It consists of a governing board of 3 directors, elected for a six-year term by a delegates’ meeting of 60 representatives of the regional ASHIPs.

[1] As early as 1935, all managing directors of the Association of Statutory Health Insurance Physicians were summoned for ideological training in a "School for leadership for the German medical profession" (Führerschule der deutschen Ärzteschaft) in Alt Rehse, initially under the direction of Hans Deuschl.

[7] In 2012, a rare glimpse on NASHIPs inappropriate financial transactions showed, that it had offered a credit of 56 million Euro to its own real estate company.

[9] As of 2015, infighting, intrigues and power struggles caused such dysfunction, that a law was enacted to allow closing doctors offices in areas of high physician density ("überversorgte Gebiete") and allowing physicians to open a new office in medically underserved areas.

[10] In 2016, governmental oversight ordered NASHIP to reverse inappropriate pension payments to leading figures.