IRR of the Phil. Mining Act of 1995. (under the term "Gross Output")
Estimated extraction fee payable refers to an estimate of the total extraction fee to be paid by the permittee covering the production during the reporting period and based on the prevailing extraction fee rate in the
province/city.
Sales quantity refers to the total volume of mineral sold during the reporting period expressed in Metric Tons (MT).
Sales value refers to the total value of mineral sold during the reporting period. This value includes all costs of production, taxes invoiced to purchasers, transport & trade mark-up.
Estimated excise tax payable refers to an extimate of the total excise tax on minerals to be paid by the permittee to the Bureau of Internal Revenue (BIR) covering the production during the reporting period and
based on the rate prescribed by Section 217 (b) of the Revised IRR of the Mining Act of 1995.
Page 1 of 3
MGB Form 29-11 (Series of 2000)
COVERAGE OF NON-METALLIC MINERALS
1.
2.
3.
4.
Asbestos
Barite
Bauxite
Bentonite
5.
6.
7.
8.
White clay or Kaolin
Dolomite
Feldspar
Gypsum
9. Magnesite
10. Mica
11. Limestone
12. Shale Clay
13. Silica Quartz
14. Silica Sand
15. Bull Quartz
16. Talc
17. Precious and Semi-Precious Stone
18. Pebbles
19. Others (pls. Specify) ___________
PROCESSED MINERAL PRODUCTS (Figures will not be included in totals)
1. Hydrated Lime or Slaked Lime
2. Quicklime
3. Processed Marble
4. Cement
I. ADMINISTRATIVE DATA
NAME OF CONTRACTOR/OPERATOR - If name of person, please write surname first
REPORT MONTH/YEAR
TAX IDENTIFICATION NO. (TIN)
OFFICE ADDRESS
TELEPHONE NO.
FAX. NO.
PROJECT NAME:
E-MAIL ADDRESS (if any)
DATE OF 1st OPERATION (if new)
CONTRACT NO(s)
MERIDIONAL BLOCK(s)
SITE ADDRESS: (State Barangay, Municipality, Province)
II. PRODUCTION DATA (Use additional sheet if necessary)
MINERAL PRODUCT : (Specify)
MILL CAPACITY
PRODUCTION
Quantity (M.T.)**
Value (P)
Rated
Actual
GRADE ANALYSIS
NO. OF DAYS
IN OPERATION
Content
Component
Content
Monthly Inventory
Component
Quantity (M.T.)
Value (P)
Reasons for increase or decrease in production this month compared to the previous month: (pls. check appropriate answer below and use additional sheet if necessary)
Increase was due to:
Decrease was due to:
1. Increased price of 1. Lesser operating days
the mineral being
produced
2.c Force Majeure (pls. specify)_______________________________
1.a Equipment breakdown (pls. specify)__________________________________________________
2.d Environmental Problems (pls. specify)______________________
1.b Unfavorable weather condition (state duration or other information)________________________
2.e Gov't preventive actions such as CDO (pls. specify)___________
2. Increased demand
1.c Collapse/slide in working areas (state area) )___________________________________________
2.f Financial Problems (pls. specify) ___________________________
3. Expansion
1.d Labor or other strikes (state duration)________________________________________________
3. Others (pls. Specify) ______________________________________________
4. More operating days 2. Suspension due to
5. Others (pls specify)
________________________
2.a Low price of the mineral commodity produced
2.b Market Problems (pls. specify)_____________________________________________________
Page 2 of 3
ESTIMATED EXTRACTION
FEE PAYABLE
MGB Form 29-11 (Series of 2000)
III. SALES/MARKETING DATA (Use additional sheet if necessary)
_____Export
CONSIGNEE/BUYER/ADDRESS
_____Local Sales
COUNTRY OF
MARKETING CONTRACT/
NAME OF
DESTINATION
SALES AGREEMENT NO.
