551/1991.
LAW
The Czech National Council
of 6 May 1999. December 1991
about General health insurance company in the Czech Republic
Change: 592/1992 Coll., 10/1993.
Change: 60/1995 Sb.
Change: 149/1996 Coll.
Change: 48/1997 Coll.
Change: 305/1997.
Change: 93/1998 Coll.
Change: 127/1998 Coll.
Change: 127/1998 Coll. (part)
Change: 69/2000 Sb.
Change: 132/2000 Coll., 220/2000 Sb.
Change: 49/2002 Sb.
Change: 420/2003 Coll., 455/2003 Coll.
Change: 438/2004 Sb.
Change: 117/2006 Sb.
Change: 261/2007 Coll. 296/2007Sb.
Change: 362/2009 Sb.
Change: 188/2007 Sb.
Change: 298/2007 Sb.
Change: 369/2011 Sb.
Change: 458/2011 Coll. (part)
Change: 60/2014 Sb.
Change: 109/2014 Sb.
Change: 458/2011 Coll. 256/2014 Sb.
Change: 200/2015 Sb.
The Czech National Council decided on the following Act:
PART THE FIRST
Basic provisions
§ 1
General health insurance company is established in the Czech Republic (hereinafter referred to as
"Insurance company") based in Prague.
§ 2
(1) the insurance company performs public health insurance if this
the insurance industry and departmental, are not carried out corporate health
the insurance company.
(2) an insurance undertaking is a legal person in legal relations performs its
on behalf of, you may acquire rights and obligations and the responsibility of these
relations arising.
(3) an insurance undertaking shall not carry out recruitment of policy holders through third
person and not in recruiting policy holders to provide or offer these
the insured in connection with signing up to the insurance undertaking or its
to the insured or third parties in connection with the recruitment of the insured
no monetary or non-monetary performance or other benefit above and beyond the performance
provided the insured public health insurance, and it
even in the case that this performance benefit is paid for or from other sources
than from funds resulting from public health insurance.
PART TWO
The Management Of The Insurance Undertaking
§ 3
The insurance company is running its own assets and the assets entrusted to it.
§ 4
Revenue Insurance include:
and) payment of insurance premiums from policyholders, employers and the State,
(b)) own resources created by the use of the funds of the insurance undertaking,
(c) revenue arising from the price increases) to premiums, fines and fees
late payments charged to the insurance company,
d) donations and other revenue.
§ 5
Expenses Insurance include:
and payments for provided health) services paid for from the public
health insurance (hereinafter referred to as "paid services") under the treaties
concluded with persons authorized to provide health services in accordance with
the law on health services (hereinafter referred to as "provider"),
(b) other health insurance) payments or other entities on the basis of
contracts for financial settlement of payments for chargeable services provided
the insured the insurance undertaking,
(c) the costs for) emergency care insured in the pumped
foreign countries and the costs for health services, pumped by the insured person in
another Member State of the European Union, pursuant to section 14 of the Act on public
health insurance ^ 1a)
(d) the cost of the insurance company) pursuant to section 2 para. 1, in addition to the cost of
referred to in (a)), b) and (c)),
(e) the payment of amounts exceeding) the limit for supplements for medicinal products
and foods for special medical purposes, partially covered by the public
health insurance or payment of the share of such amounts in the case of
changes to health insurance by the insured person under the conditions laid down
special legislation ^ 1b),
(f) for health services) of the remittance and reimbursement of costs incurred by the insured person
on health services pumped in European Union Member States,
The European economic area or the Swiss Confederation pursuant to
the directly applicable European Union legislation governing the coordination of
of social security systems and in accordance with international agreements in the field of
social security,
(g) the payment of the amounts provided under) § 40 paragraph 2. 3 and 4 of the Act on public
health insurance providers for covered services.
§ 6
(1) the budget of the insurance undertaking is established and implemented so that the expenditure
nepřevýšily income Insurance in the relevant financial year. The difference
between income and expenditures are zúčtovává in annual statements to reserve
the Fund.
(2) an insurance undertaking is required to ensure through auditor ^ 2) or
legal person, who is registered in the list of Auditors ^ 2) (hereinafter referred to as
"auditor"),
and verification of the accounts of insurance undertakings),
(b) the draft annual report) the verification of the insurance undertaking for the corresponding year.
(3) an insurance undertaking is required to follow up on the terms set out
The Ministry of finance for the submission of the draft State budget and
the State final account, submit to the Department of health and
The Ministry of finance to draft the following health insurance plan
calendar year, financial statements and draft annual reports for the last
the calendar year and the auditor's report. ^ 3)
(4) the proposal for a health insurance plan, the draft annual financial statements and the
last year, the report referred to in paragraph 3, approve the Government
The Chamber of deputies of the Parliament following the hearing dates
the draft State budget and State accounts. Approved by the
health insurance plan and the approved annual report and audited
closing the insurance company shall publish in a way allowing remote access.
