CNAM - Caisse Nationale d'Assurance Maladie

General context
The National Health Insurance Fund (CNAM) is a non-administrative public institution with legal personality and financial autonomy. It is subject to the supervision of the minister in charge of social security and created under law 2004-71 of August 2, 2004.

Objectives and organizations
The CNAM is a new institution introduced by the health insurance reform, which aims in particular to unify the health insurance schemes and health services in the country. Indeed, it is for the first time that the management of health risk, previously carried out by the CNSS and the CNRPS, is unified in a single fund, the CNAM. This structure will be based on its 62 regional and local centers distributed throughout the Tunisian territory.

Tasks
The missions of the CNAM relate to:

• Management of the health insurance scheme
• The management of legal compensation schemes for damages resulting from accidents at work and occupational diseases in the public and private sectors
• The management of other legal health insurance schemes provided for by the legislation in force
• The granting of sickness and diaper allowances which are provided for by the social security schemes
• The fund is administered by a board of directors chaired by a chairman and general manager appointed by decree and assisted in his duties by a deputy general manager.

The Board of Directors is made up of the following members:

Four members representing the State as follows:

• A representative of the Prime Ministry
• A representative of the Ministry in charge of finance
• A representative of the Ministry responsible for public health
• A representative of the Ministry responsible for development
• Three members of the most representative employers' organizations
• Four members of the most representative trade union organizations

The CNAM is organized into regional structures responsible for granting services and central structures mainly responsible for monitoring the activity and its evaluation.