AIBEA & BEFI will go on strike on 8th and 9th January 2019
TO ALL UNITS & OUR MEMBERS:
18-12-2018
Dear Comrades,
Join the struggle of the working class Join the General Strike on 8th and 9th January, 2019
Join the millions in opposing the anti-people economic policies and anti-worker labour policies of the Central Government
All our Unions and members are aware that in the wake of increasing and aggressive attempts of the Central Government to pursue anti-people and anti-worker policies, the lives and living conditions of the masses and workers are getting degraded on the one hand and at the same time, the Government is busy in pursuing pro-corporate policies to benefit the rich. Unabated price rise, aggravated unemployment, crisis in agriculture sector leading to farmers’ suicide, sluggish industrial production, deteriorating wage level, enlarged poverty but 1% of the super rich cornering 73% of the total wealth of the country is the economic reality today. Economic reforms, banking reforms, land reforms and banking reforms are their solution to the problem knowing too well that it will only worsen the plight of the poor and the working masses. All their election promises are gone with the wind. There are only repeated empty slogans.
The working people who spearhead the fight against these wrong policies have become the target now. Labour reforms is the Government’s priority. Labour laws and our hard-won labour rights are sought to be trampled under to favour the greedy profiteers and employers. Permanent jobs are evaporating and casual, temporary, outsourced, contractual and fixed terms jobs are in the offing as a policy of the Government.
Banking sector has become their special target. Public Sector Banks which deal with huge public savings are sought to be privatized. Adequate capital is being denied forcing the Banks to beg for private capital. Instead of recovering the huge bad loans due from the corporates, our Banks are sought to be merged to create big banks which would become a fertile hunting ground for these corporates to further loot the people’s savings. On the one hand concessions are rolled out to the corporate delinquents in the name of insolvency proceedings forcing banks to suffer huge haircuts and on the other hand, this burden of bad loans is put on the shoulders of the common banking public through penalty charges and indiscriminate service charges.
In this disturbing scenario, it is imperative and important that these attacks and attempts are fought back. That is why AIBEA and BEFI wholeheartedly welcome the declaration and decision of the National Trade Union Convention to organize mass protest actions against these offensives and to undertake a massive national General Strike on 8th and 9th January, 2019.
Accordingly AIBEA and BEFI have decided to join and participate in this important united strike action of the working class and trade union movement of the country. We have also served a joint Strike Notice on the Indian Banks Association. We call upon all our members all over the country to participate in the strike and make it a success.
AIBEA & BEFI WILL GO ON STRIKE ON 8TH AND 9TH JANUARY, 2019
SUPPORTING:
• The call given by National Trade Union Convention of Central Trade Unions and various independent sectorwise Trade Union Federations.
OPPOSING:
• Anti-people economic policies and anti-worker labour policies of the Central Government
• Banking reform measures – attempts to reduce Government’s equity capital in public sector banks, reduction of Government’s capital in IDBI Bank to less than 51%, attempts of privatisation of PSBs, attempts to amalgamate, merge and consolidate Banks, concessions given to corporate defaulters in the name resolution of bad loans and burdening the common poor by all sorts of penalty and higher service charges to offset the loss to the Banks on account of loss due to bad loans
• Outsourcing and contracatualising permanent jobs in Banks.
Opportunity for revision of option to come over to revised pay structure – Railway Order
GOVERNMENT OF INDIA (BHARAT SARKAR) Ministry of Railways (Rail Mantralaya) (Railway Board)
PC-VII No. 123
File No. PC-VII/2018/RSRP/1
RBE No. 197/2018
New Delhi, dated 17.12.2018
The General Managers/CAOs(R),
All Indian Railways & Production Units,
(As per mailing list)
Sub: Railway Services (Revised Pay) Rules, 2016 — opportunity for revision of option to come over to revised pay structure.
Please refer to Rule 5 & 6 of RS(RP) Rules, 2016 regarding exercise of option to come over to revised pay structure effective from 01.01.2016 as notified by the RS(RP) Rules, 2016. The said option was to be exercised within 3 months of the date of notification i.e. 28.07.2016 of the said Rules. The Rule 6(4) thereof provides that the option once exercised shall be final.
3. The ‘three months’ period mentioned in para 3 of aforesaid OM of Ministry of Finance, Department of Expenditure dated 12.12.2018 shall be three months from the date of issue of these instructions.
