1

June 2016 SAMVAD

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VVVVVol.- 8ol.- 8ol.- 8ol.- 8ol.- 8 Issue 12Issue 12Issue 12Issue 12Issue 12 OyZ - 2016OyZ - 2016OyZ - 2016OyZ - 2016OyZ - 2016 June 2016June 2016June 2016June 2016June 2016

Price 3/-

Visit us at : www.sbipensionerspune.org e-mail : sbipenmumbai@gmail.com

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June 2016 SAMVAD

State Bank of India Pensioners’ Association

(Mumbai Circle), Pune“Anubandh”, Building No.B-2, 4th Floor, Block No.16

Near Ramkrishna Math, Sinhagad Road, Pune - 411030

e-mail : sbipenmumbai@gmail.com

Notice : 2016-2017 Date : 22nd June 2016

42nd Annual General Meeting

The Managing Committee of the Association in its meeting held on 21st June 2016 has decided

to hold the 42nd Annual General Meeting of the Association at 10.00 a.m. on Monday the 22nd August

2016 at ‘Harshal Hall’, 153 Karve Road, Near Karishma Society, Pune - 411029 to transact the

following business. All the members are requested to make it convenient to attend the meeting.

AGENDA

1. To condole the death of Bank’s Pensioners/Family Pensioners/Associate Members whose

names have been reported to us after 23rd August 2015.

2. To confirm the Minutes of the last Annual General Meeting held on 23rd August 2015 at

Nagpur which were printed in “SAMVAD” for January 2016.

3. To felicitate Chief Guest and other dignitaries.

4. To present the “Late Shri.L.N.Pabalkar Memorial Gold Medal" to Shri. Chander N.

Vazirani, Nagpur

5. To approve the audited Financial Statements for the year ended 31st March 2016.

6. Report of the Managing Committee for the year 2015-2016 to be read, discussed and

adopted.

7. Biennial Elections of the office-bearers of the Circle Association (i.e.President, Secretary,

Jt. Secretary & Treasurer) for the period 2016-2018. The detailed procecedure of Elections

is given on page No.6.

7. President’s Address.

8. Any other matter with the permission of the Chair.

Vilas Vasudeo Gandhe

Secretary

N. B. :- If there is no quorum at 10.00 a.m. the meeting will be adjourned and the adjourned meeting

will start after half an hour and will proceed as per the above Agenda for which no quorum will

be necessary.

Secretary

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June 2016 SAMVAD

Kindly note the following carefully

General Body Meeting Programme will be as underFirst Session - 10.00 a.m. to 1.00 p.m.

Lunch : between 1.00 p.m. and 2.00 p.m.

Second Session - 2.00 p.m. to 5.00 p.m.

- Venue -

‘Harshal Hall’153 Karve Road, Near ‘Karishma’ Society,

PUNE - 411029

Phone - (020) 25455742

*********************

Instructions for outstation Members :-

1) This year, due to limited capacity for ‘Lodging’ in the above Hall, we could make

arrangements for ‘Lodging’ for out station members (upto a maximum number of 40 persons

(approximately) on first come first served basis) who will be reaching at Pune on the previous

day evening (i.e. after 6.00 p.m. on 21st August 2016) at the venue of the meeting. Kindly note the

following instructions meticulously and avoid inconvenience to the organizing unit as well as to

yourself and the other participants. If the number of outstation members (coming on 21st August

2016 evening) exceeds 40, then the members who will come late will have to make their own

arrangements for lodging only. Food will be served on 21st evening and Breakfast on

22nd August 2016 in the morning to ALL the outstation Members at the venue on

scheduled time. On the day of AGM (i.e. on 22nd August 2016) the LUNCH will be served

to ALL the Members attending the meeting between 1.00 p.m. and 2.00 p.m.

2) The venue will be available from 6.00 p.m. on 21st August 2016 till 6.00 p.m. on 22nd August

2016 only. Prior and after the above mentioned timings, the members coming from outstation will

have to make their own staying arrangements, if required, due to the timings of Bus/Rail as

per return journey reservarions made by them.

3) The above arrangements at the venue have been made for both - Ladies and Gents. Please

note that No Individual Rooms will be provided, but the common facilities will be provided

to all. Further, the Lodging facility is available only for Pensioner members/Family Pensioner

members & Associate members and will not be available for ‘Guests/Relatives’ etc.

4) It may not be possible to make arrangements for food for those outstation members who will be

reaching at the venue after 9.30 p.m. on 21st August 2016. The breakfast will be served to

outstation members between 8.30 a.m. and 9.30 a.m. only on 22nd August 2016 (i.e. on the day

of AGM). In the afternoon between 1.00 to 2.00 p.m. the Lunch will be provided to all the

members attending the AGM.

5) The instructions regarding Tea/Coffee etc. will be announced at the venue separately.

6) The outstation members who will require the above Lodging/Boarding arrangements on 21st

August 2016 are requested to inform the organizing Committee Members in writing, (whose

Names, Addresses & Phone numbers are given hereunder), well in advance ( i.e. latest

by 15th August 2016) in order to enable the committee members to finalize the arrangements.

Please quote your Membership Number in your correspondence with the following

Committee members / Association.

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June 2016 SAMVAD

i) Shri. Ashok S. Pandit - 7 'Guruprasad' Apartments, Near Shivpushpa Park, Anandnagar,

Sinhagad Road, Pune - 411051; (M) 09422316146

ii) Shri. Avinash D. Deshpande - Saurabh Hsg Society, Bldg. No.1, Flat No.2, Shahu

College Road, Parvati, PUNE - 411009 (M) 09665954088

iii) Shri. Pramod H. Chate - A/16,”Anubandh”, Bldg. No.’A’, Block No.16, Paranjape

Scheme, Opp. Sahawas Hall, Sinhagad Road, PUNE - 411030 (M) 09823938486

*******************************************************************

General Instructions :

1) The Minutes / Proceedings of the last Annual General Meeting held on 23rd August 2015 at

Nagpur were printed in ‘SAMVAD’ for January 2016. If any member requires any clarification, he/

she should write to us at the Association’s office at Pune so as to reach the same before 10th

August 2016.

