Honestly we also expected ....................This has not happened !....DK our Gen.Secy writes.

FEDERATION OF RETIRED LIC CLASS I OFFICERS' ASSOCIATIONS

President : N.P. Bali 705, Sur, Veena Saaz, Thakur Complex, Kandivali (East), Mumbai - 400 101 Mob : 9820324213 Email Id - npbali@hotmail.com

General Secretary : D Krishnan No.6/1, Sreshta Riverside Apartments, Wood Creek Road, Nandambakkam, Chennai - 600089 Tel : 9176635967 / 044 42850049. Email Id - dkrishnan1@gmail.com

E circular No.DK/18 14-04-2020

Dear Friends,

The Lock-Down stands extended, and all normal things, we usually discuss in our Circulars have no scope for elaboration, till sanity returns to  National Life. However, the LIC Circular on next financial year's Mediclaim Policy Renewal, issued on the 13th April, by the CO, does offer some scope for application of mind. The CO Circular on the subject is being reproduced here for the information of all.

As a sequel to this Circular of CO, I have addressed a communication to the Secretary ER, Smt Aruna Seth, which also is being sent as part of this Circular.

 The Premium levels have risen uniformly by about 12%, and the Hospital Room Rent Limit for the 40 and 50 lakh Floater cover category,   has been marginally raised. Apart from these, the CO Circular hardly makes any departure from the previous year's Terms and Conditions.

One significant thing about the current National situation is that , it has pushed to the background all employee matters , including those of the Banks which had gone almost 95% into clinching terms for change, before the Virus marched ahead , relegating all matters to a denuded position. When matters normalize eventually, it remains to be seen, if the Denominator- values will bring in  views, for discussions on employee benefits,  in a different light. Such has been the sweeping nature of  changes  that have overtaken the National scenario on all fronts.

Wishing all our Members all over the country, a very happy and healthy (Regional) New Year, which has just started, with Baisaki, Naba Barsha, Tamil Puthandu and the Vishu, and any other, not covered by these , very recently.

 D.Krishnan.

CO circular CO/PER/ER-A/247/2020 dt13-04-20

COMPARATIVE PREMIUM CHART TABLE –A-- 2019-20 AND 2020-21 (prepared by us)

COMPARATIVE PREMIUM CHART TABLE –A-- 2019-20 AND 2020-21
YEAR	FLOATR SUM	0-35	36-45	46-55	56-65	66-70	71-75	76+
2019-20	500000	6034	6790	10082	11818	15425	16854	21961
2020-21		6742	7587	11266	13206	17236	18833	24539
Incr. %		11.73%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	600000	6640	7538	11385	13385	17589	18934	24560
2020-21		7420	8423	12722	14957	19654	21157	27444
Incr. %		11.75%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	800000	7438	8442	12570	14993	19699	21205	27506
2020-21		8311	9433	14046	16753	22012	23695	30735
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	1000000	8181	9287	14027	16491	21670	23326	30256
2020-21		9142	10377	15674	18427	24214	26065	33808
Incr. %		11.75%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	1200000	8785	9973	15062	17709	23268	25047	32489
2020-21		9816	11144	16830	19788	26000	27988	36303
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	1500000	9487	10770	16267	19126	25129	27053	35088
2020-21		10601	12034	18177	21372	28079	30229	39208
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	2000000	10046	11405	17225	20253	26612	28645	37155
2020-21		11225	12744	19247	22631	29736	32008	41517
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	2500000	10529	11953	18052	21224	27889	30021	38939
2020-21		11765	13356	20171	23716	31163	33546	43511
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	3000000	10845	12311	18594	21862	28726	30921	40107
2020-21		12118	13756	20777	24429	32099	34551	44816
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	4000000	11441	12988	19617	23055	30306	32623	42313
2020-21		12785	14513	21920	25762	33864	36453	47281
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%
2019-20	5000000	11865	13470	20345	23922	31430	33833	43884
2020-21		13258	15051	22734	26731	35120	37805	49036
Incr. %		11.74%	11.74%	11.74%	11.74%	11.74%	11.74%	11.74%

Federation GS’ Letter dt 14-04-2020 to ED (P) Central Office

Madam Aruna Seth,

Hope you recall our meeting in CO, in your cabin, in the presence of Sri Sanjay Gupta, Asst Secretary (Personnel), when we had gone over to have a Meeting with the MD Sri Guptaji on the 12^th of Feb 2020. I am now writing to you after receiving the CO Circular CO/Per/ER-A/247/2020 on Renewal of the Group Mediclaim Family floater Policy for the year 2020-21.

I remember how you explained certain aspects in the Mediclaim Rules, where we had our doubts. One related to the confusion created in our minds where the Insurance Co. made arbitrary deductions in the Claim Amount involving cases where, apparently the Room availed in Hospital was within the Allowable limit, but due to the lack of transparency about Nursing charges being added to it, the Limit was seen as exceeded, and consequently a reduction on all charges was effected in settling the Claim.  While discussing this matter, you made it clear to us that nursing charges cannot affect the Limit of Room Rent as we had described. Now once again, in the current year  (fresh) Circular issued, the same confusion is carried , as in the last year (old) Circular.  

I am referring to Page 2 , item 3 where the Room Rent Limits are once again clubbed with Nursing Charges, which cannot be clear as one enters a Hospital on admission. That clubbing comes only at the end, in the Billing process, and suddenly, the person is taken by surprise about having exceeded limit on Room Rent, and thereby stands to lose a percentage on his Claim amount as deduction towards Excess on Room Rent. When I discussed this point with you, you made it abundantly clear that Nursing Charges will not hamper Room Rent Limits and that our fears were not well founded on this. You also promised then that you will take up this aspect with the New India Co and the TPAs and bring in uniformity in the understanding, over this point. Our fear now is that we are once again back to square one on this, and we are in for issues on this as before. I would like you to clarify .

 Honestly we also expected an increase in the Room Rent Limit for C class cities, given the reality that Corporate  type Hospitals even in smaller places have higher Room Rentals. This has not happened!

When we made a comparison of premium with that of the last year, we find that there is  a uniform increase of 11.74 % of Premiums for all ages and all Floater Sum Assured.  What is the background to this increase? Has the Claim Experience of previous year justified this increase for current year? Or was it some other factor that caused this increase?

The Classification of Cities which was part of last year's Circular is absent in the Current Circular. Is it likely to be sent later?

There are changes in the TPAs for two Regions and it is not clear to us whether the Card issued earlier would continue to be valid under the new TPAs, or whether you are to issue new Cards for such Regions. Please clarify. Regards 

D.Krishnan.