Abstract: National health insurance is health insurance that insures a national population for the costs of health care and usually is instituted as a program of healthcare reform. In Kenya the only National Health Insurance Fund is the NHIF. The study’s specific objectives were to determine the effect of process re-engineering strategy on performance of NHIF, to establish the effect of benefit management strategy on performance of NHIF, to determine the effect of information communication strategy on performance of NHIF and to determine the effect of E-Banking strategy on performance of NHIF. A survey research design technique was used to collect data which involved the use of both primary and secondary data sources. Structured questionnaires were used to collect primary data.