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"When truth is hurled against falsehood, falsehood perishes, for falsehood by its nature is bound to perish". Ch. 21, V.18, Holy Quran.***shujaathahmed@yahoo.co.in***

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General Awareness for All | Cultural Shock | Islamic Banking | Professionalism | Fake Degree | Bubbling Controversy | Motor Insurance in Saudi Arabia | Surge in Medical Insurance | Type of Insurance Policies | Job Oriented Training | Knee Jerk Reaction | Swing Flu Scare | Fire Safety | Umra and Uglly virus H1N1 | Collaborative Culture | Fire Prevention | Afghanistan towards credible Democracy | Insurance of Construction and Erection | Hyderabadi Ramadan in Saudi Arabia | Solar Energy | Job Oriented Training | Elusive Charity | Victims of recession | Nigeria Violence | War Hysteria | Police Clearance | Medical Malpractice Insurance | Corporate Governance | Jinn in my Office | Insurance Industry | World in Turmoil | Benefits of honey | Chinese writeup | Hindi writeup | Urdu writeup | Arabic writeup | Non-Financial Risk Management for Bank Managers | First Saudi Insurance Symposium | Insurance Companies and Links | My visit ot Eastern Province | Beware of Terrorism | Some Lotteries and Offers | World Cup Cricket - Semi final | IFCE course Willis Dammam | Congratulations to India for winning | Insurance Industry in India | Excess and or Deductible | Punishment in school against motion | Burqa Ban in France - Debate | Insurance Foundation Certificate Test 3 | Insurance Foundation Certificate Test 2 | Insurance Foundation Certificate Test 1 | Nostalgic Moments | Meeting Photographs -Royal and SunAlliance | Jeddah visit | Heavy Weights and Contributors | Training at Institute of Banking | General Insurance Companies in India | List of hopsital in Saudi Arabia | List of Insurance Companies in Saudi Arabia | Training at Carltorn Hotel | Non-Financial Risk Management for Bank Managers -2011 | IFCE course Jeddah | Indian Passport pressing Question

Books

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Creative Associates | Trainee Surveyors enrollment list April 2012 to September 15, 2012 (For full version visit IRDA site) | SOME OF THE LOTTERIES AND OFFERS – IS THIS FRAUD OR PHISHING OR SOMETHING ELSE - Part 1 | List, of, Insurance, and, Reinsurance, Companies, and, Services, Providers, 12/08/1432, H –, 13/07/2011, | MPHIL/PHD Entrance Exam Jan-2013 Cycle - IGNOU | Time to understand Muslims | Site Map | Saher Traffic Violations | Government Universities in KSA | Motor Insurance Photograph | Blog-posts | First Saudi Insurance Symposium | Speakers | Agenda | List of Insurance and Reinsurance Companies | Islamic Banking | Insurance Industry | Medical Insurance | Callous Attitude | Global Warming | Fire Safety | Technical Insurance and Types | Saudi Arabian Monetary Agency Release | 3rd Saudi Insurance Summit | 3rd Saudi Insurance Summit | Questions on Career | Insurance Co-ordinator role | Insurance types in Saudi Arabia | Interview with Insurance expert | SAMA licences Saudi Re | ARIG - 2nd Quarter performance | Questions on Medical Insurance | Viewers Response | Medical Insurance in Saudi Arabia | Saudi Arabian Insurance Brief March-23 | Saudi Arabian Insurance Brief March | AON opens new middle east HQ | ARIG - posts net profit | Saudi Arabia licences MARSH | Royal and SunAlliance changes its name | Employment Opportunities | Regulation of Insurance | Property Damage | Master Information | Pre existing is key to Medical Insurance | Does Medical Insurance cover Traffic accident | Manpower Recruitment | Insurance Industry expertise Jobs | Medical Insurance in Saudi Arabia | Summary of Indian Union General Budget | Motor Insurance in Saudi Arabia | Insurance of Construction and Erection | Impending IPO's | Insurance Directory | Insurance providers in Saudi Arabia | Banks in Saudi Arabia | Insurance in Saudi Arabia | Booming GCC Insurance Market | Insurance Q & A | Medical Insurance | Eroding Income of Expat Indians | Insurance Database | Professional Insurance education | CCHI wording | Indian Insurance update | List of some of Medical facilities

Sunday, November 25, 2007

Creative Associates Insurance Q & A & Creative Associates Wisdom

By Shujaath Ahmed Khan as published in Saudi Gazette, English Newspaper of Saudi Arabia
I am an Indian working for a Trading company. I will be bringing in my parents on a visit visa for a month. We have a Company group medical policy with a local company. I would like to know whether I can cover my parents under medical insurance during their visit to Saudi Arabia?

Majority of medical Insurers in Saudi Arabia does not consider parents as dependents. The policies are designed to cover the employees and their legal dependents who are resident in Saudi Arabia. Even the current description of CCHI of dependents is "the husband, wives, male sons under the age of eighteen and unmarried daughters". Hence it may not be possible to include parents under the policy. It is very difficult to get the right coverage for the parents visiting Saudi Arabia locally. There are plans underway to provide coverage for Umra visitors and people visiting on Visit visa in near future, but the cost and coverage may act as a deterrent. The best option available will be to have a local annual coverage in home country and get it extended for international coverage. In India there are Overseas Medi-Claim policies specially designed for visitors going abroad with wider limits and competitive rates, these are also very useful. Other than above two type of coverages Travel Insurance also provide an element of Medical coverage during visits abroad.

We have got a contract to build a commercial building. The contract specifies us to make an insurance for the project. Can you advice us how to go about this particular type of insurance as currently there is no building and value at the site?

This type of risk can be covered under contract works insurance also known as contractor all risk insurance. The coverage is based on the value of your contract. You can also get the extensions for your marine insurance and public liability. If the owners are have surrounding property, it can also be covered under this policy along with the constructional plant and equipments. If you are a regular contractor you can also explore an annual policy which will help you in getting a competitive rate from the Insurer. These policies can also be extended to cover testing and maintenance period. Once the project is handed over to the client the coverage comes to an end and it can be covered under standard property or fire policy.


Creative Associates Wisdom -Morals

Share markets have always been fluid. It is seen that people who have lost money in the share market are more than the people who have made money in the share market. This is like one man's poison is another man's food. During 2006 many locals made losses in Share Market, some even had strained family relations due to these losses. In other developing countries losers in share markets have ended up committing suicides. People have lost their hard earned money in the share market in the hope of making money. Even share brokers have become victim of this cycle. Speculative deals are even prohibited in Islam. Hence one should tread very carefully in the Share Market. If one decides to enter, he should be capable enough to make a knowledgeable decision and stay away from speculative Trading. (18-02-2007).

The damage being done to the environment. Today the greatest danger comes from the emissions of various green house gases. This is mainly contributed by the developed and developing nations. The green house effect has caused erosion of glaciers, which in turn has brought in about change of weather and global warming. Enough damage has been done to the marine and avian life due to big oil slicks. Industries and individuals have contributed their mite towards pollution and damage to the environment. It is high time to realize that prevention is better than cure. If the current materialistic outlook is not changed to a more societal outlook, we will not be able to give a better environment to the future generations. There are no short cut methods for doing this. The effort need to come for individuals, society, governments and international bodies. (26-02-2007)

Cigarettes are treated as a carcinogen, and all over the world, people are being educated to reduce and eliminate its consumption. Inspite of this and open health warning, it is being widely used in Saudi Arabia. The main ingredient of Cigarette is Tobacco. One of the method of tobacco consumption is through cigarette. There are other methods, which are less hazardous to others. The danger of smoking by women is far reaching. If women are in their pregnancy then there is a possibility of damage being caused to the fetus. Apart from that if she is smoking at home then she is playing a major role in endangering the health of her family members especially children who are close to them. The teachings of Islam like forbidding consumption of intoxicants, not allowing human beings to harm their health and others health should be highlighted and promoted to help people quit this habit.(05-03-2007)

It is really sad to note the death of expatriate workers, who come here to earn their livelihood and achieve certain dreams. But unfortunately they do not survive to realize their dreams. This is not the first time, such an incident has occurred. Earlier also similar incidents have been reported. Such types of incidents occur mainly due to lack of proper safety measures and training. Doing routine jobs make people feel immune towards the risks present in certain nature of jobs. There are many types of jobs, where workers are fully prone to health and life hazards. But cheaper gloves, helmets, masks and even emergency exits are not provided. If right education is given on regular basis people may understand the nature of risks involved. It should be imperative on part of the management of organizations handling such type of jobs to make sure that properly trained personnel are present at the site and all types of risks are either reduced or totally avoided. (10-03-2007)

Eating habits and lack of oral hygiene are the major causes of dental diseases. Most parents ignore the importance of cleaning teeth of their children. The common maxim that "Milk teeth fall and permanent teeth will come" leads to neglect. This encourages parents in avoiding the cleaning of teeth of younger children. But gradually this becomes practice leading to lack of habit for proper care of the teeth. Inculcating the habit of brushing twice a day and maintaining proper oral hygiene from younger age will go a long way in preventing dental problems and will save the children from pain and agony. This will also preserve teeth during middle age and old age. (12-03-2007)

Medical Insurance in Saudi Arabia

Monday, 11 June 2007

ENORMOUS growth of the insurance business over the past three centuries has led to its various classifications today, depending upon the type and nature of the risk involved. The major traditional classifications are medical, motor, property and marine. It is found that medical and motor together form almost half the total insurance business portfolio. These classes are also known as attrition class of business as losses do occur with regular frequency. Medical insurance is more prone to attrition than any other class of insurance.
In Saudi Arabia, insurance has been sold for almost half a century now. In the recent past, medical insurance was being written by medical insurance companies, general insurance companies and life insurance companies. There are international brokers, local brokers and agents also selling medical insurance. Other types of providers have emerged to manage the bulging medical portfolios: Third Party Administrators (TPA) and consultants. In Saudi Arabia we have independent TPA and in-house TPA. We also have independent consultants, and sometimes brokers take the role of a consultant. But the majority of medical insurance is being done directly by insurers.
The state-owned National Company for Cooperative Insurance (NCCI) was enjoying a monopoly as the only registered insurance company in Saudi Arabia. But Malath Cooperative Insurance and Reinsurance has broken the monopoly by becoming the first among non-NCCI companies to be registered.
However, this is a new company with very little experience in the insurance industry. There are many seasoned companies along with the new entrants awaiting clearance for registration.
The decision of the government to regularize insurance companies under the Saudi Arabian Monetary Agency (SAMA), was a major step towards regulation and development of the sector. The regulation was a comprehensive one requiring all the market players to get the necessary licence to operate with the minimum fees and deposits. Prior to the current regulation, there were more than 80 insurance companies operating in the Kingdom.
However, post licensing, these companies will be reduced to less than half. The remaining either have closed their operations, will be closing, or merged with other companies.
Motor insurance was made mandatory on Nov. 20, 2002, fuelling the growth of motor insurance.
The Council of Cooperative Health Insurance (CCHI) was formed on Aug. 11, 1999 to regulate the mandatory medical insurance.
The first phase of health insurance, which was applicable to companies employing more than 500 expatriate employees was made mandatory last year and the second phase, applicable to those having more than 100 expatriate employees, during the early part of April this year.
This has increased insurance awareness among the entire community. Even though compulsory medical insurance is for expatriates only, most companies are including their Saudi staff for coverage.
The overall Saudi insurance market is currently estimated at SR5 billion. The potential for health insurance alone is more than SR20 billion, which is expected to be achieved within the next few years.
In the past, many hospitals and clinics have suffered due to defaulting insurance providers. Very recently, we saw the closure of SACIR (Saudi Allied Company for Cooperative Insurance and Reinsurance) and Methaq, who were heavily into medical insurance.
Hospitals lost millions of riyals due to unpaid bills by these operators. The current regulation will protect the interest of all parties involved in insurance.
Many hospitals are not happy with evaluation of claims by insurance-company doctors. Their refusal of claims has become the bone of contention between hospital doctors and insurance doctors. Insurance doctors need to trust the prima facie evidence of the treating doctor.
The treating doctors sometimes end up being dictated to by the insurance doctors and end up losing their professional independence.
There are many companies specializing in Medical Health Insurance in Saudi Arabia. For groups, it is easy to get insurance. Some staff, who are on deputation basis, will have their own international insurance from the companies in their own country.
However, if an individual wants to buy medical insurance, then he will have limited choices. The cost of health insurance hovers between SR800 to SR4,500. The main factors built into rating are sum insured, room type, network of hospitals, dental, pre-existing, repatriation of mortal remains, optical, maternity, international coverage, age of the insured, deductible, claims experience and group size etc.
Current basic CCHI coverage is standardized to make the insurance uniform and it has certain inherent advantages like compulsory coverage to a limit of SR250,000, dental coverage, vaccinations as per the Ministry of Health, optical and maternity. The number of exclusions are few and well defined. The basic room requirement is semi-private room.
The difficult area is the deductible part, which is 20 percent of the claims amount subject to a maximum of SR100. In this area, customers have ended up paying up to SR300 due to lack of understanding on the part of various parties involved.
However, as the scheme progresses further, the awareness will increase and there will be fewer mistakes. Insurance companies have already found a way to beat this deductible issue by issuing policies with fixed deductible.
The basic intention of the CCHI coverage is to take care of treatment in Saudi Arabia, hence some of the areas on which a general expatriate patient relies are not covered under the current wording of CCHI - there is non-network Saudi Arabia and worldwide exclusion unless the treatment is emergency in nature.
Medical insurance is still in evolutionary process and it may take some more time till it stabilizes.
Customer should realize that everything is not insurable and there are always some gaps in the insurance. Too often it has been found that the customer either does not get the expected service, the receptionist is slow, the doctor is late or does not prescribe the medicine suggested by the patient and the blame goes to the insurance company.
In certain cases, customers face genuine problems. Certain companies try to seek approval for even a small test, which will consume the time of the patient, and even after wasting the time, the net result will be denial of that particular test.
Some insurance companies do not allow certain brands of drugs, hence they suggest to the treating doctor to provide with generic names of the drugs. These generic names of the drugs will give the pharmacist leeway to give the drug of his choice or the synonymous drug of cheaper variety, thereby causing dissatisfaction to the customer.
Apart from the factors mentioned above, the buyer should look into the strength of the company, its affiliation, flexibility and its payment record with hospitals. Buyer should also be aware of any fine prints, inner limits, geographical scope, non-network coverage, limitation of claim submission, general exclusions and practical difficulties before making any decision to go ahead with a particular policy.
A 24-hour helpline is certainly a useful aspect of service by the medical insurer and should not be overlooked. As with all the buying processes, the universal truth "Caveat Emptor" should not be ignored.
Courtesy - Mohammed Sadullah Khan, an MBA, is a Fellow of Insurance Institute of India and an Associate of Chartered Insurance Institute of the United Kingdom. He has more than 20 years of experience in the insurance industry - 12 of them in Saudi Arabia. He is experienced in all classes of general insurance with special emphasis on property, medical, motor and bank assurance. He can be contacted at
http://www.blogger.com/mosakhan40@yahoo.com

Eroding Income of Expat Indians in Saudi Arabia by Shujaath Ahmed Khan

By Shujaath Ahmed Khan.
"I am more than satisfied with my decision to come back to India ", said Mr. Rashed. He had done his Engineering degree in IT in the hope of getting a decent job in Gulf countries. Inspite of IT boom in India he had opted to come to Saudi Arabia in 2005. Not happy with the environment and realizing the stunted growth opportunities in this market, he immediately returned back, disappointing his family members. His salary in Saudi Arabia was SR. 6,000 p.m. and when he got back to India he got little less than this i.e., Rs. 65,000. After two years his salary has reached more than Rs.100,000/- per month. Where as the incomes of his colleagues in Saudi Arabia has hardly increased by 12% in Riyal terms. Had he stayed his Salary would have been SR. 6,600 (Rs.71,000). In India he was offered loan by one of the local banks and is a proud owner of a luxury flat at one of the prestigious locations, with an annual appreciation of 25%.

