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Benefits Module

HMO, life, dental, all in one place.

Configure HMO, group life, dental, vision, disability — any provider, any contribution split. Bulk-enroll a 200-person company in two clicks. Claims tracked end-to-end. Premiums flow straight to payroll.

BenefitsCompany-provided perks

HMO, group life, dental, vision, disability. Configured here, with provider, plan tier, contribution split and claim tracking. Lives in its own module.

PayrollStatutory deductions

SSS, PhilHealth, Pag-IBIG, BIR withholding. Mandatory government contributions auto-computed by the payroll engine — separate module, by design.

Six things every Philippine benefits team needs.

Built with the HR managers who actually file Maxicare claims, reconcile Sun Life invoices, and chase signatures during open enrollment week.

Create, edit, suspend or expire benefit plans across Medical, Dental, Life Insurance, HMO, Vision, Disability. One plan per provider, per tier — fully editable until employees are enrolled.

  • Plan name, description, coverage type
  • Annual coverage limit (PHP)
  • Effective date + status (Active / Suspended / Expired)
  • Bulk action: Enroll all active employees
  • Soft-delete protection when enrollments exist
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From plan setup to payslip in three steps.

Step 1
1

Set up the benefit plan

Add the plan with provider, coverage type, annual cap, and the employer/employee contribution split. Toggle De Minimis if it qualifies under BIR rules. Link to the matching payroll deduction type.

Step 2
2

Enroll employees (one or all)

Enroll a single new hire on day one, or click Enroll All Active Employees for open enrollment. Per-enrollment overrides handle the senior staff and family-tier exceptions.

Step 3
3

Premiums + claims flow automatically

Premium deductions appear on the very next payslip. Employees file claims with receipts; HR reviews, approves the covered amount, and the audit log captures every status change.

Provider-agnostic by design.Maxicare, Intellicare, Medicard, PhilCare, Cocolife, Sun Life, AXA, Manulife — administer any HMO or insurer in WORKSPHR. We don't replace your broker; we make administering them effortless.

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  • Does WORKSPHR support major Philippine HMO providers?
    Yes. WORKSPHR is provider-agnostic— Maxicare, Intellicare, Medicard, PhilCare, Cocolife, Sun Life, AXA, Manulife and any local HMO. You configure each plan with the provider name, coverage type, and contribution split. We don't replace your HMO broker; we make administering them effortless.
  • How does the claims process work end to end?
    Employee or HR submits a claim with amount, plan, date and supporting docs (HMO receipt, official receipt). Status moves Submitted → Under Review → Approved/Rejected → Paid. The reviewed amount can differ from claimed (only ₱8,000 of ₱10,000 may be covered). Every status change is logged for audit.
  • When do benefit deductions hit payroll?
    The moment an enrollment is active, the employee contribution flows to the very next payroll run as a recurring deduction line on the payslip. No manual data entry. Cancel an enrollment and the deduction stops on the next cycle automatically.
  • What is the difference between Benefits and Payroll deductions?
    Payroll deductions (SSS, PhilHealth, Pag-IBIG, BIR tax) are mandatory government contributions computed by the payroll engine. Benefits is the separate module for company-provided perks (HMO, life insurance, dental). Benefits deductions feed into payroll, but the configuration, enrollment, and claims tracking live in their own module — that is by design.
  • Can the employer absorb 100% of HMO premiums?
    Yes. Set Employer Contribution to 100% and Employee Contribution to 0%. Many Filipino employers offer principal HMO at 100% and let employees add dependents at 50/50 or employee-paid. WORKSPHR supports per-enrollment overrides so a senior staff member can have a different split than the default.
  • Do annual coverage limits get tracked automatically?
    Yes. Each plan has an Annual Limit (PHP). As approved claims accumulate, WORKSPHR shows utilised vs remaining coverage per employee per plan. When an employee approaches the cap, HR sees a warning during claim review so over-coverage doesn't slip through.

Stop reconciling HMO invoices in spreadsheets.

Book a 30-minute demo. We'll walk you through plan setup, bulk enrollment, claim review, and payroll auto-deduction — live, with your provider list.