On 20/05/2013,
you requested for the version in force on 20/05/2013
incorporating all amendments published on or before 20/05/2013.
The closest version currently available is that of 01/07/2007.
PART VI
MEDISHIELD SCHEME
52. In this Part —
“appointed insurer” means any person who is registered under the Insurance Act (Cap. 142) to carry on insurance business in Singapore and who is appointed by the Board to take over any part of the Board’s liabilities under the Scheme or to provide insurance cover to any person under the Scheme;
“approved hospital” means any hospital approved by the Minister for Health;
“insured person” means a person who is insured under the Scheme;
“MediShield Fund” means the fund established and maintained by the Board under section 56;
“Scheme” means the medical insurance scheme called the MediShield Scheme established and maintained by the Board under section 53.
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53. The Board may establish and maintain a medical insurance scheme to be known as the MediShield Scheme for the purpose of paying the full or part of the costs incurred by an insured person for the treatment received by him in an approved hospital at any time during the period which he is insured under the Scheme.
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54.
—(1) Every insured person shall pay a premium of such an amount as may be prescribed by regulations made under this Part.
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(2) The Board shall be entitled to deduct the amount of premium payable by a member or his dependant who is insured under the Scheme from the amount standing to the credit of that member’s medisave account.
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55.
—(1) An insured person or any other person who wishes to join the Scheme shall, when so required by the Board —
(a)
furnish to the Board such information as the Board thinks fit regarding that person’s background and health or members of his family; and
(b)
undergo such medical examination as the Board thinks fit.
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(2) An insured person or any other person who wishes to join the Scheme shall be under a duty to disclose to the Board all material facts, which if known to the Board, would have reasonably affected the decision of the Board to permit that person to join the Scheme or entertain any claim made by the insured person under the Scheme.
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(3) An insured person or any other person who wishes to join the Scheme shall be deemed to have —
(a)
given his consent to the Board to seek information from any doctor who has attended to him or any hospital where he has received treatment; and
(b)
authorised his doctor or the authority of that hospital to give such information to the Board.
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56.
—(1) The Board shall establish and maintain a fund to be known as the MediShield Fund into which shall be paid all premiums collected under this Part and out of which shall be met all payments to be paid by it under the Scheme.
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(2) The MediShield Fund shall be controlled and administered by the Board.
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(3) The moneys in the MediShield Fund may be invested by the Board in such manner as the Board thinks fit.
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56A.
—(1) The Minister may make regulations to transfer any part of the Board’s liabilities under the Scheme (including the insurance covers issued under the Scheme that give rise to such liabilities) to one or more appointed insurers.
(2) Without prejudice to the generality of subsection (1), regulations made under that subsection may —
(a)
prescribe the cases in which or the circumstances under which the Board shall continue to be liable to make payments to insured persons whose insurance covers under the Scheme have been transferred to an appointed insurer;
(b)
provide for such consequential, saving and transitional provisions as are necessary to facilitate the transfer of the Board’s liabilities under the Scheme;
(c)
prescribe the necessary modifications to be made to any other provision of this Act in order to bring such provision into conformity with the transfer of the Board’s liabilities under the Scheme; and
(d)
provide for such other matters as the Minister thinks necessary or expedient for the transfer of the Board’s liabilities under the Scheme.
(3) The Board may require any appointed insurer to transfer to another appointed insurer, in such manner and on such terms and conditions as the Board thinks fit, those liabilities of the Board under the Scheme that have been transferred to the first-mentioned appointed insurer under this section.
(4) The transfer of any liability under the Scheme —
(a)
by the Board to an appointed insurer under subsection (1); or
(b)
by one appointed insurer to another appointed insurer pursuant to the requirement of the Board under subsection (3),
may be made, and shall be valid and effectual, notwithstanding anything to the contrary in any written law or rule of law or the absence of any agreement or consent which would otherwise be necessary.
(5) If any question arises as to whether any particular liability of the Board under the Scheme has been transferred to an appointed insurer under this section, a certificate under the hand of the Minister shall be conclusive evidence that the liability was or was not so transferred.
(6) An appointed insurer to whom any part of the Board’s liabilities under the Scheme have been transferred under this section shall provide insurance cover to every transferred insured person in accordance with such requirements as may be specified by the Board, including requirements relating to —
(a)
the minimum benefits and rights that the appointed insurer must confer upon the person; and
(b)
the terms and conditions subject to which the appointed insurer may issue insurance cover to the person.
(7) Upon the transfer of the Board’s liabilities under the Scheme to an appointed insurer under subsection (1), the Board may —
(a)
subject to such terms or conditions as it thinks fit to impose, pay to the appointed insurer such part of the moneys in the MediShield Fund as the Board thinks necessary to enable the appointed insurer to meet the liabilities so transferred to it; and
(b)
retain such part of the moneys in the MediShield Fund as it thinks necessary for meeting any of its own liabilities under the Scheme that may have arisen prior to the transfer.
(8) The Board may, by arrangement with an insurer, take over such of the undertakings of the insurer which, in the opinion of the Board, are suitable and expedient for the purposes of the Scheme.
(9) Where, in connection with the Board’s taking over of the undertakings of an insurer under subsection (8), the insurer transfers any sum to the Board, the Board shall pay the sum so transferred to it by the insurer into the MediShield Fund.
56B. The Insurance Act (Cap. 142) shall not apply —
(a)
to anything done by the Board under this Part; or
(b)
57. The Minister may make such regulations as are necessary or expedient for the purpose of carrying out the provisions of this Part and, in particular, such regulations may —
(a)
specify the members or class of members or other persons who are entitled to join the Scheme;
(b)
prescribe the conditions under which an insured person is entitled to claim the benefits payable under the Scheme;
(c)
prescribe the benefits payable to an insured person under the Scheme;
(d)
prescribe for the rates of premium payable by insured persons and the manner and time for payment of such premiums;
(e)
provide for the refund of any premium and the method or circumstances under which the refund shall be made and at such rates as may be prescribed;
(f)
provide for such information, evidence and documents that the Board may require an insured person to furnish for the purposes of this Part; and
(g)
provide for all matters which are required or permitted to be prescribed or which are necessary or convenient to be prescribed for carrying out or giving effect to this Part.
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