About Universal Health Insurance Czech Republic

Original Language Title: o Všeobecné zdravotní pojišťovně ČR

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Read the untranslated law here: https://portal.gov.cz/app/zakony/download?idBiblio=39599&nr=551~2F1991~20Sb.&ft=txt

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.