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1. National Organisation of Insurance Pensioners is the only pensioners' organisation registered under the Indian Trade Union Act, 1926....

Wednesday, March 26, 2025

NOIP Circular No 5 - 2025

 NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 03-02-2025

Cir No 5/2025

Shri. Pankaj Chaudhary ji,

Honourable Minister of State for Finance,

North Block, New Delhi

Respected Sir,

Sub: Long pending issues of pensioners of L I C of India

At the outset, we extend our hearty greetings on your having adorned the important portfolio of

MOS, Finance and heading the financial sector, the back bone of Indian economy.

We, the hapless pensioners of LICI, look forward to you, seeking your immediate intervention to

resolve the decades long pending issues of ours. In a nut shell, the same are narrated here

below as bullet points-

➢ We are happy that the Modi Govt gave OROP to defence personnel; set to update the

pension of central govt pensioners as on 1-1-2026; notified the UPS (Unified Pension

Scheme) for 30 lakhs pensioners of GOI; updated pension of RBI pensioners/family

pensioners as on 2017 wage revision and learn that increased pension for EPF

pensioners is on the cards.

➢ But, unfortunately the pension of LIC pensioners/family pensioners is not updated since

the last 38 years, though ours is a funded scheme; since the entire contribution of PF by

employer has been forgone by the pension optees in LIC. This amount was transferred

to the LIC pension fund along with interest accruals thereon. Whereas for central govt

pensioners, pension is being paid, by debiting the consolidated fund of India.

➢ The joint delegation of insurance sector unions affiliated to BMS, met the FM Smt. Nirmala

Sitharaman ji on 10-10-2024 under the leadership of S/Shri. Surendran ji, Organising

Secretary, BMS & Girish Arya ji, Secretary and In Charge, financial sector unions of BMS.

The discussions lasted for about 80 minutes and the undersigned narrated in detail the

pension related issues pending for decades. Madam heard with all seriousness and gave

positive indications duly getting confirmed the details of issues with the Secretary, DFS,

Shri. M. Nagaraju, who was present throughout the meeting.

➢ As a follow-up action, Shri. Arya ji met Shri. M Nagaraju, Secretary, DFS on 21-10-2024 and

the latter confirmed that necessary instructions are passed down the line regarding the

issues raised with the FM.

➢ Again on 10-01-2025, Shri. Somesh Biswas, Dy In Charge, Insurance sector unions of BMS,

met the Joint Secretary, Insurance, Dr. Prashant Goyal for follow up and had a detailed

discussion. The latter informed that the issues are being looked into.

➢ After the meeting with the FM, the undersigned met the Joint Director/Under Secretary,

DFS on 4-5 occasions as a matter of follow up.

➢ In addition to the pension updation, the following issues are also pending for resolution.

➢ One more pension option to the left-over ex-servicemen and directly recruited

Superintending/Executive engineers and resigned employees (whose total number is in

hundreds).

➢ Increased pension to 80+ seniors.

➢ Double the family pension up to age 67 in case pensioner dies before age 67.

➢ Computation of pension at 50% of last pay drawn or 50% of last 10 months’ average pay,

whichever is favourable to the retiree.

➢ Full pension for service of 20 years or more.

➢ One time ex gratia to pensioners aged 60 to 69 (who were left over while granting the

same in May 2024).

➢ Reduction in commutation period to 10 years.

➢ Grant of NGI to the retiring employee if it falls due on the very next day of retirement.

(say after midnight on the last date of retirement).

➢ 100% DR (Dearness Relief) neutralization to the pre 8/97 retirees, as was granted to such

bank retirees, those who retired prior to 11/2002.

We have written to Joint Director, Insurance vide our letter dtd. 23-01-2025, giving justifications for our

demands, which is enclosed here with for your kind knowledge.

We request you to advise the Secretary, DFS to take immediate steps to resolve our issues without any

further loss of time.

We also request you to provide us an opportunity to meet you in person to explain the issues in detail.

We eagerly await to meet you, Sir.

With thanks and regards,

Encl: As above

Yours Sincerely,

General Secretary

NOIP Circular No 4 - 2025

 NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 23-01-2025

Cir No 4/2025

Smt. Neha Chauhan,

Joint Director (Insurance),

Department of Financial Services,

Jeevan Deep building,

Parliament Road, New Delhi.

Respected Madam,

Re : Pension Revision and allied matters in respect of pensioners of LIC of India

Madam, I was anxious to meet you personally and came thrice to your office. But to my ill luck, you were

out from office on various assignments. This is further to the meeting with you by our office bearers Shri.

Rajiv Sharma and Shri. Arvind Mittimani on the 21st instant. I here below give the details of pending issues,

which we have been following up with DFS since a decade.

The Pension Rules for LIC Employees were Notified on 28-06-1995 and were made effective from

01-11-1993 to those who have retired on or after 01-01-1986. These LICEPR, 1995 were based on the

then prevailing CCS Pension Rules, 1972 & CCS (Commutation of Pension Rules, 1983).

