The National Health Insurance Fund Act

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CHAPTER 395
THE NATIONAL HEALTH INSURANCE FUND ACT
[PRINCIPAL LEGISLATION]
Arrangement of Sections
Section Title
part i
PRELIMINARY PROVISIONS
1. Short title.
2. Application.
3. Interpretation.
part ii
NATIONAL HEALTH INSURANCE FUND
4. Establishment of Fund and its objectives.
5. Management and administration.
6. Director-General.
7. Directors.
part iii
REGISTRATION AND CONTRIBUTIONS
8. Registration with Fund.
9. Rate of contribution.
10. Review of contribution rates.
part iv
HEALTH CARE BENEFITS
11. Coverage.
12. Repealed.
13. Authority may exempt certain conditions.
14. Potability of benefits.
15. Membership.
16. Cessation of membership.
17. Identity card.
18. Benefit package.
19. Health care services not covered under Scheme.
20. Disapplication.

embership.
16. Cessation of membership.
17. Identity card.
18. Benefit package.
19. Health care services not covered under Scheme.
20. Disapplication.

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
part v
HEALTH CARE PROVIDERS
21. Certification of accreditation.
22. Requirements for certification.
23. Accreditation eligibility.
24. Categorisation of health facilities.
25. Choice of health care provider.
26. Accreditation of pharmacies.
27. Payment mechanism.
28. Quality assurance.
29. Monitoring mechanism.
30. Payment of claims.
part vi
THE NATIONAL HEALTH INSURANCE BOARD
31. Establishment of Board.
32. Functions and duties of Board.
33. Powers of Board.
part vii
FINANCIAL PROVISIONS
34. Financial resources.
35. Management of funds.
36. Annual and supplementary budget.
37. Power to borrow.
38. Reserve Fund.
39. Accounts and Audit.
40. Monies Fund.
41. Accounts of Board.
42. Actuarial report.
part viii
CLAIMS AND APPEALS
43. Appeal.
44-45. Repealed.

Fund.
39. Accounts and Audit.
40. Monies Fund.
41. Accounts of Board.
42. Actuarial report.
part viii
CLAIMS AND APPEALS
43. Appeal.
44-45. Repealed.

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
part ix
LEGAL PROCEEDINGS, OFFENCES AND PENALTIES
46. Criminal proceedings.
47. Procedure to recover sums due to Fund.
48. Penalty for delay in payment of contribution.
49. Joinder - in cases of nonpayment of contribution.
50. Protection of contribution.
51. Protection of attachment.
part x
GENERAL PROVISIONS
52. Exemption from liability.
53. Regulations.
54. Inspectors.
55. Repealed.
56. Exemptions.
57. Separability declaration.
58. Directives.
59. Remuneration.
SCHEDULE

rom liability.
53. Regulations.
54. Inspectors.
55. Repealed.
56. Exemptions.
57. Separability declaration.
58. Directives.
59. Remuneration.
SCHEDULE

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PART I
PRELIMINARY PROVISIONS
1. This Act may be cited as the National Health Insurance
Fund Act. 2.–(1) This Act shall apply to public servants, Councillors,
person under formal private sector, students and retirees who
were previous members and any other category or group of
persons other than the following categories:
(a) a judge;
(b) a member of defence forces;
(c) a member of intelligence services;
(d) a member of a council, board, panel or committee; and
(e) a person holding office the emolument of which is
payable at an hourly rate or daily rate. (2) The Minister may, after consultation with the Board
and by notice published in the Gazette, determine any other
category of public servants, a person or group of persons to be
a member of the Fund and the types of benefit package which
may be granted to the beneficiary of the Fund. Short title
Application
Acts Nos. 25 of 2002 Sch. 3 of 2009 s. 25
2 of 2010 s. 23
13 of 2023 s.

e which
may be granted to the beneficiary of the Fund. Short title
Application
Acts Nos. 25 of 2002 Sch. 3 of 2009 s. 25
2 of 2010 s. 23
13 of 2023 s.

46
CHAPTER 395
THE NATIONAL HEALTH INSURANCE FUND ACT
An Act to establish the National Health Insurance Fund and to provide
for contributions to and payment of health care benefits to certain
Government employees and to provide for related matters. [1st December, 1999]
[G.N. No. 320 of 1999]
Acts Nos. 8 of 1999
25 of 2002
11 of 2005
1 of 2008
3 of 2009
2 of 2010
17 of 2010
5 of 2012
6 of 2021
13 of 2023

cember, 1999]
[G.N. No. 320 of 1999]
Acts Nos. 8 of 1999
25 of 2002
11 of 2005
1 of 2008
3 of 2009
2 of 2010
17 of 2010
5 of 2012
6 of 2021
13 of 2023

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
3.

ed. No part of this book may be reproduced or distributed without permission of OAG.347
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
3.

In this Act, unless the context requires otherwise-
“accreditation” means a process whereby the qualification
and capabilities of health care providers are verified for
the purpose of conferring the privilege of participation
in the scheme;
“actuary” means a person trained to understand risks and
probabilities and to apply skills to the financial problem
especially those involving uncertain future events as
human mortality and mobility and is a member of an
institute, society or association of actuaries approved by
the Authority;
“actuarial valuation” has the meaning ascribed to it under
the Social Security Act;
“actuarial report” means a report prepared by an actuary
who undertakes actuarial valuation under this Act;
“Authority” has the meaning ascribed to it under the
Universal Health Insurance Act;
“Bank” means the Bank of Tanzania established by the Bank
of Tanzania Act;
“beneficiary” means a person entitled to health care benefits
under this Act;
“benefit package” means the services offered to a beneficiary;
“Board” means the Board of Directors of the Fund;
“capitation” means a payment mechanism where a fixed rate
is negotiated by the Fund for a specified period with a
health care provider for delivery of health services due to
a beneficiary;
“child” includes a step child, a child born out of wedlock and
any child to whom the member stands in loco parentis,
who has not attained the age of twenty one years;
“Councillors” as used in this Act means Councillors of the
local government authorities other than Members of
Parliament;
“contribution” means the amount from salary or wages paid
to the Fund by or on behalf of a member;
“dependant” means a member of a family or a member who is
wholly or in part dependent upon the member’s earning;
Interpretation
Acts Nos.

of a member;
“dependant” means a member of a family or a member who is
wholly or in part dependent upon the member’s earning;
Interpretation
Acts Nos.

