Friday, November 10, 2017

Group Insurance Policy for Retirees Changes in list of TPAs - Letter to IBA by GS AIBRF

We reproduce below the letter written to IBA by GS AIBRF
Ref:2017/120                                                         Date:06.11.2017
    The Chief Executive
    Indian Banks’ Association

    Dear Sir
                            Re: Group Insurance Policy for Retirees
                                   Changes in list of TPAs
    We find that United India Insurance Company Limited, lead insurer under iba group policy for bank retirees has recently made many changes in the list of TPAs. We have yet to see official communication from IBA/ UIICL.

2. Because of the changes in TPAs panel done  by the insurance company , our members are facing many practical  problems  in availing cashless facility under hospitalisation as well as settlement of claims under reimbursement putting the members under severe hardship in getting timely treatment and financial pressure because of undue delay in settlement of claims. Insurance company may have their own reasons and logic for effecting the changes , but ultimately problems are being faced by the retirees. As you are aware the retirees who have taken this group policy include family pensioners super senior citizens getting ex-gratia payments, non-pensioners with very limited income and have with lot of constraints  shelled out heavy  insurance premium form Rs.  13000 to 36000 are put to very difficult and unimaginable situation when they face refusals from approved hospitals on approaching for treatment because of change of TPAs and existing TPAs refuse approvals. This situation is turning in to serious human problem for senior citizen and beyond tolerance.

3. Otherwise also, services of UIICL/TPAs are not satisfactory and of late  dissatisfaction level among retirees have gone up very high. There is general complaint that claims are kept pending for approval for 3 months and beyond. Even after getting approvals from TPAs, actual credit takes  another 60 to 90 days. There is need for urgent steps to take corrective action for improving the situation. IBA being sponsor of the scheme as welfare measure for retirees need to take immediate action in this area instead leaving it on the mercy of the insurance company/ insurance broker completely.

4. We wish to meet you and appraise with the  situation with various data and documents. We shall be glad if you will kindly give us appointment on priority basis.

              With Warm Regards.
                                                                      Yours Sincerely,
                                                                       ( S.C.JAIN)
                                                                GENERAL SECRETARY

c.c to UFBU Convenor & Constituents.



Sunday, October 29, 2017

Super Top Policy of New India for Bank Retirees

Circular issued by AIBRF on the above subject is reproduced below

Ref:2017/114                                                     Date:26.10.2017

    The office Bearers/ Central Committee Members/ State Body Chiefs
    Dear Comrades,
           Re: Super Top Policy of New India for Bank Retirees
                 Target of 10000
    We are pleased to  inform you that as per the message received from New India, it has agreed to issue Super Top Policy on the basis of data on proposal received by Pragmatic up to 25.10.2017 and  cheques received  towards payment of premium are being deposited in the bank w.e.f 26.10.2017 and all cheques received up to 25.10.2017 will be deposited latest by 30.10.2017 to become policy to be effective from 01.11.2017.

2. The cheques received after 26.10.2017 will be deposited after 01.11.2017 and the risk of such members will be covered from date of realisation of cheque and payment to the insurance company.

3. It has been further decided to extend date of joining NIA Super Top policy up to 30.11.2017 in view of the fact that the retirees were busy in renewal of base policy , financial load for payment of 2 premiums in one month and to understand features of super top policy first time. Those who wish to join the super top policy may send proposal form duly completed  at the earliest on the following address

  Pragmatic Insurance Broking Services Pvt. Ltd.
  Sunshine Avenue Opp. Balaji Traders
  Near Datta Mandir Chowk
  Viman Nagar PUNE 411014
4. It may be mentioned the proposal forms received during the months of November ,risk in such cases will be covered from date of realisation of cheques and payment to the insurance company. However policy period will be 01.11.2017 to 31.10.2018.

5. We shall be placing lists of member under the super top policy along with policy document on AIBRF website immediately after receipt from New India. We shall also place bank wise list of TPAs under super top policy which of course will be the same as available in base policy. Pragmatic/ New India  will create special cell/ desk to provide after sale service to members. Details will be advised shortly.

