The Law of Medical Schemes in South Africa sets out the law applicable to medical schemes in a thorough and practical manner. This regularly updated loose-leaf work guides medical scheme trustees, boards and administrators on compliance, their fiduciary responsibilities and good governance.

The discussion, by a foremost expert in this field, is firmly rooted in the context of South African health care, noting considerations of policy and corporate governance. Explanatory summaries of cases provide readers with hands-on guidance on the application of laws such as the Medical Schemes Act 131 of 1998.

Key Benefits

• Written by a foremost expert in the field
• Shows how medical schemes function within the broader health-care environment
• Maps the nature of the relationship between a medical scheme and its beneficiaries
• Guides medical scheme trustees, boards and administrators on compliance, their fiduciary responsibilities and good governance 
• Charts the nature of a medical scheme’s relationship with providers of health-care services
• Explains the role of medical scheme brokers and intermediaries
• Contains the Medical Schemes Act 131 of 1998 and a selection of Circulars of the Council for Medical Schemes 
• Updatable loose-leaf format

• Table of contents
• Background to the medical schemes industry
• The medical scheme environment
• The relationship between a medical scheme and its beneficiaries
• Principles of corporate governance
• Corporate governance of medical schemes
• Governance: fit and proper person
• The relationship between a medical scheme and providers of health services
• The relationship between a medical scheme and its administrator
• Medical scheme brokers and intermediaries
• Medical Schemes Act 131 of 1998
• Regulations in terms of the Medical Schemes Act
• Supplementary material
• Model Rules
• Explanatory memorandum to the Model Rules
• Specimen bank guarantee
• Selected circulars of the Council for Medical Schemes

• Trustees and boards of medical schemes
• Professionals offering legal and auditing services to medical schemes
• Health-care professionals
• Medical scheme brokers and intermediaries
• Members of medical schemes
• Government