Are They Mandatory—and What Happens If They’re Not Paid?
In the Philippines, the Social Security System (SSS), PhilHealth, and the Pag-IBIG Fund (Home Development Mutual Fund or HDMF) form the core of the country’s statutory social protection system for workers and many non-workers. These programs are grounded in social legislation: they are designed to spread risk, ensure access to benefits, and require shared responsibility among employers, workers, and (in some cases) the State.
This article explains (1) when contributions are legally mandatory, (2) who must pay and remit, and (3) the consequences—both for the employer and for the member—when contributions are not paid or not remitted.
I. The Legal Foundations (Philippine Context)
While agency rules and circulars implement the details, the three programs are anchored in national laws:
- SSS: Social Security Act of 2018 (Republic Act No. 11199) and implementing rules.
- PhilHealth: National Health Insurance Act (R.A. 7875, as amended) and the Universal Health Care Act (R.A. 11223) plus implementing issuances.
- Pag-IBIG/HDMF: Home Development Mutual Fund Law of 2009 (R.A. 9679) and implementing rules.
These are generally treated as mandatory, non-waivable statutory obligations where coverage applies. Any agreement to “waive” coverage, accept cash “in lieu,” or treat mandatory deductions as optional is typically void for being contrary to law and public policy.
II. The Big Rule: Mandatory Coverage Depends on Your Category
The question “mandatory ba?” is best answered by identifying the person’s legal category:
- Employee (private sector)
- Household employee / kasambahay
- Government employee
- Self-employed / professional / freelancer / sole proprietor
- OFW
- Voluntary member (e.g., previously employed, currently unemployed, non-working spouse)
Each program treats these groups differently, especially on who pays, who remits, and what happens if unpaid.
III. SSS Contributions: When Mandatory, Who Pays, and What If Not Paid?
A. Who Is Covered (Mandatory vs. Voluntary)
1) Private-sector employees (mandatory). If an employer-employee relationship exists, SSS coverage is generally compulsory. The employer must register the employee, report employment, and remit contributions.
2) Self-employed (generally mandatory if you fall within compulsory coverage). SSS law treats many self-employed persons as compulsorily covered (e.g., professionals, business owners, and other income earners who meet coverage conditions under SSS rules).
3) Voluntary membership (optional but common). People who are no longer compulsory members—such as separated employees who wish to continue coverage—can often continue as voluntary members, subject to SSS rules.
4) Special groups (may be compulsory under law and rules). Coverage rules for OFWs and certain other categories have been treated as mandatory under the SSS law framework, but the mechanics (collection/remittance channels, enforcement, exemptions) can be heavily dependent on implementing rules.
B. Who Pays and Remits
- Employees: Contributions are typically shared by employer and employee. The employer remits both shares to SSS.
- Self-employed / voluntary: The member generally pays the full contribution directly.
C. What Happens If SSS Contributions Are Not Paid?
1) If the employer fails to remit (or under-remits)
This is the most legally serious scenario.
Employer consequences may include:
- Assessment for unpaid contributions, plus penalties/interest (SSS law commonly imposes a monthly penalty on delinquent contributions).
- Civil collection measures (SSS has strong statutory collection powers).
- Criminal liability for willful failure to remit, falsification/misrepresentation, or other prohibited acts (handled case-by-case; the law provides fines and imprisonment).
Employee/member impact:
As a matter of social legislation, an employee is generally not supposed to be prejudiced by the employer’s failure to remit, especially where deductions were made. In practice, however:
- Benefit processing may require validation of contributions and employment.
- Disputes can delay claims if records are incomplete or the employer failed to report correctly.
Key point: If your payslip shows SSS was deducted but your record shows no remittance, that is a major red flag. The employer is not merely “late”—they may be exposing themselves to administrative and criminal consequences.
2) If the employer fails to register/report you properly
Failure to register the employer, report the employee, or submit accurate data can lead to:
- Retroactive assessments,
- Penalties,
- And litigation risks, especially when benefits are claimed.
3) If you are self-employed or voluntary and you miss payments
This usually doesn’t create the same “employer criminal” issue, but it can directly affect eligibility for benefits. SSS benefits often have contribution and timing requirements, for example:
- Sickness, maternity, disability, unemployment, retirement, death/funeral—each has rules on required contributions and “qualifying periods.”
- Missed months can reduce the chance of meeting qualifying conditions or affect the benefit computation.
IV. PhilHealth Contributions: Mandatory Membership, Premiums, and Non-Payment
A. Membership Is Broad and Generally Compulsory in Coverage Design
With the Universal Health Care framework, the intent is population-wide coverage. In general terms:
- Filipinos are treated as covered members, but premium obligations depend on membership type (employed, self-employed, indigent, senior citizen, etc.).
- For certain groups (e.g., indigent households, some seniors), premiums may be subsidized by government.
B. Who Pays and Remits
- Employed members: Premiums are typically shared by employer and employee, with the employer remitting both shares.
- Self-employed / informal economy / professionals: Typically pay premiums directly, subject to classification rules.
- Subsidized members: Premiums paid by national/local government according to program rules.
C. What Happens If PhilHealth Premiums Are Not Paid?
1) If an employer does not remit
Employer exposure:
- Administrative penalties and assessed arrears (PhilHealth has enforcement mechanisms).
- Potential liability to employees if non-remittance causes denial/delay or out-of-pocket burden.
Employee impact (practical reality):
- Facility eligibility checks and claim processing may depend on posted contributions and membership status/classification.
- Even when laws aim for broad coverage, non-remittance can still cause friction in real-world billing and claims until records are corrected.
