P.T.O.

Government of TamiI Nadu

2012
MANUSCRIPT SERIES
FINANCE [SaIarIes] DEPARTMENT
G.O.Ms.No.243, Dated 29
th
June 2012.
(Aani-15, Thiruvalluvar Aandu-2043)
ABSTRACT
MEDICAL AID New HeaItb Insurance Scbeme, 2012 Provision of
HcaliI Carc Assisiancc io iIc Enloyccs of Covcrnncni Dcarincnis,
Organisaiions covcrcd undcr iIis ScIcnc and iIcir cligillc Fanily
McnlcrsiIrougIiIcUniicdIndiaInsuranccConanyLiniicd,CIcnnai
-ImpIementatIon-Ordcrs-Issucd.
Read:-
C.O.Ms.No.139,Financc(Salarics}Dcarincni,daicd27-04-2012.
-oOo-
ORDER:
In iIc Covcrnncni Ordcr rcad alovc, ordcrs Iavc lccn issucd for
inlcncniaiionofiIcNcwHcaliIInsuranccScIcnc,2012iorovidcfor
IcaliI carc assisiancc io iIc Enloyccs of Covcrnncni Dcarincnis,
Pullic Sccior Undcrialings, Siaiuiory Doards, Local Dodics, Siaic
Covcrnncni Univcrsiiics, Willing Siaic Covcrnncni Organisaiions /
Insiiiuiions and iIcir cligillc Fanily Mcnlcrs wiiI rovision io avail
assisiancc uio Fuccs Four LalI for a llocl of four ycars aficr a
suiiallc Pullic Sccior Insurancc Conany is sclccicd iIrougI Naiional
Conciiiivc Didding as in iIc casc of iIc CIicf Minisicr's Pullic
InsuranccScIcnc.
2. Accordingly, Tcndcrs Iavc lccn callcd for an Ocn Tcndcr ly
issuc of Noiicc Inviiing Tcndcr, daicd 27-04-2012. TIc Officials
Conniiicc wIicI is iIc Tcndcr Accciing AuiIoriiy Ias sulniiicd iis
rcorion06-06-2012wiiIiisrcconncndaiioniosclcciiIcUniicdIndia
InsuranccConanyLiniicd,CIcnnai.
3. Aficr carcful considcraiion, iIc icndcr Ias lccn awardcd io iIc
UniicdIndiaInsuranccConanyLiniicd,CIcnnaiandiIcsaidConany
Ias cccuicd an agrccncni wiiI iIc Covcrnncni for inlcncniaiion of
iIc Ncw HcaliI Insurancc ScIcnc, 2012. TIc Annual Prcniun for iIis
ScIcnc sIall lc Fs.1,860/- cr cnloycc lusScrvicc Ta as alicallc
foralloclcriodoffourycarsconncncingfron1-7-2012 io30-6-2016.
TIis ScIcnc is adninisicrcd iIrougIa TIird Pariy Adninisiraior undcr
iIc conirol of Uniicd India Insurancc Conany Liniicd, CIcnnai. TIc
ayncniofrcniunsIalllcrcgulaicdascriIcicrnsandcondiiionsof
iIcagrccncnilciwccniIcInsuranccConanyandCovcrnncni.
2
4. TIc Covcrnncni also dircci iIaiiIcinlcncniaiion of iIcNcw
HcaliI Insurancc ScIcnc, 2012 sIall lc adninisicrcd ly iIc
Connissioncr of Trcasurics and Accounis, CIcnnai-15. TIc
inlcncniaiion roccdurc ouilincd in iIc Anncurc-I io iIis ordcr sIall
lcadoicd.
S.TIcEnloyccsandiIcircligillcFanilyMcnlcrscovcrcdundcr
iIisScIcncsIallavailassisianccuioiIcliniiofFuccsFourLalIina
llocl of four ycars conncncing fron 1-7-2012 io 30-06-2016 on a
CASHLESS nodcl for iIc arovcd ircaincnis and surgcrics in iIc
IosiialsarovcdlyiIcInsuranccConany/TIirdPariyAdninisiraior
undcr iIis ScIcnc. TIc lcncfii will lc on a floaicr lasis i.c. iIc ioial
covcragc uio Fuccs Four LalI can lc availcd of individually or
collcciivcly ly iIc Enloyccs and iIcir cligillc Fanily Mcnlcrs during
iIc said llocl criod wiiI no rcsiriciion on iIc nunlcr of iincs of
availing.
6. TIc following Enloyccs and iIcir cligillc Fanily Mcnlcrs arc
covcrcdundcriIcNcwHcaliIInsuranccScIcnc,2012.-
(a} TIc Enloyccs of Covcrnncni Dcarincnis drawing ay in
rcgular iinc Scalcs of Pay including TcacIing and
Non-TcacIingSiaffofAidcdEducaiionalInsiiiuiions.
(l}TIcEnloyccsofCovcrnncniDcarincnisdrawingayiniIc
SccialTincScalcsofPaylilcNoonMcalWorlcrsandVillagc
Assisianis.
(c} TIc Enloyccs of Local Dodics, Siaic Pullic Sccior
Undcrialings, Siaiuiory Doards and Siaic Covcrnncni
Univcrsiiics drawing ay in rcgular iinc Scalcs of Pay and
SccialTincScalcsofPay.
(d} TIc willing Organisaiions / Insiiiuiions rcgisicrcd undcr iIc
Tanil Nadu Fcgisiraiion of Sociciics Aci, 1975 covcrcd undcr
iIcrcviousScIcncforiIcycar2008-2012.
(c} TIc Enloyccs on dcuiaiion io oiIcr dcarincnis and
Enloyccs rccruiicd iIrougI Enloyncni EcIangc on
rcgularlasisand
(f}TIcEnloyccsofiIcTanilNaduHinduFcligious&CIariiallc
EndowncnisDoarddrawingayinrcgularTincScalcs.
?.TIcEnloyccsaoinicdoniIcfollowingicrnsarcnoicovcrcd
undcriIisScIcnc.
(a}ConsolidaicdPay/FicdPay/Honorariun.
(l}DailyWagcs.
(c}Coniracilasis.
(d}Fc-cnloyncni.
(c} Tcnorary lasis undcr 10(a}(i} of iIc T.N. Siaic
and Sulordinaic Scrviccs rccruiicd iIrougI
EnloyncniEcIangcand
(f}Ouisourcing.
3
S. TIc discascs, ircaincnis and surgcrics undcr iIc lroad lascd
sccialiics arovcd undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012 arc
lisicd in iIc Anncurc-II io iIis ordcr. TIc Iosiials alrcady in Tanil
NaduCovcrnncni Enloyccs HcaliI Fund ScIcncand arovcd ly iIc
Uniicd India Insurancc Conany Liniicd / TIird Pariy Adninisiraior
undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012 arc lisicd in iIc
Anncurc-III. InaddiiionioiIcscIosiials,iIccnloyccfanilicswilllc
also cligillc for ircaincni in oiIcr insiiiuiions io lc arovcd ly iIc
InsuranccConanyandTIirdPariyAdninisiraior.TIcNodalOfficcrsof
iIc Uniicd India Insurancc Conany Liniicd siiuaicd in iIc Disirici
Hcadquaricrs and Toll Frcc Hcllinc Nunlcr arc lisicd in iIc
Anncurc-IV. TIc lisis of arovcd ircaincnis and surgcrics, arovcd
Iosiials and iIc addrcsscs of iIc Officcs siiuaicd in iIc Disirici
Hcadquaricrs arc also Iosicd on iIc wclsiics of Covcrnncni of Tanil
Nadu in Financc Dcarincni (www.in.gov.in/dcarincnis/financc.IinO},
Trcasurics and Accounis Dcarincni (www.in.gov.in/laruvoolan} and
iIc Uniicd India Insurancc Conany Liniicd, CIcnnai / TIird Pariy
Adninisiraior (www.ndindiaonlinc.con}. TIc uddtonu st o Iostus
ncudcd und st o dcctcd Iostus, un couccd n tIs ScIcnc u
uso Ic Iostcd n tIc uIouc ucIstcs o cud cccncc on tnc to tnc
on ccct o tIc sunc on tIc Untcd Indu Insuuncc Conun Lntcd /
TId Put Adnnstuto.
9. As iIc anouni of ncdical assisiancc Ias lccn incrcascd fron
Fuccs TwoLalIioFourLalIioinrovciIccovcragc,54ncwncdical
ircaincnis and 7 addiiional surgical roccdurcs Iavc lccn addcd in iIc
ScIcncforiIcfuriIcrllocloffourycars,iIcannualrcniuniolcaid
io iIc Insurancc Conany Ias lccn incrcascd fron Fs.495/- io
Fs.1,860/-crcnloycclusScrvicc Taasalicallc.Accordingly,iIc
noniIly sulscriiion undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012
sIall lc Fs.150/- cr noniI cr cnloycc. TIc noniIly sulscriiion
sIall lc rccovcrcd for all iIc caicgorics of cnloyccs ly iIc rcscciivc
Organisaiions. TIc annualrcniun ayallc io iIc Insurancc Conany
lcingIigIcriIaniIcannualsulscriiionaidlyiIcSiaicCovcrnncni
Enloyccs, iIc cniirc addiiional ccndiiurc in rcscci of Covcrnncni
EnloyccswilllcncilyiIcCovcrnncniiisclf.
10. TIc cnrolncni of iIc Enloyccs undcr iIc Ncw HcaliI
Insurancc ScIcnc, 2012 sIall lc conulsory. TIc rccovcry of iIc
noniIlysulscriiionofFs.150/-sIallconncnccfroniIcsalaryayallc
foriIcnoniIofJuly2012.EvcnifiIclcgalsousciscovcrcdundcriIc
icrn 'Enloycc', iIc ioial assisiancc for iIc Fanily will lc liniicd io
Fuccs Four LalI only. In sucI cuscs, tIc cnocc`s contIuton sIu
Ic ccouccd on on onc o tIc cnoccs us c tIc oton cxccscd n
tIs cgud (on tIc oungc o tIc tuo). TIcnoniIlysulscriiionofiIc
4
Enloyccs of Covcrnncni Dcarincnis sIall lc crcdiicd inio iIc
followingFcvcnucFccciiHcadsofAccouni.
Government EmpIoyees In tbe Standard ScaIes oI Pay
0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DM. Sulscriiion of Covcrnncni Enloyccs iowards
NcwHcaliIInsuranccScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BM 0000)"

