FACT SHEET / Enrolment
Enrolment into Oyo State Health Insurance
19th MAY 2022
The Oyo State Health Insurance Agency was established as a conscious effort of the State Government to ensure access to qualitative health at an affordable cost through various prepayment systems to all residents of Oyo State, Nigeria. The Agency was established through Oyo State Health Insurance Law 2016, responsible for defining the minimum standard of healthcare plan that should be available to every resident of Oyo State at an annual cost of registration for the scheme depending on the Benefit plan chosen (4). Health Insurance is a contract that requires an insurer to pay some or all of a person’s healthcare costs in exchange for a premium (3). The pooling system of funds and resources which allows shared risk is fundamental to the concept of insurance. It allows the higher costs of the less healthy to be offset by the relatively lower costs of the healthy, either in a plan overall or within a premium rating category. In general, the larger the pool, the better (1). Therefore, the Scheme has what is known as the Formal and the Informal Sector. The Formal sector comprises of enrollees whose premium are paid for by deductions from their income as civil servants or government workers. The Informal sector on the other hand comprises of enrollees from private sectors, individuals and companies. The system by which informal sector make payment for enrolment is called ‘fee-paying’.
NUMBER OF FORMAL SECTOR IN 2022(Active lives)
NUMBER OF INFORMAL SECTOR IN 2022(Active lives)
Table 1 & 2 shows the distribution of enrolment across the first quarter in the year 2022 in both the formal and informal sector respectively, showing the number of active lives on the scheme. Active lives refers to the number of enrollees with an active premium currently on the scheme. This figure excludes expired premiums. However, the agency has enrolled no less than 120,000 lives into the scheme with a coverage no less than 1.52% of the Oyo State population. With various efforts, the Agency is working to restore these expired premiums and also looking to other areas of new enrolment
Basic Health Care Provision Fund (BHCPF)
Community Based Health Insurance
Online Care Providers (Telemedicine)
Organized Private Sector (OPS)
1. American Academy of Actuaries (2022) Risk Pooling: How Health Insurance in the Individual Market Works.
2. Basic Health Care Provision Fund (2021) Facility WDC-Level Training on the BHCPF: A Guide for Facilitators. Page 8, 23.
3. Investopedia; Health Insurance Guide. Health Insurance Definition (investopedia.com)
4. National Council on Health. (2015) Memorandum of the Honorable Minister of Health on the implementation of the State Supported Health Insurance Schemes. )
5. Oyo State Health Insurance Data Management Archives
For More Information:
Oyo State Health Insurance Agency
Ministry of Establishment, Secretariat,
Ibadan, Oyo State