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Council of Cooperative Health Insurance
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Insurance Companies
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FAQ
Does the Council qualify brokerage and agency companies to practice insurance activities?
The Council is incompetent to qualify brokers' and agents'
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Shall the insurance company submit names of the insured to the Advanced National Policies Issuance System within 48 hours as of effective date of the Policy?
Yes, the company shall submit the names to the Developed National Policies Issuance System within 48 hours as of the effective
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What is the mechanism used to determine the value of health insurance premium in insurance companies?
The health insurance premium is determined as agreed between insurance company and employer as stipulated in Paragraph (A),
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Are insurance companies entitled to reject any health insurance request of the categories covered by Cooperative Health Insurance Law?
Insurance companies are not entitled, directly or indirectly, to do so. In event of any rejection, the employer is entitled to
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Is there a special title for the main category of Cooperative Health Insurance Policy at qualified insurance companies?
The category title is a special coding for insurance companies as it varies from one to another. This is approved as
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What are the geographical coverage limits of Cooperative Health Insurance Policy?
The insurance coverage of obligatory health insurance is limited to the services provided in the Kingdom of Saudi Arabia, which
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If a foreign worker travelled to spend his leave and did not return to the Kingdom, is the employer entitled to redeem the proportional part of the subscription in the Policy for the remaining period of insurance?
If the foreign worker did not return from his country, the employer shall first prove this by submitting an official document
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Does employer have the right to include the condition of Profit Share on health insurance policy by redeeming a part of paid premium in case the Policy has a return, based on a prior agreement between insurance company and employer for each policy?
Employers may not explicitly or implicitly stipulate recovery of sums from health insurance companies as a result of
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Is the policyholder entitled to claim insurance company to refund the residue of insurance premium as profits to the insured, if costs of treatment in the Policy did not exceed the value of premium?
With reference to Article (70) of the Executive Regulation of Cooperative Insurance Companies Control Law, the cooperative insurance
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What is the regularity of health insurance policies that contains the condition of (in-House clinic) at work?
This condition shall not be included in health insurance policies for the categories covered by Cooperative Health Insurance Law
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FAQ
Currently selected
Does the Council qualify brokerage and agency companies to practice insurance activities?
Shall the insurance company submit names of the insured to the Advanced National Policies Issuance System within 48 hours as of effective date of the Policy?
What is the mechanism used to determine the value of health insurance premium in insurance companies?
Are insurance companies entitled to reject any health insurance request of the categories covered by Cooperative Health Insurance Law?
Is there a special title for the main category of Cooperative Health Insurance Policy at qualified insurance companies?
What are the geographical coverage limits of Cooperative Health Insurance Policy?
If a foreign worker travelled to spend his leave and did not return to the Kingdom, is the employer entitled to redeem the proportional part of the subscription in the Policy for the remaining period of insurance?
Does employer have the right to include the condition of Profit Share on health insurance policy by redeeming a part of paid premium in case the Policy has a return, based on a prior agreement between insurance company and employer for each policy?
Is the policyholder entitled to claim insurance company to refund the residue of insurance premium as profits to the insured, if costs of treatment in the Policy did not exceed the value of premium?
What is the regularity of health insurance policies that contains the condition of (in-House clinic) at work?
Does the company have the right to refuse refunding the residue of insurance premium to the employee whose insurance has been cancelled?
What are the categories covered by Cooperative Health Insurance Law?
What are the categories excluded from Cooperative Health Insurance Law?
Who is responsible for providing insurance coverage to the individuals covered by Cooperative Health Insurance Law?
Is insurance company responsible for follow-up the insurance broker's or agent's commitment to fulfil health insurance requirements and conditions set forth in Health Insurance Law and Executive Regulation thereof?
Can the Third Party Administration Company (TPA) contract directly with the policyholder for providing health insurance services?
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