We would like to bring to your kind consideration the following few points expecting positive outcome at

the earliest.

I) PENSION REVISION WITH EVERY WAGE REVISION IN LIC :

Ever since the implementation of LIC Employees’ Pension, Rules 1995, the Basic Pension of the

Pensioner/Family pensioner has NOT UNDERGONE UPWARD REVISION even once in these 39 years.

Pension Revision is the need of the hour now, for the following reasons.

Justification i) The Pension Revision for Central Govt Pensioners came only with the

recommendations of V CPC submitted in 1997 and accepted by the Central Govt. So, with effect

from 01-01-1996 Revision in Pension was done for C G Pensioners by means of OM.

Justification ii) Since LICEPR, 1995 were based on CCS Pension Rules, 1972 and were notified prior

to the implementation of V CPC recommendations, provision for Pension Revision to LIC

Pensioners was not incorporated.

Justification iii) It is only in CCS Pension Rules, 2021 that provision for Pension Revision was

incorporated in the form of Rule 66.

Justification iv) LIC Pensioners are still in IV CPC mode, deprived of Revision for 39 years.

Justification v) The effect of this, is that a Pensioner retired prior to 31-07-1992 in Executive

Director cadre draws lesser pension than the present-day retiree Pensioner in Driver cadre. This is

the greatest anomaly on the earth and a great humiliation being suffered by the Super Senior

Pensioners.

Justification vi) In RBI, in 2019, their pensioners were given pension up dation as on 2012 wage

revision. And again in 2023, revision was made up to 2017 wage revision & both these pension

revisions were made applicable to family pensioners also.

Hence, there is an urgent need to revise the pension at the current wage revision level.

We are very much thankful to the present Govt, for enhancing the Family Pension to uniform 30% wef

11-09-2023. However, we appeal to you to Revise Family Pension also in the same proportion, when

Pension Revision is effected to Retiree Pensioners of LIC.

II) ONE MORE PENSION OPTION TO THE LEFT OUT EMPLOYEES:

We are very much grateful to Late Sri Arun Jaitley ji for giving OMOP (One More Pension Option) to LIC

employees in 2019. However, the following categories of Employees were left out in the option

notification. DFS notification did not allow them to exercise the option. All 3 categories put together; their

number is less than 200. Hence, they too may please be offered an option to join LIC Pension Scheme.

1. Directly Recruited Superintending and Executive Engineers:

Justification i) There are only about five directly recruited Superintending Engineers and Executive

Engineers (in single digit) who were recruited in 1996 or so.

Justification ii) Out of their sheer ignorance they opted for PF. They were denied the option to join

in 2019 notification.

Justification iii) They stand on the same footing as 28000 odd PF optees, who were given an

opportunity to join pension scheme. (because these 28000 employees also had opted PF in 1995

after the pension notification).

Justification iv) Total outlay is highly insignificant.

Justification v) LIC has already recommended this to DFS. Hence, please allow these engineers

(who are in single digit) to re-exercise option to join the Pension Scheme.

2. Ex-Servicemen joining LIC during 1996-97 :

Justification i) There are only about 80 such employees who belong to ex-servicemen category

who opted for PF.

Justification ii) There was a valid reason for them to opt for PF, as there was only ONE Family

Pension allowed for them that time. Either they were required to choose Military Family Pension

or LIC Family pension. Hence, they opted for PF in LIC.

Justification iii) However, this restriction was subsequently removed by Central Govt in 2013.

With this, the family of an Ex- serviceman will be eligible to get both Family Pensions.

Justification iv) Total outlay is highly insignificant.

Justification v) They too stand on the same footing as 28000 odd PF optees, who were given an

opportunity to join pension scheme. (because these 28000 employees also had opted PF in 1995

after the pension notification).

Justification vi) LIC has already recommended this to DFS.

Justification vii) Modiji, PM, has shown a lot of favour to ex-servicemen by offering OROP. These

people have guarded our borders during their defense services. A little favour to these

minuscule ex-servicemen of LIC would be a most welcome step.

Hence, they may please be allowed to opt for LIC Pension Scheme of 1995, now.

3. Resigned Employees: Justification i) There are less than 200 lady (majority) employees who opted for VRS for their

family commitments (not going to greener pasture) and who were PF Optees.

Justification ii) Though they have completed more than 20 years and up to 35 years of service,

their VRS was treated as resignation and not VRS, quoting Rule 19-§(2A) (a) of the LIC Staff Rules,

1960 and thus pension option was denied to them.

Justification iii) This is the most draconian Rule, which deprived them from getting Pension.

Because as per pension rules, one is permitted to opt for VRS if 20 years’ service is completed. For

your ready reference the Rule 19-§(2A) (a) is quoted below:

“Notwithstanding what is stated in sub-rules (1) and (2) above, an employee may be permitted to

retire at any time on completion of age 55 after giving three months’ notice in writing to the

appointing authority of his intention to retire.”

