IMA’S Karnatak a State Health Scheme 'Your Health Our Concern'
ANNUAL GENERAL BODY MEETING NOTICE 2018-19
ANNUAL REPORT & AUDITED STATEMENT OF ACCOUNTS 1st April 2018 to 31st March 2019 Host : IMA Chamarajanagar Branch Chamarajanagar Ins tute of Medical Sciences (CIMS) Venue Chamarajanagar On Friday the 18th October 2019 Date Kindly see the at 10.00 am onwards Page No.21a for IMA KSHS Elec on No fica on and Head Of ice : IMA House, Aluru Venkata Rao Road, Bengaluru- 560015 Nomina on form Ph : 080 - 26703258 | Email : [email protected]
Working Of ice : The Secretory, IMA Karnataka State Health Scheme-IMA- KSHS, Shushrusha Nursing Home, LG Road, Near Mahaveer Circle, Gangavathi-583227. | M : 9448122978 Email : [email protected] | [email protected] | Website : www.imahealthscheme.org MANAGING COMMITTEE
IMA Karnataka State Chapter Dr. ANNADANI M METI President Dr. SRINIVASA S. Honorary Secretary Dr. VEERANNA B. Treasurer Dr. KARAVEERAPRABHU K. Joint Secretary IMA KSHS Chairman Dr. V.V. CHINIWALAR GANGAVATHI 9448122978 Vice. Chairman Dr. HONNEGOUDA HASSAN 9448118299 Vice. Chairman Dr. MAHALINGA. B. RAICHUR 9342710474 Secretary IMA KSHS Dr. SHARANABASAVA SANKANUR GANGAVATHI 9448896643 JT. Secretary Dr. H.K NAGESH HASSAN 8861951303 Dr. A.S SARVESHA RAJE URS MYSORE 9448434261 Dr. PANDURANGA NAYAK BHATKAL 9448081270 Treasurer Dr. MADHUSUDHANA KARIGANURU SIRUGUPPA 9448237145 Vigilance officer Dr. S.T YAVAGAL BANGALURU 9845005350 Ex. Officio - Secretary IMA KSB Dr. SRINIVASA S. BANGALURU Scru nizing Officer Dr. K.T PRAKASH REDDY HOSAPETE 9448415777 Scru nizing Commi ee Members Dr. YOGANANDA REDDY Y.C BALLARI 9844085120 Dr. B VEERANNA BANGALURU 9448250685 Dr. ANNADANI METI MUNDARGI 9448629611 Dr. VIJAYA VENKATESH P MARIYAMMANHALLI 9449654186 Dr. R.P HIREMATH GANGAVATHI 9448133295 Dr. JASPAL SINGH TEHALIA VIJAYAPUR 9448139330 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
INDEX
1) Notice of The Annual General Body Meeting 2 2) Chairman pen 3 3) Secretary desk 5 4) List of Members enrolled since 6 inception of the scheme 5) Election Noti ication And Nomination Form 21a 6) List of members to whom Health claim 25 amount reimbursed 7) Defaulter of IMA KSHS Premium - 3 28 8) Upper limit of reimbursement amount 29 in the scheme as on 1-10-2019 9) IMA KSHS Demise Members 32 10) Audited accounts from 1-4-2018 to 33 31-03-2019. 11) Details of Mutual funds 38 12) KSHS Membership Details since inception 39 13) Minutes of the Annual General Body 40 meeting held at Toranagallu on 28-10-2018
1 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
Indian Medical Association, Karnataka State Health Scheme Working office : Shushrusha Nursing Home, L.G. Road, Near Mahaveer Circle, Gangavathi-583227 Head Office : IMA House, Aluru Venkatarao Road, Near IMA Circle, Bengaluru-560018 NOTICE OF THE ANNUAL GENERAL BODY MEETING Annual General Body Meeting of the IMA Karnataka State Health Scheme will be held under the auspices of IMA Chamarajanagar Branch on Friday the 18th October 2019 at Lecture Hall-I at 10.00.A.M at Chamarajanagar Institute of Medical Sciences (CIMS) Chamarajanagar. All the Members are requested to attend the Meeting. A G E N D A 01. Welcome by the Chairman 02. IMA Prayer 03. Reading of the Meeting Notice 04. Messages of Inability to attend, if any 05. Reading and Confirmation of the Last Annual General Body Meeting held at J-Max Theatre, Jindal Campus, Toranagallu, Ballary District 06. Enrolment of New members from 01.04.2018 to 31.03.2019 (list enclosed) 07. Adoption of Secretary's Report of the year 08. Presentation and adoption of the audited accounts for year 01-04-2018 to 31-03-2019 09. Appointment of Auditor and fixing the remuneration 10. Budget for the year 2019-20 11. Ratification of the resolutions Passed by the Managing Committee during the year 2018-19. 12. Any other Business with the permission of Chairman 13. Elections to managing committee of IMA-KSHS for tenure 2019-22. 14. Vote of thanks Thanking you, Your’s sincerely
-Sd/- -Sd/- DR.V.V. CHINIWALAR DR. SHARANABASAVA SANKANUR Chairman Secretary 2 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
CHAIRMAN'S PEN
Good morning to all IMA KSHS members. On behalf of IMA's Karnataka State Health Scheme and myself, I extend warm welcome to all the members of IMA KSHS and IMA KSB to the General Body meeting and wish them happy DASARA & DEEPAVALI. On behalf of IMA KSHS, I extend my heartfelt condolence to the bereaved family of all the demise members of IMA KSHS since the last General Body meeting. I feel proud to share my experiences as chairman of IMA KSHS since the inception of this scheme to this day almost a term of 3 years. It is the brain Child of me, Dr. Yogananda Reddy, Dr. Honnegouda, Dr. Madhusudhana Kariganuru and Dr.H.K. Nagesh. It was started on 5th September 2016 during the presidentship of Dr. G.N. Prabhakar. Now it is 3 years old child. During this period all the presidents of IMA KSB Dr. R.S. Bellary, Dr. H.N. Ravindra and Dr. Annadani meti have helped and guided a lot to increase the membership growth. I feel proud to inform you that we have completed our term successfully, during this 1st term, we have given claims to 66 members which includes 44 Founder Bene iciary 22 members and Bene iciary members. We have given claim amount upto Rs. 32,98,135/-. I feel sorry to say that the membership growth is not up to the expected level,even after 3 years. We are not able to achieve the target of 500 FOUNDER MEMBERS. Only the members above the age of 60-65 are enrolling for membership. But the Younger generation and even some of the of ice bearers of IMA KSB are not showing interest to enroll. In this regard I visited
3 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS many branches personally, publicized in conferences and contacted on individual basis by SMS, Email and Whatsapp. The bene its of the scheme -1. Age limit up to 85 years. 2. No Medical test required 3. All the existing diseases are covered irrespective of medical, surgical, dialysis, malignancy etc. 4. Can avail the bene it from the other insurance companies if they are already customers of such insuranceschemes. Our scheme is not under IRDA. Some members have expressed the upper limit of 2 lakhs is not suf icient, It has to be increased. Yes, we the managing committee members are also thinking of the same, but the source of income has to be increased by the membership growth then we can. The membership strength: - From 05.09.2016 to 31.03.2018 - 503 From 01.04.2018 To 31.03.2019 - 82 From 01.04.2019 To 15.10.2019 - 20 Total 605 Out of these members 492 members have renewed with 3rd premium still 90 members have to be renewed. 8 members are expired, 17 members not interested to renew. Our IMA KSB strength is more than 25000, but IMA KSHS is 606 only. It is progressing slowly and steadily My special thanks to Dr. Yogananda Reddy, Dr. Madhusudhana Kariganur, Dr. Honnegouda, Dr. K.T. Prakash Reddy, Dr. Jaspal singh and Dr. Annadani metti for their guidance and support. I also thank all the managing and scrutinizing committee members who have attended the meetings and guided in smooth functioning of the scheme.
4 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
SECRETARY DESK
Dear esteemed members of IMA KSHS, a warm wishes to you all from our committee. On the occasion of Dasara and Deeepavali we pray god to bless you with honour, dignity and success. All your family deserves such rewards for being good throughout the year to their professional colleagues.
The scheme has completed 3 years successfully. We need more members to get into the scheme with the motto of being helpful to other colleagues. Our scheme though may not ful ill the total health needs of its members, de initely it will help them inancially to certain extent.
I request the IMA KSB of ice bearers to motivate their local branch members to enroll into the scheme to make it more robust.
I thank all the members of our team IMA KSHS for their support and help.
Long live IMA KSHS. - Dr. Sharanabasava Sankanur
IMA PRAYER
May everybody be happy May everybody be healthy May everybody be free from pain May everybody be free from sorrow May we be the healing cure Beyond every greed & lure
5 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS List of Members enrolled since inc eption of the scheme TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