25 of 2002 Sch. 3 of 2009 s. 26
5 of 2012 s. 30
6 of 2021 s. 37
Cap. 135
Cap. 161
Cap. 197

25 of 2002 Sch. 3 of 2009 s. 26
5 of 2012 s. 30
6 of 2021 s. 37
Cap. 135
Cap. 161
Cap. 197

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

ts reserved. No part of this book may be reproduced or distributed without permission of OAG.348
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

2023]
“diagnostic procedure” means a procedure of analysis and
examination for the identification of a disease or health
condition;
“employee” means an individual who-
(a) has entered into a contract of employment;
(b) has entered into any other contract in which the
individual undertakes to work personally for the other
party to the contract the other party is not a client or
customer of any profession, business, or undertaking
carried on by the individual;
(c) is deemed to be an employee by the Minister under
section 98(3) of the Employment and Labour Relations
Act; or
(d) is deemed to be an employee in accordance with section
61 of the Labour Institutions Act;
“employer” means the Government employing the services
of an employee;
“enrolment” means the process of listing individuals who
are members or dependants covered by the scheme;
“Essential Drug List” means the list of drugs for Tanzania
which is prepared by the Ministry;
“fee for service” means a fee charged by a health care provider
to the Fund for past services offered to a beneficiary;
“essential drug list” means the list of drugs for Tanzania
which is prepared by the Ministry;
“formal sector” means the sector which includes employers
and employees who have entered into a contract of
employment apprenticeship or any other contract
contemplated in the definition of the term “employee”;
“Fund” means the National Health Insurance Fund;
“health care institution” includes a dispensary, health centre,
hospital and any other medical clinic;
“health care providers” means a health care institution;
“informal sector” means the sector which include workers
who work informally and who do not work in terms of an
employment contract or any other contract;
Cap.

sector” means the sector which include workers
who work informally and who do not work in terms of an
employment contract or any other contract;
Cap.

366
Cap. 300

366
Cap. 300

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

ts reserved. No part of this book may be reproduced or distributed without permission of OAG.349
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

2023]
“member” means a person or employee employed in the
formal or informal sector or self employed within
Mainland Tanzania, registered or insured under this Act;
“Minister” means the Minister responsible for health
matters;
“Ministry” means the Ministry of Health;
“peer review” means a review of the treatment of a patient or
the performance of a health care provider by a professional
colleague;
“public servant” for purposes of this Act, extends to and
includes every person holding a public office invested
with or performing duties of public nature, whether
under the immediate control of the President or not, and
includes an officer under control of a Local Government
Authority, public institution, public corporation or
parastatal but does not include a person holding such
office only on part time basis;
“quality assurance” means review and assurance of quality
of health care service, quality assessment and corrective
action to a deficiency;
“Retiree” means a member who has ceased to be a Public
Servant;
“salary” means gross salary of the member payable to an
employee in consideration of the service rendered under
the contract of service or apprenticeship or any other
form of office of call, excluding bonus, commission, cost
of living allowance, overtime payment, director’s fees or
any other additional emoluments;
“Scheme” means the National Health Insurance Scheme;
“Tribunal” means the National Health Insurance Fund
Tribunal;
“utilisation review” means the evaluation of patient utilisation
or of the appropriateness of health care services; and
“voluntary contribution” means any other form of
contribution apart from statutory contributions of any
person wishing to access supplimentary services.

oluntary contribution” means any other form of
contribution apart from statutory contributions of any
person wishing to access supplimentary services.

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
PART II
NATIONAL HEALTH INSURANCE FUND
4.–(1) There is hereby established an autonomous institution
to be known as the National Health Insurance Fund. (2) The Fund shall be a body corporate with perpetual
succession and a common seal and in its own name be capable
of-
(a) suing and being sued; and
(b) acquiring and holding movable and immovable
property, to disposing of property and entering into any
contract or other transaction which may be performed
by a body corporate lawfully. (3) The objectives of the Fund shall be-
(a) to administer the Scheme; and
(b) to formulate and promulgate policies for sound
administration of the Scheme. (4) Operations of the Fund established under this section
shall be subject to the provisions of the Social Security Act. 5. The management and administration of the Fund shall vest
in the Board.

this section
shall be subject to the provisions of the Social Security Act. 5. The management and administration of the Fund shall vest
in the Board.

6.–(1) There shall be a Director-General of the Fund who shall
be appointed by the Board and be responsible for the general
conduct of the operations and management functions of the
Fund and for other duties assigned to him by the Board. (2) A person shall not be qualified for appointment to be
the Director- General unless he-
(a) has the necessary training and experience in the field
of health insurance, health financing or corporate
management; and
(b) is not an interested party in any health care institution. (3) The Director-General shall be the Secretary to the Board. Establishment
of Fund and its
objectives
Act No. 5 of 2012 s. 31
Cap. 135
Management and
administration
Director-General
Acts Nos. 2 of 2010 s. 24
5 of 2012 s. 32

t
of Fund and its
objectives
Act No. 5 of 2012 s. 31
Cap. 135
Management and
administration
Director-General
Acts Nos. 2 of 2010 s. 24
5 of 2012 s. 32

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(4) The post of the Director-General shall be advertised and
confirmed by the Board for appointment after consultation
with the Minister. (5) The Director-General shall hold an office for a term of
five years and may, subject to satisfactory performance, be
eligible for re-appointment. 7. There shall be other Directors of the Fund whose posts shall
be advertised and confirmed by the Board for appointment. PART III
REGISTRATION AND CONTRIBUTIONS
8. The contributing employers and employees shall be
registered with the Fund. 9.–(1) An employer shall make a monthly contribution to the
Fund of an equivalency of three per centum of his employee’s
salary. (2) Treasury shall deposit the monthly contribution of the
employee together with another three per centum contribution
from the employer to the Fund. (3) The provisions of subsections (1) and (2) shall not apply
to members of the Police Force, Prison Services, Immigration
Services and Fire and Rescue Services.

visions of subsections (1) and (2) shall not apply
to members of the Police Force, Prison Services, Immigration
Services and Fire and Rescue Services.

