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To
'Chief Executive
Indian Banks’ Association
Mumbai.
Reg: Attempts to backtrack from the agreed to Medical
reimbursement policy by United India Insurance Co.
While the newly introduced Group Medical Reimbursement Scheme for the
employees and retirees is slowly getting normalised, we are highly disturbed
to be informed that United India Insurance Company has sent a mail to
various Banks on 13-11-2015 stating that their Policy will not cover the
following in the case of retirees:
1. Maternity Expenses.
2. Critical Illness Cover.
3. Domiciliary Expenses.
4. Corporate Buffer
5. Dependents are not covered ( Only employee + Spouse).
In their email, UIIC has also stated that “Please note that the 100% premium
will be refunded to retirees (subject to NIL claims till date) if retirees of the
Banks are not interested to continue the policy those who have remitted the
premium to us.”
In this connection, please refer to the following provisions in Schedule IV as
well as Appendix I and II under the recent 10th BP Settlement signed by IBA
on 25-5-2015 with the Unions:
Ø The new Scheme as applicable to the officers/ employees in service would be
continued beyond their retirement/superannuation/resignation, etc. subject to
payment of stipulated premium by them.
Ø The new Scheme would also cover the existing retired officers/ employees of
the Banks and dependent spouse subject to payment of stipulated premium by
them.
Ø While reimbursement to the officers / employees shall be made by the Banks as
hitherto, the Scheme shall be administered by the Banks through a scheme
worked out between IBA/Banks and Insurance companies and officers /
employees would in no way be directly bound by the terms and conditions of
such scheme or arrangements.
Ø Continuity benefits coverage to officers / employees on retirement and also to
the Retired Officers / employees, who may be inducted in the Scheme. ( Clause
1.2.2 of Appendix I of X BPS)
Ø Under Clause 1.4 of Appendix 1 of X BPS, Corporate Buffer is provided for.
Ø Under Clause 2.11 and 2.12 Appendix 1 of X BPS, DOMICILIARY
HOSPITALIZATION and DOMICILIARY HOSPITALIZATION are covered under the
scheme.
Ø Clause 3.1 of Appendix 1 of X BPS : Domiciliary Hospitalization / Domiciliary
Treatment : Medical expenses incurred in case of the following diseases which
need Domiciliary Hospitalization /domiciliary treatment as may be certified by
the attending medical practitioner and / or bank's ’medical officer shall be
deemed as hospitalization expenses and reimbursed to the extent of 100%
Ø There would be a continuity of this Scheme / benefits to the Retiring Officers /
employees and their family and also to the Retired Officers / employees and
their family.
Ø Clause 6 of Appendix II : The allocation and use of this Corporate Buffer would
rest with the individual management of the member bank. At the end of the
year we would have a joint review on how many banks have totally utilized
their Corporate Buffer and how many other member banks have not utilized
their Corporate Buffer totally. The unutilized Corporate Buffer of the member
banks would now be proportionately available to the member banks whose
Corporate Buffer has been totally utilized. This would be one of the
major benefits of the Group underwriting of all the member banks under
one policy
While the above are some of the provisions of the Settlement, it is totally
impossible for UIIC to go back on these provisions after the commencement
of the Policy and payment of premium to them.
Not covering maternity expenses of the retirees is understandable but still it
is ridiculous to mention it.
Critical illness cover is also applicable to the employees only as it is clearly
mentioned in the Scheme/Settlement.
But domiciliary treatment and corporate buffer are integral part and
conditions of the Scheme and cannot be separated for the retirees.
The whole scheme has been worked out with all these ingredients and
removing any portion of it will make the whole scheme to fall.
Further, UIIC’s position that “ Please note that the 100% premium will be
refunded to retirees (subject to NIL claims till date) if retirees of the Banks
are not interested to continue the policy, those who have remitted the
premium to us ” is absolutely untenable and illegal at this stage. We feel
that UIIC has crossed the line wrongly.
We are highly disturbed and agitated about these developments. UIIC
cannot take IBA and UFBU for granted. UIIC cannot play with the bank
employees like this.
IBA’s immediate and urgent intervention is necessary.
