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The Council for Medical Schemes provides access to the official guideline document that outlines requirements and standards for establishing new medical schemes in South Africa. This document is available for download and serves as a reference for applicants and regulated entities.
- Who it is for:
- new medical scheme applicants, medical scheme administrators, regulated entities
- How to act on it:
- Visit the Council for Medical Schemes website and download the file from the provided link
The Council for Medical Schemes provides access to the Real Time Monitoring (RTM) Portal for authorised users such as medical schemes, auditors, brokers, and brokerage firms. This portal enables real-time monitoring of compliance and reporting data.
- Who it is for:
- medical schemes, auditors, brokers, brokerage firms
- How to act on it:
- Log in via the CMS portal using assigned credentials
The public can download the RTM Help File from the Council's website. This document provides guidance on using the Real Time Monitoring system.
- Who it is for:
- anyone interested in the RTM system
- How to act on it:
- Visit the official website and download the file from the provided link
This is a standardised template for auditors to use when preparing audit reports for medical schemes in South Africa. It ensures consistency and compliance with regulatory requirements set by the Council for Medical Schemes.
- Who it is for:
- auditors working with medical schemes
- How to act on it:
- Download the file from the provided link on the Council for Medical Schemes website
This is a standardised template used by auditors of medical schemes to prepare Part 3A of the 2015 Annual Statutory Return. It ensures consistency and compliance with regulatory reporting requirements.
- Who it is for:
- auditors of medical schemes
- How to act on it:
- Download the file from the official portal of the Council for Medical Schemes
This is a standard template used by auditors of medical schemes to prepare their annual statutory audit reports. It ensures compliance with the requirements set out in Part 3B of the 2015 Annual Statutory Return.
- Who it is for:
- auditors of medical schemes
- How to act on it:
- Download the file from the official portal of the Council for Medical Schemes
The Council for Medical Schemes provides a downloadable template for auditor reports under ISA 700 (Revised), intended for use by auditors of medical schemes to ensure compliance with regulatory reporting standards.
- Who it is for:
- auditors of medical schemes, financial reporting officers, and regulated entities in the medical schemes sector
- How to act on it:
- Download the file from the official portal using the provided link
The public can download a file listing all financial service providers (FSPs) registered with the Council for Medical Schemes as of 31 December 2018. This is a static dataset that provides transparency on which entities are authorised to operate in the sector.
- Who it is for:
- members of the public, researchers, financial institutions, compliance officers
- How to act on it:
- Visit the official website and click the download link for the file
The Council for Medical Schemes provides online access to its Information Portal, where regulated entities and the public can retrieve official data and documents related to medical schemes and compliance with POPIA.
- Who it is for:
- regulated medical schemes, auditors, brokers, administrators, and members of the public
- How to act on it:
- Visit the Council for Medical Schemes website and navigate to the Information Portal section.
This portal allows medical schemes to submit statutory returns required by law, including financial and operational data.
- Who it is for:
- medical scheme administrators and financial officers
- How to act on it:
- Submit statutory returns via the Statutory Returns Portal after logging in with approved credentials.
This portal supports managed care providers in submitting reports, accessing guidelines, and managing contracts with medical schemes.
- Who it is for:
- managed care providers and network partners
- How to act on it:
- Access the Managed Care Portal via the Council’s website after registration.
Auditors and brokers registered with medical schemes can use this portal to submit authorisation requests, update credentials, and manage compliance documentation.
- Who it is for:
- auditors, brokers, and brokerage firms registered with medical schemes
- How to act on it:
- Register and log in to the Authorisation Portal through the Council for Medical Schemes website.