(5) if the health insurance plan, insurance companies approved before 1.
before 1 January of the calendar year, the activities of the insurance undertaking in
the approval of the health insurance plan provizoriem laid down
The Ministry of health, in agreement with the Ministry of finance. The Foundation of
for the determination of provisional health insurance plan is a proposal to
of the calendar year.
(6) Health insurance plan contains the schedule of revenue and expenditure of the insurance undertaking
including a breakdown by individual funds, the expected evolution of the structure
policy holders, plan operational costs, data about the scope of covered services
covered by the Insurance, a way to ensure the availability of services offered
The insurance company, including the projected system of providers with whom
The insurance company enters into a contract for the provision and payment of covered services.
(7) the proceeds from the fines, the price increases to premiums and penalties to be imposed in accordance with
the specific legislation governing the public health
insurance ^ 3a) and received by the Insurer during a calendar year may
Insurance undertaking to allocate to the Fund; These allocations to fund prevention
can be used during a calendar year to perform as a deposit, so that their
the total amount for the calendar year does not exceed 0.3% of the total
income premiums after reallocation of carried out according to the law of insurance
for general health insurance. ^ 3b)
(8) the Ministry of health and the Ministry of finance will examine the
proposal for a health insurance plan for compliance with the
legislation and are consistent with the public interest.
(9) if the disability insurance plan proposal is contrary to the legislation of
or the public interest, the Ministry of Health Insurance proposal returns
health insurance plan for reprocessing.
(10) in the case where the Ministry of health and the Ministry of finance
After the assessment of compliance with the health insurance plan and legislation
the public interest found that health insurance plan design is not with
These aspects of the conflict, present health insurance plan
the Government.
§ 7
(1) the insurance company creates and manages these funds:
and the underlying fund); the source of the underlying fund are insurance payments to the
health insurance premiums and other receipts to the extent
an implementing regulation. Basic health insurance fund
is used to pay for covered services, for allocations to the operational fund to
cover the costs of the activities of insurance companies, to other allocations of funds and to
the next payments to the extent provided by the law on public health
insurance or the implementing regulation, in accordance with paragraph 3 and to
the payment amounts in excess of the limit for supplements for medicinal products and
foods for special medical purposes, partially covered by the public
health insurance or to pay the share of such amounts in
If changes to health insurance by the insured person, under the conditions laid down
special legislation ^ 1b)
(b)) the reserve fund; the amount of the reserve fund amounts to 1.5% of the average annual
the expense of the basic health insurance fund for insurance companies
the immediately preceding three calendar years. The reserve fund is formed
allocations from the transfer of the balance of the basic insurance fund.
The insurance company can use a maximum of 30% of the funds of the reserve
the Fund to purchase Government securities, securities of State
securities issued by local authorities, publicly-traded
bonds issued by commercial companies and admitted to trading on
regulated market ^ 10), publicly traded shares and participation certificates
admitted to trading on a regulated market and Treasury bills
The Czech National Bank; These securities and Treasury bills of the Czech
the National Bank will remain part of the reserve fund. Reserve Fund
uses the insurance company to cover the deficits of the underlying fund and to cover the
covered services in cases of occurrence of mass disease and natural
disasters or significant decrease of involuntary choice insurance company
insurance premiums; the amount of the reserve fund may in this case fall within the
during a calendar year under the minimum amount. Unless the case referred
in the previous sentence, the insurance undertaking is required to maintain a reserve fund in the
the specified amount,
c) operational fund
(d)) of the Social Fund,
(e) the Fund assets)
(f) the reproduction of the pool of assets.)
(2) an insurance undertaking may create a Fund for prevention. Prevention Fund over the
beyond the covered services pay for health services with a proven
preventive, diagnostic or therapeutic effect, when they are provided
the insured in connection with their existing or imminent
the disease. Prevention Fund can also be used to implement the
preventive health programs for the detection of serious
diseases, to support recovery activities leading to rehabilitation
verifiable improvement of health of insured persons and to support the
projects in support of increasing the quality of health services, healthy
way of life and the health of insured persons. The source of the Fund are the financial
resources from the share of the profit after tax fixed
by the governing bodies of an insurance undertaking of activities which are beyond the scope of the implementation of the
public health insurance the insurance company performs in accordance with the laws of
and the insurance companies, and funds under section 6 (1). 7.
