MPlus Application

1. Proposal Information Sheet (answer gform)

2. Client Information Sheet (download)

3. Broker of Record (download)

4. Signature Bearing Government Issued Valid ID with 3 specimen signatures of the authorized signatory

5. Masterlist (download)

   • Essential initial details (additional information must be completed prior to issuance)

     1. Birth Dates (format: Jan 01, 2001)

     2. Position / Occupation

     3. Maximum Benefit Limit and Room and Board (refer to the illustrative proposal)

     4. Dependents (if applicable)

        1. Heirarchy Rule (if a dependent bypassed the heirarchy rule, please provide either proof of coverage for the bypassed dependent or a death certificate) 

           • Married

             1. Legal Spouse who is not more than 65 years old

             2. Natural born or legally adopted children age 15 days to 21 years old

           • Single

             1. Common law spouse

                • Must provide affidavit of co-habitation

                • Each individual is required to submit a Certificate of No Marriage (CENOMAR)

             2. Same sex partner

                • Must provide affidavit of co-habitation

                • Each individual is required to submit a Certificate of No Marriage (CENOMAR)

             3. Parent who is not more than 65 years old

             4. Sibling age 15 days to 21 years old

           • Single Parent

             1. Common law spouse

                • Must provide affidavit of co-habitation

                • Each individual is required to submit a Certificate of No Marriage (CENOMAR)

             2. Same sex partner

                • Must provide affidavit of co-habitation

                • Each individual is required to submit a Certificate of No Marriage (CENOMAR)

             3. Natural born or legally adopted children age 15 days to 21 years old

        2. Participation Requirement

           • Non-contributory (Employer / company will shoulder full payment) - 100% of eligible employees shoud be enrolled

           • Contributory (Employee / member will pay portion of the fee) - at least 75% of the total number of employees

For applicants with existing HMO provider

• • Schedule of Benefits

  • Utilization Report

1. Sole Proprietorships:

1. • DTI Certificate of Registration

   • BIR 2303

   • Photocopy of valid Government issued ID with signature of authorized signatory/owner. On the photocopy of the ID, the agent should declare that he/she has seen the original copy.

   • If signatory is not the CEO / President (Notarized Appointment Letter, or Special Power of Attorney)

2. Partnership

   1. • SEC Certificate of Registration

      • Articles of Partnership

      • Partnership Resolution

      • BIR 2303

      • Valid ID of the Signatory

      • If signatory is not the CEO / President (Notarized Appointment Letter, or Special Power of Attorney)

3. Corporations under Domestic Laws

   1. • SEC Certificate of Registration

      • Articles of Incorporation

      • General Information Sheet

      • BIR 2303

      • Valid ID of the signatory

      • If signatory is not the CEO / President (Board Resolution duly certified by the Corporate Secretary, or Notarized Appointment Letter, or Special Power of Attorney)

5. Philippine Economic Zone Authority (PEZA) Registered Entities

   1. • SEC Certificate of Registration

      • Articles of Incorporation

      • General Information Sheet

      • BIR 2303

      • Valid ID of the signatory

      • If signatory is not the CEO / President (Board Resolution duly certified by the Corporate Secretary, or Notarized Appointment Letter, or Special Power of Attorney)

      • Latest PEZA Certificate

      • VAT Zero Certificate

7. Non-Government Organization or Cooperatives or Religious Groups

   1. • Cooperative Development Authority (if applicable)

      • SEC Certificate of Registration

      • Articles of Incorporation

      • BIR 2303

      • NGO Questionnaire (request from AO)

      • Valid ID of the signatory

      • If signatory is not the CEO / President (Board Resolution duly certified by the Corporate Secretary, or Notarized Appointment Letter, or Special Power of Attorney)

For the employees

• Employees / Members

  • Latest BIR 1604 / Alphalist (stamped received by BIR); or

  • Philhealth Members Data Form; or

  • SSS Contribution List with screenshot of proof of payment

  • Board Members

    • Latest General Information Sheet (GIS) and/or Articles of Incorporation (AOI)

  • Consultants

    • BIR 2307

• Foreign Nationals (Expats)

  • • Alien Employment Permit issued by the DOLE; or

    • Photocopy of Alien Certificate of Registration ACR-I Card issued by Bureau of Immigration

    • BIR 2307

Send your proof of payment 

TO: businessdevelopment@idealifeph.com 

CC: kevin.delossantos@idealifeph.com; admin@idealifeph.com 

Proof of payment must show the following:

• Amount

• Reference Number

• Time and Date of Transaction