Lets hit the Road

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Lets hit the Road!
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INDIVIDUALS
COMPANIES
MEDICAL SCHEMES
CLIENTS
REGULATOR
ADMINISTATORS
FAIS - FIT AND PROPER
BROKER
SERVICE PROVIDERS
COUNCIL
REPRESENTATIVE BODIES
DENTISTS DOCTORS HOSPITALS
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FUTURE STOPS

• Direct Marketing
• Choice between Fixed Agent or Commission

• Circular 8
• Risk Equalisation Fund (REF)

NO STOPS
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CIRCULAR 8

• Council published a circular with proposals on a
  revised benefit for schemes (2006)
• Schemes should offer members common set of
  benefits
• Schemes may offer complimentary benefits
• Single contribution rate
• Schemes will only be permitted to charge for
  first child dependant

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RISK EQUALISATION FUND (REF)

• Will choosing a medical scheme become easy?
• A standard package of benefits within ALL schemes
• Member will participate in risk pool funding all
  schemes, not only the one of the chosen scheme
• Additional benefits will be available to members
  at a certain cost
• The service component will be the ONLY difference
  between various schemes

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MAIN ROAD to the Highway

• BBP medical insurance coverage mandated by
  Government
• Minimum set of health services uniformly
  available to assure adequate health status
• Defined list of conditions covered
• Protocols (standards)
• Limitations and conditions applicable
• Savings accounts likely to continue as an
  optional benefit

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THE ROAD LESS TRAVELLED
COMMISSION
COMMISSION
COMMISSION
COMMISSION
COMMISSION
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APPOINTMENT WITH MINISTER OF HEALTH
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T-JUNCTION

• Request for appointment with Minister of Health
  on July 2007
• No increase since March 2005
• Increase in commission on 1 August 2007

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JUST FILLING UP .

• In terms of the Regulations (Medical Schemes Act
  131 of 1998) brokers were able to earn a maximum
  of three percent of the monthly contributions of
  a scheme member, up to R55.18 plus VAT a month
  (March 2005)
• From 1 August 2007, brokers may be paid three
  percent of contributions, up to a maximum of
  R60.70 plus VAT a month.

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FUTURE DESTINATION

• To interact, respond and get actively involved on
  medical scheme related issues on behalf of the
  IBC member
• To again follow up on our request for an
  appointment with the Minister of Health or at
  least a senior spokes person within the
  Department of Health
• An appointment with the Council, after seeing the
  Minister/her Department
• To establish a liaison with the Council of
  Medical Schemes to ensure their positive attitude
  regarding the service the health care broker
  supplies to members

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• We should be concerned about the future because
  we will have to spend the rest of our lives
  there.
• - Charles Kettering 1876 - 1958