(3) the Ministry of finance, after consultation with the Ministry of health
provides a more detailed definition of the law of the circuit, and the amount of revenue and
the expenditure of the funds referred to in paragraph 1, the conditions for their creation, use,
the admissibility of the reciprocal transfers of funds and management of
them, limit the cost of the activity under section 5 (b). d) covered from sources
the basic Fund of funds received from income pursuant to section 4 (b).
and), fines and compensation of the cost of care paid for by the health insurance
incurred as a result of the infringement against the insured person ^ 10),
the insurance company can apply to the formation of the operational fund for each financial
period, including the calculation of this limit.
(4) Social Fund Balances or other Fund created in
under allowed limit the maximum amounts of the costs to the activity and the maximum
the amount of the expenditure on the acquisition of tangible and intangible assets in the flow
accordance with the decision of the Administrative Council for the benefit of employees of the insurance undertaking
is transferred to 1. January 1999 as an extraordinary allocation of the Social Fund.
If the insurance company created within this limit operational fund converts
his balance to the following period. Financial balances other
Special purpose funds is transferred to 1. January 1999 as an extraordinary allocation
the reserve fund. If the insurance reserve fund, converts
Special-purpose funds in the basic balances of the Fund. The transfer of other balances
Special purpose funds does the insurance company in accordance with the conditions laid down in
the Decree of the Ministry of finance with the use of a new chart of bridges
the outline.
(5) the financial resources of the insurance undertaking must be deposited in a bank enjoying
the advantages of the single licence according to the law of the European Union.
(6) an insurance undertaking may establish and operate a provider ^ 5) and
^ 6) with business resources resulting from public health insurance.
(7) a fine imposed under this Act or to a special legal
the undertaking is obliged to pay for the prescription from the resources of the operational fund.
Section 7a
(1) Control activities performed by the Ministry of health in Insurance
cooperation with the Ministry of finance. If it finds this Ministry
serious deficiencies in the activity of insurance companies, in particular, failure to comply with this
law, legislation on public health insurance or an approved
a disability insurance plan, is entitled to according to the nature of the identified
the lack of
and require that the insurance company) within the prescribed period jumped into the axle,
in particular, it said its activities in accordance with this Act, the provisions on the
public health insurance and disability insurance-approved plan,
(b)) Administration for a period of up to one year.
(2) in the case of receivership are subject to the decisions and legal actions
Director of insurance companies, and other bodies of the insurance undertakings, approval of the compulsory
Administrator, otherwise they are invalid. Fiduciary is authorized to do
decisions and legal acts which otherwise pertain to the Director of the insurance company
Insurance company or any other body.
(3) on making a decision about the receivership are subject to the General provisions on the
administrative proceedings, ^ 7) unless this Act provides otherwise. A participant in the
the management of the insurance undertaking is. Brought by the breakdown against the decision on the introduction of forced
the Administration does not have suspensory effect. Decision establishing the compulsory
Administration, it also contains name, last name and social security number of the administrator.
(4) the Manager is an employee of the Ministry of health or
The Ministry of finance. The administrator is authorized to hire to perform forced
managing other people. The administrator and the person přibrané for the performance of the Administration
they are entitled to get all the facts concerning the
The insurance company. They are also required to maintain about these facts
confidentiality; This obligation shall also apply after the termination of the receivership.
(5) the administrator may waive the obligations of confidentiality the Minister of health
at the request of the authority of a law enforcement agency, if the criminal proceedings
in the context of major shortcomings in the activities of the insurance undertaking for which
the receivership was introduced.
§ 8
(1) an insurance undertaking shall be obliged to always within 60 days after the end of the calendar
quarter to submit the Ministry of health and Ministry of finance
the report of its management. The method of administration of the information and their
the scope of the Ministry of health shall lay down, in agreement with the Ministry of
Finance of the implementing regulation. In the case of finding the balance
the imbalance is also obliged to submit to the Department of health and
The Ministry of finance. The Ministry of health after
consultation with the Ministry of Finance shall submit a draft of the measures to the Government.
The Ministry of health shall inform the public on the management of the insurance undertaking
through the media.
(2) in the event of the insolvency of the insurance company guarantees payment of the
the cost of covered services provided after the exhaustion of resources
the reserve fund in the State budget of the Czech Republic in the form of repayable
the financial bailout.
(3) the volume of returnable financial assistance from the State budget can do
not more than 50% of the proven lack of funds caused by the
an increased range of provided covered services. For the provision of repayable
the financial bailout, the Government decides on a proposal from the Minister of health after
in agreement with the Minister of finance.
§ 9
The insurance company is required to provide a separate register of funds and separate
the register of property and the use of financial resources. The insurance company is
obliged to keep accounts according to the specific chart of accounts and accounting
for health insurance, issued by the Ministry of finance.
§ 10
Insurance company creates its own accounting and information system, which must
follow up on State statistical records and respect the requirements
conclusiveness.
§ 11
(1) an insurance undertaking is required to pass free of charge, the Ministry of health
on the basis of his claim, information from the information system referred to in section 24,
that the Ministry of Health's requests as necessary for the performance of their
the scope of when
and reimbursement mechanisms of formation) public health
insurance,
(b) monitoring of local and time) the availability of health services,
(c) maintaining and developing the system) the redistribution of the insurance, or
(d)) to monitor economic efficiency of health services.
(2) an insurance undertaking is required to pass free of charge, the Ministry of Finance on the
the basis of his claim, information referred to in paragraph 1 (b). (c)), and (d)), which
The Ministry of finance will require as necessary for the exercise of their jurisdiction.
(3) an insurance undertaking is required to pass free of charge, the Czech Statistical Office
on the basis of his claim, information from the information system referred to in section 24,
that the Czech Statistical Office's requests as necessary for the performance of their
the scope of the ^ 11), in particular for the compilation of Medical account
of the Republic.
(4) the transmission of the information referred to in paragraphs 1 to 3 shall not affect the
the provisions of other legislation governing the protection of personal
of the data.
PART THREE
The organizational structure of an insurance undertaking
§ 12
(1) the organisational structure of the insurance undertaking consists of Headquarters, regional offices
(usually, one regional branch for higher territorial self-governing unit)
and other client departments. Regional offices and client departments
departments are undertaking, acting and performing
activities on behalf of the insurance company.
(2) the headquarters of the Organization, as well as indicate the Organization, location, territorial
the scope and tasks of the regional offices and client sites modifies the
the organizational order of the insurance company.
section 13 of the
The headquarters of the
(1) the headquarters of the activities of the organizational units of the insurance undertaking.
(2) the Headquarters carries out the decisions of the Board, decides on the activities of the
Insurance companies, secures interoperability with public authorities, other bodies
public administration, legal and natural persons and other activities
related to the implementation of public health insurance.
§ 14
the title launched
(1) the statutory body of the insurance undertaking is the Director. Director Of Insurance Company
the Board appoints and replaces the insurance company.
(2) the head of the regional offices is the Director of the regional offices, which
appoints and dismisses the Director of an insurance company.
§ 15
the title launched
(1) the Director of the insurance company is appointed for a term of 4 years. Director Of Insurance Company
can be revoked before the expiry of the period to which he was appointed.
(2) the Director of the insurance company may be appointed as the person who
and) is fully enjoys the
(b)) is a record, and
(c)) has a degree.
(3) for integrity, for the purposes of this Act, the person shall be deemed to
has not been lawfully convicted of a crime for financial or
an intentional criminal act, if it does not look as if he has not been convicted.
Integrity shall be evidenced by a statement of convictions, which must not
be older than 3 months.
(4) the Director of the insurance company shall not be a person who
and) is the head of an employee or a member of the authority, other health
insurance companies,
(b)) is a distributor of medicinal products or medical devices,
or a manufacturer of medicinal products or medical devices,
(c)) is a companion, a statutory body or a member of the body of a legal
a person who is a distributor of medicines or medical
resources, or a manufacturer of medicinal products or medical
resources,
(d)) is a provider with whom the Insurer has contracted for the provision of
and payment of covered services, and the provision of paid services is
the predominant activities of that person,
(e)) is a companion, a statutory body or a member of the body of a legal
persons providing health services according to the law on health services,
with which an insurance undertaking has concluded the contract for the provision and payment of paid
services, and the provision of paid services is the predominant activity of this
of the person,
(f)) is a companion, a statutory body or a member of the body of a legal
the person who is the supplier of goods or services to the insurance undertaking, or
g) as individual entrepreneur provides goods or services to the insurance company.
(5) in the absence of the barriers referred to in paragraph 4 shall certify the person an honorary
statement. In a sworn statement a person is obliged to give true
data supply to the original signature or its recognized
electronic signature and delivered to the insurance company no later than on the day of
preceding the date the beginning of the performance of the duties of the Director of the insurance undertaking, otherwise
the person of the Director of the insurance undertaking shall cease to exist.
(6) the Director of an insurance undertaking shall without undue delay notify the
The Management Board, that there was any of the facts referred to in
paragraph 4, which prevent the performance of the duties of the Director of an insurance company.
(7) the performance of the functions of the Director of the insurance company ends
and the date of expiry of term of Office)
(b)),
(c)) date of receipt of written statement of resignation or the date of
make the notification referred to in paragraph 6, that no longer meets the conditions for
the performance of the functions of the Director, the Management Board of the insurance undertaking,
(d)) on the date of acquisition of the decision about the offence under section 23a
paragraph. 1 (b). and) or (b)),
(e)) the date of application of the judgment on the restriction of incapacitation
(f) the date of application) of the judgment to which he was sentenced for the crime of
the Act referred to in paragraph 3, or
g) death, Declaration of death or the date declared missing.