(4) For the purposes of subsection (3), the Treasury shall,
in respect of a member of the Police Force, Prison Services,
Immigration Services and Fire and Rescue Services deposit
contributions to the Fund at the rate equivalent to six and a
quarter per centum of each member’s monthly salary. (5) A contribution due under this section shall be paid to
the Fund within one month after the last day of contribution
period to which it relates. Directors
Registration with
Fund
Rate of
contribution
Acts Nos. 25 of 2002 Sch. 17 of 2010 s. 44

last day of contribution
period to which it relates. Directors
Registration with
Fund
Rate of
contribution
Acts Nos. 25 of 2002 Sch. 17 of 2010 s. 44

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
10. The Board may review the rate of contribution to the Fund
subject to regulations, guidelines or directives issued by the
Authority. PART IV
HEALTH CARE BENEFITS
11.–(1) The Scheme shall cover-
(a) public servants;
(b) their spouses;
(c) their children or dependants not exceeding four in
number;
(d) retirees who were previously members of the Fund;
(e) councilors, during the time when any of councilors, is
in office; and
(f) persons under formal private sector, student and
children. (2) In the event of both spouses being public servants,
the Board may set criteria for enrolment of more than four
children or dependants as beneficiaries under this Act. 12. [Repealed by Act No. 3 of 2009 s. 28]
13.–(1) A member may, by application to the Authority,
supported by an affidavit and on the recommendation of a
specified authority, apply for exemption from the application
to him of any condition under this Act.

d by an affidavit and on the recommendation of a
specified authority, apply for exemption from the application
to him of any condition under this Act.

(2) For the purposes of subsection (1), the expression
“specified authority” means-
(a) in relation to a public officer serving under a district or
regional administration, the Regional Administrative
Secretary;
(b) in relation to a public officer serving in a Ministry, the
Permanent Secretary;
(c) in relation to a public officer serving in an extra-
ministerial department or public institution, the head
of the department or the public institution; and
Review of
contribution rates
Act No. 5 of 2012 s. 33
Coverage
Acts. Nos. 3 of 2009 s. 27
13 of 2023 s. 47
Repealed
Authority may
exempt certain
conditions
Act No. 5 of 2012 s. 34

Act No. 5 of 2012 s. 33
Coverage
Acts. Nos. 3 of 2009 s. 27
13 of 2023 s. 47
Repealed
Authority may
exempt certain
conditions
Act No. 5 of 2012 s. 34

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(d) in relation to a public officer serving in the Local
Government Authority, the City, Municipal or District
Executive Director. (3) Upon recommendation by the specified authority, the
application shall be submitted by the specified authority to
the Authority for determination in terms of section 40 of the
Social Security Act. (4) Authority may grant the exemption where it is satisfied
that, the application of condition under the Act to a member
would unfairly disqualify that member from benefit package. [s. 12A]
14. The Fund shall develop and enforce a mechanism and
procedure that shall assure benefits are portable across the
areas of work within Mainland Tanzania. [s. 13]
15.–(1) A public servant shall be a member of the Fund. (2) The Fund shall enrol the beneficiaries under this Act
by identifying and issuing to them the appropriate documents
specifying the entitlement to the benefit. [s. 14]
16.

l the beneficiaries under this Act
by identifying and issuing to them the appropriate documents
specifying the entitlement to the benefit. [s. 14]
16.

Membership of a member shall cease where one of the
following circumstances occurs-
(a) death;
(b) termination from employment;
(c) failure to contribute to the Fund for three consecutive
months; and
(d) any other circumstance which in the opinion of the
Board shall be considered as a factor for cessation of
membership. [s. 14A]
17.–(1) The Board shall issue a health insurance identity card
to any beneficiary for identification, verification and utilisation
recording purposes. Cap. 135
Potability of
benefits
Membership
Cessation
of membership
Acts Nos. 25 of 2002 Sch. 3 of 2009 s. 29
2 of 2010 Sch. Identity card
Act No. 25 of 2002 Sch.

tability of
benefits
Membership
Cessation
of membership
Acts Nos. 25 of 2002 Sch. 3 of 2009 s. 29
2 of 2010 Sch. Identity card
Act No. 25 of 2002 Sch.

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(2) The issuance of the identity card shall be accompanied by
an explanation to the enrolled member of his rights, privileges
and obligations and a list of health care providers accredited by
the Board shall be likewise attached thereto. (3) The member shall collect identity card from his children,
who have attained the age of eighteen years, or dependants
who cease from being lawful beneficiaries of the Fund and
surrender them to the employer. (4) The employer shall collect the identity cards from
the employees who cease from being members of the Fund
together with those of the children and dependants submitted
to him by a member, and submit them to the Director-General. (5) The Fund shall, where a member or employer fails to
execute his duties under subsections (3) and (4), recover from
a member or employer, expenses incurred by the Fund as a
result of using identity cards after cessation of membership. [s.

s (3) and (4), recover from
a member or employer, expenses incurred by the Fund as a
result of using identity cards after cessation of membership. [s.

