SSS Maternity Benefit Reimbursement Requirements for Voluntary, Self-Employed, and Separated from Employer Members

Below is the complete list of requirements when filing your maternity benefit reimbursement with SSS:

**Please note that this is for members who are unemployed (voluntary), self-employed, and separated from employers

1. SSS Maternity Benefit Reimbursement Application (MBRA) Form for members who are Self-Employed, Voluntary, or Separated from Employer. Download the form here: https://bit.ly/SSSMat2SE

2.  Maternity notification.

• Mat 1 form duly received by SSS before delivery (for those who filed via SSS offices). Download it here: https://bit.ly/SSSMat1 
• Maternity Notification Submission Confirmation (for those who filed online)     

3. Photocopy from the Original or Certified True Copy of the following documents (whichever applies to you):

• Normal Delivery:
• Child's birth or fetal death certificate duly registered with the LCR
• Caesarian Delivery:
• Child's birth or fetal death certificate duly registered with the LCR
• Any of the following documents issued by the hospital indicating the type of delivery:
• ORR (Operating Room Record)
• Surgical Memorandum
• Discharge Summary Report
• Medical/Clinical Abstract
• Delivery Report
• A detailed invoice showing CS delivery charges (For deliveries abroad only)
• For Complete Miscarriage:
• OB History indicating the number of pregnancy/pregnancies duly certified by attending physician with Professional Medical License number, printed name, and signature.
• Any of the following:
• Pregnancy test before and after miscarriage
• Ultrasound report indicating proof of pregnancy
• Medical Certificate issued by attending physician in the circumstance of pregnancy
• For Incomplete Miscarriage:
• OB History indicating the number of pregnancy/pregnancies duly certified by attending physician with Professional Medical License number, printed name, and signature.
• Any of the following:
• Certified True Copy of hospital/medical record/s
• D & C (Dilation & Curettage) report
• Histopathological report
• Pregnancy test before and after miscarriage
• Ultrasound report indicating proof of pregnancy
• For Ectopic Pregnancy:
• OB History indicating the number of pregnancy/pregnancies duly certified by attending physician with Professional Medical License number, printed name, and signature.
• Any of the following:
• Certified True Copy of hospital/medical record/s
• Certified True Copy of ORR (Operating Room Record)
• Histopathological report
• Pregnancy test before and after miscarriage
• For Hydatidiform Mole (all of the following):
• OB History indicating the number of pregnancy/pregnancies duly certified by attending physician with Professional Medical License number, printed name, and signature.
• D & C report
• Histopathological report

4. Photocopy from the Original or Certified True Copy of the following documents (whichever applies to you):

• Previously employed:
• If delivery/miscarriage/procedure done is within employment or within six months from date of separation:
• Certificate of separation from employment indicating the effective date of separation and that no advance payment was granted (signed by employer's authorized signatory as reflected in SS Form L-501).
• Separated from employment:
• If delivery/miscarriage/procedure done is within employment from the date of separation:
• Certificate of separation from employment indicating the effective date of separation and that no advance payment was granted (signed by employer's authorized signatory as reflected in SS Form L-501).
• If delivery/miscarriage/procedure is after the date of separation:
• Certificate of separation from employment indicating the effective date of separation (signed by employer's authorized signatory as reflected in SS Form L-501).
• Certificate of separation is not required for below circumstances but you need to submit supporting documents as required:
• Company is on strike:
• Notice of strike duly acknowledged by DOLE
• A duly notarized Affidavit of Undertaking issued by the member that no advance payment was granted and with the indicated date of separation.
• Company has been dissolved or ceased to operate:
• A duly notarized Affidavit of Undertaking issued by the member that no advance payment was granted and with the indicated date of separation.
• There is a pending case before a court regarding the separation of member:
• Certification from DOLE
• A duly notarized Affidavit of Undertaking issued by the member that no advance payment was granted and with the indicated date of separation.
• If AWOL or with strained relations with the employer:
• A duly notarized Affidavit of Undertaking issued by the member that no advance payment was granted and with the indicated date of separation.

5. Filer's SSS card or 1 Primary ID/Government ID or 2 Supplementary IDs.