Justification iv) However, after introduction of LICEPR, 1995 one can opt for VRS after 20 years of

service without any age restriction.

So, this harsh & draconian Rule 19-§(2A) (a) should be deleted from LIC Staff Rules, 1960 and all

such Resignees be given One More Option to join LICEPR, 1995.

Justification v) There was a similar draconian provision in Bank Staff Rules also. Such resignees

were denied pension option in 2010. However, IBA allowed such employees who were treated as

Resignees to opt for Pension in the 12th BPS between IBA and UFBU in 2023 and as on date, it

stands implemented in all the Banks.

III) PENSION FIXATION ON LAST PAY DRAWN WHERE IT IS BENEFICIAL:

In LICEPR, 1995, on Retirement (whether superannuation/VRS) the Basic Pension gets fixed by taking into

account last 10 months’ average pay. This has led to a great anomaly in case of those who retire during

the wage revision period. For eg there was a wage revision in LIC effective from 1-8-2022. One who retires

in August 2022 to April 2023, comes under this anomaly. Suppose for the one who retires on 31-8-2022,

10 months’ counting back starts from August 2022 to November 2021. For August 2022, new revised basic

pay is taken. For other 9 months pre-revised old basic is counted with old DA for 9 months. Effectively, his

basic pension comes down, and over and above, reduced new DA rate is applied. Hence, after wage

revision, his gross pension will be reduced hugely.

Justification i) The 6th CPC recommended and GOI accepted to change the method of Pension

fixation at 50% of 10 months’ average OR 50% of last pay drawn, whichever is beneficial to the

retiring employee.

Justification ii) Even many State Governments too implemented this recommendation taking cue

from the 6th CPC.

Justification iii) Taking average of 10 months for fixation affects adversely – a) those who get their

Normal Grade Increment/Stagnation increment released within the last 10 months, b) those who

are placed on higher Scale (in lieu of Promotion) within the last 10 months etc.

Justification iv) LIC has recommended to DFS to grant both the options whichever is beneficial to

the retiring employee.

Hence, the Pension fixation be done on Last pay drawn OR last 10 months’ average, whichever is beneficial

to the employee.

ALL EARLIER CASES TO BE REOPENED AND PENSION BE REFIXED, EVEN THOUGH NO ARREARS ARE PAID.

IV) FULL PENSION (@50%) AFTER COMPLETION OF 20 YEARS OF SERVICE:

At present full Pension is payable on completion of 33 years of service. If service is less than 33 years, then

Pension is reduced proportionately.

This affects adversely the following categories of employees:

Justification i) Ex-Servicemen join LIC service at a higher age after retirement from Defense

service. So, they do not complete 33 years of service. Hence get proportionately lesser Pension.

Justification ii) Ex Emergency commissioned officers who join LIC, also cannot complete 33 years’

service. Neither they get pension from the Defense Dept nor their service in Defense services is

counted while fixing the pension in LIC. On both the counts they are losers.

Justification iii) The SC/ST/OBC persons join LIC service at a higher age, because of age

concession to them. They also do not complete 33 years of service. Hence get proportionately

lesser Pension.

Justification iv) Those who are directly recruited to higher cadres– like Chartered Accountants,

Engineers, Actuaries etc, do not complete 33 years of service. Hence suffer loss in monthly

pension.

Justification v) Development Officers recruited from Agent’s category also do not complete 33

years of service. Hence do not get full Pension.

Justification vi) The 6th CPC recommended and GOI accepted Full Pension ie 50% after completion

of 20 years of Service. Many State Govts followed the suit.

Justification vii) For Reserve Bank of India employees the period for getting Full Pension ie 50%

got reduced from 33 years to 20 years vide Circular dated 7th December 2012.

Hence, it is a dire necessity that LIC Pension Rules, 1995 be amended to give effect to Full Pension after

20 years of Service.

V) FAMILY PENSION at 50% TO FAMILY PENSIONERS UPTO AGE 67 YEARS:

Justification i) In 1995, the retirement age was 58 years. So, in case of the unfortunate death of

an Employee or Pensioner before age 65, the Family Pensioners were paid double the normal

family pension rate for 7 years OR till age 65 years whichever is earlier.

Justification ii) However, the retirement age got increased to 60 years on the recommendation of

5

th CPC and accepted by GOI and OM dated 30th May, 1998 was issued. The same was applicable

from 1st May, 1998. The GOI accepted recommendation of 5th CPC and vide OM ref: P&PW(E)

dated 02-02-1999, extended family Pension at 50% up to age 67 years.

Justification iii) LIC has recommended this to DFS for consideration.

In LIC the same would have been implemented in 1999 itself. But despite several attempts to get it done,

no positive result emerged.

At least now we hope, this would see the light of the day.

It is a different matter that at present in some cases Family Pension is paid at 50% for 10 years, where the

employee dies while in service.