4. The matter has also been raised by both recognised Staff Federations AIRF and NFIR.
GDS Voluntary Discharge Scheme : Implementation of One Man Committee recommendations
No.17-31/2016-GDS
Government of India
Ministry of Communications
Department of Posts
(GDS Section)
Dak Bhawan,Sansad Marg,
New Delhi – 110 001
Dated: 14 December 2018
Office Memorandum
Sub: Implementation of recommendations of One-Man Committee on introduction of Voluntary Discharge scheme for all categories of Gramin Dak Sevaks (GDS)
The undersigned is directed to convey the approval of the Competent Authority on recommendations of One-Man committee on introduction of Voluntary Discharge Scheme for all Categories of GDS, who are engaged on regular basis after due engagement formalities as prescribed in Gramin Dak Sevak (conduct & Engagement) Rules, 2011 and amended from time to time as per instruction of Directorate.
2. Keeping in view the above, it has been decided to issue consolidated instructions in supersession of all earlier OMs on the subject of Voluntary Discharge Scheme for all categories of Gramin Dak Sevaks as under:
2.1 SCHEME-1: ON COMPLETION OF 20 YEARS OF ENAGAGMENT PERIOD:-
(a) Scope: Intended for those who wish to quit prematurely without citing any specific reason.
(b) Conditions:
i. Minimum qualifying engagement period – 20 years
ii. No age restriction.
iii. By giving notice of not less than three months, in writing to the Divisional Head in prescribed proforma as shown in Annexure-I
iv. In computing the notice period of three months, the date of notice for voluntary discharge and date of its expiry to be excluded from the notice period.
v. In case the Divisional head does not refuse to grant the permission for retirement before the expiry of the period specified in the said notice, the discharge shall become effective from the date of expiry of the said period For example, if the date of notice is 05.02.2019 the discharge shall become effective from 04.05.2019.
vi. The divisional head shall issue orders before the date of expiry of notice either accepting or rejecting the voluntary discharge otherwise GDS shall be deemed to have been discharged voluntarily from engagement at the end of the period of notice of three months.
vii. Request can be withdrawn prior to acceptance of notice, with the approval of the accepting Authority i.e. Divisional Head.
viii. the scheme is purely voluntary and there will be no compulsion on any GDS to quit under this shceme.
ix. The scheme will not be available for GDS who are under put off duty, or against whom any disciplinary action, police case or court case, is pending.
x. All GDS who are engaged on regulary basis on the date of notification of the scheme and whho fulfill all other conditions will be eligible to opt for this scheme.
xi. The divisional Head will be the competent authority to accept and approve the voluntary discharge for all categories of GDS.
xii. Compassionate engagement will not be available for the dependents of the GDS to be discharged voluntarily. A declaration in prescribed application proforma as shown in Annexure-I will be taken from the GDS willing to seek the benefits of Voluntary Discharge scheme that she/he will not claim compassionate engagement for any of her/his dependents once voluntary discharge request is accepted.
(c) Entitlements :- Normal discharge benefits proportionate to the period of engagement rendered. In case the GDS quits engagement before completion of 20 years of engagement period, he/she will not be entitled to get any monetary benefits under the scheme.
2.2 SCHEME–2 : ON MEDICAL GROUND:
(a) Scope: Intended for those who suffer on account of any bodily or mental infirmity, which permanently incapacitates him/her for engagement and wishes to quit prematurely.
(b) Conditions:
i. Minimu engagement period 10 years
ii. No age restriction.
iii. An application in prescribed profoma as shown in Annexure-II to be submitted by the GDS.
iv. The Medical Authority (civil Surgeon) should certify that the applicant is not fit to continue in engagement. For this purpose the Divisional Head shall direct the GDS for appearing before the appropriate Medical Authority i.e. Medical Board of a Government Hospital.
v. The GDS to be directed to appear before the appropriate Medical Authority.
vi. A certificate so obtained from the Medical Authority without the prior approval of the Department will not be valid.
vii. Date of effect will be the date of acceptance of the request.
viii. The scheme is purely voluntary and there will be no compulsion on any GDS to quit under this scheme.
ix. The scheme will not be available for GDS under put off duty, or against whom any Department disciplinary action, police case or court case is pending.
x. The Divisional Head will be the competent authority to accept and approve the voluntary discharge for all categories of GDS.
xi. All GDS who are engaged on regular basis on the date of notification of the scheme and who fulfill all other conditions will be eligible to opt for this scheme.
xii. Compassionate engagement will not be available for the dependents of the GDS to be discharged voluntarily. a declaration in prescribed application proforma as shown in Annexure-II will be taken from the GDS willing to seek the benefits of Voluntary Discharge scheme that she/he will not claim compassionate engagement for any of her/his dependents once voluntary discharge request on medical ground is accepted.
