The Council of Health Insurance (CHI) is typically a regulatory body that oversees the health insurance sector within a specific jurisdiction, ensuring its proper functioning and alignment with government policies.

Its primary role is to regulate, monitor, and improve the health insurance system, safeguarding the interests of beneficiaries, insurers, and healthcare providers.

Key responsibilities of CHI often include:

1. Policy Development and Regulation: Establishing guidelines and standards for health insurance operations to ensure transparency, fairness, and efficiency.

2. Licensing and Accreditation: Authorizing insurers, third-party administrators (TPAs), and healthcare providers to operate within the system, maintaining high standards of service quality.

3. Monitoring and Compliance: Enforcing adherence to established regulations and addressing non-compliance through penalties or corrective measures.

4. Consumer Protection: Addressing complaints, resolving disputes, and ensuring that policyholders’ rights are protected.

5. Market Development: Promoting the growth of the health insurance sector through initiatives that encourage innovation, competition, and accessibility.

Additionally, CHI may focus on enhancing public awareness of health insurance benefits and facilitating collaboration between stakeholders. By fostering an efficient, equitable, and sustainable health insurance ecosystem, the Council contributes to improved healthcare outcomes and financial protection for the population.