Top 5 Reasons for SSS Maternity Benefit Claim Denials in 2026
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Top 5 Reasons for SSS Maternity Benefit Claim Denials in 2026
Applying for your SSS Maternity Benefit is a big step toward ensuring financial stability during one of the most important milestones of your life — motherhood. But every year, thousands of Filipina moms are disappointed to find that their claims were denied due to errors they didn’t even know they made.
In this article, we’ll break down the Top 5 reasons why SSS denies maternity benefit claims in 2026, how to avoid them, and what real mothers did to correct their situation.
And if you want to check your eligibility instantly, you can use the 👉 SSS Maternity Qualifying Period Calculator 2026 to confirm whether your payments and expected delivery date meet the qualification rules.
đź’ˇ Why the SSS Maternity Benefit Is So Important
The SSS Maternity Benefit gives women paid leave ranging from 60 to 120 days (depending on the situation), helping them financially while they recover from childbirth or pregnancy loss.
It’s not just for employed women — voluntary, self-employed, and OFW members can also receive it. But the benefit depends entirely on eligibility and documentation. Even one error in contribution, filing, or timing can lead to denial.
đźš« Reason #1: Insufficient Contributions During the Qualifying Period
This is the most common cause of claim denial.
To qualify, you must have at least 3 monthly contributions within the 12-month qualifying period before your semester of contingency (the 6-month period that includes your expected delivery date or EDD).
Example:
If your EDD is June 2026, your qualifying period is January 2025–December 2025. If you only have 2 paid months in that range, your claim will be denied — even if you’ve been an SSS member for 10 years.
✅ How to Avoid: Use the SSS Maternity Qualifying Period Calculator 2026 to confirm your qualifying period early. That way, you’ll know exactly which months to pay before it’s too late.
đźš« Reason #2: Late or Missed Contribution Payments
Many members assume they can pay missed contributions later, but SSS does not accept late or retroactive payments. Once a quarter passes, that payment is no longer valid.
Real Example: Rowena’s Story – OFW on Vacation Leave
Rowena from Dubai came home for maternity leave in 2026. Her EDD was in November, and her qualifying period was July 2025–June 2026. She missed her February and March payments, thinking she could catch up later — but those payments were no longer accepted. Her claim was denied.
✅ How to Avoid: Pay contributions on time every quarter. Set calendar reminders for payment deadlines if you’re a voluntary or OFW member.
đźš« Reason #3: Filing Maternity Notification After Giving Birth
Many women don’t realize that SSS requires a maternity notification to be filed before childbirth. If you submit the notification after your delivery date, SSS will automatically deny your claim.
Real Example: Leah’s Story – Market Vendor and First-Time Mom
Leah from Iloilo gave birth in August 2026. She thought she could file her maternity benefit after delivery, but she hadn’t submitted a maternity notification. Her claim was denied, and she missed the benefit entirely.
âś… How to Avoid: File your maternity notification as soon as you confirm your pregnancy, either through the SSS Mobile App, My.SSS online account, or at your nearest SSS branch.
đźš« Reason #4: Using the Wrong Expected Delivery Date (EDD)
The SSS always uses your Expected Delivery Date (EDD), not your actual birth date, to determine your qualifying period. If you compute your contributions based on the wrong date, you might fall outside the eligible range.
Real Example: Dianne’s Story – Newly Married Teacher
Dianne from Baguio had her EDD in February 2026, but she gave birth earlier in January. She thought her qualifying period changed — but SSS still used her EDD for computation. Because her earlier payments were within October 2024–September 2025, she remained qualified.
✅ How to Avoid: Always base your computation on your doctor’s or OB-GYN’s EDD — never the actual birth date.
đźš« Reason #5: Incorrect Membership or Employer Reporting
Another common reason for denial happens when your employer fails to remit contributions, or when you don’t update your membership status after resigning. If your contributions are unposted or incorrectly tagged, SSS will consider you ineligible.
Real Example: Clarisse’s Story – Office Worker Turned Freelancer
Clarisse from Makati left her corporate job in late 2025 and became a freelancer. Her employer stopped paying, but she didn’t update her membership to Voluntary. When she filed her claim in 2026, SSS found gaps in her contribution record — initially denying her claim. She later fixed her membership and completed missing months, requalifying successfully.
âś… How to Avoid:
Always update your SSS membership type immediately after changing employment status.
Double-check that your employer remits payments monthly.
If you’re self-employed, pay voluntarily and keep receipts.
Here’s a recap of what usually causes claim denials:
❌ Less than 3 valid contributions within the qualifying period
❌ Late or missed contribution payments
❌ Filing notification after giving birth
❌ Wrong EDD used for computation
❌ Unreported or incorrect membership/employer data
âś… Tip: Always check your eligibility early using the SSS Maternity Qualifying Period Calculator 2026.
âť“ FAQs About SSS Maternity Benefit Denials
1. Can I still refile my claim if it was denied? Yes, but only if you can prove missing or unposted contributions within your qualifying period.
2. Can I pay missed months to qualify? No. SSS does not accept retroactive payments for past quarters.
3. What if my employer failed to remit payments? You can file a complaint with SSS and submit proof of deduction (e.g., payslips) to have those months validated.
4. Does my employment status affect my eligibility? No, as long as your contributions meet the qualifying period and you’ve filed your maternity notification on time.
5. What if I’m unemployed but still an SSS member? You can continue as a voluntary member and remain eligible as long as you meet the contribution rule.
❤️ Final Advice
An SSS Maternity Benefit claim denial is not just paperwork — it’s lost financial support during one of life’s most critical stages. Most denials come from avoidable mistakes like missing payments, late filing, or using the wrong EDD.
Before filing your claim in 2026, confirm your eligibility through the 👉 SSS Maternity Qualifying Period Calculator 2026 and stay one step ahead — because when it comes to your maternity benefits, prepared moms are protected moms. 💕
