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Council of Cooperative Health Insurance/Insurance Companies

    About Qualifying Department

    ​​​Qualifying department qualifies insurance companies to participate in the cooperative health insurance business, and qualifies third party administrative companies to handle cooperative health insurance claims
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    Cooperative Health Insurance Companies
    A list of qualified insurance companies by the Cooperative Health Insurance Council
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    Health Insurance Claims Management Companies
    A list of qualified claims management companies by the Cooperative Health Insurance Council
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Insurance Companies
  • Insurance CompaniesCurrently selected
    • Contact Directory for the Qualifying Department
    • E-Services
    • About Qualifying Department
    • Cooperative Health Insurance Companies
    • Health Insurance Claims Management Companies
    • Inquiries and Suggestions
    • Insurance Companies Qualifying Procedures
      • Insurance Company Qualifying (ReQualifying) Requirements
      • Insurance Company Qualifying (ReQualifying) Forms
      • Qualified Insurance Company Yearly Renewal Requirements
      • Qualified Insurance Company Yearly Renewal Forms
    • Claims Management Companies Qualifying Procedures
    • Decisions and Circulars
    • 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?
    • Forms
    • Contact Qualifying Department
    • Qualified Insurance Company Yearly Renewal Forms
    • Claims Management Company Qualifying (ReQualifying) Forms

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