REPORT OF THE REGISTRAR OF MEDICAL SCHEMES

Transcription

1 REPORT OF THE REGISTRAR OF MEDICAL SCHEMES 1998

2 REPORT OF THE REGISTRAR OF MEDICAL SCHEMES 1998 ADDRESSES Physical Address: 1267 Pretorius Street Hadefields Block E Hatfield Pretoria Postal Address: Private Bag X34 Hatfield 0028 Telephone: (012) Telefax: (012) Internet: Page:1

3 CONTENTS REPORT BY THE REGISTRAR OF MEDICAL SCHEMES OPERATIONAL AND ADMINISTRATIVE ACTIVITIES REGULATORY DEVELOPMENTS GENERAL INFORMATION 5 RESULTS FINANCIAL SUMMARY MEMBERSHIP BENEFITS PAID REVIEW OF OVERALL BUSINESS 13 SCHEDULES OF RESULTS 16 CONSOLIDATED BALANCE SHEET ANNEXURE A 16 CONSOLIDATED INCOME STATEMENT ANNEXURE B 17 CONSOLIDATED MEMBERSHIP ANALYSIS ANNEXURE C 18 ANALYSIS OF ALL BENEFITS PAID ANNEXURE D 19 ANALYSIS OF RISK BENEFITS PAID ANNEXURE E 20 ANALYSIS OF SAVINGS BENEFITS PAID ANNEXURE F 21 DETAILED FINANCIAL RESULTS: REGISTERED SCHEMES ANNEXURE G 22 DETAILED FINANCIAL RESULTS: EXEMPTED SCHEMES ANNEXURE H 27 DETAILED FINANCIAL INFORMATION: REGISTERED SCHEMES ANNEXURE I 28 DETAILED FINANCIAL INFORMATION: EXEMPTED SCHEMES ANNEXURE J 33 EXPLANATORY NOTES TO THE ANNEXURES 34 Page:2

4 REPORT BY THE REGISTRAR OF MEDICAL SCHEMES 1.1 OPERATIONAL AND ADMINISTRATIVE ACTIVITIES COUNCIL FOR MEDICAL SCHEMES The Council for Medical Schemes is a statutory body established by the Medical Schemes Act to serve both the interests of the public and of members of medical schemes. The Registrar of Medical Schemes is the Executive Officer of the Council. The functions of the Council are: to protect the interest of members of medical schemes with regard to medical schemes matters at all times; to control and co-ordinate the activities of medical schemes; to advise the Minister on matters concerning medical schemes; to investigate complaints and settle disputes in relation to the affairs of registered medical schemes; and to perform other prescribed functions. The Council consisted, during the reporting period, of the following members: Prof. N Padayachee Chairperson Dr J E Cornell Elected Deputy Chairperson Mr D M Brennan Dr B A Brink Mr B T Brooks Dr S Gulube Mr S J Kgamphe Mr A M Leveton Dr G Martin Mr P T Masobe Ms D L Pearmain Dr S M Pillay Mr R Sono Dr C O M Setsubi Mr R B Speedie The Council met on five occasions and the Executive Committee of Council met on ten occasions to carry out its responsibilities. A large amount of Council's time during this period went into consideration of the new Medical Schemes Bill. Council provided the Minister with a detailed report on its comments on the Bill. Council supported the underlying principles of non discrimination and community rating contained in the Bill and emphasised the need to improve governance over medical schemes. Page:3

5 THE OFFICE OF THE REGISTRAR The Registrar is the Executive Officer of Council and is at the head of its operations. The Registrar and his staff are responsible for: the registration of medical schemes and amendments to their rules, in a manner which complies with the provisions of the Medical Schemes Act, and the regulations framed there under as well as resolutions adopted by the Council from time to time. financial supervision of registered schemes. This included the collection of statistical information, audited financial statements and annual reports from both registered and exempted medical schemes. In addition, various schemes are required to report to the Registrar with a view to monitor their financial soundness. advising the public, management of medical schemes, employers and others on matters relating to medical schemes and the Act. monitoring the legislation and providing recommendations for regulatory improvement 1.2 REGULATORY DEVELOPMENTS The Medical Schemes Bill was published during 1998 for general comment. The parliamentary process was completed during this period and the Act was published in December The Medical Schemes Act, 1998, Act No 131 of 1998 replaced the former Act and came into operation on 2 February The Act introduces a new approach to governance, regulation and supervision of medical schemes and related activities. The Act seeks to provide greater protection to the public and to enhance access to private health care cover within a community rated environment. The new Act clearly delineates the business of a medical scheme and is complemented in this regard by the amendments to Insurance legislation. The Act also requires that all entities that carry out the business of a medical scheme should be required to register under the Act. The Act will improve substantially the governance and financial supervision of medical schemes. It will require that schemes maintain a solvency margin of 25%. Medical schemes will also be required to diversify their assets in order to minimize risk. Schemes are prohibited from holding equity in any administration company and any participating employer. Provision is made for accreditation of medical scheme administrators, managed care organisations and other intermediaries. Page:4

6 1.3 GENERAL INFORMATION LIQUIDATION The following medical scheme was liquidated during the period under review: Medilife Medical Scheme w.e.f 1 September East Coast Medical Plan applied for voluntary liquidation during GF Group Medical Scheme Stability Medical Scheme REGISTRATION, NAME CHANGES AND AMALGAMATION OF MEDICAL SCHEMES The following medical schemes were registered during the period under review: Anglovaal Group Medical Scheme w.e.f. 1 August 1997; Aumed Medical Scheme w.e.f. 1 December 1997; CSIR Medical Scheme w.e.f. 1 April 1997; CU Health Medical Scheme w.e.f. 01 May 1998; Engen Medical Benefit Fund w.e.f. 1 September 1997; JCI Medical Scheme w.e.f. 28 August 1998; Medgold Medical Scheme w.e.f. 1 January 1997; Minemed Medical Scheme w.e.f. 1 January 1997; Provia Medical Scheme w.e.f. 1 October 1998 ( Registered on 17 Septemer 1998); Ingwe Health Plan w.e.f. 1 November 1999; and Foschini Group Medical Aid Scheme w.e.f. 1 January 1999 (Registered on 18 November The following name changes were registered during the period under review: Aiken and Peat Medical Aid Society to KPMG Medical Aid Society; Page:5

