FAQ

Does the Council qualify brokerage and agency companies to practice insurance activities?

The Council is incompetent to qualify brokers' and agents'Read More

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?

Yes, the company shall submit the names to the Developed National Policies Issuance System within 48 hours as of the effective Read More

What is the mechanism used to determine the value of health insurance premium in insurance companies?

The health insurance premium is determined as agreed between insurance company and employer as stipulated in Paragraph (A), Read More

Are insurance companies entitled to reject any health insurance request of the categories covered by Cooperative Health Insurance Law?

Insurance companies are not entitled, directly or indirectly, to do so. In event of any rejection, the employer is entitled to Read More

Is there a special title for the main category of Cooperative Health Insurance Policy at qualified insurance companies?

The category title is a special coding for insurance companies as it varies from one to another. This is approved as Read More

What are the geographical coverage limits of Cooperative Health Insurance Policy?

The insurance coverage of obligatory health insurance is limited to the services provided in the Kingdom of Saudi Arabia, which Read More

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?

If the foreign worker did not return from his country, the employer shall first prove this by submitting an official document Read More

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?

Employers may not explicitly or implicitly stipulate recovery of sums from health insurance companies as a result of Read More

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?

With reference to Article (70) of the Executive Regulation of Cooperative Insurance Companies Control Law, the cooperative insurance Read More

What is the regularity of health insurance policies that contains the condition of (in-House clinic) at work?

This condition shall not be included in health insurance policies for the categories covered by Cooperative Health Insurance Law Read More

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