EmpIoyees drawIng Pay under Non-Standard ScaIes oI Pay

0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DQ. Sulscriiion of Enloyccs in Non-Siandard
Scalcs of Pay iowards Ncw HcaliI Insurancc
ScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BQ 000S)"
11. TIcAnnualPrcniunlusScrviccTaasalicallcinrcscci
of Enloyccs of iIc Siaic Pullic Sccior Undcrialings, Siaiuiory Doards,
Local Dodics, Siaic Covcrnncni Univcrsiiics, Willing Siaic Covcrnncni
Organisaiions/InsiiiuiionsrcgisicrcdundcriIcTanilNaduFcgisiraiion
of Sociciics Aci, 1975 covcrcd undcr iIis ScIcnc and iIc Enloyccs of
iIc Tanil Nadu Hindu Fcligious and CIariiallc Endowncnis Doard
duung u n rcgular Tinc Scalcs sIall lc rcniiicd io iIc Siaic
Covcrnncni Accouni wiiIin onc noniI fron 1-7-2012 ly iIcsc
Organisaiions and for iIc Sccond, TIird and FouriI ycars on or lcforc
31
si
July of iIc rcscciivc ycar. TIc addiiional ccndiiurc ovcr and
alovc iIc sulscriiion aid ly cnloyccs in rcscci of iIc Siaic Pullic
Sccior Undcrialings and Siaiuiory Doards, Local Dodics, Siaic
Covcrnncni Univcrsiiics, willing Siaic Covcrnncni Organisaiions /
InsiiiuiionsrcgisicrcdundcriIcTanilNaduFcgisiraiionofSociciicsAci,
1975 covcrcd undcr iIis ScIcnc and iIc Enloyccs of tIc Tanil Nadu
Hindu Fcligious and CIariiallc Endowncnis Doard drawing ay in
rcgular Tinc Scalcs will lc lornc ly iIc rcscciivc cnloycr
Organisaiions.
12. TIc CIicf Eccuiivc Officcrs / Managing Dircciors of Siaic
Pullic Sccior Undcrialings and Siaiuiory Doards, Fcgisirars of Siaic
CovcrnncniUnivcrsiiics,iIcDircciorofFuralDcvcloncniinrcscciof
Fural Local Dodics, iIc Connissioncr of Municial Adninisiraiion in
rcscci of Urlan Local Dodics and iIc Connissioncr of Hindu Fcligious
and CIariiallc Endowncnis Doard in rcscci of iIc Doard Enloyccs
drawing ay n rcgular Tinc Scalcs sIall arrangc io rccovcr iIc
cnloycc's coniriluiion ai Fs.150/- cr noniI fron iIcir noniIly
salarics.TIcaddiiionalccndiiurcovcrandalovciIcsulscriiionaid
ly iIc cnloyccs and iIc Scrvicc Ta as alicallc ovcr iIc cniirc
S
anouni will lc lornc ly iIc rcscciivc cnloycr Organisaiions. TIc
Annual Prcniun including Scrvicc Ta 12.36% (.c. tIc cnocc`s
suIscton o Hs.l,SUU/- + tIc cnoc`s contIuton o Hs.29U/-) of
Fs.2,090/- cr cnloycc sIall lc rcniiicd wiiIin onc noniI fron
1-7-2012 and for iIc Sccond, TIird and FouriI ycars, iIc Annual
PrcniunincludingScrviccTaasalicallcsIallalsolcrcniiicdonor
lcforc 31
si
July of iIc rcscciivc ycar io iIc following rclcvani Fcvcnuc
FccciiHcadsofAccouni.
EmpIoyees oI State PubIIc Sector UndertakIngs and
Statutory Boards
0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DO. Sulscriiion of Enloyccs of Pullic Sccior
Undcrialings and Siaiuiory Doards iowards
NcwHcaliIInsuranccScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BO 0004)"

EmpIoyees oI State Government UnIversItIes

0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DP. Sulscriiion of Enloyccs of Siaic
Covcrnncni Univcrsiiics iowards Ncw HcaliI
InsuranccScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BP 0006)"

EmpIoyees oI LocaI BodIes

|Cororaiions,Municialiiics,TownPancIayai,PancIayaiUnionsand
VillagcPancIayai,cic.|
0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DN. Sulscriiion of Enloyccs of Local Dodics
iowardsNcwHcaliIInsuranccScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BN 0002)"

State Government OrganIsatIons J InstItutIons regIstered
under TamII Nadu RegIstratIon oI SocIetIes Act, 19?S
0075.00. OTHEFMISCELLANEOUSCENEFALSEFVICES
800. OiIcrFccciis
DT. Sulscriiion of Enloyccs of Organisaiions
rcgisicrcd undcr iIc Tanil Nadu Fcgisiraiion
of Sociciics Aci, 1975 iowards Ncw HcaliI
InsuranccScIcnc(NHIS}
(D.P.C. 00?S 00 S00 BT 0004)"
6
13. TIc Enloyccs of Siaic Covcrnncni Organisaiions /
InsiiiuiionsrcgisicrcdundcriIcTanilNaduFcgisiraiionofSociciicsAci,
1975 wIicI arc willing io lcar iIc cnloycrs' sIarc of iIc rcniun and
arc willing io collcci iIc cnloyccs' coniriluiion and wIcrc iIcrc is no
financial lialiliiy lcfalling on iIc Siaic Dudgci nay also lc includcd
undcriIccovcragcofiIcNcwHcaliIInsuranccScIcnc,2012,suljcciio
iIcconscniioiIcicrnsandcondiiionsincludingayncniofiIcannual
rcniuninioiIcCovcrnncniAccouniwiiIinoncnoniIfroniIcdaicof
issuc of ordcrs on cicnsion of iIc NcwHcaliI Insurancc ScIcnc, 2012
io iIc cnloyccs of iIcir organisaiion sIall also lc covcrcd undcr iIis
ScIcnc. TIc ordcrs io covcr iIc willing Siaic Covcrnncni Organisaiions
/ Insiiiuiions undcr iIis ScIcnc sIall lc issucd ly Covcrnncni in
FinanccDcarincni.TIcSiaicCovcrnncniOrganisaiions/Insiiiuiions
covcrcd during iIc llocl ycar 2008-2012 sIall ay iIcannual rcniun
wiiIinoncnoniIfron1-7-2012.TIcAnnualPrcniunincludingScrvicc
Ta 12.36% (tIc cnocc`s suIscton o Hs.l,SUU/-, tIc cnoc`s
contIuton o Hs.29U/-) of Fs.2,090/- cr cnloycc sIall lc rcniiicd
wiiIin onc noniI fron 1-7-2012 and for iIc Sccond, TIird and FouriI
ycars,iIcAnnualPrcniunincludingScrviccTaasalicallcsIallalso
lc rcniiicd on or lcforc 31
si
July of iIc rcscciivc ycar in iIc rclcvani
HcadofAccouni.
14. TIc Drawing and Dislursing Officcrs in Covcrnncni
Dcarincnis / Pay Drawing Officcrs in iIc Organisaiions covcrcd undcr
iIis ScIcnc sIall furnisI iIc dciails of iIc Enloyccs and iIcir cligillc
Fanily Mcnlcrs as cr iIc guidclincs rcgarding Idcniiiy Cards in iIc
Anncurc-VioiIisordcronorlcforc31-07-2012.
1S.TIcCovcrnncniofTanilNaduwillayiIcinsuranccrcniun
ioiIcInsuranccConanyonlcIalfofalliIccnloyccs ascriIcicrns
andcondiiionsofiIcagrccncniiIrougIiIcConnissioncrofTrcasurics
andAccounis. TIcccndiiurconayncniofinsuranccrcniunsIall
lc dcliicd io iIc following Hcad of Accouni undcr Dcnand No.16.
FinanccDcarincni|HoDCodc1602|.

