Applying for SSS maternity benefits should be a smooth process, but sometimes applications are rejected—leaving expectant moms confused and frustrated. Understanding the common reasons for denial can help you avoid delays and ensure you receive the benefits you’re entitled to.
1. Insufficient Contributions
One of the most common reasons SSS rejects maternity claims is not meeting the minimum contribution requirements.
- To qualify, a member must have at least three monthly contributions within the semester of contingency (the two quarters including your month of childbirth and the preceding quarter).
- If your contributions are late, missing, or not updated, your application may be denied.
Also note that you should make payment of your contributions before or within your semester of contingency, and not after. The general deadline of payments does not apply in the SSS maternity benefits scheme.
If you're a voluntary member, make sure to go to the nearest bank or payment outlets that accept SSS contributions as soon as your first/second trimester starts.
If you're employed, your HR should take care of this for you.
Republic Act 11210, also known as the “105-Day Expanded Maternity Leave Law”, amended the rules regarding maternity leave benefits in the Philippines, including those administered by the Social Security System (SSS). This law increased the paid maternity leave period for eligible female workers to 105 days, with an option to extend for an additional 30 days without pay. It also grants an additional 15 days of paid leave for solo mothers.
RA 11210
To qualify for these benefits, a female member of the Social Security System (SSS) must have paid at least three monthly contributions within the 12-month period preceding the semester of their childbirth, miscarriage, or emergency termination of pregnancy. This law aims to provide financial support and extended leave to new mothers.
2. Incorrect or Incomplete Forms
Submitting forms with missing or incorrect information is another frequent issue.
- Common mistakes include:
- Wrong SSS number
- Incomplete personal details
- Missing signatures
- Always double-check your forms before submission to avoid rejection.
3. Late Filing of Claims
SSS has specific timelines for filing maternity benefits:
- Claims must be filed within two years from the semester of contingency.
- Filing too late can result in automatic denial, even if you meet all other requirements.
4. Unrecognized Employer Contributions
If your employer did not remit your contributions on time, or if there are discrepancies in the SSS system, your maternity application may be rejected.
- Always verify your SSS contributions online or with your HR department.
- Keep proof of payment in case SSS needs additional documentation.
5. Eligibility Issues for Self-Employed or Voluntary Members
Self-employed, voluntary, or non-working spouse members may face additional scrutiny:
- Contributions must be current and correctly classified in the SSS system.
- Missing months or misclassified payments can lead to denial.
How to Avoid Rejection
- Check your contributions: Use the SSS online portal to verify your record.
- Complete all forms carefully: Include all necessary information and signatures.
- File on time: Don’t wait until the last minute.
- Coordinate with your employer: Ensure they remit your contributions promptly.
- Seek guidance: If you’re self-employed, ask SSS for clarification on your eligibility.
By addressing these common pitfalls, you can maximize your chances of approval and focus on preparing for your new arrival with confidence.
