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Council of Cooperative Health Insurance
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FAQ
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31. Is the employer committed to provide health insurance for the Saudi and non-Saudi employees and their family members covered by the cooperative health insurance law during the first probationary period (3 months)?
Yes, because the employer is committed to conclude an insurance policy on behalf of the employees and their families covered by
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32. Is the employer entitled to suspend the valid insurance policy during the period when the employee is on vacation outside the Kingdom?
The valid insurance policy may not be suspended during the period when the employee is on vacation outside the Kingdom, nor is there
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33. Is the insured entitled to take advantage of the benefit remaining from the previous year, even up to upper limit of insurance coverage during the insurance year that follows?
It is not possible to take advantage of the maximum limit of the policy from previous years and consider or describe it as a balance or surplus
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34. Is the employer committed to provide insurance for GCC hires?
Yes, the employer shall be committed to provide insurance for GCC hires and their families covered by the health
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35. Are charities under the umbrella of the Department of Social Affairs committed to cooperative health insurance policy?
Yes, they are obliged to provide insurance for the employees and their families according to the cooperative health
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36. Is the employer obliged to provide insurance to the working family members if they are not residing in Saudi Arabia?
The employer is not committed to provide insurance for them because the law is designed to provide and organize healthcare for
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37. Is the employer obliged to provide insurance for the insured's husband and her children if her husband is accompanying her in Saudi Arabia and does not have a job?
If the husband accompanies his wife and lives in the Kingdom under her sponsorship and he does not have a job in the Kingdom, he is
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38. Does the cooperative health insurance policy cover alternative body organs transplants that replace any organ in whole or in part?
The cooperative health insurance policy does not cover these operations.
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39. Can the employer add insured under its sponsorship to the insurance policy during its validity period?
An employer may include new insured people on a pro rata basis if there is proof of an employee joining work for the employer
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40. How may the insured know the network of health service providers specified for him/her?
Reference shall be made to the agreed network of health services providers in the contract between the insurance company and the policyholder
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