1 KSHS0001 DR. SURESH T YAVAGAL FM 12-09-2016 "68Y8M" BANGALORE 13000 2 KSHS0002 SHOBHA S. YAVAGAL BM 12-09-2016 "60Y1M" BANGALORE 11000 3 KSHS0003 DR. VEERABHADRAPPA V FM 09-09-2016 "61Y8M" GANGAVATHI 11000 CHINIWALAR 4 KSHS0004 DR. SULOCHANA. V. FM 12-09-2016 "60Y3M" GANGAVATHI 11000 CHINIWALAR 5 KSHS0005 DR. SRISHAIL CHINIWALAR FM 12-09-2016 "36Y4M" GANGAVATHI 7000 6 KSHS0006 Dr. AMBIKA S.CHINIWALAR FM 12-09-2016 "32Y5M" GANGAVATHI 5000 7 KSHS0007 Kum. SHUBHADA. S. BM 12-09-2016 "6Y 6M" GANGAVATHI 4000 CHINIWALAR 8 KSHS0008 Kum. AVYUKTH. S. BM 12-09-2016 "2Y4M" GANGAVATHI 4000 CHINIWALAR 9 KSHS0009 CHIETANKUMAR. V. BM 09-09-2016 "32Y3M" GANGAVATHI 5000 CHINIWALAR 10 KSHS0010 NANDAKUMAR. S.GADGI BM 17-09-2016 "59Y5M" GULBARGA 11000 11 KSHS0011 VIDYA NANADAKUMAR GADGI BM 17-09-2016 "54Y9M" GULBARGA 9000 12 KSHS0012 VIJAYA VENKATESH BM 12-09-2016 "64Y6M" HOSPET 11000 13 KSHS0013 Dr.ANANTHARAJ. N.GOGI FM 12-09-2016 "62Y2M" GANGAVATHI 11000 14 KSHS0014 PADMA.A.GOGI BM 12-09-2016 "52Y2M" GANGAVATHI 9000 15 KSHS0015 DEVAKINANDAN.A.GOGI BM 12-09-2016 "26Y9M" GANGAVATHI 5000 16 KSHS0016 Dr.G.CHANDRAPPA FM 14-09-2016 "67Y3M" GANGAVATHI 13000 17 KSHS0017 SMT. G. CHANNAMMA BM 14-09-2016 "56Y3M" GANGAVATHI 11000 CHANDRAPPA 18 KSHS0018 Dr.K.VEERANNA FM 14-09-2016 "68Y7M" KARATAGI 13000 19 KSHS0019 Dr.PAMPAPATHI MALGI FM 14-09-2016 "67Y" GANGAVATHI 13000 20 KSHS0020 smt.PUSHPALATHA.MALGI BM 14-09-2016 "58Y5M" GANGAVATHI 11000 21 KSHS0021 Dr.HK. NAGAESH FM 15-09-2016 "63Y6M" HASSAN 11000 22 KSHS0022 Dr.SOMASHEKAR.D FM 17-09-2016 "26Y9M" MULBAGAL 5000 23 KSHS0023 Dr.DODDA BADRE GOWDA D.M FM 17-09-2016 "65Y6M" MULBAGAL 13000 24 KSHS0024 Dr.PANDURAG NAYAK FM 15-09-2016 "58Y8M" BHATKAL 11000 25 KSHS0025 Dr.SHAKUTALA NAYAK FM 15-09-2016 "55Y8M" BHATKAL 11000 26 KSHS0026 SHRUTHI.J. BM 19-09-2016 "31Y5M" SHIKARIPUR 5000 27 KSHS0027 Dr.HITHALA.GOWDRU.JAYAPPA FM 19-09-2016 "66Y8M" SHIKARIPUR 13000 28 KSHS0028 Smt.LALITHA.H.G. BM 19-09-2016 "61Y7M" SHIKARIPUR 11000 29 KSHS0029 SHILPA.J. BM 19-09-2016 "33y11m" SHIKARIPUR 5000
6 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION 30 KSHS0030 SHARADA.J.PATIL BM 19-09-2016 "33y1m" SHIKARIPUR 5000 31 KSHS0031 Dr. VIRUPAXI. JAVALI FM 15-09-2016 "75Y3M" BAELGAUM 15000 32 KSHS0032 SHAILAJA.JAVALI BM 19-09-2016 "64Y9M" BAELGAUM 11000 33 KSHS0033 Dr.SHIVANAND BHAVIKATTI FM 19-09-2016 "69Y2M" GANGAVATHI 13000 34 KSHS0034 Dr.JAYASHRI BAVIKATTI FM 17-09-2016 "68Y8M" GANGAVATHI 13000 35 KSHS0035 Dr.SURESH.HALSANGIMATH FM 21-09-2016 "74Y3M" HOSAYALLAPUR 13000
36 KSHS0036 MRS.SHARADA. HALSANGIMATH BM 21-09-2016 "57Y6M" HOSAYALLAPUR 11000 37 KSHS0037 Dr.MADHUSOODHAN.JOSHI FM 21-09-2016 "62Y3M" GANGAVATHI 11000 38 KSHS0038 SMT.SHASHIKALA.JOSHI BM 21-09-2016 "59Y3M" GANGAVATHI 11000 39 KSHS0039 Dr.U.MADHAVA SHETTI FM 21-09-2016 "64Y1M" GANGAVATHI 11000 40 KSHS0040 SMT.SUJATHA M. SHETTY BM 21-09-2016 "56Y" GANGAVATHI 11000 41 KSHS0041 Dr.RAJASHEKHAR.PURANIK FM 21-09-2016 "71Y8M" DHARWAD 13000 42 KSHS0042 SMT.LALITHA.PURANIK BM 21-09-2016 "66Y6M" DHARWAD 13000 43 KSHS0043 Dr. MALLANAGOUDA.H FM 22-09-2016 "43Y3M" GANGAVATHI 7000 44 KSHS0044 PAMPAMMA BM 22-09-2016 "68Y3m" GANGAVATHI 13000 45 KSHS0045 VIRUPAKSHA GOUDA BM 22-09-2016 "78Y3M" GANGAVATHI 13000 46 KSHS0046 Dr.MEDHA.G FM 22-09-2016 "36Y7M" GANGAVATHI 7000 47 KSHS0047 ABBHINAVA.H BM 22-09-2016 "5Y9M" GANGAVATHI 4000 48 KSHS0048 Dr. AMARESH CHIMMLAGI FM 29-09-2016 "39Y4M" BADAMI 7000 49 KSHS0049 Dr.SOMESWARA.GUDAMATT FM 03-10-2016 "41Y2M" HOSPET 7000 50 KSHS0050 Dr.PRABHAKARA.G.N FM 03-10-2016 "51Y7M" TUMAKUR 9000 51 KSHS0051 NETRAVATHI.S BM 04-10-2016 "42Y4M" TUMAKUR 7000 52 KSHS0052 GAGAN KUMAR BM 04-10-2016 "15Y" TUMAKUR 4000 53 KSHS0053 Dr.M.S.SIDDEGOWDA FM 03-10-2016 "53Y1M" MANDYA 9000 54 KSHS0054 H.S.JAYALAKSHMI BM 03-10-2016 "45Y3M" MANDYA 9000 55 KSHS0055 Dr.VIRUPAKSHAPPA.PATIL FM 05-10-2016 "70Y2M" GANGAVATHI 13000 56 KSHS0056 Dr.SANGAMMA.PATIL FM 05-10-2016 "66Y4M" GANGAVATHI 13000 57 KSHS0057 Dr.RENUKARADYA.HIREMATH FM 13-10-2016 "46Y4M" GANGAVATHI 9000 58 KSHS0058 Dr.SUJATHA [Y.GUDARADDI] FM 13-10-2016 "46Y2M" GANGAVATHI 9000 HIREMATH 59 KSHS0059 Dr.MADARSAB. MUDGAL FM 13-10-2016 "75Y3M" KARATAGI 15000 60 KSHS0060 Dr.SHARANABASAPPA MATTI FM 14-10-2016 "46Y6M" GANGAVATHI 9000 61 KSHS0061 VIJAYALAKSHMI MATTI BM 14-10-2016 "62Y4M" GANGAVATHI 11000 62 KSHS0062 Dr.PRASHANTH KUMAR DESAI FM 14-10-2016 "40Y2M" GANGAVATHI 7000 63 KSHS0063 SHANTHABAI DESAI BM 14-10-2016 "61Y9M" GANGAVATHI 11000 7 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
64 KSHS0064 SWETHA DESAI BM 14-10-2016 "28Y11M" GANGAVATHI 5000 65 KSHS0065 Dr.HONNEGOUDA FM 14-12-2016 "63Y4M" HASSAN 11000 66 KSHS0066 Dr.PREMALATHA.H.L FM 14-12-2016 56Y HASSAN 11000 67 KSHS0067 Dr.B.H.SHASHANK FM 14-12-2016 "25Y2M" HASSAN 5000
68 KSHS0068 Dr.CHINIWAL CHANDRASHEKAR FM 19-10-2016 "44Y6M" GANGAVATHI 7000 69 KSHS0069 Dr.SHIVAGANGA CHINIWAL FM 19-10-2016 "42Y2M" GANGAVATHI 7000 70 KSHS0070 Dr.SHASHIDHAR GADDADAKI FM 19-10-2016 "44Y4M" GANGAVATHI 7000 71 KSHS0071 Dr.ANITHA FM 19-10-2016 "40Y9M" GANGAVATHI 7000 72 KSHS0072 GADDADAKI SIDDAPPA BM 19-10-2016 "73Y1M" GANGAVATHI 13000 73 KSHS0073 SMT.NAGAMMA GADDADAKI BM 19-10-2016 "65Y4M" GANGAVATHI 13000 74 KSHS0074 Dr.SATISH RAIKAR FM 24-10-2016 "37Y5M" GANGAVATHI 7000 75 KSHS0075 Dr.PRABHA RAIKAR FM 24-10-2016 "34Y7M" GANGAVATHI 5000 76 KSHS0076 Dr.SARVOTTAM JOSHI FM 24-10-2016 "65Y4M" GANGAVATHI 13000 77 KSHS0077 SHANTHA JOSHI BM 24-10-2016 "60Y2M" GANGAVATHI 11000 78 KSHS0078 Dr.K.T.PRAKASH REDDY FM 24-10-2016 "57Y4M" BENGALURUR 11000 79 KSHS0079 Dr.YOGANANDA REDDY.Y.C FM 24-10-2016 "51Y2M" BALLARI 9000
80 KSHS0080 Dr.MAHANTESH PATTANASHETTY FM 24-10-2016 "35Y9M" GANGAVATHI 7000
81 KSHS0081 Dr.AKSHATA.M.PATTANASHETTY FM 24-10-2016 "32Y10M" GANGAVATHI 5000 82 KSHS0082 Dr.MADHUSUDHANA FM 27-10-2016 "46Y10M" SIRUGUPPA 9000 KARIGANOORU 83 KSHS0083 Dr.SHIVAKUMAR B.LAKKOL FM 27-10-2016 "66Y1M" RON 13000 84 KSHS0084 Smt.CHANDRAKALA S.LAKKOL BM 27-10-2016 "55Y" RON 9000 85 KSHS0085 TRAYAMBAKESWARA S.LAKKOL BM 27-10-2016 "25Y7M" RON 5000 86 KSHS0086 Dr.VEENA.A. FM 25-10-2016 "44Y5M" GANGAVATHI 7000 87 KSHS0087 Dr.SHARANABAVA SANKANUR FM 27-10-2016 "42y4m" GANGAVATHI 7000 88 KSHS0088 Dr.MITHUN SHELLAGI FM 02-11-2016 "36Y8M" GANGAVATHI 7000 89 KSHS0089 Dr.AMARESH.M FM 02-11-2016 "38Y9M" GANGAVATHI 7000 90 KSHS0090 PAMPAPATHI PATIL BM 02-11-2016 "59Y10M" GANGAVATHI 11000 91 KSHS0091 REVATHI PATIL BM 02-11-2016 "49Y3M" GANGAVATHI 9000 92 KSHS0092 Dr.MAHALINGA.B FM 03-11-2016 "64YY1M" RAICHUR 7000
93 KSHS0093 Dr.HANUMANTHAPPA. ADDAPPA FM 02-11-2016 "49Y03M" GANGAVATHI 7000 94 KSHS0094 Dr.PARIMALA.A BM 02-11-2016 "43Y6M" GANGAVATHI 7000 95 KSHS0095 TABBANNAPPA.A BM 02-11-2016 "73Y5M" GANGAVATHI 13000 96 KSHS0096 Dr.SANGAPPA.B.YALWAR FM 03-11-2016 "63Y4M" HUBLI 11000
8 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION 97 KSHS0097 Dr.B.VEERANNA FM 03-11-2016 "62Y1M" BANGALORE 11000 98 KSHS0098 Dr.MADHUSUDHAN.KOTI FM 03-11-2016 "49Y10M" GANGAVATHI 9000 99 KSHS0099 Dr.MALAVE GOWDA.R.S FM 18-11-2016 "48Y4M" CHANNAPATNA 9000 100 KSHS0100 Dr.PREETI M.GOUDA FM 18-11-2016 "43Y5M" CHANNAPATNA 7000 101 KSHS0101 Dr.JASPALSINGH H.TEHALIA FM 18-11-2016 "49Y" BIJAPUR 9000 102 KSHS0102 Dr.MANPREET KAUR FM 18-11-2016 "47Y" BIJAPUR 9000 103 KSHS0103 Dr.SURESH RUDRAPPA FM 18-11-2016 "51Y7M" MYSORE 9000 104 KSHS0104 Dr.KALAVATHI.S FM 18-11-2016 "74Y11M" TUMAKUR 13000 105 KSHS0105 Dr.SARVESHA RAJE URS.A.S FM 18-11-2016 "52Y07M" MYSORE 9000 106 KSHS0106 Dr.GURULINGAPPA BIDINAHAL FM 15-11-2016 "60Y10M" GADAG 11000 107 KSHS0107 Dr.SOMALING.M.NAVALGUND FM 18-11-2016 "68Y8M" HUBLI 13000 108 KSHS0108 Dr.LILADEVI.S.NAVALGUND FM 18-11-2016 "60Y1M" HUBLI 11000 109 KSHS0109 Dr.APURVA.S.NAVALGUND FM 18-11-2016 "25Y6M" HUBLI 5000 110 KSHS0110 Miss.BAANIPRITH.J.TEHALIA BM 18-11-2016 "18y02M" BIJAPUR 4000 111 KSHS0111 Master.TEJJASVEER SINGH.J. BM 18-11-2016 "13Y6M" BIJAPUR 4000 TEHALIA 112 KSHS0112 Smt.HARBANSKAUR.H. BM 18-11-2016 "72Y6M" BIJAPUR 13000 TEHALIA 113 KSHS0113 Mr.RUJUL.M.GOUDA BM 18-11-2016 "16Y5M" CHANNAPATNA 4000 114 KSHS0114 Master.KUNSH.M.GOUDA BM 18-11-2016 "12Y3M" CHANNAPATNA 4000 115 KSHS0115 Dr.MANJULA.C.PATIL FM 18-11-2016 "44Y2M" GANGAVATHI 7000 116 KSHS0116 CHELLAGURKI YERREPPA BM 18-11-2016 "76Y2M" GANGAVATHI 15000 117 KSHS0117 CHELLAGURKI SHANTHAMA BM 18-11-2016 "62Y8M" GANGAVATHI 15000 118 KSHS0118 Dr.AMARESH.P FM 18-11-2016 "31Y6M" GANGAVATHI 5000 119 KSHS0119 Dr.MURUGHARAJ SURANIGI FM 29-11-2016 "72Y6M" SHIRALKOPPA 13000 120 