20?S.00. MISCELLANEOUS GENERAL SERVICES
800. OiIcrEcndiiurc
HC. Payncni of Prcniun io iIc Insurancc
Conany for inlcncniing Ncw HcaliI
InsuranccScIcnc
10. Coniriluiions.
2. InsuranccPrcniun
(DPC 20?S 00 S00 HG 1029)"
?
13. TIc Connissioncr of Trcasurics and Accounis sIall scnd
roosals forsanciion of rclcasc of insurancc rcniun io iIc Insurancc
Conany fron iinc io iinc as cr iIc icrns and condiiions of iIc
agrccncni.
(BY ORDER OF THE GOVERNOR)

K.SHANMUGAM
PRINCIPAL SECRETARY TO GOVERNMENT.
To
AllSccrciaricsioCovcrnncni,CIcnnai-600009.
AllDcarincnisofSccrciariai(OP/Dills},CIcnnai-600009.
TIcSccrciary,LcgislaiivcAsscnllySccrciariai,CIcnnai-600009.
TIcSccrciaryioiIcCovcrnor,CIcnnai-600032.
TIc Conirollcr, Covcrnor's HouscIold, Faj DIavan, CIcnnai-600 032.
TIc Covcrnor's Sccrciariai, Faj DIavan, Cuindy, CIcnnai-600 032.
AllHcadsofDcarincnis.
AllPullicScciorUndcrialingsandSiaiuioryDoards.
AllDisiriciCollcciors/AllDisiriciJudgcs/AllCIicfJudicialMagisiraics.
TIcAccounianiCcncral(A&E}CIcnnai-600018.
TIcAccounianiCcncral(Audii-I}CIcnnai-600018.
TIcAccounianiCcncral(Audii-II}CIcnnai-600018.
TIcAccounianiCcncral(CAD}CIcnnai-9/Madurai.
AllCIicfEducaiionalOfficcrs/AllDisiriciElcncniaryEducaiionalOfficcrs.
AllPayandAccounisOfficcrs/AllTrcasuryOfficcrs/Sul-TrcasuryOfficcrs.
TIcSccialConnissioncrandConnissioncrofTrcasuricsandAccounis,CIcnnai-15.
TIcCIicfInicrnalAudiiorandCIicfAudiiorofSiaiuioryDoards,807,CIcnnai-2.
TIcSccrciary,TanilNaduPullicScrviccConnission,CIcnnai-600002.
TIcFcgisirarCcncral,HigICouri,CIcnnai-600108.
AllConnissioncrsofTrilunalforDiscilinaryProcccdings.
TIcFcgisirarsofallUnivcrsiiics/AgriculiuralUnivcrsiiics,Coinlaiorc.
TIcProjcciCo-ordinaior,TanilNaduInicgraicdNuiriiionProjcci,CIcnnai.
TIcConnissioncrs,CororaiionofCIcnnai,Coinlaiorc,Madurai,TricIy,Tirunclvcli,
Salcn,TiruurandErodc.
AllMunicialiiics./TIcTanilNaduScicnccandTccInologyCcnirc,CIcnnai-25.
TIcAnnaInsiiiuicofManagcncni,CIcnnai-600028.
TIcInicrnaiionalInsiiiuicofTanilSiudics,CIcnnai-600113.
TIcTanilNaduEncrgyDcvcloncniAgcncy,CIcnnai.
TIcUniicdIndiaInsuranccConanyLiniicd,DivisionalOfficc.010700,
FirsiFloor,SilingiDuilding,134,CrcansFoad,CIcnnai-600006.
TIcManagingDirccior,TanilNaduFoadScciorConanyLiniicd,CIcnnai-600008.
TIcManagingDirccior,ITErcsswayLiniicd,CIcnnai-600008.

Copy to:
TIcSccrciaryioiIcCIicfMinisicr,CIcnnai-600009.
TIc CIicf Minisicr's Officc, CIcnnai-600 009.
TIcPrivaicSccrciaryioiIcCIicfSccrciaryioCovcrnncni,CIcnnai-600009.
TIc Sccial Pcrsonal Assisiani io Financc Minisicr, CIcnnai 600 009.
TIcPrivaicSccrciaryioiIcSccrciaryioCovcrnncni,FinanccDcarincni,CIcnnai-600009.
AllOfficcrsinFinanccDcarincni,CIcnnai-600009.
AllScciionsinFinanccDcarincni,CIcnnai-600009.
AllFccogniscdAssociaiions.
SioclFilc/SarcCoics.
-J Forwarded : By Order J-

