Retirees Notification 2020 21
Retirees Notification 2020 21
Retirees Notification 2020 21
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Bank of Baroda
Re: Renewal of Retirees Group Health Insurance Policy 2020-21 for the period of 01 Nov.
2020 to 31 Oct 2021 and new Super Top-Up Policy.
We are pleased to inform that National Insurance Company has announced renewal of the
Group Health Insurance Policy 2020-21 for the Retired employees for the Period of 01-Nov-2020
to 31- Oct-2021.
1. All those who were covered under the Group Health Insurance Policy for retired
employees for the year 2019-20 and those who retired during 01.11.2019 to 31.10.2020
are eligible for coverage under the policy.
2. The terms and conditions of the Policy are revised as under:
a) Room Rent charges in Retirees Base policy as follows;
For Sum Insured 1 lacs and 2 lacs: Room Rent per day shall be payable upto 1.5%
of Sum Insured and ICU charges per day shall be payable upto 2% of Sum Insured.
For Sum Insured 3 lacs and 4 lacs: Room Rent per day shall be payable upto
Rs.5000/- and ICU charges upto Rs.7500/-.
b) Insurance Company has offered multiple cover options of Sum Insured (such as
1 Lac, 2 Lacs or 3 Lacs) with lesser premium rates.
c) Insurance Company has introduced an option for payment of a reduced
premium to made available for a single adult l.e. either of Retiree with spouse
or Surviving Spouse (Family Pensioner).
3. All bills/receipts for purchase of medicine must bear the valid GST No. (Printed) of the
issuer. Please note that the Condition is applicable for both hospitalization and
domiciliary (OPD) Claims.
4. Insurance company has reduced the Premium Rate for Base Policy Coverage as well as
Super Top Up Policy for the Retirees Group Health Insurance Policy.
5. There shall be a Super TOP-UP policy With and Without Domiciliary Option, which will be
activated only after the exhaustion of the Limit prescribed in the Base Policy.
6. Retired employees shall exercise option for coverage With or Without domiciliary.
7. Employees who retired during September 2019 to October 2020 may give his/ her option
to join the policy either "With Domiciliary Option" or "Without Domiciliary Option".
8. The employees who retired during the policy period September 2019 to October 2020 and
have not joined the IBA Retirees Group Health Insurance Policy 2019-20 by paying one
month pro-rata premium for the month of October 2020, can also join this policy.
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Head Office : HRM - 6th Floor. "Baroda Bhavan", R. C. Dutt Road, Alkapuri, Baroda - 390007. Gujarat(INDIA).
t-~/E-mail: [email protected], ~/Website: www.bankofbaroda.com
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9. Retirees who are covered under existing retiree's policy but not opted for Super Top-Up
Policy last year can join the Super Top Up policy at the time of renewal.
10. Option to EXIT from Insurance is available.
We have been informed by the Insurance Company for the Rates of Premium for the various
coverage, which are provided below:
2. Super Top Up Policy cover for all retired employees having a Base Policy with or
without domiciliary (only for those who opted base policy Rs.3 lakhs (Award Staff)/
Rs.4 lakhs (Officer)
Kindly note the following conditions before opting Base and Super Top UP Option:
1. Award staff cannot opt for 41acs Sum Insured in base policy: They can choose Sum Insured
in the range of llac to 3 lacs. However, Officers can opt for any Sum Insured from llac to
4 lacs in Base policy.
2. Super Top Up policy is only available to Retirees Award Staff those who opt 3 lacs and
Retirees Officer those who opt 4 lacs Sum Insured in Base Retirees Policy: Award Staff
can opt for llac to 41acs Sum Insured in Super Top up policy; however officer can choose
any sum insured from llac to 5 lacs in Super Top up policy.
3. Officer, who opt 3 lacs Sum Insured in Base Policy, can not avail Sum Insured in Super Top
Up Policy.
