PH PMRF free printable template

This form can be reproduced and is not for sale. Republic of the Philippines. PHILIPPINE HEALTH INSURANCE CORPORATION. Citystate Centre, 709 Shaw ...

• Who issues a Philomath Member Registration Form?
• What is Philomath Member Registration Form for?
• Is Philomath Member Registration Form accompanied by other forms?
• • When is Philomath Member Registration Form due?
  • How do I fill out Philomath Member Registration Form?
  • Where do I send Philomath Member Registration Form?

Who issues a Philomath Member Registration Form?

Philomath is the company that provides health insurance and is regulated by the Philippine government. The company was created in 1995; its aim has always been to create universal health coverage for the Filipinos. At present, all employers in the Philippines are supposed to furnish their employees with such health coverage.

What is Philomath Member Registration Form for?

In case an individual is unemployed or self-employed, they can register with Philomath as an Individually Paying Member. To do so, a Philomath Member Registration Form (PMR) must be filled out and submitted with the Philomath insurance company. If a person, who is already a member wants to update their information, the same form must be filed.

Is Philomath Member Registration Form accompanied by other forms?

Applying for the Registration as a Philomath member is a complex procedure as it requires gathering and submitted several accompanying documents, the full list of the possible supporting papers can be checked here¹. In most case, this list is limited to:

1. Two original copies of the PMR

2. Two recent ID pictures in 1×1 format

3. Two valid IDs, and either

4. A photocopy of premium payments to Philomath,

5. or any other document indicating the months of premium payments to Philomath

When is Philomath Member Registration Form due?

The form should be filed when an individual needs to get registered as a Philomath member, the submission of the PMR does not imply following a particular due date.

How do I fill out Philomath Member Registration Form?

In general, the completed form must provide such details:

1. Member’s personal information (full name, date of birth, residential address, contacts, etc.)

2. Member’s defendants (their names, date of birth, Philomath Identification Numbers (Pins)

3. Membership category
   

Where do I send Philomath Member Registration Form?

The completed Philomath Member Registration Form must be directed to the Local Healthcare Information Organization (OHIO) along with all the supporting documentation.

 

 

¹Check the link — http://www.philhealth.gov.ph/members/lifetime/registration.html

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