This regulation is issued to implement Proclamation No. 1273/2022 Community-Based Health Insurance Proclamation. It establishes the framework for managing health insurance pools and reserve funds (Sections 3-6), outlines membership and contribution procedures (Sections 7-9), and details provider payment mechanisms (Section 10). It also addresses fund management, financial deficit coverage (Sections 11-13), and miscellaneous provisions such as co-payment and data management (Sections 14-20).
This Proclamation provides the legal framework for the Community Based Health Insurance System.
The law establishes the obligation to affiliate to the "Caisse Nationale de Solidarité et de Prévoyance Sociale" for any employer who employs one or more workers, as well as the public administration in its quality of employer.
Loi No 12-012/AU portant création de la Caisse Nationale de Solidarité et de Prévoyance Sociale
The law creates the "Caisse Nationale de Solidarité et de Prévoyance Sociale" (The National Solidarity and Social Welfare Fund).
The Proclamation establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.
The Law establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.