(8) If a Director of the insurance company before the end of his
term of Office, the Board shall appoint the Director of the insurance company
no later than 60 calendar days. Pending the appointment of a new Director
The insurance company performs this function to the senior employee Insurance, which
the performance of this function shall instruct the Management Board.
section 16 of the
cancelled
PART FOUR
Authorities Of The Insurance Undertakings
§ 17
(1) the authorities of insurance companies are the Management Board and the Supervisory Board.
(2) an insurance undertaking is provided via the authorities of the participation of insured persons
Insurance companies, employers and insured persons of the State in the management of the insurance undertaking.
section 18
(1) a member of the authority of the insurance undertaking or its alternate member may only be
upstanding citizen of the Czech Republic with permanent residency on the territory of the United
Republic who has reached the age of at least 25 years old and is fully qualified to do
legal acts. A member of the authority of the insurance company and an Executive Headquarters,
Alternatively, a Senior Executive of the business unit or their lower
a Deputy may not be due to a conflict of interest, the person who
and) is a statutory body, the Supervisory Board, partner
the person who is the supplier of goods or services to the insurance undertaking,
(b)) as a natural person operating supplies goods or services to the insurance undertaking,
(c)) is in the position of parties close to the persons referred to in (a)), and (b)).
(2) to each institution's insurance companies are on the same term of elected
or at least three alternate members shall be appointed. Alternate members of the Board to the place
members whose membership is terminated during their term of Office
or to the place of members who cannot for serious reasons for
more than one calendar month to perform the tasks arising from their
function in the insurance business. Substitute performs the function of a member only for so long as
that serious reasons Member persists.
(3) a Board Member may not be simultaneously a member of the Supervisory Board, and vice versa.
Member of the Board of directors cannot be a member of the Supervisory Board or in a four-year
term, following the end of his membership of the administrative
the Council; This is true even for the Supervisory Board in the case of his membership in the
The Management Board.
(4) the term of a member of the insurance undertaking shall be four years.
(5) an elected member of the authority of the insurance undertaking shall without undue delay
notify the insurance company, that one of the factors referred to in
paragraph 1, which prevents performance of the member body of the insurance company. In the case of
a member of the authority which has been appointed, shall be obliged to notify without
undue delay notify the insurance company and the Government, who suggested his
the appointment.
(6) the duties of a member of the authority of the Insurance ends
and the date of expiry of term of Office)
(b)),
(c)) date of receipt of written statement of resignation or the date of
make the notification referred to in paragraph 5 of the insurance undertaking,
(d)) the date of application of the judgment on the restriction of incapacitation
(e)) the date of application of the judgment to which he was sentenced for the crime of
the Act referred to in § 15 para. 3,
(f)), by declaring the death of the dead or the date declared missing,
or
g) the date of application of the decision about the offence under section 23a
paragraph. 1 (b). and) or (c)).
(7) The Insurance Authority shall not exercise his functions in employment
relation to the insurance company. The authority of the insurance undertaking shall be entitled to reimbursement of expenses
related to the performance of functions and the functions it can provide a reward
the amount laid down in the health insurance plan.
(8) the rules of the negotiations and decision-making bodies of the insurance undertaking shall adjust the
rules of procedure of the insurance company.
(9) in the absence of the obstacles referred to in paragraphs 1 and 3 shall certify the person an honorary
statement. In a sworn statement a person is obliged to give true
data supply to the original signature or its recognized
electronic signature and delivered to the insurance company no later than on the day of
preceding the date the beginning of the performance, otherwise the person a member of the
authority of the insurance undertaking shall cease to exist.
§ 19
cancelled
section 20
The Management Board
(1) the Management Board shall decide on the
and approval of the regulations of the insurance undertaking),
(b)) approval of draft health insurance plan, financial statements and the proposal
the annual report,
(c) the approval of the volume of payment providers),
(d) the appointment and dismissal of the Director) of the insurance undertaking,
(e) the approval of the contracting policy),
(f) request the loan Insurance),
g) purchase of real estate at a unit price greater than $ 2 000 000
h) purchase of tangible and intangible assets at cost higher than 2
000 000 CZK
I) start typing podlimitních and excess public supply contracts
service according to the law on public procurement ^ 12)
j) seize the undersigned,
to use the resources of the Reserve Fund),
l) other important matters related to the activities of the insurance undertaking, and
that jurisdiction's reserves.