2) Similarly, on receipt of the copy of the Annual Report for 2015-2016 and Financial Statements as

on 31-03-2016 which will be printed in ‘SAMVAD’ in due course, if any member desires to get

any clarification / details about any item in financial statements, he/she is requested to send such

queries in writing to the Association’s Pune Office so as to reach before 10th August 2016. This

will help the ‘time management’ of the AGM, hence the request.

3) Members attending the AGM are requested to take care of their own valuables & belongings.

- Secretary

Karve Road

M.E.S.

College

Sambhaji

Bridge

F. C. Road

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Eranda-

-vana

Branch

PAUD

ROAD

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Map showing Location of the Venue of Annual General Meeting

Map not to scale

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June 2016 SAMVAD

Biennial Elections of the office-bearers of the Circle Association

for the period 2016-17 & 2017-18Elections of the office-bearers of the Circle Association for the following posts will be held in the Annual

General Meeting to be held at PUNE on 22nd August 2016. The elections will be held by raising of hands in the meeting

or as per the procedure that will be declared in the AGM by the Election Officer if more than one member wishes to

contest for the same post.

Date of filing Nominations : 20-07-2016 & Date of Withdrawal of Nominations : 31-07-2016.

Those who filed the Nominations and may wish to withdraw their nomination may contact the Election Officer after

21-07-2016 on phone to know who have filed the Nominations.

Elections for the years 2016-17 & 2017-18

Name of the Post No. of Posts

1) President One

2) Secretary One

3) Joint Secretary One

4) Treasurer One

The proforma of the Nomination Form for the Election is published hereunder.

Vilas V. Gandhe

Secretary

N.B : The Presidents of the Zonal Sub-Centres are ex-officio Vice-Presidents of the Circle Association who have already

been elected by the respective Zonal Sub-Centres. Other Committee Members of the Circle Managing Committee will

also be nominated by the respective Zonal Sub-Centres. The names of the elected office-bearers of the Circle Association

and the Committee Members will be printed in 'Samvad' for information of all the members in due course. The following

form should be used for filing nominations.

********************************************************

Nomination Form

Form of nomination for elections to the post of the Members of the Circle Managing Committee of the

S. B. I. Pensioners’ Association (Mumbai Circle), Pune for the biennial period 2016-17 & 2017-18.

Name of the Candidate with Membership No. : .................................................................................................

Address of the Candidate : .................................................................................................

: .................................................................................................

Post applied for : .................................................................................................

Name of the Proposer with Membership No. : .................................................................................................

Address of the Proposer : .................................................................................................

: .................................................................................................

Name of the Seconder with Membership No. : .................................................................................................

Address of the Seconder : .................................................................................................

: .................................................................................................

Place :

Date :

Signature of the Seconder Signature of the Proposer

Declaration by the Candidate

I, Shri / Smt. .............................................................. hereby signify my willingness to serve as Member of the

Managing Committee for the above post of the S.B.I. Pensioners' Association (Mumbai

Circle), Pune, if I am elected to the said post.

Place: .........................................

Date : .....................

Signature of the Candidate

*********************************************

Nomination forms duly completed should be sent to Shri S.G.Rabade, Election Officer, directly on his address

given below so as to reach on or before 10th July 2016. Nominations received after this date will not be entertained which

please be noted. Nomination forms should not be sent on Association's Pune office. Shri.Sadashiv G. Rabade :

18 S.B.I.'Neelkamal' Society, Near Nav Sahyadri Society, Karve Nagar, Pune - 411052 (Mobile - 09226867006)

7

June 2016 SAMVAD

e-Circular^maVr` ñQ>oQ> ~±H$^maVr` ñQ>oQ> ~±H$^maVr` ñQ>oQ> ~±H$^maVr` ñQ>oQ> ~±H$^maVr` ñQ>oQ> ~±H$ P&HRD.

State Bank of India Sl. No. : 243/2016 - 17

Corporate Centre - Mumbai Circular No. : CDO/P&HRD-PPFG/25/2016 - 17

Thursday,May 19,2016.

29 Vaishakh 1938 (S

All branches and offices of

State Bank of India

Madam/ Dear Sir

GROUP MEDICLAIM POLICY FOR CONTINUING MEDICAL BENEFITS TO THE

MEMBERS OF SBI RETIRED EMPLOYEES MEDICAL BENEFIT SCHEME (SBI-REMBS) :

POLICY - 'A'

Please refer to our e-circular No. CDO/P&HRD-PPFG/78/2015-16 dated 28thDecember, 2015

advising introduction of two group mediclaim policies for SBI retirees (Policy ‘A’ & ‘B’). As envisaged

in the e-Circular, Policy-A meant for SBIREMBS members is now ready for commencement on

01.06.2016 and the validity of policy will be from 00.00 hrs. on 01.06.2016 through 23.59 hrs. on

31.05.2017.

