ANS - Normative Resolution - RN No. 518, of April 29, 2022

On April 29, 2022, Normative Resolution No. 518 of the ANS was issued, which provides for the adoption of minimum governance practices, with emphasis on internal controls and risk management, for solvency purposes of the plan operators Health Care.

Governance practices and structures to be adopted by operators must consider the principles of transparency, equity, accountability, and corporate responsibility.

Practices that must be made clear and objectively formalized in statute or social contract, regiments or internal regulations submitted to the review and approval of the maximum decision -making instances of the operators, and widely disclosed to interested parties.

Regarding the implementation of internal control systems focused on their activities and their financial, operational and managerial information systems, they must ensure the reliability of information, data and reports produced by the operator, seek efficient use of resources, effectively in its execution and comply with the legislation and internal rules applicable to the operator.

Descriptions of internal controls should be accessible to all operators' employees and understand continuous actions related to their activities, operations and hierarchical levels, providing at least (i) definition of the objectives of controls and responsibilities in the operator, to have means of identification and risk assessment that may threaten their effectiveness in addition to communication channels that ensure employees access to information relevant to perform their tasks, security and reconciliation for information systems and contingency plans or plans, when necessary.

Such controls should be subjected to periodic evaluation, at least annual, especially those dealing with processes related to information that is detailed in the financial statements of the operators.

Risk management in operators should be intended to standardize knowledge among managers, conduct decision making that may give treatment and monitoring of risk, and promote the guarantee of fulfillment of the operator's mission, continuity and sustainability aligned to your goals.

These risk management practices should be appropriate to the operator's structure and internal controls, in order to enable continuous improvement and monitoring.

This resolution replaced/revokes RN No. 443, of January 25, 2019, which is effective on June 1, 2022.