SECTION OFFICER.
S
Annexure-I
IMPLEMENTATION PROCEDURE FOR NEW HEALTH
INSURANCE SCHEME, 2012.
TIc Ncw HcaliI InsuranccScIcnc,2012sIall lcinlcncnicd ly
iIc Connissioncr of Trcasurics and Accounis, CIcnnai-15 iIrougI iIc
UniicdIndiaInsuranccConanyLiniicd,CIcnnai-600006 / TIirdPariy
Adninisiraior undcr iIc conirol of Uniicd India Insurancc Conany
Liniicd, CIcnnai for a llocl criod of four ycars conncncing fron
1-7-2012.
2. TIc following Enloyccs and iIcir cligillc Fanily Mcnlcrs arc
covcrcdundcriIcNcwHcaliIInsuranccScIcnc,2012.-
(a} TIc Enloyccs of Covcrnncni Dcarincnis drawing ay in
rcgular iinc Scalcs of Pay including TcacIing and
Non-TcacIingSiaffofAidcdEducaiionalInsiiiuiions.
(l}TIcEnloyccsofCovcrnncniDcarincnisdrawingayiniIc
SccialTincScalcsofPaylilcNoonMcalWorlcrsandVillagc
Assisianis.
(c} TIc Enloyccs of Local Dodics, Siaic Pullic Sccior
Undcrialings, Siaiuiory Doards and Siaic Covcrnncni
Univcrsiiics drawing ay in rcgular iinc Scalcs of Pay and
SccialTincScalcsofPay.
(d} TIc willing Organisaiions / Insiiiuiions rcgisicrcd undcr iIc
Tanil Nadu Fcgisiraiion of Sociciics Aci, 1975 covcrcd undcr
iIcrcviousScIcncforiIcycar2008-2012.
(c} TIc Enloyccs on dcuiaiion io oiIcr dcarincnis and
Enloyccs rccruiicd iIrougI Enloyncni EcIangc on
rcgularlasisand
(f}TIcEnloyccsofiIcTanilNaduHinduFcligious&CIariiallc
EndowncnisDoarddrawingayinrcgularTincScalcs.
3.TIcEnloyccsaoinicdoniIcfollowingicrnsarcnoicovcrcd
undcriIisScIcnc.
(a}ConsolidaicdPay/FicdPay/Honorariun.
(l}DailyWagcs.
(c}Coniracilasis.
(d}Fc-cnloyncni.
(c} Tcnorary lasis undcr 10(a}(i} of iIc T.N. Siaic
and Sulordinaic Scrviccs rccruiicd iIrougI
EnloyncniEcIangcand
(f}Ouisourcing.
9
4. TIc followingFanilyMcnlcrs of iIcEnloycc sIall lccovcrcd
undcriIcNcwHcaliIInsuranccScIcnc,2012.
(i} LcgalSouscofiIcEnloycc;
(ii} CIildrcn of iIc Enloycc - iill iIcy gci cnloycd
ornarricdoraiiainiIcagcof25ycarswIicIcvcr
iscarlicranddccndcnioniIcEnloycc;
(iii} ParcnisofiIcEnloycc,iniIccascofunnarricd
cnloyccuniiliIcEnloyccgcisnarricd.
S. TIcDiscascs, TrcaincnisandSurgcricsundcriIcDroadDascd
Sccialiics arovcd undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012 arc
lisicdiniIcAnncurc-II ioiIisordcr.TIcscocofiIcscIcncsIalllc
iorovidccovcragcforiIccligillcccnscsincurrcdlyiIcEnloyccon
lcIalfofIinsclf/IcrsclforanycligillcIis/IcrFanilyMcnlcrsforiIc
ircaincnisandsurgcricsasarovcdiniIcalovclisi.TIccovcragcwill
includciIccosiofncdicincs,laaroscoicorocnsurgcrics,dociorand
aiicndanifccs,rooncIargcs,diagnosiiccIargcs,diciarycIargcsavailcd
in iIc arovcd Iosiials. Transori CIargcs sIall lc ccludcd. TIc
covcragc sIall also includc rc-cisiing illncsscs wIicI Iavc lccn
includcdiniIcalovcsaidlisi.
6. TIc Iosiials alrcady in Tanil Nadu Covcrnncni Enloyccs
HcaliI Fund ScIcnc and arovcd ly iIc Insurancc Conany / TIird
Pariy Adninisiraior undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012 arc
lisicd in iIc Anncurc-III. TIc Enloyccs and/or iIcir cligillc Fanily
Mcnlcrs for assisiancc sIall gci adniiicd in any onc of iIc arovcd
Iosiials, ly roduciion of iIc Idcniiiy Card issucd ly iIc alovc
Insurancc Conany or ly roduciion of iIc Ccriificaic as in iIc
Anncurc-VI issucd ly iIc Drawing and Dislursing Officcrs in
CovcrnncniDcarincni/PayDrawingOfficcrsinOrganisaiionscovcrcd
undcriIisScIcncwIicIwilllcvaliduioissucofNcwIdcniiiyCardly
iIc Insurancc Conany, as iIc casc nay lc. Dung tIc ntcn cod o
cuuton und dstIuton o tIc Ncu Idcntt Cuds, tIc Insuuncc
Conun / TId Put Adnnstuto sIu uutIosc uccctuncc o tIc
Idcntt Cuds ucud ssucd undc tIc ScIcnc o 2UUS-2Ul2. TIc
uddtonu sts o uoucd Iostus und dccton o uoucd Iostus
un, sIu Ic ssucd on tnc to tnc on ccct o tIc sunc on Insuuncc
Conun. TIc udutcd st o uoucd Iostus nu Ic uccd utI tIc
ucIstcs o tIc Goucnncnt o Tun Nudu n Fnuncc Dcutncnt und tIc
Untcd Indu Insuuncc Conun Lntcd, CIcnnu / TId Put
Adnnstuto undc tIc conto o Untcd Indu Insuuncc Conun
Lntcd, CIcnnutIcn und tIcc.
?. TIc Insurancc Conany / TIird Pariy Adninisiraior sIall
arrangcioissuc iIc ncw Idcniiiy Cards io iIcEnloyccs covcrcd undcr
iIisScIcncwiiIiIcdciailsofcligillcFanilyMcnlcrsofiIcrcscciivc
Enloyccs wiiIin a criod of 60 days fron 1-7-2012. TIc Insurancc
Conany / TIird Pariy Adninisiraior sIall also arrangc io issuc iIc
IdcniiiyCardsioiIcncwlyrccruiicdoralsorlcdcnloyccs inscrviccon
iIcir aoinincni or alsoriion as iIc casc nay lc as and wIcn iIc
10
dciailsofiIccnloyccsarcfurnisIcdioiIcInsuranccConany/TIird
PariyAdninisiraior.TIcDrawingandDislursingOfficcrsinCovcrnncni
Dcarincnis/PayDrawingOfficcrsinOrganisaiionscovcrcdundcriIis
ScIcncsIalllcrcsonsillcioarrangciofurnisIdaiainiIcrcscrilcd
fornai and gci Idcniiiy Cards for iIcir cnloyccs. TIcy sIall also lc
rcsonsillc io surrcndcr iIc Idcniiiy Cards of sucI of iIosc cnloyccs
wIorciirconsucrannuaiion,dicinIarncssoroiIcrwiscccasciolcin
scrviccioiIcInsuranccConany.TIcIdcniiiyCardsinsucIcascssIall
lcsurrcndcrcd ly iIc Enloycc or iIcir Fanily Mcnlcr io iIc Drawing
and Dislursing Officcrs in Covcrnncni Dcarincnis and Pay Drawing
Officcrs in Organisaiions covcrcd undcr iIis ScIcnc, 2012, as iIc casc
naylc.
S.TIcConnissioncrofTrcasuricsandAccounis,CIcnnai-15sIall
noniioriIcrogrcssofiIcworlofiIcInsuranccConany/TIirdPariy
Adninisiraior for issuancc of ncw Idcniiiy Cards io iIc cnloyccs. TIc
guidclincsrcgardingIdcniiiyCardsasiniIcAnncurc-VsIalllcfollowcd
ly iIc Enloyccs, iIc Drawing and Dislursing Officcrs in Covcrnncni
Dcarincnis/PayDrawingOfficcrsinOrganisaiionscovcrcdundcriIis
ScIcnc, 2012, iIc Insurancc Conany/TIird Pariy Adninisiraior and
iIc Connissioncr of Trcasurics and Accounis as iIc casc nay lc. TIc
Insurancc Conany / TIird Pariy Adninisiraior sIall arrangc io issuc
iIcIdcniiiyCardsioiIccnloyccswiiIiniIcsiiulaicdiinc.
9. TIc Insurancc Conany / TIird Pariy Adninisiraior sIall
cnsurciIaiiIcaiicnii.c.EnloyccsandiIcirFanilyMcnlcrswIoarc
cligillc undcr iIis ScIcnc arc givcn covcragc for arovcd ircaincnis /
surgcrics including rc-cisiing illncsscs in iIc arovcd Iosiials for
iIis urosc uio iIc linii of Fuccs Four LalI ovcr a criod of four
ycarsconncncingfron1-7-2012.TIclcncfiiwilllconfloaicrlasisi.c.
iIcioialcovcragcuioFuccsFourLalIcanlcavailcdofindividuallyor
collcciivcly ly iIc Enloyccs and iIcir cligillc Fanily Mcnlcrs during
iIc said llocl criod wiiI no rcsiriciion on iIc nunlcr of iincs of
availing.
10. TIc Enloycc and iIcir cligillc Fanily Mcnlcrs undcr iIis
ScIcnc will noi Iavc io nalcanyayncni for iIc arovcd cosi io iIc
IosiialsuioiIcFuccsFourLalIlinii.TIc IosiialsarovcdlyiIc
InsuranccConany/TIirdPariyAdninisiraiorundcriIisScIcnc sIall
cicndircaincniioiIcEnloyccsand iIcircligillcFanilyMcnlcrson
aCASHLESSnodcl.
11.TIcroccdurciolcfollowcdaiiIciincofadniiiingEnloyccs
and / or iIcir cligillc Fanily Mcnlcrs for arovcd surgcrics /
ircaincnisarcasfollows.
(a}TIcIosiialsarovcdlyiIcInsuranccConany/TIirdPariy
AdninisiraiorundcriIisScIcncaloncsIouldlcaroacIcd
foravailingiIclcncfiis.
(l}TIcarovcdHosiials,iIcLiaisonOfficcrso iIcUniicdIndia
Insurancc Conany Liniicd / TIird Pariy Adninisiraior and
iIcTollFrccHcllincNo.1800 233 5666 ofInsuranccConany
11
/TIirdPariyAdninisiraiorsIalllcinforncdforiIcarovcd
ircaincnis / surgcrics io lc undcrialcn so iIai
pre-autborIsatIonisgivcnlyiIcInsuranccConany/TIird
Pariy Adninisiraior undcr iIc conirol of iIc Uniicd India
InsuranccConanyLiniicd,CIcnnai.
(c} TIc Idcniiiy Card of iIc Enloycc issucd ly iIc Insurancc
Conany/TIirdPariyAdninisiraiororiIcCcriificaicinlicu
of Idcniiiy Card as in iIc Anncurc-VI io iIis ordcr sIall lc
roduccd io iIc arovcd Iosiials for iIc arovcd
ircaincnis/ surgcrics. TIis arrangcncni of Ccriificaic in licu
ofIdcniiiyCardwilllcalicallconlyforsucIinicrincriod,
iill iIc Idcniiiy Cards arc nadc availallc. Dung tIc ntcn
cod o cuuton und dstIuton o tIc Ncu Idcntt Cuds,
tIc Insuuncc Conun / TId Put Adnnstuto sIu
uutIosc uccctuncc o tIc cxstng Idcntt Cuds ucud ssucd
undc tIc ScIcnc o 2UUS-2Ul2 o tnc Icng .c. uto
JU-U9-2Ul2.
(d} TIis ScIcnc is on CASHLESS lasis and no ayncni for
arovcd cosi nccd io lc nadc ly iIc Enloycc or iIcir
cligillcFanilyMcnlcrsioiIcarovcdHosiials.
(c} TIc cligillc cIargcs wIicI arc cniiilcd io undcr iIis ScIcnc
sIouldlcasccriaincdforiIcarovcdircaincnis/surgcrics
andiIcIosiialsarovcdlyiIcInsuranccConany/TIird
Pariy Adninisiraior sIould noi lc allowcd io cIargc any
cccssanouni.
(f} Any clain in dcviaiion of iIc alovc roccdurc for
rcinlurscncniisliallciolcrcjccicd.
12. TIc Insurancc Conany sIall furnisI a Wcclly /
MoniIly/Quaricrly/AnnualrcoriioiIcCovcrnncniof TanilNadu
inFinancc(Salarics}DcarincniwiiIiIcdciailsofiIcnunlcrofclains
(Iosiialwisc},andiIcioialanounidislurscd(discascs,ircaincnisand
surgcricswisc}andalsoioiIcConnissioncrofTrcasuricsandAccounis,
CIcnnai-15.
13.UndcriIisScIcnc cvcnifiIclcgalsousciscovcrcdundcriIc
icrn 'Enloycc', iIc ioial financial assisiancc for iIc Fanily will lc
liniicd io Fuccs Four LalI only. In sucI cuscs, tIc cnocc`s
contIuton sIu Ic ccouccd on on onc o tIc cnoccs us c tIc
oton cxccscd n tIs cgud (on tIc oungc o tIc tuo).
14.Anyconlainialouianydifficuliyinavailingircaincnis,non-
availaliliiy of faciliiics, availing of logus ircaincni for incligillc
individuals, cic., sIall lc sulniiicd io iIc Connissioncr of Trcasurics
andAccounisinCIcnnaiandiIcJoiniDircciorofiIcMcdicalandFural
HcaliIScrviccsDcarincniaiiIcDisiriciHcadquaricrs.
1S. TIc conlainis rcccivcd sIall lc laccd for a dccision of iIc
Disirici Lcvcl Enowcrcd Conniiicc Icadcd ly iIc Disirici Collccior,
12
Iaving iIc Joini Dirccior of Mcdical and Fural HcaliI Scrviccs
DcarincniandiIcDisiriciTrcasuryOfficcrasncnlcrs.
16.AnacalagainsiiIcdccisionofiIcDisiriciLcvclEnowcrcd
Conniiicc nay lc rcfcrrcd ly iIc cnloyccs io iIc Siaic Lcvcl
Enowcrcd Conniiicc Icadcd ly iIc Connissioncr of Trcasurics and
AccounisandIavingiIcDircciorofMcdicalandFuralHcaliIScrviccsas
Mcnlcr Sccrciary and an Official rcrcscniaiivc noninaicd ly iIc
InsuranccConanyasncnlcrs.
1?. TIc acals sIall lc filcd wiiI iIc Dirccior of Mcdical and
FuralHcaliIScrviccs,iIcMcnlcrSccrciaryofiIcSiaicLcvclConniiicc
wIosIalllacciIcacalsforadccisionofiIcsaidConniiicc.
1S. Any disuic arising oui of iIc inlcncniaiion of iIis ScIcnc
wIicIrcnain unrcsolvcd ai iIcSiaic Lcvcl EnowcrcdConniiicc sIall
lc rcfcrrcd wiiIin fificcn days of award of Siaic Lcvcl Enowcrcd
Conniiicc io a HigI Lcvcl Conniiicc, conrising of iIc Sccrciary io
Covcrnncni, Financc (Salarics} Dcarincni, Sccrciary io Covcrnncni,
HcaliI and Fanily Wclfarc Dcarincni and iIc Fcrcscniaiivc of iIc
InsuranccConanynoninaicdforiIcurosc.
19. TIc Civil Couris siiuaicd in CIcnnai sIall Iavc cclusivc
jurisdiciion ovcr any disuic, wIicI rcnain unrcsolvcd ly iIc alovc
roccdurc and noiIing aforcsaid, sIall rcjudicc iIc rigIis of iIc
Covcrnncni of Tanil Nadu io aroacI any oiIcr forun for disuic
rcsoluiioncrnissillcundcrLaw.