According to the 7th annual Asia-Pacific Salary increase in 2007, survey by Hewitt Associate, the increase would be in the range of 12.3% to 15%. Salary hike will be maximum in India among the Asian countries. Another survey carried out by the Dubai based GulfTalent.com reveals that at-least six percent foreign nationals living in Gulf will leave and return to their home countries for growing employment opportunities especially in countries like India .

Indians form the second largest expat community in this country. Many Indian have made good savings and enhanced their status within their communities. This generated many prospects, who are eager to work in the Kingdom and reach the levels of their predecessors. The recent incident of an agent duping gullible people of their hard earned money to a tune of rupees three million in Hyderabad , speaks of volumes about the dreams many youths still harbour about working in this region without realizing the hard facts.

The average Indian is finding it extremely difficult to sustain the attractiveness of the Gulf market. The cost of mutton (lamb’s meat) has increased from SR. 20 to SR.26 in retail market and from SR. 14 to SR. 20 in the wholesale market. The price of rice, which is a staple food of Indian’s has risen from SR. 25 per 10 Kg to SR. 32 per Kg. in the wholesale market. The rates of Basmati rice used for Biryani’s(popular dish) has increased from SR. 34 to SR. 42 in the whole sale market. Similarly there is a rise of on an average 10 – 15% in the rates of atta, chicken and pulses. Where the rates have not risen on close observation we can find the shrinkage in the volume or size of the products on an average 10-15%. The transportation cost of School bus is increased from SR. 100 to SR. 135 an increase in 35%. Banana, commonly known as common-man fruit was sold at SR. 2 per Kg. is now being sold at SR. 4 per Kg. On the whole there is an average increase in cost of around 25% to 30%.


On the other side of the fence booming Indian market is offering immense opportunities never seen before with the rising of property rates and influx of foreign investments especially in the all the major cities and surrounding areas. The wages are linked to the Consumer Price Index/Inflation due to which there is always a growth in terms of actual earnings. Because of higher cost of living in Saudi and better opportunities at home, some of the Indians are returning to their home countries for good and to start new career. Some have sent their families 2-3 years ahead of schedule. There are also instances when the persons selected by Saudi firms got offers of better packages within India , thereby making them to pursue their careers within India .

Inspite of the double rate of inflation the cost of living in India is less than half of that of Saudi Arabia . If we analyse the rents in a city other that metro's a two bedroom flat is available for rent at SR. 500 per month compared to SR. 1,000 in Saudi Arabia . Locally produced vegetables and fruits are available at 1/8th to 1/4th of the cost available in Saudi. Mutton is SR. 16 per Kg, Chicken SR. 5 per piece. Pulses, milk, rice and transportation are available at less than half the rate compared to Saudi Arabia . School fee is less by almost 60-70%. Cost of banana is less than SR. 1 per Kg. In terms of expenses a person can save at-least 50-60% on monthly expenses.

The conversion rate of Riyal to Rupee has reduced from 0.0802 in middle of 2006 to the current 0.0932 in September, 2007. This reduction in rates have reduced the earnings of Indians by 15%. If we analyse a person earning SR. 5,000 and making a saving of SR. 2,500 prior to mid 2006, he is able to save between SR.250-500 and is inching towards hand to mouth existence. On a similar salary back in India , the same person will be able to increase his savings by at-least by 200-400%.

In the coming days dollar may come under further pressure and inflation is going to be sustained. The salary levels in India will go on increasing. This will give the Expats here an opportunity to ponder over their future plans, think of starting their careers and businesses back in India .

It is high time that the employers here take a serious look into this to avoid the draining of the talent pool present here and getting the right talent from India by offering right salaries. Consideration should be given to the erosion of dollar, inflation and situation in the home countries in bringing the salaries to right levels.

Tail Piece: (email in circulation)

Philosophy:
Alexander at his death bed said, "My last wish is that both my hands be kept dangling out of my coffin - I wish people to know that I came empty handed into this world and empty handed I go out of this world."

Reality:
Recent news headlines in Saudi, Dubai & Doha - Rent increase, prices increase, water & electricity increases, school fees increase, more parking fees, Road Toll etc. It all proves the old philosophy: We came to the gulf empty handed, and would go back empty handed as well!!
Shujaath Ahmed can be contacted at shujaathahmed@yahoo.co.in

Saturday, November 24, 2007

Creative Associates - Insurance Enlightenment Database

Various types of Insurances

I. Motor Insurance
II. Medical Insurance
III. Plant & Equipment Insurance
IV. Marine Insurance
V. Workmen Compensation Insurance
VI. Machinery Insurance
VII. Business Interrruption Insurance
VIII. Property Insurance
IX. Fire Insurance
X. Theft Insurance
XI. Domestic Maid Insurance
XII. Third Party Insurance
XIII. Personal Possession Insurance
XIV. Aviation Insurance
XV. Marine Hull Insurance
XVI. Directors and Officers Insurance
XVII. Employee Dishonesty Insurance
XVIII. Money Insurance
XIX. Pet Insurance
XX. Personal Accident Insurance
XXI. Life Insurance


Fortune 500 Companies

1 Wal-Mart Stores
2 Exxon Mobil
3 Royal Dutch Shell
4 BP
5 General Motors
6 Toyota Motor
7 Chevron
8 DaimlerChrysler
9 ConocoPhillips
10 Total
11 General Electric
12 Ford Motor
13 ING Group
14 Citigroup
15 AXA
16 Volkswagen
17 Sinopec
18 Crédit Agricole
19 Allianz
20 Fortis
21 Bank of America Corp.
22 HSBC Holdings
23 American International Group
24 China National Petroleum
25 BNP Paribas
26 ENI
27 UBS
28 Siemens
29 State Grid
30 Assicurazioni Generali
31 J.P. Morgan Chase & Co.
32 Carrefour
33 Berkshire Hathaway
34 Pemex
35 Deutsche Bank
36 Dexia Group
37 Honda Motor
38 McKesson
39 Verizon Communications
40 Nippon Telegraph & Telephone
41 Hewlett-Packard
42 International Business Machines
43 Valero Energy
44 Home Depot
45 Nissan Motor
46 Samsung Electronics
47 Credit Suisse
48 Hitachi
49 Société Générale
50 Aviva
51 Cardinal Health
52 Gazprom
53 E.ON
54 Royal Bank of Scotland
55 Tesco
56 Nestlé
57 Deutsche Post
58 HBOS
59 Matsushita Electric Industrial
60 Deutsche Telekom
61 Morgan Stanley
62 Metro
63 Électricité de France
64 U.S. Postal Service
65 Petrobras
66 UnitedHealth Group
67 ABN AMRO Holding
68 Peugeot
69 Sony
70 Merrill Lynch
71 Altria Group
72 Goldman Sachs Group
73 LG
74 Procter & Gamble
75 Santander Central Hispano Group
76 Hyundai Motor
77 Telefónica
78 Statoil
79 Prudential
80 Kroger
81 BASF
82 France Télécom
83 Barclays
84 Fiat
85 Zurich Financial Services
86 AT&T
87 Boeing
88 BMW
89 AmerisourceBergen
90 Repsol YPF
91 Toshiba
92 Marathon Oil
93 State Farm Insurance Cos.
94 Costco Wholesale
95 Vodafone
96 Target
97 UniCredit Group
98 SK
99 Mittal Steel
100 Munich Re Group
101 ThyssenKrupp
102 Dell
103 WellPoint
104 Royal Ahold
105 Suez
106 RWE
107 Nippon Life Insurance
108 CNP Assurances
109 Robert Bosch
110 Lukoil
111 Lloyds TSB Group
112 Johnson & Johnson
113 MetLife
114 Sears Holdings
115 Pfizer
116 Saint-Gobain
117 Renault
118 Mitsubishi UFJ Financial Group
119 Nokia
120 Unilever
121 Petronas
122 EADS
123 Dow Chemical
124 Enel
125 Nippon Oil
126 Wells Fargo
127 United Technologies
128 United Parcel Service
129 Walgreen
130 Lowe's
131 Wachovia Corp.
132 Lehman Brothers Holdings
133 Aegon
134 Seven & I Holdings
135 Indian Oil
136 Tokyo Electric Power
137 Time Warner
138 A.P. Møller-Mærsk Group
139 Microsoft
140 Freddie Mac
141 Groupe Auchan
142 CVS/Caremark
143 Motorola
144 Fujitsu
145 Sprint Nextel
146 Mitsubishi
147 GlaxoSmithKline
148 Medco Health Solutions
149 Tyco International
150 Mitsui
151 Caterpillar
152 AEON
153 Groupe Caisse d'épargne
154 Hon Hai Precision Industry
155 Safeway
156 Telecom Italia
157 Dai-ichi Mutual Life Insurance
158 Bayer
159 NEC
160 Lockheed Martin
161 Royal Philips Electronics
162 Legal & General Group
163 Banco Bilbao Vizcaya Argentaria
164 BT
165 DZ Bank
166 Deutsche Bahn
167 Supervalu
168 Novartis
169 Sanofi-Aventis
170 Industrial & Commercial Bank of China
171 Nippon Steel
172 Caremark Rx
173 Old Mutual
174 Archer Daniels Midland
175 Rabobank
176 Sunoco
177 Millea Holdings
178 Veolia Environnement
179 Best Buy
180 China Mobile Communications
181 Allstate
182 Canon
183 Intel
184 PepsiCo
185 Volvo
186 Mizuho Financial Group
187 Franz Haniel
188 Roche Group
189 Gaz de France
190 Koç Holding
191 Walt Disney
192 China Life Insurance
193 Bouygues
194 Sumitomo Mitsui Financial Group
195 Anglo American
196 Mitsubishi Electric
197 Vinci
198 Sysco
199 Prudential Financial
200 J. Sainsbury
201 Johnson Controls
202 Sumitomo Life Insurance
203 FedEx
204 Foncière Euris
205 BHP Billiton
206 Swiss Reinsurance
207 PTT
208 Royal Bank of Canada
209 Honeywell International
210 Ingram Micro
211 Marubeni
212 Norsk Hydro
213 Alcoa
214 Denso
215 Bank of China
216 Commerzbank
217 Northrop Grumman
218 Centrica
219 Manulife Financial
220 Meiji Yasuda Life Insurance
221 Nippon Mining Holdings
222 Air France-KLM Group
223 La Poste
224 Banco Bradesco
225 DuPont
226 Hess
227 Macy's
228 Korea Electric Power
229 Samsung Life Insurance
230 China Construction Bank
231 KDDI
232 Cisco Systems
233 New York Life Insurance
234 George Weston
235 Woolworths
236 Standard Life Assurance
237 China Southern Power Grid
238 JFE Holdings
239 National Australia Bank
240 Mazda Motor
241 Coles Group
242 SNCF
243 American Express
244 POSCO
245 Suzuki Motor
246 KBC Group
247 TIAA-CREF
248 Sharp
249 Power Corp. of Canada
250 Washington Mutual
251 Hartford Financial Services
252 AstraZeneca
253 Delphi
254 Sumitomo
255 Bunge
256 TUI
257 Mitsubishi Heavy Industries
258 Endesa
259 Bridgestone
260 Comcast
261 Adecco
262 Landesbank Baden-Württemberg
263 Aetna
264 Tyson Foods
265 HCA
266 News Corp.
267 Wolseley
268 Idemitsu Kosan
269 Reliance Industries
270 Vivendi
271 Travelers Cos.
272 Lufthansa Group
273 ABB
274 Massachusetts Mutual Life Insurance
275 China Telecommunications
276 Delhaize Group
277 Agricultural Bank of China
278 Countrywide Financial
279 Danske Bank Group
280 General Dynamics
281 Bertelsmann
282 International Paper
283 Magna International
284 L.M. Ericsson
285 Coca-Cola
286 OMV Group
287 Fujifilm Holdings
288 Itaúsa-Investimentos Itaú
289 Alcan
290 Hutchison Whampoa
291 Banco do Brasil
292 Liberty Mutual Insurance Group
293 CRH
294 Raytheon
295 Lafarge
296 PPR
297 Cepsa
298 William Morrison Supermarkets
299 Sinochem
300 GasTerra
301 Sabic
302 3M
303 San Paolo IMI
304 Deere
305 East Japan Railway
306 BAE Systems
307 Baosteel Group
308 Merck
309 Itochu
310 Halliburton
311 AMR
312 Abbott Laboratories
313 Rio Tinto Group
314 Scottish & Southern Energy
315 Plains All American Pipeline
316 Groupama
317 Mitsubishi Chemical Holdings
318 Nationwide
319 Weyerhaeuser
320 Lyondell Chemical
321 Kansai Electric Power
322 Compass Group
323 Rosneft Oil
324 Cosmo Oil
325 Bharat Petroleum
326 Publix Super Markets
327 CPC
328 Alliance Boots
329 McDonald's
330 América Móvil
331 Tech Data
332 Humana
333 Sun Life Financial
334 Poste Italiane
335 Electronic Data Systems
336 Hindustan Petroleum
337 Intesa Sanpaolo
338 Edeka Zentrale
339 Northwestern Mutual
340 Commonwealth Bank of Australia
341 Michelin
342 China Railway Engineering
343 Cathay Financial Holdings
344 Sumitomo Electric Industries
345 RAG
346 Wyeth
347 Aisin Seiki
348 Goodyear Tire & Rubber
349 Kookmin Bank
350 Emerson Electric
351 Christian Dior
352 J.C. Penney
353 L'Oréal
354 Coca-Cola Enterprises
355 Vattenfall
356 Sanyo Electric
357 Bank of Nova Scotia
358 Japan Airlines
359 CVRD
360 Toronto-Dominion Bank
361 T&D Holdings
362 Hochtief
363 Constellation Energy
364 CFE
365 Otto Group
366 UAL
367 Apple
368 AutoNation
369 Oil & Natural Gas
370 Schlumberger
371 Corus Group
372 Holcim
373 U.S. Bancorp
374 Hanwha
375 MAN Group
376 Australia & New Zealand Banking
377 Occidental Petroleum
378 Flextronics International
379 SHV Holdings
380 Chubu Electric Power
381 Arcandor
382 Mitsubishi Motors
383 Alstom
384 China Railway Construction
385 China FAW Group
386 Continental
387 Bayerische Landesbank
388 KT
389 Sara Lee
390 Mediceo Paltac Holdings
391 Nippon Yusen
392 Surgutneftegas
393 Stora Enso
394 Accenture
395 Lagardère Groupe
396 China State Construction
397 Staples
398 Cemex
399 Mitsui Sumitomo Insurance
400 Whirlpool
401 Alcatel-Lucent
402 Shanghai Automotive
403 Tesoro
404 British American Tobacco
405 COFCO
406 Bristol-Myers Squibb
407 Lear
408 Manpower
409 Canadian Imperial Bank of Commerce
410 Ricoh
411 Express Scripts
412 Groupe Danone
413 ACS
414 Xstrata
415 Japan Tobacco
416 Nomura Holdings
417 TJX
418 Rite Aid
419 KFW Bankengruppe
420 TNT
421 National Grid
422 Hyundai Heavy Industries
423 Telstra
424 Akzo Nobel
425 Loews
426 Schneider Electric
427 Asustek Computer
428 Swiss Life
429 Delta Air Lines
430 Nordea Bank
431 EnCana
432 PKN Orlen Group
433 Skanska
434 Onex
435 China Minmetals
436 Samsung
437 Kimberly-Clark
438 SK Networks
439 Inbev
440 Energie Baden-Württemberg
441 Grupo Ferrovial
442 Cie Nationale à Portefeuille
443 Petro-Canada
444 Japan Post
445 Bear Stearns
446 Cigna
447 Quanta Computer
448 Dominion Resources
449 British Airways
450 BCE
451 Migros
452 Paccar
453 Electrolux
454 Finmeccanica
455 Kobe Steel
456 Formosa Petrochemicals
457 Jardine Matheson
458 Marks & Spencer
459 Lennar
460 Sompo Japan Insurance
461 Crédit Industriel & Commercial
462 Komatsu
463 Kajima Justify Full
464 Westpac Banking
465 Royal Mail Holdings
466 Kingfisher
467 Toyota Industries
468 Carso Global Telecom
469 China National Offshore Oil
470 Taisei
471 Henkel
472 Neste Oil
473 Duke Energy
474 Nippon Express
475 Gap
476 Bank of Montreal
477 Xerox
478 Anheuser-Busch
479 United States Steel
480 FPL Group
481 Eli Lilly
482 Altadis
483 Sodexho Alliance
484 Exelon
485 Linde Group
486 Union Pacific
487 Kohl's
488 China Ocean Shipping
489 Sumitomo Chemical
490 Bank of Ireland Group
491 S-Oil
492 Capital One Financial
493 Heraeus Holding
494 Royal KPN
495 State Bank of India
496 D.R. Horton
497 Office Depot
498 Burlington Northern Santa Fe
499 Nike
500 Bombardier