(2) the Administrative Council shall consist of 10 members appointed by the Government and 20 members elected
Deputies of the Parliament according to the principle of proportional representation
political parties in the Chamber of deputies of the Parliament. Members of the Management Board
appointed by the Government appointed and recalled by the Government on the proposal of the Minister of
the health sector. Members of the Management Board elected by the Chamber of Deputies
Parliament elects and recalls the Chamber of deputies of the Parliament.
(3) the Management Board shall elect a Chairman and Vice-Chairman of the Board
of the Council.
(4) the Chairman, or Vice-Chairman shall convene and conduct Administrative
of the Council.
(5) the Board shall be decided by voting. To the adoption of a decision of the administrative
the Council referred to in paragraph 1 (b). (b)), d), (f)), j and k)) requires the consent of
by an absolute majority of all the members of the Management Board. For other decisions
The Board referred to in paragraph 1 must be approved by an absolute majority of the
of the members present.
(6) the Board is a quorum when more than half is present
the majority of all its members.
(7) After the inaugural meeting of the Chamber of deputies of the Parliament shall be held within 90
calendar days for new elections of 20 members elected deputies
Parliament referred to in paragraph 2, first sentence.
section 21
The Supervisory Board
(1) the Supervisory Board supervises the compliance with legal requirements and internal
legislation and its overall management. For this purpose, its members
shall be entitled to inspect the records of all organizational units
Insurance and the Board and check for status and way of farming
The insurance company.
(2) the Supervisory Board shall examine the draft health insurance plan, accounting
statements and the draft of the annual report and shall submit its opinion to the joint
meetings of the Board and of the Supervisory Board.
(3) the Supervisory Board consists of
a) 3 members, on a proposal from the Minister of finance, Minister of labour and
Social Affairs and the Minister of health appoints and dismisses Government
(b)) 10 members elected and dismissed deputies of the Parliament;
When the appointments of members of the Supervisory Board shall proceed according to the principle
proportional representation of political parties in the Chamber of Deputies
Parliament.
(4) the Supervisory Board shall be decided by voting. Decisions of the Supervisory
the Council requires the consent of half majority of all the members of the Supervisory Board.
(5) After the inaugural meeting of the Chamber of deputies of the Parliament shall be held within 90
calendar days for new elections 10 members elected deputies
Parliament referred to in paragraph 3 (b). (b)).
section 22
Joint meeting of the Management Board and the Supervisory Board
(1) joint meeting of the Management Board and the Supervisory Board shall be convened for the purpose of
review of the draft health insurance plan, financial statements and the proposal
the annual report of the insurance undertaking. A joint meeting is composed of all the members of the
The Management Board, the members of the Supervisory Board and the Director of the insurance company.
(2) the joint meeting of the Management Board and the Supervisory Board shall be convened by the Director
Insurance companies in good time before submitting its proposal for the disabled
insurance plan, financial statements and draft annual report to the authorities
The insurance company.
Article 23 of the
cancelled
PART FIVE
ADMINISTRATIVE OFFENCES
§ 23a
Misdemeanors
(1) a natural person has committed the offence by
and in a sworn statement) provide false information in breach of
1. Article 15, paragraph 2. 5, or
2. § 18 para. 9,
(b)) as the Director of an insurance undertaking in violation of § 15 para. 6 to notify the administrative
the Council, that one of the factors that hamper the performance of the
Director of the insurance undertaking, or
(c)) as an elected or appointed member of the Insurance Authority, contrary to section 18
paragraph. 5 notify the insurance company or the Government, who suggested his appointment,
that one of the factors that hamper the performance of the
a member of the insurance undertaking.
(2) a fine may be imposed for the offense to
and 100 000 CZK), if it is a misdemeanor pursuant to paragraph 1. and) point 2 or
referred to in paragraph 1 (b). (c)),
b) 500 000 CZK in the case of an offense referred to in paragraph 1 (b). and point 1) or
referred to in paragraph 1 (b). (b)).
Section 23b
Administrative offences of legal persons
(1) an insurance undertaking has committed misconduct by
and) recruiting policy holders in violation of § 2 (2). 3,
(b) the Ministry of health) do not submit or the Ministry of finance
proposal for a health insurance plan, financial statements, annual report design
in the last calendar year or an auditor's report under section 6 (1). 3,
c) contrary to section 7 (2). 6 setting up or operating the provider, or
operates with funds arising from public health insurance,
(d)) does not give the Ministry of health or the Ministry of finance report on the
its management pursuant to § 8 para. 1, or
(e)) does not provide the Ministry of health, the Ministry of finance or
The Czech Statistical Office, on request, information from the information
of those referred to in section 11.
