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NHIA wins legal battle against illegal Health Insurance operator|12/2/2019

 

An Accra Circuit Court has convicted  Theophilus Damptey Ashong, Chief Executive Officer (CEO) of Oak Medicals Limited for operating a Private Mutual Health Insurance Scheme (PMHS) without license, contrary to Sections 56 and 63 of the National Health Insurance Act 2012, (Act 852).

 

The Presiding Judge, Her Honour, Jane Harriet Akweley Quaye handed down the judgment on Friday November 29, 2019.The Court established that Theophilus Damptey Ashong perpetuated the illegal act for three years even though the National Health Insurance Authority (NHIA) had warned him to discontinue the services.In view of that, he was fined 200 penalty units equivalent to Ghs2, 400.00 or eight months imprisonment in default.

 

According to Afia Acheampomaa Duah, a Senior Manager of the NHIA Legal Department the case spanned for two and half years, from March 23, 2017 to November 29, 2019.    

 Background

 

The NHIA accused Theophilus Damptey Ashong, Chief Executive Officer (CEO) of Oak Medicals Limited for illegally operating as a Private Mutual Health Insurance Scheme (PMHIS) at Teshie, a suburb of Accra.According to the facts presented to the court, officers of the Authority, on their routine monitoring, discovered that the accused was illegally operating a Private Mutual Health Insurance Scheme (PMHIS) at Teshie, a suburb of Accra.

 

A report was presented to the police after persistent warnings had been ignored by the accused, leading to his arrest.During the trial, the accused denied operating illegally as a Private Mutual Health Insurance Scheme from 2013 till 2016.

 

Investigations revealed that the accused dealt with State and Private institutions as well as individuals including, the Electricity Company of Ghana (ECG), Holiday Inn Hotel, Hospitals and Clinics in the southern sector of Ghana and the Retired Staff Association members.

 

It was established that the Accused was paid huge sums for the services rendered though the NHIA in 2015 wrote to him to cease operation.The court’s verdict has been hailed as s a wakeup call. It is expected to serve as a deterrent to all private scheme owners, operating without recourse to provisions in the National Health Insurance Act 2012, (Act 852).

 

Source: ABDUL KARIM NAATOGMAH   


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