We await,
Yours faithfully,
C.H. VENKATACHALAM
GENERAL SECRETARY'
The denial of domiciliary treatment etc. by United inda insurance company to bank pensioners is breech of trust and how can the company back track from the agreed agriment once they have received the primum. Pensioners organisations should think of legal remadies in the matter, since AIBEA has already taken up the matter IBA in the mean time they should advise their units in all bank to ignore giving business to united insurance in all their outlets since they are cheating ordinary people too in similar fashion by mis selling these products.Bank pensioners should fight out this matter and should ensure that no such backtracking is done in future too in any manner by the company.
A.K.Verma.
Text of All India Bank Officers’ Association vide its ref No.IBA:BKS:182:2015
November 19, 2015,addressed a letter to IBA, which is self explanatory is furnished here under for information:
To
The Chairman,
Indian Banks’ Association,
Mumbai.
Sir,
REG: INSURANCE BACKED HOSPITALISATION SCHEME
FOR RETIRED STAFF.
We draw your kind attention to the 7th Joint Note signed by Four Officers’ Organizations with IBA on 25th may 2015 at Mumbai.
2) In terms of Clause 10 of the Joint Note, the details of reimbursement of hospitalization expenses has been listed out in the annexure IV of the Joint Note.
3) In terms of Clause 5.10 of the appendix I of the 7th Joint Note, there would be a continuity of this scheme / benefits to the retiring officers/ employees and their family and also to the retired officers/ employees and their family.
4) It is hereby reliably learnt that United India Insurance, the service provider has informed the member banks directly that some of the facilities like corporate Buffer, Maternity expenses, Critical Illness cover, Domiciliary expenses, dependents not covered, are not available to the retired employees.
5) Unilateral action by the service provider after the commencement of the Insurance cover w.e.f 1.11.2015 is unacceptable to our Organization.
6) This issue of Insurance backed Hospitalization scheme was piloted by the management during Negotiation and ultimately the issue has been achieved as a part of the 7th Joint Note exercise.
7) Further, in the record note of the discussions between IBA with UFBU on the issues and to the demands relating to the retirees of the Banks held on 25.05.2015, categorically states that, ……benefits of the coverage of this scheme would be extended to retirees also subject to the conditions that the cost of the Insurance premium under the scheme would be payable to retirees”.
8) As there is departure in the understanding arrived at between 4 officers organizations and IBA unilaterally by the service provider independently, Our Organization urges upon the IBA to convene a meeting of all negotiating Unions, on an urgent basis to avoid the avoidable conflicts in the present wage revision exercise concluded in May 2015.
We expect your immediate response to resolve an artificial issue created by the service provider.
Yours faithfully,
/S.NAGARAJAN/
GENERAL SECRETARY
A very positive, hopeful observation.
Warm reg
CPVNAIR
What is wrong or what is right is not the issue. The issue TPA has refused to reimburse domiciliary treatment expenditure and willing to refund the premium. Retirees Assond have addressed letters to IBA but there is no reply. IBA as usual will remain silent and signatories of Bipartite unless takes up the seriously then we have to raise our hands.
| From: 'kknanda5' via bankpensioner Sent: Tuesday, 24 November 2015 10:00 To: bankpensioner; 'Prasad Reply To: bankpe...@googlegroups.com Subject: Re: bankpensioner Re: DOMICILIARY COVER FOR RETIREES UNDER NEW MCIS |
Please refresh all the resources. Impending danger Domiciliary treatment to retirees are denied and Uiic has conveyed that they may refund the premium received.
Dear PrasadI am afraid that this is applicable only to serving employees and not retireesRegardsRajasekar VenkatesanSingapore
From: 'Prasad C N' via bankpensioner <bankpe...@googlegroups.com>
To: "bankpe...@googlegroups.com" <bankpe...@googlegroups.com>
Sent: Monday, November 23, 2015 1:58 PM
Subject: Re: bankpensioner Re: DOMICILIARY COVER FOR RETIREES UNDER NEW MCIS
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We know the contents
But what is the audacity of TPA and Insurance Co to refuse and gone to the extent of offering to refund the premium
Our Asson should settle the matter within the ambit of settlement.
