Overview
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Scheme Features
Scheme implemented since | 2020 |
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Number of products managed by the scheme and using openIMIS | 2 |
Number of households covered | N/A |
Average size of a household | N/A |
Total number of employees using openIMIS | - |
Product Features
Household contribution amount | N/A |
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Individual contribution | 31% of salary (20% employer, 11% employee) for 4 benefits (Health Insurance incl. Maternal Benefits, Employment Injury Insurance, Pension, Benefits for dependents) |
Average amount paid for a claim | |
Last Update | Dec 2021 |
Specifications of the openIMIS used:
Version | v1.5.1 (build 2021.4.12.1030) |
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Has anything been modified (customization) | Customizations done for interoperability with SSF’s in-house beneficiary and payment management system (SoSYS). |
What standards are used to code services, items, diagnosis and products | ICD 10 for diagnosis Internal coding mechanism (same as HIB Nepal) for services and items |
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Three main lessons learned:
Recommendations for Developers Committee:
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