-J True Copy J-

SECTION OFFICER.
13
Annexure-II
LIST OF DISEASES, TREATMENTS AND SURGERIES
CLASSIFIED UNDER THE BROAD BASED SPECIALITIES

SI.No. Name oI DIseases, Treatments and SurgerIes

I. CARDIOLOGY AND CARDIO THORACIC
SURGERY
Heart Surgery including
1. (a} CoronaryDy-PassSurgcry(CADC}
2. (l} ValvcFclaccncniandOiIcrValvuloPlasiics
3. (c} CorrcciionofallCongcniialHcariDiscascs
4. (d} AngiolasiyandPTCASicni
S. (c} DaloonValvulolasiy
6. (f} PcrnancniandTcnoraryPaccnalcr
Inlaniaiion
?. (g} EnlolccionicsforPcriIcralAricryEnlolisn
S. (I} SurgcricsforFcairofAncurysn
9. (i} EnIanccdEicrnalCounicrPulsaiionTIcray
(EECP}
II. ORTHOPAEDIC SURGERY
10. (a} ToialHiFclaccncni
11. (l} ToialKnccFclaccncni
12. (c} SurgcricsforCorrcciionofFraciurcsofDoncs
andJoinis
13. (d} AriIroscoicFcairofLigancnis
III. NEPHROLOGY J UROLOGY
14. (a} FcnalTranslaniaiion
1S. (l} LiiIoirisy
16. (c} SurgcricsforProsiraicClandProllcns
1?. (d} SurgcricsforUrcicricProllcns
1S. (c} SurgcricsforKidncyProllcns
19. (f} SurgcricsforUrinaryDladdcrProllcns
IV. ONCOLOGY
20. (a} SurgicalManagcncniofallMalignaniTunors
21. (l} LascrorFadiaiionTrcaincniofMalignancy
22. (c} CIcnoiIcrayforTrcaincniofMalignancy
14
SI.No. Name oI DIseases, Treatments and SurgerIes

