Article (5)
For the purposes of this Law, the DHA will have the duties and powers to:
1. establish policies, plans, procedures, regulations, and standards required for the implementation of
this Law;
2. pre-qualify and categorise Insurance Companies, Claim Management Companies, and Insurance
Brokers who will conduct the Health Insurance business in the Emirate in accordance with relevant
criteria approved by the DHA;
3. issue Authorisations to Health Service Providers, Insurance Companies, Claim Management
Companies, Insurance Brokers, and any other entity wishing to conduct any Health Insurance activity
in the Emirate, in accordance with the criteria and terms determined pursuant to relevant resolutions
issued by the DHA;
4. review and approve the method of presenting claims, and of payment and settlement of financial
dues arising from Health Insurance in the Emirate;
5. approve charges for the health services provided by Health Service Providers, and monitor their
compliance with approved charges;
6. approve Health Insurance packages, their prices, Co-insurance, and Health Insurance Policy forms, in
accordance with terms and criteria determined pursuant to relevant resolutions issued by the DHA;
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Law No. (11) of 2013 Concerning Health Insurance in the Emirate of Dubai
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7. establish principles and rules for data processing and protection at Insurance Com panies, Claim
Management Companies, Insurance Brokers, Health Service Providers, and any other entity dealing
with such data;
8. establish rules for transferring a Beneficiary’s Health Insurance from one Coverage Provider to
another;
9. coordinate all Health Insurance matters with Concerned Entities;
10. monitor compliance by all persons with this Law and the resolutions issued in pursuance hereof, and
take the necessary action against violators;
11. prepare and monitor the application of the policy and procedure for determining complaints and
disputes arising out of Health Insurance which are submitted to it;
12. approve and monitor the application of the policy and procedure for determining complaints and
disputes arising out of Health Insurance adopted by Health Service Providers, Insurance Companies,
Claim Management Companies, Insurance Brokers, and any establishment authorised to conduct any
Health Insurance activity in the Emirate;
13. monitor the scope of Health Benefits, and the cost of Health Insurance Policies;
14. monitor the cost of Health Benefits included in the Health Insurance Policy;
15. publish periodicals and bulletins that state the policies, guidelines, and procedures relating to
implementation of Health Insurance legislation;
16. conduct studies and research required for developing Health Insurance in the Emirate, and submit
recommendations in this regard to the Executive Council; and
17. perform any other duties required for the achievement of the objectives of this Law.
Authorisation
