KNUT: We don’t have a contract with TSC for the Sh17.6 billion medical plan.
In regards to the supply of an insurance plan for its members, the Kenya National Union of Teachers (Knut) has informed the Senate that it has no legally binding agreements with the Teachers Service Commission, Minet Medical Scheme, or Medical Administrators Kenya Limited (MARL).
The Comprehensive Teacher Medical Insurance Scheme received Sh17.6 billion in funding from the National Treasury in the 2023–2024 fiscal year, according to Knut Secretary General Collins Oyuu, who spoke before the Senate Health Committee.
According to Oyuu, the National Treasury frequently postpones paying TSC so that it may send the money to Minet and then release it to MARL so that it can pay for the medical insurance plan, which causes a delay in the claims processing procedure.
In addition to advocating for improved working conditions and terms of service for educators, Knut draws together and unites instructors in the teaching service, according to Oyuu. The program has a number of procedures in place to effectively handle teachers’ problems.
The teacher’s representative was answering a question from senator Raphael Chimera, who had been nominated, before the committee chaired by Uasin Gishu Senator Jackson Mandago. The issue concerned the delay in MARL’s processing of teacher medical insurance claims.
Chimera requested information from Knut regarding the Medical Insurance Scheme for Teachers administered by MARL, including information on the panels of medical and healthcare service providers and the number of enrollees in each case.
According to Oyuu, the main goal of the Minet Teachers Medical Scheme is to offer TSC-employed teachers and their dependents high-quality medical and healthcare services.
Some health institutions outright refuse to give some services to teachers or cause them constant frustration as a result of the delay in paying service providers. This further muddies the waters, making it more difficult for Minet and MARL to verify information, which delays the processing of medical insurance claims, the speaker stated.
The Knut SG reported that, excluding intern teachers, the total number of primary beneficiaries under the medical program is over 361,000. When their eligible dependents are included, the figure rises to 1,288,395.
According to Oyuu, following extensive procurement procedures and due diligence, the Commission finalized a contract with Minet as the lead consortium.
Minet then hired MARL as a subcontractor to administer its medical plan.
In accordance with Minet’s directive, “MARL manages the comprehensive medical cover and related benefits, including contracting service providers in all 47 counties, providing the medical management system, managing claims, and making payments,” he stated.
KNUT: We don’t have a contract with TSC for the Sh17.6 billion medical plan.
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