VI) ADDITIONAL PENSION TO RETIREE PENSIONERS & FAMILY PENSIONERS AFTER ATTAINING AGE 80:

Justification i) The 6th CPC recommended and GOI accepted the recommendation of Additional

Pension to Retiree Pensioners and Family Pensioners at the rate of 20%, 30%, 40%, 50% and 100%

of Basic Pension on attaining the age of 80, 85, 90, 95 and 100 years respectively vide OM ref

38/37/08–P&PW(A) dated 02-09-2008.

Justification ii) Almost all State Govts also extended this benefit to their super senior pensioners.

Justification iii) LIC has already recommended this to DFS.

Even after lapse of 19 years, LIC Pensioners have been deprived of this benefit.

The reason given by 6th CPC for granting Additional Pension holds good in case of LIC Pensioners

as well.

Hence this benefit also be extended to LIC Pensioners.

VII) REDUCTION IN PERIOD FOR RECOVERY OF COMMUTATION AMOUNT:

The recovery period of Commutation Amount is 15 years, as per LICEPR, 1995. There is a need for

reduction in the term of recovery.

Justification i) This period was fixed when the interest rate was 12%. Now that the interest rates

have come down to 6 to 7%.

Justification ii) Mortality rate has come down and longevity of pensioner has increased. Thus, full

recovery of commuted portion is ensured.

Justification iii) Some of the State Governments like Gujarat etc have reduced the period from 15

years to13 years, on their own.

Justification iv) Many litigations are pending in various High Courts and stays/verdicts are coming

out in favour of the pensioners.

So, to avoid unnecessary and unproductive litigations, an Actuarial investigation may be caused by GOI

and suitable decision to reduce the Period of recovery of C V may please be taken at the earliest. For those

from whom full 180 months recovery has been made, the excess amount so recovered, may please

refunded to them.

VIII) GRANT OF INCREMENT DUE ON NEXT DAY OF RETIREMENT:

Justification i) The Supreme Court of India vide its Judgement in:

Director (ADMN) KPTCL vs C P Mundinamani, 2023 SCC Online SC 401,

it was held that Increment falling due on 1st JAN & 1st July should be released to the employee

although he has retired on 31st Dec OR 30th June and has completed 12 months of service.

This Judgement was implemented by GOI. Several WPs followed this. The GOI filed SLPs/ Review

Petitions etc. Finally, they issued an OM on 14-10-2024 accepting the SC Order and granting

Notional Increment and counting it for Pensionary Benefits.

Justification ii) The ratio laid down in the above Judgement of SC was made applicable in

Shailesh Tiwari vs SDM LIC of India and others (WP – 19950 – 2024). Mr. Tiwari retired on

30-06-2023 and judgement was passed to grant Increment due on 1st July and to refix the Pension

and pay arrears with 7% interest, by the High Court of Madhya Pradesh at Jabalpur.

Hence, it is imperative that the LIC of India also honours the above Judgements and releases Notional

Increments to all those whose Increment falls due on the next day after retirement. The Pension fixation to be reopened in all such cases and arrears to be paid.

IX) 100% DR neutralization to those who retired prior to 1-8-1997

Even now the truncated DR (Dearness Relief) is being paid to those pensioners retired prior to

1-8-1997 but not 100% neutralization.

Justification i) After plethora of cases in various Courts including SC, ultimately the case was

decided by the Delhi HC in 2017 and unfortunately the verdict gave a DR, which worked out to be

less than 100% neutralization, though the judge accepted the petitioner’s demand, but

erroneously fixed the rate of DR.

Justification ii) Similar issue was pending with the IBA and also in various Courts in respect of Bank

pensioners, who retired prior to 1-11-2002. At last, such Bank retirees got the full relief after the

IBA signed the minutes with the UFBU (United Forum of Bank Unions), wherein 100% DR

neutralization was granted to such retirees. This MOU was signed after bilateral discussions,

despite the fact that this issue was pending in various Courts. Hence, usual alibi that the matter

is sub judice, was given a go by. This MOU already stands implemented in Banks after the

approval of DFS.

Hence, we appeal to you to grant 100% DR neutralization to the pensioners who retired prior to 1-8-1997.

In view of the above justifications provided in respect of each issue, we implore upon you to provide the

desired succour and oblige.

With kind regards,

 Yours Sincerely,

 General Secretary

 (Ashok J. Joshi)

 

NOIP Circular No 3 - 2025

NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 22-01-2025

Cir No 3/2025

The Executive Director (Per),

LIC of India, Central Office, Yogakshema,

MUMBAI,

Dear Sir,

Re. Improvement/addition in Group MediClaim policy for the year 2025-26.

We wish you and all staff members a VERY HEALTHY AND HAPPY NEW YEAR.

We reiterate below some of our long pending demands regarding Group mediclaim

policy.

Shortly discussions may start at your end with the New India Assurance company Ltd.,

for renewal of the Policy wef 01.04.2025. Hence, we felt it appropriate to place our

reminder request for your kind consideration and taking up with NIA.

