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Health insurance scheme of state Govt employees in doldrums
1/21/2007 11:29:10 PM


Jammu, Jan 21
Pending settlement of dispute
between state government employees and a private
insurance company over final amount of premium of
their medi claim policy, fate of large number of state
government employees continue to hang in balance.
Official sources and leaders of state government
employees union said that in view of the cut throat
competition in the Insurance sector it is worthwhile
that state government should go for retendering
instead of wasting time on negotiations.
According to a state government employee the health
insurance scheme has run into rough weather as the
private insurance company suffered heavy loses owing
to a spate of claims from the employees.At present
claims to the tune of Rs 10 crore are still pending
with the insurance company aggressively pushing for
hike in premium rates and making it mandatory of the
3.50 lakh state government employee to register
under the scheme.
The insurance company authorities have already
conveyed to the state government that the scheme would
be continued provided all the 3.50 lakh employees were
brought under its ambit and the annual premium amount
was raised. However,the employees unions threatened
that they would pull out of the scheme if the premium
amount was further raised from the existing rate
ranging between Rs.1000 and Rs.1400 per employee.The
state Government used to contribute 50 per cent of the
premium.
Out of 3.50 lakh employees only 48,000 have been
covered under the scheme. Official reports said that
the insurance company had yet to settle the claim of a
section of employees to the tune of Rs.10 crores.These
claims were pending as the company was trying to
assess the veracity of these claims.
The negotiations are still on and indications are
that the Government may invite fresh tenders from
insurance companies. So far the Government has not
fully succeeded in making the employees agree on
increasing the premium amount.If any other company
bids on a lesser premium amount than demanded by the
company that has been given the tender last year the
agreement with the old company will be scrapped.
The Government has favoured that besides bringing
all employees under the scheme the premium amount be
raised to Rs.2400 out of which the Government would
contribute 50 per cent.



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