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A BILL FOR A LAW TO AMEND THE HEALTH INSURANCE LAW (2016 REVISION) TO ENABLE THE ISSUE OF CERTIFICATES TO APPROVED INSURERS; TO MAKE IT CLEAR THAT INSURANCE COVERAGE CAN BE OBTAINED FOR DENTAL CARE; AND FOR INCIDENTAL AND CONNECTED PURPOSES The Health Insurance (Amendment) Bill, 2017 The Health Insurance (Amendment) Bill, 2017 THE HEALTH INSURANCE (AMENDMENT) BILL, 2017 MEMORANDUM OF OBJECTS AND REASONS This Bill amends the Health Insurance Law (2016 Revision). Clause 1 of the Bill provides the short title. Clause 2 amends section 2 of the principal Law to amend the definition of the term \u201capproved insurer\u201d by including a reference to a new approval process. The clause also inserts a definition of the term \u201cregistered dental practitioner\u201d. Clause 3 inserts into the principal Law new sections 4A and 4B. The new section 4A empowers the Health Insurance Commission to issue to an insurer a certificate stating that the insurer has been approved by the Commission to provide the standard health insurance contract. The certificate would be valid for one year but could be revoked at an earlier date, if there is a breach of a condition to which the certificate is subject. One such condition is that the holder of the certificate shall provide cover to individuals, groups and organizations under the terms and conditions of a contract of health insurance. Where the holder of the certificate acts in contravention of the principal Law, the new section 4B would empower the Commission to either revoke the certificate or order the holder of the certificate to cease the illegal activity. Clause 4 of the Bill amends section 8 of the principal Law to correct a clerical error. Clause 5 amends section 20 of the principal Law to make it clear that insurance coverage can be obtained for dental care as well as for medical care. Clause 6 amends section 23 of the principal Law to enable a person aggrieved by the Commission\u2019s decision in respect of the issue of an approved insurer certificate or the decision to revoke the certificate, to appeal to the Grand Court. Clause 7 contains transitional provisions in respect of existing approved insurers. The Health Insurance (Amendment) Bill, 2017 THE HEALTH INSURANCE (AMENDMENT) BILL, 2017 ARRANGEMENT OF CLAUSES\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_1\", \"num\": \"1.\", \"text\": \"Short title\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_2\", \"num\": \"2.\", \"text\": \"Amendment of section 2 of the Health Insurance Law (2016 Revision) - definitions\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_3\", \"num\": \"3.\", \"text\": \"Insertion of sections 4A and 4B - approved insurer certificate; cease and desist orders\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_4\", \"num\": \"4.\", \"text\": \"Amendment of section 8 - premium of dependants\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_5\", \"num\": \"5.\", \"text\": \"Amendment of section 20 - recovery of payment by provider of a health benefit\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_6\", \"num\": \"6.\", \"text\": \"Amendment of section 23 - appeals\", \"element\": \"section\", \"heading\": null}, {\"eId\": \"sec_7\", \"num\": \"7.\", \"text\": \"Transitional provisions The Health Insurance (Amendment) Bill, 2017 A BILL FOR A LAW TO AMEND THE HEALTH INSURANCE LAW (2016 REVISION) TO ENABLE THE ISSUE OF CERTIFICATES TO APPROVED INSURERS; TO MAKE IT CLEAR THAT INSURANCE COVERAGE CAN BE OBTAINED FOR DENTAL CARE; AND FOR INCIDENTAL AND CONNECTED PURPOSES ENACTED by the Legislature of the Cayman Islands. 1. This Law may be cited as the Health Insurance (Amendment) Law, 2017. 