15]
18.–(1) The Fund shall provide the standard benefit package in
accordance with the Universal Health Insurance Act. (2) Without prejudice to the provisions of subsection (1),
the Fund may provide supplementary benefit packages in
accordance with the Universal Health Insurance Act. [s. 16]
19. The Minister may, upon recommendation of the Board,
prepare a list of health care services that may not be granted
under this Act. [s. 17]
20. The provisions of paragraph 6 of the Third Schedule to
the Employment and Labour Relation Act, which relates to
provision of medicine and medical treatment, and section 31
of the Workers’ Compensation Act, which relates to medical
expenses, shall not apply to employers registered with the Fund:
Benefit package
Acts Nos. 5 of 2012 s. 35
13 of 2023 s.48
Health care
services not
covered under
Scheme
Acts Nos. 25 of 2002 Sch. 11 of 2005 s. 56
Disapplication
Act No. 25 of 2002 Sch. Cap. 366
Cap. 263

s.48
Health care
services not
covered under
Scheme
Acts Nos. 25 of 2002 Sch. 11 of 2005 s. 56
Disapplication
Act No. 25 of 2002 Sch. Cap. 366
Cap. 263

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
Provided that the Fund shall provide medicine and medical
treatment in accordance with the provisions of this Act and the
provisions of regulations made thereunder. [s. 18]
PART V
HEALTH CARE PROVIDERS
21. The authority to grant certification to a health care provider
is vested in the Board. [s. 19]
22. The requirements for accreditation of a health facility shall
be-
(a) the availability of human resources, equipments
and physical structure that is in conformity with the
standard of the relevant facility as determined by the
Ministry;
(b) the acceptance of a formal programme of quality
assurance and utilisation review;
(c) the acceptance of the payment mechanism specified by
the Board;
(d) adoption of referral protocols and health resources
sharing arrangements;
(e) the recognition of rights of patients; and
(f) the acceptance of information system requirements
and regular transfer of information. [s.

gements;
(e) the recognition of rights of patients; and
(f) the acceptance of information system requirements
and regular transfer of information. [s.

20]
23.–(1) A health facility shall be eligible for accreditation if it
is in operation for at least three years
(2) The Board may vary the condition specified under
subsection (1) in relation to any specific health facility taking
into account the circumstances of the geographical area. [s. 21]
Certification of
accreditation
Requirements for
certification
Accreditation
eligibility

to account the circumstances of the geographical area. [s. 21]
Certification of
accreditation
Requirements for
certification
Accreditation
eligibility

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
24. A health facility shall be categorised into different levels of
accredited health facilities regardless of whether it is private or
public. [s. 22]
25. A beneficiary requiring treatment or confinement shall
be free to choose the accredited health care provider subject
to the area of jurisdiction and in the case of confinement, the
ceiling of the health care provider. [s. 23]
26. In case of non-availability of drugs from a health care
provider specified under the Essential Drugs List, the Board
may devise a mechanism for accreditation of pharmacies. [s. 24]
27.–(1) The payment mechanism to a health care provider at
the beginning shall be a fee for service which may be changed
to capitation or other form of payment mechanism as the
Board may determine. (2) A money paid to a public health facility shall be
deposited into the Health Services Fund Account established
under section 12 of the Public Finance Act.

oney paid to a public health facility shall be
deposited into the Health Services Fund Account established
under section 12 of the Public Finance Act.

(3) For the purposes of this section “public health facility”
means any Government health facility and any other health
facility in which the Government and the health care providers
have entered into service agreement. [s. 25]
28. A health care provider shall take part in programmes of
quality assurance utilisation review and technology assessment
to ensure that-
(a) the quality of health care services is delivered in
accordance with the standards specified by the
Ministry; and
(b) acquisition and use of scarce and expensive medical
technology and equipment are in consonance with
Categorisation of
health facilities
Choice of health
care provider
Accreditation of
pharmacies
Payment
mechanism
Cap. 348
Quality assurance

nance with
Categorisation of
health facilities
Choice of health
care provider
Accreditation of
pharmacies
Payment
mechanism
Cap. 348
Quality assurance

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.357
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
the actual needs and standards of the medical practice
and that the performance of medical procedure and
administration of drugs are appropriate and consistent
with accepted standards of medical practice and ethics
and are respectful of the Tanzania Standard Guidelines
for Treatment. [s. 26]
29.–(1) The Fund shall enter into a contract with health care
provider to ensure that, there are monitoring mechanisms to
safeguard against-
(a) over-utilisation of health care services;
(b) under-utilisation of health care services;
(c) unnecessary diagnostic and therapeutic procedures
and intervention;
(d) irrational medication and prescription; and
(e) inappropriate referral practices. (2) The Fund may deny or reduce the payment of claims
which are false or incorrect or when the claimant fails without
justifiable cause to comply with the rules or regulations
pertaining to payment of claims made under this Act. [s. 27]
30.

the claimant fails without
justifiable cause to comply with the rules or regulations
pertaining to payment of claims made under this Act. [s. 27]
30.

A claim of money by a health care provider shall be paid
within sixty days of presentation to the Fund for the claim. [s. 28]
PART VI
THE NATIONAL HEALTH INSURANCE BOARD
31.–(1) There is hereby established a Board to be known as the
National Health Insurance Board. (2) The provisions of the Schedule to this Act shall have
effect as to the composition of the Board, the appointment and
tenure of its members, the proceedings of the Board and other
matters in relation to the Board. Monitoring
mechanism
Payment of
claims
Establishment of
Board

of its members, the proceedings of the Board and other
matters in relation to the Board. Monitoring
mechanism
Payment of
claims
Establishment of
Board

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(3) The Minister may by Order in the Gazette, amend, vary
or replace any of the provisions of the Schedule to this Act. [s. 29]
32.

AP. 395 R.E. 2023]
(3) The Minister may by Order in the Gazette, amend, vary
or replace any of the provisions of the Schedule to this Act. [s. 29]
32.

