The Medical Insurance Section and the Secretariat of the United Nations Staff Mutual Insurance Society against Sickness and Accident (UNSMIS) is responsible for the registration of members to the UNSMIS and the Aetna Group Life Insurance plan, the management of membership accounts including ASHI coverage, and the processing of the reimbursement of medical claims. It also provides administrative support to the Executive Committee of the UNSMIS.
The Section processes in excess of 80,000 claims per annum covering over 23,000 of our colleagues, active and retired, and their respective family members worldwide. It is a truly global operation servicing UNOG and Organizations serviced by UNOG (UNCTAD, OCHA, ECE and OHCHR) as well as UNHCR, UNDP, UNICEF, WMO, ITC, UNV, UNFCCC, UNCCD, UNSCC and UNCC.
The work of managing an Insurance Society goes well beyond the operational aspects of claims reimbursement. Keeping abreast of developments in the medical arena, the Secretariat is also responsible for tariff agreements and direct payment agreements with medical providers, gauging the adequateness of the Society’s Benefits and where it stands vis a vis its benchmarks. Ensuring adequate communication, reviewing plan structure and benefits and implementing initiatives geared at reducing fraud and containing costs in an industry where medical inflation has outstripped wage inflation are all core to the work of the UNSMIS Secretariat.