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Sample of Mandatory SHIF Form All Kenyans Will Fill by the End of June

Sample of Mandatory SHIF Form All Kenyans Will Fill by the End of June

The Ministry of Health has released the document that Kenyan citizens will use to enroll in the Social Health Insurance Fund.

As per the updated Social Health Insurance Regulations 2024 timelines, every Kenyan citizen is required to enroll with the newly established authority by June 30, 2024.

This aims to streamline the deductions for the upcoming insurance scheme set to commence on July 1st.

“Payment of contributions and access to healthcare services under the Act and these Regulations shall commence on the 1st July 2024,” read the statement in part.

The first page of the SHIF registration form

The Form

The form is a five-page document that has been divided into six sections.

Section 1: Kenyans will be required to provide their details which include their name, date of birth, employment status, preferred healthcare center, ID number, and marital status.

Notably, all Kenyans will be required to detail their Kenya Revenue Authority (KRA) pin.

Section 2: Section two is dedicated to the addresses and contact details. Information that Kenyans will fill in under this segment includes the physical postal address, residence county sub-county, and email address.

Phone numbers will also be mandatory in this section.

Section 3: Under section three, Kenyans will be required to attach passport photographs of themselves, their spouses, and those of their children.  

One can attach photos of one spouse and 10 children. Therefore, those will be multiple spouses will have to fill out additional forms.

Section 4: Kenyans will be declaring the beneficiaries in this part. Beneficiaries are either spouses or children who are still underage.

Section 5: This section is dedicated to those who wish to make any amendments to their names, dependants, physical addresses, or changes in hospital facilities.

Section 6: Kenyans will make a declaration on the final section of the form and append their signatures.

“I hereby attest that the information provided, including the attached documents, is true and accurate to the best of my knowledge. I authorize SHA for validation and verification for legitimate purposes,” read the form in part.

Notably, the form will be filled in upper case/capital letters. Kenyans will also have to provide a copy of their ID.

SHIF form where Kenyans will attach their passport photos.

Registration Centers

According to the report, Kenyans will be able to access the form and register for the new scheme at the SHIF offices across the country.

SHIF is replacing the National Health Insurance Fund (NHIF), therefore, the new authority is set to take over the offices and facilities of NHIF.

Additionally, the registration will be done across all Huduma Centres in the Country.

President William Ruto is set to officially launch the registration process within the coming days.

Sample of Mandatory SHIF Form All Kenyans Will Fill by the End of June

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