news details |
|
|
| Fiasco over Health Insurance scheme for Govt employees amid COVID pandemic | | SAC takes decision in Jan, 2019, implementation yet to see day’s light | | Early Times Report
Jammu, July 19: Amid the COVID-19 pandemic when health concerns have become a top priority for one and all, questions are being raised over why the SAC decision taken in January last year about health insurance for about 4 lac government employees hasn’t been implemented yet.
On January 28, 2019, the State Administrative Council (SAC) under the chairmanship of then Governor, Satya Pal Malik approved a Health Insurance scheme for J&K Government Employees and Pensioners based on ‘Trust Model’.
The government while announcing the Trust based insurance scheme had stated that after the scrapping of previous Medical Claim Policy, State Government constituted a Committee of Officers headed by Principal Secretary, Health & Medical Education to examine the possibility of operating the Health Insurance Scheme through Third Party Administrator (TPA) by dispensing with the insurer and intermediary. The Committee was mandated to determine the contours of such scheme and a selection procedure.
The Committee after discussing and analysing health insurance models of various states submitted its report along with three models.
The SAC considered the options/models suggested by the Committee of officers’ vis-a-vis advantages-disadvantages of each model.
After considering feasibility of various models and their merits, the SAC decided that ‘Trust Model’ may be implemented for the employee’s health insurance across the State for its added advantages
“Under this model, a Trust will be set up by the State Government. The Trust may design appropriate insurance product and offer it to designated beneficiaries i.e State Government employees/pensioners. The administration of the scheme including collection of premia, enrolment of the insured, settlement of claims will be with the said Trust. This measure will address the issue on long term basis and do away with issues of renewal and other issues which crop up every now and then. This will also ensure close monitoring. SAC directed the Health and Medical Education Department to take necessary measures in this regard,” reads the official handout dated 28 January, 2018.
However, as more than a year has passed since the decision was announced, there are questions being raised that why there has been no forward movement witnessed in the matter. “The insurance is needed at present more than ever. Though the SAC took the decision, it was unfortunate that it couldn’t see days light so far. There has been discussion on the matter in the recent past but so far no concrete development vis-a-vis its implementation has been witnessed,” says a senior official. |
|
|
|
|
|
|
|
|
|
|
|
|
| |
| |
|
|
|
|
 |
|
|