7 Bonmed Mediese Skema to Malasela Group Medical Scheme; Carlton Paper Medical Plan to Pharos Medical Scheme (PIMAS); Genmed Medical Scheme to Billmed Medical Scheme; Makro SA Medical Aid Society to Massmart Health Plan; Masters Builders and Allied Traders Association for the OFS Goldfields Area Benefit Fund to Free State Medical Scheme; Mines Benefit Society to Cawmed Medical Scheme; Ferromed to Kopano Healthcare; Grinaker Electronics Medical Aid Scheme to Grintek Medical Aid Scheme; Group Five & Everite Healthcare Plan to G5MED; Momentum Health Medical Scheme to Discovery Health Medical Scheme; Kap Investments Medical Aid Society to Moremed Medical Scheme; AAC Mines Medical Scheme to Anglogold Medical Scheme; and CU Health Medical Scheme to Resolution Health Medical Scheme. The following schemes amalgamated or transferred their business as indicated during the period under review: Vrystaat Munisipale Mediese Skema with Munimed w.e.f. 1 January 1998; Morcop Medical Aid Society with Tiger Oats Medical Scheme w. e. f. 1 January 1998; SACTA Medical Aid Society with Protea Medical Aid Society w.e.f. 1 January 1998; Protea Assurance Staff Medical Aid Society (PASMAS) with Mutual & Federal Medical Aid Fund w.e.f. I January 1998; Consolidated Employers Medical Aid Society (CEMAS) with Medical Expenses Distribution Society (MEDS) w.e.f 1 January 1998; Bloemmed Medical Society with Northern Medical Society w.e.f 1 July 1998; Senmed Benefit Plan (an option within Alliance Benefit Society) with Finmed Medical Scheme w.e.f 1 July 1998; Page:6

8 South Atlantic Corporation Medical Aid Society (SACMAS) with Anglovaal Group Medical Scheme w.e.f. 1 May 1998; Trimed with Ferromed w.e.f. 1 July 1998; Reunert Medical Scheme with Discovery Health Medical Scheme; and Goldfields Medical Aid Society with Meddent Medical Scheme. The registration of Mercantile & General, Helpmed and Malasela Medical Scheme were withdrawn with effect from 1 January 1998 as they ceased to operate. Membership of international associations The Council is a member of the International Federation of Health Funds. The Federation held its biennial conference in South Africa during ANALYSIS OF AUDITED FINANCIAL STATEMENTS AND STATUTORY RETURNS The audited financial statements of medical schemes for the 1998 financial year has been analysed and the results are reflected in the annexures attached to this report. CONCLUSION I wish to record my appreciation for the co-operation received from the Council, the Executive Committee of Council, medical schemes, administrators of schemes, the various professions, the Financial Services Board and my colleagues for their assistance, goodwill and dedication during this period. REGISTRAR OF MEDICAL SCHEMES Page:7

9 RESULTS 2.1 FINANCIAL SUMMARY Financial statements prepared in accordance with the SAICA Audit and Accounting Guide on Medical Funds: shall present the state of affairs and the business of the medical scheme and the results thereof at the end of the financial year and the surplus or deficiency of the medical scheme for the financial year. shall at all times maintain its business in a financially sound condition by having assets, providing for its liabilities and generally conducting its business so as to be in a position to meet its liabilities at all times. include a trustees' report containing relevant information indicating whether or not the resources of the medical scheme have been applied economically, efficiently and effectively. The consolidated audited financial results for the period of assessment are shown in Annexure A and B The bar chart below shows how the net asset position of the medical schemes has changed the past ten calendar years. ALL SCHEMES NET ASSETS 25,000 20,000 R'm 15,000 10,000 5, YEAR NET ASSETS CONTRIBUTIONS Page:8

10 2.2 MEMBERSHIP The medical schemes have been considered in terms of overall size, average membership, ratio of dependants to average principal members and the ratio of continuation members to principal members. The overall size provides an indication of economies of scale, while the other statistics provide an indication of the main characteristics of membership demographics. Detailed results for the period of assessment are shown in Annexure C, G and H The size of the registered medical schemes (by number of Principal members) at 31 December 1998 are shown below: REGISTERED SCHEMES BY NUMBER OF MEMBERS > % % % % % % Page:9

11 The chart below shows how the membership position of the medical schemes has changed over the past ten calendar years. BENEFICIARIES COVERED BY MEDICAL SCHEMES YEAR Dependants Principal Members 2.3 BENEFITS PAID When accounting for claims (benefits paid), a fund charges to the income statement the total estimated cost of settling all claims, net of members' portions, arising from the healthcare events that have occurred in the period, whether or not reported by the end of the period. Provisions or accruals are made at the end of the period for the estimated cost, net of re-insurance, members' portions, of all outstanding claims at that date less amounts already paid, whether arising from events occurring during that period or earlier periods, and whether or not notified before the close of the accounting period. Net Claims Incurred represent the amount of claims incurred in respect of benefits for which the scheme is at risk. Where the relevant information has been provided, net claims incurred has been calculated as gross claims incurred less re-insurance recoveries, discount received, and claims towards savings plans, plus no/low claim bonuses, and net increase in provision for outstanding claims. Benefits paid (Gross Claims Incurred) have been compared as a percentage of Gross and Net Contribution Income and as a Rand amount per principal member per month, based on the average number of principal members during the year. Page:10

12 Detailed information for the period of assessment is shown in Annexure D, G and H. The benefits paid are in respect of both that for which the scheme is at risk and not at risk. The following charts indicate the distribution of income and expenditure per member per month PER MEMBER CALCULATIONS PER MEMBER CALCULATIONS RAND PMPM CONTRIBUTIONS YEAR OTHER INCOME 1998 RAND PMPM Benefits paid Other expenditure YEAR Administration expenses The chart below is an indication of the relation between the key performance indicators 25,000 INCOME / EXPENDITURE All Schemes 20,000 R'm 15,000 10,000 5, YEAR Contributions Benefits Paid Total Expenditure Total Income The chart below shows the benefits paid by category of service Page:11

13 BENEFITS TO MEMBERS: 1998 (EXCLUDING PROVISIONS) MEDICINES 27.0% EX-GRATIA PAYMENTS 0.1% TOTAL HOSPITALS 28.5% OTHER BENEFITS 8.2% GENERAL PRACITIONERS 10.0% DENTAL SPECIALISTS 1.1% DENTISTS 6.3% MEDICAL SPECIALISTS 18.8% The graph illustrates the changes in benefits paid by category of service providers for the past ten calendar years 7,000 BENEFITS PAID (Excluding provisions) 6,000 5,000 R'm 4,000 3,000 2,000 1, YEAR GENERAL PRACITIONERS MEDICAL SPECIALISTS DENTISTS(incl. Specialists) Provincial Hospitals Private Hospitals MEDICINES EX-GRATIA PAYMENTS OTHER BENEFITS Page:12