KSHS0120 Dr.SHARAVATI HITTALMANI FM 18-11-2016 "66Y2M" SHIRALKOPPA 13000 121 KSHS0121 Dr.VANI KORI FM 22-11-2016 "46Y10M" SHIMOGGA 9000 122 KSHS0122 Dr.SOMASHEKHARAIAH.D FM 24-01-2017 "75Y9M" BANGALORE 15000 123 KSHS0123 Dr.BHIMSEN JAGANNATHRAO FM 25-11-2016 "72Y5M" HOSPET 13000 KULKARNI 124 KSHS0124 Dr.INDIRA.B.KULKARNI FM 25-11-2016 "66Y8M" HOSPET 13000 125 KSHS0125 Dr.SUDHINDRA RAO TATTI FM 25-11-2016 "50Y3M" HOSPET 9000 126 KSHS0126 Smt. YOGITA SUDHINDRA BM 25-11-2016 "43Y7M" HOSPET 7000 RAO TATTI 127 KSHS0127 Mr.VADIRAJ RAO TATTI FM 25-11-2016 "82Y4M" HOSPET 15000 128 KSHS0128 Smt.KAMALA BAI.V.TATTI BM 25-11-2016 77Y HOSPET 15000 9 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION 129 KSHS0129 RAMESH SUDHINDRA RAO BM 25-11-2016 "19Y6M" HOSPET 4000 TATTI 130 KSHS0130 RAMYASHRI SUDHINDRA BM 25-11-2016 "11Y6M" HOSPET 4000 RAO TATTI 131 KSHS0131 Dr.SATHYANARAYANA RAJU FM 01-12-2016 "43Y9M" GANGAVATHI 7000 132 KSHS0132 Dr.UAMADEVI DATLA FM 01-12-2016 "40Y3M" GANGAVATHI 7000 133 KSHS0133 Dr.MAHESHKUMAR S FM 05-12-2016 "43Y4M" HUBBALI 7000 134 KSHS0134 Dr.MANOJ KUMAR.B FM 06-12-2016 "36Y4M" SIRUGUPPA 7000 135 KSHS0135 Dr.JYOTI PALLED FM 05-12-2016 "32Y10M" SIRUGUPPA 5000 136 KSHS0136 Dr.PRABHAVATHI.H.S FM 06-12-2016 "47Y10M" SIRUGUPPA 9000 137 KSHS0137 SUDHANVA KARIGANURU BM 06-12-2016 "13Y07M" SIRUGUPPA 4000 138 KSHS0138 Dr.GANGAMMA.K FM 06-12-2016 "39Y7M" SIRUGUPPA 7000 139 KSHS0139 Dr.VISWA PRASAD FM 20-12-2016 "60Y08M" HOSAPETE 11000 140 KSHS0140 SUBHA RANI BM 20-12-2016 "57Y7M" HOSAPETE 11000 141 KSHS0141 Dr.DIWAKAR GADDI FM 20-12-2016 "44Y5M" BALLARI 7000 142 KSHS0142 Dr.UMAMAHESHWARI.S FM 20-12-2016 "39Y9M" BALLARI 7000 143 KSHS0143 SHREYAS GADDI BM 20-12-2016 "10Y4M" BALLARI 4000 144 KSHS0144 SIDDARTH GADDI BM 20-12-2016 "6Y10M" BALLARI 4000 145 KSHS0145 GADDI VEERAPPA BM 20-12-2016 "77Y5M" BALLARI 15000 146 KSHS0146 VEERAKSHI GADDI BM 20-12-2016 68Y BALLARI 13000 147 KSHS0147 SMT.BHARATHI.M BM 20-12-2016 "43Y09M" BALLARI 7000 148 KSHS0148 ANSHUMAN YOGANANDA BM 20-12-2016 "08Y09M" BALLARI 4000 REDDY 149 KSHS0149 ANANYA YOGANANDA REDDY BM 20-12-2016 "05Y06M" BALLARI 4000 150 KSHS0150 CHANDRASHEKHARA REDDY BM 20-12-2016 "80Y11M" BALLARI 15000 151 KSHS0151 RATHNAMMA BM 20-12-2016 "73Y11M" BALLARI 13000 152 KSHS0152 Dr.GURUPRASAD ADIGA FM 20-12-2016 "52Y5M" MOODBIDRI 9000 153 KSHS0153 Dr.GANESH PRABHU FM 20-12-2016 "50Y5M" BHATKAL 9000 154 KSHS0154 Dr.GAYATHRI PRABHU FM 20-12-2016 "45Y10M" BHATKAL 9000 155 KSHS0155 Dr.NASEEM AHMED KHAN FM 20-12-2016 "45Y2M" BHATKAL 9000 156 KSHS0156 Dr.R.MAHABALESHWAR FM 20-12-2016 "66Y10M" HOSAPETE 13000 REDDY 157 KSHS0157 SAVITA.M.REDDY BM 20-12-2016 "58Y6M" HOSAPETE 11000 158 KSHS0158 VINAY.M.REDDY BM 20-12-2016 29Y HOSAPETE 5000 159 KSHS0159 VARUN.M.REDDY BM 20-12-2016 "26Y1M" HOSAPETE 5000 160 KSHS0160 Dr.BASAVARAJ ALUR FM 26-12-2016 "78Y4M" GADAG 15000 10 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION 161 KSHS0161 Dr.SHARANABASAVESH ALUR FM 26-12-2016 "40Y8M" GADAG 7000 162 KSHS0162 Dr.PRAJAKTA ALUR FM 26-12-2016 "32Y7M" GADAG 5000 163 KSHS0163 Dr.B.GURUMURTHY FM 26-12-2016 "69Y10M" GANGAVATHI 13000 164 KSHS0164 Dr.SHASHIKALA FM 26-12-2016 "58Y9M" RAICHUR 11000 165 KSHS0165 Dr.SELMA RAJA KUMARI FM 26-12-2016 "58Y1M" RAICHUR 11000 KONATHAM 166 KSHS0166 Dr.ASHOK REVANKAR FM 27-12-2016 "62Y9M" HUBLI 11000 167 KSHS0167 Dr.VEEN REVANKAR FM 27-12-2016 "54Y7M" HUBLI 11000 168 KSHS0168 Dr.G.DEVARAJ FM 29-12-2016 "33Y" GANGAVATHI 5000 169 KSHS0169 Dr.SNEHALATHA FM 29-12-2016 "28Y4M" GANGAVATHI 5000 170 KSHS0170 Dr.MADANAPPA.ANANTA FM 29-12-2016 "73Y9M" RANIBENNUR 13000 REDDY 171 KSHS0171 NEELAMMA.M.ANANTA BM 29-12-2016 "60Y4M" RANIBENNUR 11000 REDDY 172 KSHS0172 Dr.KODI SEETHARAMA FM 31-12-2016 "60Y9M" KUNDAPURA 11000 KARANTH 173 KSHS0173 RASHMI.S.KARANTH BM 31-12-2016 "54Y2M" KUNDAPURA 9000 174 KSHS0174 Dr.AJAY.S.K FM 02-01-2017 "49Y2M" BALLARI 9000 175 KSHS0175 Dr.PRANNETHA AJAY FM 02-01-2017 "44Y9M" BALLARI 7000 176 KSHS0176 MAYA DEVI BM 02-01-2017 "73Y7M" BALLARI 13000 177 KSHS0177 Dr.SHARABLING.SHETTAR FM 02-01-2017 "69Y5M" DHARWAD 13000 178 KSHS0178 REKHA.SHETTAR BM 02-01-2017 "62Y11M" DHARWAD 11000 179 KSHS0179 Dr.BHIMAPPA.SAWKAR FM 03-01-2017 "73Y6M" RANIBENNUR 13000 180 KSHS0180 Dr.KAMALA.SAWKAR FM 03-01-2017 "64Y7M" RANIBENNUR 11000 181 KSHS0181 Dr.GOPALA KRISHNA GOUPTA FM 03-01-2017 "62Y3M" MANDYA 11000 182 KSHS0182 PUNNYA SHREEE BM 03-01-2017 "51Y5M" MANDYA 9000 183 KSHS0183 Dr.SATEESH PRABHU FM 04-01-2017 "58Y1M" BHATKAL 11000 184 KSHS0184 MUKTHA PRABHU BM 04-01-2017 "50Y7M" BHATKAL 9000 185 KSHS0185 OMKAR PRABHU BM 04-01-2017 "23Y10M" BHATKAL 4000 186 KSHS0186 LINGAPPA SURA BM 05-01-2017 "71Y" BALLARI 13000 187 KSHS0187 SHANKRAMMA SURA BM 05-01-2017 "67Y7M" BALLARI 13000 188 KSHS0188 Dr.POOVNIBETTU CHAYABBA FM 05-01-2017 "59Y6M" BHATKAL 11000 189 KSHS0189 Dr.V.B.NITALI FM 09-01-2017 "66Y6M" HUBBALI 13000 190 KSHS0190 KARUNA NITALI BM 09-01-2017 "53Y" HUBBALI 11000 191 KSHS0191 Dr.SALIYA DHARMAYATH FM 09-01-2017 "52Y05M" HOSAPETE 9000 192 KSHS0192 Dr. NAAZ JAHAN SHAIKHA FM 09-01-2017 "51Y09M" HOSAPETE 9000 11 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION 193 KSHS0193 AARZOO DHARMAYATH BM 09-01-2017 "22Y10M" HOSAPETE 4000 194 KSHS0194 AAMIR DHARMAYATH BM 09-01-2017 "13Y10M" HOSAPETE 4000 195 KSHS0195 Dr.BASANA GOUDA.N.PATIL FM 10-01-2017 "47Y4M" SINDHANUR 9000 196 KSHS0196 Dr.PRDMAVATHI.B.PATIL FM 10-01-2017 "47Y6M" SINDHANUR 9000 197 KSHS0197 AMBIKA.B.PATIL BM 10-01-2017 "20Y11M" SINDHANUR 4000 198 KSHS0198 Dr.K.RAVI KUMAR FM 10-01-2017 "46Y1M" SINDHANUR 9000 199 KSHS0199 Dr.K.SANDHYA FM 10-01-2017 "43Y7M" SINDHANUR 7000 200 KSHS0200 K.RACHAN BM 10-01-2017 "16Y8M" SINDHANUR 4000 201 KSHS0201 K.KRISHNA MURTHY BM 10-01-2017 "76Y10M" SINDHANUR 15000 202 KSHS0202 SATHYAVATHI BM 10-01-2017 "64Y10M" SINDHANUR 11000 203 KSHS0203 Dr.MALLIKARJUN.B.RAMPUR FM 10-01-2017 "69Y3M" KOPPAL 13000 204 KSHS0204 SHANTADEVI.M.RAMPUR BM 10-01-2017 "60Y9M" KOPPAL 11000 205 KSHS0205 Dr.SHAMBULING. NARA FM 13-01-2017 "63Y6M" BAGALKOT 11000 206 KSHS0206 AMITKUMAR.NARA BM 13-01-2017 "38Y8M" BAGALKOT 7000 207 KSHS0207 ASHA.NARA BM 13-01-2017 "37Y7M" BAGALKOT 7000 208 KSHS0208 Dr.VENKATESH.SORAGAVI FM 31-01-2017 "62Y2M" BAGALKOT 11000 209 KSHS0209 LAXMI.V.SORAGAVI BM 13-01-2017 "60Y4M" BAGALKOT 11000 210 KSHS0210 SHREYAS.V.SORAGAVI BM 13-01-2017 "23Y1M" BAGALKOT 4000 211 KSHS0211 Dr.SHEKHR.MANE FM 13-01-2017 "45Y11M" BAGALKOT 9000 212 KSHS0212 OMKAR.S.MANE BM 13-01-2017 "17Y8M" BAGALKOT 4000 213 KSHS0213 SANSKUTI.S.MANE BM 13-01-2017 "14Y10M" BAGALKOT 4000 214 KSHS0214 Dr.KRISHNA KULKARNI FM 17-01-2017 "71Y9M" KOPPAL 13000
215 KSHS0215 Dr.MOHAN PRABHAKAR FM 23-01-2017 "67Y5M" CHICKKABLLAPURA 13000
216 KSHS0216 R.MARY VIJAYALAKSHMI BM 23-01-2017 "67Y8M" CHICKKABLLAPURA 13000
217 KSHS0217 M.AJEYA SUMANTH BM 23-01-2017 "38Y3M" CHICKKABLLAPURA 7000 218 KSHS0218 Dr.PRAVEEN KUMAR. S. FM 31-01-2017 "39Y" GANGAVATHI 7000 HIREMATH 219 KSHS0219 Dr.RAGHAVENDRA. VEMALI FM 21-01-2017 "39Y4M" GANGAVATHI 7000 220 KSHS0220 Dr.HARISH.JOSHI FM 31-01-2017 "45Y2M" HUBLI 9000 221 KSHS0221 SHUBHADA.JOSHI BM 31-01-2017 "45Y10M" HUBLI 9000 222 KSHS0222 NIDHI.JOSHI BM 31-01-2017 "16Y10M" HUBLI 4000 223 KSHS0223 ADITYA.JOSHI BM 31-01-2017 "11Y7M" HUBLI 4000 224 KSHS0224 Dr.NINGAPPA.E FM 01-02-2017 "59Y8M" SIRUGUPPA 11000 225 KSHS0225 Dr.RAJESH.B.R FM 04-02-2017 "42Y01M" HAGARI 7000 BOMMANA HALLI
12 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