(c) Entitlements: Normal discharge benefits proportionate to the period of engagement rendered In case the GDS quits engagment before completion of 10 years of engagement period, she/he will not be entitled to get any monetary benefits.
3. The above instructions will come into effect from the date of issue of this O.M.
4. Hindi version will follow.
(S.B.Vyavahare)
Assistant Director General (GDS/PCC)
Standard Operating Procedure in Case of Deputation / Transfer / Promotion / Punishment / Retirement / Training / Leave of DoP staff with reference to IPPB operations
F.No.6-10/2018-PBI
Government Of India
Ministry Of Communications
Department of Posts
(PBI Division)
Dak Bhawan,New Delhi
Date:14-12-2018
To,
All CPMGs/PMGs
Sub : Standard Operating Procedure in Case of Deputation / Transfer / Promotion / Punishment / Retirement / Training / Leave of DoP staff with reference to IPPB operations.
Please find enclosed copy of the Standard Operating procedure in case of deputation / transfer / Promotion / punishment / retirement / death etc. of DoP staff/GDS employees with reference to providing IPPB services at post office counters and door step.
2. This may be circulated among all concerned.
3. This issues with the approval of the competent authority.
Enclosures: As above.
(Abhishek Jain)
ADG (PBI)
Standard Operating Procedure on Transfer / Promotion / Retirement / Death / Punishment / Training and Leave of Department of Posts staff and Grameen Dak Sewaks (GDS) with reference to India Post Payments Bank (IPPB) Operations
I.Introduction
1.1 India Post Payments Bank Limited (“IPPB”) was incorporated as a Public Limited company on August 17, 2016 under the Companies Act, 2013, under Department of Posts with 100% Government of India equity and as a payments banking company under Section 22 (1) of the Banking Regulation Act, 1949.
1.2 IPPB as an organization, is designed to leverage the field network of the DoP and is required to carry out its sales and operations through the workforce of the DoP. IPPB will be responsible for designing the products and services, defining the technology and service delivery platforms, undertaking marketing and third-party tie-ups, setting and monitoring the service quality standards, handling customer grievances, managing the risks of the banking operations and dealing with statutory and regulatory compliances, etc.
II.Background
2.1 It was envisaged that IPPB to be a lean organization which will largely leverage existing DoP infrastructure including physical infrastructure and human resources for its operations. IPPB would have physical access points only through post offices. The post office staff including Gramin Dak Sewaks etc. would be used by IPPB to provide door step banking services to its customers.
2.2 IPPB would be offering the payments bank services using door step (assisted) banking through the Postmen & Grameen Dak Sewaks (‘GDS’) and counter services through Postal Assistants across the post offices. DoP staff and GDS involved in providing IPPB services are prone to transfer/leave/ retirement etc. due to which some procedural aspects need to be defined which will be followed by DoP and IPPB in case of transfer/leave/ retirement etc.
III.Definitions:
(i) End User – Postal Assistant, Postmen, GDS who are entrusted with IPPB operations and / or assigned IPPB AMS ID.
(ii) Super User – ASP/IP of the Sub Division, Head Postmaster, Sub Postmaster, Branch Postmaster who are entrusted with supervision of IPPB operations and / or assigned IPPB AMS ID.
(iii) Controlling Officer – DoP officer controlling the end user or super user, for example – Sub- Divisional IP/ASP, Division Head, in-charge of GPO or Gazetted Head Post Office, DPS or any other officer as the case may be.
(iv) IPPB Branch Manager – IPPB officer functioning as in charge of IPPB Branch.
(v) IPPB Circle Manager – IPPB officer functioning as in charge of IPPB Circle.
