Cir No : 11/2017

Cir No : 11/2017                                                                                     Date : 10thApril 2017     

To

All Divisional/Regional/State units of AIIPA

Dear Comrades,

Re: Letter to Shri V K Sharma, Chairman, LIC of India.

We reproduce below our letter dated 10th April 2017 addressed to Shri V K Sharma, Chairman, LIC of India.

With greetings.

Comradely yours.

                                                                                                                                 

General Secretary

                                   
            Date : 10th April 2017

Shri.V K Sharma,

Chairman,

LIC of India,

Mumbai.

Dear Sir,                                             

GROUP MEDICLAIM SCHEME

We have noted the contents of the Circular dated 5th April, 2017, on renewal of Group Medi-Claim Policy, with a  bit of happiness and a lot of disappointment.

Happiness, because as we had expected and had expressed during the course of our Discussions with Officials of LIC on 17th March, 2017, the claims experience reckoned for determination of premium has been favourable, even during the periods Floater Policy was in vogue that has resulted in marginal reduction in Premium. This implies a higher insurance cover does not necessarily mean high incidence of claim both in number and amount.

We are disappointed, because none of the improvements sought for during our above discussion has come to fruition and we do not know whether our demands were seriously considered.

We had told the Management that the number of pensioners, their spouses and the number of family pensioners who had gone out of the scheme earlier, not on their volition but under compelling circumstances of inability to pay a higher premium, would be miniscule, as compared to the beneficiaries covered and their re- inclusion would not adversely affect the claims ratio and had demanded one time option to re-join the scheme. But this has not been conceded. With a reasonable claims experience, it is time now to allow these pensioners/family pensioners to re-join the scheme to enable them to get the much needed medical cover. We have also brought to the notice of the officials that option to rejoin the group mediclaim scheme is extended to the pensioners who were not covered by the same, by the public sector general insurance companies every year.

The costs of undergoing treatment for illness when it involves hospitalisation and or domiciliary hospitalisation have been increasing with days passing by and understanding this phenomenon the insurance cover, was increased to Rs 30 Lakhs last year. However the compulsory sum insured had remained the same.

We had pointed out that if higher cover was to be meaningful, the premium therefore should be affordable and to make it so, we had demanded corresponding increase in compulsory  sum insured and/ or 100 % subsidy, so that the pensioners, feeling the need,  can go in for increase in optional sum insured with reasonable premium. LIC has, it seems, not thought it fit to implement the suggestion.

To enable the pensioners especially the aged pensioners  to avail themselves of this facility, if they feel so, we demand increase in compulsory  sum insured to Rs 10 Lakhs, with premium subsidy intact or with increased subsidy in premium.

As you know, our Organisation has been demanding grant of Monthly Cash Medical Allowance to at least partially reimburse expenses incurred by pensioners towards Consultations, Reports, Medicines etc., that normally are not covered under the Group Medi-Claim Policy.

Though not requiring hospitalisation, pensioners have to get treated as out patients for certain ailments and such periodical occurrences cast a heavy burden on the purse of the pensioners and as one advances in age, such expenses also increase and our experience has been that more than 20 % of the pension  gets expended on this count.

Hence we reiterate our demand, which in principle was accepted by the previous Chairman, during the course of our meeting with him in Aug.2015.

Suffice it to say that monthly cash medical allowance should be substantive enough, to take care of these sporadic expenses  so that, pension in full, can be utilised to maintain a decent level of living.

We are sure that these demands will be considered at the earliest with favourable decisions forthcoming.

Yours faithfully,

                                                                                                                                                                                                                                                                                                              (T.K.CHAKRABORTY)

General Secretary