G.O.Ms.No.171, Dated 26th June 2014.

1 Government of Tamil Nadu 2014 MANUSCRIPT SERIES FINANCE [Pension] DEPARTMENT , 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 , Finance (Pension) Department, Dated :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 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 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 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 : 2 : 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.

4 The implementation procedure outlined in Annexure-I to this order shall be adopted. 5. The Pensioners / Family Pensioners shall uniformly subscribe a sum of 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. OTHER MISCELLANEOUS GENERAL SERVICES 800. Other Receipts BY. Subscription from Pensioners / Family Pensioners towards New Health Insurance Scheme (NHIS), 2014 . [ 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.

5 The expenditure on payment of insurance premium including service tax shall be debited to the following Head of Account under Demand Pension and Other Retirement Benefits: MISCELLANEOUS GENERAL SERVICES 800. Other Expenditure I. Non-Plan IJ. New Health Insurance Scheme, 2014 for Pensioners / Family Pensioners. 10. Contributions. 2. Insurance Premium [ 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. : 3 : 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.

6 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) PRINCIPAL SECRETARY TO GOVERNMENT. ToThe Director of Treasuries and Accounts, Chennai-600 015. The united India Insurance Company limited , Chennai-600 006. All Secretaries to Government, Chennai-600 009. All Departments of Secretariat, Chennai-600 009. All Heads of Departments. The Secretary, Legislative Assembly Secretariat, Chennai-600 009. The Secretary to the Governor, Chennai-600 032. The Comptroller, Governor s Household, Raj Bhavan, Chennai-600 022. The Governor s Secretariat, Raj Bhavan, Guindy, Chennai-600 022. All District Collectors / All District Judges / All Chief Judicial Magistrates. The Accountant General (A&E) Chennai-600 018.

7 The Accountant General (Audit-I) Chennai-600 018. The Accountant General (Audit-II) Chennai-600 018. The Accountant General (CAB) Chennai-9 / Madurai. The Pension Pay Officer, Chennai-600 006. All Pay and Accounts Officers. All Treasury Officers. All Sub-Treasury Officers. The Reserve Bank of India, Chennai-600 001. The Reserve Bank of India, Department of Government and Bank Accounts, Central Officer, (Opp. to Mumbai Central Railway Station), Byculla, Mumbai-600 008. All Head Offices/Regional Offices of PSBs / All Public Sector Banks through the Director of Pension, Chennai-600 006. The Convener, State Level Bankers Committee-Tamil Nadu, Indian Overseas Bank, Central Officer, 703, Anna Salai, Chennai-600 002. All District Medical Officers. The Chief Internal Auditor and Chief Auditor of Statutory Boards, Chennai-2.

8 The Secretary, Tamil Nadu Public Service Commission, Chennai-600 002. The Registrar General, High Court, Chennai-600 108. All Commissioners of Tribunal for Disciplinary Proceedings. Copy to: The Secretary to Chief Minister, Chennai-600 009. The Chief Minister s Office, Chennai-600 009. The Special Personal Assistant to Minister for Finance, Chennai 600 009. The Private Secretary to the Chief Secretary to Government, Chennai-600 009. The Private Secretary to the Secretary to Government, Finance Department, Chennai-600 009. All Officers in Finance Department, Chennai-600 009. All Sections in Finance Department, Chennai-600 009. All Pensioners / Family Pensioners Associations. Stock File / Spare Copies. -/ Forwarded : By Order /- SECTION OFFICER. : 4 : Annexure-I IMPLEMENTATION PROCEDURE FOR NEW HEALTH INSURANCE SCHEME, 2014 FOR PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.

9 The New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be implemented by the Director of Treasuries and Accounts, Chennai-15 through the united India Insurance Company limited , Chennai-600 006 / Third Party Administrator under the control of united India Insurance Company limited , Chennai for a block period of four years. The guidelines governing the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners are as follows: 1. COMMENCEMENT: The scheme will commence from 1-7- 2014 for a block period of four years upto 30-6-2018. 2. ENROLMENT: The enrolment of the Pensioners / Family Pensioners under the New Health Insurance Scheme, 2014 for Pensioners (including spouse) / Family Pensioners shall be compulsory.

10 3. EXTENT OF THE SCHEME: (a)The scheme shall be applied to the following categories of existing/future Pensioners / Family Pensioners whose pension / family pension is paid out of the Consolidated Fund of Tamil Nadu and who draw their pension / family pension either directly from the Pension Pay Office, Chennai / District Treasury / Sub-Treasury through Banks under Pension Pilot Scheme or directly from Banks under Public Sector Bank Scheme:- (i) State Civil Pensioners / Family Pensioners. (ii) Teacher Pensioners / Family Pensioners. (iii) Pensioners / Family Pensioners of All India Services belonging to the Tamil Nadu Cadre. (iv) Pensioners / Family Pensioners of the State Government Employees who had drawn lumpsum payment on absorption in Public Sector Undertakings / Autonomous Bodies / Local Bodies / Co-operative Institutions and have become entitled to restoration of 1/3rd commuted portion of pension as well as revision of the restored amount.