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Compliance

The Compliance Unit is headed by Mr. Evan Theys.

The Compliance Unit ensures that schemes, administrators and brokers comply with the Medical Schemes Act and regulations, specifically in respect of the areas designated by the office as priority areas namely, non-healthcare expenditure, governance, general non-compliance, the risk assessment framework, enforcement of rulings made by the Registrar and the demarcation between medical schemes and insurers.

The Compliance Unit does that by:

  • Communicating with schemes, administrators and brokers on an ongoing basis;
  • Engaging the above in dialogue and discussions in respect of contentious/priority areas;
  • Training of Boards of Trustees; Consumer Education and Information sessions for Health Providers
  • Specific enforcement actions.


Compliance: Standing:Derrick Moodley (Compliance Officer), Jaco Lubbe (Senior Investigator). Seated: Milly Viljoen (Manager), Evan Theys (Head of the Unit)and Gugu Nkosi (Education & Training Officer) - not in the picture.

 

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