Relief for Families as SHA Sets Deadline to Settle Edu Afya Group Life Claims

Akoth
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The Social Health Authority (SHA) will settle Sh116 million in group life and last-expense claims under the defunct Edu Afya programme by May 8, Health Cabinet Secretary Aden Duale has announced.

Duale said the payments form part of efforts to clear outstanding obligations linked to the scheme, which previously provided medical cover for secondary school students. 

The claims are expected to benefit families who have been waiting for compensation following deaths covered under the programme.

The CS noted that while the Sh116 million payout marks a significant step, a substantial amount of claims remains unsettled. According to him, pending claims across all Edu Afya schemes currently stand at Sh735 million.

He said the government, through SHA, is working to verify and process the remaining claims to ensure that all eligible beneficiaries receive their dues.

The verification process, he added, is necessary to maintain accountability and prevent errors or fraudulent payments.

The Edu Afya programme was introduced to provide comprehensive medical insurance for students in public secondary schools, covering a range of health services, including outpatient and inpatient care.

It also included provisions for group life and last-expense cover in the event of a student’s death.

Following its transition and eventual replacement, several claims remained unresolved, prompting concerns from affected families and stakeholders.

The delay in payments has been a source of distress for beneficiaries, many of whom have been seeking timely support during difficult circumstances.

Duale acknowledged the challenges that have accompanied the transition from the Edu Afya scheme to the current health financing framework.

He said the government is committed to addressing all outstanding issues to restore confidence in public health insurance programmes.

He emphasised that settling the Sh116 million in claims by the May 8 deadline is a priority, describing it as part of a broader plan to clear all pending obligations in a structured and transparent manner.

The CS also called for patience from affected families as the government works through the remaining claims.

He assured them that no legitimate claim would be ignored, and that efforts are being made to expedite the process without compromising due diligence.

Stakeholders in the health and education sectors have welcomed the move, noting that timely settlement of claims is crucial in supporting families and maintaining trust in government-backed programmes.

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