The field regulatory teams of health insurance visited 28 insurance companies and 8 claims management companies, and resulted in these visits, a decision by the Cooperative Health Insurance Council to stop five companies for health insurance and prevent it from issuing or renewing insurance policies within six months ago, and that's for violating the Health Insurance Law and Bylaws.
The General Secretary of the Council of Cooperative Health Insurance, Dr. Abdullah Al-Sharif said in a statement today that "teams of field supervisory visits on insurance companies spotted many irregularities and abuses which necessitated stopping the health insurance business for those companies to protect the insured from unsound practices involving fraud or deception or manipulation. "
Al Sharif said that the Council will not lift the suspension until correction of the situation of those companies is proven and adherence to standards and requirements that ensure the quality of the cooperative health insurance market performance.
About irregularities that have been monitored Sharif explained that it includes a variety of non-delivery of health insurance cards to their owners, issuing Insurance policies without completing the required documents, the existence of health insurance documents violating maximum benefit, as well as violating the agenda of cooperative health insurance updated document and increasing benefit limits for up to (500,000) Real for the document.
As well as violations included the absence of a guiding booklet distributed to the insured persons contains a table of benefits and exclusions of consolidated document for the health insurance system and the scope of insurance coverage and limits of network-based service providers, weakness followed precautionary measures with the insurance company.
For his part, the Director of Rehabilitation Administration Tariq Al-Mutawa said that: The regulators field teams has made more than 19 visit included 28 insurance company and 8 claims management companies to verify the extent of its commitment to health insurance and its executive regulations.
The General Secretary of the Council of Cooperative Health Insurance, Dr. Abdullah Al-Sharif said in a statement today that "teams of field supervisory visits on insurance companies spotted many irregularities and abuses which necessitated stopping the health insurance business for those companies to protect the insured from unsound practices involving fraud or deception or manipulation. "
Al Sharif said that the Council will not lift the suspension until correction of the situation of those companies is proven and adherence to standards and requirements that ensure the quality of the cooperative health insurance market performance.
About irregularities that have been monitored Sharif explained that it includes a variety of non-delivery of health insurance cards to their owners, issuing Insurance policies without completing the required documents, the existence of health insurance documents violating maximum benefit, as well as violating the agenda of cooperative health insurance updated document and increasing benefit limits for up to (500,000) Real for the document.
As well as violations included the absence of a guiding booklet distributed to the insured persons contains a table of benefits and exclusions of consolidated document for the health insurance system and the scope of insurance coverage and limits of network-based service providers, weakness followed precautionary measures with the insurance company.
For his part, the Director of Rehabilitation Administration Tariq Al-Mutawa said that: The regulators field teams has made more than 19 visit included 28 insurance company and 8 claims management companies to verify the extent of its commitment to health insurance and its executive regulations.
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