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Health Supplements
Mutual societies: more transparent fees
Publié le null - Directorate for Legal and Administrative Information (Prime Minister)
From 1er in september 2020, mutual societies and insurance companies must send information on management costs to their members or future members of guarantees intended to reimburse or compensate them for the costs incurred as a result of illness, maternity or accident. An order issued in Official Journal on 7 may 2020, the terms of communication were established.
This measure applies to all contracts entered into or renewed after 31 December 2013. The following information must be provided annually to the members and on any quotation or proposal in a legible, clear and intelligible form:
- the ratio, expressed as a percentage, between the amount of benefits paid by the insurer for reimbursement and compensation of costs incurred as a result of sickness, maternity or accident and the amount of contributions or premiums net of tax relating to those guarantees in respect of its entire portfolio of direct business, gross reinsurance business;
- the ratio, expressed as a percentage, between the total amount of the insurer's management costs in respect of those guarantees and the amount of the relevant contributions or premiums net of tax, and the composition of those management costs.
These management fees cover all the amounts incurred for:
- design contracts;
- market them (including sales network, marketing, intermediary fees);
- subscribe (including collection of contributions, termination management, accounting and legal monitoring);
- and manage them (including reimbursement, third-party management, customer information, support, services, additional services).
FYI
It will soon be possible to terminate his contract at any time beyond 1re year of accession. This provision provided for by Law No. 2019-733 of July 14, 2019 on the right to terminate without charge supplementary health contracts will be taken by decree.
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