1. One-time option for inclusion in the policy for all left out cases including parents and

parents-in-law (for what so ever reason); to give one more option to VRS optees; and

also, to include son in law and daughter in law (as is allowed for GIPSA retirees).

2. ADD ON COVERES:

a. Reimbursement of OPD TREATMENT. Retirees and pensioners may be allowed

OPD EXPENSES.

Else, a separate policy for OPD may be chalked out as in the case of RBI Pensioners.

b. Hospital cash benefits of 1% of S.A., for a maximum of 30 days, as available in

general insurance mediclaim policy.

c. Preventive health checkup benefit, every year. This will reduce claims.

3. Increase basic Floater Sum Insured from 10 lac and 15lac to 15 lac and 20 lac with

100% contribution from LIC.

Increase Optional Total Sum Insured 75 lac to One Crore, with an option to insured

member/family Pensioner, to reduce the sum assured from the next annual renewal

date.

4. Coverages:

a. Room rent should be based on S.A, since the insured pays the same premium irrespective of his place of stay (whether Metro/City/Village).

For other than A class metro cities, the room rent limit has not at all increased for a long

time. This needs to go up.

We suggest Rs.12,500/- room rent per day up to 30 Lacs and Rs.15,000/- for 40 Lacs

and above Sum Assured.

b. Presently, NURSING CHARGES are also included in the Room rent. The same

should be reimbursed separately (not as a part of room rent).

c. If one gets admitted in a room with higher rent than eligibility, then all other charges,

except medicine and implants - are reduced proportionately. Our request is, in such

cases, room rent should be reduced proportionately, and all other charges are paid in

full.

5. Please delete " *However the following expenses are not payable” mentioned on the

page no.4, clause 7 a, b, and c as most of the items mentioned are payable as per the

annexture II (item no.75,76,134,84,96,102,155,12, 78, 45, 56 91,23, 87, 104, 189, 78,

12,91,23,135,15,149,58,150,198), some items are used by doctors for diagnosis and

Ambulatory devices that are very much part of the treatment as advised by treating

doctor. They are not used for personal comfort. Hence, unless this part is deleted, it will

create contradiction and confusion, which leads to the wrong settlement of claim.

We also request you to overhaul the annexture II and allow more items as payable.

Item no129 Mortuary charges be increased from 24 hours to 48 hours.

6. Pre - and post hospitalization Medical expenses be allowed 60/120 days.

7. In the case of Renal Failure, Organ Transplantation and Cancer related ailments,

post hospitalization limit of 60 days is waived. We propose more life-threatening

diseases, such as Open Heart Surgery, brain, and central nervous system related

diseases, osteoporosis, spine, Veno plasty surgeries, Diabetes and the cost of Botex

injection may be included in the above list.

In the master policy, certain Cancer like treatment, post 60 days hospitalization

conditions are waived. TPA is disallowing the cost of Medicines NOT pertaining to

Cancer like drugs such as DM and HTN. These used to get reimbursed earlier.

We demand that all medicines prescribed at the time of discharge should be

reimbursed.

Chairman's relief fund exists for in service Employees. A similar fund may be created for

pensioners. In a few cases, TPA denies claim amount in total or in part. If this amount

exceeds Rs 1000, this may be reimbursed from this Fund. The maximum limit can be

fixed as per the pensioner family floater.

For some age-related problems like Alzheimer/Paralysis/Fracture/Accident, it becomes

difficult to take care of patients at home even after keeping a full-time attendant. In such

cases, the patient is kept in Day Care Centre or Asylum. The charges of such a centre

may be reimbursed on a monthly basis.

8. Cashless reimbursement through TPA.

TPA should give total cashless reimbursement, and hospitals should not be allowed to

receive any amount from Insured.

Whenever the General Insurance Council (GIC) in consultation with general and health

Insurance companies has launched CASHLESS EVERYWHERE initiative to extend the

cashless treatment at all Hospitals, our Insurer NIA should also implement the same

through the TPAs available.

In that case, we propose for abolishing or suitably modifying clause 4(a) of Policy

condition at page 14.

TPA should arrange 24×7 hours service, and their NETWORK HOSPITALS be set up

to Taluka level in the entire country.

They should settle the final bill very fast within two hours at the time of discharge of

patient and also not ask lump sum deposit amount during non-working hours/days.

Where Cashless facility is not available due to non-Empanelment in Reputed Hospitals

– (Like TATA CANCER HOSPITAL etc in Kolkata)- LIC should come forward to

advance money to the hospital on behalf of insured/Claimant and the same can be

recovered while settling the bill. This is because the treatment of cancer is costly and

reputed organisation like TATA CANCER Hospital doesn’t like to be empanelled.

9.All Zonal TPAs should coordinate among each other and provide their network

hospitals for treatment of insured members of other OTHER ZONES on a cashless

basis.