The functions and duties of the Board shall be to-
(a) set up requisite procedures for the registration and
enrolment of beneficiaries under this Act;
(b) devise control measures to prevent abuses of services;
(c) submit to the Ministry an annual report which shall
contain the status of the Fund, its total disbursements,
reserves, average costing beneficiaries and any other
data pertinent to the implementation of the Scheme;
(d) organise its office, appoint personnel or fix their salary
and other remuneration as may be deemed necessary
and upon recommendation by the Director-General;
(e) supervise the provision of health benefits and to inspect
medical and financial records pertaining to the Fund of
the health care providers and beneficiaries;
(f) determine the requirements and issue guidelines for
the certification of health care providers for the Scheme
in accordance with this Act;
(g) ensure the collection or recovery of indebtedness and
liabilities, including unpaid contributions in favour of
the Fund;
(h) enter into, make, perform and carry out contracts of
every kind and description with any person, firm,
association, corporation, domestic or foreign for the
better carrying out of this Act;
(i) enter and inspect accredited health facilities subject to
rules and regulations promulgated by the Fund;
(j) formulate and implement guidelines on contributions
and benefits, portability of benefits, cost containment
and quality assurance and health care provider
arrangements, payment methods and referral systems;
(k) receive and manage goods, donations, and other forms
of assistance;
Functions and
duties of Board

angements, payment methods and referral systems;
(k) receive and manage goods, donations, and other forms
of assistance;
Functions and
duties of Board

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.359
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(l) collect, deposit, invest, administer, and disburse the
funds of the Scheme in accordance with the provision
of the Act; and
(m) perform any other acts which are necessary for
attainment of the objectives of the Fund and for proper
enforcement of the provisions of this Act. [s. 30]
33.

any other acts which are necessary for
attainment of the objectives of the Fund and for proper
enforcement of the provisions of this Act. [s. 30]
33.

In the performance of its functions and duties the Board
shall have power to-
(a) negotiate and enter into contracts with health care
institutions, professionals, and other persons, juridical
or natural, regarding the pricing, payment mechanisms,
design and implementation of administrative and
operating systems and procedures for financing and
delivery of health services;
(b) acquire property, movable and immovable, which may
be necessary or expedient for the attainment of the
purposes of this Act;
(c) set standards, rules and regulations necessary to ensure
quality of care, appropriate utilisation of services,
viability of the Fund, satisfaction of members and
overall objectives of the Scheme;
(d) establish branch offices when necessary;
(e) authorise actuarial studies for the purpose of
determining and fixing, the necessary contributions
and the extent and scope of benefits of the beneficiaries
of the scheme as its resources may permit in order to
ensure adequate financing and disbursement of funds
to participants of the Scheme;
(f) hire and fire staff of the Fund;
(g) delegate some of its powers to any Committee of the
Board or to the Director-General or any employee of the
Board on conditions as may be specified by the Board;
(h) establish any committee of the Board whenever it may
deem necessary; and
Powers of Board

the
Board on conditions as may be specified by the Board;
(h) establish any committee of the Board whenever it may
deem necessary; and
Powers of Board

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.360
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(i) perform other acts as it may deem appropriate for the
attainment of the objectives of the Fund and proper
enforcement of the provisions of this Act. [s. 31]
PART VII
FINANCIAL PROVISIONS
34. The resources of the Fund shall consist of-
(a) the employer’s and employee’s contributions to the
Fund;
(b) any income generated from investments of the Fund
approved under this Act;
(c) sums as may be received by way of donations and grants
in aid;
(d) fines and penalties payable under this Act;
(e) sums as may be appropriated by Parliament for the
purposes of the Fund; and
(f) any sum which may in any manner become payable to
or vested in the Board as a result of the performance by
the Board of its functions and duties under this Act. [s.

may in any manner become payable to
or vested in the Board as a result of the performance by
the Board of its functions and duties under this Act. [s.

32]
35.–(1) The use, disposition, investment, disbursement,
administration and management of funds shall be governed
by resolution of the Board subject to the following limitations,
namely-
(a) that funds under the management and control of the
Fund shall be subject to rules and regulations applicable
to public funds;
(b) that the administrative costs shall not exceed fifteen per
centum of the total income of the Fund;
(c) that reserve funds shall be set aside in the Reserve
Account;
Financial
resources
Management of
funds
Acts. Nos. 2 of 2010 s. 26
5 of 2012 s. 37

;
(c) that reserve funds shall be set aside in the Reserve
Account;
Financial
resources
Management of
funds
Acts. Nos. 2 of 2010 s. 26
5 of 2012 s. 37

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.361
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(d) any investment of the Fund shall be short or long term
investment aimed at improving the provision of health
services to its members or to general public; and
(e) any investment shall be made subject to guideliness,
issued by the Bank. (2) Where an investment is made in breach of subsection
(1) and (2), the Member of Board, Director, manager or any
officer of the Fund who took part in the decision to invest shall
be personally liable to a penalty or fine as prescribed under the
Social Security Act. (3) Notwithstanding the penalty imposed under subsection
(2), the Bank shall have power to-
(a) require the Fund to comply with the procedures for
investment;
(b) discontinue the investment; or
(c) take other measures as may be appropriate. [s. 33]
36.–(1) In this Act “financial year” means any period not
exceeding twelve consecutive months designated in that behalf
by the Board.

opriate. [s. 33]
36.–(1) In this Act “financial year” means any period not
exceeding twelve consecutive months designated in that behalf
by the Board.

(2) The Board shall at its meeting before the beginning
of any financial year pass an annual budget of the amounts
respectively-
(a) expected to be received; and
(b) expected to be disbursed, by the Board during that
financial year. (3) The Board may pass a supplementary budget detailing
the disbursement in any financial year where it requires to
make any disbursement not provided for or of an amount in
excess of the amount provided for in the annual budget for that
financial year. (4) The Board shall submit to the Minister for approval, the
annual budget and every supplementary budget. Cap. 135
Annual and
supplementary
budget

r. (4) The Board shall submit to the Minister for approval, the
annual budget and every supplementary budget. Cap. 135
Annual and
supplementary
budget

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.362
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(5) The Minister shall, upon receipt of the annual budget or
supplementary budget approve or disapprove the same or may
approve subject to amendments as he may deem fit. [s. 34]
37. The Board may borrow moneys for the purposes of the
Fund by way of loan or overdraft and upon security and terms
relating to the repayment of the principal and the payment of
interest as the Board may deem fit. [s. 35]
38.–(1) The Fund shall subject to subsections (2) and (3) set
aside a portion of its accumulated revenues not needed to meet
the costs of the current year’s expenditures as Reserve Funds. (2) The total amount of reserves set aside under subsection
(1) shall not exceed a ceiling equivalent to the amount estimated
for one year’s projected Scheme’s expenditures.

reserves set aside under subsection
(1) shall not exceed a ceiling equivalent to the amount estimated
for one year’s projected Scheme’s expenditures.