Professional Insurance Education and Development - India, Saudi Arabia and Worldwide

Education and Professional development of Insurance Industry in Kingdom of Saudi Arabia, India and the World over.

Education is one of the important aspect of our time. Hence in the insurance world also we need to have educated and professional people to better understand the various aspects of Insurance. Unfortunately it is found that even today insurance industry lack qualified and trained professionals not only in Saudi Arabia, India and the World over. There are many vacancies in the insurance industry the world over. There is very little attraction to the word of mouth search for the talent. Even massive advertisements have not yeilded much results.

There are verious professional institutions offering various courses on Insurance and Banking. However they mainly focus on the working personnel.

Freshers can go in for vocational insurance courses and later on they can join the professional institutes to get a better understanding of their working.


Education in Saudi Arabia is flourishing with new Universities and private institutions coming up. However insurance education is best in the countries where we find the availability of professional institutes. The regulation of Insurance in Saudi Arabia will definetly pave the way for building of insurance education in Saudi Arabia. There is a strong possibility that SAMA may come up with guidelines for insurance education. Either they may have their own set-up or may align with some international insurance institutes. Another best way of developing insurance education is by way of introducing it as a subject at the vocational level. Many vocational institutes may add insurance to their curriculum to fill the gap. Insurance education in India was single pronged until it was introduced as a vocational course and a course at degree level. This has created a talented pool of professionals in Indian Market. They are placed world over and it is easier for them to take up any professional examinations.

Sunday, November 18, 2007

Saudi Arabian Insurance Update - CCHI wording

This is a tentative interpretation (obtained from CCHI website)
For official use, please refer to original text in Arabic

Cooperative Health Insurance Act
Article 1:
This act aims to regulate the provision of health care for non-Saudi residents in the Kingdom. It may be applied to Saudi Citizens and others by a cabinet decree.
Article 2:
The coverage of cooperative health insurance shall include all those subject to this act and their dependents as specified in para (B) Article 5.
Article 3:
With respect to the implementation phases specified in para (B) Article 5, Article 12 and article 13 of this act, anyone sponsoring a resident shall be obliged to participate in the cooperative health insurance for the benefit of the resident.
Residence permit shall not be issued nor renewed without prior obtaining the cooperative health insurance policy. The period covering the residence permit (Iqama) must be equivalent to the policy period..
Article 4:
A council for health insurance shall be established and to be chaired by the Minister of Health and the membership of :
a. A representative Deputy Minister level- nominated by each of the following ministries: the Ministry of Interior~ the Ministry of Health, the Ministry of Labour & Social Affairs, the Ministry of Finance & National Economy and the Ministry of Commerce.
b. A representative for the Council of Saudi Chambers of Commerce & Industry nominated by the Minister of Commerce, and a representative for the cooperative insurance companies nominated by the Minister of Finance & National Economy in consultation with the Minister of Commerce.
c. A representative for the private health sector and two representatives for other - governmental health sectors shall be nominated by the Minister of Health in coordination with their respective sectors. -
The Council members shall be appointed by a cabinet decree for three years (renewable).

Article 5:
The health insurance council shall regulate the implementation of this act and in particular :
A. Preparing a draft of an executive bylaw for this act.
B. Insuing necessary decisions for regulating changing matters regarding the implementation of the rules governing this act, including implementation phases, the family members of the beneficiary to be covered by this insurance, the way and percentage of contribution by the beneficiary and the employer in the cooperative health insurance and the maximum limit for this amount based on actuarial and specialist study.
C. Qualifying the cooperative insurance companies to work in the field of the cooperative health insurance.
D. Accrediting the health institutions to provide cooperative health insurance services.
E. Determining the financial compensation for qualifying the cooperative health insurance companies to work in this field, and the financial compensation for the accreditation of health institutions to provide cooperative health insurance services, after consulting the ministry of fu1ance and national economy.
F. Issuing the financial bylaws for the revenues and expenditure of the health insurance council, including. employees salaries and remuneration after consulting the ministry of finance and national economy.
G. Issuing the internal bylaws of the council.
H. Appointing secretary general for the council based on a nomination by the minister of health, and formation of secretariat general and defining its duties.
Article 6:
The necessary expenses for the performance of the health insurance council covering its activities, salaries of employees and their remuneration shall be paid from the revenues collected as specified in para (E) article (5) and as agreed upon between the Ministry of Health and the Ministry of Finance and National Economy.
Article 7:
The cooperative health insurance policy covers the following basic health services:
a. Medical examination, treatment in clinics and medication.
b. Preventive procedures such as vaccination, motherhood and childhood care.
c. Required laboratory- and radiological examinations.-
d. Inpatient care (Accommodation & treatment) including delivery and operations.
e. Treatment of teeth and priodental diseases excluding orthdontics and dentures.
These services shall not prejudice the requirements of the social insurance regulations nor with health services offered by private companies, institutions and individuals to their employees in excess of those provided by this act.


Article 8:
The employer may extend the scope of the cooperative health insurance services through at additional annexes at additional cost to include more curative and diagnostic services than what was specified in the previous article.
Article 9:
The preventive health procedures for those covered by the insurance including examinations, vaccination and in the period prior to issuance of the cooperative health insurance policy shall be made by a decree issued by the Minister of Health.
Article 10:
The employer shall bear the medical treatment costs if the beneficiary needs a medical treatment before the date of participation in the cooperative health insurance.
Article 11:
a. Governmental" health facilities may -when needed- provide the health services included in the cooperative health insurance policy to the policy holder for a financial compensation to be borne by the health insurance company.
The health insurance council shall determine these facilities and the financial compensation for such services. .
b. The minister of health in agreement with the minister of finance and national. economy shall define - procedures and rules for collecting the financial compensation stipulated in the previous paragraph.
Article 12:
The medical treatment of personnel working for government institutions and who are covered by this act as well as their family members shall take place in the governmental health facilities if they are directly contracted and sponsored by these institutions and when their contracts state their right for treatment.
Article 13:
The health insurance council may issue a decree exempting institutions and companies, which own a qualified private medical facilities from participating in the cooperative health insurance for the services offered by these facilities to their members.
Article 14:
a. If an employer fails to subscribe or pay the premiums of the cooperative health insurance for his employee covered together with his dependants in the cooperative health insurance policy, the employer shall be obliged to pay all premiums due, in addition to a financial fine not exceeding the annual

contribution of each individual. He may also be deprived of the right to recruit expatriots permanently or temporarily.
In such case, the executive bylaws will determine the authority to whom due premiums shall be paid.
b. In case any of the cooperative insurance companies fails to fulfil its obligations as defined in the cooperative health insurance policy, it shall be obliged to fulfil its commitment and to compensate for its violations.
In addition to a [me not exceeding SR five thousand for each individual covered in the policy being the subject of such violation.
c. One committee or more shall be formed by a decree from the chairman of the health insurance council, and to be represented of the :
1. Ministry of interior
2. Ministry of labor and social affairs
3. Ministry of justice
4. Ministry of finance and national economy
5. Ministry of health
6. Ministry of Commerce
This committee shall be entrusted with the violations of this act and proposing appropriate penalty, this penalty shall be imposed by a decree from the chairman of the cooperative health insurance council. The executive bylaws shall define this committee. Complaint of such decree may be submitted to the bureau of grievances within 60 days from notification.
Article 15:
The non-Saudi resident not intiteled by a sponsorship, shall take the place of the employer in fulfilling all obligations stated in this act.
Article 16:
The ministry of health shall be entrusted to monitor the quality assurance of the health services provided to the beneficiaries of the cooperative health insurance.
Article 17:
The cooperative health insurance shall be implemented by qualified Saudi cooperative insurance companies applying the cooperative insurance manner, similar to that stated for the national company for cooperative insurance, and in compliance with what is stated in the decree of the senior olama board No. (51) dated 4.4. 1497H.
Article 18:
The minister of health shall issue the executive bylaws for this act within a maximum period of one year from date of its issuance.
Article 19:
This act shall be published in the official gazette and shall be effective after 90 days from issuance of the executive bylaws. The rules related to the establishment of a health insurance council and to the scope of competence shall be effective from the date of publication of the act.









Kingdom of Saudi Arabia
Cooperative Health Insurance Council
Secretariat General


In the Name of God Most Gracious Most Merciful








Rules of Implementation
Of
The Cooperative Health Insurance System
And

The Cooperative Health Insurance Policy
Issued by Minister of Health Resolution No.
460/23/DH dated 27.3.1423 H


Rules of Implementation
Of
The Cooperative Health Insurance System
In
The Kingdom of Saudi Arabia

Index
Subject Page No.
Chapter one: Definitions 2
Chapter two: Beneficiaries 4
Chapter three: The System’s Insurance Coverage 6
Chapter four: Benefits 8
Chapter Five: Financing Insurance Companies 11
Chapter six: Practicing Health Insurance Business 12
Chapter seven: Supervision on Insurance parties 17
Chapter eight: Relationship between Insurance Parties 21
Chapter nine: Quality Assurance of Services Provided 29
Chapter ten: Penalties & Settlement of Disputes 30
Chapter eleven: Transitional Provisions & Enforcement of the Rules of Implementation 31



Rules of Implementation
Of
The Cooperative Health Insurance System
In
The Kingdom of Saudi Arabia
Chapter one: Definitions
Article 1: The following terms shall have the meanings shown alongside each of them;
1- The System: The Cooperative Health Insurance System in the Kingdom of Saudi Arabia.
2- Council: The Cooperative Health Insurance Council established under the provisions of Article four of the system.
3- Secretariat 'General: The Executive staff of the council
4- The supervisory body: The .Cooperative Health Insurance Council as well as other bodies designated by the state to supervise the insurance activities.
5- Social Insurance: Insurance applicable under the Social Insurance Regulations implemented by the General Organizations for the Social Insurance.
6- Employer: Natural or legal person employing one labourer or more.
7 - Policy Holder: Natural or legal person to whom the policy is issued.
8- Dependent: The husband, wives, male sons under the age of eighteen and unmarried daughters.