(2) an administrative offense shall be fined in the
and 200 000 CZK), in the case of an administrative offence referred to in paragraph 1 (b). (d)),
(b)) 1 000 000 CZK in the case of an administrative offence referred to in paragraph 1 (b). (b)) or
(c)),
(c)) $ 2 000 000 in the case of an administrative offence referred to in paragraph 1 (b). (e)),
(d)) $ 5 000 000 in the case of an administrative offence referred to in paragraph 1 (b). and).
section 23 c
Provisions common to administrative offences
(1) the insurance company does not correspond to an administrative offence, if it proves that
made every effort, that it was possible to require that the infringement of the
a legal obligation is prevented.
(2) in determining the amount of the fine, the insurance undertaking shall take account of the seriousness of the
the administrative offense, in particular, the way a criminal offence and its consequences, and
the circumstances under which it was committed.
(3) Liability Insurance for an administrative offense shall cease, if the administrative
authority about him has not initiated proceedings within 1 year from the date on which it learned,
not later than 3 years from the date on which it was committed.
(4) administrative offences dealt with under this Act, the Ministry of
the health sector.
(5) the Fines collected and enforced by the authority that is saved.
(6) income from fines is the State budget revenue.
PART SIX
Insurance information system
section 24
(1) an insurance undertaking manages, develops and updates the information system
The insurance company.
(2) the use of data from the information system of insurance companies for custom
the need is its exclusive right. Use the data from the information
the system of Insurance for other purposes can be used only in the manner and under the conditions
provided for in this Act or special legislation. ^ 8)
(3) an insurance undertaking is required to submit its information system from the
upon written application by a registered provider of outpatient care in
General practical medicine or in the field of practical medicine
for children and adolescents covered by the information services that have been provided
her insurance policy holders who are registered with a provider,
other providers, including the prescription of medicinal products and
medical devices; This information provides
free of charge.
§ 24a
(1) the members and alternate members of the organs of the assurance undertaking, its employees and the physical
the person providing the processing of data from the information system on the basis of
contracts are required to maintain the confidentiality of the facts, which are
learn in the performance of his duties or employment or in the processing of
data from the information system on the basis of the Treaty, or of the
connection with them. This obligation continues after termination of their functions
or employment relationship or of the contractual relationship to the insurance company.
Obligations of confidentiality may be exempted from these persons only in writing with
an indication of the scope and purpose, in whose interest they have that obligation.
(2) an insurance undertaking is required to create conditions for maintaining confidentiality
referred to in paragraph 1. This is true even when the use of and access to data
registered by using computer technology.
(3) for the breach of confidentiality obligations and the use of
knowledge gained in the control of payment of insurance premiums or in connection with the
it for negotiations for the benefit of the person bound by the obligations
or other persons or conduct that would cause someone harm.
Such offences do not process Insurance claim
Insurance company arising from the law.
(4) for the breach of confidentiality does not constitute the provision of
the information Ministry of health or the Ministry of finance for
ensure the performance of the tasks laid down by the legislation.
section 24b
cancelled
§ 24 c
The competent regional branch or the appropriate client workstations are
obliged to issue, at the request of the tenderer, ^ 8a) with which it is to be concluded,
confirmation that the candidate does not have an outstanding balance due premiums to the
public health insurance, and within seven days from the date of receipt of the
request.
PART SEVEN
Common, transitional and final provisions
§ 25
Basic Insurance Fund is formed in 1992 from the State allocations
the budget of the United States.
section 26
The insurance company is required in the first two years of the entry into force of
This Act, enter into a contract with each medical institution, which
He asks. Each health care facility is required during this period
enter into a contract with an insurance company, if the insurance company asks. This
in 1992, the obligation does not apply to medical devices
financed from the State budget of the Czech Republic.
section 27 of the
The Central Board of the insurance undertaking, the Supervisory Board of the insurance undertaking, the Governing Board
The district insurance companies and the Supervisory Board of the insurance undertaking shall be constituted to District six
months from the effective date of this Act. Czech National Council chooses
Director of Insurance within one month from the entry into force of this
the law.
section 28
(1) the Effect of this Act terminates the comprehensive health Management
insurance, established at the Ministry of health of the Czech Republic.
(2) the legal successor of this Organization shall be the effective date of this Act,
becoming an insurance company.
section 29
This Act shall take effect on 1 January 2000. January 1992 with the exception of section 4 (b). and)
and section 7 (b). (b)), as regards the provision of funds from the
the State budget of the Czech Republic, which will become effective on 1 January 2004.
January 1993.
Burešová v.r.
Pithart v.r.
Selected provisions of the novel
Article II of Act No. 435/2004 Coll.
Transitional provisions
1. the Supervisory Board shall be accompanied by a representative of the insured persons and
employers insured persons for each of the regional offices within 6 months
from the effective date of this Act; for a period of 6 months from the effective date
This law fulfils the function of the supervisory board the Supervisory Board members only
Insurance election and appointed in accordance with the existing regulations.