226 KSHS0226 Dr.PRASHANT.HOLKUNDE FM 09-02-2017 "49Y6M" HUBLI 9000 227 KSHS0227 Dr.MALLIKARJUN.V.JALI FM 15-02-2017 "61Y7M" BELGAUM 11000 228 KSHS0228 Dr.SUJATA.M.JALI FM 15-02-2017 "57Y01M" BELGAUM 11000 229 KSHS0229 Dr.H.V.JAGANNATHA.SETTY FM 15-02-2017 "72Y6M" MYSORE 13000 230 KSHS0230 CHANDRASHEKHARA.T.R BM 15-02-2017 "63Y6M" HAVERI 11000 231 KSHS0231 Dr.NAGARAJ.V.GADWAL FM 17-02-2017 "52Y6M" RAICHUR 9000 232 KSHS0232 Dr.MANGALA.N.GADWAL FM 17-02-2017 "47Y11M" RAICHUR 9000 233 KSHS0233 Dr.SHIVALINGAPPA GOWDAR FM 21-02-2017 "80Y11M" DAVANGERE 15000 234 KSHS0234 Dr.DIVAKAR DESHPANDE FM 21-02-2017 "66Y01M" ILKAL 13000 235 KSHS0235 SUREKHA DESHPANDE BM 21-02-2017 "59Y07M" ILKAL 11000 236 KSHS0236 Dr.KALLAPPA.UPPE FM 20-02-2017 "69Y" AURAD (B) 13000 237 KSHS0237 KAMALA.UPPE BM 20-02-2017 "61Y7M" AURAD (B) 11000 238 KSHS0238 Dr.ARAVIND.PATEL FM 23-02-2017 "57Y7M" BALLARI 11000 239 KSHS0239 Dr.JYOTHI.PATEL FM 23-02-2017 "48Y4M" BALLARI 9000 240 KSHS0240 Dr.RASHEMI.PATEL FM 23-02-2017 "25Y1M" BALLARI 5000 241 KSHS0241 GAURI.PATEL BM 23-02-2017 "20Y3M" BALLARI 4000 242 KSHS0242 JAYAMMA.PATEL BM 23-02-2017 BALLARI 15000 243 KSHS0243 Dr.ISHWARAPPA.S.SAVADI FM 27-02-2017 44Y GANGAVATHI 7000 244 KSHS0244 Dr.JAGADISH. FM 27-02-2017 "68Y2M" ILKAL 13000 BHAIRAGONDANNAVAR 245 KSHS0245 SUJATA.BHAIRAGOND BM 27-02-2017 "59Y1M" ILKAL 11000 246 KSHS0246 Dr.SUNIL.BHAIRAGOND FM 27-02-2017 "35Y9M" ILKAL 7000 247 KSHS0247 Dr.PRIYANKA RASHME FM 27-02-2017 "29Y4M" ILKAL 5000 248 KSHS0248 Dr.SOMSHEKHAR.KERUDI FM 01-03-2017 "44Y11M" BAGALKOT 9000 249 KSHS0249 Dr.CHANDRSHEKAR.KERUDI FM 01-03-2017 "34Y1M" BAGALKOT 7000 250 KSHS0250 Dr.VIDYADHAR.KINHAL FM 01-03-2017 "58Y8M" BALLARI 13000 251 KSHS0251 SUMA.V.KINHAL BM 01-03-2017 "52Y3M" BALLARI 9000 252 KSHS0252 Dr.GURACHARYA.AYODYA FM 27-02-2017 "73Y7M" GANGAVATHI 13000 253 KSHS0253 Dr.VALLBHA.K FM 01-03-2017 "53Y8M" BIJAPUR 9000 254 KSHS0254 Dr.TEJASWINI.V.VALLBHA FM 01-03-2017 "54Y5M" BIJAPUR 9000 255 KSHS0255 Dr.AMARAPPA GABBUR FM 27-02-2017 "65Y5M" GANGAVATHI 13000 256 KSHS0256 Dr.ABHIJIT.GOUDA MEDIKERI FM 02-03-2017 "30Y2M" GANGAVATHI 5000 257 KSHS0257 Dr.SUMATI.GOUDA FM 02-03-2017 "30Y10M" GANGAVATHI 5000 258 KSHS0258 MALLINTH.KOUJALGI BM 02-03-2017 "62Y6M" GANGAVATHI 11000
13 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
259 KSHS0259 Dr.NARAYAN CHANDRA. I. FM 07-03-2017 "49Y4M" HUBLI 9000 HEBSUR 260 KSHS0260 Dr.NAGAREKHA.N.HEBSUR FM 07-03-2017 "46Y10M" HUBLI 7000 261 KSHS0261 MAYAUR.N.HEBSUR BM 07-03-2017 "20Y2M" HUBLI 4000 262 KSHS0262 ANANYA.N.HEBSUR BM 07-03-2017 "11Y3M" HUBLI 4000 263 KSHS0263 VIJAYALASHMI.N.K BM 07-03-2017 "72Y2M" HUBLI 13000 264 KSHS0264 Dr.VIJAYKUMAR.PATIL FM 07-03-2017 "67Y8M" HUBLI 13000 265 KSHS0265 JAYASHREE.V.PATIL BM 07-03-2017 "59Y9M" HUBLI 11000 266 KSHS0266 Dr.NAGABHUSHAN.HIREMATH FM 04-04-2017 "62Y5M" HUBLI 11000 267 KSHS0267 SHAILA.N.HIREMATH BM 04-04-2017 "53Y8M" HUBLI 9000 268 KSHS0268 Dr.MADHUSUDAN.HULAGI FM 13-03-2017 "56Y11M" KARATAGI 11000 269 KSHS0269 CHANDRIKA.M.HULAGI BM 13-03-2017 "50Y4M" KARATAGI 9000 270 KSHS0270 Dr.ANNADANI.METTI FM 13-03-2017 "57Y7M" MUNDARGI 11000 271 KSHS0271 REKHA.A.METTI BM 13-03-2017 "54Y11M" MUNDARGI 9000 272 KSHS0272 Dr.SHASHIDHAR.V.RESHME FM 21-03-2017 "62Y7M" GADAG 11000 273 KSHS0273 USHA.S.RESHME BM 21-03-2017 "53Y4M" GADAG 9000 274 KSHS0274 NAGAPPA BM 18-03-2017 "68Y11M" KARATAGI 13000 275 KSHS0275 PADMAJAMMA BM 17-03-2017 "64Y9M" KARATAGI 11000 276 KSHS0276 Dr.RANGANATH.PUROHIT FM 06-04-2017 "61Y8M" BASAPATTAN 11000 277 KSHS0277 Dr.RAMADAS.BANDI FM 04-04-2017 "65Y" HOSAPETE 11000 278 KSHS0278 VIJAYLAXMI HOLKUNDE BM 13-04-2017 "67Y3M" HUBALLI 13000 279 KSHS0279 Dr.SIDDESH SIRWAR FM 13-04-2017 "42Y6M" GULBARGA 7000 280 KSHS0280 Dr.MALLANAGOUDA FM "54Y10M" HUBALLI 9000 RAYANAGOUDAR 281 KSHS0281 Dr.BASAGOUDA GHODAGERI FM 20-04-2017 "63Y11M" GOKAK 11000 282 KSHS0282 Dr.SURESH.T FM 20-04-2017 "58Y" BELLARY 11000 283 KSHS0283 Dr.VANAJA.M FM 20-04-2017 "54Y10M" BELLARY 9000 284 KSHS0284 KRISHNA TEJA.T BM 20-04-2017 "26Y3M" BELLARY 5000 285 KSHS0285 Dr.CHANDRSHEKAR. BELLARY FM 24-04-2017 "36Y9M" GADAG 7000 286 KSHS0286 Dr.BASAVARAJ.NAGALAPUR FM 02-05-2017 "64Y8M" BELLARY 11000 287 KSHS0287 Dr.RAJARATAN.B.GHANTI FM 21-06-2017 "59Y12M" HUBALLI 11000 288 KSHS0288 Dr.REKHA.GHANTI FM 04-05-2017 "53Y3M" HUBALLI 9000 289 KSHS0289 Dr.VASUDEVAMURTHY.M. FM 03-05-2017 "59Y4M" RANIBENNUR 11000 SASIVEHALLI 290 KSHS0290 Dr.VIDYA VASUEVAMURTHY FM 03-05-2017 "51Y10M" RANIBENNUR 9000
14 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
291 KSHS0291 Dr.HARISHA.DELANTHABETTU FM 03-05-2017 "48Y5M" BHADRVATHI 9000 292 KSHS0292 Dr.SHIVASHANKAER.B.M FM 04-05-2017 "66Y4M" KOLLEGAL 13000 293 KSHS0293 DEVIKARANI.S BM 04-05-2017 "60Y10M" KOLLEGAL 11000 294 KSHS0294 Dr.MAHESH.M FM 05-05-2017 41Y KOLLEGAL 7000
295 KSHS0295 Dr.SHIVAKUMAR.B FM 09-05-2017 "47Y11M" HOVINAHADAGALI 9000
296 KSHS0296 Dr.BHARTHI.I.HALLAD FM 09-05-2017 "47Y1M" HOVINAHADAGALI 9000 297 KSHS0297 SHUBHA.N.VIJAYAKUMAR BM 11-05-2017 "42Y" BHADRVATHI 9000 298 KSHS0298 Dr.AVINASH.BHAVIKATTI FM 16-05-2017 "33Y3M" GANGAVATHI 5000 299 KSHS0299 Dr.DIVYA.BHAVIKATTI FM 16-05-2017 25Y GANGAVATHI 5000 300 KSHS0300 Dr.RAJASHEKHAR.BELLARY FM 19-05-2017 "68Y9M" GADAG 11000 301 KSHS0301 Dr.SUBHSH.BASHETTY FM 25-05-2017 "69Y5M" BIDAR 13000 302 KSHS0302 Dr.VIJAYASHREE BASHETTY FM 25-05-2017 "63Y1M" BIDAR 11000 303 KSHS0303 Dr.JAMBUNATH GOUDA FM 21-06-2017 "64Y10M" KAMPLI 11000 304 KSHS0304 Dr.NIRMALA JAMBUNATH FM 21-06-2017 "54Y10M" KAMPLI 9000 GOUDA 305 KSHS0305 Dr.VEERANNA NAGARI FM 19-06-2017 "70Y11M" BANGALORE 13000 306 KSHS0306 Dr.M.MANCHAIAH FM 17-06-2017 "66Y3M" MANDYA 13000 307 KSHS0307 Dr.M.MAYUR FM 17-06-2017 "31Y1M" MANDYA 5000 308 KSHS0308 Dr.S.M SURESWARAIAH FM 23-06-2017 "79Y3M" BANGALORE 15000 309 KSHS0309 SUNEETHAMMA BM 23-06-2017 "69Y6M" BANGALORE 13000 310 KSHS0310 SRROJAMMA BM 23-06-2017 "68Y1M" BANGALORE 13000 311 KSHS0311 Dr.ANANDKUMAR M FM 23-06-2017 "36Y6M" BANGALORE 7000 312 KSHS0312 PUSHPA BM 23-06-2017 "29Y6M" BANGALORE 5000 313 KSHS0313 APOORVA BM 23-06-2017 3Y BANGALORE 4000 314 KSHS0314 Dr.KAMALAKER DESMUKH FM 23-06-2017 "76Y2M" GULBARGA 15000 315 KSHS0315 Dr.MANJUNATH SAPPARADA FM 23-06-2017 "48Y8M" KAMPLI 9000 316 KSHS0316 Dr.SRINIVASA REDDY KARRI FM 23-06-2017 "48Y11M" KAMPLI 9000 317 KSHS0317 Dr.RAMAKRISHNA H FM 23-06-2017 "53Y10M" GANGAVATHI 9000 318 KSHS0318 SRILAXMI BM 23-06-2017 "43Y8M" GANGAVATHI 7000 319 KSHS0319 ANUSHA R.H BM 23-06-2017 23Y GANGAVATHI 4000 320 KSHS0320 ANOOP R.H BM 23-06-2017 "22Y" GANGAVATHI 4000 321 KSHS0321 AKASHAY R.H BM 23-06-2017 "19Y6M" GANGAVATHI 4000 322 KSHS0322 Dr.CHANDRASHEKHAR FM 28-06-2017 "62Y8M" KAMPLI 11000 KALGUDI
15 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
323 KSHS0323 Dr.NITIN SHAH FM 28-06-2017 "64Y1M" NIPANI 11000 324 KSHS0324 Dr.USHA SHAH FM 28-06-2017 "59Y7M" NIPANI 11000 325 KSHS0325 Dr.SHIVARAJ KARIGANUR FM 29-06-2017 "48Y4M" SINDHANUR 9000 326 KSHS0326 SARASWATI KARIGANUR BM 29-06-2017 "75Y1M" SINDHANUR 15000 327 KSHS0327 Dr.PRASHANTH ISLOOR FM 28-06-2017 "62Y6M" SHIVMOGA 13000 328 KSHS0328 NARAYAN SWAMI NAYAK BM 28-06-2017 "48Y4M" HOSAPETE 9000 329 KSHS0329 JAYASHREE.V.NAIK BM 28-06-2017 "47Y1" HOSAPETE 9000 330 KSHS0330 RAKSHA BM 28-06-2017 "16Y10M" HOSAPETE 4000 331 KSHS0331 Dr.B CHANDRASHEKAR FM 28-06-2017 "62Y3M" HARIHAR 11000 332 KSHS0332 RATHNAMMA BM 28-06-2017 "66Y6M" BANGALORE 13000 333 KSHS0333 Dr.ANANDKUMAR FM 27-06-2017 41Y GANGAVATHI 7000 VALKAMDINNI 334 KSHS0334 Dr.DEEPA ANAND FM 27-06-2017 36Y GANGAVATHI 7000 VALKAMDINNI 335 KSHS0335 SOHAN KUMAR VALKAMDINNI BM 27-06-2017 "10Y4M" GANGAVATHI 4000 336 KSHS0336 Dr.PAMPAPATHI UMALUTI FM 27-06-2017 65Y SINDHANUR 11000 337 KSHS0337 SHARANAPPA BHAVI BM 27-06-2017 "58Y1M" GANGAVATHI 11000 338 KSHS0338 Dr.BASALINGAPPA DIVATER FM 27-06-2017 "59Y3M" LINGASUGUR 11000 339 KSHS0339 Dr.PRASANAKUMAR A.M FM "68Y1M" MANDYA 13000 340 KSHS0340 VINUTHA P.KUMAR BM "57Y10M" MANDYA 11000 341 KSHS0341 Dr.HALGEKAR FM 27-06-2017 BELGAUM 13000 342 KSHS0342 Dr.MST HALGEKAR FM 27-06-2017 BELGAUM 11000 343 KSHS0343 Dr.VEERANAGOUDA PATIL FM 05-07-2017 "65Y3M" JAMKHANDI 13000 344 KSHS0344 Dr.MALLIKARJUN RADDER FM 05-07-2017 "70Y4M" HUBBALI 13000 345 KSHS0345 SUNANDA RADDER BM 05-07-2017 "62Y2M" HUBBALI 11000 346 KSHS0346 Dr.MANJULA RADDER FM 06-07-2017 "41Y8M" HUBBALI 7000 347 KSHS0347 Dr.SHIVAKUMAR KUMBAR FM 05-07-2017 "53Y" DHARWAD 9000 348 KSHS0348 REKHA KUMBAR BM 05-07-2017 "51Y" DHARWAD 9000 349 KSHS0349 Dr.VINAYA RAGHAVENDRA FM 06-07-2017 "35Y" HOSAPETE 7000 HITNAL 350 KSHS0350 Dr.TULASI PRIYA CHILKURU FM 06-07-2017 "31Y 6M" HOSAPETE 7000 351 KSHS0351 NABHYAM SHREEKAR BM 06-07-2017 "3Y11M" HOSAPETE 4000 HITNAL 352 KSHS0352 Dr.VEERASEKHAR KAKANDKI FM 06-07-2017 "65Y9M" HOSAPETE 13000 353 KSHS0353 MRS.GEETHA SEWKHAR BM 06-07-2017 "54Y1M" HOSAPETE 11000
16 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
