Tender Notice Dt - Department of Health , J&K

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Annexure 11Qualifying Criteria for the TPAs1. License:The TPAs shall be Licensed by IRDA.2. Year of Operations:The TPA shall have a minimum TWO years of operation since theregistration.3. Size /Infrastructure:The TPA shall have covered a Cumulative of 10 million Lives Servicing inpast THREE years (2007-08, 2008-09, 2009-10)4. MIS:The TPA shall have experience of working in Information Technologyintensive environment.5. QualityISO Certification (ISO 9001:2000) for Quality Process83
Qualifying Criteria for Smart Card Service Providers (SCSP)Annexure 12The Key Eligibility Criteria for empanelment of SCSP would be as follows:1. Company should have past experience of Execution of at least 1 multiplelocation citizen centric smart card projects involving Data capture (includingBiometrics), Smart Card Personalization, data consolidation and should haveissued atleast one Lakh smart cards in each such project – SCSP to providecertificate of satisfactory performance from the customer to this effect2. SCSP would source SCOSTA certified Smart Cards only and should have ademonstratable arrangement with a Smart card manufacture or theirdesignated organisation for sourcing of RSBY cards.3. The average annual turnover of SCSP should be Rs. 4 crore or more duringthe last 3 years.4. The Smart Card service provider should have valid Service Tax Registration,Sales Tax Registration in the territories of operation.5. SCSP should have applied for ISO 9001:2000 certification for “fieldoperations management, project management and Operations Management”related to Smart Card, at the time of seeking empanelment with MoLE/getting into agreement with a Insurer/ TPA. However, the deadline for gettingthis certification may also be prescribed at a later date.6. In addition to the ISO certificate, the Quality policy of the organisation basedon which the certificate has been granted should also be based on the abovementioned criteria. A copy of the Quality Policy document should also beattached.7. SCSP should also have obtained an ISO 20000 for IT service Management(ITSM) for smart card related services within one year of issuance of theseguidelines8. Demonstrated capability (in front of competent authority) of _a. using the Enrollment software issued by MoLE or their own/licensed certified software prior to being awarded the contract.b. Data consolidation and transfer to defined server84
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GOVERNMENT OF J&KDEPARTMENT OF HEAL
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GOVERNMENT OF J&KDEPARTMENT OF HEAL
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Table of ContentsPART I - INFORMATI
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4. Unit of Enrolment:4.1. The unit
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part of insured family member till
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iii) Those facilities undertaking s
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ased on basic quality criteria as g
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Insurance Act 1938.2. Premium payme
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(d)(e)(f)pre-defined fee.An enrollm
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) Beneficiary has balance in his/ h
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intermediary institutions for the p
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to as the “Call Centre Service”
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The parties shall refer such disput
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for the insurer to download.ii. Dis
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esponsibility of the Insurer to ens
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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
Page 65 and 66: Draft MoU Between Insurance Company
Page 67 and 68: 4. Insurer has on the basis of desi
Page 69 and 70: 5. The Hospital shall ensure that m
Page 71 and 72: 2.5 Within a period of 12 hours fro
Page 73 and 74: 2. The hospital undertakes to uphol
Page 75 and 76: All official correspondence, report
Page 77 and 78: 3. Notwithstanding anything to the
Page 79 and 80: each of the terms of this Agreement
Page 81 and 82: Annexure IHospital Services- Admiss
Page 83: Case 3: In case of in-sufficient fu
Page 87 and 88: Annexure 14List of Public Hospitals
Page 89 and 90: 2. Smart card:2.1. OverviewA smart
Page 91 and 92: esponsible for each of these to the
Page 93 and 94: • Licensed system software• Cer
Page 95 and 96: chip personalization. It is mandato
Page 97 and 98: Annexure 17Guidelines for the RSBY
Page 99 and 100: 1.3.1. Re-issuance of a card: This
Page 101 and 102: 2. District Server1.3.4.4.1. The ca
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Tender Notice Dt - Department of Health , J&K

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