2. The Health Insurance Law (2016 Revision) is amended in section 2 as follows - (a) in the definition of the words \u201capproved insurer\u201d by inserting after the words \u201capproved by the Commission\u201d the words \u201c, under section 4A(3)(a) of this Law,\u201d; (b) by inserting, after the definition of the words \u201cprescribed health care benefits\u201d, the following definition - \u201c \u201cregistered dental practitioner\u201d means a person registered to practise dentistry under the Health Practice Law (2013 Revision);\u201d; and (c) in the definition of the words \u201cregistered medical practitioner\u201d by inserting after the words \u201cLaw (2013 Revision)\u201d the words \u201cand includes a registered dental practitioner\u201d. Short title Amendment of section 2 of the Health Insurance Law (2016 Revision) - definitions The Health Insurance (Amendment) Bill, 2017 3. The principal Law is amended by inserting after section 4 the following sections - \u201cApproved insurer certificate Law 32 of 2010 4A. (1) An insurer licensed under the Insurance Law, 2010 as a Class \u201cA\u201d insurer shall make written application to the Commission for approval to provide the standard health insurance contract. (2) An application under subsection (1) shall be accompanied by a fee of one thousand five hundred dollars. (3) On receipt of an application by an insurer under subsection (1) and the fee specified under subsection (2), the Commission shall consider the application and may - (a) grant the insurer approval to provide the standard health insurance contract; or (b) reject the application and return the fee. (4) Where approval is granted under subsection (3)(a), the Commission shall issue to the insurer a certificate stating that the insurer has been approved by the Commission to provide the standard health insurance contract. (5) A certificate issued under subsection (4) shall be subject to - (a) a condition that the holder of the certificate shall provide cover to individuals, groups and organizations under the terms and conditions of a contract of health insurance; and (b) such other conditions as the Commission sees fit; and, subject to section 4B(1)(a), the Commission may revoke the certificate upon breach of any condition. (6) A certificate issued under subsection (4) shall be valid for a period of one year unless earlier Insertion of sections 4A and 4B - approved insurer certificate; cease and desist orders The Health Insurance (Amendment) Bill, 2017 revoked under subsection (5). Cease and desist orders (2016 Revision) 4B. (1) Subject to subsection (2), where the Commission makes a determination that there are reasonable grounds for believing that the holder of a certificate issued under section 4A(4) - (a) failed to comply with a condition of the certificate; (b) prepared or submitted false or misleading information to the Commission; (c) failed to contribute or meet its obligation to the segregated insurance fund established under the Health Insurance Commission Law (2016 Revision); or (d) is acting in contravention of this Law or any regulations made under this Law, the Commission may revoke the certificate or may order the holder of the certificate - (i) to cease or refrain from committing the act; (ii) to cease the issuing of any new contract of health insurance that would provide health insurance cover in respect of healthcare benefits relating to a legal resident; and (iii) to carry out such acts as in the opinion of the Commission are necessary to remedy the matter. (2) Before making a determination under subsection (1) in relation to the holder of a certificate, the Commission shall - (a) advise the holder of the certificate, in writing, of the nature of the conduct alleged against the holder; (b) provide an opportunity for the holder of the certificate to give an explanation of the alleged conduct; The Health Insurance (Amendment) Bill, 2017 and (c) take into consideration any explanation given by the holder of the certificate. (3) An order under subsection (1)(i), (ii) and (iii) shall - (a) state the nature of the alleged conduct and the name of the approved insurer against whom the allegation is made; and (b) be accompanied by documents, if any, in support of the allegation.