Medical expenses | Court grants leave to appeal in member’s dispute with RAF
The outcome of Discovery Health’s appeal before the SCA will affect the outcome of the member’s claim for R1.4 million.
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SIU denies leaking report implicating RAF CEO in R79m lease deal
While the SIU distances itself from the leak, unanswered questions remain about why a lease allegedly approved by Treasury and audited without findings is now under scrutiny.
Court orders RAF to pay medical scheme members’ claims
Another attempt by the Road Accident Fund to contest liability based on the ‘majority decision’ against Discovery Health has fallen through.
Majority judgment ‘does not alter’ RAF’s liability for medical scheme members’ claims
The High Court in Cape Town rejects the Road Accident Fund’s contention that the Mlambo judgment has altered the legal landscape.
Discovery vs RAF: CMS executive says High Court got it wrong
A regulatory expert believes the judgment misinterpreted key legal principles in its ruling on the RAF’s obligation to reimburse medical schemes.
Discovery to appeal ‘far-reaching’ judgment in favour of RAF
The High Court says Discovery Health misconstrued the scope of the judgment that set aside the RAF’s first directive on the payment of medical scheme members’ claims.
How the dispute between the RAF and Discovery unfolded
Discovery Health’s quest for reimbursement from the RAF for medical expenses incurred by road accident victims has faced multiple legal hurdles, with new RAF directives complicating the situation.
Law firm fires back at Road Accident Fund’s ‘malicious’ accusations
Spruyt Inc says the Fund’s claims of cruelty and misconduct are a reaction to its relentless pursuit of overdue payments for its indigent clients.
RAF makes noise while silence reigns on draft Road Accident Amendment Bill
Judgment is ‘forthcoming’ in the contempt of court case against the Road Accident Fund and its CEO, as Discovery Health seeks the enforcement of court rulings regarding unpaid claims.
Investigation into ‘fruitless and wasteful expenditure’ continues as RAF bleeds another R1.6 billion
The investigation into the Road Accident Fund has uncovered a significant rise in default judgments, accumulating to R4.7 billion from 2018 through the second quarter of 2023.
Bid to have RAF CEO sentenced to ‘suspended imprisonment’ for unpaid debts fails
A challenge to the RAF’s failings must consider the complex inter-governmental duties on which the social security scheme depends, judge says.
Discovery Health says Road Accident Fund is in breach of court order
In 2022, the High Court ruled that the fund could not withhold payments for past medical expenses covered by medical schemes.
SCOPA calls for overhaul at Road Accident Fund after ‘disastrous’ legal outcome
It says the RAF board and executives should be held personally responsible for the expenses incurred in the ‘irresponsible’ court action against the Auditor-General.
Third contempt application against RAF CEO amid legal battles over unpaid claims
The chairperson of the RAF board and the fund’s chief executive recently faced legal action for failing to accept delivery of documents pertaining to a claim for compensation.
RAF claims ‘out of ICU’, but hundreds of millions still owed to medical scheme clients
Despite Parliament’s commitment to prioritise the Road Accident Amendment Bill, there has been no further communication about the comments submitted on the draft legislation.
RAF’s legal rope nearing its end as High Court tells fund to pay R33 million
The recent ruling by the High Court underscores the Road Accident Fund’s obligation to reimburse medical scheme members for past medical expenses covered by the injured person’s medical scheme after a motor vehicle accident.
Study: RAF losing R3bn a year in ‘opportunistic’ loss of income claims
Research on behalf of the Actuarial Society recommends prohibiting individuals with minor injuries from submitting loss of income claims.