354 KSHS0354 Dr.UMESHA AV FM 05-07-2017 "48Y1M" MANDYA 9000 355 KSHS0355 Dr.VIJAYKUMAR GOVEKAR FM 06-07-2017 "65Y10M" BELGAUM 13000 356 KSHS0356 Dr.VIJAYAKUMAR HOOLI FM 29-07-2017 "62Y1M" SINDHANUR 11000 357 KSHS0357 ASMITA HOOLI BM 05-07-2017 "59Y7M" SINDHANUR 11000 358 KSHS0358 Dr.KADASIDDESHWARA G. FM 06-07-2017 "47Y9M" HUBBALI 9000 BYAKODI 359 KSHS0359 PRATIBHA K.BYAKODI BM 06-07-2017 "42Y11Y" HUBBALI 7000 360 KSHS0360 GURUNATH B.BYAKODI BM 06-07-2017 "79Y11M" HUBBALI 15000 361 KSHS0361 MANISHA K.BYAKODI BM 06-07-2017 21Y HUBBALI 4000 362 KSHS0362 ANUSH K.BYAKODI BM 17Y HUBBALI 4000 363 KSHS0363 Dr.MRUTYUNJAYA MOGALI FM 06-07-2017 57Y HUBBALI 11000 364 KSHS0364 ANURADHA M.MOGALI BM 06-07-2017 47Y HUBBALI 9000 365 KSHS0365 Dr.ANILKUMAR NAVADGI FM 06-07-2017 "61Y2M" BIJAPUR 11000 366 KSHS0366 SHUBHADA A.NAVADGI BM 06-07-2017 "56Y9M" BIJAPUR 11000 367 KSHS0367 SARVESH A.NAVADGI BM 06-07-2017 "25Y" BIJAPUR 5000 368 KSHS0368 Dr.BHIMANGOUDA. S. FM 06-07-2017 BIJAPUR 9000 IBRAHMPUR 369 KSHS0369 Dr.SUREKHA.B.IBRAHMPUR FM 06-07-2017 "46Y" BIJAPUR 9000 370 KSHS0370 PRITHIVI B.IBRHAMPUR BM 06-07-2017 BIJAPUR 4000 371 KSHS0371 Dr.LAXMAN.HANMAPPA FM 06-07-2017 "64Y" BIJAPUR 11000 BIDARI 372 KSHS0372 SHOBA LAXMAN BIDARI BM 06-07-2017 55Y BIJAPUR 11000 373 KSHS0373 AMOSH.LAXMAN BIDARI BM 06-07-2017 22Y BIJAPUR 4000 374 KSHS0374 Dr.M.SHIVA PRASAD FM 11-07-2017 "52Y" BALLARI 9000 375 KSHS0375 M.JYOTHI BM 29-07-2017 45Y BALLARI 9000 376 KSHS0376 Dr.BALA BHASKAR.S FM 11-07-2017 "51Y10M" BALLARI 9000 377 KSHS0377 V.N.RANJINI BM 11-07-2017 "49Y6M" BALLARI 9000 378 KSHS0378 Dr.VASANT SHET FM 11-07-2017 "64Y1M" BALLARI 11000 379 KSHS0379 USHA VASANT SHET BM 11-07-2017 "60Y2M" BALLARI 11000 380 KSHS0380 VISHAL SHET BM 11-07-2017 "31Y6M" BALLARI 5000
381 KSHS0381 Dr.BASANAGOUDA POLICE PATIL FM 12-07-2017 62Y SINDHANUR 11000 382 KSHS0382 SUMITHRA BM 12-07-2017 59Y SINDHANUR 11000 383 KSHS0383 Dr.LANKAPPA FM 12-07-2017 "69Y2M" TUMKUR 13000 384 KSHS0384 VANAJA LANKAPPA BM 12-07-2017 "63Y4M" TUMKUR 11000 385 KSHS0385 BHAVANA.L BM 12-07-2017 "24Y04M" TUMKUR 4000
17 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
386 KSHS0386 Dr.BASAVRAJ.MAREGUDDI FM 15-07-2017 "61Y2M" BAGALKOT 11000 387 KSHS0387 RAJASHRI.BASAVRAJ.M BM 15-07-2017 "51Y10M" BAGALKOT 9000 388 KSHS0388 AVINASH.B.M BM 15-07-2017 "28Y10M" BAGALKOT 5000 389 KSHS0389 ABHILASH.B.M BM 15-07-2017 "27Y3M" BAGALKOT 5000 390 KSHS0390 SHIVANI.B.M BM 15-07-2017 "20Y6M" BAGALKOT 4000 391 KSHS0391 Dr.JAYANTH.H FM 15-07-2017 "27Y11M" KARATAGI 5000 392 KSHS0392 Dr.NISHANTH.H FM 15-07-2017 "22Y11M" KARATAGI 4000
393 KSHS0393 Dr.GIRISH.G.BHURLE FM 17-07-2017 "32Y10M" BASAVAKALYANA 5000
394 KSHS0394 Dr.KSHAMA.T.S FM 17-07-2017 "28Y9M" BASAVAKALYANA 5000 395 KSHS0395 Dr.GIRISH.KULKARNI FM 25-07-2017 "61Y11M" HUBBALI 11000 396 KSHS0396 REKHA.KULKARNI BM 25-07-2017 "63Y1M" HUBBALI 11000 397 KSHS0397 Dr.SHIVANAND MURGUDE FM 25-07-2017 "65Y5M" SANKESHWARA 11000 398 KSHS0398 SHAILAJA.MURGUDE BM 27-07-2017 61Y SANKESHWARA 11000 399 KSHS0399 Dr.HANUMANTHA RAO FM 27-07-2017 "69Y1M" BANGALORE 13000 GOPALAM 400 KSHS0400 DAMAYANTHI.H.G BM 27-07-2017 "58Y4M" BANGALORE 11000 401 KSHS0401 Dr.BASAVAN GOWDA FM 28-07-2017 "72Y9M" RAICHUR 13000 MATMARI 402 KSHS0402 Dr.PRAKASH BHASME FM 31-07-2017 "67Y" BYADGI 11000 403 KSHS0403 CHANDRAKALA .P BHASME BM 31-07-2017 "61Y" BYADGI 11000 404 KSHS0404 Dr.MALLANNA B.P FM 31-07-2017 "61Y2M" BALLARI 11000 405 KSHS0405 SHASHIKALA ABBIGERI BM 31-07-2017 "56Y9M" BALLARI 11000 406 KSHS0406 Dr.SHASHIKALA FM 01-08-2017 "50Y1M" SHIKARIPURA 9000 407 KSHS0407 Dr.VISHWANATH .T SHETTY FM 27-07-2017 "40Y1M" KUNDAPURA 7000 408 KSHS0408 Dr.VIRUPAKSHAPPA.G. FM 30-07-2017 "49Y2M" KUSTAGI 9000 HALLALLI 409 KSHS0409 Dr.S.REDDY KONDAMADUGULE FM 30-07-2017 KUSTAGI 9000 410 KSHS0410 K.PADMA BM 30-07-2017 KUSTAGI 9000 411 KSHS0411 Dr.HANUMESH HUNAGUND FM 30-07-2017 69Y YELABURGA 13000 412 KSHS0412 Dr.PRAKASH.V FM 31-07-2017 "43Y3M" YELABURGA 7000 413 KSHS0413 Dr.RAJALAKSHMI.M FM 31-07-2017 33Y YELABURGA 5000 414 KSHS0414 Dr.LAKSHMAPPA FM 31-07-2017 "56Y3M" LINGASUGUR 11000 415 KSHS0415 DEEPA.T.M BM 11-08-2017 44Y LINGASUGUR 7000 416 KSHS0416 Dr.ANIRUDHA.V.KUSHTAGI FM 29-07-2017 "41Y4M" KOPPAL 7000 417 KSHS0417 Dr.RAJENDRA PRASAD FM 30-07-2017 "62Y" NELAMANGALA 11000
18 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
418 KSHS0418 Dr.NAGARAJ RAO SANU FM 30-07-2017 "59Y11M" HUBBALI 11000 419 KSHS0419 Dr.SHIVARAJ NAGAMALLI BM 01-08-2017 "72Y6M" BALLARI 13000 420 KSHS0420 Dr.PANKAJAVALLI FM 02-08-2017 "67Y7M" BALLARI 13000 THAYARAMMA RAJA 421 KSHS0421 Dr.K.MALLIKARJUNA SWAMY FM 02-08-2017 "37Y5M" KOPPAL 7000 422 KSHS0422 Dr.KIRAN CHAND FM 02-08-2017 "44Y11M" BALLARI 7000 NADAKUDURU 423 KSHS0423 VEENA KUMARI N BM 02-08-2017 "39Y8M" BALLARI 7000 424 KSHS0424 ABHINAV N BM 02-08-2017 "12Y10M" BALLARI 4000 425 KSHS0425 AMUKTHA N BM 02-08-2017 "7Y1" BALLARI 4000 426 KSHS0426 N BABU RAO BM 02-08-2017 "75Y4M" BALLARI 13000 427 KSHS0427 N SHYAMALA BM 02-08-2017 "71Y7M" BALLARI 13000 428 KSHS0428 Dr.KARAVEERAPRABHU FM 02-08-2017 "61Y11M" BADAMI 11000 KYALAKOND 429 KSHS0429 Dr.SHOBHA KYALAKOND FM 02-08-2017 "56Y3M" BADAMI 11000 HALAWAR 430 KSHS0430 Dr.MUKUND KAMAT FM 31-07-2017 "73Y8M" DANDELI 13000 431 KSHS0431 Dr.SHAILA KAMAT FM 31-07-2017 "70Y6M" DANDELI 13000 432 KSHS0432 Dr.GAJANAN VENKATRAMAN FM 31-07-2017 "74Y3M" DANDELI 13000 BHAT 433 KSHS0433 Dr.VIDYA GAJANAN BHAT FM 31-07-2017 "74Y4M" DANDELI 13000 434 KSHS0434 Dr.ANANTAPADMANABHA N FM 17-08-2017 "61Y" GADAG 11000 SHIVAPUR 435 KSHS0435 Dr.VANI ANANT SHIVAPUR FM 17-08-2017 "55Y2M" GADAG 11000 436 KSHS0436 Dr.JAYAPRAKASH B PATIL FM 30-08-2017 "40Y4M" RAICHUR 7000 437 KSHS0437 Dr.SHILPA PATIL FM 17-08-2017 "38Y11M" RAICHUR 7000 438 KSHS0438 DR. DIGAMBAR HEROOR FM 31-07-2017 "45Y01M" LINGASUGUR 9000 439 KSHS0439 DR.RACHAPPA BUDDINNI FM 01-09-2017 "41Y6M" LINGASUGUR 9000 440 KSHS0440 DR.SHIVASHARAQNAPPA FM 01-09-2017 "73Y2M" MASKI 18000 ITHLI 441 KSHS0441 DR.MALLIKARJUN ITHLI FM 01-09-2017 "45Y9M" MASKI 12000 442 KSHS0442 DR.TEJASHWINI ITHLI FM 01-09-2017 "39Y8M" MASKI 9000 443 KSHS0443 DR.TANDUR AMARESHWARA FM 04-09-2017 "79Y" HOSPET 15000 444 KSHS0444 DR.PADMAVATHI PERUMAR FM 01-09-2017 "55Y3M" HOSPET 11000 445 KSHS0445 DR.LEELAVATHI V FM 14-09-2017 "65Y" B’LORE RURAL 11000 446 KSHS0446 DR.JAGADISH C SHIROL FM 20-09-2017 "60Y6M" GADAG 11000 447 KSHS0447 DR.GIRIJA SHIROL FM 20-09-2017 GADAG 9000 19 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
448 KSHS0448 DR.GOUTHAM R LODAYA FM 28-09-2017 "43Y10M" HAVERI 7000 449 KSHS0449 DR.SUNITHA G LODAYA FM 28-09-2017 "44Y1M" HAVERI 7000 450 KSHS0450 DR.PUSHPAMALA R LODAYA FM 28-09-2017 "74Y9M" HAVERI 13000 451 KSHS0451 DR.H VIJAYA KUAMAR FM 27-09-2017 50Y LINGASUGUR 9000 452 KSHS0452 DR.VANAMALA HESARUR FM 27-09-2017 47Y LINGASUGUR 9000 453 KSHS0453 DR.JAGADISH MADINUR FM 03-10-2017 67Y SINDHANUR 13000 454 KSHS0454 DR.CHANDRASHEKAR J FM 03-10-2017 33Y SINDHANUR 5000 MADINUR 455 KSHS0455 DR.KRUTHIKA S.P FM 03-10-2017 "27Y4M" SINDHANUR 5000 456 KSHS0456 DR.PRALHAD VENKATESH 19-10-2017 "64y10m" HUBBALLI 13000 KANCHI 457 KSHS0457 DR.CAHANDRASHEKAR FM 21-10-2017 "77Y5M" DHARAWAD 15000 PURANIK 458 KSHS0458 DR.K.S.SIDDARAJ FM 25-10-2017 "70Y03M" BANGALORE 13000 459 KSHS0459 MANJULA S RAJ BM "58Y08M" BANGALORE 13000 460 KSHS0460 DR.B.PRAKASH FM 30-10-2017 "49Y07M" B’LORE RURAL 9000 461 KSHS0461 DR.B.SASIREKHA FM 30-10-2017 "42Y02M" B’LORE RURAL 7000 462 KSHS0462 P LAHARI BM 30-10-2017 "10Y09M" B’LORE RURAL 4000 463 KSHS0463 K.M.BHEEMAIAH BM 30-10-2017 "83Y07M" B’LORE RURAL 15000 464 KSHS0464 PILLAMMA BM 30-10-2017 "69Y02M" B’LORE RURAL 13000 465 KSHS0465 DR.SHREEKRISHNA PHATAK FM 29-10-2017 "68Y7M" GOKAK 13000 466 KSHS0466 DR.MRS.VASUDHA PHATAK FM 29-10-2017 "65Y10M" GOKAK 13000 467 KSHS0467 DR.TEEKAPPA M.D FM 02-11-2017 "71Y01M" BIRUR 13000 468 KSHS0468 Dr.CAPT.MOHAN K FM 02-11-2017 "71Y11M" MANGALORE 13000 469 KSHS0469 Dr.GIRISH KUMAR.D.P 30-10-2017 "32Y2M" BANGALORE 5000 470 KSHS0470 Dr.SUBHASCHANDRA FM 07-11-2017 "69Y4M" HUBLI 13000 HANAMADDI 471 KSHS0471 Dr.HANUMAPPA RANGAREDDY FM 04-11-2017 "71Y6M" CHITRADURGA 13000 472 KSHS0472 Dr.ANILKUMAR.CHAVAN FM 27-11-2017 "41Y4M" SHIKARIPUR 7000 473 KSHS0473 AMBIKA RATHOD BM 27-11-2017 41Y SHIKARIPUR 7000 474 KSHS0474 SKANDA CHAVAN BM 27-11-2017 "12Y10M" SHIKARIPUR 4000 475 KSHS0475 NAMAN CHAVAN BM 27-11-2017 9 SHIKARIPUR 4000 476 KSHS0476 KASTURIBAI LAHARI BM 27-11-2017 65Y SHIKARIPUR 13000 477 KSHS0477 Dr.T S RAVI FM 12-12-2017 "62Y5M" BANGALORE 11000 478 KSHS0478 K.L KALPANA BM 12-12-2017 "51Y4M" BANGALORE 9000
20 Office of the Returning officer for Elec ons of IMA-KSHS for the year 2019-22 Returning Officer Head Office : IMA Bhavan, A V Road, Bengaluru. Dr. Madhusudhana K. Working Office : Shushrusha Nursing Home, LG Road, M-9448237145 E-mail:[email protected] Near Mahaveer Circle, Gangavathi-583227. Ref:Elec ons/IMA-KSHS/ 2019-22 Date : 4th September 2019 ELECTION NOTIFICATION To: The Members of IMA Karnataka State Health Scheme, Bengaluru. Dear Doctor, Sub : Nomina ons to various posts of IMA-KSHS.
