Group Health Insurance Policy by All Recognized Associations and Unions (2024-2025) – Efforts by AIGETOA, SNEA BSNLEU and NFTE BSNL for better Group Health Insurance (GHI) policy:

Group Health Insurance Policy by All Recognized Associations and Unions (2024-2025) – Efforts by AIGETOA, SNEA BSNLEU and NFTE BSNL for better Group Health Insurance (GHI) policy:

To protect the interest of the Executives and Non-Executives working in the BSNL as the premium rates of BSNL is quite high, the leaders of the recognized Unions/Associations i.e. AIGETOA, SNEA, BSNLEU and NFTE BSNL, who were part of official negotiations, have ascertained better option of GHI Policy for all Executives and Non-Executives in BSNL.

Accordingly, with efforts of leaders and activists of AIGETOA, SNEA, BSNLEU and NFTE BSNL we have explored the possibility of getting GHI policy in cheaper rates and without any stringent conditions and have come up with GHI Policy from M/S National Insurance Company, which is also PSU.

The Silent Features of this GHI Policy:

Sum Assured: Rs Five Lakhs per family on a floater basis

Room Rent: Normal Room at 1% of SI, ICU at 2% of SI.

Pre and Post Hospitalization Expenses: Covered for 30/60 days respectively.

• Ambulance Charges: Rs 1000/- per hospitalization.

New Born Baby Day One Cover: Not covered.

Cataract: Limited to Rs 26,000/- per eye.

Maternity & Related Treatments: Not covered.

Addition of Members: Permitted under specific conditions such as newly joined employees, new children, or newly married spouses. Mid-term addition of Parents/Parents-In-Law is not allowed.

Package Rates: Follow GIPSA PPN guidelines.

Other Terms: Governed by the standard Group Medical Insurance Policy of Insurance company.

Comparison of NIC and OIC Group Health Insurance Policies:

• Premium Comparison: Firstly, it is notable that the premium rates for NIC GHI Policy are significantly lower compared to OIC GHI across all age bands and member categories. This presents a substantial financial benefit to our members while ensuring comprehensive health coverage.

• Minimum Membership to Start Policy: No such condition exists in NIC GHI P, whereas Oriental Policy has condition of Minimum 5000 Members.

• Family Structure Flexibility: One of the major advantages of NIC GHI is its flexibility in defining the family structure eligible for coverage. Unlike OIC GHI, which adheres to a rigid departmental fixed family structure, NIC GHI allows employees to choose their family members for coverage according to individual requirements. This includes provisions for single employees, those without spouses or children, and other unique family configurations that may not be accommodated under OIC GHI. Thus NIC GHI Policy will be available for single applicants also and for family of maximum six members i.e. Self, Spouse, Two Children, Maximum two Parents/Parents-In-Law to be selected by applicants. While in OIC GHI policy there are compulsions for paying for group of family and it is not possible to opt for single person or selective members of family.

• Restrictions on New Entries: NIC GHI also excels in terms of accessibility, with no restrictions for new entries. In contrast, OIC GHI imposes several restrictions and criteria for new Optees and mainly parents, which could limit access to health insurance for eligible employees and their families.

• Calculation of age for premium: Premium calculations will consider only the age of applicant employee and the Premiums for dependents will be based on the employee’s age, regardless of the dependents’ ages. The younger ones will be benefitted with lower premium even after higher age of dependents.

The NIC GHI Policy explored by all Recognized Associations/Unions i.e. AIGETOA, SNEA, BSNLEU and NFTE BSNL offers a superior alternative to OIC GHI Policy with its lower premiums, flexible family structure options, fewer restrictions on new entries, and comprehensive coverage benefits and so on.

We appeal all Executives and Non-Executives to go through this comparison of NIC and OIC GHI Policies and have critical analysis of the policies and family requirement and take decision on opting better GHI Policy.

How to apply for NIC GHI Policy:

The willing Executives/Non Executives may please visit the website http://aubsnlghi.co.in for detailed information on premiums, which are quoted per person and include GST charges.

> To login the portal http://aubsnlghi.co.in please use HRMS (not PERNER) as User ID and DoB (DDMMYYYY) as Password.

> The last date for submissions applications is 01/08/2024, and the policy will commence from the same week i.e. first week of August 2024.

> For further assistance, kindly contact the support team via WhatsApp. The details of support team is available in website under Contact us tab.

Group Health Insurance Scheme (GHIS) powered by National Insurance Company (NIC) Launched by AIGETOA CTD!

AIGETOA CTD is delighted to launch Group Health Insurance policy powered by National Insurance Company for all the executives of BSNL and their family members. The sum assured value of the policy is 5 lakhs. One can apply for the policy at AIGETOA CTD website upto 4th September 2023. The policy will be effective from 5th September 2023.

Details of the Policy :

Sum Assured: 5 lakhs.

Application Deadline: September 4th, 2023.

Policy Start-off: September 5th, 2023.

Visit AIGETOA CTD website and secure your spot. It’s super easy!