9- Insurance Company: The Insurance Company licensed to operate in the Kingdom prequalified by the council to practice cooperative health insurance business.
10- The Insured (Beneficiary) : The person covered by the System and is insured by an insurance company.
11- Health Insurance: The Cooperative Health Insurance indicated in the System.
12- Emergency: The Medical 1Teatment required by the beneficiary following an accident or an emergency requiring quick medical intervention.
13- Insurance Coverage: The basic health benefits available to the beneficiary set forth in the insurance policy attached to these rules.
14- Policy: The original cooperative Health Insurance Policy approved by the Council and attached to these rules, including designations, benefits and exceptions. Policy is issued by the insurance company based on an application submitted by the employer (policy holder).
15- Premium (contribution) : The amount payable to' the company by policy holder in return for the insurance coverage provided by the policy during the insurance period.
16- Percentage of deduction / portability (contribution in payment): The portion payable (as fixed in the policy schedule) which should be paid by the beneficiary (the insured) when visiting the physician for treatment.
17 - Benefit: Shall mean the cost of providing health service falling under the insurance coverage within the limits shown in the policy Schedule.
18- Service Provider: The person or health facility approved and licensed - under the regulations in force - to provide health
Services in the Kingdom such as; a hospital, a diagnostic center or clinic, a pharmacy, a lab, a physiotherapy or radiotherapy center.
19- Approved service providers network:
The health service providers group approved by the Cooperative Health Insurance Council and designated by the Health Insurance Company to provide service to employer / policy holder, by directly debiting the account of the Insurance Company. This network shall fall within the following health care categories:-
- First category for providing health services (primary health care)
- Second category for providing health services (General hospitals).
- Third category for providing health services (specialist or referral hospitals).


Chapter two: The Beneficiaries (the insured)
Article 2: The following categories shall subject to the health insurance programme:
1- All non-Saudi persons working for a wage for other persons or for their own account irrespective of their income, nature of work and term of employment.
2- All non-Saudi persons other than those working and residing in the Kingdom.
3- Members of the family who are in position of a residence pennit in the Kingdom and are supported by the persons specified in para (1) and para (2) of this article.
Article 3: The following are exempted from health insurance provided for in article (2) of these rules:
1- All non-Saudi employees working for governmental bodies & corporations whose by-laws don't allow them to conclude contracts with private hospitals for the treatment of their employees so long as such employees are under- the sponsorship of such bodies and have signed employment contracts with them, provided that such contracts provide for medical treatment at a government hospital. Those employees whose employment contracts don't provide health service shall obtain a private insurance coverage to meet these basic health requirements.
2- All non-Saudi employees working for the private sector under employment contracts stipulating the providing of medical treatment in prequalified health facilities belonging to the -employer. If treatment becomes impossible at these facilities owned by the employer - including emergencies - the employer shall provide supplementary insurance coverage.
3- Members of the family who are supported by the employees specified in para (1) and para (2) of this article.
The scope of treatment set forth in the above paragraphs shall be in compliance with the provisions of article (7) of the system as a minimum requirement and shall conform to- quality standards set forth in threes rules.
Article 4: The Council shall - in accordance with article (3) of these regulations - designate the following:--
1- Governmental bodies and agencies
2- Employers' who employ persons exempted from health insurance, based on applications submitted by them.
The Council shall decide the extent of conformity of medical treatment provided by such governmental bodies and agencies and employers with the scope and standard of health services that must be available under these rules.
3- In cases where the provisions of article (3) are not definitely valid in respect of any employees or dependents, the Council shall take a proper decision in this regard based on an application to be submitted by the employer.
4- The justifications requiring the elimination of exceptions from the provisions of para (2) of this article. In this case employees and dependents shall subject to this system within the above designation.


Chapter three: The System's Insurance Coverage
Article 5 : A- Employer shall conclude a health insurance policy with one of the insurance companies to cover beneficiaries existing in the Kingdom or any new: beneficiaries who become subject to this system.
B- Prequalified insurance companies will not be allowed to reject any application for cooperative health insurance as long as they are solvent.
Article 6: Insurance company shall issue. a certificate to the employer (policy holder), stating that his personnel .have been insured, for submission to the.. authority in charge of issue and renewal of Iqamas. Council shall lay down the contents of the certificate.
Article 7: If the beneficiary is not granted Iqama, his name shall be deleted from the cooperative health insurance policy as from date of his final departure and the premium due for the remained insurance period shall be calculated in accordance with the basis set forth in the policy.
Article 8: Beneficiary shall be given a copy of the insurance policy, the health coverage of which shall not be less than the basic coverage period stipulated in the System.
Article 9: Employer may change the insurance company contracted for providing insurance coverage provided that he shall forward a letter in this respect to the insurance company one month at least before date of termination. The portion of the insurance premium returned shall be calculated on a proportionate basis, Employer (policy holder) shall return insurance cards upon of termination and shall sign another insurance policy for providing insurance coverage. The new policy shall commence as from the day following the termination of the previous policy.

Article 10: When a person, who is subject to cooperative health insurance, moves to work for another employer, the new employer shall get him insured as from date of transfer and shall submit the insurance certificate as a requirement for transfer of sponsorship.
Article 11: The coverage of the health insurance shall include the benefits set forth in article (7) of the system and the provisions of chapter four of these rules. Policy shall specify the period of time needed for treatment, the maximum amount of the insurance coverage, the limitations, benefits, exceptions and the general conditions of the insurance coverage.
Article 12: The insurance coverage benefits shall include pregnancy and childbirth for those whose contracts are concluded on married status, within the limits set out in the policy.
Article 13: The health insurance coverage is limited to the services provided in the Kingdom of Saudi Arabia by the approved service providers network having signed health service contracts with the insurance company. .
Article 14: Employer shall get the beneficiary covered by insurance from date of his arrival in the Kingdom. He shall hand the beneficiary the insurance card within a period not exceeding ten working days from the date of his arrival. Newly born children horn in the Kingdom of Saudi Arabia during the 'validity of the policy will be 'covered by insurance retrospectively starting from date of birth.
Article 15: The insurance coverage expires with the death of the beneficiary, the expiry of the policy, termination thereof- or upon the beneficiary’s departure of the Kingdom for good.

Chapter Four: Benefits: (Benefits in kind and Refund of Cost)
Article 16: Beneficiary shall be entitled to the benefits specified in the policy as follows:
1- Diagnosis and treatment provided by the service provider. Deduction! portability amount shall be borne by the beneficiary as shown in the policy i.e. the amounts in excess of the coverage limit.
2- The amounts representing the cost of the necessary medical and emergency treatment if the beneficiary has to bear such costs directly provided that the insurance company is unable to make such services available immediately to the beneficiary or in the event of refusal by the insurance company to provide such services without a valid reason. The refund of cost to those who incur treatment expenses shall be in accordance with the limits set forth in the policy and to those paid by the company to a service provider of similar standard.
Article 17: The right to claim benefits shall commence on the effective date of insurance coverage in accordance with the provisions of article (14) of these rules.
Article 18 : There shall be no waiting periods without the right to benefits at the start of insurance, this includes providing benefits after the commencement of the insurance coverage 'to cases dating back to a period preceding the effective date of coverage. If the beneficiary has come to the Kingdom for treatment and not for work, the insurance coverage shall not extend to the cases preceding the effective- date of insurance coverage.
Article 19: The entitlement to benefits shall terminate with the termination of the insurance coverage according to the provisions of article (15) of these rules, This shall include undecided
insurance cases. The decisive. factor for the commitment of the insurance .company to service is the date of providing such service by the service provider.
Article 20: The insurance benefits shall cover basic baby inoculations and vaccinations upto school age which, a contracted service provider must provide in accordance with the resolutions of the Ministry of Health.
Article 21: Health Services and Medical treatment shall be provided by the service providers network listed in the schedule attached to the insurance policy which shall be delivered to the 'beneficiaries and approved both by the insurance company and the policy holder.
Article 22: The insurance coverage shall include the stay and cost of food in hospitals for one person escorting the beneficiary such as, the accompanying of the mother of her child (upto age twelve) or when medical requirements necessitate such escort according to the sole discretion of the treating physician.
Article 23: In emergency cases only, the cost of transport of beneficiaries such as, patients or pregnant women to the nearest facility for treatment shall be covered. Transport shall be by ambulances licensed or belonging to the Saudi Red Crescent Association.
Article 24: Every beneficiary benefiting from medical' services shall contribute in the payment of cost of treatment at service centers as shown in the policy with the exception of emergency and hospitalization cases.
Article 25: Medical service provider may not waive the contribution amount by adding such amount to the final sum to be paid by the insurance company or by offering it as a discount to the beneficiary.

",
Article 26: The contribution in payment to tl1e health service provider by tl1e beneficiary must be made against a receipt.
Article 27: Beneficiaries may not claim benefits under the policy unless such benefits are basically covered as stipulated in the policy or in as stated in the additional coverage tl1ey have obtained under article eight of the cooperative health insurance system.
Article 28: No demand for health services shall be raised in case of illness, if such services were provided following an accident in the place of work or during the break out of occupational diseases within the definition set forth, in the Social Insurance Regulations.
Article 29: If the insurance company is providing such health services and it was found out that the Occupational Hazards Branch of GOS1 must cover such services, GOSI shall indemnify the insurance company for expanses incurred.
Article 30: If GOSI provides health services to a person who has an insurance contract with a health insurance company despite the fact. that the latter shall be obligated to provide such services, the insurance company shall compensate GOSI for the expenses incurred. Compensation shall be within the limits of services the insurance company is committed to provide to those non covered by social insurance regulations.
Article 31: GOS1 and the Insurance Company may conclude mutually a contract providing for taking certain measures to Tender the services set forth in articles (29) and (30).
Article 32: If a beneficiary has any claims against a third party relating ~ to indemnities for damages resulting from a disease or an accident the dues and rights of the beneficiaries "- shall be transferred to the insurance company including costs incurred by the insurance company as a result of providing health services to the beneficiary.
Chapter five: Financing the Insurance Companies
Article 33: Premiums and additional fees being collected and investment returns shall be listed in the insurance companies revenues.
Article 34: Every insurance company shall comply with the resolutions adopted by the Council in coordination with other supervisory bodies to provide technical allocations generally accepted in the insurance sector.
Article 35: A- The insurance premium (contribution) shall be fixed by agreement between the insurance company and the employer.
B- If premium value is different from that stated in the work plan of the company, the latter shall seek the approval of the Secretariat
General of the Council en the premiums value and the Council may review the premium from time to time.
C- The maximum benefit limit for every beneficiary shall be SR two hundre4 fifty thousand only.
Article 36: Employer shall pay the premiums on behalf of his (contracted) employees and their dependents to the insurance company he selects for this purpose. This applies to persons not working or their dependents. Employer will be solely responsible for payment of premiums that must be paid at the beginning of every new insurance year unless otherwise is agreed upon.
Article 37: In the event of non-payment of premiums on the dates agreed upon, the insurance company may terminate the policy when its validity date comes to an end, recover the insurance cards and collect the premium due. Insurance company shall notify the Council and the authorized service providers network of such action.
Article 38: A portion of the surplus money coming from insurance operations shall be transferred to the cooperative health insurance fund in accordance with the principles of cooperative insurance. This portion shall be calculated in accordance with the results of the operations of the insurance company after the approval of the other supervisory bodies.
Article 39: The Health Insurance Council shall issue the rules defining the Fund’s objectives governing its operations in accordance with provisions of article (38).


Chapter Six : The Practice of Health Insurance Operations

Article 40: Insurance Companies licensed to operate in the filed of insurance shall carry out health insurance operations in the Kingdom. The companies regulations and other related regulations in force in the Kingdom will be applicable to any provisions not included in these rules or any subsequent rules to be enforced in the future.
Article 41: Insurance Companies may not practice health insurance operations prior to their preqaulification by the Council. Prequalification shall be limited to three years and shall be renewable for similar periods.
Article 42 : A- The Council shall charge fee for prequalification of the cooperative health insurance companies amounting to SR one hundred fifty thousand.
Article 43: Insurance Companies operating in the field of health insurance may practice other types of insurance provided that the financial matters related to the health insurance activities are separated from those belonging to other activities, as directed by the supervising authority.
Article 44: Insurance companies (authorized to perform insurance activities in the Kingdom) shall be prequalified to practice health insurance activities based on an application to be submitted for this purpose and the Council shall have the right to specify the details that must be incorporated in the application within the limits required, for its evaluation. The .Council shall, within a hundred and eighty days- of date of submission of application, -take a decision in respect of the application for prequalification.


Article 45: The Insurance company shall submit the following documents along with its application for prequalification :
1- Company name and address.
2- Articles of association or memorandum of incorporation.
3- Name of the chairman, members of the board, the managing director aI1d the executive managers.
4- Annual accounts audited by a certified accountant for the three years period preceding the submission of the application for existing companies and plan of operation for new companies.
5- Name of the independent actuary or the company specializing in actuarian studies.
6- Names of Auditors.
Article 46: The plan of operations shall include a 'statement of estimated revenues and' expenses, technical allocations and the projected results for tl1e tl1ree years following the submission of application, all in accordance with the form especially prepared by the Council for this purpose as well as the plan of arrangements made for re- Insurance.
Article 47: The insurance company shall submit a statement issued by the other supervisory authorities stating that the company will observe the minimum requirements of solvency.
Article 48: The Council may select from the applicant companies those ones having:
1- Authorization to perform insurance operations
2- Technical, administrative and medical staff as well as systems for approvals, - handling of claims and payment of dues. These functions may be performed through a contract with a medical claims management company licensed by the Council.