VESSEL
AVERAGE GRADE
Content
Unit of Measure
VALUE
QUANTITY
(MT)**
PESO
ESTIMATED EXCISE
DOLLAR
TAX PAYABLE
Name
Address
Name
Address
TOTAL
**Use bags for cement and cubic meters for marble
IV. EMPLOYMENT DATA
Report the number of persons engaged in work at the head office and quarry site during this month
TYPE OF EMPLOYEES
HEAD OFFICE
MALE
FEMALE
MALE
1. MANAGERIAL
2. PRODUCTION
3. ADMINISTRATIVE
4. OTHERS
PREPARED BY:
OFFICIAL DESIGNATION
QUARRY SITE
TOTAL
FEMALE
MALE
FEMALE
ADDRESS
(Signature over printed name)
IV. CERTIFICATION
I hereby certify that all information in this report are complete, true and correct to the best of my knowledge and belief.
SIGNATURE OF REPORTING OFFICIAL
OFFICIAL POSITION
DATE
REPUBLIC OF THE PHILIPPINES)
) S.S.
)
Subscribed and sworn to before me this ______ day of ______________, 20 ___ , the affiant exhibiting his/her Community Tax Certificate No. ____________, issued at _______________,
on the ____________ day of __________________ 20______.
DOC NO.
PAGE NO
BOOK NO.
SERIES OF
NOTARY PUBLIC
My Commission Expires on Dec. 31, 20___
PTR No. _________
Page 3 of 3
A. Commercial Banks
1) The bank must have an unimpaired paid-up capital of at least pH 50M or the BSP prescribed minimum capital, whichever is higher.
2) It must have had profitable operations for the immediately preceding three (3) years prior to the filing of its application.
3) It should be a member in a good standing with PhilHealth (as registered employer) and the Bankers Association of the Philippines.
4) Its operations comply substantially with the BSP rules and regulations.
5) It must have satisfactorily submitted/complied with PhilHealth documentation requirements for accreditation listed in Annex A.
B. Rural Banks
1) The rural bank must meet the minimum capital requirements of the BSP of at least pH 5M.
2) It must not have any past-due obligation with the BSP or with any government financial institution for the last three (3) years.
3) It must have at least 5 branches, except, if the applicant bank is the only window of collection in the municipality.
4) Its past-due loan ratio as of the latest examination does not exceed fifteen percent (15%).
5) It must have had profitable operations during the last three (3) years immediately preceding the filing of its application.
6) Its operations comply substantially with the BSP rules and regulations.
7) It shall maintain a demand deposit account with the nearest Land Bank of the Philippines (LBP) and/or Development Bank of the Philippines (DBP) wherein all collections shall be deposited.
8) Collections must be automated / machine validated and the collection report must comply with the textfile format set by the PhilHealth.
9) It should be a member in good standing with PhilHealth and the Rural Bankers Association of the Philippines.
10) It must have satisfactorily submitted/complied with all PhilHealth documentation requirements for accreditation listed in Annex A.
ANNEX A
Documentary Requirements For The Accreditation Of Banks As Collecting Agents
Commercial/Thrift Bank Rural Banks
1. Latest audited financial statements for the past three (3) years and interim FS prior to filing of application
2. Articles of Incorporation/By-Laws duly registered with SEC
3. Corporate profile (background, capitalization & list of stockholders)
4. List of Board of Directors and respective rsums
5. List of Bank Officials
6. Profile of Loan Portfolio with aging of past due Accounts (latest available)
7. Certification from BSP that the bank does not have any past due obligations with BSP and the bank operations complies substantially with BSP rules and regulations
8. Authorization from the BSP to provide PhilHealth information to assess its compliance with the said conditions in case PhilHealth requests assistance from the BSP on the matter
9. Certification of good standing with Bankers/Rural Bankers Association of the Philippines
10. Branch Directory and Branch Routine Station Transit Number (BRSTN)
11. Proof of Payment of PhilHealth premium contribution /certificate of good standing
12. Certification from PhilHealth Management Information System (MIS) Department that the applicant bank has conformed with the textfile report format required in the guidelines.
13. Board Resolution with the Secretarys certificate authorizing the appreciation for accreditation as collecting agent of PhilHealth
14. Designation of Officers and alternates authorized to sign required documents with specimen signatures.
15. Copy of tie-up with Land Bank of the Philippines and/or Development Bank of the Philippines