
Discovery financially stronger, but beneficiary base shrinks again
DHMS improved its solvency, surplus and principal membership, but an ageing risk pool, fewer beneficiaries, and a claims-system error tempered the year’s progress.

DHMS improved its solvency, surplus and principal membership, but an ageing risk pool, fewer beneficiaries, and a claims-system error tempered the year’s progress.

The NFO’s Credit Division recorded a 58% jump in complaints during 2025, while recoveries for consumers more than tripled and favourable outcomes outpaced every other division.

The NFO’s case studies show how disputes over evidence, process failures, and consumer rights can escalate into costly battles between credit providers and customers.

The division recorded more formal investigations in 2025, but improved turnaround times and secured almost R300 million for complainants.

Digital-banking scams, rejected funeral claims, and insurance disputes over exclusions and maintenance emerged as key pressure points in 2025.

The report details the Panel’s mandate, membership, and engagement with the regulator since its establishment in 2023.

The state-owned insurer says it is on track to reach R30bn in reserves by 2029 – but emerging risks could still put its resilience to the test.

Requiring SARS to provide written reasons when it rejects the OTO’s recommendations has resulted in an increase in the resolution of complaints.

The Council for Medical Schemes’ latest annual report shows a decline in registered complaints – continuing a three-year downward trajectory.

Two new CMS studies highlight the growing strain of chronic diseases and soaring out-of-pocket healthcare costs.

Outgoing Adjudicator Muvhango Lukhaimane says the system has laid bare long-standing non-compliance with section 13A of the Pension Funds Act.

Expanding the Office’s mandate to include disputes involving advice will enhance member protection, but there are concerns over jurisdictional overlaps and operational costs.

The decline in KeyCare Plus membership reflects a reduction in employer subsidies and fewer mandates for medical scheme membership, DHMS says.

From hidden VAS fees that quietly inflated balances to wrongful fraud listings, the NFO Credit Division’s interventions have secured millions in write-offs.

Despite economic headwinds and high claims ratios, Bestmed grew net membership by 4.4% in 2024, bolstered by strong solvency and a R164.4m surplus.

Lead Ombud Edite Teixeira-Mckinon warns against drawing hasty conclusions about complaints stats without factoring in claims volumes and policy counts.

Complaints about life-benefit payouts climbed to 36% of the Division’s cases, from 34% in 2023.