Article 49: The prequalification of an insurance company may be rejected by a letter stating the reasons for such rejection in the following cases:
1- If the Council gets information from the other supervisory authorities indicating that the executive managers of the company lack proficiency and falls short of the necessary professional requirements.
2- If the Council gets information from the other supervisory authorities indicating that the company is unable to preserve the interests of the beneficiaries in a proper manner or is unable to meet its obligations permanently.
3- In the event of non-payment of fees prescribed for granting or extending prequalification as stated in article (42) of these rules.
Article 50: Every insurance company must seek the assistance of an actuary or a company specialized in providing actuarial services as directed by the supervisory authority so that such actuary can submit an actuarial report to the supervisory authority about the health insurance activities of the company showing adequacy of allocations and the pricing policy.
Article 51: The independent actuary must ensure adherence to insurance procedures in the calculation of contribution in the insurance and technical allocations. The actuary must in this connection review and audit the company's financial matters, and in particular he shall make sure at all times that the company meets its obligations resulting from the insurance policies and that the company has under its disposal adequate assets within the solvency margin set by the supervisory authority. If the actuary finds out that allocations required are no longer available he must notify the supervisory authority immediately.

Article 52: Every insurance company shall prepare accounts audited by certified accountants authorized to operate in the Kingdom and a business report covering the operations of the previous year for - submission to the Council within the first three months of the year following the end of the financial year of the insurance company.
Article 53: Every licensed insurance company shall submit a statement to the Council confiffi1ing the following:
1- That the company's capital is free and not encumbered and equals the solvency margin at least.
2- That the solvency margin is calculated to show the company's ability to meet its ongoing obligation.
3- Submit a guarantee letter to the Cooperative Health Insurance Council equaling one third of the solvency margin provided that the amount of the guarantee is not less than SR twenty five million.
Article 54: The Council shall approve non-governmental health care providers according to the following criteria :-
1- That the health care facility is licensed by the Ministry of Health.
2- That individuals providing health care have been registered by the Saudi Commission for Health Specializations.
3- That the health care facility meets the minimum requirements of quality stated in articles (109) and (110) of these rules.
Article 55: Health care service providers shall be approved by virtue of a letter issued by the Council and the annual fee for this purpose must be paid to the Council as. follows
1- SR 2000 for open physician clinic ~
2- SR 5000 to SR 10000 for a clinic.(dispensary)
3- SR 10000 to SR 20000 for one day surgery centers -
4- SR 20000 to SR 50000 for a hospital - depending on number of beds.
Article 56: The Council shall fix the fee for each case based on article (55) as well as the fee for the rest of service providers such as Diagnosis Centers, pharmacies and labs.
Article 57: The authorization of a health facility shall be canceled if the Ministry of Health withdraws the facility’s license and the Council shall notify all insurance companies of this cancellation.


Chapter seven: Supervision on the relationship between the Health Insurance parties (scope and goals of supervision)
Article 58: The Health Insurance Council shall supervise and monitor the universality of the Health Insurance coverage and shall ensure that the parties in the Health Insurance relationship perform the tasks and responsibilities entrusted to them under these rules.
Article 59: The supervisory authority shall be in charge of the supervision on the insurance companies activities in the field of Health Insurance. This includes ensuring the solvency of the company, adequacy of capital, sound assets, technical allocations and its ability to meet obligations towards the beneficiaries of the Health Insurance provided. The supervisory authority shall notify the Council of any shortcomings in the position of any insurance company in accordance with the requirements of this article..

Article 60: The Council may require the amendment of the plan of operations of the Health Insurance companies prior to concluding of new insurance policies, as deemed necessary, for the protection of the interests of the beneficiaries. The effects of such amendment shall be extended to include existing insurance policies and the policies that have not yet been concluded.
Article 61: The Council may request from the supervisory authority information and data about all the work issues related to Health Insurance. 'The Council in certain cases - especially in cases related to the general provisions of the health insurance, request forms and other printed matter used by the health insurance company in its correspondence with employers, beneficiaries and service providers as well as contracts signed with the health insurance claims management company.
Article 62: TI1eCouncil and whoever is nominated by the Council, may during certain periods of time or at any other time, perform reviewing and auditing taslcs in all respect of insurance companies within the sphere of competence of the Council and may also request other supervisory bodies to do so and to provide reports in this regard.
Article 63: The Council shall have the right to make -reservations on any of the executives of any insurance company and shall notify other supervisory bodies accordingly.
Article 64: Members of the Councilor 'any of its staff may not disclose confidential information that come to their knowledge in the course of their implementation of these rules. This also applies to any person who may get to know such information from official reports. The provisions of this article will not apply to disclosure of information where it is not possible to single out the disclosing company.
Article 65: The Council may use the information stated in Article (64) for the following purposes:
1- Examining the applications submitted by insurance companies for prequalification or renewal thereof.
2- The directives issued by the Council.
3- Following up of any violations of the obligations arising out of the insurance policy in accordance with article (14) of the system.
4- Within the framework of the procedures of handling complaints regarding decisions taken by an insurance company.
5- Within- the frame work of .the procedures of considering and deciding on violations in accordance with article (14) of the system.

Article 66: The observance of the confidentiality of information as set forth in article (64) shall not prevent providing the following information specifically to:-
1- Judicial authorities, courts or other affiliated bodies.
2- The authorities in charge of implementation of the system as per its provisions or other related regulations so long as such authorities request the information for the purposes of finalization of their tasks and provided that secrecy requirements set forth in article (64) of these rules are adhered to.
Article 67: The other supervisory authority shall have the right to supervise the settlement of matters related to existing insurance policies in the event of the prohibition of the activity of an insurance company, the suspension of its operations or in the event of withdrawal of its license Company shall coordinate with the Cooperative Health Insurance Council in this regard.
Article 68: The Council may withdraw prequalification for practicing health insurance business if the insurance company breaches the prequalification requirements and conditions. In the event of withdrawal of prequalification, the beneficiaries shall be transferred to another insurance company to be selected by the employer. This also applies in the event of suspension of its operations without the withdrawal of prequalification.
Article 69: The Council may also withdraw prequalification of practicing health insurance business if the insurance company fails to use pre qualification within twelve months or if it expressly waives the prequalification or ceases to practice-its business for six months.



Article 70: With the exception of the cases indicated in articles (68) and (69) withdrawal of prequalification shall be coordinated with the concerned authorities.
Article 71: The Council shall be financed by:
1- The prequalification and the annual renewal fees collected from the Insurance companies.
2- The tee of the annual authorization of the non-governmental health service providers.
3- The fees of supervision and control over the insurance companies at the rate of one percent of the health insurance premiums as per the audited financial statements of the previous year.
4- The fee collected by the Council for studies regarding the exemption of the parties having their own medical facilities taken from the insurance coverage or portions thereof. The Council shall fix such fee.
5- Other fines due to the Council and fines ~posed by the violations committee of the cooperative health insurance system violations committee as stated in article (111) of these rules.
6- Donations, gifts and investment returns.
7 - Any amounts collected from any other sources such as, the issue of journals, manuals, consulting or training activities that may be performed by the Council.
Article 72: The Council shall publish general information on the activities of the insurance companies prequalified by the Council. Coordination in this respect may be made with the other supervisory authorities. Council, when required, may interprete these rules of implementation.


Article 73: The Council shall publish, at its discretion, whatever tables and statistical data related to insurance for any business year without specifically referring to certain insurance companies.


Chapter Eight: The Relationship between the
Insurance Parties
Article 74: The Council shall specify the requirements for the design of the health insurance card and its contents in collaboration with insurance -companies and health service providers,
Article 75: The insurance companies and service providers shall observe tile following:
1- Provide services in accordance with generally accepted professional and moral criteria that comply with accepted new medical techniques, taking into consideration the achievements made in the field of medicine. Service providers may not demand from insurance companies providing services inconsistent with the above.
2- Medical procedures shall' be restricted to necessary treatment required for performing the task.
Article 76: The insurance parties i.e. policy holders, insurance companies and service providers shall, each within his sphere of interest, follow the generally accepted professional criteria for:
1- The Payment of premiums by policy holders, on time to the Insurance companies.
2- Expedite the giving of approvals by insurance companies to service providers for providing treatment to beneficiaries and the settlement of the claims of the service providers,
3- Expedite and facilitate the providing of treatment services to the beneficiaries by service providers and the submission of claims to insurance companies for speedy settlement of dues.
Article 77: Insurance Companies may not own or operate health care facilities for the treatment of the insured, nor may the private health facilities own health insurance companies.
Article 78: The contracted parties in the insurance policy shall be the policy holder (Employer) and the insurance company.
Article 79: Employer shall provide the insurance company with all information it requests. If the insurance company has reasonable justifications to suspect the correctness of such information, the company may refer the matter to the Health Insurance Council for verification. Employer shall based on the Council's request provide all required documents and shall let the representatives of the Council review such documents at its headquarters.
Article 80: Employer shall explain and clarify policy contents and the limits of coverage of beneficiaries included in the policy.
Article 81: Without prejudice to the requirements of regulations and instructions, the employer shall impose penalties on the beneficiary has been legally proved to have abused the service.
Article 82: Employer shall return the insurance card to the insurance company when the beneficiary leaves work or upon the expiry of the term of the insurance policy. Employer shall be held responsible for any expenses arising from his non-compliance with such condition.
Article 83: The insurance company shall, in order to meet its obligations and provide the benefits, conclude health service contracts with authorized service providers. Hospitals and governmental health care facilities, open to all patients, may treat the beneficiaries and the cost of such treatment shall be Dome by insurance companies.
Article 84: In emergency cases only, treatment may be provided by specialists and hospitals without a referral from a primary health
~
care facility, This provision also applies to treatment by service providers who have no health service contracts with the insurance companies. If the insurance company disapproves on the continuation of treatment in this center, patients shall - when their health conditions stabilize - be transferred to one the service providers network centers.
Article 85: The Service provider shall be held responsible when one of his employees or physicians commits forgery, fraud or abuses the service provided.
Article 86: The health service contract shall as a minimum requirement incorporate the following and the Council may propose a guideline service contract to regulate the relationship between the parties concerned.
1- Mutual rights and obligations and the penalties to be imposed in the event of violation.
2- The compliance of service providers with quality standards according to conditions and' procedures set forth in articles (109) and (110) of these rules.
3- Service providers obligation to observe the requirements of cost efficiency according to the provisions of article (75) of these rules. Service provider shall prescribe all medicaments and male all prescriptions in accordance with such requirements.'
4- Procedures for settlement of wages and settlement of amounts due for prescriptions dispensed.
5- Preconditions concerning notices and the periods of such notices.
6- The method of settlement of disputes arising out of health service contracts.

Article 87: The health service provider shall verify the identity of the beneficiary. If a service provider treats a person other than a beneficiary, he shall bear the cost of such treatment.
Article 88: The service provider shall demand his dues related to the treatment of beneficiaries in the manner agreed upon with the insurance company within a period not exceeding 90 days from date of maturity.
Article 89: The service provider shall abide by the coding system drawn up by the Council for describing cases of treatment, their cost and request for payment of dues.
Article 90: The services provider may terminate the health service providing contract with, insurance company with the observance of the termination conditions in the event of delay of payment of dues. In this case the insurance company shall notify employers accordingly.
Article 91: The Insurance Company shall, on the effective date of insurance coverage furnish policy holder with beneficiaries insurance cards and explanatory manuals including scope of insurance coverage of policy, limits thereof and authorized service providers network. Employer shall officially and actually hand these over to the beneficiaries on the effective date of insurance coverage. Insurance Company shall notify authorized service providers network or the joining of the policy holder of the insurance coverage as well as additional coverage, if any.
Article 92: The insurance company and the policy holder shall take care - of beneficiaries circumstances by introducing a service providers network that can meet the needs of the beneficiaries and the conditions at their places of work so that beneficiaries will not" be forced to seek service from service provider outside of the network.

Article 93: Insurance company shall not be required to conclude health service contracts with every service provider authorized by the Council. The company may select any authorized service provider that is capable of providing the best of services to meet the requirements of the health service contract.
Article 94: Insurance company shall not be required to use the service of all service providers with whom contracts are signed for a given policy.
Article 95: Insurance company shall respond to the request for approval on treatment cost within sixty minutes, and in the event of non- approval reasons for disapproval shall be put in writing. The Council shall draw up the service criteria in this connection.
Article 96: Insurance companies may appoint Saudi physicians, jointly or severally, to monitor compliance with treatment conditions within the limits of cost effectiveness set forth in article (75) of tl1ese rules during the treatment of a beneficiary. If the appointment of Saudi physicians is not possible, insurance companies may request an exemption the Council for contracting non-Saudi physicians. However, the extinguished medical staff, must be selected from Saudi Specialists and consultants. In the event of requiring part time consultants insurance companies shall seek to employ Saudi specialists and consultants from those working for the public sector.
Article 97: Physicians appointed to work for insurance companies shall be professionally independent and their views during their supervision shall only be subject to the medical requirements. They may not interfere in the medical treatment of beneficiaries.
Article 98: Service providers and beneficiaries shall provide physicians working for the insurance companies with all information required

and shall put at their disposal all documents required for the performance of in accordance with the provisions of article (96) of these rules.
Physicians shall be given access to hospital wards, medical supervision offices and medical file~ of any authorized hospital in which a beneficiary was treated or is being treated whenever the need arises for carrying out supervision functions entrusted to them and this shall be in coordination with the hospital concerned.
Article 99: The Council shall have the right to have objections on anyone who proves to be unqualified medically or whoever violates the ethics of the profession.
Article 100: Insurance company shall pay the dues of the service providers within a peri9d not to exceed sixty days of date of request for payment.
Article 101: Insurance company and service providers shall agree on the settlement of requests for payment. In case of disagreement either party may refer the dispute to the Cooperative Health Insurance Council.
Article 102: Insurance Company may terminate a health service contract with a service provider after the approval of the policy holder and the appointment of a replacement of same standards provided that the notice period as well as the. conditions of termination set forth in the contract signed by them are observed, if the service provider breaches, in full or in part, the conditions of providing service.