\u201d. 4. The principal Law is amended in section 8 by deleting the words \u201cof the premiums under the\u201d and substituting the words \u201cof the\u201d. 5. The principal Law is amended in section 20 by inserting after the words \u201cmedical care\u201d wherever they appear, the words \u201cor dental care\u201d. 6. The principal Law is amended in section 23(1) by inserting after the words \u201cA person aggrieved\u201d the words \u201cby a decision of the Commission under section 4A, 4B or\u201d. 7. (1) An existing approved insurer shall, within ninety days of the coming into force of this Law, make written application under section 4A(1) of the principal Law for approval to provide the standard health insurance contract and the provisions of that section shall apply with any necessary changes except that the Commission shall consider the application for no more than ninety days before deciding whether to grant the approval or reject the application. (2) In this section - \u201cCommission\u201d and \u201cstandard health insurance contract\u201d have the respective meanings assigned to those expressions by section 2 of the principal Law; and Amendment of section 8 - premium of dependants Amendment of section 20 - recovery of payment by provider of a health benefit Amendment of section 23 - appeals Transitional provisions The Health Insurance (Amendment) Bill, 2017 \u201cexisting approved insurer\u201d means an insurer who, at the coming into force of this Law, is licensed under the Insurance Law, 2010 as a Class \u201cA\u201d insurer and approved by the Commission to provide standard health insurance contracts. Passed by the Legislative Assembly the       day of , 2017. Speaker. 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The\nclause also inserts a definition of the term \u201cregistered dental practitioner\u201d.\n\nClause 3 inserts into the principal Law new sections 4A and 4B. The new section\n4A empowers the Health Insurance Commission to issue to an insurer a\ncertificate stating that the insurer has been approved by the Commission to\nprovide the standard health insurance contract. The certificate would be valid for\none year but could be revoked at an earlier date, if there is a breach of a condition\nto which the certificate is subject. One such condition is that the holder of the\ncertificate shall provide cover to individuals, groups and organizations under the\nterms and conditions of a contract of health insurance.\n\nWhere the holder of the certificate acts in contravention of the principal Law, the\nnew section 4B would empower the Commission to either revoke the certificate\nor order the holder of the certificate to cease the illegal activity.\n\nClause 4 of the Bill amends section 8 of the principal Law to correct a clerical\nerror.\n\nClause 5 amends section 20 of the principal Law to make it clear that insurance\ncoverage can be obtained for dental care as well as for medical care.\n\nClause 6 amends section 23 of the principal Law to enable a person aggrieved by\nthe Commission\u2019s decision in respect of the issue of an approved insurer\ncertificate or the decision to revoke the certificate, to appeal to the Grand Court.\n\nClause 7 contains transitional provisions in respect of existing approved insurers.\n\nThe Health Insurance (Amendment) Bill, 2017\n\n4\nTHE HEALTH INSURANCE (AMENDMENT) BILL, 2017\n\nARRANGEMENT OF CLAUSES\n\n1.\nShort title\n2.\nAmendment of section 2 of the Health Insurance Law (2016 Revision) -\n\ndefinitions\n3.\n Insertion of sections 4A and 4B - approved insurer certificate; cease and\n\ndesist orders\n4.\nAmendment of section 8 - premium of dependants\n5.\nAmendment of section 20 - recovery of payment by provider of a health\n\nbenefit\n6.\nAmendment of section 23 - appeals\n7.\nTransitional provisions\n\nThe Health Insurance (Amendment) Bill, 2017\n\n5\n\nCAYMAN ISLANDS\n\nA BILL FOR A LAW TO AMEND THE HEALTH INSURANCE LAW\n(2016 REVISION) TO ENABLE THE ISSUE OF CERTIFICATES TO\nAPPROVED INSURERS; TO MAKE IT CLEAR THAT INSURANCE\nCOVERAGE CAN BE OBTAINED FOR DENTAL CARE; AND FOR\nINCIDENTAL AND CONNECTED PURPOSES\n\nENACTED by the Legislature of the Cayman Islands.\n1.