4. As per the existing terms and conditions, domiciliary treatment will remain 10% of Base
Policy Sum Insured opted, even for those who opted Single Person Rate.
5. Domiciliary Expenses are not covered under Super Top Up Policy.
'SItiR ct>llIfW'l : 1=rut.~. - tJOT Mr, '~ 'l1cA'''. am.~.~ m, 31(i1Cf)I~, ~-390007. ~. ('qffif).
Head Office : HRM - 6th Floor, "Baroda Bhavan", R. C. Dutt Road, Alkapuri, Baroda - 390007. Gujarat(INDIA).
~-~/E-mail: [email protected], ~/Website: www.bankofuaroda.com
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6. As per request received from IBA, Separate rates were given for single person i.e., either
of the below mentioned cases:-
a) Retiree without Spouse
b) Surviving Spouse (Family Pensioner)
7. Retirees who are not covered under existing Retirees GHI Policy 2019-20, can also be
covered under Retirees policy 2020-21.
8. Retirees who are not covered under SuperTop Up Policy 2019-20, can avail Super Top Up
policy for 2020-21.
For a Rs.3,OO,OOO Basic Policy, the Super Top Up Policy is for a Sum Insured of Rs.4,OO,OOO. If
there is a claim for up to Rs 3 lakhs there would be no claim under the Super Top Up Policy.
In case there is a claim for Rs 6 lakhs then Rs 3 lakh would be paid from the basic policy and
another Rs 3 lakh from the Super Top Up Policy. If there is a further claim within the same
year and the basic policy is exhausted the balance will be paid from the Super Top Up Policy.
Similarly, For a Rs 4,00,000 basic policy, the Super Top Up Policy is for a Sum Insured of Rs
5,00,000.
The Rs 3 lakh basic policy becomes Rs 7,00,000 after the Super Top Up Extension. (Basic Sum
Insured Rs 3 lakhs + Super Top Up Insured Rs 41akhs = Rs 7,00,000)
Similarly the Rs 4 Lakh Basic Policy becomes Rs 9,00,000 after the Super Top Up Extension.
(Basic Sum Insured Rs 4 lakhs + Super Top Up Sum Insured Rs 5 lakhs = Rs 9,00,000)
It has also been decided by the bank to extend "Special Personal Loan to BOB staff
pensioners" to facilitate them for payment of the yearly renewal premium for renewal of
their Medical Insurance Policy. The maximum loan amount shall be upto the renewal
premium amount or Rs 38000/ - whichever is less and can be repaid in maximum of 10 EMIs.
Copy of this loan scheme is enclosed as Annexure B the Loan may be availed upto 25th Oct,
2020.
The Loan disbursed amount would be credited by the Branch to Pensioner saving account
where monthly pension is credited.
We are sure that this loan scheme will mitigate the hardships of having to bear the burden
of the higher premium amount in one go.
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Head Office : HRM - 6 Floor, "Baroda Bhavan", R. C. Dutt Road, Alkapuri, Baroda - 390007. Gujarat (INDIA).
t-~/E-mail: [email protected], ~/Website : www.bankofbaroda.com
Those Retired Officers/ Award Staff, who wish to avail loan as details in above Annexure,
may do so by approaching the pension paying Branch.
Branches are advised to credit the loan amount to his/ her pension account. It is the
responsibility of the pensioner to ensure maintain adequate balance for debiting the
premium amount.
The installment of Loan repayment will be deducted by the Pension Paying Branch on every
month after credit of pension.
Action Points:
a) All those retired employees wanting to join the policy 2020-21 including those who
are covered under the policy for the year 20-19 should submit their OPTIONSONLINE
latest by 25-0ct-2020.