IV. Action Points by DoP
(a) Transfer & Promotion – (i) Generally there shall be no transfer in case of postmen and GDS. In case of transfer or promotion of Postal Assistants /Postmaster /IPs /ASPs including postmen and GDS etc., who are working as end users / super users, copy of the transfer or promotion order to be marked to respective IPPB branch manager in case of intra branch transfer/promotion (i.e. within jurisdiction of one IPPB Branch), to both IPPB Branch Managers in case of inter branch transfer/promotion (i.e. from jurisdiction of one IPPB Branch to another IPPB Branch) and to both IPPB Circle Managers in case of inter circle transfer/promotion as the case may be. The details (name & designation, employee CSI ID, present office facility ID along with facility id of new office of posting) of the official/officer transferred and new incumbent posted if any should be mentioned along with the name of the Access Point/Sub Division.
(ii) In case of Postman or GDS end user, the Smartphone and biometric device provided to end user should be taken back from the transferred / promoted official and handed over to IPPB Branch manager who will assign these devices to next incumbent posted in that place. Before handing over to IPPB Branch manager, controlling officer will check the condition of the devices received back and in case if any damage is noticed then it should be confirmed from the official and if the damage has occurred due to the negligence of the official then necessary charges should be recovered from the official.
(b) Retirement – In case of retirement of end user or super user, the information containing details of the end user or super user due for retirement, i.e. Name & designation, employee CSI ID, facility ID of the Access Point where official is posted and due date of retirement where official is posted should be provided at least 2 months in advance to the respective IPPB branch manager.
In case of Postman or GDS end user, the Smartphone and biometric device provided to end user should be taken back from the retired official and handed over to IPPB Branch manager who will assign these devices to next incumbent posted in that place. Before handing over to IPPB Branch manager, controlling officer will check the condition of the devices received back and in case if any damage is noticed then it should be confirmed from the official and if the damage has occurred due to the negligence of the official then necessary charges should be recovered from the official.
(c) Death / Termination / Suspension of DoP Staff and Put Off duty for GDS – In case of the death / termination / suspension of DoP officials and put off duty of GDS, the same procedure as of retirement would be followed however, the date of effect would be the date of the death/order issued.
(d) Training & Leave- In case of training or leave of IPs/ASPs/ Postmaster/Postal Assistant/Postmen/GDS- Copy of the training order or intimation of leave sanctioned containing the details of the officer/official deputed for training, i.e. Name & designation, CSI ID, period of training / leave, facility ID of the Access Point where official is posted and similar details of the substitute deputed during the training / leave period should be provided to respective IPPB branch manager or Circle Manager as the case may be (preferably through email).
Note: A system should be in place to inform the IPPB Branch manager/ Circle Manager through electronic mode like e-mail about all of above i.e. (a) to (e) with emphasis on joining, relieving, leave etc. of the end user/super user by controlling officer and the in-charge of the Access Point.
V.Action Points by IPPB.
(a) Transfer/Promotion-. On receipt of information from DoP about transfer of any officer/official, IPPB Branch Manager of outgoing branch will push the Agent ID of the official in AMS-Pool after getting the confirmation (preferably through email) from transferor Access Point. IPPB Branch Manager of incoming branch will on board the same Agent ID of the official from AMS-Pool after obtaining the confirmation (preferably through email) of joining along with joining date from transferee Access Point with its facility ID. (IPPB Branch manager of incoming branch will provide the details of change in facility ID and teller account as per format of Finacle user ID to respective Circle SPOC which in turn will forward to Zonal SPOC, who will get the Finacle ID mapping changed to new Access Point with new teller account creation.)
IPPB Branch Manager will receive the Smartphone and biometric device from controlling officer of the transferred end user (in case of Postman or GDS) and deposit under branch’s custody till assigning these devices to other incumbent.
(b) Retirement – In case of retirement of end user/ super, IPPB Branch Manager will push the details in AMS pool, indicating the Access Point with the facility ID and delete the Agent ID/ Finacle ID. Branch Manager will receive the Smartphone and biometric device from controlling officer of the retired end user (in case of Postman or GDS) and deposit under branch’s custody till assigning these devices to other incumbent.