Article 103: Beneficiary shall provide the insurance company with all information it requires for defining the details of an emergency or service obligations. shouldered by the insurance company and the extent of such obligations.

Article 104: Beneficiary shall present himself for check up by a licensed physician authorized by the Council and appointed by the company if the latter wishes him to do so. The company shall bear the cost of check up in this case.
Article 105: Beneficiary shall, when requesting treatment, furnish his insurance card and I.D. to the service provider, who will hand them back to the beneficiary after taking the necessary data for the treatment.
Article 106: Beneficiary shall call on one of the primary health care facilities or physicians working for the service providers network designated for him. Referral to a specialist or a hospital shall be decided by an omnipractitiner.
Article 107: Beneficiary shall bear the difference in cost in the event of hi~ calling directly on a specialist or consultant for check up as shown in the policy.
Article 108: Recommendations for hospitalization shall be limited to cases where treatment in out-patient clinics is inadequate. In this case one day surgery or treatment service shall be used and if the beneficiary reports to a hospital other than that specified in the referral documents, he shall bear the difference in the cost of treatment.


Chapter Nine: Quality Assurance of Service Provided
Article 109: The Council shall, in cooperation with proficient governmental health institutions, specify the preconditions required for maintaining the quality of services provided relating to the implementation of the previsions of article (106) of the system. In the course of specifying the requirements, in particular, the following shall be observed :--
1- Availability of minimum specific requirements of quality that must be adhered to by the service providers.
2- Adoption of diagnostic and treatment services that must be provided or will be provided at the expense of the insurance company.
3- Service providers compliance with procedures in respect of maintaining good quality. .
Article 110: The procedures related to maintaining good quality shall cover as a minimum requirement the following areas :--
1- Criteria related to the medical check-up rooms of the authorized service providers.
2- On the spot regular inspection of authorized hospitals, clinics and dispensaires by Council staff or by qualified persons appointed by the Council.
3- Evaluation of health service contracts in terms of maintaining quality controls.
4- Service providers shall - every three years and on their own account - contract through the Council - a specialized consulting office to-evaluate and measure the extent of compliance of service providers with the requirements of quality. Council must be provided with a report thereon.

If the service provider breaches this stipulation the Council may cancel authorization.
Chapter ten: Penalties and Settlement of Disputes
Article 111: A committee (or more) composed of six members from the ministries set forth in article (14) of the system to be called "the cooperative health insurance system violations committee" shall be formed by a resolution from the chairman, to decide on violation to the provisions of the system and the appropriate penalties thereof. Penalties shall be imposed by a resolution from the chairman and may be appealed before the Board of Grievances' within sixty days of notification.
Article 112: This committee shall hear the violations arising between tl1e beneficiaries & policy holders on the one hand and insurance companies & service providers on the other hand.
Article 113: Complaints from a parties shall be submitted in writing to the Secretary General of the Council within ninety days of date of dispute, being the 'Subject of the complaint.
Article 114: The Secretary General of the Council shall refer the complaint to the committee hearing the violations of the provisions of this system.
Article 115: Amounts collected from the financial penalties related to the .violation of the provisions of this system as well as fines specified in articles (Ill) and (116) shall be paid to the Council as provided for in the Financial Rules.
Article 116: If the Committee finds out that the complaint was - untrue and unjustifiable, it may take the necessary legal action or propose appropriate punishment to be inflicted on the complainant.

Article 117: The Committee shall hold a session, when the need arises, and the Council shall pay one thousand Saudi Riyals as remuneration to each member for each session provided that remuneration shall not exceed SR twenty thousand for each member per year.
Article 118: The Council shall prepare detailed procedures for the submission of grievances and complaints to the Committee.

Chapter Eleven: Transitional Provisions and Enforcement of the
Rules of Implementation
Article 119: Procedures for prequalification of health insurance companies and approval of service providers, to whom the provisions of this system apply, shall commence after the promulgation of these Rules.
Article 120: These Rules shall be applicable to employers as follows:-
1. Companies and sole establishments, whose foreign labour exceed five hundred persons – within one year of date of issue of these rules.
2. Companies and establishment, whose foreign labor are more than one hundred persons – within two years of date of issue of these rules.
Article 121: With due regard to article (120) of these Rules, if insurance policies were signed prior to the implementation of this system, the contracted parties shall be responsible for termination of their obligations within one year of date of issue of this system. They may maintain same obligations if they manage to obtain the Council’s approval on the continuation of their previous arrangements, provided, however, that the insurance company should be prequalified and the service provider be authorized and that they are able to carry on their obligations in accordance with the provisions of this system and the rules of implementation thereof.
Article 122: The Council shall have the authority to propose the amendment of these rules, by a resolution from by the Minister of Health.

Article 123: These rules shall be issued by a resolution from the Minister of Health and shall be published in the Official Gazette and put into force as from the effective date of the implementation of the system, i.e. after ninety days of date of issue of the Rules.

Kingdom of Saudi Arabia
Cooperative Health Insurance Council
Secretariat General


" Cooperative Health Insurance Policy

In implementation of the cooperative health insurance system issued by Royal Decree No. M/10 dated 1/5/1420 H and the rules of implementation thereof issued by Minister of Health Resolution No.__________ " dated _________. Whereas the policy holder has submitted to (name of insurance company) (referred to hereinafter as the "Company") a written application (which will be deemed a basis and an integral part of this policy) for the purposes of insuring the policy holder and his dependants or his employees and their dependants whose names are listed in the schedule attached to this policy and who a):e referred to hereinafter as the "insured", and has paid the premium or agreed to pay it.
Therefore, the company agrees based on the above - with the policy holder to cover the costs of providing health care to the insured under this. Policy, to the extent and in the manner shown therein, through a network of service providers appointed by the insurance. company provided always that such insurance shall subject to the conditions, definitions, designations and limits of coverage incorporated this policy any additional schedules (already approved by the cooperative health insurance council) or those that will be agreed upon later.

Part one: Definitions
For the purposes of this insurance the following work, phrases and expressions shall be interpreted and construed-wherever mentioned in this policy, appendixes or attachments - in accordance with the following definitions:
1- Accident: Unexpected accident injury or an accidental incident taking place during the insurance term.
2- Ailment: An illness or disease caught by the insured person that necessarily requires medical treatment by a licensed physician during the insurance period.
3- Allergy: The person's allergy to certain kinds of food, weather, pollen, in particular, and any other agents such as. plants, insects, animals, metals and other elements and materials, where the individual suffers from reactions in tile body caused by tile direct or indirect contact with such materials leading to cases of asthma, , indigestion, itching, hay fever, eczema and headache.
4- Beneficiary (The insured): A person covered by the System (employee or dependant) whose name is listed in the schedule of the insured persons attached to this policy.
5- Benefit: Cost of providing health services included in the insurance coverage within the limits shown in the schedule of the policy.
6- Premium (contribution): The amount payable by the policy holder in return for the insurance coverage provided by the policy during the term of insurance.
7- Congenital Deformation: The functional, chemical or constructional disorder usually existing before, birth, hereditary or caused by environmental factors.



8- Insurance Coverage: The basic health benefits available to the beneficiary as specified in the insurance policy attached to these rules.
9- Percentage of Deduction I Portability (Contribution in Payment):
The portion payable (as specified in the policy schedule) by the beneficiary (the insured) in the event of medication in out-patient clinics.
10- Employee: Any person actually working for the policy holder, and is entered in such capacity in the latter's registers, who has not yet reached the age of 65 years when joining the insurance coverage.
11- Dependent:
A- The husband / wives entered in this capacity in the registers of the policy holder who are residing legally in the Kingdom of Saudi Arabia.
B- Children of the employee, children of the husband or wives or the children legally sponsored and residing in the kingdom of Saudi Arabia, who are supported by the employee .and entered in this capacity in the registers of the policy holder.
12- Claim Supporting Documents:
All documents proving and evidencing: age. of the insured person, his nationality, ill, validity of insurance coverage, the circumstances of tl1e accident for which "the claim is raised and the payment of cost as well as other documents such as the police report, bills, receipts, prescriptions, physician' s report, referral, recommendations and any other original documents that may required by the company.

13- Direct Debit Basis or Debiting the account of the Company:
The non-payment facilities available for the insured persons by the service provider / providers appointed by the company where all such expenses are directly debited to the account of the company.
14- Commencement Date:
The date shown in the policy schedule on which the insurance coverage starts.
15- Effective Date: The date designated by policy holder and agreed upon by he company for the commencement of the coverage of the person under the policy or for adding or omitting of an insured person from the policy.
16- Appendix: A document issued by the company using an official form dated and signed by an authorized' officer proving the authenticity of any amendments in the policy and not. prejudicing the basic coverage - based on a request in writing from the policy holder.
17 - Hospital: An authorized health facility acceptable to the policy holder and the company, and is licensed to operate as a hospital under regulations in force for providing reimbursable treatment under this policy. Hospital in this policy will not include hotels, guest houses, dormitories, rest houses, recuperation houses, sanitariums, care houses for the persons in custody, infirmaries, asylums or any other places used for accommodating and treating alcohol and drug addicts.
18- Hospitalization (in-patients): Admittance of an insured person as an in-patient in a hospital until the morning of the following day based on a referral from a licensed physician.

19- Insurance: The evidence of the implementation of the insurance coverage under this policy, schedules, appendices or attachments thereto.
20- Licensed physician: A medical practitioner in position of a degree who is legally licensed to practice medicine, prequalified and acceptable to the policy holder and the company for providing cost reimbursable treatment under this policy.
21- Limits of Coverage: The maximum limit of liability of the company as set forth in the schedule of the policy for any insured person before any deductions/ portability.
22- Service Provider: The authorized and licensed person or health facility, under the regulations in force, to provide medical services in the Kingdom such as a hospital, a diagnostic center, a clinic, a pharmacy, a laboratory, a physiotherapy or a radiotherapy center.
23- Pregnancy & Delivery: Any pregnancy and / or birth arising from a legitimate martial relationship.
24- One day surgery or Treatment: A surgery or a treatment that necessarily requires pre-arrangements for one day stay only in a hospital or a treatment center.
25- Treatment in Out- Patient Clinics: The frequent calling - by an insured person - on out-patient clinics for the purposes of diagnosis or medical treatment of a disease.
26- Service Providers Network: A group of health service providers authorized by the Cooperative Health Insurance Council and designated by the insurance company for providing services to the employer / policy holder by debiting .cost directly to insurance -company account upon furnishing a valid insurance card for the insured. Such network shall include the following three health car categories:-
unexcluded under part three - prescribed by a licensed physician for an illness caught by the insured, provided that such expenses are necessary, reasonable and customary at the time and in the place in which they have been incurred.
Based on the above, reimbursable costs shall include the following:
A- All medical check up, diagnosis, treatment, medicament costs as per policy schedule.
B- All hospitalization expenses including operations, and one day surgeries and treatment as well as delivery .
C- The treatment of teeth and-gingival diseases.
D- Preventive measures specified by the Ministry of Health such as, vaccinations and maternity & childhood care.
2- The expenses of repatriation of the remains of the insured to his country of origin.

Part Three: Designations and Exemptions
A- This policy will not cover claims arising out of the following:-
1- Injury caused deliberately by the person.
2- Illnesses, caused by misuse of certain medicaments, stimulants, tranquilizers or by consumption of alcoholic drinks, drugs and the like.
3- Plastic surgery or treatment unless necessitated by an accidental bodily injury not excluded in this part.
4- Full checkups, vaccinations, drugs or preventive procedures that do not require any medical treatment stipulated in this policy (with the exception of the preventive procedures stated by the Ministry of Health such as, vaccinations and maternity & childhood care).
5- Treatment related to pregnancy and delivery for a woman on a single status contract.
6- Free of charge treatment of an insured person.
7- Rest, general body health programmes and treatment at social welfare houses.
8- Any illness or injury resulting directly from the profession of the insured.
9- Treatment of genital diseases and the medically recognized diseases usually communicated by sexual intercourse. '
10- The treatment expenses for the period following the diagnosis or HIV or the diseases related to HIV including AIDS (Acquired Immunity Deficiency Syndrome) their dirivatines, synonyms or other fon11S thereof.
11- All costs related to teeth transplanting, dentures, bridgework fixed & removab1e), orthodontics- excluding those caused by violent external actions.
12- Tests for correction of sight & hearing and audio - visual aids, unless ordered by a licensed physician.
13- Expenses of transportation of an insured by. local or authorized ambulances or by ambulances belonging to the Saudi Red Crescent Association.
14- Hair falling, baldness or wigs.
15- Psychotherapy, mental or neurotic disorders excluding acute cases.
16- Allergy tests of whatever nature excluding those related to drugs, diagnosis or treatment.
17- Equipment, aids, drugs, procedures or treatment by hormones for birth control, inducing or preventing pregnancy, sterility, impotency, lack of fertility, tube fertilization or any other means of artificial linsemination.
18- Any defects or congenital deformities existing before the effective date of policy and posing no threat to life. ..
19- Any additional costs or expenses incurred by the person escorting the insured during his hospitalization or stay in hospital with the exception of hospital room & board costs for one escort per an insured, i.e. the accompanying of the mother of her child - upto twelve years old or whenever this is medically necessary, all at the discretion of the treating doctor.
20- Treatment of acne or any other treatments relating to obscenity or overweight.
21- Transplant of organs taken from other persons bone marrow and artificial limbs replacing any organ in the body.
B- This policy- will not cover the health benefits and repatriation of the remains to country of origin if claims are directly arising- from the following.
1- War, invasion, foreign enemy actions, aggressive actions (whether war declared or not) and civil war.
2- Ionic radiation and contamination with radio active material resulting from nuclear fuel or any nuclear waste resulting from the burning of nuclear fuel.
3- The radioactive, poisonous, explosive properties or any other hazardous properties of any nuclear materials stored or any of their components.
4- The insured involvement or participation in the service of the armed forces, police or in any of their operations.
5- Riots, strikes terrorism or nay similar acts.
Chapter Four - General Conditions
1- Substantiating validity: This policy hall represent the basic limit of insurance coverage offered to the insured. Policy shall not be valid unless substantiated by a schedule singed by an officially authorized officer of the company.
No additions thereto will be valid unless proved by an addendum signed by an officially authorized officer of the company.
2- Registers & Reports: Under this policy holder shall maintain a register for all insured employees and their dependents, containing for every person, his full name, sex age, nationality, classification and other basic infoffi1ation that may affect the management of this insurance and the report concerning rates of contribution. Company shall be given the chance - Whenever so desires - to review such registers to ensure the correctness of information provided by the policy holder. Further, company shall- whenever required do so provide the policy holder with any data in respect of the insured he may wish to review.
3- Persons Qualified for Insurance:
A - F or employees - any person falling under the definition of employee - shall be eligible for insurance as stipulated in the policy schedule.
B- For dependents: Any person falling under the definition of " dependent - shall be eligible for insurance as stipulated in the policy schedule, provided that such person is supported by a qualified employee.
If any person is defined as dependent and is at the same time qualified as an employee, his qualification for insurance as dependent shall cease under the policy. And when the husband and wife reside peffi1anently together and enjoy insurance coverage in their capacity as employees, their children shall only be qualified as dependents of the husband.
4- Payment of Premiums:
A- Policy holder shall pay insurance premiums due from any insured person upon the commencement of the insurance coverage or as otherwise agreed upon with .the company.
B- In the event of non-payment of any portion of a premium, the policy will not be valid for a period longer than that covered by the portion paid and the company shall notify the cooperative health insurance council accordingly.
5- The effective Dates of Coverage. A- For the employees:
The coverage of the employee who is actually on the job shall commence as from date of commencement stated in the policy - schedule,- and any person who joins work at a later date shall be covered as from date of joining work with policy holder or date of arrival in the Kingdom.

