The Financial Regulatory Authority (FRA) has issued regulations governing insurance operations covered by the Government Fund for Insurance against Risks Arising from Medical Errors, as part of efforts to enforce the Unified Insurance Law and the Law Regulating Medical Liability and Patient Safety. The regulations set out a framework for determining annual insurance premiums for medical professionals and facilities based on the nature of their activities, while obliging the fund to conduct actuarial studies to ensure fair pricing and long-term financial sustainability.
The Financial Regulatory Authority (FRA) has announced new regulations governing insurance operations related to the Government Fund for Insurance against Risks Arising from Medical Errors. This issuance aligns with implementing the Unified Insurance Law and the Law Regulating Medical Liability and Patient Safety, aiming to enhance patient protection and regulate professional liability for doctors and medical facilities.
Mohamed Farid, Chairperson of the FRA, stated: "The new rules represent an important step towards establishing a sustainable insurance system that enhances patient protection and regulates the professional liability of medical practitioners and facilities on clear, insurance-based foundations aligned with international best practices."
The fund covers compensations for cases of death, disability, or bodily injuries due to medical errors, in line with the insurance policy terms. Compensations can be provided directly by the fund or through contracts with insurance companies or an approved pool. Per FRA Decision No. 303 of 2025, the fund's board must appoint a registered actuarial expert to prepare a study based on the first three years' actual experience, with additional studies as needed.
The regulations outline annual premiums as follows: EGP 240 for general practitioner physicians and EGP 920 for specialists; EGP 160 for general dentists and EGP 400 for specialists; EGP 240 for pharmacists; and EGP 100 for other medical professions. New graduates receive a 25% discount in their first licensing period. For facilities, premiums include EGP 24,000 for hospitals with up to 50 beds (plus EGP 500 per additional bed), EGP 9,600 for medical centers, EGP 3,600 for radiology centers, EGP 2,400 for laboratories, and EGP 1,200 for pharmacies.
These premiums were set based on actuarial studies by certified experts, coordinated with the FRA, Ministry of Health and Population, and the Federation of Medical Professions Syndicates. Subscription is mandatory for practicing medical professions or renewing licenses. The fund holds an independent legal personality and is supervised by the FRA, with the ability to cover other damages excluding fraud or gross negligence cases, retaining recourse rights against responsible parties.
This issuance forms part of the FRA's efforts to build an integrated insurance system balancing recipient protection with the fund's financial sustainability, pursuant to Prime Ministerial Decision No. 3973 of 2025.
