The National Hospital Insurance Fund (NHIF) has struck polygamous families and those with more than 5 children.
In the changes, contributors will be limited to one spouse and not more than 5 children
“For National Scheme members, number of dependents per card to be limited to a maximum of one spouse and five children,” reads part of the memo dated January 7, 2020.
Members voluntarily joining the fund will now have to wait for 90 days before they start accessing services or benefits. In addition to that, one has to make a one year upfront payment within the waiting period.
If one makes a late payment, he or she will incur a fine of 50% of the monthly contribution coupled with a requirement to pay for one year in advance. He or she will be restricted against claiming benefits for a period of 30 days.
Defaulting for 12 months and above will force one to start payment afresh and can only be eligible for benefits after 90 days upon resumption of payment. A one year upfront payment will be applied and strict adherence to deadlines.
“In case of default for 12 months and above, the affected member will start payment afresh and be eligible for benefits after 90 days from the date of resumption of payment in addition to a one year upfront payment, payable within the waiting period while observing due dates,” adds the notice.
Access to maternity benefit will henceforth be restricted to 6-months post card maturity for principal members or spouse declared at the point of registration.