The Teachers Service Commission (TSC) has directed Minet Kenya Insurance Brokers to deliver detailed medical records for teachers and their dependents by November 30, 2025.
This is to clear the path for the migration to the Social Health Authority (SHA), scheduled for December 1, 2025.
In a letter dated November 28, the TSC instructed Minet to submit seven datasets, including the chronic illness register, maternity cases in progress, all local inpatient cases, ongoing international treatments, IVF cases, biometric registers, and names of teachers and dependants scheduled for overseas treatment, with most deadlines set for November 30.
The directive follows a tripartite meeting of TSC, SHA, and Minet at the Commission Secretary’s boardroom on November 28.
The record handover caps a nationwide transition replacing the decade‑long Minet‑managed scheme.
TSC Trust in SHA
Government and union officials say the SHA framework will expand hospital access, streamline approvals, and protect benefits under the Public Officers Medical Scheme Fund (POMSF).
They project coverage for more than 400,000 teachers and dependents, and a hospital network growing from roughly 800 facilities to more than 9,000 nationwide.
Head of Public Service Felix Koskei last week said preparedness for the December 1 rollout is on track, citing joint technical teams aligning systems between TSC and SHA to avoid service disruption.
The government’s plan unifies teachers within a unified public medical framework, aiming to reduce administrative duplication and strengthen accountability.
Officials list benefits spanning inpatient, outpatient, dental, optical, maternity, radiology, overseas care and evacuation, chronic disease management, annual check‑ups, and drug and substance abuse treatment.
Plea for Clarity
Unions have pressed for clarity during the changeover, with KNUT leaders urging full disclosure of benefits, processes, and hospital lists, voicing anxiety over approval delays and possible double deductions as SHA replaces the private insurance model.
KUPPET officials welcomed expanded access but demanded transparent timelines and seamless authorizations.
Union statements followed TSC briefings earlier in November outlining limits and service enhancements under SHA, including automated pre‑authorization and telemedicine to streamline processes that previously slowed service under Minet.
Consequences of Non-Compliance
If Minet fails to deliver the requested records by November 30, the Teachers Service Commission is expected to immediately escalate the matter.
Missing data could disrupt continuity of care for thousands of teachers and dependants, particularly those undergoing chronic disease management, maternity treatment, IVF procedures, and overseas referrals.
In such a case, TSC may invoke contractual remedies, including financial penalties and legal proceedings for breach of obligations under the outgoing medical cover agreement.
The Commission may pursue court orders to compel disclosure and prevent service disruptions during the December 1 transition.
Union leaders have expressed support for enforcement actions, warning that delays in treatment and liability for adverse outcomes remain significant risks.
What Teachers Gain Under SHA
Under SHA, teachers and their dependents will enjoy inpatient limits ranging from Ksh1 million to Ksh3 million, outpatient benefits of up to Ksh450,000, and maternity cover capped at Ksh300,000, depending on job group.
Additional benefits include dental care (Ksh45,000), optical services (Ksh60,000), and overseas treatment allowances of up to Ksh2.2 million.
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Beyond financial limits, the scheme expands the hospital network from 816 facilities to over 9,000 nationwide, covering public, private, and faith-based institutions.
Services span inpatient and outpatient care, chronic illness management, renal dialysis, drug rehabilitation, annual check-ups, ambulance and emergency air rescue, overseas evacuation, and telemedicine.
Automated pre-authorisation replaces manual approvals, aiming to eliminate delays that previously hindered access under Minet.
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Coverage extends to the principal member, one spouse, and up to six children, with provisions for dependents in full-time education and children with disabilities.
The package also includes group life cover and last expense benefits, reinforcing financial security for teachers’ families.
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