2. The benefits of the Group Mediclaim Policy-A will be available to existing members of SBI-REMBS

on the following lines :

(i) As the minimum plan amount under the Group Mediclaim Policy is Rs.1.00 lakh, the policy

will cover existing members of SBI-REMBS, their spouses and disabled child/children, if

any, having residual balance of Rs. 1.00 lakh and above. Medical benefits under the policy

will be available to the members as per the instructions contained in e-Circular referred to

above. A brief chart is as under :

POLICY- A (Rs. in Lakhs)

REMBS Plans A & A1 B & B1 C & C1 D & D1 E F G

REMBS Limits 2.00 3.00 4.00 5.00 7.00 10.00 15.00

Basic Sum Insured 1.00 1.00 2.00 2.00 3.00 3.00 4.00

Corporate Buffer 1.00 2.00 2.00 3.00 4.00 7.00 11.00

Amt of Domiciliary

Treatment @25% Rs.25,000/- Rs.25,000/- Rs.50,000/- Rs.50,000/- Rs.75,000/- Rs.75,000/-Rs. 1,00,000/-

(ii) Members having residual balances below Rs.1.00 lakh in REMBS account shall not be

migrated to Mediclaim Policy-A and they will continue to avail benefits upto their residual

balances as per the provisions in the REMB Scheme from the concerned Zonal Offices

where these are presently maintained.

(iii) Members who have exhausted / utilized their full plan amount under SBI-REMBS shall stand

dropped from the Scheme.

8

June 2016 SAMVAD

3. To avoid confusion in the minds of operating functionaries and existing members as to who are

likely to be migrated into Policy-A and who are not, Circle / A.O. wise lists of members (as on

12.05.2016 at 5.25 pm) having residual balances of Rs. 1.00 lakh and above as also below Rs.1.00

lakh have been shared with all the Administrative Offices / LHOs separately. These two files have also

been placed at the Pension Portal (https://www.sbi.co.in/sbipension/user.htm). Additionally, data can

be generated by USERs of REMBS site through the menu –> Reports -> Residual Limit Report ->

Generate Excel File. SMS and e-mail communications have also been sent to all REMBS members

having mail ID and mobile no. registered with us, regarding migration of scheme into Policy-A. The

said lists will be regenerated at our end based on residual balance to identify the final group of members

for migration or retention in SBI-REMBS.

4. Detailed process of migration of existing members of SBI-REMBS to Group Mediclaim Policy-A,

settlement of claims and roles and responsibilities of Third Party Administrators (TPAs) and Insurance

Brokers M/S Anand Rathi Insurance Brokers Ltd. have been explained under Annexure-II of e-Circular

no.CDO/P&HRD-PPFG/78/2015-16 dated 28th December, 2015.

5. Cost of medical treatment undertaken by the members prior to the date of migration to Group

Mediclaim Policy shall be paid / reimbursed, as admissible under SBI-REMBS, out of SBI-REMBS

fund and residual entitlement under the insurance policy will be arrived accordingly. Cost of treatment

taken on or after the migration date will be claimed and settled only under the Group Mediclaim

Policy. It may be clarified that in case of continuous hospitalization starting before date of migration

but ending after such date, the bills will be settled only under the terms of SBI-REMBS even if a part of

the treatment has taken place after commencement of the Insurance Policy.

6. The policy (Policy-A) will be renewed annually and at the time of renewal, only the residual balance

of individual member will be carried over. At each year’s renewal, Bank will decide the cut off limit for

the residual balance of individual members to extend the medical benefit either through Group

Mediclaim Policy or through SBI-REMBS, as per the respective scheme, and the decision of the

Bank will be binding on the members. Members having exhausted their original plan amount as in

REMBS would be dropped from the list, as usual.

7. The TPAs would upload the e-Medical ID Cards under Policy-A within one week from the date of

inception of the policy. Arrangements have also been made by the TPAs to send hard copies of

Medical ID Cards to Pension Paying Branches within 15 days. Any delay in receiving the same by the

Branches may be notified to PPG Department at Corporate Centre for immediate action. Once cards

are received by the Branches, these should be distributed to the individual members. As per the

practice, separate Medical ID Cards will be issued to all enrolled members of the family. However,

cashless treatment would not be held up for want of Medical ID Card. In cases where Medical ID

Cards have not been received by the members and there is a need for hospitalization, Administrative

Office / Pension Paying Branch will contact the TPA concerned for immediate hospitalization.

8. Please bring the contents of the circular to the knowledge of all concerned.

Yours faithfully,

(Ashwini Mehra)

Deputy Managing Director &

Corporate Development Officer

9

June 2016 SAMVAD

e-Circular

^maVr` ñQ>oQ> ~±H$ P&HRD.

State Bank of India Sl. No. : 308 / 2016 - 17

Corporate Centre - Mumbai Circular No. : CDO / P&HRD / PPFG / 29/2016 - 17

Saturday, June 04, 2016.

14 Jyestha 1938 (S)

All branches and offices of

State Bank of India

Madam/ Dear Sir

GROUP MEDICLAIM POLICY FOR CONTINUING MEDICAL BENEFITS TO THEMEMBERS

OF SBI RETIRED EMPLOYEES MEDICAL BENEFIT SCHEME (SBI-REMBS) :

ROLL OUT OF POLICY-A

Please refer to our e-circular No. CDO/P&HRD-PPFG/25/2016-17 dated 19th May, 2016 advising

likely roll out of Policy-A for the existing members of SBIREMBS. In this connection, the said Policy-A

has been rolled out w.e.f. 1st June, 2016 under the Family Floater Group Mediclaim Policy of United

India Insurance Co. Ltd. on the basis of residual balances of REMBS members standing as on

30.05.2016.

