NATIONAL HEALTH INSURANCE SCHEME ACT

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NATIONAL HEALTH INSURANCE SCHEME ACT

CHAPTER N42, LAWS OF THE FEDERATION OF NIGERIA, 2004

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ARRANGEMENT OF SECTIONS  

Part I: Establishment Of The National Health Insurance Scheme, Etc.

1.       Establishment of the National Health Insurance Scheme.

2.       Establishment of the Governing Council.

3.       Tenure of office.

4.       Cessation of membership.  

Part II: Objectives, Functions And Powers Of The Scheme 

5.       Objectives of the Scheme.

6.       Functions of the Scheme.

7.       Functions of the Council.

Part III: Staff Of The Scheme 

8.       Executive Secretary and other staff of the Scheme.

9.       Appointment of an actuary for the Scheme.

10.     Service in the Scheme to be pensionable.

Part IV: Financial Provisions

11.     Fund, etc.

12.     Power to accept gifts.

13.     Annual estimate, account and audit.

14.     Annual report.

15.     Exemption from tax.

Part V: Contributions, Etc.

16.     Duty to pay contributions under the Scheme.

17.     Registration: employers and employees.

18.     Registration: health care providers.

19.     Registration: health maintenance organisations.

20.     Functions of organisations.

Part VI: Zones and Zonal Health Insurance Offices 

21.     Establishment of Zones and Zonal Health Insurance Offices.

22.     Functions of Zonal Offices.

23.     Fund of Zonal Offices.

24.     Revision of rates of contributions.

25.     Inspection of books of account by auditors.

Part VII: Arbitration 

26.     Establishment and functions of State and Federal Capital Territory, Abuja Arbitration Board.

27.     Membership of Arbitration Board.

Part VII: Offences, Penalties And Legal Proceedings 

28.     Offences and penalties.

29.     Offences by bodies corporate, etc.

30.     Prosecution of offenders.

31.     Jurisdiction.

32.     Court to order payment of contributions together with interest and penalty.

33.     Commencement of proceedings.

34.     Limitation of suits against the Scheme, etc.

35.     Service of documents.

36.     Restriction on execution against property of the Scheme.

37.     Indemnity of officers.

38.     Secrecy.

39.     Contributions to be inalienable.

40.     Contributions to be deductible.

41.     Transfer of liability to contribute in the case of mergers, acquisitions, etc.

Part IX: Miscellaneous

42.     Exclusion from application of Cap. 449 LFN.

43.     Reciprocal agreement with other countries..

44.     Contributions by members of the armed forces and the police.

45.     Insurance indemnity of health care providers.

46.     Establishment of a Standard Committee, etc.

47.     Power of the Minister to give directives.

48.     Guidelines.

49.     Interpretation.

50.     Short title

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NATIONAL HEALTH INSURANCE SCHEME ACT  

An Act to establish the National Health Insurance Scheme with the objectives of ensuring access to good health care services to every Nigerian and protecting Nigerian families from financial hardship of huge medical bills; and for matters connected therewith.

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(COMMENCEMENT )                                     [10^th May 1999]

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The [Federal Government] hereby enacts as follows –

Part I: Establishment, etc. of the National Health Insurance Scheme 

 1.      Establishment of the National Health Insurance Scheme.

(1)     There is hereby established a scheme to be known as the National Health Insurance Scheme (in this Act referred to as  “the Scheme”) for the purpose of providing health insurance which shall entitle insured persons and their dependants the benefit of prescribed good quality and cost effective health services as set out in this Act.

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ALPHABETICAL INDEX TO THE LAWS OF NIGERIA (UPDATED TO 2018)