\nThis Law may be cited as the Health Insurance (Amendment) Law, 2017.\n2.\nThe Health Insurance Law (2016 Revision) is amended in section 2 as\nfollows -\n(a)\nin the definition of the words \u201capproved insurer\u201d by inserting\nafter the words \u201capproved by the Commission\u201d the words \u201c,\nunder section 4A(3)(a) of this Law,\u201d;\n(b) by inserting, after the definition of the words \u201cprescribed health\ncare benefits\u201d, the following definition -\n\u201c \u201cregistered dental practitioner\u201d means a person registered to\npractise dentistry under the Health Practice Law (2013\nRevision);\u201d; and\n(c)\nin the definition of the words \u201cregistered medical practitioner\u201d by\ninserting after the words \u201cLaw (2013 Revision)\u201d the words \u201cand\nincludes a registered dental practitioner\u201d.\nShort title\nAmendment of section 2\nof the Health Insurance\nLaw (2016 Revision) -\ndefinitions\n\nThe Health Insurance (Amendment) Bill, 2017\n\n6\n3.\nThe principal Law is amended by inserting after section 4 the following\nsections -\n\u201cApproved insurer\ncertificate\nLaw 32 of 2010\n4A. (1) An insurer licensed under the Insurance\nLaw, 2010 as a Class \u201cA\u201d insurer shall make written\napplication to the Commission for approval to provide\nthe standard health insurance contract.\n(2) An application under subsection (1) shall\nbe accompanied by a fee of one thousand five hundred\ndollars.\n(3) On receipt of an application by an insurer\nunder subsection (1) and the fee specified under\nsubsection (2), the Commission shall consider the\napplication and may -\n(a)\ngrant the insurer approval to provide\nthe standard health insurance contract;\nor\n(b) reject the application and return the\nfee.\n(4) Where approval is granted under subsection\n(3)(a), the Commission shall issue to the insurer a\ncertificate stating that the insurer has been approved\nby the Commission to provide the standard health\ninsurance contract.\n(5) A certificate issued under subsection (4)\nshall be subject to -\n(a)\na condition that the holder of the\ncertificate shall provide cover to\nindividuals, groups and organizations\nunder the terms and conditions of a\ncontract of health insurance; and\n(b) such\nother\nconditions\nas\nthe\nCommission sees fit;\nand, subject to section 4B(1)(a), the Commission may\nrevoke the certificate upon breach of any condition.\n(6) A certificate issued under subsection (4)\nshall be valid for a period of one year unless earlier\nInsertion of sections 4A\nand 4B - approved\ninsurer certificate; cease\nand desist orders\n\nThe Health Insurance (Amendment) Bill, 2017\n\n7\nrevoked under subsection (5).\nCease and desist orders\n\n(2016 Revision)\n4B. (1) Subject to subsection (2), where the\nCommission makes a determination that there are\nreasonable grounds for believing that the holder of a\ncertificate issued under section 4A(4) -\n(a)\nfailed to comply with a condition of\nthe certificate;\n(b) prepared\nor\nsubmitted\nfalse\nor\nmisleading\ninformation\nto\nthe\nCommission;\n(c)\nfailed to contribute or meet its\nobligation to the segregated insurance\nfund established under the Health\nInsurance Commission Law (2016\nRevision); or\n(d) is acting in contravention of this Law\nor any regulations made under this\nLaw,\nthe Commission may revoke the certificate or may\norder the holder of the certificate -\n(i)\nto\ncease\nor\nrefrain\nfrom\ncommitting the act;\n(ii) to cease the issuing of any new\ncontract of health insurance that\nwould provide health insurance\ncover in respect of healthcare\nbenefits relating to a legal\nresident; and\n(iii) to carry out such acts as in the\nopinion of the Commission are\nnecessary to remedy the matter.\n(2) Before making a determination under\nsubsection (1) in relation to the holder of a certificate,\nthe Commission shall -\n(a)\nadvise the holder of the certificate, in\nwriting, of the nature of the conduct\nalleged against the holder;\n(b) provide an opportunity for the holder\nof\nthe\ncertificate\nto\ngive\nan\nexplanation of the alleged conduct;\n\nThe Health Insurance (Amendment) Bill, 2017\n\n8\nand\n(c)\ntake\ninto\nconsideration\nany\nexplanation given by the holder of the\ncertificate.