Several persons complained that the ARS (Insurance) signed them up without consulting them
SANTO DOMINGO. The Superintendency of Health and Labor Risks (Sisalril) is in the process of sanctioning the Health Risk Administrator APS – ARS after its confirmation of its alleged participation in the irregular transfer of affiliates of the Payroll Deduction Regime of the Family Health Insurance (SFS).
This was reported yesterday by the Superintendency of Health, Fernando Caamaño, who said that the sanction is of a monetary type.
The agency that regulates the ARS took the decision after investigating and confirming the complaints which, separately, were made by the director of Information and Defense of the Affiliates (DIDA), Nelsida Marmolejos, and the executive director of the National Health Insurance (Senasa), Chanel Rosa Chupani, that around 200 affiliates were tricked and recruited by APS – ARS.
Among the employees affected, there are some from the Ministry of Public Works and a cameraman from a television station, who were approached by some persons with ID cards from the APS – ARS and with the rank of business managers who asked them to participate in a survey, which at the end they were asked to sign and write their cédula numbers and that were used as transfer letters in their favor.
Marmolejos said that this situation has occurred with frequency and is combated by the DIDA and that it was under control until some 3 or 4 months ago, when they discovered the new and alleged fraud.
She assured reporters that many persons do not know that they were changed from their ARS, because they have not had to consult a doctor or take a relative to a doctor.
The television cameraman, Eliezer Encarnacion Diaz, had to take his youngest son to a private clinic yesterday, but they could not attend him, because he did not have coverage by his ARS, but rather the APS – ARS, with the added difficulty that they could not attend him because he did not have his card of affiliation.
According to Marmolejos, this is not the first time that the executives of the APS – ARS incur in this irregularity, but there are several companies that violate the law.
She said that they do not have complaints of any employers involved in these cases.
The business manager of APS – ARS, Eliana Diaz, defends the correctness of the insurer and invites the person that say that they have been affected by the transfer to go to the DIDA or the company in order to clear up their situations.
She said that they do not carry out transfers without the consent of the affiliates and that they have not been notified by Sisalril of the alleged dirty dealing.
She indicated that her portfolio of services is among the best, which includes the biggest network of pharmacies in the country and a supplementary free plan for 6 months, which guarantees that nobody wants to leave the insurer.
Category: DR News |