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Mathekgana v Film and Publication Board (JA4/2014) [2015] ZALAC 42 (21 October 2015)
Appeal over a disputed 13th cheque failed because the appellant did not seek oral evidence on a factual dispute about payment.
Sechaba Medical Solutions and Others v Sekete and Others (216/2014) [2015] ZASCA 8 (11 March 2015)
The Supreme Court of Appeal held that Life Healthcare’s claims against Gen-Health Medical Scheme were validly admitted as proved claims in the liquidation. The court found that pre-authorisation of treatment by Gen-Health created a contractual obligation to pay Life Healthcare for services rendered to its members. Section 26(1)(b) of the Medical Schemes Act requires a medical scheme to assume liability for and guarantee the benefits offered to members, which includes paying healthcare providers directly. Section 59(2) further obliges schemes to pay benefits to service providers within 30 days…
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