Oman: FSA Issues Regulation for Health Co-Insurance
Oman Observer, 8 October 2024: The Financial Services Authority has approved a regulation for co-insurance in the health insurance sector under the Oman Law No. 12/1979.
The regulation aims to increase retention ratios of insurance premiums within Oman and reduce the need for reinsurance abroad.
It allows insurance companies without health insurance licences to obtain co-insurance licences, enabling them to act as reinsurers for health insurance products.
This move aims to improve the retention of health insurance premiums within Oman.
The regulation was issued after considering recommendations from an actuarial study on health insurance prices, prepared in collaboration with an international consultancy firm.
The FSA aims to create specialised health insurance companies to provide better services to customers, as many companies currently reinsure health insurance policies with specific reinsurers outside Oman to avoid potential losses.
However, this practice reduces the retention ratios within Oman and deprives the national economy of fund circulation.
The retention ratio in health insurance was 79% in 2023.
Companies with co-insurance licences will not be allowed to sell health insurance policies but can participate with licensed health insurance companies in bearing part of the insurance risks and pay financial consideration, which is the principle of co-insurance.
The FSA has prepared a regulation for licensing health insurance co-insurance, including clauses on work mechanisms, limits of co-insurance risks among insurance companies, obligations related to issuing co-insurance policies, terms and conditions for policy administration, and administrative penalties for violations regarding co-insurance licensing directives in health insurance.
For more news and content, try Lexis Middle East. Click on lexis.ae/demo to begin your free trial of Lexis® Middle East platform.
You can also explore the legal landscape by subscribing to our Weekly Newsletter.
Want to learn more about Lexis® Middle East? Visit https://www.lexis.ae/lexis-middle-east-law/.