Policy Terms & Conditions. Click here

Premium Breakup Table: (18% GST applicable on total Premium). Click here

Apply here on AIGETOA CTD Website – https://aigetoactd.org

Stay Secure, Stay happy !!

GHI for all Executives of BSNL – Initiated by AIGETOA Kolkata Telecom District (CTD):

AIGETOA CTD is delighted to introduce a group health insurance policy for all BSNL executives. The GHI will be operated by National Insurance Company, a premier PSU insurer.

As per the initial discussions, NIC has offered the quote which can be found with the following pdf document.

Click here for the Quote

Willing executives may go through the document and if agreed to proceed further, they mandatorily need to fill-up the Google form before 11:59 pm 05.05.2023.

Google Form for the basic details.

Click here for the google form

For any queries regarding GHI, please mail at aigetoakolkata@gmail.com.

Update on empanelment of hospitals on cashless basis at each BA :

AIGETOA today once again raised the issue of empanelment of hospitals on cashless basis for each BA and Circles. It was agreed by management in the formal agenda meeting with AIGETOA in February that all circles shall be asked to ensure empanelment on cashless basis on circle as well as BA level. It was also decided that all the hospitals shall be categorically ensured that their bills shall be cleared maximum within 3 months. The issue was raised by AIGETOA Team in GHI meeting also.

We requested Director HR for his immediate intervention on the issue.

We sincerely hope that management will keep it’s promise and will direct circles to do the needful immediately so that employee can avail of health services without remaining dependent on self financed GHI type schemes.

Rejection of High Premium Quotes by Unions/Associations – Letter to BSNL Management :

The existing GHI (Group Health Insurance by M/s Oriental Insurance Company) period will expire on 30th April 2023. Quotes for renewal for the period 01.05.2023 to 30.04.2024 by M/s Oriental Insurance Company are extremely high. Multiple deliberations & negotiations meetings held among the Unions/Associations, BSNL Management & M/s Oriental Insurance on the premium quotes but Oriental Insurance spurn to lower the quoted premium.

In view above, the Recognised Unions and Associations, viz., BSNLEU, NFTE, AIGETOA, SNEA, wrote to the Director HR..

1] Rejecting the premium rates offered by the Oriental Insurance Company.

2] Requested to call for fresh quotations immediately from open market on war footing basis to avoid any more delay.

3] Requested to instruct all Circles/BA’s to ensure empanelment of hospitals on cashless basis so that employees may not suffer and may use the existing policy as and when required.

Click here for the letter

Filing & Entry of Nomination Form in Service Book & ERP

It is observed that nomination forms of many employees & Officers are not entered in their Service Book & ERP. During any mishappening with the employee, families get unnecessary trouble for the payment.

It is requested to all who has not submitted their nomination form till now to submit it immediately in two copies to their concerned admin Section and get entry both in Service book & ERP.

Details of Nomination Form are given below

1) Form-3 : Details of Family (All Employees). Click here

2) Form-1 : Nomination of Death-cum-Retirement Gratuity (All Employees). Click here

3) Form-5 : GSLI (all Employees). Click here

4) Form of Nomination – GPF (Only Absorbed/Un-absorbed Employees). Click here

5) SAB Nomination – BSNL Employees Superannuation Pension Scheme (BSNL Recruited). Click here

6) Submit Online Nomination on EPEO website & submit Print (For BSNL Recruited). Click here

Important Information Related AIGETOA GHIS Policy

Important Information:

As the premium quoted by New India Assurance for renewal of the ongoing AIGETOA Group Health Insurance Policy is very high and despite of all efforts, the insurer is not reducing the quote due to high claim ratio. So, it has been decided that the Group Health Insurance Policy will not be renewed at this premium. The condition put forward by the New India Assurance of high individual premium in all plans as well as total premium to be collected is also exorbitantly high.

So, all members are requested to take suitable decision. Any other development in this regard shall be communicated as soon as it is received.

Group Health Insurance Policy of New India Assurance launched through AIGETOA in 2021-22 and it’s Renewal Quote

The final quote has been received from New India Assurance for renewal of the existing Group Health Insurance Policy in 2022-23 which is very high as the claim reimbursement for the ongoing policy is very high (Almost 18 crores against premium paid of around 7 crores with one month left). The company is not showing interest to give relaxation in the Quote Price provided for renewal of the Policy. However, AIGETOA Team is taking its best efforts to negotiate down the premium further.

The group policy floated by AIGETOA from NIA with Medi Assist as TPA was definitely a smooth and hassle-free experience with no hurdles as such in claim processing or getting treatment in best hospitals of India and that too during the most difficult COVID Period. The quote received from New India Assurance for AIGETOA GHI Policy Renewal is very high and we can not agree to such hike in premium rates. The association tried it’s level best to bring a competitive rate from the insurer till last moment but insurer didn’t agreed citing high claim in the ongoing policy.

Hence we thought it appropriate to inform one and all, so that everyone can take an informed decision.

In the present circumstances, AIGETOA may not renew the policy if the premium rates do not come down to our satisfaction. So the existing members may take a decision accordingly.

Click here for Renewal Premium with previous claims Statistics