V. NEUROLOGY
23. (a} EncrgcncyLifcSavingSurgcricsonDrainand
SinalCord
24. (l} Advanccd Sccializcd Surgcrics on Drain and
Sinal Cord sucI as Ccrclrovascular Surgcry
(Ancurysn and Aricriovcnous (Malfornaiion},
Surgcrics involving lasc of iIc Slull and
SynoiaciicSurgcrics
2S. (c} SurgcryforIniraciallcEilcsy
26. (d} Inicr-vcriclralDiscProlascrclaicdSurgcrics
2?. (c} ManagcncniofCcrclro-VascularAccidcnis
(Sirolc}
2S. (f} SurgcryforallCongcniialMalfornaiions
includingHydroccIalus
29. (g} ManagcncniofCuillianDarrcSyndronc
VI. OPTHALMOLOGY
(I). SImpIe Surgery
30. (a} Any Caiaraci Surgcry wiiI or wiiIoui Inira
OcularLcns(IOL}Inlaniaiion
31. (l} SurgcryforClaucona
(II). SpecIaIIsed Surgery
32. (a} SurgcryandoiIcrroccdurcsforDciacIncniof
Fciina.
33. (l} Viircciony
34. (c} Kcraiolasiy(CorncalCrafiing}
3S. (d} Lascr ircaincni,-Kryion Lascr, Dyc Lascr,
ArgonLascr,PIoioCoagulaiion.
36. (c} Lincr Accclcraior TIcraIy (for Scnilc Macular
Dcgcncraiion}.
VII. VASCULAR SURGERY
3?. AnuiaiionofLcgs,Arns,TocsandFooi
VIII. GASTROENTEROLOGY
3S. (a} SurgcricsforvariousCasiroInicsiinalUlccrs
39. (l} CallDladdcrandLivcrSurgcrics
40. (c} SurgcryforPancrcaiiiisandAcndiciiis
41. (d} CorrosivcSiriciurcsofCITraci
42. (c} LaroscoicCIolccysicciony
43. (f} SurgcricsforPcrforaiioninCITraci
1S
SI.No. Name oI DIseases, Treatments and SurgerIes

IX. PLASTIC AND FACIO MAXILLIARY
44. TrcaincniofAcuicDurns
X. E.N.T.
4S. (a} Tonsillcciony
46. (l} Masioidcciony
4?. (c} Siacdcciony
4S. (d} InjuricsinEar,Nosc,TIroaiandNcclarcas
andiisManagcncni
XI. GYNAECOLOGY
49. (a} SurgcryforFcnovalofUicrus
S0. (l} SurgcryforFcnovalofOvaricsandOvarian
Cysis
XII. THORACIC
S1. Surgcry for Lung Alsccss, Plcural Effusion and
PncunoiIora
XIII. GENERAL: OTHER SURGERIES
S2. (a} TIyroidSurgcry
S3. (l} SurgcryforvariousHcrnias
S4. (c} SurgcricsnccdcdinAccidcniandTrauna
SS. (d} ManagcncniofCona,Mcningiiisand
EnccIaliiis
S6. (c} PilcsandFisiula
S?. (f} Allsurgcricsforcorrcciionofcongcniial
dcforniiicsandnanagcncniofsulscqucni
rollcns
SS. (g} AllInicrvcniionalFadiologyProccdurcfor
VascularProllcns
S9. (I} AllInicrvcniionalFadiologyProccdurcsusing
Sicnis

MEDICAL CARE
(I). CrItIcaI Care
1. (a} AcuicFcsiraioryDisircssSyndronc(AFDS}
2. (l} AFDSwiiIMuliiOrganFailurc
3. (c} AFDSlusDIC(Dlood&DloodProducis}
4. (d} OPPoisoningrcquiringVcniilaiorAssisiancc
S. (c} SciicSIocl(ICUManagcncni}
16
SI.No. Name oI DIseases, Treatments and SurgerIes

6. (f} McialolicConarcquiringVcniilaiorSuori
(II). HaematoIogy
?. (a} HcnoIilia
S. (l} SnalcDiicrcquiringVcniilaiorSuori
9. (c} TrcaincniforSicllcCcllAncnia
10. (d} DoncMarrowTranslaniaiion
11. (c} SicnCcllTranslaniaiion
(III). PuImonoIogy
12. MassivcHcnoiysis
(Iv). GastroenteroIogy
13. (a} AcuicPancrcaiiiis(scvcrc}
14. (l} OlscurcCIDlccd
1S. (c} CirrIosiswiiIHcaiicEnccIaloaiIy
16. (d} CirrIosiswiiIHcaioFcnalSyndronc
1?. (c} CorrosivcOcsoIagcalInjury
1S. (f} AcuicPancrcaiiiiswiiIPscudocysi(Infccicd}
19. (g} OcsoIagcalPcrforaiion
20. (I} OcsoIagcalVariccs,VariccalDanding
21. (i} OcsoIagcalVariccs,SclcroiIcray
(v). CardIoIogy
22. (a} Acuic MI (Conscrvaiivc Managcncni wiiIoui
Angiogran}
23. (l} Acuic MI (Conscrvaiivc Managcncni wiiI
Angiogran}
24. (c} AcuicMIwiiICardiogcnicSIocl
2S. (d} AcuicMIrcquiringIADPPun
26. (c} FcfracioryCardiacFailurc
2?. (f} ConlcArrIyiInias
2S. (g} SinlcArryiInias
29. (I} PcricardialEffusion,Tanonadc
(vI). NepbroIogy
30. (a} AcuicFcnalFailurc-(AFF}
31. (l} NcIroiicSyndronc
32. (c} CIronicFcnalFailurc1(CFF}
33. (d} Hcnodialysis/PcriioncalDialysis
1?
SI.No. Name oI DIseases, Treatments and SurgerIes

(vII). NeuroIogy
34. (a} NcuroaiIics(CDS}
3S. (l} Innunoglolulin TIcray IV
36. (c} CIronic Inflannaiory Dcnyclinaiing Poly
NcuroaiIy(CIDP}
3?. (d} HcnorrIagicSirolc/Sirolcs
3S. (c} IscIcnicSirolcs
39. (f} Ncuronuscular(MyasiIcniaCravis}
40. (g} Ncuroinfcciions-PyogcnicMcningiiis
41. (I} TlMcningiiis
42. (i} Ncuroinfcciions -Viral McningocnccIaliiis
(IncludingHcrcscnccIaliiis}
43. (j} ManagcncniofCOMA
44. (l} CavcrnousSinusTIronlosis
4S. (l} FIinoccrclralMucornycosis
(vIII). RbeumatoIogy
46. (a} SLE(SysicnicLuusEryiIcnaiosis}
4?. (l} Vasculiiis
(Ix). EndocrInoIogy
4S. (a} Infcciious Encrgcncics duc io Unconirollcd
Dialcics
49. (d} HycrOsnolarNonKcioiicCona
S0. (c} ManagcncniofEndocrinalDisordcrs
S1. (f} Hyoiiuiarisn
S2. (g} Piiuiiary Acroncgaly
S3. (I} CusIingsSyndronc
S4. (i} Dclaycd Pulcriy Hyogonadisn (c.Turncrs
synd,Klcinfclicrsynd}

