Policy on Membership of Medical Funds edited
Official source
Source domain: bergmun.org.za
Collected on 5 August 2026
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Registration of Dependents on an Accredited Medical Scheme
Eligible dependents—spouses, life partners, biological, foster, and adopted children—may be registered on the same accredited medical scheme as the employee. Children are subsidised until age 24, or older if they are full-time students. Life partners must prove cohabitation or a domestic contract. Dependents cannot be split across different schemes.
- Who it is for
- spouses, life partners, and children of Bergrivier Local Municipality employees
- How to act on it
- Submit required documentation to the Municipal Human Resources Department, including proof of relationship, cohabitation, or domestic contract for life partners.
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Dependant” The spouse or life partner (one spouse or life partner), biological children, foster children and adopted children of the principal member.
Membership in an Accredited Medical Scheme
Employees of Bergrivier Local Municipality may join one of the medical schemes accredited annually by SALGA. The employer contributes 60% of the monthly premium, and the employee pays 40%, up to an agreed maximum. Employees must belong to one of these accredited schemes to qualify for municipal subsidy.
- Who it is for
- employees of Bergrivier Local Municipality
- How to act on it
- Enrol with an SALGA-accredited medical scheme and ensure the scheme is listed in the municipality's annual accreditation list.
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“Accredited Schemes” means a scheme approved annually by SALGA as a Medical Scheme to which officials may belong.
Post-Retirement Medical Scheme Contribution Subsidy
Employees who were employed before 1 October 2018 automatically qualify for post-retirement medical scheme subsidies. Employees hired after that date must have completed 10 years of service and belonged to a medical scheme for more than half their tenure (50+1 principle) to qualify. Their spouses and dependents may also receive benefits upon the employee’s death if they were on a medical scheme at the time.
- Who it is for
- retired municipal employees and their spouses/dependents
- How to act on it
- Apply to the Municipal Manager with proof of service, medical scheme membership history, and death certificate (if applicable).
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Post-retirement benefit eligibility: employees employed before 01/10/2018 qualify; for employees employed after 01/10/2018, eligibility requires 10 years’ service and belonging to a medical scheme for the largest portion (50+1 principle)
Facts
Places
Western Cape
Reference
BKN019/09/2018
Key Takeaways
- Organisation: Bergrivier Municipality
- Policy subject: Membership of Medical Schemes and Registration of Dependents on Accredited Medical Schemes
- Date approved: 13/09/2018; Effective date: 01/10/2018; Council item: BKN019/09/2018
- Accredited schemes: approved annually by SALGA; employees must belong to one of the Council-accredited schemes to qualify for subsidy
- Family membership rule: employees may not separate family membership and register dependants on different schemes
- Contribution split: employer pays 60% and employee pays 40% of the monthly membership contribution (up to an agreed maximum)
- Employer contribution escalation: annual on 1 July unless otherwise agreed; linked to annual salary/wage increases
- Eligible dependents subsidised: spouse/life partner, biological/foster/adopted children; children subsidised up to age 24 (and full-time students); no subsidy for children over 24
- Life partner registration requires cohabitation/domestic contract and proof of a universal relationship
- Post-retirement benefit eligibility: employees employed before 01/10/2018 qualify; for employees employed after 01/10/2018, eligibility requires 10 years’ service and belonging to a medical scheme for the largest portion (50+1 principle)
- Post-retirement benefit for spouse/dependents of deceased employees after 01/10/2018 requires 10 years’ service and 50+1 medical scheme membership and being on a medical scheme at date of death
- Bergrivier Municipality
- SALGA
- SALGBC (South African Local Government Bargaining Council)
- SALGBC Western Cape Division
- Executive Committee (of SALGBC)
- General Secretary of the Council
- Municipal Manager
- Municipal Human Resources Department
- Local Government: Municipal Systems Act (Act 32 of 2000)
- Local Government: Municipal Structures Act, 1998 (Act 117 of 1998)
- Labour Relations Act (section 200A(1))
- Local Government Bargaining Council Collective Agreements (including agreement concluded 23 March 2016)