Regulatory Alerts2019-03-24 | No. 34/19Unified Health Insurance Policy Form (Decision No. 34/19)
The Capital Market Authority of Oman issued Decision No. 34/19 to mandate the immediate implementation of a standardized Unified Health Insurance Policy Form for all licensed insurers. The regulation establishes comprehensive definitions, essential health benefit tables, and strict claims management protocols requiring reimbursement within fifteen business days of document submission. It further delineates specific coverage exclusions, such as pre-existing chronic conditions and cosmetic procedures, while granting policyholders the right to cancel policies with thirty days' notice and formally appeal claim rejections.
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