The Egypt Financial Regulatory Authority has issued its first comprehensive regulatory framework for the activity of managing healthcare programmes (Third Party Administrator, TPA) in Egypt, bringing the activity within the non-banking financial services perimeter and setting licensing, governance, operational and technology requirements. The framework requires TPAs to be Egyptian joint stock companies with a single purpose and a minimum issued and paid-up capital of EGP 20 million. Licence applications must be submitted within three months of commercial registration and include corporate register extracts, board and executive composition and a five-year technical and financial feasibility study; the FRA will decide within 30 days, and licensed firms must commence activity within six months (extendable once). Additional conditions apply to self-funded healthcare programmes, including prior FRA approval, civil liability insurance with a minimum limit of EGP 5 million, and segregation of accounts from other TPA activities. The rules also set board and senior management criteria, mandate key control functions (including internal audit, compliance, complaints handling, and AML/CFT), require neutrality and documentation standards in claims management, impose data confidentiality and information security obligations, and require FRA approval before outsourcing. TPAs are prohibited from issuing, selling, marketing or brokering insurance policies, conducting insurance activities outside their licence, setting or collecting premiums or subscriptions, influencing insureds’ choice of insurer, or publishing information inconsistent with filings to the FRA. Existing companies operating before the Unified Insurance Law must apply for a temporary licence under FRA Decision No. 90 of 2025 and complete regularisation by 10 July 2026.