10. Examination relating to diagnostic tests without hospitalization:

The list should be more comprehensive, and the cost of the tests mentioned in the list

will become increased by at least 25%. Include sleep apnea, VTR WITH MVO/SUC test,

allergy reports, stress Thallium test, and more diagnostic tests; and conditions may be

liberalized. We propose all tests which cost Rs.1000/- or more to be reimbursed along

with doctor’s fees. MD DOCTORS ARE NOT AVAILABLE IN RURAL/REMOTE

CENTERS or at the time of emergency situations. Hence conditions

may be relaxed, and MBBS DOCTORS be allowed to prescribe for the above tests.

11. Sub-limit Clause:

a. The present limit of cataract operations is Rs.70,000/- per eye, which is not

reasonable. Limit should be removed and reimburse full cost of treatment and cost of

spectacles.

b. AYUSH:

As per government policy, Ayush treatment is to be promoted, and our insured

members are very much inclined to it. IRDA vide Circular

IRDA/HLT/CIR/GDL31/01/2024 has clearly stated to consider AYUSH treatment at par

with other treatments w.e.f 1.4.2024. As such, we request to remove restriction of

reimbursement of 25% of sum insured and TPAs be advised to act as per the IRDA

GUIDELINES and enrol more and more network hospitals for Ayurvedic and

Homoepathy treatment and allow cashless facilities. Treatments like Shirodhara, Steam

bath, and Panchakarma should be allowed.

c. Ambulance charges be revised upward, and restrictions are removed. Ambulance

charges from hospital to home be allowed.

d. Age Related Macular Degeneration (ARMD) and treatment for retinal diseases by

intravitreal/intra occular injection/intervention are admissible only up to 1 lakh per

member per eye per year, which is very insufficient. Our members are facing hardship because of the ceiling. The ceiling limit is to be removed, and the actual amount be

reimbursed.

e. Psychiatric and psychometric disorders are payable up to a limit of Rs.50000/-. This

limit may be removed, and pre and post 30/ 60-day treatment charges may also be

reimbursed.

f. In case of domiciliary hospitalization or where the condition of the patient after

discharge from the hospital is such that he/she needs the services of unqualified

domestic aid/qualified nurse, full reimbursement be provided for the same for both

qualified nurses or unqualified domestic aid, as the case may be.

g. Pre and post hospitalization Physiotherapy limit of 40,000 be removed and limit of

30/60 days pre and post hospitalization expenses be waived, allow physiotherapy

treatment at home for all such patients as per the advice of treating Doctor.

12. MATERNITY EXPENSES BENEFITS: Normal and caesarean delivery benefit cap

be removed, and expenses other than hospitalization also be reimbursed.

13. EXCLUSION CLAUSE, list contains 26 items, this should be overhauled to reduce

as much as possible. Vaccination and Inoculations expenses be reimbursed.

a. Reimbursement of all types of dental treatment and costs of dentures, root canal

treatment be reimbursed.

b. Now, HCPT reimbursement is allowed for treatments taken outside India for in￾service employees. Many retirees/pensioners visit foreign country (as their siblings are

in a foreign country). Reimbursement of expenses incurred in hospitalization treatment

out of India should be included in the policy (removed from exclusions).

c. PRP (Platelet Rich Therapy)- This is less expensive and less painful compared to

joint replacement surgery, same should be included for reimbursement in lieu of joint

replacement.

d. Robotic surgery should be allowed wherever this facility is opted by a treating doctor.

e. Cost of hearing aids be allowed.

14. General:

a. Senior citizens be given preferential treatment by TPA AND NIA.

b. Insisting for KYC for each and every claim, should be dispensed with. (Since all

claims are processed through D.O.)

c. Submission of Claim form online and claim documents be allowed online through soft

(scanned) copies, instead of submitting hard copies in the OS dept., because senior

citizens cannot be expected to be mobile.

d. PPN must not be made applicable by NIA for LIC policy holders/members under our

MediClaim policy.

e. A and B class cities for mediclaim purpose should be on the basis of CCA cities as

applicable in LIC.

f. More diseases are included, such as sebaceous cyst surgery, in Annexture III, where

24-hour hospitalization is not mandatory.

g. Option to join the scheme be given to all i) resignees, ii) to those who resigned on

health grounds, irrespective of their date of retirement (the cutoff date prescribed is

16-1-2018).

We vehemently appeal to you to consider our suggestions/improvements and call

NOIP delegation for discussions, at the time of negotiations with New India Assurance Company Ltd., for the year 2025-26.

With thanks and regards,

Yours sincerely,

General Secretary

 

NOIP Circular No. 2 - 2025

NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 22-01-2025

Cir No 2/2025

The Chief Executive Officer & MD,

LIC of India, Central Office,

“Yogakshema”, MUMBAI.

Respected Sir,

Re: Pending pension related and other issues.

This is an addendum (point No 10) to our earlier letter dtd 19-1-2025. This important aspect had missed

our attention though we have already written to you about this issue vide our letters dtd. 3-9-2023 and

17-12-2023.