14 2.4 REVIEW OF OVERALL BUSINESS Medical schemes are accounted for on an accrual basis. Financial statements prepared in accordance with the SAICA Audit and Accounting Guide on Medical Funds separately identify contributions and claims in respect of benefits for which the scheme is not at risk. A medical scheme may either employ administration staff (i.e. a self-administered scheme) or appoint a professional administrator to administer the scheme. In some instances, the administration functions are performed by other medical schemes to achieve economies of scale. Where the relevant information has been provided, administration expenses do not include Health Care Management expenses. The Operating Profit/(Loss) is the result for which the scheme is at risk for the current accounting period, including any adjustments arising from previous outstanding claims provisions and other related estimates, and results of re-insurance arrangements, but excluding investment income and profits and losses on the sale of assets. Net Contribution Income represents the amount of contribution income in respect of benefits for which the scheme is at risk. Where the relevant information has been provided, Net Contribution Income has been calculated as Gross Contribution Income less re-insurance premiums, contributions towards savings plans and pre-funding plans, and any other contributions in respect of benefits for which the scheme is not at risk. Where the relevant information has been provided, Net Claims Incurred has been calculated as Gross Claims Incurred less re-insurance recoveries, and discounts received. It is inclusive of any change in provisions for outstanding claims and any no/low claim bonuses that have accrued. The Operating Result is therefore sensitive to the particular method and assumptions used when calculating the provision for outstanding claims. Since the information provided generally contains consolidated results for all benefits options of each scheme, the results shown in this report will not indicate the performance of a particular benefit option of a scheme. Total income includes operating income and investment income. The Accumulated Funds of a scheme will increase/(decrease) during the period of assessment by an amount equal to total income less total expenditure, adjusted for any transfers to/from specific reserves. The net assets of a scheme include accumulated funds, asset revaluation reserves, other reserves set aside for specific purposes and any long term liability. The solvency of each scheme have been measured by calculating the ratio of accumulated funds at the end of the period of assessment to Net Contribution Income during the period of assessment. The accumulated funds shown do not include reserves set aside for specific purposes, provided that these reserves have been separately identified. Page:13

15 Net Contribution Income in respect of the solvency ratio represents the amount of contribution income in respect of benefits for which the scheme is at risk. Where the relevant information has been provided, Net Contribution Income has been calculated as Gross Contribution Income less contributions towards savings plans and pre-funding plans, and any other contributions in respect of benefits for which the scheme is not at risk. It is important to note that due to the issue of the SAICA guide, the comparative figures have been restated. Therefore the results calculated for schemes in different years may not be directly comparable. Detailed results for the period of assessment are shown in Annexure E and F The following graph indicates how operating results and net results, which include investment income, have fluctuated over the past ten calendar years. RESULTS 1998 R'm 1,500 1,170 1, R'm (500) (113) (94) (234) (356) (1,000) YEAR (739) Operating Net Profit/(Loss) Page:14

16 The chart below shows how the operating results, as a percentage of contributions, have fluctuated over the past ten calendar years. OPERATING RESULTS AS % OF CONTRIBUTIONS % OF CONTRIBUTIONS 4% 3% 2% 1% 0% -1% -2% -3% -4% 3% 3% 1% 1% 1% -1% -1% -2% -2% -4% YEAR The graph illustrates how the Net Contribution percentage increase, the benefits paid percentage increase and the medical inflation percentage increase (per Statistics South Africa), have fluctuated over the past ten calendar years. HEALTH EXPENDITURE AND CPI (MEDICAL) PERCENTAGE YEAR Contribution increase Benefits Increase Medical Inflation All expenditure groups Inflation Page:15

17 CONSOLIDATED BALANCE SHEET SCHEDULES OF RESULTS ANNEXURE A as at 31 December 1998 REGISTERED EXEMPTED CONSOLIDATED % % % R'000 R'000 Change R'000 R'000 Change R'000 R'000 Change FUNDS EMPLOYED ACCUMULATED FUNDS 4,824,636 4,327, % (36,093) 65, % 4,788,543 4,393, % REVALUATION RESERVE 124, , % % 124, , % PRE-FUNDING PLAN RESERVE - 265, % % - 265, % SAVINGS PLAN RESERVE - 178, % % - 178, % OTHER RESERVES 1,018, , % 4,214 4, % 1,023, , % TOTAL MEMBERS' FUNDS 5,968,081 5,814, % (31,880) 70, % 5,936,202 5,884, % NON-CURRENT LIABILITIES 941, , % 219, , % 1,161, , % Pre-Funding plan liability - 84, % % - 84, % Savings plan liability 808, , % 131,038 67, % 939, , % Guarantee deposit 15,061 26, % % 15,061 26, % Borrowings 118,388 61, % 88, , % 206, , % EMPLOYMENT OF FUNDS 6,909,743 6,179, % 187, , % 7,097,205 6,435, % PROPERTY, PLANT & EQUIPMENT 234, , % 11,512 13, % 246, , % INVESTMENTS 4,956,228 4,407, % 183, , % 5,139,464 4,560, % NET CURRENT ASSETS/(LIABILITIES) 1,718,885 1,616, % (7,286) 89, % 1,711,599 1,705, % CURRENT ASSETS 5,563,681 4,774, % 438, , % 6,002,293 5,177, % Debtors and prepayments 2,056,722 1,374, % 158, , % 2,215,113 1,532, % Bank 1,266,894 1,339, % 47, , % 1,313,951 1,568, % Other cash and cash equivalents 2,240,064 2,060, % 233,164 15, % 2,473,229 2,076, % CURRENT LIABILITIES 3,844,796 3,158, % 445, , % 4,290,694 3,471, % Creditors and provisions 1,568,077 1,312, % 94,169 86, % 1,662,246 1,399, % Outstanding claims provision 2,072,983 1,652, % 341, , % 2,414,547 1,868, % Bank overdraft 33,932 64, % 3,571 3, % 37,503 68, % Bad debts provision 169, , % 6,594 6, % 176, , % 6,909,743 6,179, % 187, , % 7,097,205 6,435, % Page:16