(3) Whenever actual reserves exceed the required ceiling at
the end of the Fund’s fiscal year, the Scheme’s benefits shall be
increased or member contributions decreased respectively in
order to adjust expenditures or revenues to meet the required
ceiling for reserve funds. [s. 36]
39.–(1) The Board shall cause to be provided and kept proper
books of accounts and records with respect to-
(a) the receipt and expenditure of moneys by, and other
financial transactions of, the Fund; and
(b) the assets and liabilities of the Fund, and shall cause
to be made out for every financial year a balance sheet
and a statement of account showing details of the
income and expenditure of the Fund and its assets and
liabilities. (2) Not later than six months after the close of every financial
year, the accounts including the balance sheet of the Fund
relating to the financial year shall be audited by the auditors
appointed by the Controller and Auditor-General. Power to borrow
Reserve Fund
Accounts and
Audit
Act Nos. 2 of 2010 s. 27
5 of 2012 s. 37A

he auditors
appointed by the Controller and Auditor-General. Power to borrow
Reserve Fund
Accounts and
Audit
Act Nos. 2 of 2010 s. 27
5 of 2012 s. 37A

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.363
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(3) As soon as practicable after receipt by the Minister of
the copy of the statement of account together with a copy of
the report submitted under subsection (2), the Minister shall
lay a copy of the report together with the statement of account
before the National Assembly. (4) The Board shall submit annually to the Authority
financial report and other reports on the activities of the Fund
as required by the Social Security Act. (5) The financial reports referred to under subsection (4)
shall contain-
(a) financial position of the Fund at that time;
(b) day to day entries of sums of money received and
expended by the Fund and matters in respect of which
receipt and expenditure took place;
(c) the assets and liabilities of the Fund; and
(d) other information as may be required by the Authority. [s. 37]
40.

ipt and expenditure took place;
(c) the assets and liabilities of the Fund; and
(d) other information as may be required by the Authority. [s. 37]
40.

The monies of the Fund shall be deemed to be funds held
by the Board in trust for the members and the Government
and shall be administered by the Board in accordance with the
provisions of this Act. [s. 38]
41. The Board shall cause to be kept, maintained and audited
the accounts of the Fund and the Reserve Account. [s. 39]
42.–(1) The Board shall, at intervals of three years or at any
other intervals as the Authority may direct, cause the assets
and liabilities of the Fund to be evaluated by an actuary. (2) A report of the evaluation carried out in accordance
with subsection (1), shall be submitted to the Authority and
the Minister. Cap. 135
Monies of Fund
Accounts of
Board
Actuarial report
Act No. 5 of 2012 s. 36

bsection (1), shall be submitted to the Authority and
the Minister. Cap. 135
Monies of Fund
Accounts of
Board
Actuarial report
Act No. 5 of 2012 s. 36

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.364
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(3) Based on the report, the Authority may direct the Fund
to take measures as may be necessary to rectify an anomaly
revealed by the report. [s. 39A]
PART VIII
CLAIMS AND APPEALS
43. A member or health care provider who is aggrieved
by any decision of an officer of a scheme may appeal to the
Ombudsman through the Authority in accordance with
section 124(5) of the Insurance Act. [s. 40]
44-45. [Repealed by Act No. 13 of 2023 s. 50]
[s.

the
Ombudsman through the Authority in accordance with
section 124(5) of the Insurance Act. [s. 40]
44-45. [Repealed by Act No. 13 of 2023 s. 50]
[s.

41-42]
PART IX
LEGAL PROCEEDINGS, OFFENCES
AND PENALTIES
46.–(1) A person who-
(a) for the purposes of evading payment of any contribution
by him or some other person knowingly makes any false
statement or representation or produces or furnishes
or causes to be produced or furnished any document
or information which he knows to be false in a material
particular;
(b) for the purposes of obtaining any benefit or refund for
himself or some other person, knowingly makes any
false statement or representation or produces or causes
to be produced any document or information which he
knows to be false in a material particular;
(c) misrepresents or fails to disclose any material fact;
(d) fails to pay the required contribution under this Act;
Appeals
Act No. 13 of 2023 s. 49
Cap. 394
Repealed
Criminal
proceedings
Acts Nos. 1 of 2008 s. 50
5 of 2012 s. 38

equired contribution under this Act;
Appeals
Act No. 13 of 2023 s. 49
Cap. 394
Repealed
Criminal
proceedings
Acts Nos. 1 of 2008 s. 50
5 of 2012 s. 38

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.365
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(e) fails without lawful excuse to produce documents
required to be produced under this Act;
(f) fails to comply with any rules or regulations made
under this Act as a result of which there is loss to the
Fund or the records of the contribution by the member
cannot be maintained;
(g) knowingly deducts from an employee’s salary in respect
of a contribution to the Fund a sum greater than the
employee’s share of the statutory contribution; or
(h) misrepresents or fails to disclose any material fact as a
result of which he obtains the benefits which he is not
entitled, commits an offence and on conviction shall be
liable to a fine of not less than two hundred thousand
shillings but not exceeding one million shillings or to
imprisonment for a term not exceeding three years, or
to both.

less than two hundred thousand
shillings but not exceeding one million shillings or to
imprisonment for a term not exceeding three years, or
to both.