2. Members of REMBS having a residual balance of Rs. 1.00 lakh and above have been enrolled

under the policy. Medical benefits under the policy will be available to these members as per the

instructions contained in our e-Circular No. CDO/P&HRD-PPFG/78/2015-16 dated 28th December,

2015. However, members having residual balances below Rs.1.00 lakh in REMBS account will continue

to avail benefits upto their residual balances as per the provisions in the REMB Scheme from the

concerned Zonal Offices where their accounts are presently maintained. Members who have exhausted

/ utilized their full plan amount under SBI-REMBS stand dropped from the Scheme.

3. We have placed two files (one with members having residual balances below Rs.1.00 lakh and the

other with members having residual balances of Rs.1.00 lakh and above), generated on 30.05.2016,

in the homepage of Pension Portal (https://www.sbi.co.in/sbipension/user.htm) for convenience of

pensioners. We have also sent SMS and e-mails to members with their mobile nos. and e-mail IDs

registered in the REMBS site advising roll out of the policy on 01.06.2016.

4. An e-mail regarding roll out of the policy has also been sent to all Zonal Heads, AGMs (HR), CMs

(IR), CMs (HR) enclosing Claim Formats for use by the members. Additionally, lists of members have

been placed in FTP site ftp://10.1.16.149/ under the folder named ‘Group Mediclaim Policy’. All Zonal

functionaries are requested to preserve the data distinctly as permanent record for these two groups

– one for Group Mediclaim Scheme Beneficiaries and the other for SBI-REMBS members for future

reference and appropriating claims into respective head. They will also make available the Claim

Forms to Branches who will in turn provide the same to the members. Specimen of the Claim Forms

is also attached to the circular as Annexure-I, II & III. Settlement of claims under the policy will be done

by the Third Party Administrators (TPAs) with active support by the Insurance Brokers M/S Anand

Rathi Insurance Brokers Ltd. As yearly renewal of membership will be based on the residual balance

10

June 2016 SAMVAD

of the member out of original REMBS plan amount now migrated to Mediclaim Policy, submission of

bills (domiciliary as well as hospitalization) will be done by the members through the Zonal Office

where the account is registered. On receipt of bills, Zonal Office will provide the same to the

representative of TPA / Insurance Brokers for payment and the utilized amount will be charged against

the member’s account to arrive at residual balance. 5. The e-Medical ID Cards under Policy-A will be

uploaded within one week. Hard copies of Medical ID Cards will be sent to Pension Paying Branches

within 15 days by the concerned TPAs. Any delay in receiving the same by the Branches may be

advised to PPG Department at Corporate Centre for immediate action. Once cards are received by

the Branches, these should be distributed to the individual members. However, cashless treatment

would not be held up for want of Medical ID Card. In cases where Medical ID Cards have not been

received by the members and there is a need for hospitalization, Administrative Office / Pension

Paying Branch will contact the TPA for immediate hospitalization.

8. Please bring the contents of the circular to the knowledge of all concerned.

S.B.I. Pensioners' Association

(Mumbai Circle), Pune

NAGPUR ZONAL SUB-CENTRENotice of General Body Meeting

It has been decided to hold the

General Body meeting of

Nagpur Zonal Sub Centre

on 23rd July, 2016 @ 03.00 p.m. at

"Canteen Hall", 3rd Floor, State Bank of

India, Zonal Office, Nagpur, to transact the

following business :-

1. To pay homage to the departed

members since last Meeting

2. To elaborate latest developments

3. To brief members about the progress

in Court cases

4. Any other matter with the permission

of chair.

All the members are requested to please

attend the meeting positively. All are

requested to give the information of meeting

to all the known members.

Secretary

Nagpur Zonal Sub-Centre

Yours faithfully,

(Ashwini Mehra)

Deputy Managing Director &

Corporate Development Officer

Encl. : As Above

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11

June 2016 SAMVAD

UNITED INDIA INSURANCE COMPANY LIMITED

(Regd. & Head Office: United India House, 24, Whites Road, Chennai – 600 014)

CLAIM FORM – DOMICILLARY TREATMENT

TO BE FILLED BY THE INSURED

The issue of this form is not to be taken as admission of liability

DIVISIONAL OFFICE NO.:

Name and Address of the Policy Issuing 8133 Jahangir Building, First Floor,

Office M.G.Road,Fort,Mumbai–400 023.

Tel.”22618069/22617637/22616872,

Fax:22616894

SECTION A - DETAILS OF PRIMARY INSURED

a) Policy No.:

b) Name of the TPA & ID Card No.:

c) Name of the Insured

d) Full Address of the Insured with Pin code

Phone / Mob No.

Email ID

SECTION C - DETAILS OF DOMICILIARY TREATMENT

a) Cause for Domiciliary Treatment

b) Period of Domiciliary Treatment

c) Diagnosis

d) Name of the Doctor given Treatment

for Domiciliary Hospitalization and

his / her Registration no.:

SECTION D - DETAILS OF BILLS ENCLOSED

Sl. No. Bill No. Date Issued by Towards Amount

Domiciliary

Hospitalization Bills

Pharmacy Bills

Investigation Bills

Total

12

June 2016 SAMVAD

SECTION E - DETAILS OF PRIMARY INSURED’S BANK ACCOUNT

a) PAN No.:

b) Bank Account Number

c) Bank Name and Branch

d) Cheque DD Payable details

e) IFSC Code

DECLARATIOIN BY THE INSURED

I hereby declare that the information furnished in this claim form is true & correct to the best of

my knowledge and belief. If I have made any false statement, suppression or concealment of any

material fact with respect to question asked in relation to this claim, my right to claim reimbursement

shall be forfeited. I also consent and authorize TPA / insurance company, to seek necessary medical

information / documents from any hospital / Medical Practitioner who has attended on the person

against whom this claim is made. I hereby declare that I have included all the bills / receipts for the

purpose of this claim & that I will not be making any supplementary claim except the pre/post-

hospitalization claim, if any.