18 CONSOLIDATED INCOME STATEMENT ANNEXURE B for the year ended 31 December 1998 REGISTERED EXEMPTED CONSOLIDATED Average PMPM Average PBPM % % % % % R,000 R,000 Change R,000 R,000 Change R,000 R,000 Change R R Change R R Change INCOME Net contribution income 17,401,466 15,570, % 2,931,037 2,929, % 20,332,503 18,500, % % % EXPENDITURE 17,946,863 15,484, % 3,124,976 2,796, % 21,071,839 18,280, % % % Net claims incurred 15,989,849 14,097, % 2,886,414 2,601, % 18,876,263 16,699, % % % Own facility costs 105, , % 9, % 114, , % % % Bad debts written off 23,438 22, % % 23,453 22, % % % Increase/Decrease in provision for bad debts 56,354 22, % - 5, % 56,354 27, % % % Healthcare management expenses 311, , % 33,727 26, % 344, , % % % Administration expenses 1,460,843 1,093, % 195, , % 1,656,225 1,255, % % % OPERATING INCOME/(LOSS) (545,397) 86, % (193,939) 133, % (739,336) 220, % % % NET INVESTMENT INCOME 864, , % 88,442 47, % 953, , % % % PROFIT/(LOSS) ON SALE OF INVESTMENTS 10,945 62, % % 11,207 62, % % % ADJUSTMENT TO MARKET/TRUSTEES' VALUE OF INVESTMENTS (75,041) (1,735) % (1,540) (2,520) 38.9% (76,581) (4,254) % % % OTHER INCOME/(LOSS) 50, , % 37, % 88, , % % % NET PROFIT/(LOSS) for the year 306, , % (69,388) 179, % 236,637 1,169, % % % TRANSFER TO/(FROM) RESERVES 171,983 (113,181) 252.0% (32,553) % 139,430 (113,181) 223.2% % % ACCUMULATED FUNDS for the year 478, , % (101,941) 179, % 376,066 1,056, % % % ACCUMULATED FUNDS at the beginning of the year 4,346,628 3,450, % 65,848 (113,650) 157.9% 4,412,476 3,337, % 0.0% 0.0% As previously reported 4,327,794 3,450, % 65,848 (113,650) 157.9% 4,393,642 3,337, % % % Prior year adjustment 18, % % 18, % 0.0% 0.0% ACCUMULATED FUNDS at the end of the year 4,824,636 4,327, % (36,093) 65, % 4,788,543 4,393, % % % Page:17

19 CONSOLIDATED MEMBERSHIP ANALYSIS ANNEXURE C as at 31 December 1998 MEMBERS DEPENDANTS BENEFICIARIES % % % Change Change Change Ordinary 2,310,174 2,345, % 3,970,888 4,025, % 6,281,062 6,371, % Registered schemes 1,953,975 1,950, % 3,440,136 3,446, % 5,394,111 5,396, % - Open schemes 1,266,624 1,201, % 2,251,039 2,166, % 3,517,663 3,368, % - Restricted schemes 687, , % 1,189,097 1,279, % 1,876,448 2,028, % Exempt schemes 356, , % 530, , % 886, , % Continuation 384, , % 325, , % 710, , % Registered schemes 289, , % 248, , % 537, , % - Open schemes 147, , % 138,868 86, % 286, , % - Restricted schemes 141, , % 109, , % 251, , % Exempt schemes 95,516 78, % 77,354 56, % 172, , % Total 2,695,045 2,693, % 4,296,466 4,271, % 6,991,511 6,965, % Average membership 2,660,204 2,676,604 4,253,853 4,229,425 6,914,057 6,906,029 Average No of dependants per principal member Ratio of continuation members to principal members 14% 13% Page:18

