A) Renewal premium for IBA Group Mediclaim Policy Without OPD (Without Domiciliary Cover) for Rs.3,00,000 Rs.10,452/- Rs.1881/- Rs.

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1 H.O.CIRCULAR NO.536/2017 Dated 04/10/2017 SUB: Renewal premium for the IBA group medical insurance scheme for retired officers/ employees including retired on VRS, Resignees etc. For and new Super Top-Up policy for retirees ***************** 1. A reference may please be made to our H.O. Circular No. 624/2015 dated , 699/2015 dated , 554/2016 dated and 559/2016 dated wherein detailed guidelines about the implementation of the IBA Medical Insurance Scheme for serving Officers/ Employees and the following categories of persons have been communicated: a) Officers/ Employees retired from the services of the Bank on superannuation. b) Officers/ Employees retired from the services of the Bank on VRS (including CBOESVRS- 2002). c) Officers/ Employees retired on medical grounds irrespective of period of service. d) Officers/ Employees who have resigned from the services of the Bank after serving the Bank, for a minimum period of 15 years. e) Widow/ widower of the retired Officer/ Employee and Widow/ widower of the Officer/Employee, who has expired while in service and also Widow/ widower of the Officer/ Employee retired on medical grounds. 2. The aforesaid IBA Group Medical Insurance Scheme for Retirees for is expiring on 31 st October In this connection, we wish to inform that M/s United India Insurance Co. Ltd. has now informed the following premium rates for renewal of Retirees Policy for the year and also for the new Super Top-Up policy for retirees: A) Renewal premium for IBA Group Mediclaim Policy Without OPD (Without Domiciliary Cover) for Category Sum Insured Premium Without GST Retired Officers Retired Award Staff 18% Gross Premium per family incl. of GST Rs.4,00,000 Rs.13,935/- Rs.2508/- Rs.16,443/- Rs.3,00,000 Rs.10,452/- Rs.1881/- Rs.12,333/- B) Renewal premium for IBA Group Mediclaim Policy With OPD (With Domiciliary Cover) for Category Sum Insured Premium Without GST Retired Officers Retired Award Staff 18% Gross Premium per family incl. of GST Rs.4,00,000 Rs.31,354/- Rs.5644/- Rs.36,998/- Rs.3,00,000 Rs.23,517/- Rs.4233/- Rs.27,750/- All terms and conditions shall remain the same as that of last year including the limit of the domiciliary cover which is 10% of Sum Insured and that the total Sum Insured of Rs.4 lakh & Rs.3 lakh is including the 10% limit for OPD (i.e.domiciliary) C) Super Top Up policy without Domiciliary coverage The details of premium for Super Top Up policy without Domiciliary Cover as communicated by M/s United India Insurance Company, is as under:

2 Category Retired Officers Retired Award Staff Top Up Sum Insured Premium Without GST 18% Gross Premium per family incl. of GST Rs.5,00,000 Rs.3225/- Rs.581/- Rs.3806/- Rs.4,00,000 Rs.2975/- Rs.536/- Rs.3511/- Note for Super Top-Up policy: All retirees are allowed to join for super top-up policy by paying the additional premium as mentioned above. The Super Top-Up policy for retirees will commence along with the main policy i.e. from to Domiciliary (OPD) treatment is not covered under Super Top-Up policy In case of the claim, the basic policy will be triggered first and only if the sum insured is exhausted, the super Top Up policy will be activated/utilised. The willingness for Super Top-Up policy shall be exercised along with main policy and the premium for the same will be debited along with main policy. D) One more option for retirees to join the scheme without domiciliary (OPD) cover M/s United India Insurance Company has extended one more option to the eligible retirees and spouse of deceased retirees/deceased employees who have not opted earlier to IBA Group Medical Insurance policy, for joining IBA Group Mediclaim Policy without domiciliary cover. E) Option to switchover to Without Domiciliary Cover The retirees who are covered under With Domiciliary (OPD) Cover for the year which is expiring on are allowed to switch over to Without Domiciliary Cover if they desire so. However, option to switch over to With Domiciliary (OPD) Cover is not available to such retirees who had opted for Without Domiciliary Cover for the year which is expiring on At the time of paying pro-rata premium for one month as per H.O.Circular No.454/2017 dated , if the retirees opted for Without Domiciliary Policy they will not be allowed to switch over to With Domiciliary Policy 3. All existing retirees who were already covered under IBA Medical Insurance Policy and who have already remitted pro-rata premium for inclusion of retirees policy, wish to renew the policy for with Super Top-Up Policy shall submit the completed Consent/Authority letter as per Annexure I. 4. The eligible persons, coming in a, b, c & d categories in para 1 above, who have not opted for IBA Group Medical Insurance Policy earlier, may join IBA Medical Insurance Policy- Retirees Without Domiciliary Cover by submitting the completed Consent/Authority letter as per Annexure II and those wish to join IBA Medical Insurance Policy with Super Top-Up Policy Without Domiciliary cover shall submit the completed Consent/Authority letter as per Annexure I & Annexure II. 5. The eligible retirees who are already covered under With Domiciliary (OPD) Cover for the year and who have remitted pro-rata premium for inclusion of retirees policy with domiciliary (OPD) cover and willing to switch over to Without Domiciliary Cover shall submit the completed Consent/Authority letter as per Annexure III.

