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PH PhilHealth Er2 free printable template

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Last updated May 12, 2026 · Reviewed by pdfFiller editorial team

Key takeaways

Fill, sign, and submit PH PhilHealth Er2 from any browser — or have AI generate a custom version in seconds. No installs, no printing, no back-and-forth.

  • Philippine employers use the PhilHealth Employee-Members Subsequent List Form to report additional staff members to the health insurance system.
  • The document requires the employer's official name, identification number, address, and current email contact information.
  • For each employee, the employer must list their full name, job position, monthly salary, and effective date of coverage.
  • A signature over the printed name of the employer is required to complete this PhilHealth registration document.
  • This subsequent list must be accomplished in duplicate as specified in the form instructions.

What is PH PhilHealth Er2?

PhilHealth Employee-Members Subsequent List Form is a document used by employers in the Philippines to report additional employee-members to the national health insurance system. This form serves as a formal notification to PhilHealth regarding new hires or existing staff members who are being added to the company's insurance coverage. By submitting this document, employers ensure that their workforce is properly registered and that individual health insurance records are kept up to date with the government.

The form requires detailed information from both the business and the individual workers. Employers must provide their official firm name, identification number, address, and contact email. For each staff member listed, the document captures the employee's full name, current job position, monthly salary, and the specific effective date of their health coverage. To complete the registration process, the employer must provide a signature over their printed name, confirming the accuracy of the provided employment and compensation data.

Issued by PhilHealth

Who needs the PH PhilHealth Er2 — and who doesn't

Not everyone files PH PhilHealth Er2. The checklist below tells you whether it applies to your situation — and points you to the right alternative if it doesn't.

You need this PH PhilHealth Er2 if…

  • you are an employer in the Philippines who needs to report additional employee-members to the PhilHealth system.
  • you must provide official documentation of an employee's position, salary, and effective date of coverage.
  • you are required to update the PhilHealth system with a subsequent list of staff members.

You do not need this PH PhilHealth Er2 if…

  • you have no new or additional employees to register at this time.
  • your business operations are located outside of the Philippines.

Why you need the PH PhilHealth Er2

Why people fill out PH PhilHealth Er2, and what tends to go wrong when they don't.

  • Update Member Lists Formally report additional employee-members to the PhilHealth system to ensure they are registered. This document serves as the official record for expanding your company's health insurance coverage.
  • Track Employment Data Document specific details for each new hire, including their position and salary. This form helps employers maintain accurate records of when each employee’s health insurance coverage officially begins.
  • Validate Official Submissions Ensure all reported information is authenticated with a required employer signature. This step confirms the accuracy of the employee list before it is submitted to the health insurance authority.
  • Manage Forms Online Use pdfFiller to fill, edit, and sign this form in your browser. This online platform allows you to add e-signatures and share the finished PDF via email or link.

What each section of PH PhilHealth Er2 means

Every section explained — what it's asking, the records you'll need on hand, and the mistakes that most often cause a rejection or follow-up request.

Employer Name Enter the official registered name of the firm or business entity that is reporting the additional employee members to the PhilHealth system.
Employer Number Provide the unique identification number assigned to the employer by the health insurance authority for tracking and administrative purposes.
Employer Address Input the complete physical or business mailing address of the employer's firm to ensure accurate records and correspondence.
Employer Email Address Record a valid and active email address for the employer to facilitate digital communication regarding health insurance registration and reporting.
Employee Full Name Enter the complete legal name of the individual employee who is being added to the health insurance system through this subsequent list.
Employee Job Position Specify the professional title or job role held by the employee within the employer's organization at the time of registration.
Employee Salary Provide the salary details for the listed employee, which are used to determine appropriate health insurance coverage and contribution levels.
Effective Coverage Date Enter the specific date on which the health insurance coverage for the listed employee is officially set to begin.
Employer Signature The employer or an authorized representative must provide a signature over their printed name to authenticate and validate the submitted form.

How to fill out PH PhilHealth Er2 using pdfFiller

A walkthrough from the first field to the signature line. With your records in front of you, most people finish in under ten minutes.

  1. Open the Form Click Get Form to open PhilHealth Employee-Members Subsequent List Form (PhilHealth Form ER1) in the pdfFiller editor to begin updating your company's employee records immediately.
  2. Enter Employer Information Click the designated fields to type in the Name of Employer or Firm and your unique Employer Number on this official Philippines health insurance form.
  3. Add Contact Details Complete the employer section by filling out the Address and E-mail Address fields to ensure PhilHealth can contact your organization regarding this subsequent list submission.
  4. List Employee Details Navigate to the list section to provide each Employee's Name and their specific Employee's Position using the text tool in the pdfFiller editor.
  5. Record Salary Information Input the Employee's Salary and use the date picker tool to select the Employee's Effective Date of Coverage for each member being added to the system.
  6. Apply Employer Signature Click on the Signature field to add a legally binding e-signature over your printed name, fulfilling the requirement for the employer to authenticate the document.
  7. Save and Distribute Review your entries, then save the document to secure encrypted storage, download the PDF, or share the completed form via email or a direct link using pdfFiller.

Related content

The forms, guides, and worksheets most filers reach for alongside PH PhilHealth Er2.

Key terms used in PH PhilHealth Er2

A one-sentence glossary of the PH PhilHealth Er2 terms and concepts you'll see throughout this guide.

PhilHealth
The government agency in the Philippines responsible for providing health insurance coverage and ensuring affordable healthcare for its members.
Employer No.
A unique identification number assigned to a firm or business for managing health insurance reports and contributions.
Effective Date of Coverage
The specific date when an employee becomes eligible to receive health insurance benefits through the PhilHealth system.
Subsequent List
An employer health insurance report used to register additional staff members who were not included in previous filings.
Employee-Member
An individual worker being reported by their employer to receive health insurance coverage under the national PhilHealth program.

Frequently asked questions about PH PhilHealth Er2

Quick answers to the questions we hear most often about completing the PH PhilHealth Er2.

The PhilHealth Employee-Members Subsequent List Form is a document used by employers in the Philippines to report additional employee-members to the PhilHealth system. Also known as PhilHealth Form ER1, it serves as a subsequent report to update an organization's employee roster. This ensures that new hires or additional staff are correctly registered for health insurance coverage.

Employers operating in the Philippines are required to use this Philippines health insurance form to register their employees. It is specifically designed for reporting staff members who were not included in the initial registration. By submitting this document, companies ensure that their workforce is recognized by the national health insurance program.

This employer health insurance report requires detailed information about both the company and the individual employees being registered. You must provide the employer's name, identification number, address, and email address. For each employee, the form asks for their full name, job position, monthly salary, and the effective date of their health insurance coverage.

The PhilHealth Member List must be accomplished in duplicate. This requirement ensures that both the employer and the PhilHealth office maintain a record of the submitted information. Keeping a second copy is a standard practice for administrative record-keeping and verification of employee registration status.

Yes, this official PhilHealth form requires a formal signature from the employer. The signing requirement specifies that the employer must provide their signature over their printed name to validate the document. This signature confirms the accuracy of the employee details and the employer's commitment to providing health insurance.

You can complete a PhilHealth employee registration online using pdfFiller's digital editing and management platform. This solution allows you to enter all required employer and employee data directly in your web browser. Once finished, you can add a legally binding e-signature and download or share the completed PDF with the necessary parties.

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