STATE BANK OF INDIA OFFICERS ASSOCIATION (NORTH EASTERN CIRCLE) (AFFILIATED TO ALL INDIA STATE BANK OFFICERS FEDERATION) G.S. ROAD, BHANGAGARH, GUWAHATI -781005 Telephone :2455166,2529735,2527116, Fax : 0361 2529114 OFFICE at SBI, LHO, GUWAHATI P.O.: Assam Sachivalaya, Dispur, Guwahati-781006. Telephone : 0361-2237601, Fax : 0361-2237559 TO ALL MEMBERS/UNITS We reproduce the circular no. 2 issued by the Federation on 01.01.2016, the content of which is self-explicit, for the benefits of our members. With Greetings (General Secretary)
ALL INDIA STATE BANK OFFICERS FEDERATION (Registered under the Trade Unions Act 1926, Registration No: 727/MDS) State Bank Buildings, St. Mark s Road, Bangalore 560 001 CIRCULAR NO.02 DATE: 01.01.2016 TO ALL OUR AFFILIATES/MEMBERS: ADOPTION OF TAILOR MADE FAMILY FLOATER GROUP MEDICLAIM POLICIES (I) FOR CONTINUING MEDICAL BENEFITS TO THE EXISTING MEMBERS OF SBI RETIRED EMPLOYEES MEDICAL BENEFIT SCHEME (SBI REMBS) AND (II) FOR PROVIDING MEDICAL BENEFITS TO FUTURE RETIREES OF THE BANK AND EXISTING NON MEMBERS OF SBIREMBS The Bank has come out with a comprehensive Insurance Scheme under policy A and Policy B and has been communicated to all the circles by the Corporate Center. 2. We have today sent a detail communication seeking clarifications on the scheme based on the feed back we have received from all those who are to retire in the near future as well as already retired to enable them to take a decision in regard to joining of the scheme. A copy of our communication is enclosed. 3. We note to keep our members advised in due course. [With greetings, Y.SUDARSHAN
GENERAL SECRETARY ALL INDIA STATE BANK OFFICERS FEDERATION (Registered under the Trade Unions Act 1926, Registration No: 727/MDS) State Bank Buildings, St. Mark s Road, Bangalore 560 001 No.6724/02/15 DATE: 01.01.2016 To, The Deputy Managing Director & CDO, State Bank of India, Corporate Centre, Madame Cama Road, MUMBAI - 400 021. Dear Sir, ADOPTION OF TAILOR MADE FAMILY FLOATER GROUP MEDICLAIM POLICIES (I) FOR CONTINUING MEDICAL BENEFITS TO THE EXISTING MEMBERS OF SBI RETIRED EMPLOYEES MEDICAL BENEFIT SCHEME (SBI REMBS) AND (II) FOR PROVIDING MEDICAL BENEFITS TO FUTURE RETIREES OF THE BANK AND EXISTING NON MEMBERS OF SBIREMBS We thank you for the initiative taken for introduction of the Medical Insurance Scheme for the Pensioners and Family Pensioners of our Bank which would cover all the members including those who could not avail the benefit of the REMBS on the earlier occasion. 2. The details circulated by the Bank has given rise to number of queries from our members and pensioners. For the purpose of easy assimilation and issuance of clarification we list out the same. We would also like to suggest improvements on the basis of the feed back received from the members across the country.
Whether the REMBS limit would get exhaust on account of payment of claims only or by payment of premium & claims? What happens if balance in REMBS is exhausted but for several retirees unutilized balance is available in their respective limits? should they also pay premium for continuing the cover?. If the premium paid by debit to REMBS exceeds the yield on the corpus, the fund gets exhausted faster, then what would be the position? Who provides the corporate buffer, Bank or the insurance co?. what is the meaning of would be used as per the decision of TPA? Is it mandatory for REMBS members to join policy A? or can they continue under REMBS, as is available in Associate Banks. As per the Circular the Insurance claim will be charged to the REMBS fund until the cover is exhausted and later on to the policy B. We understand that this restriction is not insisted upon in the Associate Banks and the claim can be from the Policy B and thereafter from REMBS. Whether all these category of members can join the Policy B as well, immediately at the time of the introduction of the policy. If not what is the entry point time for all these category of members. What if the REMBS limit gets exhausted during the year? Will he/she be covered under a new policy recovering the premium immediately thereafter or should they wait till the expiry period of the policy A? Whether the Bank will continue to pay the premium in case the income from the Trust fund is not sufficient, by making additional provision to the fund? In case the money in the trust gets exhausted or is insufficient to meet the premium, what is the alternate arrangement. The discount or loading of the premium is on the individual claim basis or the total premium paid on the policy? If the loading is on the total premium paid, the retirees who have not claimed also will have to pay higher premium on renewal, which is unfair. Hence the load in/discount should be on the individual claim basis. On what basis the discount/loading is calculated? Is it on the premium paid or on sum insured?
Why exclude from the scheme, those who have been discharged, removed from service & compulsorily retired? All such retirees are receiving pension, & in any case premium is collected from them under policy B. Such retirees should also be given an option, more so as the family is involved. If a retiree incurs expenditures on a foreign soil during his/her temporary visit, whether the claim would entertained under policy A/B. Insurance Premium in Policy B is far higher than in Policy A. (For 7 lacs in Policy A it is Rs. 9,926/- wheras in Policy B for Rs. 7 lacs it is Rs. 12,677/- ) people who retire after 1.1.2016 will have to pay for higher premium. This should be reduced. Where a Member of REMBS wants an additional cover under Policy-B also, whether such people should exercise their option before 31.3.2016 or anytime thereafter. As regards the Corporate Buffer referred in the Scheme, whether the Bank would credit the fund in advance to the Trust Account for the purpose of payment of the claims out of the Corporate Buffer? SUGGESTIONS: If REMBS members takes an additional policy under policy B, it should be his/her choice to make a claim under policy A or policy B. Dengue, chickenguniya, viral arthritis fevers to be added to the list of ailments. REMBS should be untouched & option to be given for taking policy B, as in the case of Associate Banks. For long duration ailments under domiciliary treatment the validity of the prescription should be 1 year instead of 30 days. In dental treatment extraction, filling & capping of the tooth to be included for payment. The period of 30 days stipulation for submission of claims should be increased to atleast 90 days.
3. These are some of the issues that has occurred to us immediately on reading of the note/circular issued by the bank. We are still getting number of quiries from our members across the country and would like to submit as and when we receive the same from different parts of the country. In the meanwhile, we would be glad if you will kindly go through our observations and issue necessary clarifications to enable all the eligible members to take a quick decision of joining the scheme in due course. 4. You may also convene an exclusive meeting on the subject to enable us to present our views in detail for your consideration at an early date. Please treat the matter as urgent, Thanking you, Yours faithfully, Y.SUDARSHAN GENERAL SECRETARY