name of employer/firm: please read instruction at the back before accomplishing this form philhealth report of employee-members (check applicable box)

ER2: Report of Employee-Members; ER3: Employer Data Amendment Form; RF1: Employer's Remittance Report; PhilHealth Employers' Engagement Representative (PEER) Information Sheet; Non Disclosure Agreement; Accredited Collecting Agents (ACAs) Non-Disclosure Agreement (NDA) PhilHealth Online Access Form (POAF) Kasambahay

Submit ER2 Form indicating the names of newly hired employees within 30 days from assumption to the office; For separated employees: Indicate the names of separated employees in the RF-1 within 30 days from the date of separation from the office

name of employer/firm: please read instruction at the back before accomplishing this form philhealth report of employee-members (check applicable box)

This document is a PhilHealth report form for employers to list their employee members. It requests information such as the employer's name and address, each employee's name, position, salary, date of employment, effective date of PhilHealth coverage, previous employer, and a total number and signature of the certifying employer.

ER2 Report of Employee-Members Employers - PhilHealth report form for employee members

er2 name of employer/firm no.: employer no.: address: e-mail address philhealth/sss/gsis number name of employee position salary date of employment (do not fill) eff. date of coverage previous employer (if any) total no. listed above: certified correct: _____ signature (over printed name) note: this form can be reproduced but is not for sale. ...

The ER2 form is used by employers to report new hires to PhilHealth. It’s designed to document employees’ personal and employment details, ensuring that they are covered under the national health insurance program.