B- For Dependents:
The effective date of insurance coverage for dependents shall be the date of insuring the employee - who supports them - or the first date on which they enjoy the status of dependents.
6- Addition & omission of insured persons and contributions thereof:-
A- Policy holder shall immediately notify the company in writing of all employees or dependents to be covered by insurance after the effective date of the policy, and company shall immediately calculate additional contribution payable for persons incorporate in the insured persons schedule on a proportional basis starting from date of their coverage.
B- Policy holder shal1 notify the company in writing within thirty days of date of termination of al1 the insured persons (emp1oyees and / or dependents) whose insurance coverage showed expire before the end of the insurance period. .
The company may not return the proportionate portion of contribution related to such persons for the remaining period of insurance, unless policy holder .provides the company with a proof of the departure of the insured person in the event of his 1eaving the Kingdom for good, or his inclusion in another insurance coverage progran1l11e acceptable to the Cooperative Health Insurance Council in case of transfer of sponsorship. .
7 - The Expiry of Insurance Coverage of the Insured:
A- For employees: The insurance of any employee under this policy shall automatically terminate in the following cases :-
1- When this policy expires as specified in the schedule.
2- When the employee becomes sixty five years old.
3- When the maximum benefit stipulated in the policy is used up.
B- For Dependents: The .coverage of the dependant under this policy shall automatically expire in the following cases:-
1- When the dependent losses his insurance status in accordance with provisions of clause 11 (B) of definitions, under part one of policy.
2- When the policy term expires as stated in the schedule.
3- When the dependent becomes sixty year old.
4- When maximum benefit stipulated in the policy is used up.
C- Reimbursable costs for any persisting illness requiring stay in hospital at the date of expiry of coverage shall be valid for a period not exceeding 365 days from date of inception that necessitated hospitalization, within the limits of amounts for coverage set forth in the policy schedule.
D- In the event of termination of this policy for any reasons whatsoever, policy holder small immediately return to the company all healt11 insurance cards issued, relating to the direct indebting of company account with the nominated service providers network. Same shall apply to any insured person whose coverage period expires. Policy holder shall be liable for compensating the company for all medical expenses and costs arising from his failure to adhere to this requirement.
8- Subscription:
A- The company shall have the right - and must be given the chance - to examine the insured for whom a claim was raised for reimbursable costs through an authorized medical body within sixty days of date of receipt of claim, provided that such claim shall not exceed two folds of cost.
B- Policy holder and the insured-shall cooperate and allow the company - at its expense - to take any reasonable and necessary


actions the company may require for the substation of any rights, claims or indemnities pressed against a third party.
9- Non-Duality of Benefits:
In the event of raising claims for reimbursable costs payable to the insured and covered under this policy under any other insurance plan, programme the insurance company shall then be responsible - for payment of such costs and shall subrogate the insured in respect of requesting third parties of pay their propitiate share to such claim.
10- Direct debit basis on company account with nominated service providers net work: Company shall issue a health insurance card to every insured person entitling him to receive health services provide by the health service providers network nominated for the company on a monthly basis including all medical costs incurred under this policy. Company shall assess such costs, work them out and notify policy- holder when such costs reach the maximum benefit limit. If costs exceed - such limit the company may request recovery of such costs within a period not exceeding 60 days of notification.
If policy holder fails to refund such costs within the period specified, the company may refer the matter to the Cooperative Health Insurance Council for taking the necessary action. Company may add or remove any or all service providers appointed for the purposes of this policy during its validity, .provided that policy holder approves such action and a replacement of same standards is appointed.
11- Deduction / Portability:
Without prejudice to the facilities granted under direct debit of company account, it is a binding and obligatory requirement that
the insured shall pay deduction I portability amount at the service center. Any attempt by the insured to abstain from such payment shall be deemed a breach of the provisions and conditions of the policy whereby policy shall be invalid for the insured until payment is made.
12- Cost Reimbursable Basis:
In emergency cases, the insured may receive emergency medical treatment at centers and hospitals other than those authorized by the company on cost reimbursement .basis. In this case tl1e company shall - in accordance with the provisions, conditions, designations and exemptions of the policy - compensate policy holder for all reimbursable expenses and costs provided that, company shall be provided - within 30 days of incurring such costs - with all supporting documents required.
13- Termination:
Policy holder may terminate this policy at any time by virtue of a written notice sent to the company thirty days at least of the date of such termination. In this case policy holder shall provide the company with the following evidences:--
A- The conclusion of another insurance policy with a prequalified company or the coverage of the insured under another insurance coverage programme acceptable to the Cooperative Health Insurance Council where the new coverage will become effective as of the day following the termination of the previous policy in the event of transfer of sponsorship.
B- The Insured Departure Kingdom on exit visa only: In this- case the company shall within sixty days of date of termination, return to the policy holder the remaining portions of contributions for each insured person whose claim was less than 75 % of annual
contributions. The returned portion shall be calculated on a proportional basis:
(portion returned - Annual contribution - 365.25 day x number of days remained).
If policy holder suspends the return of costs the maximum benefits limit during the period specified in clause (10) of the policy general conditions, resulting from the application of the direct debit of company account system, company may abstain from returning such refundable contributions, if any, and shall use such contributions for the reimbursement of costs" paid to treatment providers i.e. the costs that must have been paid to the company by policy holder.
l4- Approvals:
Responses to requests for approval received by the insurance company from service providers for providing health services to beneficiaries shall be made within sixty minutes at most from time of making such requests.
l5- Gender:
For the purposes of this policy, words used in the masculine shall also include the feminine.
16- Notices:
A- All notices or correspondence addressed to the company under this policy must be printed or in writing.
B- The company shall not be bound, in 'any way, to notify policy holder of date of expiry of this policy.
- Compliance with the provisions of this policy:--
It is a precondition for the company to meet its obligations that policy holder and the insured persons shall implement and comply
Fully with all requirements, conditions, duties and obligations set forth in this policy.
18. Settlement of Disputes:
All conflicts and disputes arising out of or relating to this policy shall be settle through the Cooperative Health Insurance Council and the committees formed by resolution from its chairman for looking in violations to the provisions of the system in accordance with article (14) of the Cooperative Health Insurance System.
Policy holder has read and agreed on the provisions and the schedule of this policy.
Date: ____________________
Signature of Policy Signature of the Insurance Company
Holder & Date


Cooperative Health Insurance Policy
Policy Schedule
_________________________________________________________________
Insured / Insurance Company Name: ___________________________
Code:
Policy No.: ____________________ Policy Holder Code:____________
_________________________________________________________________
Policy Holder Name:
Postal Address:
Tel. No. ____________ Fax No. ________________ C.R. No._____________
Type of insurance: Obligatory Cooperative Health Insurance
Policy term / insurance term: From ______ day ______ month ______
year to ________ day ____________ month _______________ year
(inclusive)
Renewal date of Policy: ____________ day ___________ month ____________
(Year)
Annual Contribution : SR_________________

Persons Eligible for Insurance:
All employees on the job and whose ages are less than 65 years shall be eligible for insurance as of the effective date of policy. Employees joining policy holder later on – who are less than 65 years old – shall be eligible for insurance as from date of their joining service or date of arrival in the Kingdom.
Husband / Wife – Maximum age: Below 65 year at the effective date of insurance coverage.

Children: Minimum age: Date of Birth:
Sons: Maximum age: 18 years
The insurance coverage of this policy shall include the employee’s unmarried, widowed & divorced daughters who are not working and are supported by the employee, upto the maximum age specified for the employee himself.
Benefits & Limit of Coverage under the policy
- Maximum benefit limit for each person per year.
SR. 250 000
Out patient Clinic Treatment Charges:
Deduction / Portability: (the percentage paid by the beneficiary when calling on a physician including, consultations, examinations and medicine required by the physician – in one indivisible lot 20% - SR 100 maximum.
Maximum check up fees ! SR. 50
General practitioner
Specialist / Consultant
(patient referred from General Practitioner)
Specialist / Consultant SR. 50
(patient referred from General Practitioner)

In patient charges:
- Deduction / portability None
- Daily room & board limit Two bed room SR. 350 per day
maximum
Pregnancy & Delivery Maximum SR 10000
(If the beneficiary (employee) is on a during the term of policy
Married status.
Prematurely born child Maximum benefit limit
Repatriation of the remains to country SR. 10 000 maximum
of origin
Coverage Area Kingdom of Saudi Arabia
Calculation of Contributions:
Type of registration: Contribution per person per
Each insurance year
Employee SR______________
Husband / wife SR______________
Children SR _____________
Policy holder has read and agreed on the provisions and conditions of this policy and schedule thereof.
Date Policy holder Insurance company
Signature Signature