(c) Death / Termination / Suspension of DoP Staff and Put Off duty for GDS – In case of the death / termination / suspension of DoP officials and put off duty of GDS, the same procedure as of retirement would be followed however, the date of effect would be the date of the death/order issued. Concerned IPPB branch manager will push the details in AMS pool, indicating the Access Point with the facility ID and delete the Agent ID/ Finacle ID in case death / termination and put in standby mode in case of suspension of DoP officials and put off duty of GDS.
(d) Training & Leave – Concerned IPPB branch manager will push the Agent ID of the official in AMS in standby mode after getting the confirmation of training / leave commencement from the Access Point (preferably through email). Branch Manager will mark the same standby Agent ID as active in AMS after joining of the official and confirmed by the Access Point (preferably through email).
Meeting of the Committee constituted to examine the issues relating to the Postmasters Cadres
No.25-19/2018-PE-I
Government of India
Ministry of Communications
Department of Posts
(PE-1 Section)
Dak Bhawan, Sansad Marg,
New Delhi – 110001
Dated 13th December, 2018
To,
1.Secretary General,
National Federation of Postal Employees, (NFPE),
1st Floor, Post Office Building,
North Avenue, New Delhi – 110001
2.Secretary General
Federation of National Postal Organization (FNPO),
T- 24, Atul Grove Road, New Delhi – 110001
3. Secretary General,
Bhartiya Postal Employees Federation(BPEF),
T-21, Atul Grove Road, New Delhi – 110001
Subject : Meeting of the Committee constituted to examine the issues relating to the Postmasters Cadres.
Sir,
With reference to the above mentioned subject, this is to inform that the next meeting of the Committee constituted to examine the issues relating to the Postmasters Cadre is scheduled to be held on 20.12.2018 in Sh. K.R Murthy Room, Dak Bhawan, New Delhi, The following issues will be discussed in the meeting.
(i) Efficacy of having a separate cadre of Postmasters.
(ii) Ways to fill up LSG, HSG-I, HSG-II General posts after Cadre Restructuring.
(iii) Any other issue relating the Cadre Restructuring of Group C employees (Postal Operative Side).
In this regard , it is requested that 2 representatives from your Federation may attend the meeting on the scheduled date at 2:30 pm.
Yours faithfully
Asstt. Director General (Pen.)/LO-PE-
Railway Board Constitutes a Committee to examine the demand for consideration of Ticket Checking Staff as Running Staff
GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
(RAILWAY BOARD)
No. ERB-I/2018/23/48
New Delhi, dated 8.11.2018
ORDER
Ministry of Railways (Railway Board) have decided to constitute a Committee to examine the demand for consideration of Ticket Checking Staff as Running Staff. The Committee will consist of the following:-
i. AM/Commercial, Railway Board —- Convener
ii. AM/Staff, Railway Board —– Member
iii. PED/Finance, Railway Board —— Member
The Term s of Reference of the Committee will be as under:-
a. Grant of Running allowance to Ticket Checking staff on the lines of Loco-Pilots and Guards.
b. Creation of posts of Ticket Checking Staff in the same manner as that of Running Staff.
3 The Committee should submit its report within three months from the date of its constitution.
4, The Headquarters of the Committee will be at Railway Board, New Delhi.
5. TG-V branch, Railway Board will be the Nodal branch for functioning of the Committee. Therefore, submission of report of the Committee for consideration of Railway. Board, implementation of its recommendations and all related issues including Parl. Questions, RU cases and other formalities with regard to the Committee, shall be dealt with by TGV branch of Railway Board.
6. The Convener and Members of the Committee will draw TA/DA as per extant rules.
(Vijay Kumar)
Under Secretary (Estt)- I
Railway Board
PCDA Circular C-192 : Dispatch of E-PPOs in r/o Defence Civilian to Head of Offices & PDA.
0/o The Principal Controller of Defence Accounts (Pension), Draupadighat, Allahabad — 211014
MOST IMPORTANT
Circular No: C-192
No: G1/C/0199/Vol-II/Tech
Dated :- 13.12.2018
To,
_________________________
_________________________
(All Head of Department under Min. of Defence)
Subject: Dispatch of E-PPOs in r/o Defence Civilian to Head of Offices & PDA.
Reference: This office circular no. C-164 dated 30.05.2017 and C-181 dated 22.01.2018.
