Welcome to today’s edition of SpiceInsight Daily. Did a friend forward this to you? Sign up to get Spice Insight Daily in your inbox!
As an employer and employee, you should know that having a standard health insurance for your employee and also for the employee to understand that he or she has an opportunity to access this is part of his benefits.
This opinion post assumed that only 1% of Nigerians have health insurance.
We know it is usually not just that companies don’t want to comply, many of them either don’t have enough information or they have not been able to connect the benefit of what health plays in productivity.
Just a few days ago, The Lagos State Mandatory Health Insurance scheme Launched by Akinwumi Ambode.
Recently, the Bill & Melinda Gates Foundation and the World Bank partnered with the Nigerian Federal Ministry of Health for a phased implementation of the Basic Healthcare Provision Fund in three Nigerian states. This implementation is projected to provide a basic package of health services to 8 million beneficiaries in rural communities in Abia, Niger, and Osun States.
Below are what you should know about Health Insurance as an employer and employee:
The Health Insurance Scheme addresses three main points:
- The formal sector social health insurance programme which covers the federal, state and local governments, as well as the organised private sector.
- The community-based social health insurance programme and the voluntary contributor’s social health insurance programme.
- The vulnerable group social health insurance programme which covers physically challenged persons, prison inmates, children under five years, refugees, victims of human trafficking, internally displaced persons, immigrants and pregnant women.
In line with The Workmen’s Compensation Decree of 1987, all businesses must provide Workers’ Compensation coverage for the benefit of their employees who may be injured or incapacitated while on the job.
This is a requirement of the law in Nigeria.
This requirement is satisfied by purchasing Workers’ Compensation insurance, which is available from private insurance companies that are licensed by the National Insurance Commission (NAICOM). This law applies compensation to four types of mishap viz:
- Permanent partial incapacity
- Permanent total incapacity
- Temporary incapacity
- Fatal accidents, where death results
For laws that
As an employee, what health insurance scheme should you choose? HMO or Indemnity Insurance? This post by Axa Mansard, think you should consider HMO i.e Health Maintenance Organization, that is, an organisation that provides or arranges managed care or health insurance, self-funded health care benefit plans, individuals and other entities…and acts as a liaison with health care providers (hospitals, doctors,) on a prepaid basis.
To ensure an employee enjoys the health scheme benefits, according to Nigeria’s Employee Compensation Acts, “In order to access compensation, the employee (or his/her dependants) must notify the employer of the injury/disabling occupational disease/death within 14 days of the occurrence. The information should include – name of the employee, time and place of the occurrence, and nature and cause of the disease or injury if known. Failure to provide the information required is a bar to a claim for compensation (subject to decision of the NSITF in certain circumstances”. – per Lawpadi.