The Link for this will be available from 13.10.2020 to 25.10.2020 on Bank's website
under Ex-employee section, path of which is given below:
https:/Ismepaisa.bankofbaroda.co.in/ExEmpinsurance2021
Details to be provided at the time of submitting online option:
i. Spouse (Name and Date of Birth), if required
ii. Account number and IFSC code of Branch
i i. Email Address and Mobile No
iv. Full Address with Pin Code for any communication.
v. Choose correct option. r
vi. Can change your Cadre.
b) Those who want to EXIT from the Insurance must give the option for the same.
c) The premium as per the Option exercised would be debited on 26-0ct-2020 from their
Account which would be provided by them at the time of submission of the Option. It is
therefore advised that sufficient balance is kept in the given account to avoid forfeiture
of the policy.
d) Options provided online will be treated as the authority to debit the account for premium
amount.
e) Retirees can opt With/ Without Domiciliary option in Retirees Policy 2020-21
irrespective of option they have chosen in last year policy.
f) Retirees who have opted out of the IBA retirees GHI Policies in previous years are eligible
to join any policy as per additional condition no.6 of IBA GMC policy.
g) Once the premium is remitted for a retiree, no option for change will be allowed.
h) NO hard copy for option submission will be accepted at Head Office or any other
Branch/Office for submission of option.
i) If NO option is received ONLINE, the Retirees covered under existing policy would be
continued with the option "Without Domiciliary and Without TOP-UP Cover".
(S Kannan)
\j- Head- HRCPC & Terminal Benefits
Copy to All branches/Offices in India for information with the request to display a copy of this
./0 Atice on your notice board for benefit of all retired staff members. NO hardcopy of option
VYto be accepted at any branch/office.
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Head Office : HRM - 6th Floor, "Baroda Bhavan", R. C. Dutt Road, Alkapuri, Baroda - 390007. Gujarat (INDIA).
~-~/E-mail: [email protected], ~/Website : www.bankofbaroda.com
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t-~/E·mail: [email protected], ~/Website : www.bankofbaroda.com
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t-~/E-mail: [email protected], ~/Website : www.bankofbaroda.com
Annexure A
Domiciliary Hospitalization/ Domiciliary Treatment
Sr. No Treatments
1. Cancer
2. Leukemia
3. Thalassemia
4. Tuberculosis
5. Paralysis
6. Cardi ac Ailments
7. Pleurisy
8. Leprosy
9. Kidney Ailment
10. All Seizure disorders
1I. Parkinson's diseases
12. Psychiatric disorder including schizophrenia and psychotherapy
13. Diabetes and its complications
14. Hypertension
15. Hepatitis -8
16. Hepatitis - C
17. Hemophilia
18. Myasthenia gravis
19. Wilson's disease
20. Ulcerative Colitis
21. Epidermolysis bullosa
22. Venous Thrombosis(not caused by smoking) Aplastic Anaemia
23. Psoriasis
24. Third Degree burns
25. Arthritis
26. Hypothyroidism
27. Hyperthyroidism expenses incurred on radiotherapy and chemotherapy in the treatment of cancer
28. and leukemia
29. Glaucoma
30. Tumor
31. Diptheria
32. Malaria
33. Non-Alcoholic Cirrhosis of Liver
34. Purpura
35. Typhoid
36. Accidents of Serious Nature
37. Cerebral Palsy
38. Polio
39. All Strokes Leading to Paralysis
40. Haemorrhages caused by accidents
4I. All animal/reptile/insect bite or sting
42. Chronic pancreatitis
43. Immuno suppressants
44. Multiple sclerosis/ motorneuron disease ~
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45. Status asthamaticus
46. Sequalea of meningitis
47. Osteoporosis
48. Muscular dystrophies
49. Sleep apnea syndrome(not related to obesity)
50. Any organ related (chronic) condition
51. Sickle cell disease
Systemic lupus erythematous (SLE)
52. Any connective tissue disorder
53. Varicose veins
54. Thrombo embolism venous thrombosis/venous thrombo embolism (VTE)]
55. Growth disorders
56. Graves' disease
57. Chronic Pulmonary Disease
58. Chronic Bronchitis
59. Physiotherapy and swine flu shall be considered for reimbursement under domiciliary treatment.