No, you cannot renew your Iqama (residency permit) in Saudi Arabia without active, valid health insurance linked to your profile in the national system. The Ministry of Interior, operating through the Absher platform, strictly mandates that health insurance coverage must be active and valid for the entire duration of the requested Iqama renewal period for both expatriate workers and their registered dependents. During the online renewal process, the system automatically cross-references data from the Cooperative Health Insurance database; if the insurance policy is expired or missing, the Iqama renewal application will be blocked until a compliant policy is purchased and registered.