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Medical Schemes Act, 1998 (Act No. 131 of 1998)

Regulations

Regulations in terms of the Medical Schemes Act

Chapter 2 : Administrative requirements

2. Registration of medical scheme

 

1)      Every application for registration of a medical scheme must be in writing and signed by the person applying for the registration of the medical scheme and must contain—

a) the full name under which the proposed medical scheme is to be registered;
b) the date on which the proposed medical scheme is to come into operation;
c) the physical and postal addresses of the registered office of the proposed medical scheme;
d) two copies of the rules of the proposed medical scheme, which must comply with regulation 4(1), and must be duly certified by the applicant as being true copies of the rules which will come into operation on the date of registration of the proposed medical scheme or the date of commencement of the medical scheme, whichever date is applicable;
e) the full names, physical and postal addresses and curriculum vitae of the principal officer and trustees of the proposed medical scheme;
f) in the case of a restricted membership medical scheme, the name or names of the participating employer(s);
g) the name and address of the person who will administer the medical scheme;
h) a copy of the administration agreement, in the case where the proposed medical scheme is to be administered by an administrator;
i) a copy of any other joint-administration agreement between a medical scheme and any other party;
j) the guarantees and the guarantee deposit vouchers as the Registrar may require;
k) a detailed statement of services to be undertaken, directly or indirectly, on behalf of the proposed medical scheme by an administrator, broker and managed care organisation;
l) a detailed business plan; and
m) such other information as the Registrar may require.

 

2)      The application referred to in subregulation (1) must be accompanied by an application and registration fees as prescribed by regulation 31(a) and (b).

 

3)      The minimum number of members required for the registration of a medical scheme established after these regulations have come into operation is 6000, and this number must be admitted within a period of three months of registration of the medical scheme.

 

 


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