21-a The office of the returning officer for elec ons of IMA's-KSHS (2019-22) invites the nomina ons for the following posts duly proposed and seconded by the ac ve members of IMA's-KSHS with consent of the candidate as per the me schedule a ached. List of Managing commi ee posts: a) Chairman- One post b) Vice Chairman-Two posts c) Hon. Secretary- One post d) Hon. Treasurer-One post e) Hon. Joint Secretary –Three posts f) Scru nizing Officer. The nomina ons may please be forwarded to the Returning officer by registered post /Courier and should reach the office of the Returning officer on or before 4th October 2019 and the envelop shall be addressed to, “The Returning officer, IMA- Karnataka State Health Scheme, Shushrusha Nursing Home, LG Road, Near Mahaveer Circle, Gangavathi-583227 super scribed as “Nomina on for the elec ons of the IMA-KSHS for the year 2019-22 (Three year term)” Thanking You, Your’s sincerely Dr. MADHUSUDHANA K Returning Officer Office of the Returning Officer for Elec ons of IMA-KSHS Gangavathi - For the year 2019-22 Address: …………………………………………………………………………………………………………………...... …………………...... NOMINATION FORM ………………………………………………………………………………………………………………………………………………………...... ……. To: Date…………………….. I Dr…………………………...... ………………………………with IMA-KSHS No……………...... is willing to contest for the The Returning Officer Elec ons of IMA-KSHS, post of ………………………………...... ………………………………………………. IMA-Karnataka State Health Scheme , Signature of the Candidate:………………………...... ……Name (in Block Le ers) Dr…………………………………………...... Shushrusha Nursing Home, LG Road, Near Mahaveer Circle, Gangavathi-583227 Address:…………………………………………………………………………………………………………………………………………...... …… Sir, ………………………………………………………………………………………………………………………………………………………...... ……. Sub: (1) Nomina ons to the post of CHAIRMAN, TWO VICE CHAIRMAN, SECRETARY, ……………………………………………………………………….Ph. No. (STD Code)……………………………………………………...... … JOINT SECRETARY (3 posts),TREASURER and Scru nizing Officer 21-b 21-c [R]…………………………………[H]…………………………Mob:………………...... ……………….Email:…………………………...... …… Proposed by: WILLINGNESS CERTIFICATE BY THE CANDIDATE I Dr. …………………...... …………………..Member of IMA ……………………………………………Branch with IMA-KSHS number I am willing to contest and accept the nomina on proposed by member and enclose the D.D. for Rs……...... …………/- ………………...... ….propose the Name of Dr. ……………………...... ……………………………………….for the post of bearing No…………....…………Dated…………..……….of …………………...... ………………………………..Bank. ………………………………………………...... ……………………….for the year 2019-22. Name of the Candidate Dr……………………………………………………………………………………………...... ……………………… Signature of the proposer………...... ………………….Name (in Block Le ers) Dr………...... …………………………...... … Address:…………………………………………………………………………………………………………………………………………………………………… Address:…………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………...... …... ………………………………………………………………………………………………………………………………...... ……… Date : ………………...... Second by: Place : ………………...... Signa ture of the Candidate Signature …………...... ………Name(in Block Le ers) Dr………………...... ……………………….IMA-KSHS number…………..... Office of the Returning Officer for Elec ons of IMA-KSHS Gangavathi - For the year 2019-22 Address: …………………………………………………………………………………………………………………...... …………………...... NOMINATION FORM ………………………………………………………………………………………………………………………………………………………...... ……. To: Date…………………….. I Dr…………………………...... ………………………………with IMA-KSHS No……………...... is willing to contest for the The Returning Officer Elec ons of IMA-KSHS, post of ………………………………...... ………………………………………………. IMA-Karnataka State Health Scheme , Signature of the Candidate:………………………...... ……Name (in Block Le ers) Dr…………………………………………...... Shushrusha Nursing Home, LG Road, Near Mahaveer Circle, Gangavathi-583227 Address:…………………………………………………………………………………………………………………………………………...... …… Sir, ………………………………………………………………………………………………………………………………………………………...... ……. Sub: (1) Nomina ons to the post of CHAIRMAN, TWO VICE CHAIRMAN, SECRETARY, ……………………………………………………………………….Ph. No. (STD Code)……………………………………………………...... … JOINT SECRETARY (3 posts),TREASURER and Scru nizing Officer 21-b 21-c [R]…………………………………[H]…………………………Mob:………………...... ……………….Email:…………………………...... …… Proposed by: WILLINGNESS CERTIFICATE BY THE CANDIDATE I Dr. …………………...... …………………..Member of IMA ……………………………………………Branch with IMA-KSHS number I am willing to contest and accept the nomina on proposed by member and enclose the D.D. for Rs……...... …………/- ………………...... ….propose the Name of Dr. ……………………...... ……………………………………….for the post of bearing No…………....…………Dated…………..……….of …………………...... ………………………………..Bank. ………………………………………………...... ……………………….for the year 2019-22. Name of the Candidate Dr……………………………………………………………………………………………...... ……………………… Signature of the proposer………...... ………………….Name (in Block Le ers) Dr………...... …………………………...... … Address:…………………………………………………………………………………………………………………………………………………………………… Address:…………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………...... …... ………………………………………………………………………………………………………………………………...... ……… Date : ………………...... Second by: Place : ………………...... Signa ture of the Candidate Signature …………...... ………Name(in Block Le ers) Dr………………...... ……………………….IMA-KSHS number…………..... IMPORTANT DATES
1. Last date for receiving Nomina ons with Acceptance 04/10/ 2019 -5 P.M. 2. Scru ny of nomina ons and publica on of valid list 07/10/2019 -5 P.M. 3. Last date for withdrawal 18/10/2019,Till before Elec ons 4. Date of Elec on ( During Annual General Body Mee ng of KSHS) 18/10/ 2019
NOTE:
21-d [1] The Contestants for the post of Chairman, 2 vice Chairman, of managing commi ee shall send Rs.1000/- by D.D. along with le er of acceptance / willingness before 5 P.M. of 4th October 2019. [2] The Contestants for the Secretary, Treasurer, three Joint Secretaries and Scru nizing Officer shall send Rs.500/- by D.D. along with le er of acceptance / willingness before 5 P.M. of 4th October 2019. [3] D.D. Shall be drawn in favour of IMA-KSHS' payable at Gangavathi. [4] Nomina on forms will be strictly scru nized and incomplete nomina on will be rejected. [5] No hand delivery of nomina on forms. [6] Withdrawal forms can be delivered by hand / Courier / registered post/E-mail. [7] Nomina on forms can be obtained from IMA'S-KSHS website at www.imahealthscheme.org or from IMA'S-KSHS Office. IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
479 KSHS0479 Dr. SOMARAJU ALLURI FM 18-12-2017 70Y GANGAVATHI 13000 480 KSHS0480 Dr.PRAVATHIBAI BHANDAGE FM 19-12-2017 "59Y11M" GAJENDRAGAD 11000 481 KSHS0481 Dr.GAJANAN KALE FM 09-01-2018 "67Y10M" NAREGAL 13000 482 KSHS0482 Dr.MANGALA KALE FM 09-01-2018 "65Y4M" NAREGAL 13000 483 KSHS0483 KIRAN KALE BM 09-01-2018 "27Y9M" NAREGAL 5000 484 KSHS0484 Dr.DATTATREYA BINDURAO FM 10-01-2018 "74Y5M" BANGALORE 13000 MEUNDI 485 KSHS0485 Dr.MEERA D MEUNDI FM 10-01-2018 "71Y6M" BANGALORE 13000 486 KSHS0486 Dr.MALLANA GOUDA FM 05-01-2018 "49Y10M" GANGAVATHI 7000 POLICE PATIL 487 KSHS0487 Dr.ARJUN HOSALLI FM 05-01-2018 "27Y7M" GANGAVATHI 5000 488 KSHS0488 Dr.SWETHA D FM 05-01-2018 "26Y2M" GANGAVATHI 5000 489 KSHS0489 Dr.BASAVARAJ SINGANAL FM 05-01-2018 "29Y5M" GANGAVATHI 5000 490 KSHS0490 Dr.RATNAKAR S WALI FM 23-01-2018 "66Y3M" MYSORE 13000 491 KSHS0491 SHAKUNTALA R WALI BM 23-01-2018 "58Y6M" MYSORE 11000 492 KSHS0492 Dr.MURUGESH WALI FM 23-01-2018 "34Y" MYSORE 5000 493 KSHS0493 DIYA WALI BM 23-01-2018 "29Y11M" MYSORE 5000 494 KSHS0494 Dr.ASHOK KIRAGI FM 23-01-2018 "60Y6M" ILKAL 11000 495 KSHS0495 SHOBHA BM 23-01-2018 "53Y5M" ILKAL 9000
496 KSHS0496 Dr.KOTRAIAH BUDANURMATHAD FM 23-01-2018 "69Y7M" BALLARI 13000 497 KSHS0497 VIDYA KOTRAIAH B.M BM 23-01-2018 "62Y5M" BALLARI 11000 498 KSHS0498 SUMA CHAVADI BM 26-01-2018 "22Y11M" GAJENDRAGAD 4000 499 KSHS0499 Dr.NANAGOUDA S BIRADAR FM 08-02-2018 62Y GADAG 11000 500 KSHS0500 RUDRAGOUDA PATIL BM 08-02-2018 "62Y8M" GADAG 11000 501 KSHS0501 Dr.SPIHOORTI PAI FM 14-02-2018 "26Y8M" BANGALORE 5000 502 KSHS0502 Dr. ACHUTH KUMAR FM 12-03-2018 "64Y1M" SIRUGUPPA 13000 DEVAPRASAD 503 KSHS0503 HEMALATA ACHUTA BM 12-03-2018 "59Y6M" SIRUGUPPA 11000 504 KSHS0504 KALLAPPA M SANKANUR BM 01-04-2018 71Y GANGAVATHI 13000 505 KSHS0505 CHANNAMMA K SANKANUR BM 01-04-2018 60Y GANGAVATHI 11000 506 KSHS0506 Dr. MAYUR V PATIL FM 11-05-2018 40Y GANGAVATHI 7000 507 KSHS0507 Dr. MEGHARANJINI PATIL FM 11-05-2018 "34Y4M" GANGAVATHI 5000 508 KSHS0508 AARAV M PATIL BM 11-05-2018 "4Y4M" GANGAVATHI 4000 509 KSHS0509 ADYANTH PATIL BM 11-05-2018 "9Y4M" GANGAVATHI 4000 510 KSHS0510 VIGNESH C PRABHU BM 20-05-2018 28y BANGALORE 5000
21 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