20 ANALYSIS OF ALL BENEFITS PAID ANNEXURE D for the year ended 31 December 1998 REGISTERED EXEMPT CONSOLIDATED Average PMPM % % % % As % of As % of R'000 % R'000 Change R'000 % R'000 Change R'000 % R'000 Change R R Change GCI NCI GENERAL PRACITIONERS 1,954,521 10% 1,683, % 224,292 8% 309, % 2,178,812 10% 1,992, % % 9.0% 10.7% MEDICAL SPECIALISTS 3,694,062 20% 3,197, % 375,320 13% 3,197, % 4,069,382 19% 3,661, % % 16.7% 20.0% Anaesthetists 242,236 7% 200, % 27,429 7% 33, % 269,665 7% 233, % % 1.1% 1.3% Dermatologists 45,578 1% 43, % 2,942 1% 3, % 48,520 1% 47, % % 0.2% 0.2% Gynaecologists 314,341 9% 275, % 23,630 6% 31, % 337,970 8% 306, % % 1.4% 1.7% Physicians 327,498 9% 285, % 40,126 11% 44, % 367,625 9% 330, % % 1.5% 1.8% Neurologists 40,464 1% 37, % 3,440 1% 5, % 43,904 1% 42, % % 0.2% 0.2% Psychiatrists 63,281 2% 61, % 8,872 2% 13, % 72,153 2% 74, % % 0.3% 0.4% Neuro-surgeons 51,293 1% 45, % 6,362 2% 8, % 57,655 1% 53, % % 0.2% 0.3% Ophthalmologists 187,779 5% 192, % 9,913 3% 26, % 197,692 5% 219, % % 0.8% 1.0% Orthopaedic Surgeons 170,947 5% 150, % 20,011 5% 25, % 190,957 5% 176, % % 0.8% 0.9% Otorhinolaryngologists 89,376 2% 81, % 7,293 2% 9, % 96,668 2% 91, % % 0.4% 0.5% Paediatricians 128,008 3% 109, % 9,359 2% 13, % 137,367 3% 122, % % 0.6% 0.7% Specialists in Physical Medicine 938 0% 1, % 21 0% % 958 0% 2, % % 0.0% 0.0% Plastic & Reconstructive Surgeons 24,259 1% 22, % 1,825 0% 2, % 26,085 1% 25, % % 0.1% 0.1% Radiologists 763,612 21% 639, % 78,084 21% 91, % 841,695 21% 731, % % 3.5% 4.1% Radiotherapists 126,697 3% 106, % 21,117 6% 17, % 147,814 4% 123, % % 0.6% 0.7% Surgeons 176,099 5% 157, % 23,067 6% 26, % 199,166 5% 183, % % 0.8% 1.0% Thoracic Surgeons 38,842 1% 37, % 6,378 2% 7, % 45,219 1% 44, % % 0.2% 0.2% Urologists 73,093 2% 64, % 8,682 2% 10, % 81,775 2% 74, % % 0.3% 0.4% Pathologists 829,723 22% 685, % 76,770 20% 91, % 906,493 22% 777, % % 3.7% 4.5% DENTISTS 1,269,144 7% 1,093, % 88,072 3% 152, % 1,357,217 6% 1,245, % % 5.6% 6.7% DENTAL SPECIALISTS 219,349 1% 185, % 8,865 0% 14, % 228,215 1% 200, % % 0.9% 1.1% Maxilla, Facial & Oral Surgeons 69,014 31% 58, % 2,964 33% 4, % 71,978 32% 62, % % 0.3% 0.4% Oral Pathologists 5,697 3% 3, % 21 0% % 5,718 3% 3, % % 0.0% 0.0% Orthodontists 114,755 52% 97, % 4,887 55% 7, % 119,642 52% 104, % % 0.5% 0.6% Periodontists 14,719 7% 12, % 490 6% % 15,209 7% 13, % % 0.1% 0.1% Prosthodontists 15,165 7% 14, % 504 6% 1, % 15,669 7% 15, % % 0.1% 0.1% TOTAL HOSPITALS 5,458,594 29% 5,195, % 721,768 25% 4,628, % 6,180,362 29% 5,542, % % 25.4% 30.4% PROVINCIAL HOSPITALS 133,617 2% 134, % 22,026 3% 44, % 155,642 3% 179, % % 0.6% 0.8% Ward Fees 85,054 64% 84, % 19,697 89% 37, % 104,751 67% 121, % % 0.4% 0.5% Theatre Fees 15,111 11% 25, % 1,037 5% 4, % 16,148 10% 29, % % 0.1% 0.1% Consumables 19,673 15% 12, % 550 2% 2, % 20,223 13% 14, % % 0.1% 0.1% Medicines dispensed 13,779 10% 12, % 742 3% % 14,521 9% 13, % % 0.1% 0.1% PRIVATE HOSPITALS 5,078,078 93% 4,583, % 699,742 97% 4,583, % 5,777,821 93% 4,886, % % 23.8% 28.4% Ward Fees 2,306,723 45% 1,815, % 561,818 80% 505, % 2,868,541 50% 2,320, % % 11.8% 14.1% Theatre Fees 790,038 16% 841, % 63,776 9% 121, % 853,813 15% 962, % % 3.5% 4.2% Consumables 1,094,244 22% 685, % 17,277 2% 89, % 1,111,521 19% 774, % % 4.6% 5.5% Medicines dispensed 887,073 17% 764, % 56,872 8% 64, % 943,945 16% 828, % % 3.9% 4.6% Global / per diem fee 246,899 5% 477, % - 0% - 0.0% 246,899 4% 477, % % 1.0% 1.2% MEDICINES 4,499,794 24% 3,840, % 1,348,156 46% 720, % 5,847,949 27% 4,561, % % 24.1% 28.8% Medicines dispensed by Pharmacists 3,077,345 68% 2,512, % 1,188,138 88% 418, % 4,265,484 73% 2,930, % % 17.6% 21.0% Medicines dispensed by Practitioners 1,422,448 32% 1,327, % 160,017 12% 302, % 1,582,465 27% 1,630, % % 6.5% 7.8% EX-GRATIA PAYMENTS 26,164 0% 39, % 3,427 0% % 29,591 0% 39, % % 0.1% 0.1% OTHER BENEFITS 1,623,762 9% 1,391, % 153,160 5% 192, % 1,776,922 8% 1,584, % % 7.3% 8.7% Chiropractors 16,371 1% 13, % 1,098 1% % 17,469 1% 14, % % 0.1% 0.1% Chiropodists 7,868 0% 6, % 528 0% % 8,397 0% 7, % % 0.0% 0.0% Optometrists & Spectacles 750,866 46% 617, % 64,288 42% 76, % 815,153 46% 694, % % 3.4% 4.0% Physiotherapists 223,399 14% 184, % 19,877 13% 23, % 243,276 14% 208, % % 1.0% 1.2% Orthoptists 3,550 0% 4, % 1,074 1% 3, % 4,624 0% 7, % % 0.0% 0.0% Blood Transfusion 65,259 4% 54, % 10,255 7% 10, % 75,514 4% 64, % % 0.3% 0.4% Speech Therapists 34,956 2% 24, % 2,773 2% 4, % 37,729 2% 28, % % 0.2% 0.2% Psychologists 118,091 7% 81, % 13,443 9% 20, % 131,534 7% 102, % % 0.5% 0.6% Occupational Therapy 24,841 2% 18, % 1,968 1% 2, % 26,809 2% 20, % % 0.1% 0.1% Nursing 29,068 2% 23, % 1,942 1% 1, % 31,010 2% 25, % % 0.1% 0.2% Appliances (supplied outside hospitals) 62,187 4% 53, % 4,578 3% 6, % 66,764 4% 59, % % 0.3% 0.3% Dieticians 4,449 0% 3, % 180 0% % 4,629 0% 3, % % 0.0% 0.0% Homeopaths 16,550 1% 13, % 513 0% % 17,063 1% 13, % % 0.1% 0.1% Ambulance Services 25,439 2% 37, % 3,042 2% 6, % 28,481 2% 44, % % 0.1% 0.1% Cardiac Technologists 40,248 2% 32, % 9,153 6% 8, % 49,401 3% 41, % % 0.2% 0.2% Other 200,620 12% 222, % 18,449 12% 24, % 219,069 12% 247, % % 0.9% 1.1% TOTAL BENEFITS 18,745, % 16,627, % 2,923, % 9,216, % 21,668, % 18,828, % % 89.2% 106.6% Page:19