We have been demanding 100% DR neutralization to the retirees, who have retired prior to 01-08-1997.

After plethora of cases in various Courts, ultimately the case was decided by the Delhi HC in 2017 and

unfortunately the verdict gave a DR, which worked out to be less than 100% neutralization.

Similar issue was pending with the IBA and also in various Courts in respect of Bank pensioners, who

retired prior to 1-11-2002. At last, such Bank retirees got the full relief after the IBA signed the minutes

with the UFBU (United Forum of Bank Unions), wherein 100% DR neutralization was granted to such

retirees. This MOU was signed after bilateral discussions, despite the fact that this issue is pending in

various Courts. Hence, usual alibi that the matter is sub judice, was given a go by. This MOU already stands

implemented in Banks after the approval of DFS.

Hence, we appeal to you to take a magnanimous view and recommend to the DFS for grant of 100% DR

neutralization to the pre 8/97 retirees and oblige.

Since the number of such retirees is minuscule, the financial liability on the Corporation would be quite

negligible.

An immediate action in the matter would be highly appreciated.

With thanks and regards,

 Yours Sincerely,

 General Secretary 

Sunday, January 19, 2025

NOIP CIRCULAR NO 1 - 2025

 NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 19-01-2025

Circular No 1/2025

The Chief Executive Officer & MD,

LIC of India, Central Office,

“Yogakshema”, MUMBAI.

Respected Sir,

Re: Pending pension related and other issues.

✓ This is further to our hundreds of letters in the past 15 years and the latest being dtd.18-9-2024

regarding the long pending issues. Except the increase in family pension and one more option for

pension (denied categories are yet to get the pension option), almost all the issues are either

pending at your level or at DFS level. We, being the affiliate of Bharatiya Mazdoor Sangh, the only

recognized union by the GOI, have been following up the pending issues at DFS and finance

ministry level to get the desired resolution.

✓ The joint delegation of insurance sector unions affiliated to BMS, met the FM Smt. Nirmala

Sitharaman ji on 10-10-2024 under the leadership of S/Shri. Surendran ji, Organising Secretary,

BMS & Girish Arya ji, Secretary and In Charge, financial sector unions of BMS. The discussions

lasted for about 80 minutes and the undersigned narrated in detail the pension related issues

pending for decades. Madam heard with all seriousness and gave positive indications duly getting

confirmed the details of issues with the Secretary, DFS, Shri. M. Nagaraju, who was present

throughout the meeting.

✓ As a follow-up action, Shri. Arya ji met Shri. M Nagaraju, Secretary, DFS on 21-10-2024 and the

latter confirmed that necessary instructions are passed down the line regarding the issues raised

with the FM.

✓ Again on 10-01-2025, Shri. Somesh Biswas, Dy In Charge, Insurance sector unions of BMS, met the

Joint Secretary, Insurance, Dr. Prashant Goyal for follow up and had a detailed discussion. The

latter informed that the issues are being looked into.

✓ After the meeting with the FM, the undersigned met the Joint Director/Under Secretary, DFS on

4-5 occasions as a matter of follow up.

✓ As such, we request you to make serious efforts by recommending/following up with DFS from

your side in respect of the pending pension related issues as reiterated here below￾1) Updation of pension with every wage revision- OROP

2) One more pension option to the left-over ex-servicemen and directly recruited

Superintending/Executive engineers and resigned employees (whose total number is in

hundreds).

3) Increased pension to 80+ seniors.

4) Double the family pension up to age 67 in case pensioner dies before age 67.

5) Computation of pension at 50% of last pay drawn or 50% of last 10 months’ average pay,

whichever is favourable to the retiree.

6) Full pension for service of 20 years or more.

7) One time ex gratia to pensioners aged 60 to 69 (who were left over while granting the same

in May 2024).

8) Reduction in commutation period to 10 years.

9) Grant of NGI to the retiring employee if it falls due on the very next day of retirement. (say

after midnight on the last date of retirement).

✓ In addition to the above where necessary approval may be needed from the DFS, the following

issues are pending at your level- (which can be decided by your good self)

1) Consideration of ADO period (Apprentice Development Officer period) for terminal benefits

including gratuity and pension, etc.

2) Group Insurance Scheme (GIS) to those retired prior to 1-4-2018.

3) Option for Mediclaim to resigned employees, to employees resigned on health ground

without cutoff date and to those who took VRS.

We fervently hope that the above issues would be taken up with all seriousness at your level and at DFS

level for satisfactory resolution.

With thanks and regards,

Yours Sincerely,

General Secretary

NOIP CIRCULAR NO 33 - 2024

 NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 04-12-2024

Cir No 33/2024

The Chief Executive Officer & MD,

LIC of India, Central Office,

“Yogakshema”, MUMBAI.

Respected Sir,

Re: Request for issue of SOP regarding the grant of 2 family pensions to the family of deceased retired ex￾servicemen of LIC.

➢ We have come across several cases in the entire country, where the family pension to the family

of retired and deceased ex-servicemen of LIC, was denied with a wrong understanding that such

families are eligible to get only one family pension.

