4.7 an auditor registered in of the Public Accountants’ and Auditors’ Act, “Auditor”, 1991, {Act No. 80 of 1991}. 4.8 a member or person admitted as a dependant of a member. “Beneficiary”, 1/3/02 4.9 the Board of Trustees constituted to manage the scheme in terms of the Act “Board”, and these rules. 4.10 a member’s natural child, or a stepchild or legally adopted child or a child in the “Child”, 1/1/04 process of being legally adopted or a child who has been placed in the custody of the member or his spouse or partner and who is not a beneficiary of any other medical scheme. 4.11 specific waiting period”, a period during which a beneficiary is not entitled “Condition 1/3/02 to claim benefits in respect of a condition for which medical advice, diagnosis, care or treatment was recommended or received within the twelve-month period ending on the date on which an application for membership was made. 4.12 member”, a member who retains his membership of the scheme in “Continuation terms of rule 6.2 or a dependant who becomes a member of the scheme in terms of rule 6.3. 4.13 fee”, the fee determined in terms of an agreement between the Scheme “Contracted and a service provider, or group of providers, in respect of the payment of relevant health services. 4.14 in relation to a member, the amount, exclusive of interest, paid by or in “Contribution”, respect of the member and his registered dependants if any, as membership fees and shall include contributions to personal medical savings accounts. in relation to a benefit, the net or amount payable in respect of a relevant “Cost”, health service. 4.15
4.7 “Auditor”, an auditor registered in of the Public Accountants’ and Auditors’ Act, 1991, {Act No. 80 of 1991}. 4.8 1/3/02 “Beneficiary”, a member or person admitted as a dependant of a member. 4.9 “Board”, the Board of Trustees constituted to manage the scheme in terms of the Act and these rules. 4.10 1/1/04 “Child”, a member’s natural child, or a stepchild or legally adopted child or a child in the process of being legally adopted or a child who has been placed in the custody of the member or his spouse or partner and who is not a beneficiary of any other medical scheme. 4.11 1/3/02 “Condition specific waiting period”, a period during which a beneficiary is not entitled to claim benefits in respect of a condition for which medical advice, diagnosis, care or treatment was recommended or received within the twelve-month period ending on the date on which an application for membership was made. 4.12 “Continuation member”, a member who retains his membership of the scheme in terms of rule 6.2 or a dependant who becomes a member of the scheme in terms of rule 6.3. 4.13 “Contracted fee”, the fee determined in terms of an agreement between the Scheme and a service provider, or group of providers, in respect of the payment of relevant health services. 4.14 “Contribution”, in relation to a member, the amount, exclusive of interest, paid by or in respect of the member and his registered dependants if any, as membership fees and shall include contributions to personal medical savings accounts. 4.15 “Cost”, in relation to a benefit, the net or amount payable in respect of a relevant health service.
BodyofRules2015.docx