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Council of Cooperative Health Insurance
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Council of Cooperative Health Insurance
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List of Council Members
Dr. Abdullah bin Ibrahim bin Mohammed Al-Sharif
HH Prince/Dr. Bandar bin Abdullah Al-Meshari Al Saud
Dr. Sami bin Abdulkarim Al-Abdulkarim
Rashid bin Suleiman bin Rashid Al-Rashid Al-Humaid
Mr. Tal Hisham bin Muhyialdin Nadher
Mr. Ahmed Saleh Al-Humaidan
Ali bin Salman Ayed Al-Ayed
Major General, Dr. Suleiman bin Muhammad Abdullah Al-Malek
Mr. Khalid Sulaiman Al-Slaim
Abdulrahman bin Abdullah Al-Eban
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FAQ
1. What the limits of insurance coverage?
2. Can a policyholder upgrade insurance coverage to cover other diseases?
3. What is meant by deduction/payment sharing?
4. Who is responsible for paying the deduction/payment sharing when receiving healthcare services, and what are the exceptions?
5. What is the period necessary for insurance companies to respond to approve treatment requests?
6. Does the CCHI policy cover claims arising from congenital deformities?
7. Does the policy cover psychological cases?
8. How is insurance for people with chronic diseases carried out?
9. What is the maximum benefit limit?
10. Is the employment contract concluded between the employer and employee enough to determine the marital status of the latter?
11. Is the employer obliged to provide insurance for their employee’s wife who entered the Kingdom through a visit visa?
12. Is the baby covered by insurance as of the first day of insurance for the insured, whether she is an employee or a dependent?
13. Is insurance linked with the employee’s renewal of residence permit (Iqama)?
14. Does the cooperative health insurance policy cover a vehicle accident caused by the (insured driver) who is 14 years old (i.e. who does not have a driving license)?
15. Has the cooperative health insurance policy determined a certain age limit which the sponsor or employer has to adhere to in insuring its staff?
16. What are the cases which the employer can use to cancel the insurance policy for expat employees?
17. Does the cooperative health insurance policy cover vision correction operations (Laster, Lasik)?
18. Is an employer entitled to cancel the health insurance policy for non-Saudi workers who do now show up at work?
19. Will outside doctor costs be covered by the cooperative health insurance policy?
20. Does insurance cover hepatitis?
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FAQ
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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FAQ
. What the limits of insurance coverage?
Can a policyholder upgrade insurance coverage to cover other diseases?
What is meant by deduction/payment sharing?
Who is responsible for paying the deduction/payment sharing when receiving healthcare services, and what are the exceptions?
What is the period necessary for insurance companies to respond to approve treatment requests?
Does the CCHI policy cover claims arising from congenital deformities?
Does the policy cover psychological cases?
How is insurance for people with chronic diseases carried out?
What is the maximum benefit limit?
Is the employment contract concluded between the employer and employee enough to determine the marital status of the latter?
Is the employer obliged to provide insurance for their employee’s wife who entered the Kingdom through a visit visa?
Is the baby covered by insurance as of the first day of insurance for the insured, whether she is an employee or a dependent?
Is insurance linked with the employee’s renewal of residence permit (Iqama)?
Does the cooperative health insurance policy cover a vehicle accident caused by the (insured driver) who is 14 years old (i.e. who does not have a driving license)?
Has the cooperative health insurance policy determined a certain age limit which the sponsor or employer has to adhere to in insuring its staff?
What are the cases which the employer can use to cancel the insurance policy for expat employees?
Does the cooperative health insurance policy cover vision correction operations (Laster, Lasik)?
Is an employer entitled to cancel the health insurance policy for non-Saudi workers who do now show up at work?
Will outside doctor costs be covered by the cooperative health insurance policy?
Does insurance cover hepatitis?
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