SEC. 8. Section fourteen of the same Act is further
amended by amending paragraphs (a) and (b), designating paragraph (b) as
(c) and adding thereto paragraphs (b), (d), (e), and
(f) to read as follows:
"SEC. 14. Sickness benefit. — (a) Under
such rules and regulations as the Commission may prescribe, any covered
employee under this Act who has paid at least twelve monthly
contributions and who, on account of sickness or bodily injury, is
confined for more than five days in a hospital, or elsewhere with the
Commission's approval shall, for each day of such confinement or
fraction thereof, be paid by his employer or by the SSS if such person
is unemployed, an allowance equivalent to seventy per cent of the
average daily salary credit subject to the following conditions:
"1. In no case shall the total amount of such daily allowance, if
any, be less than two pesos and fifty centavos nor exceed twelve pesos
nor paid for a period longer than one hundred twenty days in one
calendar year; nor shall any unused portion of the one hundred twenty
days sickness benefit granted under this section be carried forward and
added to the total period allowable in the subsequent year;
"2. No employee shall be paid any sickness benefit for more than
two hundred forty days on account of the same confinement; and
"3. The employee shall notify his employer of the fact of his
sickness or injury within five calendar days after the start of his
confinement unless such confinement is in a hospital or the employee
became sick or was injured while working or within the premises of the
employer in which case notification to the employer is not necessary: Provided,
That if the member is unemployed he shall directly notify the SSS of
his confinement within five calendar days after the start thereof unless
such confinement is in a hospital in which case notification is also
not necessary: Provided, further, That in cases where
notification is necessary, the confinement shall be deemed to have
started not earlier than the fifth day immediately preceding the date of
notification.
"(b) The Payment of such allowances shall be promptly made by the
employer every regular pay day or on the fifteenth and last day of each
month in the case of direct payment by the SSS for as long as such
allowances are due and payable: Provided, That payment by the
employer for current sick leaves of absence, if any, shall be reimbursed
by the SSS up to an amount not exceeding the sickness benefit upon
application for reimbursement by the employer.
"(c) One hundred per cent of the daily benefits provided in the
preceding paragraph shall be reimbursed by the SSS to said employer upon
receipt of satisfactory proof of such payment and legality thereof: Provided,
That the employer has notified the SSS of the confinement within five
calendar days after receipt of the notification from the employee: Provided,
further, That if the notification to the SSS is made by the
employer beyond five calendar days after receipt of the notification
from the employee, said employer shall be reimbursed only for each day
of confinement starting from the tenth calendar day immediately
preceding the date of notification to the SSS: Provided, finally,
That the SSS shall reimburse the employer or pay the unemployed member
only for confinement within the one year period immediately preceding
the date the claim for benefit or reimbursement is received by the SSS,
except confinement in a hospital in which case the claim for benefit or
reimbursement must be filed within one year from the last day of
confinement.
"(d) Where the employee has given the required notification but
the employer fails to notify the SSS of the confinement or to file the
claim for reimbursement within the period prescribed in this section
resulting in the reduction or denial of the claim such employer shall
have no right to recover the daily allowances he advanced to the
employee as required in this section.
"(e) The claim of reimbursement shall be adjudicated by the SSS
within a period of two months from receipt thereof: Provided,
That should no payment be received by the employer within one month
after the period prescribed herein for adjudication the reimbursement
shall thereafter earn simple interest of one per cent per month until
paid.
"(f) The provisions regarding the notification required of the
covered employee and the employer as well as the period within which the
claim for benefit or reimbursement may be filed shall apply to all
claims filed with the SSS beginning January 1, 1973."