The Strategic Committee for Health Insurance is engaged in drawing up plans and strategies to develop the health insurance industry, raise the level of integration and coordination between insurers and the insured and reduce attempts by unscrupulous parties to circumvent the rules to obtain healthcare services unlawfully.
Dr Shabab bin Saad Al-Ghamdi, secretary general of the Cooperative Health Insurance Council (CHIC), said, “The committee's work is focused on ensuring consistency of visions between the Council, SAMA, insurance companies and healthcare providers, in addition to proposing visions to develop sector governance plans.”
Mr Al-Ghamdi added that the committee is also mandated to provide insights to regulate the relations between insurance companies and healthcare service providers with the CHIC. It will also oversee improvements in medical insurance claims settlement procedures and support the electronic transaction platform and the national project for classification and medical coding in addition to making recommendations with regards to the benefits and limits of approved insurance policies.
As an indication of the importance of health insurance, the share of this class of business, which generates annual written premiums of SAR18bn ($4.8bn), to total insurance is 52%.