(available at www.pcdapension.nic.in )
**************
Attention is invited to above cited circulars under which instructions were issued for implementation of e-PPO in respect of Defence civilians. LPC-cum-Data Sheet containing new fields 1(A). HOO Code and 1(B). Email ID of HOO Code was circulated under circular no. C-181 dated 22.01.2018. Of late, it is being noticed that column 1(A) & 1(B) are not being filled by the most of the HOOs while forwarding the pension claim to this office. Competent authority has directed that above said fields are mandatory and should be filled by HOO otherwise from 01.04.2019, claim will be rejected/ returned. Head of offices which still have not unique 6 digits HOO code, follow the procedure mentioned at Para 20 of circular C-164 dt. 30.5.17 to get themselves registered.
2. Now soft copy of digitally signed e-PPOs are being forwarded to HOO by email on email address registered under HOO code. The concerned HOO, after scrutinizing and checking the e-PPO, is requested to forward a copy of the e-PPO along with Descriptive Roll of the pensioner to PDA concerned. HOOs are also requested to kindly provide a copy of the e-PPO to the Pensioners/ Family Pensioners for their record. If any discrepancy is observed by the HOO in e-PPO or death occurs before the date of retirement/discharge, then this fact may be immediately brought to the notice of PSA and PDA for remedial measures. PDAs are advised to affect payment based on e-PPO directly received in XML/PDF file, after confirmation from Head of Offices concerned in the form of receipt of Descriptive Roll, undertaking & non/re- employment certificated etc.
3. In view of e-PPO concept there is no requirement of PENSION CERTIFICATE, hence concept of Pension Certificate may be treated as deleted. Now, HOO will forward only one copy of Descriptive roll to this office for office record and other two copies will kept at their end for onward forwarding to PDA with e-PPO (on receipt of e-PPO through email).
4. In view of the above, HODs are requested to issue suitable instructions (along with copy of this circular) to all the Head of the Offices under your administrative control to ensure that these additional information should be filled in LPC-Cum-Datasheet in r/o Post-2016 of Pensioners/ Family Pensioners to this office.
PCDA Circular C-191 : Merger of Organization Codes
O/o The Principal Controller of Defence Accounts (Pension), Draupadighat, Allahabad – 211014
Circular No C-191
No. G1/C/0199/ Vol-II/Tech
0/o the PCDA (P), Allahabad
Dated: 11/12/2018
To,
————————
————————
(All Head of Department under Min. of Defence)
Sub: – Merger of Organization Codes.
******
At present 20 (Twenty) type of organization code (two digits) are in existence. Request is being received from various Head of Departments regarding merger of some organization codes. Matter has been reviewed and competent authority has decided to merge the following organization code for betterment of pension claims submission:
Sl No.
Merger of Org. Code
After merger new code
01
02(Ordnance Depot)+04 (AOC)
02 (AOC)
02
12(Gref)+15(Pioneer)
12(Gref)
03
06(Misc-CAO)+20(Misc-AHQ)
06(Misc-CAO)
2. After merger of organization code following type of organization codes would be in existence:-
Si. No.
Organization type
Organization
Organisation
code
01
Factories
FYS
01
02
Ordance Deport & AOC
AOC
02
03
Military Engineering Service
ENG
03
04
EME
AOC
05
05
CAO & Army HQrs.
MISC
06
06
Military Farms
MISC
07
07
DGI
MISC
08
08
R&D
MISC
09
09
Navy
NAVY
10
10
Air Force
AF
11
11
Gref & Pioneer
GREF
12
12
Defence Accounts Department
DAD
13
13
Miscellaneous
MISC
14
14
MNS(Local)
MISC
16
15
NCC (Officer)
MISC
17
16
Coast Guard
CGO
18
17
Army Supply Corps
MISC
19
3. In view of the above, you are requested to issue suitable instructions (along with copy of this circular) to all the Head of the Offices under your administrative control to ensure the submission superannuation/retiring pension claims(LPC-cum-Datasheets) according to above said merged organization code. For example field no. 1 of LPC-cum-Datasheet in case of PIONEER will be filled as 12, similarly for 04(AOC) new organization code will be filled as 02.
