New Health Insurance Scheme, 2016 for employees which isto expire on 30-6-2020 - Extension for another one year period from1-7-2020 to 30-6-2021 — Orders - Issued.G.O.Ms.No.279, Dated 24" June 2020

FINANCE [Salaries] DEPARTMENT

G.O.Ms.No.279, Dated 24" June 2020.

(Saarvan, Aani-10, Thiruvalluvar Aandu 2057)

ABSTRACT

MEDICAL AID - New Health Insurance Scheme, 2016 for employees which is

to expire on 30-6-2020 - Extension for another one year period from

1-7-2020 to 30-6-2021 — Orders - Issued.

Read the following :-

1. G.O.(Ms).No.202, Finance (Salaries) Department, dated:30-06-2016.

2. G.O.(Ms).No.391, Finance (Salaries) Department, dated:10-12-2018.

3. Government Letter No.14973, Finance (Salaries) Department,

dated: 10-06-2020.

4. Letter received from the United India Insurance Company

Limited, Chennai, dated:11-06-2020.

-oO0-

ORDER:

In the Government Order first read above, orders were issued for

implementation of New Health Insurance Scheme, 2016 to provide health

care assistance for employees and their eligible family members with a

provision to avail assistance upto the limit of Rupees Four Lakh in a block

period of four years (from 1-7-2016 to 30-6-2020) as a CASHLESS model for

the approved treatments/surgeries (listed in the Annexure-II of the said

order) in the network hospitals approved through the United India Insurance

Company Limited which is a public sector company. However, the assistance

shall be upto Rupees Seven Lakh and Fifty Thousand for illness listed in the

Annexure-lIIJ-A of the said order. The coverage of medical assistance shall be

extended to accident cases where patient got approved treatment/undergone

surgeries in a non-network hospital. The annual premium payable by the

Government to the United India Insurance Company Limited shall be

Rs.2,100/- per employee, per annum for the block period of four year. The

annual premium initially paid by the Government shall be recovered from

the employee @ Rs.180/- per month by deduction in monthly salary.

2. In the Government Order second read above, orders were issued for

extension of medical assistance in case of emergency care on reimbursement

in non-network hospitals for the treatments/surgeries cover under

New Health Insurance Scheme, 2016 for employees and their eligible family

members subject to eligible medical expenses and ceiling criteria. An

additional premium of Rs.50/- per employee, per annum is being paid to the

United India Insurance Company Limited.

3. The New Health Insurance Scheme, 2016 for employees is to expire

on 30-6-2020. In order to ensure continuity of insurance coverage for

employees and considering the outbreak of the COVID-19 pandemic,