Monday, June 30, 2014

MEDICAL AID – New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners through the United India Insurance Company Limited, Chennai – Implementation – Orders – Issued.

Government of Tamil Nadu 
2014 
FINANCE [Pension] DEPARTMENT 
G.O.Ms.No.171, Dated 26th June 2014. 
(Jaya, Aani-12, Thiruvalluvar Aandu-2045) 

ABSTRACT 

MEDICAL AID – New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners – Provision of Health Care Assistance to the Pensioners (including spouse) / Family Pensioners through the United India Insurance Company Limited, Chennai – Implementation – Orders – Issued. 

Read:- 


ORDER: 

In the Government Order read above, orders have been issued for launching a New Health Insurance Scheme, 2014 to provide health care assistance to the Pensioners (including spouse) / Family Pensioners on a CASHLESS basis, with provision to avail assistance upto rupees two lakh for a block period of four years and to implement the scheme through the Director of Treasuries and Accounts, Chennai after selection of a suitable Public Sector Health Insurance Company through National Competitive Bidding. 

 2. Based on the Government Order read above, the Secretary to Government (Expenditure), Finance (Pension) Department was nominated as Tender Inviting Authority and Tender Accepting Authority. The Commissioner of Treasuries and Accounts and the Director of Medical and Rural Health Services were also nominated as Members of the Committee for selection of a Public Sector Health Insurance Company through National Competitive Bidding. Accordingly, the Tender Inviting Authority has called for Open Tender by issue of Notice Inviting Tender on 24.01.2014. The Tender Accepting Committee, on 18-02-2014, has recommended to select the United India Insurance Company Limited, Chennai to implement the New Health Insurance Scheme, 2014 for Pensioners (including Spouse)/Family Pensioners. 

3. After careful consideration, the tender has been awarded to the United India Insurance Company Limited, Chennai and the said Company has since entered into an agreement with the Government of Tamil Nadu for implementation of the New Health Insurance Scheme, 2014 for Pensioners (including Spouse) / Family Pensioners for a block period of four years from 1-7-2014 to 30-6-2018. This scheme shall also be administered through a Third Party Administrator under the control of United India Insurance Company Limited, Chennai. The payment of premium shall be regulated as per the terms and conditions of the agreement between the Insurance Company and Government of Tamil Nadu. 

4. The Government also direct that the implementation of the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be administered by the Director of Treasuries and Accounts, Chennai-600 015. The implementation procedure outlined in Annexure-I to this order shall be adopted. 

5. The Pensioners / Family Pensioners shall uniformly subscribe a sum of Rs.150/- per month to the New Health Insurance Scheme, 2014. The subscriptions recovered from the Pensioners / Family Pensioners shall be credited into the following Revenue Receipt Head of Account. 
“0075.00. OTHER MISCELLANEOUS GENERAL SERVICES
800. Other Receipts
BY. Subscription from Pensioners / Family
Pensioners towards New Health Insurance
Scheme (NHIS), 2014.
 [D.P.C. 0075 00 800 BY 0004]”
6. The Government of Tamil Nadu shall pay the insurance premium along with the service tax to the Insurance Company on behalf of all the Pensioners / Family Pensioners as per the terms and conditions of the agreement entered into by the Government with the Insurance Company through the Director of Treasuries and Accounts. The expenditure on payment of insurance premium including service tax shall be debited to the following Head of Account under Demand No.50. Pension and Other Retirement Benefits: 
“2075.00. MISCELLANEOUS GENERAL SERVICES
 800. Other Expenditure
I. Non-Plan
 IJ. New Health Insurance Scheme, 2014 for
Pensioners / Family Pensioners.
 10. Contributions.
 2. Insurance Premium
 [D.P.C. 2075 00 800 IJ 1022]”

7. The Director of Treasuries and Accounts, Chennai shall be the estimating, reconciling and controlling authority for the head of accounts opened in this order. The Director of Treasuries and Accounts, Chennai shall open the above Head of Accounts in their books of accounts. 

8. The Director of Treasuries and Accounts shall send proposals to Government for sanction of release of insurance premium including service tax payable to the Insurance Company from time to time as per the terms and conditions of the agreement. 

9. The Director of Treasuries and Accounts, Chennai shall submit annual report to the Government in the month of July every year. 
 
(BY ORDER OF THE GOVERNOR) 
 
K.SHANMUGAM 
PRINCIPAL SECRETARY TO GOVERNMENT. 

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