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Ownership
The capital shareholding structure of AFA is currently as
follows:
- 50% AON Botswana (Pty) Ltd
- 25% Medscheme (Pty) Ltd
- 25% Medtrac Limited
It should, however, be noted that the above structure is
currently under review, with an objective to include participation
of Botswana citizens
Human Resources
AFA has a current staff complement of 78 employees: all citizens of Botswana . The staff has varied skills and experiences; including Pharmacy, Nursing, Finance, IT, Business Management, Marketing and People Management Skills. Above all, over 80% of the staff of AFA have been with the company for more than three (3) years and are experienced in the processes and procedures of medical aid schemes administration.
Training and Development
AFA's policy is to equip its staff with the knowledge and skills they need to do their jobs competently. In cases where on-the-job or in-house training cannot provide individuals with the requisite skills, the Company requires and encourages staff members to study at external educational institutions; in order to acquire recognised degree or diploma (higher education and skills).
The Company has, over the years, trained its employees in various fields, including training on Business Ethics, Customer Service, Claims Assessment and Membership Processing, which were all intended to improve our delivery to the members of BPOMAS and PULA .
Organisational Structure
AFA Botswana (Pty) Ltd operates on the basis of a functional organisational structure with the following functional departments and support units:
Client Services Department mainly deals with enrolment of new members (employers and individuals) and maintenance of member records. The department also handles member and healthcare provider enquiries, as well as member awareness of scheme rules and benefits.
Claims Department is responsible for the timely and cost effective processing and payment of claims from both healthcare service providers and members of the medical aid schemes.
Managed Care Department is responsible for clinical and financial management of chronic diseases, though emphasis currently is on antiretroviral therapy, to ensure compliance with clinical guidelines.
Sales & Marketing deals with marketing and promotion of schemes in order to increase awareness, improve the membership base and retain existing members.
Finance and Administration Department responsibility is to ensure proper financial management of the company and schemes' activities, in accordance with statutory and best practice requirements. It also provides secretarial and administration support to the operations departments.
Human Resources oversees the implementation of human resource policies, including monitoring of training, and staff development, across the company. It also supports the culture and communication of programmes between management and staff.
Information Technology is responsible for the development and implementation of the information technology (IT) strategy, as well as development and management of existing IT systems and services.
Clients
AFA has over the passed 13 years been administering BPOMAS and Pula Medical Aid Fund, details of which are listed below:
|
Scheme Name
|
Members
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Dependants
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Total
|
|
BOTSWANA PUBLIC OFFICERS' MEDICAL AID SCHEME
|
54 345
|
84 816
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139 331
|
|
PULA MEDICAL AID
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9 443
|
12 925
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21 973
|
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TOTAL
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|
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161 304
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