Some of the Companies of Saudi Arabia

SAUDI ARABIAN OIL COMPANY
SAUDI BASIC INDUSTRIES CORPORATION
SAUDI ARAMCO MOBIL REFINERY COMPANY LIMITED
ABDUL LATIF JAMEEL GROUP
SAUDI ELECTRICITY COMPANY
ARAMCO GULF OPERATIONS COMPANY LIMITED
SAUDI AMERICAN BANK
THE NATIONAL COMMERCIAL BANK
RIYAD BANK
OLAYAN FINANCING COMPANY
BAKRI TRADING COMPANY LTD.
THE SAVOLA GROUP
THE SAUDI BRITISH BANK
A.H. AL ZAMIL GROUP OF COMPANY
AL HAMRANI GROUP OF COMPANIES
ARAB NATIONAL BANK
ALBANK ALSAUDI ALFRANSI
ALSUWAIKET GROUP OF COMPANIES
XENEL INDUSTRIES LIMITED
MOHAMMED BINLADIN COMPANY
SAMAMA GROUP OF COMPANIES
ABDULLAH ABBAR & AHMED ZAINY
AL FADL GROUP OF COMPANIES
ABDULAZIZ & MOHAMMED A. ALJOMAIH COMPANY
SULAIMAN ABDUL AZIZ AL RAJHI AND SON'S COMPANY
ABDULLAH ALRUSHAID GROUP OF COMPANIES
SAID MOHAMMED OBAID BINZAGR & CO.
THE NATIONAL SHIPPING COMPANY OF SAUDI ARABIA
RIYADH CABLES GROUP OF COMPANIES
JERAISY GROUP
AL HAMRANI UNITED COMPANY
OMAR ABDULFATTAH AGGAD & PARTNERS CO.
ARABIAN PETROLEUM SUPPLY COMPANY (S.A.)
NATIONAL GAS & INDUSTRIALIZATION COMPANY
AL RAJHI COMPANY FOR INDUSTRY AND TRADING
THE SAUDI INVESTMENT BANK
HAJI ABDULLAH ALIREZA & COMPANY LIMITED
SKAB GROUP
AL TAYYAR GROUP OF COMPANIES LTD.
ARAB SUPPLY & TRADING CORPORATION
SAUDIA DAIRY & FOODSTUFF COMPANY
HAJI HUSEIN ALIREZA & CO. LTD.
ABBAR & ZAINY COLD STORES
AL RAJHI BANKING & INVESTMENT CORPORATION
ALSUBEAEI UNITED CO.
NAPCO GROUP OF COMPANIES - DAMMAM
BAKRI NAVIGATION COMPANY LIMITED
HAMAD ABDULLA ALESSA & SONS COMPANY
ARABIA ELECTRIC EQUIPMENTS LTD.
THE BAHRAWI TRADING COMPANY
SAUDI ARABIAN AMIANTIT COMPANY LIMITED
SAUDI ARABIAN BECHTEL COMPANY
ALPHA TRADING AND SHIPPING AGENCIES LIMITED
SAUDI CEMENT COMPANY
YAMAMA SAUDI CEMENT COMPANY LIMITED
NATIONAL COMPANY FOR COOPERATIVE INSURANCE
ADVANCED ELECTRONICS COMPANY
CHIYODA PETROSTAR LTD.
AL WATANIA POULTRY (AL RAJHI & SONS CO.)
MOHAMMAD ALMOJIL GROUP
OMAR ABUBAKER BALUBAID COMPANY LTD.
ARABIAN FOOD SUPPLIES
TAHER GROUP OF COMPANIES
SAUDI PUBLIC TRANSPORT COMPANY
TRADING & INDUSTRIAL GROUP (HOLDING) LIMITED
THE NATIONAL AGRICULTURAL DEVELOPMENT CO.
SALEH & ABDULAZIZ ABAHSAIN CO. LTD.
THE NATINAL TITANIUM DIOXIDE COMPANY LTD.
EASTERN PROVINCE CEMENT COMPANY
SAUDI ARABIAN FERTILIZER COMPANY
THE SOUTHERN PROVINCE CEMENT COMPANY
SAUDI INVESTMENT GROUP & MARKETING COMPANY
ABDULLAH HASHIM INDUSTRIAL GASES & EQUIPMENT CO. LTD.
BIN ZEHEFA EST. FOR CONTRACTING, TRADING & INDUSTRY
ABDUL GHANI EL-AJOU GROUP
ALI ZAID AL QURAISHI & BROTHERS
ABDULWAHAB AUJAN & BROS. CO. FOR TRADE & INDUSTRY
AL-DHAHRY GROUP
ZAMIL STEEL BUILDING COMPANY LIMITED
A.K. ADDAS FINANCIAL ADVISORS
ABDULLAH FOUAD GROUP OF COMPANIES
SAUDI TOURIST & TRAVEL BUREAU LTD. (STTB)
ABDULLAH ABDULMOHSEN AL-KHODARI SONS CO.
MUJALLY A. BAMUJALLY UNITED CO.
AL BABTAIN GROUP OF COMPANIES
ABDULLAH HASHIM COMPANY LIMITED
ABDEL HADI ABDULLAH AL-QAHTANI & SONS CO.
JARIR MARKETING CO. LTD.
ALUMINUM PRODUCTS CO. LTD.
GIANT STORES TRADING CO.
AL HAYA MEDICAL COMPANY
SAUDI HOLLANDI BANK
UNITED MATBOULI GROUP
ABB CONTRACTING CO. LTD.
SAUDI SERVICES & OPERATING COMPANY LIMITED
NATIONAL AUTOMOBILE INDUSTRY CO. LTD.
ALJEDAIE TRADING CORPORATION
SAUDI BUSINESS MACHINES LTD.
ABB ELECTRICAL INDUSTRIES CO. LTD.
YANBU CEMENT COMPANY LTD.
ARABIAN CEMENT COMPANY LIMITED (A.C.C.)
UNITED MOTORS COMPANY
AL RUSHAID TRADING COMPANY
SARA CORPORATION
ABDULAZIZ, MOHAMMED AND ABDULLATIF ALJABR CO.
ABDULREHMAN ALGOSAIBI GENERAL TRADING BUREAU
BANK AL JAZIRA
AHMED MOHAMMED BAMAROUF EST.
ARABIAN DRILLING COMPANY
THE ELECTRICAL MATERIALS & EQUIPMENT CO. LTD.
ARABIC COMPUTER SYSTEMS LTD.
SAUDI INDUSTRIAL PROJECTS COMPANY
SAUDI OPERATION & MAINTENANCE CO. LTD.
THE QASSIM CEMENT COMPANY
THE OKAZ ORGANIZATION FOR PRESS & PUBLICATION
ARABIAN EST. FOR TRADE & SHIPPING FOOD & COMMODITY DIVISION
MOAWAD NATIONAL CO. FOR JEWELLERY & WATCHES
PENINSULAR SERVICES COMPANY LIMITED
SAUDI WIEMER & TRACHTE LTD.
ARABIAN MANUFACTURERS RUBBER INDUSTRIES CO.
AL HUSSAINI & ALYAHYA TRADING COMPANY
JEDDAH CABLE COMPANY
ORIENT PROVISION & TRADING CO. LTD.
NATIONAL FACTORY FOR AIR CONDITIONERS CO. WLL
HUSSAIN GAZZAZ & SONS
CARRIER SAUDI ARABIA
AL HAMRANI FUCHS PETROLEUM (S.A.) LTD.
AL HANOUF GROUP
SAUDI INDUSTRIAL EXPORT COMPANY
AL OSAMA TRADING COMPANY LTD.
IBRAHIM SHAKER COMPANY LTD.
SAUDI ERICSSON COMMUNICATIONS COMPANY LIMITED
MANSOUR GENERAL DYNAMICS LIMITED
AL-RABIE SAUDI DAIRY CO. LTD.
SAUDI PHARMACEUTICAL INDUSTRIES & MEDICAL APPLIANCES CORP.
HESHAM EL-EWWEDY ENTERPRISES
HASSAN MISFER AL ZAHRANI & PARTNERS CO.
SAUDI DISTRIBUTION CO.
MAHMOUD SALEH ABBAR COMPANY
ARABIAN AIRCONDITIONING COMPANY LIMITED
AL SANIE CORPORATION FOR AGRICULTURAL INVESTMENT
AL RASHID TRADING & CONTRACTING CO.
FAISAL AL SUWAIKET GROUP OF COMPANIES
MAHMOUD MOHAMMED NASHAR & PARTNERS
SAID AHMED EL-AJOU TRADING CORP. L.L.C.
AL HAMIDI GROUP OF COMPANIES
SAUDI SERVICES FOR ELECTRO MECHANIC WORKS CO. LTD.
ATTIEH STEEL COMPANY LIMITED
AL OSAIS CONTRACTING EST.
HOSHAN COMPANY LTD.
HADI HAIDER COMPANY
KHALIFA A. ALGOSAIBI COLD STORES
ARABIAN TRADING COMPANY FOR COLD STORAGE LIMITED
BABADR ESTABLISHMENTS FOR TRADE & INDUSTRY
SALEHIYA ESTABLISHMENT
SAUDI READYMIX CONCRETE COMPANY LIMITED
THE SAUDI COMPANY OF CHEMICAL TRADING LTD.
AL ABDULKARIM TRADING ESTABLISHMENT
ALDERBAS RODS & MAINTENANCE CO. LTD.
BAGHLAF AL ZAFER FACTORY
NATIONAL FACTORY FOR CAN ENDS LIMITED
AL YAMAMAH PRESS ESTABLISHMENT
ZAMIL AIR CONDITIONERS
GULF TRADING CORPORATION LIMITED
BAUD TELECOM COMPANY
BATTERJEE INTERNATIONAL ESTABLISHMENT
TYSIR HOTELS AND FACTORIES
SAMIR PHOTOGRAPHIC SUPPLIES CO. LTD.
SAUDI PHARMACEUTICAL DISTRIBUTION COMPANY LIMITED
SAUDI TRAVELLERS CHEQUE COMPANY
A. ABUNAYYAN GROUP
NATIONAL INDUSTRIALIZATION COMPANY
AL SAGHYIR FOR TRADING & CONTRACTING COMPANY LIMITED
AL SHARQ FACTORIES FOR PLASTIC
SAUDI HOTELS & RESORT AREAS COMPANY
HEMPEL PAINTS (SAUDI ARABIA) W.L.L.
SAUDI MAINTENANCE ESTABLISHMENT
MOHAMMED SALEH BAHARETH ORGANIZATION
AL-JEEL MEDICAL & TRADING COMPANY LTD.
AL HARBI TRADING & CONTRACTING COMPANY LIMITED
SAUDI LIGHTING COMPANY LTD.
SEDERGROUP TRADING & CONTRACATING CO.
SAUDI COLDSTORAGE COMPANY LIMITED
AL WASAT TRADING & CONTRACTING CO. LTD.
SAUDI GOLD & JEWELLERY MARKETING COMPANY
AL ZAMIL PLASTIC FACTORY
NATIONAL MARKETING EST.
AL FAHD ESTABLISHMENT FOR TRADING, CONTRACTING & INDUSTRY
ARABIAN MARKETING CO.
AL JOMAIH CAN MAKING PLANT
SIGMA PAINTS SAUDI ARABIA LIMITED
SAUDI AIRCONDITIONING MANUFACTURING CO. LTD.
THE ARAB INVESTMENT COMPANY S.A.A.
AL INJAZAT TRADING CORPORATION
TELEPHONE SALES & SERVICE CENTER
METITO ARABIA INDUSTRIES LIMITED
ARAB COMMERCIAL ENTERPRISES
AL-QAHTANI PIPE COATING TERMINAL
EL MAGHRABY GROUP OF COMPANIES
SAUDI FISHERIES COMPANY
WAHAH ELECTRIC SUPPLY COMPANY OF SAUDI ARABIA
SAVOLA SNACK FOOD COMPANY LIMITED
AHMED & MOHAMMED SALEH KAKI CO.
ARCOMA, ARABIA COMMERCIAL AGENCY CO. LTD.
ARABIAN TECHNICAL CONTRACTING CO.
MOHAMED SIRAJ ATTAR AND BROTHERS
SAUDI SPECIALIST CONSTRUCTION LIMITED
KADI TRADING & CONTRACTING CO. LTD.
AL WADI POULTRY FARMS COMPANY
CONTRACTING AND TRADING COMPANY
SAUDI BUILDING SYSTEMS MANUFACTURING COMPANY LTD.
SAUDI SADELMI TECHNICAL FOR CONSTRUCTION CO. LTD.
SALEM M. BAKHASWAIN SONS CO.
AL FANAR COMPANY
SAUDI ARABIAN GLASS CO. LTD.
ARABIAN HOMES COMPANY LIMITED
AL FAYHA EST. FOR GENERAL TRADING & CONTRACTING
AL NAHD RRAYA EST.
AL RUQ NG & CONTRACTING EST.
ZUHAIR AND ASSOCIATES
ANNAHDA MEDICAL CO. LTD.
AL MU L INDUSTRIES
AL YU END & BOTTUM CO., LTD.
DYNA ANY LIMITED
AL JAZ RIES FOR STEEL PRODUCTS
AL NI (MOHAMMED ABDULKARIM ALNAMLAH & BROS. & SONS)
AUTO AL YEMNI
RAGH…. COMMERCIAL ESTABLISHMENT
ARAB …. TRAVEL, TOURISM & CARGO
REDL …. AL SERV ICES (ARABIA) LIMITED
REEM AGENCY
DALL …. COMPANY
ALFA … EQUIPMENT & SUPPLIES COMPANY
NATIONAL CONTRACTING CO. LTD.
ABDULLAH H. AL-SHUWAYER TRADING & CONTRACTING CO.
ARABIAN PIPES COMPANY
QANBAR DYWIDAG PRECAST CONCRETE CO. LTD.
AL MOAJIL SACK FACTORY
AL MASHRIK CONTRACTING CO.
JEDDAH BEVERAGE CAN MAKING CO.
SAUDI STEEL PIPE CO. LTD.
NAPCO CONSUMER PRODUCTS CO.
AL RASHID ABETONG COMPANY LTD.
AL JAMMAZ GROUP
ORIENT ELECTRICITY CO.
HERFY FOOD SERVICE COMPANY LIMITED
UNITED FOOD INDUSTRIES CORP. LTD. CO.
TAREK AL AKEEL & BROS. CO. LTD.
SAUDI REAL ESTATE CO.
NAHIL COMPUTER CO.
NATIONAL INSTALLMENT CO. LTD.
SAUDI ELEVATOR CO. LTD.
ARABIAN WATERPROOFING INDUSTRIES CO. LTD.
MODERN SCIENTIFIC & ELECTRONIC CORP.
AL OUSAIMI GROUP CO.
AL SALEM AIR CONDITIONING CO.
STEEL PRODUCTS CO. LTD.
GULF STEVEDORING CONTRACTING CO. LTD.
SAUDI INDUSTRIAL RESINS LTD.
AL HAJRY OVERSEAS
NATIONAL GYPSUM CO.
SHERATON DAMMAM HOTEL & TOWER
AZIZ ARCHITECTURAL CO. LTD. CONTRACTING & TRADING
SAUDI CHEMICAL CO.
BITUMAT CO. LTD.
ARABIAN HALA CO. LTD.
NASIR ALA'AMER ALRUMAIH EST.
UNITED SAUDI MAINTENANCE & SERVICES CO.
PETROSTAR CO. LTD.
RAHLAS NATIONAL CARPETS FACTORY
SAUDI CONSTRUCTIONEERS
HYGIENIC PAPER CO. LTD.
BRC ALFADL (SAUDIA) LTD.
AZZAM TRADING & CONTRACTING EST.
UNITED ENTERPRISES
EAST & WEST EXPRESS
YOUSEF AHMED ALGOSAIBI TRADING EST.
UNIVERSAL CAR RENTAL CO. LTD.
ORAIF FOR CONSTRUCTION & PROJECTS
BINZAGR LEVER CO. LTD.
AL TAYAR PLASTIC AND RUBBER MANUFACTURING CO. LTD.
TAMIMI & SAIHATI TRANSPORT CO. LTD.
BIN RAFAAH TRADE, INDUSTRY AND CONTRACTING CO.
SANAD TRADING, INVESTMENT & INTERNATIONAL AGENCIES
AL MA'ALI CORP.
SAUDI CO. FOR PREFABRICATED BUILDINGS
AL BABTAIN POLES & HIGH MASTS FACTORY
AL HOSAIN & ALFALIQ GROUP OF COMPANIES
SAUDI CONSULTING SERVICES
SAUDI PERFUME & COSMETICS INDUSTRY
ISCOSA INDUSTRIES & MAINTENANCE, LTD.
FOSAM CO. LTD.
AL ZAMIL CO. FOR HEAVY STEEL INDUSTRIES LTD.
AL HEJAILAN PROJECTS ENGINEERING CO.
MARUBENI SAUDI ARABIA CO. LTD.
SAUDI ELECTRIC SUPPLY CO.
SAUDI DEVELOPMENT MAINTENANCE CO. LTD.
SAUDI ARABIAN DRUG STORE CO. LTD.
ARABIAN CLEANING ENTERPRISE LTD.
AL QAHTANI MARINE & OILFIELD SERVICE CO.