Page 42 - Bulletin, Vol.78 No.1, March 2019

that retirees continue to receive information on paper through the SHIF
Newsletter. The updated Regulations and Administrative Rules of the SHIF
are to be printed and distributed to retirees in the near future.

36. SHI (WHO)

a. The governance of WHO's Health Insurance consists of two global
committees with representation from the Regional offices as well as from
Headquarters. The Oversight Committee acts as an advisor to the Director
General in all matters relating to health Insurance. Senior officials of the
WHO administration, representatives of participants, as well as internal and
external advisers participate in this Committee. The Standing Committee
deals with individual cases in dispute and recommends to the Control
Committee the revisions to the regulations based on its experience.
Retirees are well represented on both committees by representatives
elected by all retirees worldwide.

b. The measures approved in 2018 that affect staff and retirees include an
amendment to the regulation concerning the reimbursement of cataract
surgery (complicated cases are exempt from the limit otherwise imposed)
and the participation in Medicare B for retirees in the United States. The fee
will be refunded to the participant.

c. A position has recently been established for a compliance officer. This
officer ensures the respect of the Rules and should limit to the minimum the
cases of fraud or irregularity in the refunds.
d. At the end of 2017, the retired population represented 22.3% of the 39,608
insured.

NB.

1. It is not possible for a retiree to add a dependent family member or
members to their insurance coverage after separation from service.

2. It is not possible to rejoin the scheme if, on separation from service, a
retiree has decided to withdraw from the SHI.

37. After-Service Health Insurance (ASHI)
a. The participants at the AAFI-AFICS General Assembly in 2017 requested
that this item be discussed together with questions on insurance, even if the
ASHI is treated at a higher level.

b. UN General Assembly Resolution 68/244 had specifically requested the
Secretary-General

“to undertake a survey of current healthcare plans for active and retired
staff within the United Nations system, to explore all options to increase
efficiency and contain costs and to report thereon at its seventieth
session.”

40 AAFI-AFICS BULLETIN, Vol. 78 No. 1, 2019-03