Place :

Date : Signature of the insured

***********************************************************************************

Claims Documents – Check List

Please note that the following documents to be submitted in original to TPA.

1. Claim form Duly filled and signed

2. Copy of the Claim Intimation, if any

3. Doctor’s Prescription for Medicine / Investigation

4. Pharmacy Bill

5. ECG

6. Investigation Reports (including CT / MRI /USG / HPE / Pathology)

7. Others

****************************************************************************************************************

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13

June 2016 SAMVAD

UNITED INDIA INSURANCE COMPANY LIMITED

(Regd. & Head Office: United India House, 24, Whites Road, Chennai – 600 014)

CLAIM FORM – PART A - HOSPITALIZATION

TO BE FILLED BY THE INSURED

The issue of this form is not to be taken as admission of liability

DIVISIONAL OFFICE NO.: 8

Name and Address of the Policy Issuing 133 Jahangir Building, First Floor, M.G.

Office Road, Fort, Mumbai–400023.

Tel.022/22618069/

22617637/ 22616872, Fax:22616894

SECTION A - DETAILS OF PRIMARY INSURED

a) Policy No.:

b) Name of the TPA & ID Card No.:

c) Name of the Insured

d) Full Address of the Insured with Pin code

Phone / Mob No.

Email ID

SECTION B - DETAILS OF INSURANCE HISTORY

Currently covered by any other Mediclaim /

Health Insurance Yes / No

a) If Yes, Please provide Date of

commencement of first insurance without break

b) Policy No.:

Sum Insured

c) Have you been hospitalized in the

last four years since inception of the Yes / No

contract?

Date

Diagnosis

f) If yes, Company Name

14

June 2016 SAMVAD

SECTION C - DETAILS OF PERSON HOSPITALIZED

a) Name

b) Gender Male / Female

c) Age (Years and Month)

d) Date of Birth

e) Relationship to Primary Insured

(Self / Spouse / Others Please specify )

f) Occupation

SECTION D - DETAILS OF HOSPITALIZATION

a) Name of Hospital where Admitted

b) Room category occupied

(Day Care / Single Occupancy / Twin

sharing, 3 or more beds per room)

c) Hospitalization due to

( Injury / Illness / Maternity)

d) Date of Injury / date of Illness first

detected /

Date of Delivery

e) Date of Admission and Time

f) Date of Discharge and Time

g) If Medico Legal Yes / No

(i) If Injury, give cause

(Self inflicted / Road Traffic Accident /

Substance abuse / Alcohol Yes / No

Consumption)

(ii) Reported to Police

(iii) MLC Report and Police FIR attached Yes / No

h) System of Medicine

15

June 2016 SAMVAD

SECTION E - DETAILS OF CLAIMS

a) Details of Treatment expenses

claimed

i) Pre-Hospitalization Expenses

ii) Hospitalization Expenses

iii) Post-Hospitalization Expenses

iv) Health Checkup Cost

v) Ambulance Charges

vi) Others

Total

vii) Pre-Hospitalization period (days)

viii) Post-Hospitalization period (days)

b) Details of Lump sum / cash benefit

claimed

i) Hospital Daily Cash

ii) Surgical Cash

iii) Critical Illness Benefit

iv) Convalesce

v) Pre / Post Hospitalization Lump sum

benefit

vi) Others

Total

SECTION F - DETAILS OF BILLS ENCLOSED

Sl. No. Bill No. Date Issued by Towards Amount

Hospital Main Bill

Pre-Hospitalization Bills (Nos.)

Post-Hospitalization Bills (Nos.)

Pharmacy Bills

Total

16

June 2016 SAMVAD

SECTION G - DETAILS OF PRIMARY INSURED’S BANK ACCOUNT

a) PAN No.:

b) Bank Account Number

c) Bank Name and Branch

d) Cheque DD Payable details

e) IFSC Code

DECLARATIOIN BY THE INSURED

I hereby declare that the information furnished in this claim form is true & correct to the best of my

knowledge and belief. If I have made any false statement, suppression or concealment of any material

fact with respect to question asked in relation to this claim, my right to claim reimbursement shall be

forfeited. I also consent and authorize TPA / insurance company, to seek necessary medical

information / documents from any hospital / Medical Practitioner who has attended on the person

against whom this claim is made. I hereby declare that I have included all the bills / receipts for the

purpose of this claim & that I will not be making any supplementary claim except the pre/post-

hospitalization claim, if any.

Place :

Date : Signature of the insured

******************************************************************************

Claims Documents – Check List

Please note that the following documents to be submitted in original to TPA.

1. Claim form Duly filled and signed

2. Copy of the Claim Intimation, if any

3. Hospital Main Bill

4. Hospital Breakup Bill

5. Hospital Discharge Summary / Card

6. Doctor’s Prescription for Medicine / Investigation

7. Pharmacy Bill

8. Operation Theater Notes

9. ECG

10. Investigation Reports

(including CT / MRI /USG / HPE / Pathology)

11. Others

17

June 2016 SAMVAD

UNITED INDIA INSURANCE COMPANY LIMITED

(Regd. & Head Office: United India House, 24, Whites Road, Chennai – 600 014)

CLAIM FORM – PART B - HOSPITALIZATION

The issue of this form is not to be taken as admission of liability

Please include the original preauthorization request form in lieu of PART A

Name and Address of the Policy Issuing DIVISIONAL OFFICE NO.:8

Office 133 Jahangir Building, First Floor, M.G. Road,

Fort, Mumbai – 400 023.

Tel. 022/22618069/22617637/22616872,

Fax:22616894

DETAILS OF HOSPITAL

a) Name of the Hospital

b) Type of Hospital

Network / Non network)

c) Name of the treating doctor

d) Qualification

e) Registration No. with state code

f) Phone No.

