Ready to get your new credit card?

SSS Maternity Benefits - FAQs

What Documents Should I Prepare If My Miscarriage Claim Was Rejected?

/

What Documents Should I Prepare If My Miscarriage Claim Was Rejected?

Getting your SSS maternity benefit claim for miscarriage rejected can feel like a double blow—first, the emotional pain of losing your pregnancy, and then the frustration of being denied financial assistance you thought you qualified for.

The good news? In many cases, a rejected claim can be fixed by submitting the correct documents. Knowing exactly what to prepare can save you time, prevent further delays, and increase your chances of approval on appeal or re-filing.

Why Claims Get Rejected

Before we list the documents, it’s important to understand why SSS might reject your miscarriage claim. Some common causes include:

  • Incomplete medical proof of miscarriage
  • No maternity notification filed before the miscarriage
  • Errors in personal details (SSS number, name spelling, etc.)
  • Missing employer certification (for employed members)
  • Contribution shortage before the semester of miscarriage

When you know the cause, you can prepare the right set of documents to address it.

Essential Documents to Prepare After a Rejection

1. Medical Proof of Miscarriage

  • Medical Certificate signed by your attending physician or OB-GYN
  • Histopathology Report (if available)
  • Ultrasound results showing the miscarriage
  • Discharge Summary from the hospital or clinic

Tip: Make sure all medical documents have the doctor’s signature, license number, and the date of issuance.

2. Maternity Notification Proof

  • Maternity Notification Form (SSS Form MAT-1)
  • Date-stamped proof of submission to SSS or acknowledgment from your employer

If you filed late, prepare an explanation letter with attached medical proof showing your pregnancy before the miscarriage date.

3. Identification Documents

  • Valid government-issued ID (passport, driver’s license, UMID, etc.)
  • SSS ID or E-6 form acknowledgment slip

4. Employment & Contribution Proof (For Employed Members)

  • Employer Certification (SSS Form MAT-2) with HR signature and company seal
  • Latest pay slips showing SSS deductions (optional but helpful)

5. Supporting Proof for Special Cases

If your rejection was due to unusual circumstances, you may also need:

  • Marriage certificate (for change of name verification)
  • Affidavit of Explanation (if notification or filing was delayed)

Steps to Fix and Refile Your Claim

  1. Review the Denial Letter
    • SSS always states the reason for rejection—this should guide what documents you prepare.
  2. Gather the Missing or Corrected Documents
    • Double-check that all signatures, license numbers, and dates are present.
  3. Organize Your Paperwork
    • Group them in the order SSS usually requires: medical proof, notification proof, IDs, employer certification, supporting docs.
  4. Refile or Appeal
    • If you simply missed documents, refile the claim.
    • If you believe SSS made a mistake, file an appeal with a formal letter.

What If It Still Gets Rejected?

If you’ve submitted complete documents and still get denied:

  • Ask for clarification directly from the SSS branch handling your case.
  • Escalate to the SSS Commission for a formal review.
  • Prepare for future eligibility by paying contributions on time and notifying SSS early in the pregnancy.

You can also estimate what you would get next time using the SSS Maternity Benefits Calculator for Miscarriage to help you plan ahead.

TL;DR

  • Rejected miscarriage claims are often due to missing or incomplete documents.
  • The most important papers are medical proof, maternity notification, IDs, and employer certification.
  • Always double-check details like signatures, license numbers, and filing dates.
  • If still rejected after fixing errors, escalate or prepare for future claims.

FAQs

1. Can I submit photocopies of my documents?
SSS usually requires original copies or certified true copies for medical documents. IDs can be photocopied but must be presented with the original for verification.

2. How long does SSS take to process a refiled claim?
Processing time can take 2–6 weeks, depending on the completeness of your documents and branch workload.

3. Can I refile online?
Currently, miscarriage claims need to be filed in person, but you can submit your maternity notification online through My.SSS.

4. Will I need to pay any fee to refile?
No, re-filing or appealing a denied claim is free of charge.

5. What if my employer refuses to certify my documents?
You can file directly with SSS and submit an affidavit explaining the situation, along with proof of employment like pay slips or contract.

Related Posts:

To top