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Discovery Health Medical Scheme - Press Release

Release Date: 18/04/2002 17:33
Code(s): DSY
Wrap Text

Statement from Discovery Health Medical Scheme - 18 April 2003 Financial strength of the Discovery Health Medical Scheme means members are protected
Some interpretations in the media of the statement issued by the Registrar of Medical Schemes last night, have confused the financial and commercial strength of Discovery Health with the statutory requirements for technical reserves.
The financial solidity of the Discovery Health Medical Scheme is not
disputed. The medical scheme has the highest possible rating for claims paying ability in the medical schemes industry from independent credit rating agency, Global Credit Ratings. The issue playing out in the media today is a technical issue that has no impact on the financial stability, or the long-term sustainability, of the Discovery Health Medical Scheme (DHMS), and certainly has no impact on the scheme's ability to meet its claims obligations and service its clients.
The technical issue at hand has been debated for some time now. In 2000, the new Medical Schemes Act heralded a new set of rules for calculating the technical reserves required in a medical scheme. DHMS is in an exceptionally strong position, as it has access to substantial capital. During the past two years DHMS has proposed solutions that use this financial strength of Discovery to satisfy the technical reserve requirements, in order to ensure that Discovery Health members don't pay more for their benefits.
However, the Registrar has indicated that members should fund these
requirements. A crude implementation of this philosophy would result in an increase in member contributions and a decrease in the quality of service offered to members - a trend unfortunately already prevalent in the
industry. This is an outcome that Discovery Health will do everything in its power to prevent.
In February this year, DHMS proposed a solution that meets the Registrar's requirements without members having to pay more. Discovery Health's ability to manage the health care environment, and its access to substantial
capital, means that it has the ability to facilitate the injection of billions of Rands into the medical scheme. All that is required to implement this solution is a rule amendment. Discovery has senior counsel's opinion that its solution meets all the legal requirements, in that the rule
amendment meets the requirements of the Act and is fair to members- members do not pay more and their benefits and services are not impacted in any way. DHMS is committed to ensuring that this solution is implemented and will appeal the Registrar of Medical Scheme's decision of yesterday not to register the rule amendment. The next step in the process is an appeal to the Council for Medical Schemes and thereafter, an independent appeal board would be constituted to hear the case and, if necessary, this issue would then go before the High Court of South Africa.
In the final analysis, this is about members. Discovery Health has made an implicit promise to provide sustainable, quality health care cover at the best possible rate. If we fail in the process we have embarked on, members' contributions and the services offered to them will suffer. Discovery Health's solution is an exceptional plan and we will stay committed to it - it is worth the effort. Ends. FOR FURTHER INFORMATION PLEASE CONTACT: ADRIAN GORE ON 082 606 2800 SHAUN MATISONN ON 082 606 2865 ROSEMARY RENTON on 082 491 0364 Or Roz McComb // Hans Venter at Corporate Communications Consultants Tel: (011) 783-8926 Cell: 083 365 5152 Date: 18 April 2002

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