Module Description

1. 1
COLLEGE OF BUSINESS AND ECONOMICS – UNIVERSITY OF
RWANDA
DEPARTMENT OF BANKING AND INSURANCE- SCHOOL OF
BUSINESS
INS 4132 HEALTH CARE INSURANCE
Module Description
1. Module code: INS 4132
2. Module title: - Healthcare Insurance
3. a. Year :4 b. Semester: One
4. Credits: 10
5. First year of presentation: 2016/ 2017
6. Administering Faculty: Banking and Insurance
7. Administering Department: Banking and Insurance
8. pre-requisite or co-requisite modules, excluded combinations:
INS 2131 Principles and Practice of Insurance
9. Allocation of study and teaching hours
Total student hours 100
Student Hours Staff Hours
Lectures
35 35
Seminars/workshops
10 10
Practical classes/laboratory
--
Structured exercises
10
Guest Speakers 3

2. 2
Set reading etc.
22
Self-directed study
5
Assignments – preparation and writing
5
Examination – revision and attendance
10
Other: Marking, monitoring and
evaluation
-
Total
100 45
10. BRIEF DESCRIPTION OF AIMS
The objective of this module is to provide participants with the knowledge and
understanding of healthcare insurance and the principles underlying health care insurance
practice. It outlines the various schemes that are available and how health products can be
marketed and the handling of claims if any.
11. Learning out comes
11.1 Knowledge and understanding
Having successfully completed this module, students should be able to demonstrate
knowledge and understanding of:
i. Public and private healthcare provision
ii. Principles of healthcare insurance underwriting
iii. Types of healthcare insurance
iv. Benefits and alternatives
v. Health care insurance claims
vi. Marketing and distribution

3. 3
11.2 Cognitive/intellectual skills/ICT/Application of knowledge
At the end of this module, students should be able to:
vii. Explain the purpose of healthcare insurance;
viii. Identify the principles which support healthcare insurance propositions;
ix. Identify the most common types of healthcare insurance product.
x. Examine the current regulatory environment within which healthcare insurers operate.
11.3 Communication/ICT/ Analytic Techniques/Practical Skills
Having successfully completed the module, students should be able to:
xi. Calculate health care insurance premium
xii. Quantify health care claims
11.4 General Transferrable skills
xiii. Having successfully completed the module, students should be able to:
xiv. Apply the concepts learnt in managing health care schemes
xv. Identify the future prospects for marketing and distributing healthcare insurance;
xvi. Underwrite health care proposals
xvii. Process health care insurance claims
xviii. Marketing health care insurance products
12. Indicative content:
a) The development of the National Health Service (NHS);
b) The purpose of healthcare insurance;

4. 4
c) The underwriting processes employed by healthcare insurers;
d) Purpose of healthcare insurance
e) Scope of healthcare insurance cover
f) Personal healthcare insurance products
g) Group healthcare insurance
h) Taxation of healthcare insurance
i) Health trusts
j) The alternatives to healthcare insurance
k) The basic processes of claims assessment;
l) The reasons and methods of controlling claims costs;
m) The principles on which the concept of managed care is based;
n) Controlling claims costs
o) The sales channels most commonly used by healthcare insurers;
p) The future prospects for marketing and distributing healthcare insurance;
q) The current regulatory environment within which healthcare insurers operate.
r) Healthcare reinsurance
s) Health care claim ratio computations
t) Mutuelle de sante and the Rwandan health insurance system
13. LEARNING AND TEACHING STRATEGY
 Lectures
 Self –directed study
 Presentations
 Exercises
 Supervised exercises
 Expert speakers
 Industry visits
 Lecturers attendance
 Prescribed teaching

5. 5
 Revision and examination
 Group discussions
14. Assessment strategy
The Assessment can take many forms such as group discussions, Assignments, Quizzes,
objective questions, Continuous Assessment Tests, Practical Exercises, Presentations, to
name a few. The Assessment differs from Module to module and is dependent on the
module and its learning outcomes. The Module team headed by the Module Leader, come
together and prepare a Module Handbook detailing the module, its learning outcomes,
indicative content, the type of Assessments and its weightage, before the start of the
module.
15. Assessment pattern
Component Weighting
(%)
Learning objectives covered
In-Course Assessment:
50%
 Refer the Learning outcomes
from number 1 to 6
Final Assessment:

6. 6
Final exam
(Structured exercises,
problem solving, business
case examples etc., as per
programme sheet available
from module team.)
50%
 Refer the Learning outcomes
from number 7 to 18
Total 100%
16. Strategy for feedback and student support during module
Feedback on Quiz papers, assignments, case study analysis will be given.
The teaching team will be available to students for consultation. Office hours for
students’ consultations will appear on the door to each office of the teaching team
members.
17. Indicative resources
a. Core Text
Michelle a. green, jo ann c. rowell (2010) : Understanding health insurance: a guide to
billing and reimbursement tenth (10th) edition , American medical association isbn-10:
1111035180 edition
b. Background Texts
Trisha Greenhalgh (2007), Primary Health Care: Theory and Practice BMJ Books
ISBN: 978-0-7279-1785-0
Galley White (2003), Healthcare Insurance, ACII Study Text P16
c. Journals

7. 7
 Associate of the chartered insurance institute (ACII-UK), Monthly insurance
journals
 The journal of risk and insurance, Volume 76 Issue 1, March 2009 — Special
Issue on Long-Term Care Insurance and Health Insurance
 The journal of risk and insurance, Volume 77 Issue 1, March 2010 — Special
Issue on Health Insurance.Contains an article on the health insurance debate in the
United States.
 The journal of risk and insurance, Volume 77, Issue 3, September 2010—
Contains an article on the new health insurance reform in the United States.
 Chartered Insurance Institute of Nigeria journals
18. LECTURER
 Module leader : SIBOMANA Emmanuel