SARLAFT NON-FINANCIAL

SARLAFT NON-FINANCIAL

The National Health Superintendence through the Circular External 00009 2016 and 20211700000005-5 2021 regulates the guidelines the guidelines, policies and procedures that you need to adopt certain monitored to deploy and run the SARLAFT.

Applicable Regulations
  • Promoters of Health (EPS) of the contributory scheme and subsidized.
  • Institutions Providing Health (IPS) for public and private groups C1, C2, and D1 are defined in the External Circular 018 September 2015.

Group B

Criteria: 

IPS whose NIT is the same in any EAPB.

 

Group C1

Criteria:

IPS that do not comply with the characteristics of the Group B, and:
1. Have total Assets over 2.725.557 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 2.283.426 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 1.303.324 UVT-cut to 31 December of the term above, or.
4. Belong to Group 1 of the IFRS (IPS Private or Mixed) with cut-to 31 December of the term above, or.
5. They are classified as Level 3 complexity (IPS public) with cut-to 31 December of the term above, or.
6. They have enabled more than 25 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
7. They have enabled more than 60 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
8. They have enabled more than 43 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

 

Group C2

Criteria:

IPS that do not comply with any of the characteristics of Groups B or C1, and:
1. Have total Assets over 1.235.699 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 1.136.628 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 621.694 UVT-cut to 31 December of the term above, or.
4. They have enabled more than 12 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
5. They have enabled more than 42 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
6. They have enabled more than 28 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

 

Group D1

Criteria:

IPS that do not comply with any of the characteristics of the Groups B, C1, C2, and:
1. Have total Assets over 722.783 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 695.267 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 385.747 UVT-cut to 31 December of the term above, or.
4. They are classified as Level 2 complexity (IPS public) with cut-to 31 December of the term above, or.
5. They have enabled more than 6 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
6. They have enabled more than 33 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
7. They have enabled more than 20 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

  • Companies of Medicine Prepaid. 
  • Entities that provide Ambulance services Prepaid.
  • Companies Health Promoting Indigenous (EPS-I) of any regime. 

Up to 8000 MONTHLY for monitored and up to 2000 MONTHLY for administrators, managers, reviewers, tax and/or compliance officers.

SICOF AND PTEE

The National Health Superintendence through the External Circular 20211700000005-5 2021 upregulated the Subsystem of Management of Corruption Risks, Opacity, Fraud and Bribery (SICOF). In addition, the superintendency issued the Circular Outer 2022151000000053-5 2022, by which regulates the guidelines for the Program of Transparency and Business Ethics (PTEE) for the health sector. 


Unlike the real sector regulated by Supersociedades, the Supersalud tells the obligation to manage risks of corruption, opacity, fraud and bribery (C/O/F/S) through the management subsystem SICOF, while the PTEE, constitutes one of the stages of the above-mentioned subsystem, since this is defined as “the primary measure of control of the risks of bribery, corruption, opacity and fraud”. Therefore, it must be evaluated at least once a year.

Applicable Regulations

Monitored by the National Health Superintendence, regardless of group, activity, amount of income and/or assets.

Up to 8000 MONTHLY for monitored and up to 2000 MONTHLY for administrators, managers, reviewers, tax and/or compliance officers.

INTEGRATED SYSTEM OF RISK MANAGEMENT (SARO, HEALTH, ACTUARIAL, SARC, SARL, MRSA AND BUSINESS GROUP)

The National Health Superintendence, by means of the External Circular 202117000000045 2021 upregulated the general guidelines of an Integrated System of Risk Management, which comprises up to 8 subsystems of risk management mandatory implementation for certain monitored.
These subsystems are the following:

 

Subsystem of Management of Health Risks
Aims to mitigate or manage the occurrence of an event avoidable, negative, or undesirable in the health of the patient, either the worsening of a previous condition or the need to consume more goods or services by the organization.

 

Subsystem of Management of Operational Risks (SARO)
Aims to mitigate or manage the occurrence of events that produce a deviation in the objectives mission of the organization.

 

Subsystem of Management of Actuarial Risks
Aims to mitigate or manage the occurrence of events that cause losses on the occasion of the lack of capacity to provide health services or in case the costs exceed the revenue received by the lack of adequate estimate of the contracts that celebrates the organization with its customers.

 

Subsystem of Management of Credit Risks (SARC)
 Aims to mitigate or manage the occurrence of events that cause losses on the occasion of the non-payment by the customer of the organization.

 

Subsystem of Management of Liquidity Risks (SARL)
Aims to mitigate or manage the occurrence of events that may prevent the organization to meet its obligations in the short, medium and long term.

 

Subsystem of Management of Market Risk Capital (MRSA)
Aims to mitigate or manage the occurrence of events that will generate losses to the organization as a result of the variations in the prices of the financial market, affecting certain assets, liabilities and/or financial instruments, such as: loans with variable rates, financial products in foreign currency, shares in companies listed on the stock market, real estate, etc

 

Subsystem of Management of Risks Business Group
This subsystem is applicable to arrays, which are subordinate to, affiliates and/or subsidiaries that make up a business group that is duly registered with the Chamber of Commerce respective.

 

Management or risk management, is aimed to mitigate the potential losses from the participation in the capital, activities, transactions or transactions between the entities that make up a business group.

SARLAFT, SICOF and PTEE

The monitored that are required to implement the Integrated System of Risk Management, are also on the obligation to implement and execute systems SARLAFT and SICOF, including the PTEE within this subsystem.

Institutions Providing Health (IPS) for public and private groups B, C1, C2, and D1 are defined in the External Circular 018 September 2015.

Group B

Criteria: 

IPS whose NIT is the same in any EAPB.

 

Group C1

Criteria:

IPS that do not comply with the characteristics of the Group B, and:
1. Have total Assets over 2.725.557 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 2.283.426 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 1.303.324 UVT-cut to 31 December of the term above, or.
4. Belong to Group 1 of the IFRS (IPS Private or Mixed) with cut-to 31 December of the term above, or.
5. They are classified as Level 3 complexity (IPS public) with cut-to 31 December of the term above, or.
6. They have enabled more than 25 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
7. They have enabled more than 60 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
8. They have enabled more than 43 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

 

Group C2

Criteria:

IPS that do not comply with any of the characteristics of Groups B or C1, and:
1. Have total Assets over 1.235.699 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 1.136.628 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 621.694 UVT-cut to 31 December of the term above, or.
4. They have enabled more than 12 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
5. They have enabled more than 42 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
6. They have enabled more than 28 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

 

Group D1

Criteria:

IPS that do not comply with any of the characteristics of the Groups B, C1, C2, and:
1. Have total Assets over 722.783 UVT-cut to 31 December of the term above, or.
2. Have a total Income in excess 695.267 UVT-cut to 31 December of the term above, or.
3. Have total assets exceeding 385.747 UVT-cut to 31 December of the term above, or.
4. They are classified as Level 2 complexity (IPS public) with cut-to 31 December of the term above, or.
5. They have enabled more than 6 services of high complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
6. They have enabled more than 33 services of medium complexity (all of different services enabled at all venues) with cut-to 31 December of the term above, or.
7. They have enabled more than 20 services intramural hospital (all of different services enabled at all venues) with cut-to 31 December of the term before.

 

  • Companies of Medicine Prepaid. 
  • Entities that provide Ambulance services Prepaid.
  • Companies Health Promoting Indigenous (EPS-I) of any regime. 

Up to 8000 MONTHLY for monitored and up to 2000 MONTHLY for administrators, managers, reviewers, tax and/or compliance officers.