Ramba and Another v Government Employees Medical Scheme and Another (88884/2016)
Ramba and Another v Government Employees Medical Scheme and Another (88884/2016) [2021] ZAGPPHC 357 (17 May 2021)
The court found that the declaration, when read with the relevant provisions of the Medical Schemes Act and regulations, establishes a sufficient legal nexus between the plaintiffs' claims and the second defendant, Metropolitan Health Group. The administrator's role, as defined by statute and interpreted by case law, includes the processing and payment of claims for health services rendered to scheme members. The argument that only the board of trustees is liable does not negate the administrator's statutory obligations. The exception raised by the second defendant therefore fails, as the dec…
Source excerpt
- Medical Schemes Act
- Exception Procedure
- Administrator Liability