TN New Health Insurance Scheme : Emergency care on re-imbursement basis in Non-Network Hospitals
Government of Tamil Nadu 2018
FINANCE [Salaries] DEPARTMENT G.O.(Ms).No.391, Dated 10th December 2018. (Vilambi, Karthigai-24, Thiruvalluvar Aandu-2049)
ABSTRACT
Medical Aid – New Health Insurance Scheme, 2016 for Employees – Provision of assistance for the treatments/surgeries covered under the said Scheme on re-imbursement basis in Non-Network Hospitals in case of Emergency Care – Guidelines to implement the clause “Emergency Care” – Orders – Issued.
Read:-
1. G.O.Ms.No.202, Finance (Salaries) Department, dated: 30-06-2016.
2. G.O.Ms.No.222, Finance (Pension) Department, dated: 30-06-2018.
3. G.O.Ms.No.292, Finance (Salaries) Department, dated: 03.09.2018.
4. Letter received from Principal Secretary/Commissioner of Treasuries and Accounts, Rc.No.22006/2018/ NHIS – 2, dated: 26.09.2018.
ORDER
In the Government Order first read above, orders have been issued for the implementation of New Health Insurance Scheme, 2016 for Employees during the block of four years from 01.07.2016 to 30.06.2020.
2. In the Government Order second read above, orders have been issued for the implementation of the New Health Insurance Scheme, 2018 for Pensioners (including Spouse) / Family Pensioners with a new clause providing assistance for the treatments / surgeries covered under the scheme in case of emergency care on re-imbursement basis in Non-Network Hospitals.
3. In the reference 3rd cited, the Government have sanctioned funds towards the additional premium for extending the new clause “Emergency Care” to the beneficiaries under New Health Insurance Scheme, 2016 for Employees.
4. The Government after careful consideration has decided to issue guidelines to extend the medical assistance to the subscriber of New Health Insurance Scheme, 2016 for Employees for the treatments / surgeries covered under the scheme in case of emergency care on re-imbursement basis in Non-Network Hospitals subject to Eligible Medical Expenses and Ceiling Criteria where there will be no cashless facility available.
5. The Guidelines for implementation of New Health Insurance Scheme, 2016 for employees and the procedure to be followed by the Beneficiaries for availing Medical Assistance under this Scheme are as detailed below:
(1) In case of Planned Hospitalisation: The Beneficiaries seeking medical assistance under this Scheme shall approach the Network Hospitals only for the approved treatments and surgeries to be undertaken on CASHLESS basis so that pre-authorisation is given by the Insurance Company / Third Party Administrator under the control of the Insurance Company.
(2) In case of Emergency Care : The Beneficiary seeking medical assistance under this Scheme shall approach either Network Hospital for the approved treatments and surgeries to be undertaken on CASHLESS basis or Non-Network Hospital for the approved treatments and surgeries to be undertaken on reimbursement basis. The Beneficiary has to pay the medical expenses first directly to the hospital and then seek cash reimbursement for the approved treatments and surgeries undertaken subject to Eligible Medical Expenses and Ceiling Criteria. There will be no cashless facility applicable in Non-Network Hospital.
(3) The Scheme is that ordinarily the employee /eligible family members is required to avail CASHLESS facility in Network Hospital (to the extent of Eligible Medical Expenses and Ceiling Criteria under the Scheme) and pay for non-medical expenses directly to the hospital.
(4) In case, an employee /eligible family members undergoes emergency treatments/surgeries not covered under this Scheme in either Network Hospital or Non-Network Hospital, no claim can be filed under the New Health Insurance Scheme. However, they shall be eligible for claim to the extent permissible under the Tamil Nadu Medical Attendance Rules and the G.O.Ms.No.1023, Health and Family Welfare Department, dated 17-06-1980. It may be noted that the Tamil Nadu Medical Attendance Rules requires that treatment in private hospitals should not be resorted to except in cases of emergencies. Clause 2(3) of the aforesaid Government Order states that in genuine cases of emergency, the claims will be restricted to the expenditure that would have been incurred had the patient taken treatment in a Government hospital excepting diet charges. For claims under Tamil Nadu Medical Attendance Rules, the Beneficiaries may apply to the authority in the department in which the Government employee is working.
(5) In case, an employee/eligible family members avails treatments/surgeries in Non-Network Hospital where there is no emergency, the employee /eligible family members shall not be entitled to reimbursement under the New Health Insurance Scheme.
(BY ORDER OF THE GOVERNOR)
K.SHANMUGAM
ADDITIONAL CHIEF SECRETARY TO GOVERNMENT