-J True Copy J-

SECTION OFFICER.
1S
Annexure-III
LIST OF APPROVED HOSPITALS

UNDER NEW HEALTH INSURANCE SCHEME, 2012.
Name of the Accredited HospitaIs aIready in TamiI Nadu
Government EmpIoyees HeaIth Fund Scheme.
SI.
No.
Name of the HospitaIs Address Contact Numbers
1 APOLLO HOSPTALS
ENTERPRSES LTD.
21, 0REAV3 R0A0, 0PP T0 0REAV3
LANE, ClENNAl - 00 00
044-28296022, 2920200,
28293333
2 VJAYA GROUP OF HOSPTALs N3K 3ALAl, vA0APALANl,
ClENNAl-00 02
044-24802221, 24802165
3 MADRAS MEDCAL MSSON 1-A, 0R. J. J. NA0AR, V00APPAlR,
ClENNAl-0003Z
044-26561801, 26565961
4 SR RAMACHANDRA HOSPTAL 1, RAVAClAN0RA NA0AR, P0RuR,
ClENNAl-0011
044-24768027, 31-33
5 K.J. HOSPTAL PRVATE LMTED NEw N0.182, P00NAVALLEE ll0l
R0A0, ClENNAl-00081
044- 26411513
6 TAMLNADU UROLOGCAL
RESEARCH CENTRE PVT LTD
Z,NEL30N VANlCKAV
R0A0,AVlNJlKARAl,
ClENNAl-00 029.
044-23743500
23743300
7 THE GUEST HOSPTAL 3Z2, P.l. R0A0, KlLPAuK,
ClENNAl-00 010.
044-2641 3420
8 THE VOLUNTARY HEALTH
SERVCES
RAJlv 0AN0ll 3ALAl,A0YAR,
ClENNAl-00 113.
044-22542971-73
9 THE HEART NSTTUTE, VJAYA
HEALTH CENTER
N3K 3ALAl, vA0APALANl,
ClENNAl - 00 02
044-23623028
23623029
10 CANCER NSTTUTE [W..A] CANAL 8ANK R0A0, A0YAR,
ClENNAl - 000 020
044-24910754
24911526
11 FORTS MALAR HOSPTAL 52, 0AN0ll NA0AR, 13T VAlN R0A0,
ClENNAl-00020
044-4289 2222
12 HARVEY HEALTHCARE LMTED 512,TTK R0A0, ALwARPET,
ClENNAl-00018
044-24311721-24
13 DR. RA MEMORAL MEDCAL
CENTRE
52, ANNA3ALAl, CENTuRY PLAZA,
TlEYNAVPET, ClENNAl-00 018
044-42132054, 24349594
24349860
14 ASWENE SOUNDRA HOSPTAL &
RESEARCH CENTER
21, KA3TuRl RAN0AN R0A0,
TEYNAVPET, ClENNAl-00018
044- 2499078,
24990525
15 SUGAM HOSPTAL 319, TllRuv0TTlYuR ll0l R0,
TllRuv0TTlYuR, ClENNAl-00019
044-25733830 25733290
25737430
16 BLLROTH HOSPTAL 13, LAK3lVl TALKlE3 R0A0, 3lEN0Y
NA0AR, ClENNAl-00030
044- 26641777,
26644451
17 SURYA HOSPTAL 32, J N R0A0, TlRuvALLuR - 02001 044-27662798
18 CHENNA KALAPPA HOSPTAL
[NOW BLLROTH HOSPTAL]
52-ll N0 VAlN R0A0, RA PuRAV,
ClENNAl - 00 028
044-24641111
19 SANKARA NETHRALAYA [MEDCAL
RESEARCH FOUNDATON]
18, C0LLE0E R0A0, ClENNAl - 0000 044-28271616, 28233556,
28311913
20 DR. AGARWAL'S EYE HOSPTAL
LTD
19, CATlE0RAL R0A0,
ClENNAl - 00 08
044- 28112811
19
SI.
No.
Name of the HospitaIs Address Contact Numbers
21 EYE RESEARCH FOUNDATON
[VJAYA]
180-N3K 3ALAl, ClENNAl - 00 02 044-24834533
22 M.N. EYE HOSPTAL Z18, T.l.R0A0, wA3lERVANPET
ClENNAl-00 021.
044-25956403
23 PREMS EYE CLNC 120 -A, 8AZAAR R0A0, 3Al0APET,
ClENNAl-00015.
044-24327736
24 RAJAN EYE CARE HOSPTAL (P)
LTD.,
5, vl0Y00lAYA EA3T ll 3TREET,
T.NA0AR, ClENNAl - 0001Z
044- 28340500/91
25 MOT HOSPTALS 1/112, V0uNT P00NAVALLEE R0A0,
VANAPAKAV, ClENNAl - 00089
044-22492288
26 DEEPAM HOSPTAL (P) LTD 32Z, VuTluRAN0AN R0A0, wE3T
TAV8ARAV, ClENNAl - 00 015
044-22261317, 22263317,
22265248 22266248
27 DR. RAVSHANKAR'S EYE CLNC &
NURSNG HOME
11, luNTER3 R0A0, vEPERY,
ClENNAl - 00 112
044- 25323128
28 SATSH EYE HOSPTAL 15 (NEw N0: 5Z), 0RVE3 R0A0,
KlLPAuK, ClENNAl - 00 010
044-26424935, 26426464
29 APPASAMY HOSPTAL 23, FRlEN03 AvENuE, ARuV8AKKAV,
ClENNAl - 0010
044-32913091, 32923092,
32933093
30 UDH EYE HOSPTALS 1, VuRRAY3 0ATE R0, ALwARPET,
ClENNAl - 00 018
044-42188842 - 45
31 KUMARAN HOSPTALS PVT LTD 211, P.l. R0A0, KlLPAuK,
ClENNAl - 00010
044-26411860
32 AMRT HOSPTAL 310, VlNT 3TREET, 30wCAREPET,
ClENNAl - 000Z9
044-25296786, 25295135
33 UMA EYE CLNC PVT LTD 195Z, 10Tl VAlN R0A0, ANNANA0AR,
ClENNAl - 00010
044-26263199
34 R G STONE UROLOGY &
LAPAROSCOPY HOSPTAL
391/392,ANNA 3ALAl,0PP.NEw 8u3
3TAN0,3Al0APET,ClENNAl-00015
044-65855521-25,
35 FRONTER LFELNE
DR. K. M. CHERAN HEART
FOUNDATON
R-30-C, AV8ATTuR lN0u3TRlAL
E3TATE R0, V00APPAlR,
ClENNAl -00101
044-28567200, 52017575
36 DEVAK HOSPTAL LTD. N0.118, LuZ CluRCl R0A0,
VYLAP0RE, ClENNAl-00 001.
044-42938938, 24993749
37 DR. RABNDRAN'S HEALTH CARE
CENTRE PVT LTD
212, V.T.l. R0A0, AV8ATTuR,
ClENNAl - 00053
044-26574242 26570606
55474242
38 CARE EYE CARE EYE HOSPTAL 29/20 lANuVAR K0lL 3TREET, RA0lA
NA0AR, ClR0VPET, ClENNAl-00011.
044-22232920, 22654736
39 BALAJ HOSPTALS (PRVATE)
LMTED
1, LAwYER JA0ANNATlAN
3TREET, 0ulN0Y,ClENNAl-00032.
044-26623111
40 SEN HOSPTAL 18, 8uN0ER 0AR0EN 3TREET,
PERAV8uR, ClENNAl - 00 011
044- 25586896 42769724
41 SANKARA EYE HOSPTAL 1, TllR0 CR033 3TREET, 3Rl
3ANKARA NA0AR, PAVVAL,
ClENNAl - 00025
044- 22484799, 22485299
42 DR. KAMAKSH MEMORAL
HOSPTAL
1, RA0lAL R0A0, PALLlKARANAl,
ClENNAl - 00100
044- 22469200 66300300
43 K.K. EYE CARE AND RESEARCH
CENTRE
31, 0AN0ll R0A0, wE3T TAV8ARAV,
Crerra|-00 015.
044-22381130, 22381311,
65908699
20
SI.
No.
Name of the HospitaIs Address Contact Numbers
44 FATHMAH EYE CLNC 23, ARuLANAN0AV 3TREET,
3ANTl0VE, ClENNAl - 00001
044-24640902, 24640909
45 MEDNDA HOSPTALS 83, v0LLuvAR K0TTAV ll0l R0A0,
NuN0AV8AKKAV, Crerra|-00 031.
044-2831 1001, 28311415
46 G.KUPPUSAMY NADU MEMORAL
HOSPTAL
NETlAJl R0A0, PAPPANAlCKAN
PALAYAV, C0lV8AT0RE-11 03Z.
0422-2245000,
2243501-504
47 KOVA MEDCAL CENTER &
HOSPTAL LMTED
P03T 80X N0.3209, AvANA3ll R0A0,
C0lV8AT0RE - 11 011
0422-4323800,
48 K.G.HOSPTAL K.GOVNDASAMY
NADU MEDCAL TRUST
5. 00vT. ART3 C0LLE0E R0A0,
C0lV8AT0RE - 11 018
0422-2212121-29
2218001-09.
49 P.S.G. NSTTUTE OF MEDCAL
SCENCES AND PSG HOSPTALS
AvlNA3ll R0A0, PEELAVE0u,
