e6~ CHUSI~UI McahH ('1T'Rl m<er "" """"") CENTRAL WAREHOUSING CORPORATION {A GOVT OF INDIA UNDERTAKING)

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1 e6~ CHUS~U McahH ('1T'Rl m<er "" """"") CENTRAL WAREHOUSNG CORPORATON {A GOVT OF NDA UNDERTAKNG) ;;rgf;;rgf <i; ft:w W'ST<"T - WAREHOUSNG FOR EVERY ONE No. CWC/MS-7/PRMCS/Admn\ :L '1 '\ i.. Dated loth March, 2017 CRCULAR Sub: Top up Scheme for Group Medi-Claim nsurance pollcy for retired employees Central Warehousing Corporation has taken Group Medi claim insurance policy from United ndia nsurance Co. Ltd. for a sum insured of Rs. 5 Lakh covering retired employees and their spouses for the financial year for which the premium is borne by the Corporation. Now United ndia nsurance Co. Ltd. has offered to give additional coverage (Top up cover) at very nominal premium, whieh is to be borne by the retired employees/spouses of retired employees. The nomined premium to be borne by the retired employees is given below: Top up sum; Basic Premium 1 Service Tax :1 Total premium j i insured -t 15% i payable ' l------~ ----._ ----J.-'-----."'--1 Rs. 3 Lakh irs. 2600/- Rs. 390/- Rs. 2990/-* t L. Rs.5 Lakh! Rs. 4000/ - RS. 600/ -. t Rs. 4600/*' Rs.OLakh!Rs.7500/- Rs.1125/- R~. 8625/-* J... _. * Premium includes for both -- Employee and his/her spouse t is 81so pertinent to mention thai this is a Top Up Policy proposed for retired employees over and above the regular coverage of Rs. 5lakhs.

2 Entire premium towards additional coverage shall be borne by the retired employee themselves. Thc scheme alongwith its details and application proforma is enclosed for ready reference. All the retired employees who "re willing to join the Top Up Scheme may submit their application with the premium cheque drawn in favour of "United ndia nsurance Cornp"nyLtd, New Delhi" to respective Regional Offices/Construction Cells/Corporate Office by Encl. as above Copy to: ~~)P~ (P.K. Saw) Dy. General Manager (Pers) 1. All ndividual concer'ned 2. All RMs/CC!leads, ewc, Regional offices, ConSlruction Cells 3. MlS Division - with the request to up]oijd the eirrular on CWC website. 1. DGMiFin!, ewc, CO, Nt'w Delhi ( 0: 411, Sn nst,tutional Area, At;gust Kranll ~~1;)(9, HaUl Khas, f\le,,\ Dclh 110D1G 1el V\,nl eholj)e(~;;nlc n, Web WW\N Cf'\vac.or nil 111 tmj" P~5:.Q_~~.~(CW-,lco.!.-n..\~/ Tel No GS1J178! /.-:ax : ]S6

3 TOP UP SCHEME FOR GROUP MED-CLAM NSURANCE POLCY FOR RETRED EMPLOYEES 1. The cost of premium shall be borne by the retired employees/spouses of retired employees who opt for super top-up policy as per the sum insured opted and premium payable there against. 2. The eligibility shall be as under: (i) (ii) Retired employees/spouses of retired employees who have retired upto and are member of CWC Post Retired Medical Scheme (CWC PRMS) (Le. annual contribution paid by them) shall be given one time option upto to opt for Top Up insurance coverage., f this one time option is not exercised upto , retired employees/spouses of retired employees will not be able to join the scheme in future. The employees retired after and are member of the CWC Retired Employees Medical Scheme (Le. annual contribution paid by them) can opt for any sum insured (mentioned in table) within 60 days of retirement date by paying prorate premium. Employees not opting for top-up coverage within two months of their retirement will not be eligible to join the top up coverage policy at any time in future. 3. The retired employees/spouses of retired employees if discontinue or withdraw from the policy, they cannot join the policy in future. 4. The risk cover under the proposed Top Up Policy will be the same as in the Primary (Main) Health nsurance Policy of CWC for its retired employees currently in vogue. 5. The Policy will not cover OPD and Dental expenses. 6. An employee once chooses a sum insured limit, same cannot be increased at a later date or at any renewal of policy in future. 7. The TPA for the top up policy will be same as that of the primary (Main) policy. However, in case the primary (main) policy moves out of UC, the TPA who was handling the primary policy shall continue for Top Up Policy, 8. The Top Up Policy will continue to operate even in the unlikely event of the Primary (main) Policy moving out of UC. n such an event, any change in the coverage under the Primary Policy (Main Policy) has to be brought to the notice of UC by CWC.

4 9. The policy will be in the name of CWC. 10.The first year policy will be for the period from to The top up sum insured would be in addition to the existing sum insured of Rs.5 lakh given by CWC to the retired employees at Corporation cost. However, the premium for top up sum insured opted by retired employees would be borne by'concerned retired employee and paid in advance to UC in the manner mentioned under para The eligible retired employees can avail this scheme by submitting their willingness in Annexure- alongwith the required premium amount. 13.The scheme shall be optional and self-contributory. The Corporation will not take any liability whatsoever on account of Top Up Scheme. 14. COLLECTON OF PREMUM i) For Top-up Coverage, the cost of premium shall be borne the retired employees. ii) The premium shall be payable by the retired employees through account payee payable at par cheque drawn in favour of "United ndia nsurance Co. Ltd., New Delhi" for the amount equivalent to the premium pius service tax thereon against the sum insured opted by him. iii) The cheque should be handed over to Regional Office/CC/CO Accounts Section alongwith application in Annexure- (for retired employees) and Annexure- (for spouses of deceased employees) duly filled and signed upto thereafter no application will be accepted. However employees retired/retiring after can opt for top up within two months of their retirement by paying premium and submitting annex- to accounts section of RO/CC/CO. iv) The Accounts Section of RO/CC/CO shall prepare a statement as per Annexure- (for retired employees) and Annexure-V (for spouses of deceased employees) and send the same alongwith all cheques and Annex- received from retired employees in separate cover to Sh. Pawan Sen, SAM(lnsurance), Finance Division, Corporate Office, New Delhi so as to reach him latest by

