Uganda - Apply for a Licence to operate Health Insurance and Health Membership organisation. (HMO)

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Procedure

1. To apply for a Licence to operate a Health Insurance and Health Membership Organisation, the applicant has to contact the Insurance regulatory Authority of Uganda.
2. A written application should be submitted before picking the application forms.
3. Fill up the appropriate application form as described by the Insurance Regulatory Authority of Uganda.
4. Application for a Licence to operate a Health Insurance and Health membership organisation must be made in the name of a person or a corporation and submitted on a standard form. The application form must be submitted together with other required documents and fit & proper test questionnaire which must be filled along with the application form.
5. After filling the form and fit proper test questionnaire proceed to pay the prescribed fee
6. Submit the dully filled in form and attached with pay slip and the questionnaire to the insurance Officer whose officer shall carryout inspection of your health insurance facility.
7. Collect your health insurance and health membership organisation Licence from where your application was submitted within 14 days from the date the application was received at insurance regulatory Authority in case there is no rejection

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Required Documents

1. Names, nationality and address of the directors of the applicant.
2. If any of the directors has been convicted of any offence involving fraud or dishonesty, he/she should give full details.In addition, the applicant should submit
   • A copy of the Professional Indemnity Insurance Policy cover to protect the business interests against claims for error or omissions, professional neglect for both principals and employees, of at least Ushs.100 million; for the said staff.
   • Details of the company Accountant who should be recognized as such; by ICPAU and approved IRA.
   • Proof of registration from Uganda registration services bureau/business-registration/registering-a-new-company.
   • A certified true copy of the articles and memorandum of association (other document by which the Health Membership Organisation (HMO)) is constituted.
   • Annual accounts within three months from the end of the financial year duly audited by an Auditor approved by the IRA.
   • Management Accounts within a month from the end of each quarter.
   • Detailed and signed curriculum vitae of all directors and the Chief Executive Officer
   • Names,nationality and shareholding of shareholders
   • Detailed signed curriculum vitae of the management and technical staff.
   • List of all branch offices,address and telephone numbers
   • Copies of valid work permits for all expatriate staff.
   • Listing of Service Providers (affiliates) who have signed contracts with the HMO.
   • List of all agents employed.
   • Company Business Plan for three(3) to five (5)years duly endorsed by an external auditor.
   • A certified true copy of each type of policy of insurance / contact which the Company proposes to issue.
   • Copy of the various benefit packages to be offered to prospective members and the Premium thereof.
   • Copy of the registration certificate for the Medical Director or the person in charge of health services issued by the Uganda Medical and Dentist Practitioners` Council for the professionals.
   • List of all agents employed.
   • Evidence of membership to the Insurance Institute of Uganda.
   • Copy of the latest insurance license (if any).
   • Such other documents and information as the Authority may require.
   • Fill the personal fit and proper questionnaire.
3. All licensed players are required to pay Annual contribution as will be advised by the IRA.
4. All licensed players are required to pay a training levy of 0.5% payable quarterly to the Insurance Institute of Uganda.

Office Locations & Contacts

The Insurance Regulatory Authority Of Uganda - Head Office,
Insurance Towers Plot 6,
Lumumba Avenue
Kampala Uganda
P.O Box 22855
Kampala Uganda
Tel: +256 417-425500
Email: [email protected]
WebsiteL Link

Eligibility

• Any person carrying out Health business in Uganda are eligible to obtain Health insurance license.
• Members of HMO Association MUST produce certificate of Membership to be eligible for this Licence.

Fees

• Application Fee: 500,000 Ugshs. – Registration
• Commitment fee : 50,000 Ugshs.
• License Fee: 3,000,000 Ugshs.
• Renewal Fee: 3,000,000 Ugshs.

Validity

Validity: period of 2 year.

Documents to Use

• Application form
• Fit & Proper Test Questionnaire

Sample Documents

Please attach sample completed documents that would help other people.

Processing Time

Maximum Processing Time: 30 days.

Related Videos

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.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.

Instructions

The applicant must avail immigration status of all non-Ugandan employees. i.e.

• Photocopies and original work permit.
• Consulting Actuary should be qualified.
• Insurance Act provides that a person proposing to transact business as a HMO should be Licensed by insurance regulatory Authority.

Required Information

Fill an application form with the following information

• The name of the applicant.
• Postal address of the Head office.
• Telephone numbers, fax number, email
• Physical address
• Share capital (i) Authorized and (ii) Paid-up capital
• Name and address of auditors
• Insurance business intended to be transacted for
• Names and address of Bankers
• Name address of External auditors
• Total Number of all employees.
• Total Number of Agent( if any)
• Name of the Executive Director.
• Name of the company Accountant who should be recognized by the institute of certified Accountant of Uganda.

Need for the Document

Please provide the need for the procedure. e.g. Birth Certificate - why do we need to have a birth certificate? 
 

Information which might help

The goal of Health insurance coverage is to ensure that all people obtain the health services they need without suffering financial hardship by having to incur out of pocket expenses to pay for said services.

• All licensed players are required to pay a training levy of 0.5% payable quarterly to the Insurance Institute of Uganda.
• All licensed players are required to pay Annual contribution as will be advised by the IRA.

Other uses of the Document/Certificate

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

External Links

• External Link 1
• External Link 2
• External link 3

Others

More information which might help people.