21 ANALYSIS OF RISK BENEFITS PAID ANNEXURE E for the year ended 31 December 1998 REGISTERED EXEMPT CONSOLIDATED Average PMPM % % % % As % of As % of R'000 % R'000 Change R'000 % R'000 Change R'000 % R'000 Change R R Change GCI NCI GENERAL PRACITIONERS 1,663,578 10% 1,488, % 169,097 6% 253, % 1,832,675 9% 1,742, % % 7.5% 9.0% MEDICAL SPECIALISTS 3,457,392 20% 3,042, % 350,247 13% 437, % 3,807,639 19% 3,479, % % 15.7% 18.7% Anaesthetists 235,690 7% 194, % 27,151 8% 33, % 262,840 7% 228, % % 1.1% 1.3% Dermatologists 38,915 1% 39, % 2,404 1% 3, % 41,319 1% 43, % % 0.2% 0.2% Gynaecologists 284,483 8% 255, % 21,712 6% 29, % 306,195 8% 285, % % 1.3% 1.5% Physicians 308,732 9% 273, % 37,404 11% 41, % 346,136 9% 315, % % 1.4% 1.7% Neurologists 37,419 1% 35, % 3,149 1% 4, % 40,568 1% 39, % % 0.2% 0.2% Psychiatrists 58,959 2% 58, % 8,413 2% 12, % 67,372 2% 70, % % 0.3% 0.3% Neuro-surgeons 49,872 1% 44, % 6,168 2% 7, % 56,041 1% 52, % % 0.2% 0.3% Ophthalmologists 176,587 5% 181, % 9,913 3% 25, % 186,500 5% 206, % % 0.8% 0.9% Orthopaedic Surgeons 163,509 5% 144, % 19,081 5% 25, % 182,590 5% 169, % % 0.8% 0.9% Otorhinolaryngologists 82,719 2% 76, % 6,671 2% 9, % 89,391 2% 86, % % 0.4% 0.4% Paediatricians 113,808 3% 100, % 8,735 2% 12, % 122,543 3% 113, % % 0.5% 0.6% Specialists in Physical Medicine 876 0% 1, % 21 0% % 897 0% 2, % % 0.0% 0.0% Plastic & Reconstructive Surgeons 22,479 1% 21, % 1,711 0% 2, % 24,190 1% 24, % % 0.1% 0.1% Radiologists 715,942 21% 610, % 72,356 21% 85, % 788,298 21% 696, % % 3.2% 3.9% Radiotherapists 123,935 4% 103, % 21,048 6% 17, % 144,983 4% 121, % % 0.6% 0.7% Surgeons 169,524 5% 152, % 21,933 6% 24, % 191,457 5% 177, % % 0.8% 0.9% Thoracic Surgeons 38,239 1% 36, % 6,316 2% 7, % 44,555 1% 44, % % 0.2% 0.2% Urologists 69,255 2% 62, % 7,885 2% 9, % 77,140 2% 71, % % 0.3% 0.4% Pathologists 766,447 22% 649, % 68,178 19% 83, % 834,625 22% 732, % % 3.4% 4.1% DENTISTS 1,084,467 6% 986, % 77,113 3% 152, % 1,161,581 6% 1,138, % % 4.8% 5.7% DENTAL SPECIALISTS 188,476 1% 164, % 7,859 0% 14, % 196,336 1% 178, % % 0.8% 1.0% Maxilla, Facial & Oral Surgeons 56,737 30% 49, % 2,838 36% 4, % 59,575 30% 54, % % 0.2% 0.3% Oral Pathologists 3,918 2% 1, % 21 0% % 3,939 2% 1, % % 0.0% 0.0% Orthodontists 102,339 54% 89, % 4,143 53% 7, % 106,482 54% 96, % % 0.4% 0.5% Periodontists 12,614 7% 11, % 445 6% % 13,059 7% 11, % % 0.1% 0.1% Prosthodontists 12,868 7% 13, % 412 5% 1, % 13,280 7% 14, % % 0.1% 0.1% TOTAL HOSPITALS 5,437,343 32% 4,690, % 719,720 26% 823, % 6,157,063 31% 5,514, % % 25.3% 30.3% PROVINCIAL HOSPITALS 132,261 2% 132, % 20,964 3% 43, % 153,225 2% 176, % % 0.6% 0.8% Ward Fees 84,457 64% 83, % 18,635 89% 36, % 103,092 67% 120, % % 0.4% 0.5% Theatre Fees 15,057 11% 24, % 1,037 5% 4, % 16,094 11% 28, % % 0.1% 0.1% Consumables 19,213 15% 11, % 550 3% 2, % 19,763 13% 14, % % 0.1% 0.1% Medicines dispensed 13,534 10% 12, % 742 4% % 14,275 9% 12, % % 0.1% 0.1% PRIVATE HOSPITALS 5,058,182 93% 4,080, % 698,757 97% 779, % 5,756,939 94% 4,860, % % 23.7% 28.3% Ward Fees 2,298,141 45% 1,806, % 560,832 80% 504, % 2,858,973 50% 2,310, % % 11.8% 14.1% Theatre Fees 787,547 16% 835, % 63,776 9% 121, % 851,322 15% 956, % % 3.5% 4.2% Consumables 1,089,957 22% 679, % 17,277 2% 89, % 1,107,234 19% 768, % % 4.6% 5.4% Medicines dispensed 882,537 17% 759, % 56,872 8% 64, % 939,410 16% 823, % % 3.9% 4.6% Global / per diem fee 246,899 5% 477, % - 0% - 0.0% 246,899 4% 477, % % 1.0% 1.2% MEDICINES 3,881,105 23% 3,494, % 1,277,386 47% 685, % 5,158,491 26% 4,179, % % 21.2% 25.4% Medicines dispensed by Pharmacists 2,629,928 68% 2,278, % 1,122,398 88% 389, % 3,752,325 73% 2,668, % % 15.4% 18.5% Medicines dispensed by Practitioners 1,251,177 32% 1,215, % 154,989 12% 295, % 1,406,166 27% 1,511, % % 5.8% 6.9% EX-GRATIA PAYMENTS 26,164 0% 38, % 3,427 0% % 29,591 0% 39, % % 0.1% 0.1% OTHER BENEFITS 1,339,671 8% 1,163, % 136,582 5% 184, % 1,476,253 7% 1,347, % % 6.1% 7.3% Chiropractors 12,361 1% 11, % 996 1% % 13,357 1% 11, % % 0.1% 0.1% Chiropodists 6,223 0% 5, % 528 0% % 6,752 0% 6, % % 0.0% 0.0% Optometrists & Spectacles 598,659 45% 522, % 51,762 38% 73, % 650,421 44% 595, % % 2.7% 3.2% Physiotherapists 193,646 14% 167, % 18,462 14% 22, % 212,109 14% 189, % % 0.9% 1.0% Orthoptists 3,450 0% 3, % 1,073 1% 3, % 4,523 0% 7, % % 0.0% 0.0% Blood Transfusion 63,404 5% 52, % 10,157 7% 10, % 73,562 5% 62, % % 0.3% 0.4% Speech Therapists 30,405 2% 21, % 2,473 2% 4, % 32,878 2% 26, % % 0.1% 0.2% Psychologists 98,977 7% 71, % 12,795 9% 20, % 111,771 8% 91, % % 0.5% 0.5% Occupational Therapy 20,488 2% 15, % 1,817 1% 2, % 22,305 2% 18, % % 0.1% 0.1% Nursing 27,450 2% 22, % 1,881 1% 1, % 29,331 2% 24, % % 0.1% 0.1% Appliances (supplied outside hospitals) 57,011 4% 49, % 4,436 3% 6, % 61,447 4% 55, % % 0.3% 0.3% Dieticians 3,497 0% 2, % 180 0% % 3,677 0% 2, % % 0.0% 0.0% Homeopaths 13,608 1% 11, % 388 0% % 13,996 1% 11, % % 0.1% 0.1% Ambulance Services 24,872 2% 36, % 3,012 2% 6, % 27,885 2% 43, % % 0.1% 0.1% Cardiac Technologists 38,266 3% 30, % 9,052 7% 8, % 47,318 3% 39, % % 0.2% 0.2% Other 147,353 11% 136, % 17,568 13% 22, % 164,921 11% 158, % % 0.7% 0.8% TOTAL BENEFITS 17,078, % 15,068, % 2,741, % 2,551, % 19,819, % 17,620, % % 81.6% 97.5% Page:20