511 KSHS0511 P. VARUN BM 20-05-2018 17Y BANGALORE 4000 512 KSHS0512 Dr. KOTI LAKSHMI FM 30-Apr "74Y11M" BELLARI 13000 NARASIMHAM 513 KSHS0513 Dr. ASHOK BABU BHANDARI FM 27-06-2018 41Y KARATAGI 7000 514 KSHS0514 Dr. UJWACA WADDADI FM 27-06-2018 "38Y10M" KARATAGI 7000 515 KSHS0515 ARAV BHANDARI BM 27-06-2018 "4Y4M" KARATAGI 4000 516 KSHS0516 DHRITI BHANDARI BM 27-06-2018 "10Y1M" KARATAGI 4000 517 KSHS0517 Dr. SWAROOP N SHASHIDHAR FM 13-06-2018 "28Y7M" MANGALORE 5000 518 KSHS0518 Dr.K.R. RAJAMAM FM 20-06-2018 67Y HARIHAR 13000 519 KSHS0519 NAYANA BM 20-06-2018 65Y HARIHAR 13000 520 KSHS0520 Dr. A. SRINIVASA MURTHY FM 22-06-2018 "63Y11M" BELLARI 13000 521 KSHS0521 Dr. KUDLEPPA DHANNUR FM 25-06-2018 68Y NAREGAL 13000 522 KSHS0522 Dr. MALLIKARJUN BADDUR FM 17-07-2018 "59Y11M" BANHATTI 11000 523 KSHS0523 GEETA BADDUR BM 19-07-2018 52Y BANHATTI 9000 524 KSHS0524 Dr. SHANKARGOUDA FM 27-07-2018 64Y SINDHANUR 11000 POLICE PATIL 525 KSHS0525 Dr. MANJUNATH FM 27-07-2018 63Y TIPTUR 11000 526 KSHS0526 Dr. BHARATH KUMAR FM 16-08-2018 67Y BELLARI 13000 AMBALAM 527 KSHS0527 GODASHREE AMBALAM BM 16-08-2018 64Y BELLARI 11000 528 KSHS0528 Dr. H.A PARSHWANATH FM 13-08-2018 71Y MYSORE 13000 529 KSHS0529 Dr. V.L NANDISH BM 21-08-2018 62Y MANDYA 11000 530 KSHS0530 VINAYA NANDISH BM 21-08-2018 "54Y1M" MANDYA 9000 531 KSHS0531 Dr. BASAVARAJ KAMBALYAL FM 20-09-2018 76Y GAJENDRAGAD 15000 532 KSHS0532 GEETA B V BM 20-09-2018 63Y GAJENDRAGAD 11000 533 KSHS0533 Dr. MUNIR J BANGI FM 20-09-2018 67Y BIJAPUR 13000 534 KSHS0534 Dr. PRASAD HASSAN FM 26-09-2018 65Y MYSORE 13000 SANJEEVAIAH 535 KSHS0535 GEETHASHREE MANDYA BM 26-09-2018 55Y MYSORE 11000 SHIVARAM 536 KSHS0536 Dr. K SIDESHI FM 28-09-2018 59Y BANGALURU 11000 537 KSHS0537 AMBIKA A SHIVAPUR BM 03-10-2018 32Y GADAG 5000 538 KSHS0538 Dr. ADVAITH A SHIVAPUR FM 03-10-2018 29Y GADAG 5000 539 KSHS0539 Dr. ACHYUTH A SHIVAPUR FM 03-10-2018 27Y GADAG 5000 540 KSHS0540 Dr. SATHYAMURTHY. S.G FM 03-10-2018 "57Y4M" BYADAGI 11000 541 KSHS0541 VEENA.S BM 03-10-2018 52Y BYADAGI 9000
22 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
542 KSHS0542 Dr. GUNDU DESAI FM 11-10-2018 "64Y8M" HUBBALLI 11000 543 KSHS0543 Dr. SRINIVASA S FM 29-10-2018 "57Y7M" BENGALURUR 11000 544 KSHS0544 Dr. BASAVAPRABHU U PATIL FM 15-11-2018 "50Y3M" SINDHANUR 9000 545 KSHS0545 SHAILA B PATIL BM 15-11-2018 "48Y11M" SINDHANUR 9000 546 KSHS0546 Dr.SANTOSH KUMAR. H FM 27-11-2018 "34Y6M" GANGAVATHI 5000 547 KSHS0547 Dr. BASAVARAJ M PATIL FM 20-11-2018 "48Y5M" RAICHUR 9000 548 KSHS0548 DR. USHA B PATIL FM 20-11-2018 "46Y4M" RAICHUR 9000 549 KSHS0549 Dr. PRASHANTH KUMAR PAI FM 27-11-2018 "56Y4M" SHIVMOGA 11000 550 KSHS0550 SUCHETA PAI BM 27-11-2018 "53Y5M" SHIVMOGA 9000 551 KSHS0551 Dr. VENKATESWARA RAO G FM 27-11-2018 "54Y5M" BALLARI 9000 552 KSHS0552 Dr. DEVADASU HASSAN RAJU FM 30-11-2018 "55Y3M" HASSAN 11000 553 KSHS0553 Dr. A. PADMANABHA BHAT FM 12-12-2018 62Y PUTTUR 11000 554 KSHS0554 USHAKUMARI K BM 12-12-2018 54Y PUTTUR 9000 555 KSHS0555 Dr. GADIGI CHANDRA MOULI FM 01-01-2018 62Y BALLARI 11000 556 KSHS0556 GADIGI SWARNALAHTA BM 01-01-2019 58Y BALLARI 11000 557 KSHS0557 NAMRATHA GADIGI BM 01-01-2018 "31Y11M" BALLARI 5000 558 KSHS0558 Dr. SHIVAYOGI JAJUR FM 01-12-2018 72Y DAVANAGERE 13000 559 KSHS0559 SHARADA REAVAL BM 31-12-2018 62Y DAVANAGERE 11000 560 KSHS0560 Dr. GANESH PRASAD FM 08-01-2019 45Y PUTTUR 9000 MUDRAJE 561 KSHS0561 Dr. CHANNABASANNA HUBLI FM 12-01-2019 52Y HOSAPETE 9000 562 KSHS0562 Dr. TANUJA CHANNABASANNA FM 12-01-2019 50Y HOSAPETE 9000 HUBLI 563 KSHS0563 SACHIN C HUBLI BM 12-01-2019 19Y HOSAPETE 4000 564 KSHS0564 M. SHANKAR BM 22-01-2019 72Y BANGARPET 13000 565 KSHS0565 Dr. VENKATA RAMANNA FM 17-01-2019 57Y BALLARI 11000 LINGUTLA 566 KSHS0566 Dr. LALITHA LINGUTLA FM 17-01-2019 56Y BALLARI 11000 567 KSHS0567 Dr. DEEPA A KURUBAR FM 31-01-2019 32Y GANGAVATHI 5000 568 KSHS0568 Dr. HANUMATHAPPA L FM 31-01-2019 63Y GANGAVATHI 11000 HIRENNAVAR 569 KSHS0569 VIJAYALAXMI BM 31-01-2019 55Y GANGAVATHI 11000 HANUMATHAPPA HIRENNAVAR 570 KSHS0570 Dr. K SRINIVAS FM 28-02-2019 67Y RAICHUR 13000 571 KSHS0571 Dr. NARENDRA P L FM 02-02-2019 48Y SHIVMOGA 9000 572 KSHS0572 SAROJAMMA P L BM 07-02-2019 84Y SHIVMOGA 15000
23 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
TOTAL SL. FM DATE OF AGE ON AMOUNT KSHS NO NAME BRANCH NO & JOINING JOINING ON BM ADMISSION
573 KSHS0573 Dr. SHRANAGOWDA FM 07-02-2019 62Y LINGASUGUR 11000 574 KSHS0574 SHANTALA BM 07-03-2019 58Y LINGASUGUR 11000 575 KSHS0575 DR. JAYANT KULKARNI FM 07-03-2019 60Y MUDHOL 11000 576 KSHS0576 JANHAVI KULKARNI BM 07-03-2019 57Y MUDHOL 11000 577 KSHS0577 Dr. SHIVANANDA KUBSAD FM 07-03-2019 61Y MUDHOL 11000 578 KSHS0578 KAMAL KUBSAD BM 07-03-2019 52Y MUDHOL 9000 579 KSHS0579 Dr. SRINIVASALU D FM 07-03-2019 52Y BALLARI 9000 580 KSHS0580 RADHIKA P BM 07-03-2019 46Y BALLARI 9000 581 KSHS0581 SUCHARITHA D BM 07-03-2019 18Y BALLARI 4000 582 KSHS0582 KARTHIK DAMMUR BM 07-03-2019 15Y BALLARI 4000 583 KSHS0583 D. NARAYANA REDDY BM 07-03-2019 79Y BALLARI 15000 584 KSHS0584 D. VENKATA LAKSHAMMA BM 07-03-2019 75Y BALLARI 15000 585 KSHS0585 Dr. SUBHASH MASHALAKAR FM 15-03-2019 70Y GULBARGA 13000 586 KSHS0586 Dr. SHIVAYOGI SHETTAR FM 02-04-2019 70Y KARATAGI 13000 587 KSHS0587 PRABHAWATI SHETTAR BM 02-04-2019 63Y KARATAGI 11000 588 KSHS0588 Dr. BASAVARJ MUDABAAGIL FM 05-04-2019 "60Y7M" DHARAWAD 11000 589 KSHS0589 Dr. SANDEEP PATIL FM 22-05-2019 32Y BAELGAUM 5000 590 KSHS0590 CHANDRAKALA R.K BM 22-05-2019 56Y BAELGAUM 11000 591 KSHS0591 Dr. GIRIMALLAPPA NESARAGI FM 21-05-2019 "58Y11M" DHARAWAD 11000 592 KSHS0592 VIDYA G. NESARAGI BM 21-05-2019 "51Y4M" DHARAWAD 9000 593 KSHS0593 VISHWAJEET G NESARAGI BM 21-05-2019 "30Y7M" DHARAWAD 5000 594 KSHS0594 AKASH G NESARAGI BM 21-05-2019 "19Y7M" DHARAWAD 4000 595 KSHS0595 Dr. SURESH KUMAR P.A FM 24-05-2019 "59Y5M" BALLARI 11000 596 KSHS0596 KUSUMA SURESH BM 24-05-2019 "51Y11M" BALLARI 9000 597 KSHS0597 Dr. RANJAN NR SHETTY FM 27-05-2019 "44Y11M" KUNDAPURA 7000 598 KSHS0598 Dr. RATHNAKAR U.P FM 31-05-2019 "64Y3M" MANGALORE 11000 599 KSHS0599 USHA RATHNAKAR BM 31-05-2019 "56Y 8M" MANGALORE 11000 600 KSHS0600 RAKSHITH URVAL BM 31-05-2019 "34Y11M" MANGALORE 5000 601 KSHS0601 SRAVAMANGALA BM 23-07-2019 "67Y9M" HUBBALLI 13000 602 KSHS0602 Dr. MALLIKARJUNA C.T FM 27-07-2019 49Y GANGAVATHI 9000 603 KSHS0603 Dr. RAVINDRA KANAKERI FM 05-09-2019 "47Y8M" GANGAVATHI 9000 604 KSHS0604 RENUKA R.K BM 05-09-2019 34Y GANGAVATHI 5000 605 KSHS605 Dr. CHANDRAMMA FM 05-09-2019 "74Y6M" BENGALURU` 13000
24 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS List of Members to whom Health claim Amount Disbursed till 01-09-2019 CLAIM Sl REIMBURSED FM / KSHS NO NAME & ADDERSS GIVEN No. AMOUNT BM DATE Dr. R. MAHABALESHWAR REDDY 1 KSHS0156 10-09-2017 20426/- FM HOSAPETE Dr. PAPMPAPATHI MALGI 2 KSHS0019 06-11-2017 20000/- FM GANGAVATHI Dr. SHIVAGANGA CHINIWAL 3 KSHS0068 06-11-2017 44000/- FM GANGAVATHI Dr. SURESH T 4 KSHS0282 23-12-2017 91125/- FM BELLARY Dr. B R SAWKAR 5 KSHS0179 14-03-2018 4395/- FM RANIBENNUR Dr. KAMALAKAR DESHMUKH 6 KSHS0314 16-03-2018 38550/- FM GULBARGA Dr. KALAVATHI.S 7 KSHS0104 13-03-2018 40000/- FM TUMKUR Dr. SANGAMMA 8 KSHS0056 27-03-2018 74250/- FM GANGAVATHI Dr. BANDI. RAMADAS 9 KSHS0277 06-11-2017 33780/- FM HOSPETE Dr. PRABHA RAIKAR 10 KSHS0075 11-06-2018 60000/- FM GANGAVATHI GIRISH G BHURLE 11 KSHS0393 11-06-2018 100000/- FM BASAVAKALYAM Dr. VIJAYA VENKATESH 12 KSHS0012 11-06-2018 20000/- FM HOSPETE Dr. K.VEERANNA 13 KSHS0018 11-06-2018 20000/- FM KARATAGI Dr. VIJAYAKUMAR A PATIL 14 KSHS0264 11-06-2018 20000/- FM HUBBALLI Dr. Y B SANGAPPA 15 KSHS0096 11-06-2018 20000/- FM HUBBALLI SHANTADEVI M RAMPUR 16 KSHS0204 14-03-2018 38019/- BM KOPPAL Dr. JAGADISH 17 KSHS0244 11-06-2018 50000/- FM BHAIRAGONDANNAVAR PUSHDALATHA MALGI 18 KSHS0018 25-09-2018 29328/- BM GANGAVATHI SHASHIKALA JOSHI 19 KSHS0038 25-09-2018 30000/- BM GANGAVATHI
25 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
Dr. AMARPPA GABBUR 20 KSHS0255 25-09-2018 200000/- FM RAICHUR Dr. RANGANATH PUROHIT 21 KSHS0276 25-09-2018 140000/- FM GANGAVATHI Dr. A N SHIVAPUR 22 KSHS0434 25-09-2018 27870/- FM GADAG Dr. GANESH PRABHU 23 KSHS0153 25-09-2018 24770/- FM BHATKAL Dr. REKHA SHETTAR 24 KSHS0177 25-09-2018 16840/- BM DHARWAD Dr. SUBHASCHANDRA. I. 25 KSHS0470 HANAMARADDI 25-09-2018 30000/- FM HUBBALLI REKHA A METI 26 KSHS0271 25-09-2018 5610/- BM MUNDARGI Dr. S M SURESWARAIAH 27 KSHS0308 25-09-2018 200000/- FM BANGALURU SHANTHA M RAMPUR 28 KSHS0204 25-09-2018 38020/- BM KOPPAL B.BHIMSEN JAGANNATHRAO 29 KSHS00123 KULKARANI 09-12-2018 15900/- FM HOSAPETE TABBANNAPPA 30 KSHS0095 09-12-2018 20000/- BM GANGVATHI Dr. SURESH RUDRAPPA 31 KSHS0103 09-12-2018 11281/- FM MYSOUR Dr. ANJALI B HALGEKAR 32 KSHS0342 09-12-2018 20000/- FM BEALGAUM Dr. ANANTHARAJ GOGI 33 KSHS0013 09-12-2018 16536/- FM GANGAVATHI NEELAMMA M ANANTAREDDY 34 KSHS0171 21-03-2019 40145/- BM RANEBENNUR Dr. VEENA A 35 KSHS0086 21-03-2019 51600/- FM GANGAVATHI Dr. A.N SHIVAPUR 36 KSHS0434 21-03-2019 45000/- FM GADAG R. M VIJAYALAKSHMI 37 KSHS0216 21-03-2019 43380/- BM CHIKKABALAPUR R. M VIJAYALAKSHMI 38 KSHS0216 21-03-2019 25439/- BM CHIKKABALAPUR Dr. MANCHAIA 39 KSHS0306 21-03-2019 200000/- FM MANDYA Dr. PRAKASH BHASME 40 KSHS0402 21-03-2019 15091/- FM BYADGI
26 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
