02.1.2.2 For employees Basic Pay between Rs.22731 &
Rs.29000 –
Eligible
Sum Insured be Rs. 7,00,000/-
02.1.2.3 For employees Basic Pay > Rs.29000>
Eligible Sum Insured be
Rs.10,00,000/-
02.1.3 Eligible
Sum Insured for retired employees shall be determined
based on the Basic Pay Last drawn on the date
of exit from services
which should be notionally updated keeping in mind past wage
revision(s).
02.2.6 Choice of available
optional Sum Insured be Rs.7,00,000,
Rs.10,00,000, Rs.12,00,000,
Rs.15,00,000, Rs.18,00,000
& Rs.20,00,000.
02.2.0 In every renewal option for
increase/decrease of Sum Insured be
given to all serving and retired employees.
03.1.1 NO
CAP on Room and ICCU/CCU rent charges and no other sub-limit
for any other expenses .
03.2.1 For Free Medical Check up
separate account be maintained for each
members of the Family e.g, every members of the family should
be
given free medical check up facility once in 2
Claim free years of policy
in respect of particular
member.
04.1.2 GMC policy for independent family members
of serving & retired
employees be Continued and not
to be discontinued on or after 1.4.2013
04.5.1 Retired employees who are not covered under
the expiring GMC Policy
be allowed to opt for coverage under the GMC
Policy as per revised terms.
09.1.1 &
09.1.2 PREMIUM:-
Entire premium, service tax etc. upto eligible limit of Sum
Insured be
Borne by the
Company for both serving and
retired employees.
Difference of
premium between optional Sum Insured and eligible Sum
Insured be paid by
the serving & retired employees.
OTHER POINTS:-
a)
Besides hospitalization Bill, fees for
Physician/Surgeon/Anaesthesis etc.,
if
separately given be reimbursed without any condition .
b)
No deduction on account of Non-medical items like
gloves, Mollysheet,
micropore cotton etc., and all other items essential for hospitalization
be
included,
c)
80% advance for hospitalisation for all types of diseases be given to all
serving and retired employees.
d)
No outsourcing of Claim
settlement by TPA
As we are settling claims in House of our
client like LIC we are competent
enough to settle our
Claim for serving and retired employees. If require Claim
Hub be formed for Health insurance in each R.O. of the PSU
Insurance companies.
e) Actual Ambulance charges be reimbursed.
Trust, the suggestions stated above will find due considerations at your
end before finalizing the Revised GMC Policy
so as to cater the needs of
all the serving and retired employees and we
again demand that before
finalization all the checked-off unions be
called for a meeting.
Thanking you,
Yours faithfully,
Sd/xxx
(SUJIT BAGCHI)
GENERAL SECRETARY
Copy to :
1. The Chairman-cum-Managing Director, The New India
Assurance Co. Ltd.
2. The Chairman-cum-Managing Director, United India
Assurance Co. Ltd.
3. The Chairman-cum-Managing Director, Oriental
Insurance Co. Ltd.
4. The Chairman-cum-Managing Director, National
Insurance Co.
………..for information and to take
necessary action