6. It may be mentioned that now because of efforts and initiative of AIBRF, concept of super top policy has become very popular among bank retirees giving them reliable comfort towards tackling health
related issues at the advancing age. Now retirees can enjoy the following health insurance at reasonable premium at very attractive terms.
                                SUM ASSURED                         PREMIUM
BASE                             3,00,000                           12333
New India Super Top    5,00,000                             3511
United India Super Top 4,00,000                             3511

Total                            12,00,000                           19253


BASE                             4,00,000                            16443
New India Super Top    6,00,000                              3806
United India Super        5,00,000                              3806

Total                             15,00,000                          24055

The above schemes have opened new window for bank retirees for which AIBRF make efforts for further improvement. It may be mentioned that as per  existing rules one can take multiple super top policies and use any one for claim as per his/her choice. We convey our thanks to all our activists for extending overwhelming  support to the scheme
              With Warm Regards.
                                                                      Yours Sincerely,
                                                                       ( S.C.JAIN)
                                                                GENERAL SECRETARY

Monday, October 9, 2017

Renewal of Group Mediclaim Scheme for Bank Retirees - CBPRO/AIBPARC letter to UFBU

We reproduce below the circular issued by AIBPARC
Circular No. 55/17.                                     06.10.2017.

Dear Comrade,
Sub : Renewal of Group Mediclaim Scheme for Bank Retirees.
You are aware of the fact that IBA has already advised the banks in the last week of September, 2017 about the modalities of renewal of group mediclaim scheme for bank retirees for the period commencing from 1st November, 2017. Different banks have already issued circulars while a few banks are yet to do. The realization of premium will be effected in the last week of October, 2017 in most of the banks. In the given circumstances, CBPRO/AIBPARC have made a representation to the convener of UFBU with a request to make efforts to subsidize the premium to the maximum extent possible and also to bring a uniformity in regard to the super top up policy with a more improved offer of ceiling of reimbursement. It may please also be noted that the leadership of AIBPARC has been in touch with the individual components of UFBU and requested them to use their good offices with IBA in this regard. The letter of AIBPARC/CBPRO is reproduced hereunder for information of members.
With best wishes,
To Dated: 05.10.2017
Com. Sanjeev Kumar Bandlish
Convener UFBU
Dear Comrade. Sanjeev,
Sub: Bank Retires Insurance Scheme
I very fervently request you to present the following before the IBA and UIIC in your tomorrow's meeting.
1. UIIC SHOULD REDUCE PREMIUM and the reason of high claim ratio is questionable.
2. Retirees Premium should be at least reasonably subsidized though as per DFS, Govt. Of India communication to IBA Dated 24th Feb 2012 they only advised IBA to devise Medical Insurance Scheme both for serving employees and Retirees and never the DFS suggested to collect the Premium from the Retirees.
3.The Super Top Up Policy offered by UIIC should be officially communicated to all member Banks and those opt for Super Top Up Policy the Premium should be collected along with Basic Policy and remitted to UIIC by the Banks.
4. UIIC SHOULD IMPROVE THE Super Top-up Policy to Rs  5 lacs for Award Staff and Rs 6 lacs for Officer Retirees.
5. The process of settlement of claims should be smooth and fast and holding the bills unsettled on flimsy grounds should be avoided.
In case of Retirees the claimants are maximum two and in good number of cases only one as the other would have ceased to exist.
Family Pensioners are the worst sufferers as the Family Pension is abysmally very poor and they just cannot afford to pay such high premium.
We once again request you to take care of the Retirees with utmost concern and compassion.
With Regards,
Yours sincerely,
K .V .Acharya.

Wednesday, September 20, 2017

Super Top Up Policy for Retirees & Renewal of Basic Policy for 2017-2018 - AIBRF circular

We reproduce below the circular issued by AIBRF

Ref:2017/97                                                           Date: 19.09.2017

          The office Bearers/ Central Committee Members/ State Body Chiefs

     Dear Comrades,

                         Re: Super Top Up Policy for Retirees &
                               Renewal of Basic Policy for 2017-2018
We request you to refer our circular no. 2017/91 dated 28.08.2017 advising detailed procedure to be followed and terms and conditions thereof  for obtaining AIBRF New India  Super Top Up Policy.  

2. We are pleased to inform you that we have been advised by New India Assurance Company Limited through Pragmatic Insurance Broking Pvt, Limited that on review of the matter, it has decided to increase the amount of sum insured under AIBRF New India Super Top Policy as under for the year 2017-2018.

