• Introduction
• Objectives of the ISSA Guidelines on Administrative Solutions for Coverage Extension
• Structure of the ISSA Guidelines on Administrative Solutions for Coverage Extension
• A. General Administrative Approaches for Coverage Extension
• Guideline 1. Assessing the enabling environment
• Guideline 2. Securing the required authority for coverage extension
• A.2. Ensuring Institutional Readiness
• Guideline 3. Formulating a strategic coverage extension plan
• Guideline 4. Leveraging partners in administering the scheme
• Guideline 5. Setting appropriate standards for different services and facilities
• Guideline 6. Establishing adequate ICT capacity
• Guideline 7. Putting in place a responsive administrative structure
• A.3. Informing, Increasing Awareness and Reaching Out to Difficult-to-Cover Groups
• Guideline 8. Establishing a communication strategy to make contact and build trust with population groups that are difficult to cover, including informal-economy workers
• A.4. Developing an Effective Registration System
• Guideline 9. Establishing an identification system
• Guideline 10. Simplifying information requirements for registration
• Guideline 11. Facilitating the registration process
• Guideline 12. Implementing data quality assurance mechanisms
• A.5. Identifying Proper Solutions to Collect Contributions and Improve Compliance
• Guideline 13. Formulating appropriate bases for the establishment of contribution rates
• Guideline 14. Adopting appropriate methods for and frequency of contribution payments
• Guideline 15. Collaborating with other organizations to collect contributions and enforce compliance
• Guideline 16. Supporting voluntary compliance and formalization
• Guideline 17. Adopting a proactive strategy on addressing administrative error, evasion of contributions and fraud
• A.6. Delivering Services and Benefits in a Timely, Accurate and Effective Way
• Guideline 18. Formulating a service delivery plan
• Guideline 19. Making optimal use of electronic payment and e-services
• Guideline 20. Maintaining an adequate network for personally delivered/virtual services
• Guideline 21. Improving coordination and the portability of social security rights and benefits
• B. Defining a Regulatory Strategy to Ensure the Sustainability of Health Coverage and Build Confidence across the Population
• Guideline 22. Refining the study of the enabling environment to meet the specificities of health coverage
• Guideline 23. Establishing quality health care for the whole population, with no exceptions
• Guideline 24. Strengthening the population’s access to health care throughout the country
• Guideline 25. Regularly evaluating the efficiency of health care provision
• Guideline 26. Ensuring the financial sustainability of health coverage
• Guideline 27. Developing and disseminating health information campaigns
• Guideline 28. Safeguarding coverage through a specific regulatory plan
• Guideline 29. Improving health security in the field of health care products
• Guideline 30. Regulating expenditure on health care products and improving usage
• Guideline 31. Helping to secure the supply of health care products
• Guideline 32. Improving individuals’ health by promoting the screening for and prevention of chronic and debilitating conditions
• C. Covering the “Missing Middle”
• Guideline 33. Defining the population group to cover
• Guideline 34. Building an inventory of social security benefits
• Guideline 35. Defining the formalization and transition strategies
• Guideline 36. Defining the economic model of the schemes
• Guideline 37. Establishing permanence conditions in the schemes
• Guideline 38. Defining a communication strategy
• Guideline 39. Simplifying administrative processes: Registration and enrolment
• Guideline 40. Simplifying administrative processes: Contribution collection
• Guideline 41. Simplifying administrative processes: Procedures and tools for accessing benefits
• Acknowledgements