IMS – DEPED HMO Enrollment Form

IMS-ANEC Enrolment Form for Teachers Shield Package

If you are bonafide members of IMS-ANEC, teachers can now secure affordable and comprehensive healthcare coverage. Fill out the application forms below to order Teachers Shield Package – an HMO program for Public School Teachers. Make sure all required fields are completed so we can process your enrolment efficiently.

Fill Up Your Information

Complete the form below to start your enrollment process

This platform is intended for teaching and non-teaching personnel only and is not open for the enrolment of dependents.

Disclaimer: This platform is for group enrolment only and not for individual use. While information is collected individually, members may be grouped according to their schools, districts, or divisions. Membership may be declined for individuals not belonging to a recognized group.

Member Name *

Example: DIZON, MARIA CLARA SANTOS

School *

If your school is not listed, please send an email to ims.dm@ims.com.ph with your school details.

School Delivery Address (Where the Physical Card Will Be Sent) *

Birthdate *

Plan Availing *

Agent *

Contact Number *

Email *

Employee Number *

Division Code *

Station Number *

Upload Teacher's ID *

You may upload an image or take a photo of your Teacher’s ID. Accepted file types: JPG, JPEG, PNG. Maximum file size: 5 MB.

Before proceeding to payment

I hereby agree to the terms and conditions set forth under this order.

Terms & Conditions for Teachers Shield Package

That as a bonafide member of IMS-ANEC, I shall be provided with access to affordable healthcare under the program Teachers Shield Package (TSP).
That I understand, the program is exclusive to teacher-members of IMS-ANEC only.
That I was given options as to the program that suits me best from the list of TSP variants provided to me by IMS representatives.
That I am enrolling as a government employee/teacher.
That I am not applying for my dependent.

I agree to the Terms & Conditions

IMS-ANEC Enrolment Form for Teachers Shield Package

Fill Up Your Information

Before proceeding to payment

Plan Details