(a)        For Retired Officer from Rs. 4 lakhs to Rs. 6 lakhs
(b)        For Retired Award Staff from Rs. 3 lakhs to Rs. 5 lakhs.

    Premium amount will remain the same  as advised earlier:

(a)        For Retired Officer Staff ( Sum Insured Rs. 6 lakhs) Rs. 3806 inclusive of GST.
(b)        For Retired Award Staff ( Sum Insured Rs. 5 lakhs) Rs  3511 inclusive of GST.
    Further we have been advised that the insurance company has agreed  to offer discount of Rs. 300 to family pensioners and pensioners who have lost their spouses who take policy on single basis. For above category, insurance premium will be as under

(a)        Retired Officer Staff on single basis ( Sum Insured Rs. 6 lakhs) Rs. 2925 + GST Rs. 527  Total Rs. 3452
(b)        Retied Award staff on single basis ( Sum Assured Rs. 5 lakhs ) Rs. 2675 + GST Rs. 478   Total Rs. 3157.

Last Date for submission has been extended to 10.10.2017. However the condition that policy will become operative when minimum 10000 proposals are received by above date remain unchanged.
O3.    We have also been informed that same proposal forms can be used for availing Super Top policy for enhanced amount as above
 and amount of sum assured can be suitably altered while filing the forms. Proposal forms already sent will remain valid and excess amount  in case of single basis will be refunded after encashment of the cheque.

04.With the above improvements made in AIBRF New India Super Top Up Policy by New India Insurance Company which is the largest insurance company of the country and having record of  highest claim settlement ratio, Super Top policy has become very attractive and favourable for the retirees .

05. You will kindly appreciate that because of initiatives taken by AIBRF to deal the matter, entire scenario of group medical insurance  has undergone for qualitative change for retirees. Now retirees can enjoy very healthy cover of Rs. 10 lakhs/ 8 lakhs for their treatment. We are happy to note that because of steps taken by AIBRF , United India Insurance Company has started responding quickly and positively on group insurance issues.


We find that as per the communication issued by United India Insurance Company addressed to IBA, it has agreed to renew group insurance medical policy for 2017-2018 ( without domiciliary benefit) on the same premium as applicable  last year except some increase due to new tax rates. Details are as under.

(a)        Retired Award Staff (sum insured Rs. 3 lakhs) Rs. 12333 including taxes
(b)        Retired Officer Staff ( sum insured Rs. 4 lakhs ) Rs. 16443

However UIICL has made steep increase in premium amount for renewal of policy with domiciliary benefit up to 10 per cent of sum insured. Details are as under:

(a)        Retired Award staff ( Sum insured Rs. 3 lakhs.) Rs. 27750/- including taxes.
(b)        Retired Officer staff ( Sum insured Rs. 4 lakhs ) Rs. 36998.

The Company has also announced that (a) it will open the policy for retirees without domiciliary benefit  who have not opted for it in the past (b) Retirees who have availed domiciliary facility will be allowed to switch for non-domiciliary policy (c) Those retired during 2016-2017 will have option to join the scheme with or without domiciliary benefits.

The company has announced launching of Super Top Policy for retirees on the same terms and conditions as applicable to the basic policy. Details of premium are as under:

(a)        Retired Award staff: ( Sum Insured Rs. 4 lakhs) Premium Rs. 3511 including taxes.
(b)        Retired officer staff ( Sum Insured Rs. 5 lakhs ) Premium Rs 3806 including taxes.

We now request our affiliates to initiate the following steps in the matter:  

(a)        Approach the bank managements for issue of immediate communications for renewal of insurance policy for 2017-2018.  
(b)        Advise the members  details of renewal as well as super top policy and select the best super top up policy which they find most suitable for them.

We feel that steep increase in renewal premium for renewal of policy with domiciliary benefit is too high and unbearable. To charge about Rs. 20000 extra for benefit of Rs. 40000  makes the whole scheme irrelevant and against the spirit of  insurance scheme. We are taking up the matter with  IBA.

                   With Regards,
                                                                           Yours Sincerely,
                                                                       ( S.C.JAIN)
                                                                GENERAL SECRETARY