Ghana - Get Fund from Private Health Insurance Scheme


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ProcedureEdit

Apply In-Person

  1. To Get Fund from Private Health Insurance Scheme in Ghana, the applicants has to approach the Ghana National Health Insurance Authority office contact link
  2. Applicant must obtain the required application form Link
  3. Applicant must provide all the necessary information in the application form.
  4. The applicant has to make sure he or she has all the required documents that are required for this process to be successful and they can be found under the "Required Documents" section of this page.
  5. Applicant should attach photocopies of documents (whichever is necessary) along with the applicant form while submitting it at the office.
  6. A fee for this procedure is has to be paid as per as authority’s request.
  7. Submit the completed forms along with the supporting documents at the respective office for verification and processing.
  8. If all above mentioned procedures were followed properly by the applicant, the application form will be viewed by concerned authorities and the applicant will be notified regarding their fund.
  9. If there is no information regarding the application, then, the applicant can visit the office to know status of the application.
  10. Generally, the processing time for this procedure is takes up to 9 weeks.



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Required DocumentsEdit

An application for registration shall be submitted with the following:

  • Application form Link
  • Two copies of:
    • The Constitution of PMHIS or
    • The Regulations of PCHIS
  • Certified true copy of certificate of incorporation
  • Certified true copy of certificate to commence business
  • Share certificates
  • Group structure detailing applicant’s position in the group (if applicable)
  • A Business Plan which must contain at the minimum:
    • Detailed information on the Governing Body which shall be responsible for the direction of policies of the scheme and appointment of employees such as a Principal Officer/Managing Director (which may be an independent body corporate or a committee) and other officers who shall be responsible for the management of the scheme. In addition to directors, shareholders and senior management staff of PHIS must be “fit and proper”. Refer to Appendices 5, 6 and 7 for the requirements of composition of boards, management and “Personal Questionnaire Forms”.
  • Statement of the target market and the proposed minimum number of persons to be covered by the PMHIS.
  • Proposed NHIA credentialed healthcare providers and healthcare facilities to be used by the scheme.
  • Financial projections for the first five (5) years which must show the financial viability of the scheme.
  • Marketing strategy
  • Underwriting strategy
  • Investment strategy
  • Exit strategy
  • Outsourcing strategy
  • Risk Management strategy which shall include re-insurance
  • Any other relevant information that may be required.



Office Locations & ContactsEdit

National Health Insurance Authority
Address: AU, Ridge Residential Area, 36 SekouToure St, Accra, Ghana
HR83+9P Accra, Ghana
No. 36-6th Avenue, Opposite AU Suite, Ridge Residential Area, Accra.
Digital address: GA-029-3976
Fax number: +233 (0) 302 232325
Contact number: +233302216970/+233 (0) 302 238136/ 233255/ 216970/ 241690
Email id: [email protected]
Location link
Contact link

EligibilityEdit

  • A scheme does not qualify to apply to operate a private health insurance scheme unless it is registered and incorporated under the Companies Act, 1963 (Act 179) as a:
    • Limited liability company in the case of PCHIS or
    • Company limited by guarantee in the case of PMHIS
  • Where a commercial health insurance company is solely owned by non-Ghanaian, a minimum of 15% of the shares shall be owned by Ghanaians.



FeesEdit

  • A fee for this procedure is has to be paid as per as authority’s request.



ValidityEdit

Explain the time until which the certificate/document is valid.
e.g. Birth Certificate Valid Forever



Documents to UseEdit

Link

Sample DocumentsEdit

Please attach sample completed documents that would help other people.



Processing TimeEdit

  • The processing time for this procedure takes 3 months.



Related VideosEdit

Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.gIn the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.



InstructionsEdit

Please provide other instructions related to the certificate/documents.
E.g. the state office holds birth records since January 1908.


Required InformationEdit

  • Name of Scheme
  • Name of Individual
  • Personal data
    • Sur name
    • First name
    • Last name
    • Postal address
    • Telephone number
    • Fax number
    • Email id
    • Nationality
    • Date of birth
    • Residential address (street, house number, suburb etc.)
    • Age and sex
    • Qualification
    • Any change of nationality Date changed
    • Current residential address
    • Any other residential address (es) in previous ten years (with dates)
    • Capacity in which you are completing this form, e.g. as a current or prospective director, shareholder or principal officer or any combination of these.
    • Date of Appointment
    • Status of Directorship e.g. Non-Executive, Executive and Independent
    • State your full title and describe the particular duties and responsibilities attaching to the position(s) which you hold or will hold.
  • Other Relevant Information
  • Particulars of directors details
  • Particulars of management team details
  • Details of particulars of auditor
  • Name of principal officer/manager
  • Declaration



Need for the DocumentEdit

  • The NHIS in Ghana is a government-sponsored social health insurance scheme funded primarily by taxation through the National Health Insurance Levy (70%), social security contributions (17%), investment income (8%), and premiums and registration fees (5%).



Information which might helpEdit

  • The National Health Insurance Authority (NHIA) is mandated by National Health Insurance Act, 2012 (Act 852) to regulate Private Health Insurance Schemes (PHIS) in Ghana. In performing its regulatory functions the Authority registers, licenses and supervises the operations of PHIS in Ghana.



Other uses of the Document/CertificateEdit

Please explain what are other uses of obtaining this document/certificate.
e.g. Birth Certificate can be used as proof of identity.



External LinksEdit

Link


OthersEdit

More information which might help people.