2) If a self-employed/informal member does not pay
Consequences vary by category and current rules, but commonly:
- Possible reduced eligibility for certain benefit availment conditions or waiting rules, depending on classification.
- Potential requirement to pay arrears or follow reinstatement/reactivation procedures.
Important distinction: PhilHealth is designed as social health insurance with broad coverage goals, but premium compliance can still matter for how smoothly benefits are accessed and whether a member is treated as updated under a given membership category.
V. Pag-IBIG (HDMF) Contributions: Mandatory Coverage, Savings, Loans, and Delinquency
A. Who Is Covered (Generally Mandatory for Many Workers)
Pag-IBIG membership is widely treated as mandatory for:
- Employees (private and government) who are covered by SSS or GSIS frameworks, subject to implementing rules.
- Many self-employed individuals who are also within the SSS compulsory coverage universe often end up within Pag-IBIG’s mandatory reach under the structure of the law and rules.
Pag-IBIG also allows voluntary membership for those who are not mandatorily covered but want to save and access housing-related benefits.
B. Who Pays and Remits
- Employees: Typically pay a monthly share, matched by an employer counterpart, with the employer remitting both.
- Self-employed/voluntary: Pay directly, often with options to contribute above the minimum.
Pag-IBIG contributions function as member savings (provident savings), which earn dividends and support access to housing and multi-purpose loans.
C. What Happens If Pag-IBIG Contributions Are Not Paid?
1) If an employer fails to remit
Employer consequences:
- Assessment of arrears plus penalties/interest (Pag-IBIG imposes charges for delayed remittance under its rules).
- Potential administrative and criminal exposure depending on willfulness, misrepresentation, and the nature of violations.
- Liability can be aggravated where deductions were made from wages but not remitted.
Employee impact:
- Missing postings reduce your accumulated savings and dividends.
- Loan eligibility (e.g., required number of contributions) can be affected.
- Claims like provident benefits or loan approvals can be delayed if records are incomplete.
2) If you are self-employed/voluntary and you miss payments
- Savings growth slows (no contributions, no matching if applicable).
- Loan eligibility requiring minimum numbers of contributions may be postponed.
- Reactivation typically involves resuming contributions and complying with current rules.
VI. The Most Important Practical Distinction: “Not Paid” vs. “Deducted But Not Remitted”
From a legal risk standpoint, these are very different:
1) Employer never deducted and never remitted
Still a violation if coverage is mandatory, but the evidentiary picture differs.
2) Employer deducted from wages but did not remit
This is often treated far more severely because the employer is effectively holding statutory deductions that should have been transmitted to the agency. This pattern commonly triggers:
- Assessments,
- Stronger enforcement actions,
- And potential criminal complaints under special laws (and in some situations, other criminal theories depending on facts).
VII. Can Employees “Waive” These Contributions or Agree to Cash-in-Lieu?
Generally, no—not in a way that defeats mandatory statutory coverage.
Common invalid arrangements include:
- “You’re contractual, so no SSS/PhilHealth/Pag-IBIG” despite employee-like control and supervision.
- “We’ll add it to your salary instead.”
- “Sign a waiver that you don’t want contributions.”
Social legislation is protective: if the relationship is truly employment and coverage applies, the obligation attaches by law, not by consent.
VIII. What About Freelancers, Consultants, and Gig Workers?
Misclassification is common.
- If you are truly independent (control over time/manner, bearing entrepreneurial risk, multiple clients, tools, etc.), then you are usually treated as self-employed for contribution purposes—meaning you handle SSS/PhilHealth (and often Pag-IBIG) directly under the applicable rules.
- If the “freelance” label is used but the company exercises control like an employer (schedules, supervision, required attendance, performance discipline), the relationship may be employment in substance, making statutory contributions mandatory for the company.
The legal test is fact-driven; labels are not controlling.
IX. Special Case: Kasambahay (Household Employment)
Household employers have explicit obligations under domestic work rules:
- Register the kasambahay with SSS, PhilHealth, and Pag-IBIG as required.
- Remit contributions consistent with the kasambahay framework (including rules on who shoulders what share depending on wage level and current regulations).
Non-compliance can lead to agency penalties and labor-related liabilities.
X. Enforcement and Remedies When Contributions Are Not Paid
A. Agency Enforcement (SSS / PhilHealth / Pag-IBIG)
Each agency can:
- Conduct audits and assess arrears,
- Impose penalties and interest,
- Use legal collection remedies,
- And (where appropriate) pursue criminal complaints.
B. Worker Remedies (Typical Routes)
A worker commonly proceeds by:
- Checking actual posting (online portals/branch record) vs. payroll deductions.
- Requesting employer proof of remittance (official receipts/transaction references).
- Filing a complaint with the concerned agency for delinquency/non-remittance.
- Where wages/benefits are implicated, using labor mechanisms (e.g., labor standards enforcement) depending on the situation.
Documentation that typically matters:
- Payslips showing deductions,
- Employment contract/job offer,
- Company ID/records,
- Proof of employment period and salary,
- Screenshots/printouts of contribution history.
XI. Key Takeaways
- For covered employees, SSS, PhilHealth, and Pag-IBIG obligations are generally mandatory and cannot be waived by private agreement.
- Employers must register, report, deduct correctly, and remit on time—failure can trigger assessments, penalties, and potentially criminal liability, especially when deductions were made but not remitted.
- Workers may suffer real-world delays or benefit/loan issues when records are missing, even when social legislation intends to protect them from employer non-compliance—so verification matters.
- Self-employed and voluntary members must pay directly to maintain coverage and eligibility; missed payments can affect benefit qualification and access.
- The most legally dangerous scenario for employers is deducting contributions but failing to remit—this often escalates enforcement dramatically.