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CMA introduces Unified Agreement for health insurance scheme

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Muscat: Aiming at offering the best practices and high-quality services and avoiding disputes among the parties of the insurance relationship, Capital Market Authority (CMA), which supervises and regulates the Insurance Sector in the Sultanate of Oman, puts into force the Unified Agreement for Health Insurance Scheme at the beginning of this January.

This comes as a part of the efforts made in regulating the interrelationships of the stakeholders in the Insurance Market: insurance companies, private health institutions and health insurance claims management companies. This agreement is considered to be a legal instrument which achieves the best practices in the daily interactions of the stakeholders. It contributes to increasing the quality of the services provided in addition to regulating, unifying and accelerating the transactions among the stakeholders. This will eventually help in the reductions of disputes and conflicts of interest.

Furthermore, the agreement enhances and regulates the financial flows among the stakeholders through linking them to the Online Platform, Dhamani. It also specifies the obligations of each party involved during their daily operations and the regulatory procedures followed in cases of fraud and misuse and the steps followed to resolve any disputes.

This will encourage the service providers to offer their best services that meet the specified standards and practices in order to preserve the rights and privileges of the insured. Additionally, it will create a competitive environment that contributes to developing the performance of the Insurance Sector in accordance with the strategy that the CMA seeks to achieve during the years (2021-2025).

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