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NHS Application Guide Unofficial Groups

An Open Letter to Principals and Division Superintendents

Most available HMO options within ₱7,000 offer limited benefits, often excluding vital services for teachers such as annual physical exams, maternity care, and hospitalization.

To address this gap, we are pleased to present the National Healthcare Shield (NHS): a comprehensive, affordable health plan by Kaiser International HealthGroup, specifically designed to meet the needs of teachers and DepEd personnel.

Download Open Letter for Principals and SDS

A step-by-step guide to implement Kaiser International Healthgroup’s National Healthcare Shield (NHS) for Unofficial Groups, including teachers at the school level, even without Division Office support

Process Flow of Informal Group

1. Formation of the Group:
   • Gather members and agree on the group’s purpose.
   • Assign a group name.
2. Documentation:
   • Prepare a notarized certification from the group stating that He or She is the authorized LEADER OF THE GROUP.
3. Duties of the Leader:
   • Sign documents and the agreement on behalf of the group.
   • Represent its members in dealings with the HMO PROVIDER;
   • Coordinate with the GROUP to validate membership lists and eligibility;
   • Facilitate any and all communication between the GROUP and the HMO PROVIDER in relation to matters under this Agreement;
   • Assist members in availing benefits and resolving concerns regarding coverage for principal members and dependents;
   • Ensure that any changes in membership status, are promptly communicated to both the GROUP and the HMO PROVIDER.
4. Requirements:
   • MOA Agreement between Kaiser and the Group.
   • Notarized certificate of authorization of the Leader.
   • List of Members with Signature and Valid Government ID or Certificate of Employment issued by the Employer:

Detailed Initial Steps

To implement Kaiser International Healthgroup, Inc’s National Healthcare Shield (NHS) for teachers at the school level, even without direct Division Office endorsement, simply follow the following steps.

These detailed initial steps implement steps 1, 2, and 3 in the "NHS Step-by-Step Implementation - For Principals and School Heads:

1. Call a faculty meeting and present NHS benefits.
   • Invite Kaiser representative for product presentation,
   • Scan the QR code on the right to watch presentation and details videos.
   • Highlight features
2. Secure consensus from teachers:
   • Prepare and sign a Faculty Resolution
   • HMO companies approve group HMO plans based on anti-selection, hence enrollment must be by entire groups; possible exceptions are those who already have HMO benefits.
3. Collect premiums:
   • Option A: Cash collection by a committee (with acknowledgment receipts).
   • Option B: Salary deduction (if coordinated through payroll / Division Office).

Detailed Closing Steps

These detailed closing steps implement steps 4, 5, and 6 in the "NHS Step-by-Step Implementation - For Principals and School Heads:

4. Prepare documents
   1. Submit conforme document, stating group name, signatory, position title and address to Kaiser International through the Kaiser agent.
      Download nfs-conforme.pdf file.
   2. Submit notarized certification of authorization, such as a Faculty Resolution
      • Faculty resolution
        Download Faculty Resolution draft.
        Adjust as necessary to satisfy your school’s documentation requirements.
      • Annex A. List of Principal Members.
        Download nhs-fr-annex-A.xlsx spreadsheet.
      • Acknowledgement / Notary certification, (included in draft in item (a) ).
   3. Receive final copy of Memorandum of Agreement via email from HMO provider
5. Memorandum of agreement
   1. Print and sign four (4) copies of Memorandum of Agreement in coordination with HMO provider
      • if face to face, then the document just need to be notarized
      • if remote (in different locations), see remote signing instructions.
   2. Submit Masterlist of Principal and Dependents
      Download nhs-group-masterlist.xlsx
   3. Remit Payment
      See Payment Instructions.
6. Rollout
   1. Receive proof of membership
      • HMO agreement
      • Official receipt with name of members
      • Individual membership cards

If the signing of documents will be done remotely ( not face to face ), see remote signing instructions

Kaiser International HealthGroup

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