DETAILS OF PATIENT ADMITTED

a) Name of Patient

b) In Patient Registration No.

c) Gender (Male / Female)

d) Age and Date of Birth

e) Date and Time of Admission

f) Type of Admission

(Emergency / Planned / Day care)

g) Date and Time of Discharge

h) Status at the time of Discharge

(Discharged to Home / Another

Hospital / Deceased)

i) Total Claimed Amount

18

June 2016 SAMVAD

DETAILS OF AILMENT DIAGNOSED (PRIMARY)

a) b)

i. Primary Diagnosis i. Procedure 1

ii. Additional Diagnosis ii. Procedure 2

c) preauthorization

obtained Yes / No d) preauthorization

Number

e) If authorization by network hospital not

obtained, give reason

f) Hospitalized due to injury Yes / No

i. If yes, give cause

(Self inflicted / Road Traffic Accident /

substance abuse / alcohol consumption)

ii. If injury due to substance abuse / alcohol

consumption, Test conducted to establish

this. (If, yes attach Report) Yes / No

iii. If Medico Legal Yes / No

iv. Reported to Police Yes / No v. FIR No.

vi. If not reported to police, give reason

DETAILS OF NON NETWORK HOSPITAL

(Only Fill in case of non Network Hospital)

a) Name of the Hospital

b) Address of the Hospital

c) Phone No.

d) Registration No.

e) Hospital PAN No.

f) No. of inpatient beds

g) Facility available in the Hospital i. OT Yes/No ii. ICU Yes/No Others

DECLARATIOIN BY THE HOSPITAL

We hereby declare that the information furnished this claim form is true & correct to the best of my

knowledge and belief. If we have made any false or untrue statement, suppress or concealment of

any material fact, our right to claim under this claim shall be forfeited.

Date : Place : Signature of the insured

19

June 2016 SAMVAD

CLAIMS DOCUMENTS SUBMITTED – CHECK LIST

1. Claim form Duly signed

2. Original preauthorization request

3. Copy of preauthorization approval letter

4. Copy of photo ID card of patient verified by hospital

5. Hospital Discharge Summary

6. Operation Theater Notes

7. Hospital main bill

8. Hospital Break-up bill

9. Investigation Report

10. ICT / MRI /USG / HPE/ Investigation Reports

11. Doctor’s reference slip

12. ECG

13. Pharmacy Bill

14. M.C, Report & Police FIR in case of accidental case

15. Original death summary from hospital where applicable

16. Any other, please specify

***************************************************************************************************************

Attention Members

Family Floater Group Medical Insurance Scheme

Bank's empanelled Insurance Broker M/s Anand Rathi Insurance Brokers Ltd. (ARIBL) have

sent us a list of those pensioners/family pensioners who have taken the Insurance policy under

the captioned scheme by paying requisite yearly premium. Since the list is very exhaustive, we

cannot print it in 'Samvad'. We have, therefore, uploaded it on our Association's website :

www.sbipensionerspune.org at the link "Medical Benefits".

The detailed information regarding the names of the beneficieries (i.e. self and spouse), full

address, the amounts of insurance plan opted for, the name of the pension paying branch, Pension

a/c number, Date of Birth, Third Party Administrator (i.e. TPA) etc. has been given in the list. All

the members who have taken policy may visit our above mentioned website and verify the

particulars against their names, (especially your name, spouse's name)

We have given in our website the step by step actions to be taken for opening the file and

how to find out the name of your pension-paying branch which is given 'Zonal Office-wise' in the

list. On finding your record, If you find any discrepancy in any particulars against your name

given in the list, please immediately contact the 'TPA' stationed at respective zonal office who is

supposed to guide you how to get rectified the same. Also, verify the correctness of the name of

yourself as well as spouse and other particulars given in the Med-Id, when received in due

course on your recorded postal address given in the list.

Though the Med-Id card is not received, you can get medical facility / treatment etc.

under the policy cover for which you are requested to contact the TPA of your ZO who

is supposed to help you in case of emergency. - Secretary

20

June 2016 SAMVAD

COORDINATION OF BANK PENSIONERS' AND RETIREES ORGANISATIONS

A.Ramesh Babu K.V.Acharya

Joint Convener Joint Convener,

Flat No 1506, Block 3A, J-208 Vijay Rattan Vihar,

S.M.R. Vinay Fountainhead, Sector 15, Part II, Gurgaon 122001

Culvary Temple Road, Hyderabad 500049 Mobile: 09868220338

Mobile: 09849381995 E-mail: acharyavedavyasa46@gmail.com

E-mail : babu2609@gmail.com

Dated: 13.05.2016

Shri M.V. Tanksale,

Chief Executive Officer,

Indian Banks' Association,

World Trade Centre 6th Floor,

Centre 1 Building, World Trade Centre Complex,

Cuff Parade, Mumbai 400005

Respected Sir,

Sub: - Bank Pensioners and Retirees issues

We thankfully acknowledge receipt of your letter No. HR&IR/KU/G5/221 dated 06.05.2016 in response to our

letter dated 30.04.2016.

We are happy to note that IBA has already set the process in motion of collecting the latest data/information

from all Public Sector Banks as suggested by the actuary to assess the cost factor and also the provision

requirements as per AS-15(R) regarding 100% Dearness Relief to pre Nov. 2002 Retirees w.e.f 01.05.2005,

Improvement in Family Pension, Updation of Basic Pension, Pension to all leftover Retirees including Compulsorily

Retired Employees and Resignees. We also appreciate your willingness to meet the representatives of our

Organisation for submitting inputs/representations regarding Bank Pensioners' and Retirees issues.

CBPRO is the body of apex level Retirees Organisations covering almost entire Bank Pensioners and Retirees

community from SBI, Public Sector Banks and Private Sector Banks and the purpose of CBPRO is to

facilitate a proper, meaningful and full scale discussions and dialogues in regard to the issues concerning the

Bank Pensioners' and Retirees. Just as Workmen Unions and Officers Associations discuss and negotiate

with IBA in respect of issues concerning the serving Employees and Officers, the Retirees Organisations also

expect their views to be heard and grievances redressed. So far they had not got any opportunity to discuss

their issues with IBA though their number is galloping with massive retirements and the number of such Retirees

may even exceed seven lacs. This large section of Senior Citizen population from the Banking Industry should

not feel left out. It is with that concern CBPRO requested for a formal discussion that too when the issues are

pending unduly for a long time.

We are hopeful that IBA will accord the due status to the Bank Pensioners' and Retirees Organisations

acknowledging their yeomen service to the nation in implementing all the policies of the Government, especially

after nationalization contributing their best to the phenomenal all round economic development of the Nation.

Meanwhile, we appreciate the spirit of the contents of your communication and wish to avail the opportunity of

meeting your good selves to submit inputs and representations from our side in regard to the issues. Hence

from CBPRO a small team will be meeting the senior officials Of Indian Banks' Association at your

office on 26th May, 2016 at 11.00 a.m. with their inputs and representations.

We are eagerly waiting for a purposeful meeting with your good selves.

Thanking you,

Yours Sincerely,

Sd/- Sd/-

A.Ramesh Babu K.V.Acharya

Joint Conveners

21

June 2016 SAMVAD

COORDINATION OF BANK PENSIONERS' AND RETIREES ORGANISATIONS

A.Ramesh Babu K.V.Acharya

Joint Convener Joint Convener,

Flat No 1506, Block 3A, J-208 Vijay Rattan Vihar,

S.M.R. Vinay Fountainhead, Sector 15, Part II, Gurgaon 122001

Culvary Temple Road, Hyderabad 500049 Mobile: 09868220338

Mobile: 09849381995 E-mail: acharyavedavyasa46@gmail.com

E-mail : babu2609@gmail.com

Circular 006/2016 Dated: 30.05.2016

To all the Constituents of CBPRO

Dear Comrades,

CBPRO MEETS IBA

It is a red letter day for Bank Pensioners and Retirees when the CBPRO leadership met the Senior IBA

Officials and held detailed discussions on 26.05.2016 at IBA office Mumbai in respect of Bank Pensioners and

Retirees long pending issues. The wise move by the Apex Bank Retiree Organisations to come together and

form a coordinated body named as Coordination of Bank Pensioners' and Retirees Organisations led

to this welcome development of getting an audience with the IBA. This facilitated a meaningful dialogue. This

also ensured dignity and self respect to the Senior Citizens of the Banking Industry. The IBA response throughout

the discussion had been one of cordiality, concern and solemn assurances on their intentions and keenness

to sort out the issues.

The IBA team was led by Shri K. UnniKrishnan, Deputy Chief Executive accompanied by Shri K. S.

Chauhan, Senior Vice President. The CBPRO team consisted of Com. A.Ramesh Babu, General Secretary

SBI Pensioners' Federation and Joint Convener CBPRO, Com. K.V.Acharya, President AIBPARC and Joint

Convener CBPRO, Com. Ramesh Deshpande, General Secretary RBONC, Com. R.K. Acharya, General

Secretary AIRBEA, and Com. M.D. Deshpande, President FORBE. The team was also assisted by Com. K.S.

Rengarajan of AIBPARC, who had made exhaustive calculations in respect of 100% DA, Improvement in Family

Pension and Pension Updation. The CBPRO also submitted a representation to the IBA emphasising the need

to show great urgency in resolving the issues. The list of the issues to be discussed was also submitted.

Shri K. Unnikrishnan, Deputy Chief Executive IBA, in his initial remarks expressed the keenness of IBA to

resolve the long pending issues but at the same time also expressed anxiety of IBA about the health of various

Banks which has become a hindering factor in meeting our expectations. He informed us that IBA is in the final

phase of getting the Actuary's report as all the data pertaining to the issue of 100% DA Neutralization and

Improvement in Family Pension have been received from the Member Banks and already handed over to the

Actuary.

Com. A.Ramesh Babu, Joint Convener CBPRO, thanked the IBA for giving the opportunity to CBPRO to

discuss the issues and described the event as a satisfying development and hoped that the deliberations

would culminate in the resolution of the issues. He also explained to the IBA about the formation of CBPRO

and hoped that this would facilitate meaningful dialogues with Bank Pensioners' and Retirees Organisations.

During the course of the meeting IBA pointed out about the cost implications and the huge provisions

Banks have to make to meet the requirements of AS 15 (Revised) in respect of provisioning. However the

CBPRO responded elaborately and some of the main observations from our side are mentioned hereunder :

1. As regards Uniform DA Relief, the Number of the Retirees deprived are less than one third of the total

Number of Retirees including SBI and out of that nearly thirty thousand have already crossed the age

of 85 and looking at their very advanced age justice should be delivered to them before it is too late.

2. As regards Family Pension, it is an emotional issue apart from being a humanitarian issue. The bulk

of the Family Pensioners are widows of the Retired Employees and going by the sensitivity involved

the IBA should initiate improvement of Family Pension to 30% from the present 15% without any

ceiling.

3. Regarding Pension Updation, IBA expressed its reservations to take up the issue immediately. We

submitted that non updation from 1989 onwards has resulted in great and unimaginable distortions

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June 2016 SAMVAD

and if not set right the gap between the recent Retirees and old Retirees would further steeply widen.