2. an undertaking is required to include your organization in accordance with the
Act No. 553/1991 Coll., on the Czech General health insurance company
Republic, as amended by this Act, within 6 months from the date of entry into force of
of this Act.
3. the financial resources of the reserve fund in excess of at the date of acquisition
the effectiveness of this Act, the amount of the reserve fund as provided for by law No.
551/1991 Coll., on General health insurance company in the Czech Republic
the text of this law, the undertaking is required to convert to the underlying fund
within 15 days from the date of entry into force of this Act.
Article. In Act No. 115/2006 Coll.
Transitional provisions
1. The performance of the functions of the Director General health insurance company in the Czech Republic
(hereinafter referred to as the "Insurer"), who shall exercise this function at the date of acquisition
the effectiveness of this law, shall expire on the last day of the calendar month in
which this law came into effect. Until the election of the new Director
The insurance company performs the function of the Director, the senior employee of the insurance undertaking,
the performance of this function shall instruct the Management Board of the insurance undertaking.
2. The term of Office of members of the insurance companies, who carry out the function of
a member of the insurance undertaking at the date of entry into force of this Act, expires
on the last day of the calendar month in which this Act came into
efficiency.
Article. (VI) Law No 298/2011 Sb.
Transitional provisions
1. To ensure the quality and availability of health care, the functioning of the system
health and its stability within the financial system options
public health insurance converts to 1. January 2012 at a special
account of the general health insurance scheme, set up by law No.
594/1992. General health insurance company of the United States of
the basic insurance fund an amount equal to one third of the
the amount recorded in general health insurance company of the United States
on this account as of December 31. December 2010.
2. the funds referred to in point 1 shall form part of the first
redistribution in 2012. If the general health insurance company of the United
States fail to comply with the obligation laid down in paragraph 1 to a maximum of 5. January
2012, the Ministry of health to proceed on the initiative of the supervisory
authority pursuant to § 21 para. 4 second sentence of the Act No. 586/1992 Coll., as amended by
effective before the date of entry into force of this Act.
Article. (IV) Act No. 256/2014 Sb.
Transitional provision
The undertaking in the performance of the obligation to pay to the insured the amount exceeding the
the limit for regulatory fees and charges for prescribed partially paid
medicines and foods for special medical purposes pursuant to section 16b
paragraph. 2 of Act No. 48/1997 Coll., on public health insurance, and about
amendments to some related laws, in the version in force prior to the
the effective date of this Act, it shall proceed pursuant to section 5 (b). e) and section 7 of the
paragraph. 1 (b). and Act No. 551)/1991 Coll., in the version in force before the date of
entry into force of this Act.
Article. IV of Act No. 200/2016 Sb.
Transitional provision
If the person can show, that at the date of entry into force of this Act
they perform the function of Director or a member of the authority of the general health
insurance companies United States that meet the requirements laid down for the
the performance of Act No. 553/1991 Coll., in the version in force from the date of acquisition
the effectiveness of this law, the performance of their duties shall expire 6 months
from the date of entry into force of this Act.
1A) Act No. 48/1997 Coll., on public health insurance and amending and
certain related laws, as amended.
1B) section 16a and 16b of the Act No. 48/1997 Coll., on public health insurance
and amending certain related laws, as amended by the Act No. 261/2007
SB.
2) Law No. 524/1992 Coll. on Auditors and Chamber of Auditors of the Czech
of the Republic.
3) § 14 para. 5 and 6 of law No. 524/1992 Sb.
3A) Act No. 586/1992 Coll., on premiums for general health
insurance, as amended. Act No. 48/1997 Coll., on
public health insurance and amending and supplementing certain
related laws, as amended.
3B) Act No. 586/1992 Coll., as amended.
5) Law No. 160/1992 Coll., on health care in non-State
medical devices, as amended.
6) § 2 (2). 1 of the commercial code.
7) Act No. 71/1967 Coll., on administrative proceedings (administrative code).
8), for example, Act No. 592/1992 Coll., on premiums for general health
insurance, as subsequently amended, Act No. 101/2000 Coll., on the
protection of personal data and on amendments to certain laws, as amended
regulations.
8A) § 38 paragraph 1(a). 4 Act No. 199/1994 Coll., on public procurement,
as amended by law No 148/1996 Coll.
10) § 55 para. 1 of Act No. 256/2004 Coll., on capital
market, as amended by Act No. 230/2008 Sb.
11) Law No. 89/1995 Coll., on State statistical service, as amended by
amended.
12) Act No. 137/2006 Coll., on public procurement, as amended
regulations.
