The Egypt Financial Regulatory Authority convened a meeting with health care programme management companies (third-party administrators, TPAs) and set out supervisory expectations as it implements the Unified Insurance Law No. 155 of 2024, which regulates TPA activity in Egypt for the first time and integrates it into the non-banking financial services framework. Under the law, TPA companies must be recorded in a dedicated register and may only operate for this purpose, including administering self-funded health care programmes for institutions and employers where the client pays the full cost of services. The Authority stressed requirements for neutrality and accuracy in claims settlement, non-discriminatory dealings with service providers, internal control systems, defined and monitored risk limits, verifying insurance coverage before sending claims to insurers, and protecting customer data except with consent or a judicial or regulatory request. Governance requirements referenced include at least one general assembly meeting annually within three months of the financial year-end, preparing financial statements and related disclosures under Egyptian accounting standards, submitting them to the Authority at least one month before the general assembly, and providing an auditor’s report from an auditor registered with the Authority. The Authority reported that six companies have obtained temporary licences to operate, with further applications under review. Board decision No. 229 of 2025 set a deadline of 10 July 2026 for firms to regularise their status, with the possibility of an extension by board decision.
Egypt Financial Regulatory Authority 2026-04-25
Egypt Financial Regulatory Authority sets governance and conduct expectations for health care programme administrators and reports six temporary licences
The Egypt Financial Regulatory Authority outlined supervisory expectations for health care programme management companies as it implements the Unified Insurance Law No. 155 of 2024, which regulates third-party administrators and integrates them into the non-banking financial services framework. Requirements cover exclusive operation as third-party administrators, registration, neutrality in claims handling, non-discriminatory dealings with providers, internal controls, risk limits, verification of coverage, data protection, and governance and financial reporting standards. The Authority noted that six companies have obtained temporary licences, with additional applications under review.