3 6. Those retirees who wish to exit from the Scheme shall submit a letter in this regard, to The Assistant General Manager, Staff Welfare Section, HRM, PAD, Head Office, Mangalore , through the Branch Head of the Pension Drawing Branch, if they are drawing pension. Other categories of persons shall submit the said letter to the Branch where they are maintaining their SB/ Other accounts. 7. All existing retirees who were already covered under IBA Medical Insurance Policy for and wish to renew their Policy for the year without any modification/change in option need not furnish any fresh option. The renewal premium amount in respect of them will be debited directly to their respective SB Accounts as per records available with us. 8. The duly completed Consent/ Authority letter as per Annexure I, II, III as the case may be shall be submitted to The Assistant General Manager, Staff Welfare Section, HRM, PAD, Head Office, Mangalore , through the Branch Head of the Pension Drawing Branch, if they are drawing pension. Other categories of persons shall submit the said letter to the Branch where they are maintaining their SB/ Other accounts. The Branch Head is advised to forward the aforesaid Consent/letter on the same day of receipt to The Assistant General Manager, Staff Welfare Section, HRM, PAD, Head Office, Mangalore Scanned copy shall be sent by to welfare@corpbank.co.in. The last date for submitting the consent/option letter is Format of consent letter is also available on the Bank s website-retirees Corner. 9. Premium from the aforesaid categories of persons, who are willing to continue in the Scheme will be collected by debit to their Account on as provided to us in the Consent/Authority letter and remitted to M/s. United India Insurance Company Limited by way of a single payment. For this purpose, the aforesaid persons are advised to keep sufficient balance in the account till the premium is debited, failing which the cover will not be available, even if the balance is kept thereafter. All the eligible retirees are also requested to verify their authorised S.B. accounts regarding debit of premium. If the premium is not debited after giving the authority letter, they are requested to take up the matter with Staff Welfare Section, HRM, PAD, Head Office, Mangalore. Debit of premium to account confirms coverage under the Scheme and no separate communication will be sent individually by the Bank. 10. The premium amount will not be refunded once the same is debited as per the consent/authority letter furnished by the retirees. 11. All the Branches/ Offices are advised to display a copy of this Circular on the Branch/Office Notice Board, as also inform the aforesaid categories of persons, whenever they are visiting the Branch/ Office, about the renewal of the said Scheme of the Bank. 12. Branches/ Offices may also advise them to visit out Bank s Website- Retirees Corner from time to time. (Rathnakara) Deputy General Manager

4 Assistant General Manager, Corporation Bank, Staff Welfare Section, HRM, PAD, Head Office, Mangalore Annexure I Date: Place: Dear Sir, Sub: Super Top-Up Policy without Domiciliary Cover I am interested in joining the Super Top up policy without Domiciliary (OPD) cover introduced by United India Insurance Company and furnish here below the required information pertaining to me. Details of Pensioner/Retiree/Deceased Staff Name Emp No Date of Birth Date of Joining Bank Date of Retirement/Resignation Date of Death Type of Retirement (Superannuation/ VRS/medical grounds etc.) Cadre at the time of retirement/resignation/deat h Mobile No Id Account No (15 Digit) Address Details of spouse of Pensioner/Retiree/Deceased Staff Name of spouse Date of Birth of Spouse *I retired as an officer/ *I am the spouse of the deceased Officer and I am aware that I * along with my spouse/*myself will be eligible for S u p e r T o p U p P o l i c y w i t h o u t D o m i c i l i a r y c o v e r of Rs lakhs. I hereby authorize you to debit the premium amount of Rs. 3806/ - to my SB a/c No at.. Branch (Code No.) now and the policy may OR *I retired as a clerk/sub-staff/ *I am the spouse of the deceased Officer and I am aware that I * along with my spouse/*myself will be eligible for S u p e r T o p U p P o l i c y w i t h o u t D o m i c i l i a r y c o v e r of Rs lakhs. I hereby authorize you to debit the premium amount of R s. 3511/ - to my SB a/c No at.. Branch (Code No.) now and the policy may I undertake to keep sufficient balance in my above a/c for this purpose failing which the policy may not be issued/renewed. Yours faithfully [ Send scanned copy by to welfare@corpbank.co.in ] SIGNATURE

