CIRCULAR 2013-14
LIFE INSURANCE CORPORATION OF INDIA CENTRAL OFFICE
Dept : Personnel/ER "Yogakshema",
Jeevan Bima Marg,
Cir. No.: CO/PER/ER-A/031/2013 Mumbai - 400021.
05th April, 2013.
To
ALL OFFICES OF THE CORPORATION
Re: Renewal of Group Medicalim Policy for the year 2013-14
Our Group Mediclaim Policy covering in-service employees, retired employees and their dependents has been renewed for the year 2013-2014, on existing terms and conditions with The New India Assurance Co. Ltd. All existing benefits shall continue to be available under the Policy. The claims shall be administered directly by The New India Assurance Co. Ltd. through its designated servicing offices.
The premium chargeable per person for various age bands and sum insured for the policy year 2013-2014 are as follows:
| S.A. | Age band wise Premium per person | ||||||
| 0-35 | 36-45 | 46-55 | 56-65 | 66-70 | 71-75 ^76hand ] above | ||
| 85000 | 1220 | 1334 | 2025 | 2348 | 2791 | 3002 | 3861 |
| 110000 | 1582 | 1732 | 2623 | 3037 | 3610 | 3885 | 4996 |
| 165000 | 2370 | 2599 | 3926 | 4549 | 5408 | 5821 | 7486 |
| 100000 | 1434 | 1577 | 2382 | 2761 | 3281 | 3530 | 4540 |
| 200000 | 2705 | 2971 | 4740 | 5476 | 6545 | 7048 | 9061 |
| 300000 | 3784 | 4151 | 6761 | 7867 | 9416 | 10142 | 13039 |
The ratio of sharing of premium between the in-service/ retired employees and the Corporation shall be 1:3. Needless to add, the sharing of premium shall be for the basic sum insured only. Sharing of premium for in-service employees will be for in-service employee, spouse and two dependent children and in case of retired employee sharing of premium will be.only for retired employee and spouse. Those employees / retired employees who have opted for enhanced sum insured have to bear the full premium for the enhanced portion of the sum insured.
2. Mediclaim Data and Statement.
The data of all beneficiaries as on 01/04/2013 is essential for finalization of the premium. All the Zonal Offices are required to provide the updated data of the beneficiaries as on 01/04/2013 in enclosed Excel formats (Annexure -I) and consolidate the same in (Annexure -A) and submit the same to Central Office by 23/04/2013. The data provided in Annexure-I is required by the insurer for the settlement of claims.
3. Claims Data
 |
In addition to this, all the Divisional offices are required to maintain records for claim payments in enclosed Excel format (Annexure -II). Data for claim paid and pending (soft copy) is to be sent to the respective Zonal Office. The Zonal Office will consolidate the data for all the offices under its jurisdiction and submit it to Central Office as follows:
| Claim Data | Last Date for receipt at C.O. |
| Data for the period 01/04/2013 to 31/12/2013 | 07/01/2014 |
| Data for the period 01/01/2014 to 28/02/2014 | 07/03/2014 |
| Data for the period 01/03/2014 to 31/03/2014 | 07/04/2014 |
It is to be brought to the notice of all the members of scheme that intimation of claim should without fail reach the office within 7 days of admission to hospital and the claim must be filed within 20 days of discharge from the hospital.
All other terms and conditions of the Scheme shall remain unaltered.
|
Executive Director (Personnel) |