(2) Where the Director General is of the opinion that an
offence has been committed or is about to be committed against
this Act, he shall commence investigation and on completion
of such an investigation submit the report to the Director of
Public Prosecutions. Provided that, the Director-General, the Inspector or
principal officer is a public prosecutor appointed by the
Director of Public Prosecutions. (3) For the purposes of this section, “court” means the
district or resident magistrates’ court. [s. 43]
47.–(1) The Court before whom a person is convicted of an
offence under this Act may, without prejudice to any civil
remedy, order the person to pay to the Fund the amount of
the contribution due together with any penalty thereon or any
other sum, and any sum ordered shall be recoverable as a fine
and paid into the Fund. Procedure to
recover sums due
to Fund

any penalty thereon or any
other sum, and any sum ordered shall be recoverable as a fine
and paid into the Fund. Procedure to
recover sums due
to Fund

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.366
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(2) The sums due to the Fund shall be recoverable as debts
due to the Fund and without prejudice to any other remedy
may be recovered by the Fund summarily as a civil debt. [s. 44]
48.–(1) Where a contribution which any employer is liable to
pay under this Act in respect of any employee is not paid on or
before the day on which payment is due, a penalty equal to five
per centum of the amount of that contribution shall be payable
by that employer for each month or part of a month that the
contribution remains unpaid:
Provided that, the Fund may, waive in whole or in part any
penalty imposed pursuant to this section. (2) The penalty provided for under subsection (1) shall be
recoverable as a sum due to the Fund, and when recovered
shall be paid into the Fund. [s. 45]
49.

e penalty provided for under subsection (1) shall be
recoverable as a sum due to the Fund, and when recovered
shall be paid into the Fund. [s. 45]
49.

Notwithstanding anything to the contrary contained in
any other written law, in any proceedings against an employer
in respect of contributions due for more than one of his
employees, the magistrate may permit one plaint or one charge
sheet to be made or filed in respect of contributions claimed to
be due. [s. 46]
50. The sum standing to the credit of a member shall, until
paid out in accordance with the provisions of this Act, remain
the property of the Fund and shall not form part of the assets
of that person in the event of his bankruptcy or insolvency or
be liable to attachment in satisfaction of his debts. [s. 47]
51. Notwithstanding anything to the contrary contained in
any other written law, an execution or attachment or process of
any like nature shall not be issued against the contributions of
any member, except in accordance with the terms of the Fund,
Penalty for delay
in payment of
contribution
Act No. 3 of 2009 s. 30
Joinder - in cases
of nonpayment of
contribution
Protection of
contribution
Protection of
attachment

n payment of
contribution
Act No. 3 of 2009 s. 30
Joinder - in cases
of nonpayment of
contribution
Protection of
contribution
Protection of
attachment

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
and the contributions shall not form part of the assets of the
member in the event of bankruptcy or insolvency. [s. 48]
PART X
GENERAL PROVISIONS
52. An act done or omitted to be done by any officer of the Fund
shall not subject any officer to any action, liability or demand if
done or omitted bona fide in execution or purported execution
of his duties as such. [s. 49]
53.

ect any officer to any action, liability or demand if
done or omitted bona fide in execution or purported execution
of his duties as such. [s. 49]
53.

The Minister may upon recommendations from the Board
make regulations prescribing-
(a) the amount of benefit and the period for which the
benefit shall be payable;
(b) conditions or limitations to the benefit;
(c) the manner of making and the manner of determination
of any claim to the benefit;
(d) the grades of members’ entitlement;
(e) the period for postponement of any payment of benefit
pending the relevant inquiry;
(f) for any matters incidental to the payment and collection
of any contribution or to the issue or replacement of
any cards used under this Act;
(g) for the remission in whole or in part of penalties
incurred in circumstances and subject to conditions as
may be provided;
(h) the particulars, information, proof or evidence to be
furnished as to any question or matter arising under
this Act, including any question or matter relevant
to the payment of contributions by or in respect of
any person, or the making or validity of any claim or
application for the payment of any benefit under this
Act;
Exemption from
liability
Regulations

any person, or the making or validity of any claim or
application for the payment of any benefit under this
Act;
Exemption from
liability
Regulations

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.368
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

ts reserved. No part of this book may be reproduced or distributed without permission of OAG.368
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E.

2023]
(i) in respect of any action required or permitted to be
taken under this Act, the time and manner of taking
that action, the procedure to be followed, and the forms
to be used;
(j) fees, powers, rules and procedures for the Tribunal;
(k) conditions for registration of members and procedure
for enrolment of beneficiaries under this Act;
(l) the mode of payment of claims;
(m) the procedure for dealing with unclaimed money in the
Fund;
(n) the duties of employers respecting registration of
employees;
(o) the period for submission of annual and any other
report as may be provided under this Act;
(p) the procedure for appointment of the Director-General,
other directors and other senior staffs of the Fund;
(q) the rights of patients;
(r) conditions for certification of health care providers;
(s) the performance monitoring of health care providers;
(t) the quality assurance of health care providers;
(u) the procedure of filing complaints before the Tribunal;
(v) for offences and penalties;
(w) status and operations of inspectors; and
(x) any other matter for purposes of effective
implementation of the Act. [s.

for offences and penalties;
(w) status and operations of inspectors; and
(x) any other matter for purposes of effective
implementation of the Act. [s.

