HUMAN RESOURCES DEPARTMENT - STAFF WELFARE Head Office, SIB House Mission Quarters, 680 001 Phone: 0487-2420020,2428092 Email: [email protected] ------NOTICE

Renewal of Retirees' Medical Insurance Policy for the period 01.11.2020 to 31.10.2021

We are in receipt of a communication from Indian Bank’s Association dated 05-10-2020 regarding the renewal of Retirees Medical Insurance policy for the period 1st November 2020 to 31st October 2021. The renewal of the Retirees Medical Insurance for the period 2020-21 will be with National Insurance Company. The details of revised premium with various options as under; I - Base Policy Premium option for Retiree with Spouse

Options Sum Insured Premium Bank Premium Eligibility Prescribed by NIC for with GST Contribution payable Super Top up Policy (STUP) by Retiree I Rs.4,00,000/- Rs.32,264/- Rs.8,679/- Rs.23,585/- Eligible II Rs.3,00,000/- Rs.24,199/- Rs.6,510/- Rs.17,689/- Eligible III Rs.2,00,000/- Rs.16,133/- Rs.4,340/- Rs.11,793/- Not Eligible IV Rs.1,00,000/- Rs.10,890/- Rs.2,930/- Rs.7,960/- Not Eligible

II - Base Policy Premium option for Single Person (Retiree or Family Pensioner) Premium Premium Bank Eligibility Prescribed by NIC for Options Sum Insured with payable Contribution Super Top up Policy (STUP) GST by Retiree a Rs.4,00,000/- Rs.19,358/- Rs.5,207/- Rs.14,151/- Eligible b Rs.3,00,000/- Rs.14,520/- Rs.3,906/- Rs.10,614/- Eligible c Rs.2,00,000/- Rs.9,680/- Rs.2,604/- Rs.7,076/- Not Eligible d Rs.1,00,000/- Rs.6,534/- Rs.1,758/- Rs.4,776/- Not Eligible

III - Super Top up Policy Premium (Optional) Premium with GST Sum Insured Single person Options Retiree with Spouse (Retiree or Family Pensioner) 1 Rs.5,00,000/- Rs.6,554/- Rs.3,932/- 2 Rs.4,00,000/- Rs.5,243/- Rs.3,146/- 3 Rs.3,00,000/- Rs.4,194/- Rs.2,517/- 4 Rs.2,00,000/- Rs.3,408/- Rs.2,045/- 5 Rs.1,00,000/- Rs.2,097/- Rs.1,258/-

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HUMAN RESOURCES DEPARTMENT - STAFF WELFARE Head Office, SIB House Mission Quarters, Thrissur 680 001 Phone: 0487-2420020,2428092 Email: [email protected] ------Important Note I. Award Staff  Base policy can be opted only in the slabs of 1 Lakhs, 2 Lakhs and 3Lakhs.  Super Top up policy is available to only to those award staff who has opted Base policy for 3 lakhs. (Super Top up slabs 1 lakh, 2 lakhs, 3 Lakhs and 4 lakhs available) II. Officers  Base policy can be opted in the slabs of 1 Lakhs, 2 Lakhs, 3Lakhs and 4 Lakhs.  Super Top up policy is available only to those officers who has opted Base policy for 4 lakhs. Slabs of STUP is given below, (Super Top up slabs 1 lakh, 2 lakhs, 3 Lakhs, 4 lakhs and 5 lakhs available)

Retirees who are not covered under the expiring retiree policy 2019-20, can be covered under Retirees policy 2020-21. Bank will not contribute towards their premium amount for the current period and retiree may submit their option on or before 20.10.2020 to join the policy.

The premium mentioned in the above tables are applicable for the policy period of 1st November 2020 to 31st October 2021, future policy slabs, premium subject to change. You are requested to submit your option on or before 20.10.2020, after selecting sum Insured for Base policy and Super Top up policy in any of the following method, 1. Visit any of the Branch and exercise option through HRMS from 12.10.2020 (HRMS – Staff Welfare – Retiree Medical Insurance Application) (Ph No: 0487 – 2428092 & IP No: 91119 & 91118) 2. Consent letter attached with this letter may be send to HO – HRD (Staff Welfare) via post or email: [email protected]

Further if no option is given before cutoff date (20.10.2020), Base Policy and Super Top up policy (if opted last year) will be renewed with the sum Insured as same in the last year.

Notes:  We will be debiting the renewal premium and additional premium for Super Top-up policy (if opted) from your pension account on 21-10-2020. Those who wish to discontinue the insurance cover or discontinue Super Top-up Policy should inform HRD- Staff Welfare in writing / E Mail ([email protected]) on or before 20-10-2020.  It may be noted that, it is the responsibility of the retiree/ family pensioner to maintain sufficient balance in their accounts by 20-10-2020 to enable Bank to debit the required premium amount towards renewal of Medical Insurance policy. In case of insufficient balance the concerned retiree will automatically get exited from the scheme.

With Regards,

Human Resources Department (Staff Welfare) 07.10.2020

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Consent Letter for renewal of Retirees Medical Insurance Policy - 2020-21

To

HRD – Staff Welfare Head Office, SIB House Mission Quarters, Thrissur – 680001 Phone No: 0487 – 2420020 / 2428092 Email ID: [email protected]

Details

Name of the Retiree :

PPC :

Mobile No : Email ID: Alternate No : Alternate Email ID:

I hereby confirm to renew medical insurance policy for the period 2020-21 as per the option given below,

 Member to be covered under Policy

Sl Relation with retiree Date of Name Gender No (Self / Spouse) Birth 1.

2

 Policy Option

Sum Insured In figure In words Base Policy Rs. Rupees Super Top up Rs. Rupees Policy* *If Super Top up is not required, then mention as “Not Applicable” I hereby authorize the Bank to renew my medical insurance policy as per the option given above and further authorize to debit my account towards the renewal premium.

Yours Faithfully,

Name Sd/- Date: