RASTRIYA SWASTHYA BIMA YOJANA     Grievance Redressal -

Capacity building workshop for State Nodal Agencies.

1-2nd March 2012  

VVGNLI , NoidaNational Capital Region

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Difference between helpline and grievances Why it is required? From tender document From MOU between IA and SNA

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INSTITUTIONAL MECHANISM

District Grievance Redressal Committee (DGRC):

District Magistrate or an officer of the rank of Addl. Magistrate : Chairman

District Key Manager : Convenor

Representative of the Insurance Co.

 

 State Grievance Redressal Committee (SGRC):

  State Principal Secretary/Secretary of Department handling RSBY : Chairman

State Nodal Officer for RSBY : Convenor

State Representative of the Insurance Co.

 National Grievance Redressal Committee (NGRC):

  Deputy Director General, GoI/Director in the DGLW : Convenor

National Nodal Officer of the concerned Insurance Company

Director/Under Secretary, Ministry of Labour & Employment, GoI : Convenor

 

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TYPES OF GRIEVANCES

Grievance of a Beneficiary Grievance of a Hospital Grievance of an Insurance Company

Grievance Against FKO Grievance Against DKM or other District

Authorities Grievance against State Nodal

Agency/State Government

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Capacity

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REDRESSAL

• Helpline• Dispute between Beneficiary and Health Care

Provider• Dispute between Health Care Provider and

the Insurance Company• Dispute between Insurance Company and the

State Government