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[A.M. No. 98-8-01-SC. February 4, 2003]

RE: SC HEALTH & WELFARE PLAN

Gentlemen:

Quoted hereunder, for your information, is a resolution of this Court dated FEB 4 2003.

A.M. No. 98-8-01-SC(Re:Supreme Court Health and Welfare Plan.)

The Court Resolved to Note the MEMORANDUM-COMPLIANCE, dated 20 January 2003 of the Supreme Court Health and Welfare Plan Board re: Rationalization of grant of health and welfare benefits and APPROVED the measures recommended by said Board relating to new plans of allocation of benefits and depositing part of the Plan's Funds for the purpose of earning interests, effective March 1, 2003:

(1)The maximum coverage per member per year will be reduced from EIGHTY THOUSAND (P80,000.00) PESOS to FIFTY THOUSAND (P50,000.00) PESOS, instead of limiting the benefits to those cases or illnesses or ailments which are work-related only.

The reimbursement of up to a maximum of P50,000.00 per member per year for hospitalization expenses, is for either of major medical illness, or major surgical operation.Reimbursement of up to a maximum of P20,000.00 per member per year for out-patient health care services will be allowed, provided that the amount shall be deductible from the member's hospitalization benefit of P50,000.00 for the same year.

(2)An additional financial assistance of P20,000.00 per year may be granted on a case to case basis for the benefit of a member-employee in excess of the maximum allowable hospitalization benefit of P50,000.00 year, if he/she is found to be suffering from a dreaded disease requiring special forms of medical treatment, such as continuous dialysis, chemotherapy or radiotherapy."Dreaded disease" shall be determined and approved by the Board.

(3)The burial aid benefit in the amount of P20,000.00 will be retained.

(4)A portion of the fund which are not expected to be use din a year shall be deposited with the Land Bank of the Philippines which yield high interest.

(5)Caesarian Operation Benefit shall be excluded from the Plan, as this procedure does not, strictly speaking, concern an illness or a disease.

These new policies shall be deemed an amendment to the existing rules and guidelines.

The Court hereby REITERATES the ninety-day (90) day period within which to file claims for any benefit.

Very truly yours,

(Sgd.)LUZVIMINDA D. PUNO
Clerk of Court

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