\n(3) An order under subsection (1)(i), (ii) and\n(iii) shall -\n(a)\nstate the nature of the alleged conduct\nand the name of the approved insurer\nagainst whom the allegation is made;\nand\n(b) be accompanied by documents, if any,\nin support of the allegation.\u201d.\n4.\nThe principal Law is amended in section 8 by deleting the words \u201cof the\npremiums under the\u201d and substituting the words \u201cof the\u201d.\n5.\nThe principal Law is amended in section 20 by inserting after the words\n\u201cmedical care\u201d wherever they appear, the words \u201cor dental care\u201d.\n6.\nThe principal Law is amended in section 23(1) by inserting after the words\n\u201cA person aggrieved\u201d the words \u201cby a decision of the Commission under section\n4A, 4B or\u201d.\n7.\n(1) An existing approved insurer shall, within ninety days of the coming\ninto force of this Law, make written application under section 4A(1) of the\nprincipal Law for approval to provide the standard health insurance contract and\nthe provisions of that section shall apply with any necessary changes except that\nthe Commission shall consider the application for no more than ninety days\nbefore deciding whether to grant the approval or reject the application.\n(2) In this section -\n\u201cCommission\u201d and \u201cstandard health insurance contract\u201d have the respective\nmeanings assigned to those expressions by section 2 of the principal Law; and\n\nAmendment of section 8\n- premium of dependants\nAmendment of section\n20 - recovery of\npayment by provider of\na health benefit\nAmendment of section\n23 - appeals\nTransitional provisions\n\nThe Health Insurance (Amendment) Bill, 2017\n\n9\n\u201cexisting approved insurer\u201d means an insurer who, at the coming into force of\nthis Law, is licensed under the Insurance Law, 2010 as a Class \u201cA\u201d insurer and\napproved by the Commission to provide standard health insurance contracts.\n\nPassed by the Legislative Assembly the       day of\n   , 2017.\n\nSpeaker.\n\nClerk of the Legislative Assembly.","akn_extracted_at":"2026-06-22 15:41:08.815365+00","cms_id":"2017-0002","law_type":"bill","year":"2017","number":"2","title":"2017-0002","status":"bill"},"provenance":{"files":[{"file_id":"6903","expr_id":"3","kind":"akn_xml","filename":"2017-0002.akn.xml","source_url":null,"storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2017\/2017-0002\/2017-0002.akn.xml","content_md5":"634fa949478307b5683ad874e098dde6","byte_size":"12367","http_last_modified":null,"fetched_at":"2026-06-22 15:41:08.900094+00"},{"file_id":"5","expr_id":"3","kind":"pristine_pdf","filename":"2017-0002.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2017\/2017-0002\/2017-0002.pdf","storage_path":"\/Users\/q\/kyleg-data\/pristine\/BILLS\/2017\/2017-0002\/2017-0002.pdf","content_md5":"7da21f3ce85c77020813e896c66417ed","byte_size":"115111","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.228461+00"},{"file_id":"6","expr_id":"3","kind":"working_pdf","filename":"2017-0002.pdf","source_url":"\/cms\/images\/LEGISLATION\/BILLS\/2017\/2017-0002\/2017-0002.pdf","storage_path":"\/Users\/q\/kyleg-data\/working\/BILLS\/2017\/2017-0002\/2017-0002.pdf","content_md5":"7da21f3ce85c77020813e896c66417ed","byte_size":"115111","http_last_modified":null,"fetched_at":"2026-06-16 04:01:11.228461+00"}],"paragraph_count":28,"latest_history":null},"quality":{"expr_id":"3","doc_id":"3","quality_state":"known_issue","quality_score":"67","needs_human_review":"t","deterministic_categories":"{duplicate_text,page_header_footer_noise,title_mismatch}","llm_categories":"{}","repair_actions":"{collapse_duplicate_text,strip_page_furniture,verify_title_metadata}","finding_severity_counts":"{\"low\": 2, \"high\": 1}","finding_summary":"stored title is not visible in the opening extracted text; 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