➢ Need is felt that, the staff working in the P&IR Dept & OS/Pension Dept in Divisional/Zonal Offices

is to be sensitised and kept abreast of the latest position governing the dual family pension.

➢ You may be surprised to know that even RM (E&OS) in one of the Zonal Offices was unaware that

2 family pensions are available to the families of deceased retired ex-servicemen of LICI! God save

our families of deceased ex-servicemen of LIC!

➢ With the timely intervention of the office bearers of NOIP (BMS) and submission of relevant

circulars of GOI and LIC, by us, RM (E&OS) started the process of granting family pension in one

such case.

➢ In view of this grave situation, we, as a service organization, who are dedicated to cater to the

various needs of pensioners and family pensioners in the whole country, thought of bringing the

matter to your kind information and knowledge and requesting you to remedy the situation, by

bringing out SOP (Standard Operating Procedure).

➢ We implore upon you to go through the attached note and take immediate steps to release the

SOP to all the operating offices in the country and oblige.

We fervently hope that necessary action would be initiated at your end, Sir.

With thanks and regards,

Encl: As above

General Secretary

NOIP CIRCULAR NO. 32 - 2024

 NATIONAL ORGANISATION OF INSURANCE PENSIONERS

Regn No.PN 4769 (Regd under Indian T U Act, 1926)

(Affiliated to Bharateeya Mazdoor Sangh)

BMS Office, Vishwakarma Bhavan, 185, Shaniwar Peth, Pune 411030.

 President: T.C. Gunesh Kumar General Secretary: Ashok J. Joshi

 Mob No: 9880683639 Mob No: 9561084182 & 9945104570

Date: 12-10-2024

Cir No 32/2024

To all the members

Re: Meeting with FM

As already informed, BMS had arranged 2 separate meetings with the FM Smt. Nirmala

Sitharaman ji on 10-10-2024 (which was first scheduled to be held in August). One was for

insurance industry and the other for banking industry unions of BMS. From insurance industry,

the all India General Secretaries of NOIP, NOINO, NOLIW, NOIDO, BLIAS, NOIFSE, NFGIE (New

India) and Surveyors’ union participated, led by BMS leaders, S/Shri. Surendran ji, Organising

Secretary, Girish Arya ji, Secretary & Financial Sector Incharge and Somesh Biswas ji, Deputy

Incharge, Insurance Sector. NOIP was represented by the undersigned.

The meeting scheduled for 5 pm on 10-10-2024, started at 5-15 pm and went on for an hour,

though the time slot was 45 minutes. Shri. M. Nagaraju, Secretary, FS was also in the meeting

with the FM.

Through out the session, Madam FM was receptive, attentive and highly interactive. From NOIP,

we had already mailed our letter dtd. 9-10-2024 addressed to the FM, the copy of which has

already been circulated.

At the outset, the under signed thanked the FM for having approved a good wage revision for in

service employees, increasing the rate of family pension to 30% of last basic drawn and said that

we are indebted for her act of benevolence, which was duly acknowledged by her with humility.

On the other hand, we drew her attention to the plight of senior citizens/pensioners and

requested for the early resolution of our pending issues including updation, saying that we are

at the mercy of the govt. FM appeared to be empathetic.

1) Detailed inputs were given by the u/s regarding the anomalous situation prevailing due to

non updation of pension for the last 37 years. We had already mailed a letter with anomaly

chart to the Secretary, FS. Madam got confirmed about the authenticity of our submission

and appeared to be empathetic with the cause of pensioners. During the last one month,

NOIP has visited the DFS for more than six times to liaison with the officials from Director to

the Section officer and providing relevant statistics, calculations to buttress our case

regarding updation. NOIP has succeeded in convincing the various authorities regarding the

dire need to update the pension. We sincerely feel that the ball is set into motion in a right

direction and we expect the desired resolution of the issue, sooner.

2) We also thanked Late Shri. Jaitley ji for having approved one more pension option for 28000

odd PF optees of LIC in 2019 and requested her to approve the pension option to the left

over engineers/ex servicemen and resigned PF optees (since in banks, agreement was

signed in 2023 for granting pension option to resigned employees). Altogether this number

may be about 200, we affirmed. We hope to get positive response in this regard due to our

persistent persuasion of the issue with her during the interaction.

3) Regarding the other 3 issues viz, 50% last pay as pension, increased pension to 80+ seniors

and double the family pension up to 67 years of age of deceased pensioner, we believe that

these issues are under active consideration of the DFS and urged for the earliest resolution

of the same.

The meeting was conducted in a very cordial manner. We thank the BMS leadership for

having facilitated such a nice interactive meeting with the FM that was long due and we

firmly believe that this meeting would pave way for the earliest resolution of our long

pending issues.

We assure that we would continue to continuously follow up the issues at DFS, until they

reach a logical conclusion.

With Dussehra greetings,

General Secretary