Phil Health Excel Format 2010 - 100ees
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EMP NAME
ADDRESS
PEN EMPLOYER TYPETEL # YEARINCHARGE MONTHPOSITION TYPE OF REPORT# OF EE'S LAST NAME SUFFIX FIRST NAME
123456789
10111213141516171819202122232425262728293031323334353637383940414243
4445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293
949596979899
100
EMPLOYEE COUNT 100 SSS NUMBER ME-5 # / OR # AMOUNT PAID
PRIVATE TIN DATE PAID2010 APPLICABLE MONTH JANUARY
1 ALLOTED GS TOTAL RF-1 0.00 R OVER/UNDER 0.00
MIDDLE NAME PHILHEALTH NO SALARY SB PS ES0 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.00
0 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.00
0 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.000 0.00 0.00
TOTAL PS 0.00 LINKSTOTAL ES 0.00NO ALLOTED GS 0.00TOTAL ARREARS 0.00TOTAL PS & TOTAL ES 0.00TOTAL PS + NO ALLOTED GS 0.00
ALLOTED REMARKS DATE0.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00
PRINT OUT RF1SAVE TXT
PRINT OUT RF1aSAVE TXTa
0.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.000.00
0.000.000.000.000.000.000.00
REMITTANCE REPORT
000000 12010RMEMBERS 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000
00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000
00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 00000000 000000 000000 000000 000000 000000 000000 M5-SUMMARY100000000 00000000 12301899 100GRAND TOTAL0000000000
marc punzalan PLEASE READ INSTRUCTIONS (FOR EACH NUMBERED BOX) AT THE BACK BEFORE ACCOMPLISHING THIS FORM | 14 | PAGE 13 OF 15 PAGES
Republic of the PhilippinesF O R P H I L H E A L T H U S E
PHILIPPINE HEALTH INSURANCE CORPORATION
EMPLOYER'S QUARTERLY Date Screened: Action Taken:
REMITTANCE REPORT By:
PHILHEALTH NO. 00-000000000-0EMPLOYER TIN 000-000-000-000 Signature Over Printed Name
EMPLOYER NAMEEMPLOYER TYPE REPORT TYPE APPPLICABLE PERIOD
MAILING ADDRESSJANUARY 2010
TELEPHONE # 0
NAME OF EMPLOYEE/SPHILHEALTH NO.
MEMBER STATUS
SURNAME GIVEN NAME MIDDLE NAME PS ES STATUS1 0 2 ### 0 3 ### 0 4 ### 0 5 ### 0 6 ### 0 7 ### 0 8 ### 0 9 ### 0 10 ### 0 11 ### 0 12 ### 0 13 ### 0 14 ### 0 15 ### 0 16 ### 0 17 ### 0 18 ### 0 19 ### 0 20 ### 0 21 ### 0 22 ### 0 23 ### 0 24 ### 0 25 ### 0 26 ### 0 27 ### 0 28 ### 0 29 ### 0 30 ### 0 31 ### 0 32 ### 0 33 ### 0 34 ### 0 35 ### 0 36 ### 0 37 ### 0 38 ### 0 39 ### 0
RF-1 REVISED JAN 2008 EXCEL FILE
MONTHLY SALARY
BRACKET (MSB)
NHIP PREMIUM CONTRIBUTION SP-Separated, NE-No Earnings, NH-Newly Hired
DATE OF EFFECTIVITY
1
2 3 5
6 7 8 9 10
4
REGULAR RF-1
ADDITION TO PREVIOUS RF-1
DEDUCTION TO PREVIOUS RF-1HOUSEHOLD
PRIVATEGOVERNMENT
marc punzalan PLEASE READ INSTRUCTIONS (FOR EACH NUMBERED BOX) AT THE BACK BEFORE ACCOMPLISHING THIS FORM | 14 | PAGE 14 OF 15 PAGES
Republic of the PhilippinesF O R P H I L H E A L T H U S E
PHILIPPINE HEALTH INSURANCE CORPORATION
EMPLOYER'S QUARTERLY Date Screened: Action Taken:
REMITTANCE REPORT By:
PHILHEALTH NO. 00-000000000-0EMPLOYER TIN 000-000-000-000 Signature Over Printed Name
EMPLOYER NAMEEMPLOYER TYPE REPORT TYPE APPPLICABLE PERIOD
MAILING ADDRESSJANUARY 2010
TELEPHONE # 0
NAME OF EMPLOYEE/SPHILHEALTH NO.
