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Urgent Update for Employers: Major Overhaul in Kenya’s Health Insurance—What You Need to Know!

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Kenya’s healthcare financing is undergoing a drastic transformation with the transition of the National Health Insurance Fund (NHIF) to the new Social Health Insurance Fund (SHIF), effective from October 1, 2024. This change, part of the Social Health Authority’s (SHA) larger reform, aims to broaden healthcare access under the Bottom-Up Economic Transformation Agenda, pushing the country closer to Universal Health Coverage (UHC).

What’s Changing?

  • End of an Era: NHIF will no longer accept new admissions after September 30, 2024.
  • Payment Shifts: Payments up to October 9, 2024, will be credited to NHIF. Subsequent payments will go to SHA from November 9, 2024.

Employer Actions Needed:

With the introduction of the SHA Employer Portal (https://sha.go.ke/), managing healthcare contributions is entering a digital era. The portal is not just a new interface but is central to ensuring compliance and managing employee benefits efficiently. Key features include:

  • Registration and Contribution: Fast-track registration of employees and dependents, and managing contributions directly online.
  • Data Management: Updating employee details and accessing reports are streamlined to enhance transparency and accountability.
  • Verification and Contribution Deadlines: Crucial steps every employer must complete to avoid penalties and ensure continuous coverage for their staff.

How to Navigate the New System:

  1. Account Creation: Initiate by setting up your employer account on the SHA portal.
  2. Account Verification: Complete verification steps to activate your account.
  3. Employee Registration: Add all employee and dependent details as required by law.
  4. Contribution Compliance: Use the portal to remit contributions on time and keep records up-to-date.

The Real Impact:

This transition is poised to redefine not just how contributions are collected and managed, but also how health services are accessed by millions. For employers, the implications are significant. The need for timely compliance with the new system is critical to avoid any disruptions in employee health coverage.

Employers are urged to familiarize themselves with the SHA website, leverage the resources provided, and ensure all systems are in place before the upcoming deadlines. The dedicated SHA support team is available for any queries at customercare@sha.go.ke or via their toll-free number, 0800 720 601.

As Kenya edges towards a more inclusive and efficient healthcare system, understanding and adapting to these changes will be crucial for all stakeholders involved. The new SHIF system under SHA is not just a regulatory change but a fundamental shift towards a more sustainable and equitable healthcare environment in Kenya.