A court case has exposed systemic loopholes in the Defence Forces Medical Insurance Scheme (Defmis), resulting in some cases of fraud. Some payments made to accredited service providers were made on the basis of forged documents, court paper say. In an appeal ruling delivered last week, High Court justice Luka Kimaru acquitted an officer convicted of swindling money from the scheme. It was his duty to ascertain and verify medical claims, and where appropriate weed out any fictitious medical claims presented to Defmis,” the prosecution said. The investigating officer confirmed the claims and admitted he was not aware who – the Managing Director or the appellant - gave authority for admission regarding the medical claims that were flagged.

Source: The Star June 20, 2020 09:55 UTC