Article31 :If the insurance company provides such medical
services that should have been provided by the Occupational Hazards Branch of
the General Organization for Social Insurance (GOSI), said company may apply
to
GOSI for indemnification. |
| Article32 :If GOSI provides healthcare services
to a person holding an insurance policy with a health insurance company
obligated to provide such services, the insurance company shall indemnify
GOSI for expenses incurred within the limits of the policy, taking into
consideration the rates approved by the Ministry of Health. |
| Article33 :GOSI and the insurance company may
conclude a joint contract which provides for taking specific procedures to
provide the services stated in Articles 31 and 32 of this Regulation. |
| Article34 :The insurance company may recourse to
the third party responsible for the damages against which the beneficiary was
indemnified under the principle of subrogation whereby the company may
subrogate the insured in all the rights relating to said damages upon proof
of payment of the relevant amounts by the company, without the need to obtain
any authorization or power of attorney from the insured. |
| Article 35 :SAMA shall brief the Council in
writing of any observations concerning the performance of the accredited
health insurance companies or TPAs, including observations relating to
license revocation or suspension. |
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