NANDAKUMAR GADAGI 41 KSHS0010 21-03-2019 17250/- BM GULBARGA Dr. VEERSEKHAR KAKANDKI 42 KSHS0352 21-03-2019 40360/- FM HOSAPETE AMBIKA RATHOD 43 KSHS0473 21-03-2019 45000/- BM SHIKARIPURA Dr. HANUMANTHAPPA A 44 KSHS0093 21-03-2019 20000/- FM GANGAVATHI Dr. A. SRINIVASA MURTY 45 KSHS0520 21-03-2019 16930/- FM BALLARI SHANTA M RAMPUR 46 KSHS0204 21-03-2019 38019/- BM KOPPAL MALLINATH B KOUJALAGI 47 KSHS0258 16-07-2019 200000/- BM DANDILI Dr. A. N SHIVAPUR 48 KSHS0434 16-07-2019 22536/- FM GADAG Dr. INDIRA B KULKARNI 49 KSHS0124 16-07-2019 10325/- FM HOSAPETE R.M VIJAYALAKSHMI 50 KSHS0214 16-07-2019 12324/- BM CHIKKABALAPUR Dr. K.T PRAKASH REDDY 51 KSHS0078 16-07-2019 10005/- FM HOSAPETE KARUNA NITALI 52 KSHS0190 16-07-2019 45000/- BM HUBBALLI HEMLATA ACHUTA 53 KSHS0503 16-07-2019 60000/- BM SIRUGUPPA Dr. RAMDAS 54 KSHS0277 16-07-2019 15042/- FM HOSAPETE Dr.P.V. KANCHI 55 KSHS0456 16-07-2019 200000/- FM HUBBALLI CHANDRASHEKAR REDDY Y 56 KSHS0150 16-07-2019 100000/- BM BALLARI Dr. RATNAKAR WALI 57 KSHS0488 16-07-2019 30000/- FM MYSOUR Dr. SHIVASHARANAPPA ITHLI 58 KSHS0440 16-07-2019 20000/- FM LINGSUGUR SHANKARAMMA SURA 59 KSHS0187 16-07-2019 20000/- BM DHARWAD Dr. SURESH HALSANGIMATH 60 KSHS0035 16-07-2019 200000/- FM DHARWAD LINGAPPA SURA 61 KSHS0186 16-07-2019 16000/- BM DHARWAD HARBANSKAUR. H. TEHALLA 62 KSHS0112 16-07-2019 100000/- BM BIJAPUR Dr. SHIVANAND BHAVIKATTI 63 KSHS0033 03-09-2019 23625/- FM GANGAVATHI Dr. A. N SHIVAPUR 64 KSHS0434 03-09-2019 25635/- FM GADAG SHANTHA M RAMPUR 65 KSHS0204 03-09-2019 49290/- BM KOPPAL Dr. REKHA GHANTI 66 KSHS0288 03-09-2019 16310/- BM HUBBALLI TOTAL 3298135/-
27 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
Defaulter of IMA KSHS Premium - 3 as on 10-09-2019
SL NO KSHS NO NAME AMOUNT Dr. GIRISH KUMAR D.P 1 KSHS0469 4000/- BANGALURU Dr. VIRUPAKSHAPPA G HALLARI 2 KSHS0408 6000/- KUSTAGI B. CHANDRASHEKAR 3 KSHS0331 7000/- MALEBENNUR Dr. BASAVAN GOWDA MATMARI 4 KSHS0401 8000/- RAICHUR Dr. SALIYA DHARMAYATH 5 KSHS0191 6000/- HOSAPETE AARZOO DHARMAYATH 6 KSHS0193 3000/- HOSAPETE AAMIR DHARMAYATH 7 KSHS0194 3000/- HOSAPETE Dr. ASHOK REVANKAR 8 KSHS0166 7000/- HUBBALLI Dr. VEENA REVANKAR 9 KSHS0167 7000/- HUBBALLI Dr. MALLANAGOUDA RAYANAGOUDAR 10 KSHS0280 6000/- HUBBALLI
28 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
Upper limit of reimbursement of IMA Karnataka State Health Scheme (KSHS) As proposed by MC to be Discussed in AGM at Chamarajanagar Diseases/Procedures Upper limit 1. Cardiology Coronary Artery Disease CABG 100000/- Angioplasty - Single stent 50000/- - Double stent 75000/- Coronary angiogram 8000/- ACSD Pulse generator - Pace maker single chamber 75000/- - Double Chamber 100000/- Urology Renal failure - Hemo-Dialysis per sitting 1200/- - Peritoneal Dialysis per sitting 2000/- Transplantation 200000/- TURP 30000/- Lithotripsy with stent 20000/- Without stent 15000/- Urinary incontinence/ PFR 20000/- Vesical calculus 15000/- URSL 20000/- PCNL 30000/- VVF repair 35000/- Cystoscopy Dj stenting 10000/- 2. Malignancy ( all cases) Surgery, Chemotherapy and Radiotherapy 200000/- Chemotherapy (case wise) per sitting within an academic year less than 200000/- 3. Orthopedic Joint replacement (single)THR/TKR 100000/-
29 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
ACL reconstruction 40000/- Arthroscopic Meniscotomy 20000/- Lumbar discectormy 40000/- Tendon repair 12000/- Forearm bone fracture (single) 20000/- Fore arm bone both 25000/- Long bone fracture 30000/- 4. Medical Any serious Medical condition requiring admission (Case wise) 40000/- 5. Gynaecology Hysterectomy - Open ( Abdominal /Vaginal ) 30000/- Hysterectomy - Laparoscopic (TLH/ LAVH) 40000/- D & C 10000/- Oopherectomy Open 30000/- Oopherectomy Lap 30000/- Ectopic pregnancy 30000/- Tubectomy Open 10000/- Tubectomy Lap 15000/- 6. General surgeon Herniorrhaphy – Unilateral 20000/- Herniorrhaphy – Bilateral 30000/- Herniorrhephy – Laparoscopic – Unilateral 30000/- Herniorrhephy- Laparoscopic- Bilateral 40000/- Appendicectomy 20000/- Lap.Appendicectomy 25000/- Hemorrhoidectomy/ Fissure 20000/- Fistula –Low 20000/- Fistula –High (As per case) Cholecystectorny –Open 40000/- Lap. Cholecystectorny 50000/- Hydrocele –Unilateral 12000/-
30 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
Hydrocele –Bilateral 15000/- ORCHIDECTOMY 20000/- Diabetic Amputation single toe/ Finger 10000/- Major Amputation B/K-A/K (Diabetic) 50000/- Lump in breast-Fibroadenoma 10000/- As per the case Peritonits- Duodenal/ Ileal/ Appendicular Perforation Ileal resection & anastomosis With or without ileostomy Colon resectiom & anastomosis With or without colostomy Pilonidal sinus 20000/- Diagnostic Lap 25000/- Intestinal obstruction 40000/- 7. Opthalmology Cataract – Unilateral 20000/- Cataract – Bilateral 40000/- DCR/DCT 8000/- Trabecuectmy 6000/- Intraocular injection 15000/- 8. ENT FESS, Endoscopic Nasal Procedures 18000/- to 25000/- Adenoidectorny 10000/- Trabeculotomy (Qlaucorna) 15000/- Mastoidectomy with tympanoplasty 25000/- to 30000/- Septoplasty 20000/- Tonsillectomy 20000/- 9. Dental Maxilla- Facial surgery 20000/- Medical and unspeci ied cases in this list – Decision taken in the MC meeting
31 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
IMA KSHS DEMISE MEMBERS as on 10-09-2019
SL NO KSHS NO NAME FM/ BM Dr. KOTI. LAKSHMI NARASIMHAM 1 KSHS0512 FM BALLARI Dr. VIRUPAKSHAPPA PATIL 2 KSHS0055 FM GANGAVATHI R. MARY VIJAYALAKSHMI 3 KSHS0216 BM CHIKKABALAPUR MALLINTH B KOUJALAGI 4 KSHS0258 BM DANDELI Dr. MANCHE GOWDA 5 KSHS0306 FM MANDYA Dr. KAMALAKAR DESMUKH 6 KSHS0314 FM GULBARGA Dr. K. M. BHEEMAIAH 7 KSHS0463 FM BENGALURU Dr. ASHOK KIRAGI 8 KSHS0492 FM ILKAL Dr. VASUDHA PHATAK 9 KSHS0466 FM GOKAK
32 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
33 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
34 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
35 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
36 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
37 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
38 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS
KSHS Membership Details Since Incep on ll 10-09-2019 Details Total A) Total Members 605 a) Founder Member 377 b) Beneficiary Member 228 c) Ordinary Member 0 B) Total terminated Members 14 C) Total Number of Claims given 66
BIFERCATION OF TOTAL AMOUNT PAID ON ADMISSION
1 Admission Fee 1978000 2 Annual Membership subscrip on Fee 302500 3 Annual Advance Premium Contribu on 3435500 Total Amount on Admission(1+2+3) 5716000
DETAILS OF PREMIUMS COLLECTED
Premium Paid Members Amount Premium-1 214 1328000 Premium-2 493 1894350 Premium-3 523 3059550 Total 6281900
TOTAL CLAIMS GIVEN Claim members Amount 66 3298135
39 IMA' IMA'S KARNATAKA STATE HEALTH SCHEME KSHS Minutes of the Annual General Body Meeting held at Toranagallu on 28-10-2018 1. Dr. Sharanabasava Sankanur invited the members to the GB meeting. He requested the of ice bearers of IMA KSB and IMA KSHS to come over to the dais. 2. Dr. V.V. Chiniwalar Chairman IMA KSHS welcomed the members of IMA KSHS & IMA KSB. He informed about the progress of the scheme since 5th sep 2016 till to date. 3. Dr. Sharanabasava Sankanur read the IMA prayer, meeting notice ang massages of inability to atted. 4. DR. V.V. Chiniwalar informed the audience about the new Enrollment of members from 01.04.2017 to 28.10.2018, Founder members 179, Bene iciary members 90 and total 269. 5. Secretary read the report of the year A. The amendment to have the inancial year form 1st April to 31st March of next year which was proposed in the Gadag 2017 GB meeting adopted. B. Split fraction premium to collect form 1st April 2018. 6. There was a discussion regarding the advance payment of premium for a peried of 3-5 year Dr. Suresh Halsangimath & DR. Suresh Kudava raised this matter. The committee members discussed in details and come to aconclusion as it are not practicable at this moment. Adoption of audited accounts proposed by Dr. Mahaling of Raichur & Dr. S.K Nara of Bagalkote. DR. V.V. Chiniwalar presented the budget to the year 2018-19 and it was accepted by the committee. There was a discussion regarding the membership enrollment, whoever wants to contest for the IMA KSB of ice bearers post, should become the members of IMA KSHS. Regarding this there was a discussion taken place at SWC meeting held at RAichur and decision was taken that as the membership of I Don't wait until you or a family member becomes seriously ill to try to purchase health insurance. Total Amount, The Amount to be Age in Years At the time of joining paid every year (1st Year) (2nd Year onwards) Children below 25 yrs Rs. 4000.00 Rs. 3000.00 Below age of 35 yrs Rs. 5000.00 Rs. 4000.00 Below age of 45 Yrs but above 35 Yrs Rs. 7000.00 Rs. 5000.00 Below age of 55 Yrs but above 45 Yrs Rs. 9000.00 Rs. 6000.00 Below age of 65 Yrs but above 55 Yrs Rs. 11,000.00 Rs. 7000.00 Below age of 75 Yrs but above 65 Yrs Rs. 13,000.00 Rs. 8000.00 Below age of 85 Yrs but above 75 Yrs Rs. 15,000.00 Rs. 9000.00 The scheme is launched on 1st of July 2017 on the Doctors day Celebration at Bengaluru. Dr.Chinivalar.V.V. Dr.Madhusudhana Kariganuru Dr.Sharanabasava Sankanuru Book Post (Printed Matter) To, IMA’S Karnataka State Health Scheme IMA- KSHS ELIGIBILTY DOCUMENTS REQUIRED : They should be * IMA Life Membership Certi icate * Life Member of IMA - KSB. * Address proof – Voter id / * Below the age of 85. Adhar card / Passport * Spouse ,Parents or Children of Life * Age proof – Birth certi icate/ members of IMA –KSB. Pan card etc. * Recent Passport size photos - 2 * PAN card If undelivered, please return to : The Secretory, IMA Karnataka State Health Scheme-IMA- KSHS Shushrusha Nursing Home, LG Road, Near Mahaveer Circle, Gangavathi-583227.