السبت، 28 مايو 2016

Health Insurance culture CCHI regulation 81-85

Article 81:Insurance companies and service providers shall set up a unit to receive and address complaints filed by beneficiaries and policyholders. If a complaint is not addressed and it relates to violation of the provisions of the Law, the complainant may file the complaint with the Council. Article 82:The parties to an insurance policy shall be the policyholder and the insurance company. Article 83:The employer shall obtain health insurance for his employees by concluding a health insurance policy with an insurance company accredited by the Council. "Article 84:The employer shall provide the insurance company with the basic data required to conclude the policy as provided for in the medical disclosure form attached to this Regulation (Annex 6). The insurance company may request additional data and may waive the requirement to complete all or part of said data. In all cases, the data provided for in the disclosure form or waived shall suffice to meet the disclosure requirement to conclude the policy, and the disclosure form shall be used to meet the requirement under this Article." Article 85:The employer shall provide all information requested by the insurance company. If the insurance company has reasonable grounds to doubt the accuracy of such information, it may refer the matter to the Council, along with supporting evidence. The employer shall, upon the Council’s request, submit all necessary documents.

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