Steyn v Registrar of Medical Schemes (23378/2018)
Steyn v Registrar of Medical Schemes (23378/2018) [2021] ZAWCHC 5; 2021 (3) SA 551 (WCC) (25 January 2021)
The court found that the Appeal Board failed to afford the applicant procedural fairness by not allowing her to present evidence regarding the hip arthroscopy, which was raised late and not properly ventilated. The Board's reliance on the Momentum application form and findings of arthritis were unsupported by evidence and prejudicial. The applicant was not obliged to disclose the hip arthroscopy, as it occurred outside the relevant period and resulted in no diagnosis. Profmed's representative advised that only conditions within 12 months needed disclosure, creating estoppel. Regarding gastrit…
Source excerpt
- Promotion Of Administrative Justice Act
- Audi Alteram Partem
- Material Non Disclosure
- Medical Scheme Membership
- Judicial Review
- Substitution Of Administrative Decision