Tender Notice Dt - Department of Health , J&K
Tender Notice Dt - Department of Health , J&K Tender Notice Dt - Department of Health , J&K
this, the insurer shall sign an agreement with other Insurers so thatbeneficiaries can get seamless access of health care services acrossIndia.9. Payment of Premium:State Government/ Nodal Agency will, on behalf of the BPL and othernon-BPL (if applicable) beneficiaries, make the payment of thepremium to the Insurance Company based on the enrolment of theBPL and other non-BPL beneficiaries (if applicable) and delivery ofsmart cards to them. The Central Government, on receipt of thisinformation, and enrolment data from the State Government/ NodalAgency in the prescribed format, shall release its share of premium.10. Payment of Premium and Registration Fee:Payment of registration fee and premium installment will be as follows:a) First installment of premium of Rs.30 shall be paid by the beneficiary,at the time of enrollment and delivery of smart card or at the time ofrenewal as the case may be, as registration fee to the InsuranceCompany.b) Second installment shall be paid by the State Nodal Agency to theinsurance company within 15 working days of the receipt of all thenecessary documents, in the prescribed format, and any otherinformation and compliance from the Insurance Company. Theinstallment will be in the nature of 10% of (X-60)-30.(X being the premium amount per family).c) Third installment shall be paid by the State Nodal Agency on thereceipt of the share of the Central Government as per the followingformula:90% of (X-60)+60(Subject to a maximum of Rs. 565/- + Rs. 60/-)This amount shall be paid within 45 working days of receipt ofnecessary documents from the insurance company as mentionedabove.{Any amount beyond the contribution by the Central Government will beborne by the State Government.}Note:1. It will be the responsibility of the State Government to ensure that thepremium to the Insurance Company is paid according to the schedulementioned above to ensure adherence to compliance of 64 VB of the13
Insurance Act 1938.2. Premium payment to the Insurance Company will be based onReconciliation of invoice raised by Insurer and enrolment datadownloaded from Field Key Officers’ Card (FKOs) at district level server.11. Period of Insurance:11.1. The period of Insurance Contract shall be for three years from theeffective date, subject to renewal on yearly basis, based on parametersfixed by the State Government/ Nodal Agency for renewal.11.2. However, the insurance coverage under the scheme shall be in force fora period of one year from the date of commencement of the policy.a. In the districts where scheme is starting for the first time, a BPLfamily or other non-BPL identified beneficiaries (if applicable) whois issued smart card will be able to avail facilities from the [Date ofStart of the Policy]. All cards issued in the district shall have thesame Policy beginning and end date as the 1 st card.11.3. The commencement and policy period may be determined for eachDistrict separately depending upon the start of the issue of smartcards in that particular District.11.4. In the districts where the scheme is starting for the first time,the Scheme shall commence operation from the 1 st of the succeedingmonth in which the smart card is issued. Thus, for example, if theinitial smart cards are issued anytime during the month of October ina particular district the scheme will commence from 1 st of November.The scheme will last for one year till 31 st October next year. Thiswould be the terminal date of the scheme in that particular district.However, in the same example, if the card is issued in the month ofNovember, December and January then the insurance willimmediately start from the next day itself for the beneficiaries andpolicy will be over on 31 st October next year. Thus, all cards issued inthe district in November will also have the Policy start date as 1 st ofNovember (even if issued subsequent to the date) and terminal date as31 st October the following year. The date of commencement ofinsurance for the cards issued during the intervening period will be asfollows:In case of New EnrolmentSmart card Commencement of Policy End Dateissued During Insurance1. October, 2011 November, 2011 October, 20122. November, 2011 November, 2011 October, 20123. December, 2011 December, 2011 October, 201214