5 Assistant General Manager, Corporation Bank, Staff Welfare Section, HRM, PAD, Head Office, Mangalore Annexure II Date: Place: Dear Sir, Sub: Medical Health Insurance Scheme introduced by IBA-Policy without Domiciliary Cover (For those who had not opted earlier) I am interested in joining the Medical Insurance Scheme of IBA for member banks introduced as per X Bipartite Settlement/Joint Note dated and furnish here below the required information pertaining to me. Details of Pensioner/Retiree/Deceased Staff Name Emp No Date of Birth Date of Joining Bank Date of Retirement/Resignation Date of Death Type of Retirement (Superannuation/ VRS/medical grounds etc.) Cadre at the time of retirement/resignation/deat h Mobile No Id Account No (15 Digit) Address Details of spouse of Pensioner/Retiree/Deceased Staff Name of spouse Date of Birth of Spouse *I retired as an officer/ *I am the spouse of the deceased Officer and I am aware that I * along with my spouse/*myself will be eligible for a health insurance cover of Rs lakhs under the Group Health Insurance policy. I hereby authorize you to debit the premium amount of R s /- to my SB a/c No at.. Branch (Code No.) now and the policy may OR *I retired as a clerk/sub-staff/ *I am the spouse of deceased Employee and I am aware that I *along with my spouse/*myself will be eligible for a health insurance cover of Rs lakhs under the Group Health Insurance policy. I hereby authorise you to debit the premium amount of Rs.12333/ to my SB a/c No at.. Branch (Code No.) now and the policy may be renewed every year by debiting the renewal premium as communicated by the insurance once I exit the scheme, I will not be allowed to rejoin later. I undertake to keep sufficient balance in my above a/c for this purpose failing which the policy may not be issued/renewed. Yours faithfully [ Send scanned copy by to welfare@corpbank.co.in ] SIGNATURE

6 Assistant General Manager, Corporation Bank, Staff Welfare Section, HRM, PAD, Head Office, Mangalore Annexure III Date: Place: Dear Sir, Sub: Medical Health Insurance Scheme introduced by IBA-Policy without Domiciliary Cover (For those who wish to switchover from domiciliary (OPD) cover to without domiciliary cover Presently I am covered under with Domiciliary (OPD) cover for the year which is expiring on I wish to switch over my option from with Domiciliary (OPD) cover to Without Domiciliary cover and furnish here below the required information pertaining to me. Details of Pensioner/Retiree/Deceased Staff Name Emp No Date of Birth Date of Joining Bank Date of Retirement/Resignation Date of Death Type of Retirement (Superannuation/ VRS/medical grounds etc.) Cadre at the time of retirement/resignation/deat h Mobile No Id Account No (15 Digit) Address Details of spouse of Pensioner/Retiree/Deceased Staff Name of spouse Date of Birth of Spouse *I retired as an officer/ *I am the spouse of the deceased Officer and I am aware that I * along with my spouse/*myself will be eligible for a health insurance cover of Rs lakhs under the Group Health Insurance policy. I hereby authorize you to debit the premium amount of R s /- to my SB a/c No at.. Branch (Code No.) now and the policy may OR *I retired as a clerk/sub-staff/ *I am the spouse of deceased Employee and I am aware that I *along with my spouse/*myself will be eligible for a health insurance cover of Rs lakhs under the Group Health Insurance policy. I hereby authorise you to debit the premium amount of Rs.12333/ to my SB a/c No at.. Branch (Code No.) now and the policy may be renewed every year by debiting the renewal premium as communicated by the insurance once I exit the scheme, I will not be allowed to rejoin later. I undertake to keep sufficient balance in my above a/c for this purpose failing which the policy may not be issued/renewed. Yours faithfully [ Send scanned copy by to welfare@corpbank.co.in ] SIGNATURE

1.Renewal Rate: The revised rates of premium quoted by UIICL are as under: Without Domiciliary Cover

1.Renewal Rate: The revised rates of premium quoted by UIICL are as under: Without Domiciliary Cover GROUP MEDICLAIM POLICY (RETIREES) OF IBA APPROVAL TO CONTINUE ON THE REVISED RATES/ ACCEPTING NEW SUPER TOP-UP PLOLICY AS PROPOSED BY THE UNITED INDIA INSURANCE COMPANY AND ONE MORE OPTION TO EXISTING