Although it arises from the Prescription Drug Insurance Act, the Société is a private corporation under the control of the life insurance industry. The makeup of its Board of Directors ensures a balanced representation of the industry, bringing together representatives of insurance companies, employers and/or employee benefit administrators and/or trustees. The Société's form of management is based on rigorous governance rules.

The mandate of the Société is to oversee the good management of the pooling system, which includes the annual review of the terms and conditions of risk pooling and their application. More specifically, it has the authority: (Source: Risk Pooling Methods for Drug Insurance Proposed by the Insurance Industry to the Health Minister in Accordance with Section 43 of the Quebec Drug Insurance Act, October 25, 1996, p. 22, section 4.3)

• to designate a neutral party to manage the compensation process;
  
• to obtain all necessary information for the smooth operation of the compensation process, including, if necessary, verification by the designated neutral party of contracts submitted for pooling, and the validity of all claims for compensation made by insurers;
  
• during the compensation process, to levy payments from insurers and pay out the appropriate compensations;
  
• to receive any request from an insurer for verification of the process and follow up in an appropriate manner;
  
• to review any verification of the process made by the neutral party as well as overall results of pooling for the past year;
  
• to obtain any information necessary to justify the updating of pooling thresholds and annual charges;
  
• to submit terms and conditions of pooling to the Minister by November 1 each year at the latest.

The pooling system developed by the Société is the only mechanism recognised by the government, and the Société is the sole body competent to oversee the good management of this system established in accordance with the law.