- Page 1 and 2: GOVERNMENT OF J&KDEPARTMENT OF HEAL
- Page 3 and 4: GOVERNMENT OF J&KDEPARTMENT OF HEAL
- Page 5 and 6: Table of ContentsPART I - INFORMATI
- Page 7 and 8: 4. Unit of Enrolment:4.1. The unit
- Page 9 and 10: part of insured family member till
- Page 11 and 12: iii) Those facilities undertaking s
- Page 13: ased on basic quality criteria as g
- Page 17 and 18: (d)(e)(f)pre-defined fee.An enrollm
- Page 19 and 20: ) Beneficiary has balance in his/ h
- Page 21 and 22: intermediary institutions for the p
- Page 23 and 24: to as the “Call Centre Service”
- Page 25 and 26: The parties shall refer such disput
- Page 27 and 28: for the insurer to download.ii. Dis
- Page 29 and 30: esponsibility of the Insurer to ens
- Page 31 and 32: 36. Notification of Award And Signi
- Page 33 and 34: details of the scheme as mentioned
- Page 35 and 36: SECTION B - FINANCIAL PROPOSAL(KIND
- Page 37 and 38: SECTION D -DECLARATION BY THE BIDDE
- Page 39 and 40: Annexure - 3UNDERTAKING BY THE BIDD
- Page 41 and 42: Annexure 5Format for Providing Addi
- Page 43 and 44: O.T. Charges, Medicines and Drugs,
- Page 45 and 46: 34 FP00300010 J32 Ethmoidectomy - E
- Page 47 and 48: 123 FP00500048 Q43 Duplication of I
- Page 49 and 50: 212 FP00500137 K51 Ileostomy 7 17,5
- Page 51 and 52: 301 FP00600020 D27 Ovarectomy/Oophr
- Page 53 and 54: 390 FP00900048 K25 Vagotomy with Py
- Page 55 and 56: 477 FP01100044Closed Reduction and
- Page 57 and 58: 12 PAEDIATRIC565 FP01200001 Q79 Abd
- Page 59 and 60: 653 FP01400045 N28 Repair of Ureter
- Page 61 and 62: 743 FP01800016 B53744 FP01800017 B5
- Page 63 and 64: War like operations (whether war be
Insurance Act 1938.2. Premium payment to the Insurance Company will be based onReconciliation <strong>of</strong> invoice raised by Insurer and enrolment datadownloaded from Field Key Officers’ Card (FKOs) at district level server.11. Period <strong>of</strong> Insurance:11.1. The period <strong>of</strong> Insurance Contract shall be for three years from theeffective date, subject to renewal on yearly basis, based on parametersfixed by the State Government/ Nodal Agency for renewal.11.2. However, the insurance coverage under the scheme shall be in force fora period <strong>of</strong> one year from the date <strong>of</strong> commencement <strong>of</strong> the policy.a. In the districts where scheme is starting for the first time, a BPLfamily or other non-BPL identified beneficiaries (if applicable) whois issued smart card will be able to avail facilities from the [Date <strong>of</strong>Start <strong>of</strong> the Policy]. All cards issued in the district shall have thesame Policy beginning and end date as the 1 st card.11.3. The commencement and policy period may be determined for eachDistrict separately depending upon the start <strong>of</strong> the issue <strong>of</strong> smartcards in that particular District.11.4. In the districts where the scheme is starting for the first time,the Scheme shall commence operation from the 1 st <strong>of</strong> the succeedingmonth in which the smart card is issued. Thus, for example, if theinitial smart cards are issued anytime during the month <strong>of</strong> October ina particular district the scheme will commence from 1 st <strong>of</strong> November.The scheme will last for one year till 31 st October next year. Thiswould be the terminal date <strong>of</strong> the scheme in that particular district.However, in the same example, if the card is issued in the month <strong>of</strong>November, December and January then the insurance willimmediately start from the next day itself for the beneficiaries andpolicy will be over on 31 st October next year. Thus, all cards issued inthe district in November will also have the Policy start date as 1 st <strong>of</strong>November (even if issued subsequent to the date) and terminal date as31 st October the following year. The date <strong>of</strong> commencement <strong>of</strong>insurance for the cards issued during the intervening period will be asfollows:In case <strong>of</strong> New EnrolmentSmart card Commencement <strong>of</strong> Policy End Dateissued During Insurance1. October, 2011 November, 2011 October, 20122. November, 2011 November, 2011 October, 20123. December, 2011 December, 2011 October, 201214
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