GSIS Employees Compensation Death Benefit Requirements for Claim

List of Requirements for GSIS Employees Compensation Death Benefit Claim Application

GSIS EMPLOYEES COMPENSATION DEATH BENEFIT – Here are the requirements in applying for claim to the Government Service Insurance System.

The families or beneficiaries of the members of the Government Service Insurance System (GSIS) who died out of and in the course of work can receive a death benefit under the Employees Compensation Program.

The Employees Compensation Insurance Fund (ECIF) or also called the State Insurance Fund provides the following coverage:

1. Medical services, appliances and supplies
2. Rehabilitation services
3. Temporary total disability benefit
4. Permanent total disability benefit
5. Permanent partial disability benefit
6. Death benefit
7. Funeral Benefit

In the case of applying for a claim for the GSIS Employees Compensation Death Benefit, the over-all requirement is that the passing must be due to a work-connected sickness, injury, or accident that resulted to death.

The set of documents required under the ECIF is different from the GSIS Funeral Claim requirements and the requirements for GSIS Survivorship Benefit.

There are specific documents that are required under the GSIS Employees Compensation Death Benefit. Here are the requirements:

• Updated service record
• Statement of duties and responsibilities
• proofs of Surviving Legal Heirs and Guardianship
• Police investigation report, employer’s report of injury, death/casualty (for civilian employees) spot report, investigation report and or report of proceedings before Line of Duty Board (for AFP members)
• Mission or Travel Order, when applicable
• Hospital record of confinement
• Official receipts in payment of hospital bills, professional fees and medicines purchased from a drugstore
• Death certificate issued by the Local Civil Registrar or National Statistics Office (NSO), and
• Declaration of presumptive death by competent authority

The Government Service Insurance System (GSIS) may require any of the following additional documents in original or certified true copies issued by the National Statistics Office (NSO) on a case-to-case basis:

For Primary Beneficiaries

• Death Certificate
• Birth Certificate of the deceased worker if single
• Birth Certificate of children below 21 years old
• Marriage Contract

For Secondary Beneficiaries

• Death certificate of deceased employee
• Death certificate of a parent, if any
• Marriage contract of parents
• Birth certificate of deceased employee
• Affidavit by parents of the deceased that the latter died single
  leaving no child/ren and that they/he/she are/is wholly dependent
  upon deceased for support

In applying for a GSIS Employees Compensation Disability Benefit claim, you must submit proofs of Surviving Legal Heirs and Guardianship, too.

The family of a deceased GSIS members who wants to file for a claim should process the application within three (3) years since the occurence of the disability.

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