MEMBER STATUS
SURNAME GIVEN NAME MIDDLE NAME PS ES STATUS
RF-1 REVISED JAN 2008 EXCEL FILE
MONTHLY SALARY
BRACKET (MSB)
NHIP PREMIUM CONTRIBUTION SP-Separated, NE-No Earnings, NH-Newly Hired
DATE OF EFFECTIVITY
1
2 3 5
6 7 8 9 10
4
REGULAR RF-1
ADDITION TO PREVIOUS RF-1
DEDUCTION TO PREVIOUS RF-1HOUSEHOLD
PRIVATEGOVERNMENT
40 ### 0 41 ### 0 42 ### 0 43 ### 0 44 ### 0 45 ### 0 46 ### 0 47 ### 0 48 ### 0 49 ### 0 50 ### 0 51 ### 0 52 ### 0 53 ### 0 54 ### 0 55 ### 0 56 ### 0 57 ### 0 58 ### 0 59 ### 0 60 ### 0 61 ### 0 62 ### 0 63 ### 0 64 ### 0 65 ### 0 66 ### 0 67 ### 0 68 ### 0 69 ### 0 70 ### 0 71 ### 0 72 ### 0 73 ### 0 74 ### 0 75 ### 0 76 ### 0 77 ### 0 78 ### 0
marc punzalan PLEASE READ INSTRUCTIONS (FOR EACH NUMBERED BOX) AT THE BACK BEFORE ACCOMPLISHING THIS FORM | 14 | PAGE 15 OF 15 PAGES
Republic of the PhilippinesF O R P H I L H E A L T H U S E
PHILIPPINE HEALTH INSURANCE CORPORATION
EMPLOYER'S QUARTERLY Date Screened: Action Taken:
REMITTANCE REPORT By:
PHILHEALTH NO. 00-000000000-0EMPLOYER TIN 000-000-000-000 Signature Over Printed Name
EMPLOYER NAMEEMPLOYER TYPE REPORT TYPE APPPLICABLE PERIOD
MAILING ADDRESSJANUARY 2010
TELEPHONE # 0
NAME OF EMPLOYEE/SPHILHEALTH NO.
MEMBER STATUS
SURNAME GIVEN NAME MIDDLE NAME PS ES STATUS
RF-1 REVISED JAN 2008 EXCEL FILE
MONTHLY SALARY
BRACKET (MSB)
NHIP PREMIUM CONTRIBUTION SP-Separated, NE-No Earnings, NH-Newly Hired
DATE OF EFFECTIVITY
1
2 3 5
6 7 8 9 10
4
REGULAR RF-1
ADDITION TO PREVIOUS RF-1
DEDUCTION TO PREVIOUS RF-1HOUSEHOLD
PRIVATEGOVERNMENT
79 ### 0 80 ### 0 81 ### 0 82 ### 0 83 ### 0 84 ### 0 85 ### 0 86 ### 0 87 ### 0 88 ### 0 89 ### 0 90 ### 0 91 ### 0 92 ### 0 93 ### 0 94 ### 0 95 ### 0 96 ### 0 97 ### 0 98 ### 0 99 ### 0
100 ### 0
ACKNOWLEDGEMENT RECEIPT (ME-5/POR/OR/PAR)GRAND TOTAL 0.00 0.00
CERTIFIED CORRECT:
REMITTED AMOUNT TRANSACTION DATE NO. OF EMPLOYEES
JANUARY 0.00 0 12/30/1899 100 (To be accomplished on the last page) 0.00
SIGNATURE OVER PRINTED NAME
APPLICABLE PERIOD
ACKNOWLEDGEMENT RECEIPT NO
11 12 13