50]
54.–(1) The Board may appoint inspectors for the purposes of
this Act. (2) An inspector on production of a certificate under
the hand of the Director-General of his appointment as an
inspector, may enter at reasonable times on the premises
or place and make any examination or inquiry necessary to
obtain information for the purposes of this Act. (3) An inspector may, in the performance of his duties
require any person to produce any documents relating to
contributions to the Fund for inspection by him. Inspectors

, in the performance of his duties
require any person to produce any documents relating to
contributions to the Fund for inspection by him. Inspectors

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.369
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
(4) For the purposes of this section “premises” means any
building or erection used for the purposes of business, but
does not include a dwelling used exclusively for residential
purposes. (5) A person who-
(a) wilfully delays or obstruct an inspector in the exercise
of any power under this section; or
(b) refuses or neglects to answer any question or to furnish
any information or to produce any document when
required to do so under this section,
commits an offence and on conviction shall be liable to a fine
not exceeding five hundred thousand shillings. [s. 51]
55. [Repealed by Act No. 3 of 2009 s. 31]. [s. 52]
56. Notwithstanding any other written law-
(a) income tax shall not be payable on the contributions
and benefits under this Act; and
(b) stamp duty shall not be payable on any receipt,
instrument or document given or executed by the
Board on behalf of the Fund or executed by any person
in respect of the benefit or refund of contributions
under this Act. [s. 53]
57.

executed by the
Board on behalf of the Fund or executed by any person
in respect of the benefit or refund of contributions
under this Act. [s. 53]
57.

In the event of any provision under this Act or the application
of that provision to any person or circumstances is declared
invalid, the remainder of this Act or the application of the
other remaining provisions to other persons or circumstances
shall not be affected by the declaration. [s. 54]
58. The Minister may, subject to relevant Government
procedures, give to the Board directives of general or specific
nature as to the performance of the Board of any of its
Repealed
Exemptions
Separability
declaration
Directives

oard directives of general or specific
nature as to the performance of the Board of any of its
Repealed
Exemptions
Separability
declaration
Directives

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.370
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
functions in relation to any matter appearing to the Minister
to affect national interest, and the Board shall give effect to the
directives. [s. 55]
59. The Board shall determine the remuneration of its members
but subject to approval by the Minister. [s. 56]
SCHEDULE
(Made under section 31(2))
COMPOSITION AND PROCEEDINGS OF THE BOARD
1. In this Schedule “member” means a member of the Board and
includes the Chairman. 2. The members of the Board shall be-
(a) two representatives from the Ministry responsible for health;
(b) one representative from the Office of the Attorney General;
(c) one member representing the organisation of employees and
the majority of whom are members to the Fund;
(d) one representative from the Association of Private Hospitals;
(e) one representative from the Ministry of Finance; and
(f) two other members with expertise in business or insurance. 3.–(1) Members of the Board shall be appointed by the Minister.

inistry of Finance; and
(f) two other members with expertise in business or insurance. 3.–(1) Members of the Board shall be appointed by the Minister.

(2) Members of the Board shall each hold office for a period of three
years and may be reappointed for a further one term. 4. The office of a member shall become vacant-
(a) on his death;
(b) upon resignation;
(c) where a member without sufficient cause fails to attend three
consecutive meetings of the Board; or
(d) where a member becomes in any manner disqualified from
membership of the Board. 5. Where a member dies, resigns or has his appointment terminated
or otherwise vacates his office before the expiry of the term for which
he is appointed, the Minister may appoint a person to fill the vacancy
during the remainder of the term for which the vacating member was
appointed. Remuneration
Interpretation
Composition
Act No. 5 of 2012 s. 39
Appointment and
tenure
Vacation of office
Filling of
vacancies

g member was
appointed. Remuneration
Interpretation
Composition
Act No. 5 of 2012 s. 39
Appointment and
tenure
Vacation of office
Filling of
vacancies

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THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
6. The Chairman shall be appointed by the Minister. 7. The Board shall elect one of its members to be the Vice-Chairman. 8. The Director-General shall act as the Secretary of the Board. 9.–(1) An ordinary meeting shall be held once every four months and
convened by the Chairman and the notice of the meeting shall be sent to
each member not less than fourteen days before the date of the meeting. (2) The Chairman, or in his absence the Vice-Chairman, shall
be bound to convene a special meeting of the Board upon receipt of
request signed by not less than five members, and not less than fourteen
days’ notice of the meeting shall be given to the members. (3) One half of the total number of members shall form a quorum
for any meeting of the Board.

ys’ notice of the meeting shall be given to the members. (3) One half of the total number of members shall form a quorum
for any meeting of the Board.

(4) There shall preside at the meeting of the Board-
(a) the Chairman;
(b) in the absence of the Chairman, the Vice-Chairman; and
(c) in the absence of the Chairman and the Vice-Chairman, a
member as may be elected by members amongst themselves
for the purpose of that meeting. 10.–(1) At the meeting of the Board, a decision of the majority of the
members present and voting shall be deemed to be a decision of the
Board. (2) In the event of equality of votes, the Chairman of that meeting
shall have a casting vote in addition to his deliberative vote. 11. Notwithstanding the provisions of paragraph 9(4), a decision may
be made by the Board without a meeting, by circulation of the relevant
papers to members and the expression in writing of their views to
members but a member may require that any decision shall be deferred
until the matter is considered at a meeting of the Board. 12. Minutes in proper form of each meeting shall be kept and shall be
confirmed by the Board at the next meeting and signed by the Chairman
and the Secretary of the meeting. 13. The Board may act notwithstanding any vacancy in its membership. 14.

the next meeting and signed by the Chairman
and the Secretary of the meeting. 13. The Board may act notwithstanding any vacancy in its membership. 14.

The validity of any proceedings of the Board shall not be affected by
any defect in the appointment of any member. 15. The orders, directions, notices or other documents made or issued
on behalf of the Board shall be signed by-
(a) the Chairman of the Board;
(b) the Secretary; or
(c) any officer authorised in writing in that behalf by the
Secretary. Chairman
Vice-Chairman
Secretary
Meetings and
quorum
Voting
Decision by
circulation of
papers
Minutes
Vacancy
Validity of
proceedings
Orders and
directions

©2025 Government of Tanzania. All rights reserved. No part of this book may be reproduced or distributed without permission of OAG.372
THE NATIONAL HEALTH INSURANCE FUND ACT [CAP. 395 R.E. 2023]
16. The seal of the Board shall not be affixed to any instrument except
in the presence of the Director-General or other officer of the Board as
the Board may appoint in that behalf.
17. Subject to the provisions of this Schedule the Board shall have
power to regulate its own proceedings.
Seal
Proceedings