ARS SEMMA also operates at a deficit; an audit of SENASA is expected

The Teachers’ Health Risk Administrator (ARS SEMMA) also reports a significant financial deficit according to the financial statements of the Superintendency of Health and Occupational Risks (SISALRIL).

As of January, ARS SEMMA recorded an accumulated shortfall to meet its commitments to healthcare service providers of RD$1,276,455,556.11.

In January, the deficit of the SEMMA health service plans was RD$22,519,838.14, with the contributory regime responsible for RD$21,470,263.94 and the other plans for RD$1,053,598.68. As the accumulated deficit of SEMMA amounts to RD$3,082,157,716.74 with an accumulated payable account to health service providers of 1,606,020,451.20. It is reminded that with the entry into force of Law 87-01 on Social Security, the Medical Insurance for Teachers becomes part of it and becomes a self-managed ARS, becoming known as ARS SEMMA, entering into force along with the Family Health Insurance in September 2007. SENASA Case Following the financial crisis affecting the National Health Insurance (SENASA), the Plenary of the Chamber of Accounts of the Dominican Republic (CCRD) reported that a first audit of the financial statements of that institution for the period 2017-2019 is in the quality review stage, prior to its official approval and publication, and that a second audit covering the periods 2023-2024 is in the execution phase at the SeNaSa offices, with a completion date scheduled for September 2025.