22 ANALYSIS OF SAVINGS BENEFITS PAID for the year ended 31 December 1998 ANNEXURE F REGISTERED EXEMPT CONSOLIDATED Average PMPM % % % % As % of As % of R'000 % R'000 Change R'000 % R'000 Change R'000 % R'000 Change R R Change GCI NCI GENERAL PRACITIONERS 290,943 17% 194, % 55,195 30% 55, % 346,138 19% 249, % % 1.4% 1.7% MEDICAL SPECIALISTS 236,670 14% 155, % 25,073 14% 26, % 261,743 14% 182, % % 1.1% 1.3% Anaesthetists 6,546 3% 5, % 278 1% % 6,825 3% 5, % % 0.0% 0.0% Dermatologists 6,663 3% 4, % 538 2% % 7,201 3% 4, % % 0.0% 0.0% Gynaecologists 29,858 13% 19, % 1,918 8% 2, % 31,775 12% 21, % % 0.1% 0.2% Physicians 18,766 8% 11, % 2,722 11% 3, % 21,489 8% 14, % % 0.1% 0.1% Neurologists 3,045 1% 1, % 291 1% % 3,336 1% 2, % % 0.0% 0.0% Psychiatrists 4,321 2% 3, % 460 2% % 4,781 2% 4, % % 0.0% 0.0% Neuro-surgeons 1,421 1% 1, % 193 1% % 1,614 1% 1, % % 0.0% 0.0% Ophthalmologists 11,192 5% 11, % - 0% 1, % 11,192 4% 12, % % 0.0% 0.1% Orthopaedic Surgeons 7,437 3% 5, % 930 4% % 8,368 3% 6, % % 0.0% 0.0% Otorhinolaryngologists 6,656 3% 4, % 621 2% % 7,278 3% 5, % % 0.0% 0.0% Paediatricians 14,200 6% 8, % 624 2% % 14,824 6% 9, % % 0.1% 0.1% Specialists in Physical Medicine 62 0% % - 0% % 62 0% % % 0.0% 0.0% Plastic & Reconstructive Surgeons 1,780 1% 1, % 115 0% % 1,895 1% 1, % % 0.0% 0.0% Radiologists 47,670 20% 28, % 5,727 23% 5, % 53,397 20% 34, % % 0.2% 0.3% Radiotherapists 2,762 1% 2, % 69 0% % 2,831 1% 2, % % 0.0% 0.0% Surgeons 6,575 3% 5, % 1,134 5% 1, % 7,709 3% 6, % % 0.0% 0.0% Thoracic Surgeons 602 0% % 62 0% % 664 0% % % 0.0% 0.0% Urologists 3,839 2% 2, % 797 3% % 4,636 2% 3, % % 0.0% 0.0% Pathologists 63,276 27% 36, % 8,592 34% 7, % 71,868 27% 44, % % 0.3% 0.4% DENTISTS 184,677 11% 107, % 10,959 6% % 195,636 11% 107, % % 0.8% 1.0% DENTAL SPECIALISTS 30,873 2% 21, % 1,006 1% % 31,879 2% 21, % % 0.1% 0.2% Maxilla, Facial & Oral Surgeons 12,277 40% 8, % % % 12,403 39% 8, % % 0.1% 0.1% Oral Pathologists 1,778 6% 1, % - 0% % 1,778 6% 1, % % 0.0% 0.0% Orthodontists 12,416 40% 8, % % % 13,160 41% 8, % % 0.1% 0.1% Periodontists 2,105 7% 1, % 44 4% % 2,149 7% 1, % % 0.0% 0.0% Prosthodontists 2,297 7% 1, % 92 9% % 2,389 7% 1, % % 0.0% 0.0% TOTAL HOSPITALS 21,252 1% 26, % 2,048 1% 1, % 23,299 1% 28, % % 0.1% 0.1% PROVINCIAL HOSPITALS 1,356 6% 1, % 1,062 52% % 2,418 10% 2, % % 0.0% 0.0% Ward Fees % % 1, % % 1,658 69% 1, % % 0.0% 0.0% Theatre Fees 54 4% % - 0% - 0.0% 54 2% % % 0.0% 0.0% Consumables % % - 0% - 0.0% % % % 0.0% 0.0% Medicines dispensed % % - 0% - 0.0% % % % 0.0% 0.0% PRIVATE HOSPITALS 19,896 94% 25, % % % 20,882 90% 26, % % 0.1% 0.1% Ward Fees 8,582 43% 9, % % % 9,567 46% 9, % % 0.0% 0.0% Theatre Fees 2,491 13% 5, % - 0% - 0.0% 2,491 12% 5, % % 0.0% 0.0% Consumables 4,288 22% 5, % - 0% - 0.0% 4,288 21% 5, % % 0.0% 0.0% Medicines dispensed 4,536 23% 5, % - 0% - 0.0% 4,536 22% 5, % % 0.0% 0.0% Global / per diem fee - 0% - 0.0% - 0% - 0.0% - 0% - 0.0% % 0.0% 0.0% MEDICINES 618,689 37% 345, % 70,769 39% 35, % 689,458 37% 381, % % 2.8% 3.4% Medicines dispensed by Pharmacists 447,418 72% 233, % 65,741 93% 28, % 513,159 74% 262, % % 2.1% 2.5% Medicines dispensed by Practitioners 171,271 28% 112, % 5,029 7% 6, % 176,300 26% 118, % % 0.7% 0.9% EX-GRATIA PAYMENTS - 0% % - 0% - 0.0% - 0% % % 0.0% 0.0% OTHER BENEFITS 284,091 17% 228, % 16,578 9% 8, % 300,669 16% 237, % % 1.2% 1.5% Chiropractors 4,010 1% 2, % 102 1% % 4,112 1% 2, % % 0.0% 0.0% Chiropodists 1,645 1% 1, % - 0% % 1,645 1% 1, % % 0.0% 0.0% Optometrists & Spectacles 152,207 54% 94, % 12,526 76% 3, % 164,733 55% 98, % % 0.7% 0.8% Physiotherapists 29,753 10% 17, % 1,415 9% 1, % 31,167 10% 18, % % 0.1% 0.2% Orthoptists 100 0% % 1 0% % 101 0% % % 0.0% 0.0% Blood Transfusion 1,855 1% 1, % 97 1% % 1,953 1% 1, % % 0.0% 0.0% Speech Therapists 4,551 2% 2, % 299 2% % 4,851 2% 2, % % 0.0% 0.0% Psychologists 19,114 7% 10, % 649 4% % 19,763 7% 10, % % 0.1% 0.1% Occupational Therapy 4,353 2% 2, % 151 1% % 4,504 1% 2, % % 0.0% 0.0% Nursing 1,618 1% 1, % 60 0% % 1,678 1% 1, % % 0.0% 0.0% Appliances (supplied outside hospitals) 5,176 2% 3, % 142 1% % 5,318 2% 3, % % 0.0% 0.0% Dieticians 951 0% % - 0% % 951 0% % % 0.0% 0.0% Homeopaths 2,942 1% 1, % 125 1% % 3,067 1% 1, % % 0.0% 0.0% Ambulance Services 566 0% 1, % 29 0% % 596 0% 1, % % 0.0% 0.0% Cardiac Technologists 1,982 1% 1, % 101 1% % 2,083 1% 1, % % 0.0% 0.0% Other 53,267 19% 86, % 881 5% 2, % 54,148 18% 88, % % 0.2% 0.3% TOTAL BENEFITS 1,667, % 1,081, % 181, % 127, % 1,848, % 1,208, % % 7.6% 9.1% Page:21

