The Council for Medical Schemes (CMS), regulator of the medical scheme industry, would like to warn the public to act with caution when dealing with Lungile Precious Myeza (Ms Myeza). Ms Myeza is not accredited in terms of the Medical Schemes Act, No. 131 of 1998 (MSA) to render broker services as a healthcare broker.
The CMS has rejected an application for accreditation as a healthcare broker for Ms Lungile Precious Myeza. Ms. Myeza applied for accreditation as a healthcare broker in terms of the MSA and indicated that she would be employed by an accredited brokerage, Tendahealth (ORG4268).
According to Dr Sipho Kabane, Acting Registrar and Chief Executive Officer (CEO) of the Council for Medical Schemes, prior to granting accreditation, applicants must satisfy CMS that they meet the academic qualification requirements. Ms. Myeza submitted a certified copy of a senior certificate (Grade 12) along with her application form. Upon verifying the contents of the certificate presented, it was confirmed that the applicant did not obtain the stated qualification and that she presented a false document in an effort to obtain accreditation. The employer was notified of the findings and considers the alleged fraudulent conduct in a serious light and will be taking the necessary steps to institute the necessary disciplinary action against the individual.
Any person providing broker services is required to comply with Section 65 and Regulation 28(B) as envisioned in the MSA - this deals amongst other things with the minimum criteria brokers have to meet including qualifications and experience.
The CMS again reminds consumers who wish to appoint healthcare brokers or brokerages for the purpose of rendering broker services, to verify beforehand with CMS or either the customer care line (0861 123 267) or on the website www.medicalschemes.com as to whether or not such entity or individual is accredited to render broker services, advised Kabane.