5 v) nsurance Cell, Finance Division, Corporate Office will finally prepare a consolidated list of all the retired employees opted for the Top Up Policy and submit the same to the United ndia nsurance Co. Ltd., New Delhi. vi) The Top-up Policy will be effective from However, in case cheque submitted by the retired employee/spouse of retires employee is bounced back/dishonoured by -the bank due to whatsoever reason, he/she would remain uncovered. However, he/she will be informed at their address given in annex- for submission of fresh cheque within 30 days time failing which he/she shall not be eligible to opt for this Top Up Policy at any time in future.

6 / ANNEXURE- APPLCATON FOR SELF CONTRBUTORY TOP UP COVER UNDER GROUP MED-CLAM POLCY With reference to CWC Circular No. dated., hereby convey my willingness to join the self-contributory Top Up Cover under Group Medi-claim Policy. accept all terms and conditions mentioned in the said circular and furnish the required information and cheque towards premium as detailed below: 1. Name of Retired Employee Sh./Smt.~~~~~ Spouse Name Sh./Sm-t.~ _ 2. Designation at the time of Retirement 3. Name of RO/CC/CO where application is submitted 4. Relationship with Retired Employee Wife/Husband 5. Date of Retirement 6. Full Address 7. Contact Details: Mob. No. 8. Bank Details: Name of Bank Account No. FSC Code No. (enclose cancelled cheque leaf) 9. Sum nsured Opted(Rs.3 Lakh/Rs.5 Lakh/Rs.10 lakh) RS'_-T-~~~~ 10. Premium payment Cheq ue No. date--,---_--,-----, for Rs. (including service tax) drawn in favour of United ndia nsurance Company Limited, New Delhi DATE: (Signature of App!icant)

7 FOR SPOUSES OF DECEASED EMPLOYEES ANNEXURE- APPLCATON FOR SELF CONTRBUTORY TOP UP COVER UNDER GROUP MED-CLAM POLCY With reference to ewe Circular No. dated, hereby convey my willingness to join the self-contributory Top Up Cover under Group Medi-claim Policy. accept all terms and conditions mentioned in the said circular and furnish the required information and cheque towards premium as detailed below: 1. Name of Spouse of Deceased Employee Sh./Smt. _ Name of Deceased Employee Sh.lSmt. _ 2. Designation at the time of Retirement 3. Name of RO/CC/CO where application is submitted 4. Relationship with Deceased Employee Wife/Husband 5. Date of Death of Deceased Employee 6. Full Address 7. Contact Details: Mob. No. 8. Bank Details: Name of Bank Account No. FSC Code No. (enclose cancelled cheque leaf) 9. Sum nsured Opted(Rs.3 Lakh/Rs.5 Lakh/Rs.10 lakh) Rs. _ 10. Premium payment : Cheque No. date-,-_-,---, for Rs. (including service tax) drawn in favour of United ndia nsurance Company Limited, New Delhi DATE: (Signature of Applicant)

8 CENTRAL WAREHOUSNG CORPORATON (A GOVT. OF NDA UNDERTAKNG) ANNEXURE- FOR RETRED l EMPLOYEE -.J RO/CC/CO _ STATEMENT SHOWNG DETALS OF RETRED EMPLOYEES OPTED FOR TOP UP COVER S.No. Name of Name of Address Date of Whether Opted Premi Service Total Cheque Date Bank ""bm Sp."~ & M.b. -t Top Up Amou Rs.) """Rm," f'mb~" Tax(Rs.) Amount No. Name Sum (Rs.) with 'mp"'" Last. ~~ ewe PRMS(Y/N) nsured Desi!lnation L L_L 1 [ 1 1 _ Enc!. Total nos. of cheques, enclosed. (Name & Signature) Accounts ncharge RO/CC _

9 CENTRAL WAREHOUSNG CORPORATON (A GOVT. OF NDA UNDERTAKNG) ANNEXURE-V SPOUSES OF DECEASED EMPLOYEE RO/CC/CO _ STATEMENT SHOWNG DETALS OF RETRED EMPLOYEES OPTED FOR TOP UP COVER S.No. Name of Name of Address Date of Whether Opted Premium Service Total Spouse Deceased & Mob. Retirement member of Top Up Amount Tax Amount Employee No. CWC Sum (Rs.) (Rs.) (Rs.) with Last PRMS(Y/N) nsured Designation CheqUe, No. L Bank Name, Enc!. Total nos. of cheques, enclosed. (Name & Signature) Accounts ncharge RO/CC. _

CIRCULAR. 2) The employees shall be enlltled for sanction of SUbsequent Loan after recovery of first loan along with interest

CIRCULAR. 2) The employees shall be enlltled for sanction of SUbsequent Loan after recovery of first loan along with interest CWC~LOYEES BENEVOLENT TRUST NO.CWClEBl/MAS/2015-16 "'!~ CIRCULAR DATED. 27/07/2015 With reference to Circular NO.CWC/IRO-B F/2013-14 dated 09092013 and NO.CWC/EBT/MAS/2014-15 dated 09101/2015, for payment