23 DETAILED FINANCIAL RESULTS: REGISTERED SCHEMES ANNEXURE G for the year ended 31 December 1998 Open Dependants for Ref. Name of Medical Scheme Members Gross GCI: Total Administration expenses Total Operating Net Accumulated Net Solvency public No. 31/12/98 31 December Contributions PMPM Income As % of Expenditure Profit/(Loss) Profit/(Loss) Funds Assets Ratio R'000 R'000 R'000 GCI PMPM R'000 R'000 R'000 R'000 R' ALLCARE MEDICAL AID SCHEME 4,563 9,451 50, ,031 4,779 9% 87 47,972 2,444 3,059 3,126 3,126 6% BELAND MEDICAL AID SOCIETY 10,455 16, , ,131 10,102 8% ,099 (14,886) (9,968) 31,537 31,537 26% BESTMED MEDICAL SCHEME 17,031 24, , ,066 10,673 5% ,454 (12,882) (4,388) 20,751 30,183 11% BONITAS MEDICAL FUND 192, ,668 1,662, ,719, ,100 7% 53 1,707,755 (45,059) 12, , ,711 31% CAPE MEDICAL PLAN 24,206 36, , ,202 13,288 5% ,662 4,147 27, , ,628 48% CAREMED MEDICAL SCHEME 28,380 51, , ,005 24,176 11% 71 84,638 (3,169) 13,367 88, ,592 41% COMMERCIAL AND INDUTRIAL M.A.S (CIMAS) 12,233 17, , ,136 10,164 7% ,935 (17,424) (7,799) 65,829 65,829 48% COMMUNITY MEDICAL AID SCHEME (COMMED) 11,640 21, , ,773 15,289 13% ,966 16,030 25,806 70,332 70,332 58% COMPCARE MEDICAL SCHEME 16,772 27, , ,627 14,682 10% ,109 5,206 12,518 35,210 35,210 23% DISCOVERY HEALTH MEDICAL SCHEME 146, ,923 1,307, ,892 68,453 5% ,649 (28,677) , ,604 1% ERICA MEDICAL AID SOCIETY 2,142 3,332 24, ,807 1,901 8% 74 21,518 2,591 3,289 5,265 5,265 21% FEDSURE HEALTH 107, , , ,093 90,066 10% ,743 (22,406) (8,650) 61, ,729 7% FREE STATE MEDICAL SCHEME , , % 45 1,315 (345) 106 1,393 1,876 53% GOOD HOPE MEDICAL AID SOCIETY 4,139 11,754 22, ,029 1,873 8% 38 21,212 1,497 3,817 14,715 14,715 65% HOSMED MEDICAL AID SCHEME 40, , , ,924 18,596 10% ,319 (4,279) 5,604 32,167 32,167 17% KOPANO HEALTHCARE 20,674 34, , ,910 13,772 8% ,960 (12,144) 4,950 65,608 66,679 41% KWAZULU NATAL MEDICAL AID SCHEME 16,625 39, , ,392 15,189 13% ,875 (17,876) (40,484) (12,373) (11,373) -10% LIFEMED MEDICAL SCHEME 3,317 6,131 40,560 1,019 42,778 3,451 9% 87 41,524 (971) 1,254 11,407 11,407 28% MEDDENT MEDICAL SCHEME 51,201 93, , ,609 53,855 10% ,415 (25,762) (6,807) 104, ,826 20% MEDICAL EXPENSES DISTRIBUTION SOCIETY (MEDS) 9,418 14, ,423 1, ,406 6,863 5% ,429 (6,290) (1,023) 64,578 87,742 45% MEDICOVER ,568 25,600 90, ,254 11,598 13% 58 11,776 (270) 478 1,671 13,191 2% MEDIHELP 168, ,507 1,662, ,724,419 45,049 3% 22 1,746,983 (84,396) (22,564) 263, ,232 16% MEDIMED MEDICAL SCHEME 2,835 5,134 13, , % 29 12, ,695 11,695 11,695 87% MEDIPOS MEDICAL SCHEME 14,962 19, , ,218 9,328 7% ,371 (7,313) (5,153) (304) 194, % MEDSHIELD MEDICAL SCHEME 45, , , ,373 63,485 21% ,982 38,105 19,391 80,467 80,467 27% METHEALTH OPENPLAN MEDICAL SCHEME 32,671 68, , ,772 29,367 10% ,772 (2,652) 10,000 4,215 18,965 1% MINEMED MEDICAL SCHEME 3,207 4,662 27, ,316 2,221 8% 58 27,680 (1,677) (1,364) (1,405) 3,279-1% MUNIMED 21,311 32, , ,550 17,893 7% ,016 (19,301) 4,534 91, ,778 38% NATALMED 15,729 24, , ,139 9,278 6% ,289 (5,980) (1,150) 27,344 44,752 19% NATIONAL INDEPENDENT M.A.S. (NIMAS) 14,758 22, , ,811 6,338 6% ,044 (6,837) (2,233) 24,618 24,618 23% NATIONAL MEDICAL PLAN (NMP) 76, , , ,124 77,397 11% ,536 (34,012) (28,411) 112, ,237 16% NBC M.A.S. 13,807 23, ,441 1, ,800 19,954 10% ,853 (8,311) (53) 17,821 19,321 9% PHILA MEDICAL SCHEME 5,568 13,046 41, ,303 3,706 9% 55 36,815 4,695 6,487 18,287 18,287 44% PRO SANO MEDICAL AID SCHEME 47,172 87, , ,660 36,038 7% ,765 22,142 65, , ,305 42% PROMED MEDICAL SCHEME 5,128 10,153 30, ,379 2,562 8% 42 16,574 3,877 4,805 7,481 10,464 25% PROTEA MEDICAL AID SOCIETY 4,215 4,813 41, ,228 3,611 9% 71 37,626 1,197 2,602 10,395 10,422 25% PROVIA MEDICAL SCHEME % (123) ,631 2% Page:22