We also stated that the Courts have held that Wage Revision and Pension revision are

inseparable.

4. Extending Pension entitlements to Resignees is a well settled matter with the Judicial pronouncement

by the Highest Court of the Land and their number being just less than four thousand the IBA should

implement the Court order in respect of all eligible Resignees. So also in respect of Compulsorily

Retired, the Pension eligibility should be given to all Retirees irrespective of the fact that they are award

staff or officers. Here also we pointed out that there are decided cases where Courts have upheld the

right to Pension to the Compulsorily Retired Persons.

5. As regards domiciliary treatment entitlements from the newly introduced Medical Insurance Scheme,

the IBA showed us the serious correspondences they have undertaken with the Insurance Company

insisting on the Insurance Company to implement the Scheme in its original form without any distortion

and assured us that they would ensure the full implementation of the scheme. We also pointed out

that the Government communication in the year 2012 had asked IBA to come out with a Medical

Insurance Scheme both for Serving Employees as well as Retired Employees and never intended the

scheme to be different for Serving Employees and Retired Employees. The Insurance Company can't

and should not meddle with the provisions of the last wage settlement between the Unions and IBA in

respect of the Medical Insurance Scheme. We also requested IBA to advise all member Banks to

extend the Medical Insurance Scheme to all Ex-Employees and Officers even if those ex-Employees/

Officers have undergone extreme penalties in disciplinary proceedings. The reason being that

Medical treatment is an issue of extreme sympathy and also the persons covered are ready

to pay the premium from their own sources and the Insurance Company also wants to cover

large number of persons.

6. We also had discussions on leave encashment to Compulsorily Retired persons without any cutoff

date and also permitting Retired Employees and Officers to defend those who are unfortunately

subjected to charge-sheets even after retirement.

Comrades, from the repeated assertions made by the IBA during the course of our discussions, we hope that the

extension of 100% DA neutralization and improvement in Family Pension would get top priority by the IBA. On Updation

also the IBA will take a favourable view and ensure that the legal and statutory requirements are given due consideration

and help in removing the serious erosion that has taken place in the Basic Pension in the case of Past Retirees due to

various subsequent wage settlements. We had also pointed out that Pension is coming under the Defined Benefit

Pension Scheme and also being a close ended scheme the availability of huge corpus should enable the resolutions of

the issues without any further burden on the Banks. Moreover, since Pension Regulations are statutory Regulations,

these Regulations get precedence over all other provisional requirements including provision for NPA.

We are extremely thankful to Shri K. Unnikrishnan, Deputy Chief Executive IBA who sat through for one hour

though he was busy with ongoing interviews in IBA. He set the tone for the meeting in a very positive way. The meeting

continued for another one hour along with Shri K.S. Chauhan, Senior Vice President, where issues were discussed with

further details and he warmly appreciated the homework done by CBPRO in collecting the required information and

arriving at calculations. The inputs submitted by us were duly received and appreciated.

Comrades, we have given in a nutshell the important points of discussion. We hope with this meeting a new era

has started for Bank Pensioners and Retirees and formation of CBPRO had been a great effort by the Apex Retiree

Organisations who exhibited throughout a spirit of comradeship to achieve the common objective of ensuring justice to

the Bank Pensioners and Retirees. We once again appeal to all to join the CBPRO and further strengthen the Bank

Pensioners and Retirees Movement.

CBPRO is also seeking the support of UFBU to use their good offices with the IBA and help us in achieving the

objectives of Retirees Movement. CBPRO firmly believes that it is an organisation which strives for the benefit of all Bank

Employees and Officers, PAST, PRESENT and FUTURE and with the number growing and vibrancy demonstrated we

are confident that SUCCESS SHALL BE OURS.

With Warm Greetings,

A.Ramesh Babu K.V.Acharya

Joint Conveners

******************************************************************

N.B. : - The above discussions were held with IBA purely on informal basis which please be noted. Only to

appraise the members about this we have reproduced the above letter. - Secretary

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June 2016 SAMVAD

(We reproduce hereunder the letter written by our Federation to Corporate Centre, Mumbai regarding short supply of

medicines at Bank's dispensaries for information of members)

Federation of State Bank of India Pensioners' Associations

Ref: CC/2/2016-17 Date: 10-05-2016

The Deputy Managing Director and CDO,

State Bank of India,

Corporate Center

Madam Cama Road,

MUMBAI-400021

Respected Sir

SHORTAGE / SHORT SUPPLY OF MEDICINES AT DISTRICT DISPENSARIES

We bring to your kind attention that the dispensaries maintained by the Bank at the District Centres

are experiencing shortage of medicines/short supply of medicines causing greater inconvenience to the

pensioners/family pensioners. In this connection we have to advise that the Branches do not follow norms

for supply/stocking of medicines as per the extant circular instructions presuming itas an expenditure item

for the branch which ultimately results in drain on the profits of the Branch though the Branch is aware that

the expenditure incurred is reimbursable at the end of the financial year by debit to Local Head Office of the

respective circles. We on our part tried to impress up on the Branch Managers that theimpact of the

expenditure is purely temporary in nature but in vain and the position of shortage continued as before.

Another area of concern is, the Doctors appointed on contract basis are shy of requisitioning of medicines

like insulin etc. on the pleas that they are not supported by any assistance to keep the stock of medicines

and storing thereof. Consequently they are requisitioning only those medicines which can be easily handled.

Therefore, we request you to reiterate the circular instructions once again to all Circles. Kindly do the

needful.

Yours faithfully

(A.Ramesh Babu)

General Secretary

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