C0lV8AT0RE-11 001
0422-2570170
2598821
50 ARVND EYE HOSPTAL &
POSTGRADUATE NSTTUTE OF
OPHTHALMOLOGY
AvlNA3l R0A0,
C0lV8AT0RE - 11 011.
0422-4360400,
2590400
51 COMBATORE KDNEY CENTER PuLlAKuLAV R0A0, NEAR LAK3lVl
VlLL3, C0lV8AT0RE-11015
0422-2312006
2314487
52 SREE RAMAKRSHNA HOSPTAL 395, 3AR0JlNl NAl0u 3TREET,
C0lVA8T0RE - 11011
0422-4500000,
4500123
53 C.S.R.NURSNG HOME 2Z2, ZTl 3TREET EXTEN3l0N,
0AN0llPuRAV, C0lV8AT0RE-11 012.
0422-2524762
54 KONGUNAD HOSPTALS (P) LTD Z9, 11Tl 3TREET, TATA8A0,
C0lV8AT0RE 11 012
0422-4316000,
2494363
55 SR LAVANYA GENERAL HOSPTAL KALvEERAN PALAYAV,
C0lV8AT0RE-11 01.
0422-2423131
56 SANKARA EYE CENTRE
(SR KANCH KAMAKOT MEDCAL
TRUST)
1/1A, 3ATlY R0A0,3lvANAN0A
PuRAV,C0lV8AT0RE-11035
0422-26664501
57 ASWN HOSPTAL 515,8KR NA0AR, 3ATlY R0A0,
C0lV8AT0RE- 11 012.
0422-252525,
4389966
58 K.T.V.R. GROUP HOSPTAL NARAYANA 0uRu R0A0, 3Al8A8A
C0L0NY, C0lV8AT0RE - 11011
0422-2445451, 2445311,
9442155511
59 LOTUS EYE CARE HOSPTAL LTD 1| AvlNA3ll R0A0, ClvlL AER00R0VE
P03T, C0lV8AT0RE - 11011. 2| 18-19,
C0wLEY 8R0wN R0, R.3.PuRAV,
C0lV8AT0RE-11002
0422 2626464 2626565
2]042 2552161 2552811
60 THE EYE FOUNDATON ,
COMBATORE
N0.582-A,0.8.R0A0, R.3.PuRAV,
C0lV8AT0RE-11011.
0422-2544242, 2544243,
4366634
61 LALTHAA HOSPTAL 828 A, 100FT R0A0,
C0lV8AT0RE- 11012
0422-2499533, 2499698
62 S.K.V. UNTED HOSPTAL PVT. LTD. ZZ1/5-8, NElRu NA0AR EXTN,
KALAPATTl R0A0,C0lV8AT0RE-11011
0422-2628828
63 SHEELA CLNC 1, EA3T P0wER l0u3E R0A0,
C0lV8AT0RE - 11 012
0422-2498381, 4334500
64 GANGA MEDCAL CENTER &
HOSPTALS LMTED
2, 3wARNAV8l0Al LAY0uT, RAV
NA0AR, C0lV8AT0RE - 11 009
0422 - 2235050
65 RCHMOND HOSPTAL 128Z,TRlClY R0A0,0PP.lClCl
8ANK,C0lV8AT0RE-11 018
0422-2303630, 2303660,
2303603
21
SI.
No.
Name of the HospitaIs Address Contact Numbers
66 ST. MARY'S HOSPTAL CluRCl R0A0, P00ANuR ,
C0lV8AT0RE - 23
0422-2410832,
2411995
67 VEDANAYAKAM HOSPTAL
(PRVATE) LMTED
52, 0L0 N0.133, EA3T 8A3lYAKARALu
R0A0, R.3.PuRAV, C0lV8AT0RE.
0422-2540066,
4354455
68 DSK HOSPTAL 19, KATllR NA0AR, KAN0EYAV R0A0,
TlRuPuR- C0lV8AT0RE - 1101
0421-2421350,
2422011
69 SREE ABRAM HOSPTAL (P) LTD 33, VA0uKKARAl R0, 3uN0ARAPuRAV,
C0lV8AT0RE - 11 021
0422-2672972, 2673277,
2674999
70 J.S.P. HOSPTALS (P) LTD 1Z, KANClEEPuRAV ll0l R0A0,
ClEN0ALPATTu - 03 002
044-27426829, 27428851
71 VDHYA NURSNG HOME 11/19, J.C.K. NA0AR,
ClEN0ALPATTu.-03001
27423621
72 KRSHNA HOSPTAL N0., 0L0 N0.1ZA, l03PlTAL R0A0,
Cu00AL0RE-0Z 001
04142-231711-14
73 CTY HOSPTAL,
PAVALAM TRAUMA CENTER
1/31, 0AN0llJl NA0AR, TRlClY R0,
0lN0l0uL - 21 005
0451- 2436060,
2435050
74 PRYA HOSPTAL 2/2, NETlAJl NA0AR, 0lN0l0uL R0,
PALANl - 21 01
04545- 251177
75 K.V. HOSPTAL & SWARYA
FERTLTY CENTER
Z2-8, 0lN0u0uL R0A0,
PALANl - 21 01
04545- 242830, 243130,
240077
76 RAJA RAJESHWAR NURSNG
HOME
1, TllRuvALLuR 3ALAl, 3PENCER
C0VP0uN0, 0lN0u0uL - 21 003
0451 - 2422442 to 444
77 RAMAKRSHNA NURSNG HOME 0R. K.V. NALLA3AVY 8ulL0lN0,
1, P0wER l0u3E R0A0,
ER00E - 38 01.
0424-2259177
78 APPOLLO DAYAM HOSPTAL,
(NOW CALLED AS DAYAM
HOSPTAL)
15, PALANlAPPA 3TREET,
(NEAR 00vERNVENT l03PlTAL),
ER00E - 38 009.
0424-2256456
79 LOTUS HOSPTAL & RESEARCH
CENTER LTD
P00N0uRAl VAlN R0A0, ER00E - 2 0424-2282828
80 ARASAN EYE HOSPTAL 2, ANNAVALAl LAY0uT, 0PP T0
R0YAL TlEATRE, ER00E - 38001
0424- 2227019-21
81 SENTHL MULT SPECALTY
HOSPTAL
51Z, PERuN0uRAl R0, ER00E - 38011 0424- 2260375
82 BEJAN SNGH EYE HOSPTAL (P)
LTD.
#2/1,313 C, V.3. R0A0,
vET00RNlVA0AV, NA0ERC0lL,
KANYAKuVARl - 29 003
04652- 237493
Fax:04652-231171
83 DR. J.MATHAS HOSPTAL 0R.VATllA3 NA0AR,
NA0ERC0lL - 29001
278137, 320174,
84 P.S.MEDCAL TRUST HOSPTAL TlALAKuLAV, KANYAKuVARl - 29 802 04651-222299,222522,
222355, 291161
85 DR. JAYASEKARAN HOSPTAL AND
NURSNG HOME
K.P. R0A0, NA0ERC0lL-29 003. 04652-230019 / 20 / 21
86 THRAVAM ORTHOPAEDC
HOSPTAL
2-191, TlRuNELvELl ll0l R0A0,
TlEREKALPuTl00R,
TllRuPATll3ARAV P.0., NA0ERK0lL,
KANYAKuVARl 0l3T 29901
04652-276607,
276186,277567
87 KRSHNAKUMAR ORTHOPAEDC
HOSPTAL
PARvATllPuRAV, CluNKAN KA0Al
P03T, NA0ERC0lL, KANNlYAKuVARl
0l3TRlCT-29 80Z
04652-231322, 231418
22
SI.
No.
Name of the HospitaIs Address Contact Numbers
88 MEENAKSH MSSON HOSPTAL &
RESEARCH CENTER
LAKE AREA, VELuR R0A0,
VA0uRAl -25 10Z
0452-2588741 4392741
89 ARVND EYE HOSPTAL 1, ANNA NA0AR, VA0uRAl-25 020. 0452-4356100
90 APOLLO SPECALTY HOSPTAL 320, ANNA 3ALAl, NAN0ANAV, PA0VA
C0VPLEX,ClENNAl-00035
044-24336119 / 24363465
91 THE CHRSTAN MSSON
HOSPTAL
EA3T vELl 3TREET , VA0uRAl - 25 001 0452-2326458, 2331164,
2326012, 2326294
92 THE NSTTUTE OF ORTHOPAEDC
RESEARCH AND ACCDENT
SURGERY
181-8, K.K. NA0AR,
VA0uRAl-25 020.
0452-265084, 2650812
93 QUALTY CARE HOSPTAL (P) LTD 32, 3ARv00AYA VAlN R0, ELLl3
NA0AR, VA0uRAl - 25 01
0452- 2600828, 2600829
94 MADURA KDNEY FOUNDATON /
SUMATHY HOSPTALS AND
NSTTUTE OF SUPER
SPECALTES
331-A, VARKET R0A0, ANNA NA0AR,
VA0uRAl - 25 020
0452-2524545, 2534011
95 SHENBAGAM HOSPTAL PVT LTD 15,1 N0RTl CR033 3R0 3TREET,
ANNANA0AR, VA0uRAl - 25020
0452-4393003, 2524581.
96 MADURA KDNEY CENTRE AND
TRANSPLANTATON RESEARCH
NSTTUTE
/, 8-2, 3lvA0AN0Al R0A0,
VA0uRAl-25 020.
0452-2534566
97 MADURA CTY HOSPTAL N0.31, 3lvA0AN0Al R0A0, 0PP T0
VlLK PR0JECT, VA0uRAl - 20
0452-2580099, 2580043,
2580212
98 ANBU HOSPTAL 150/1, KAVARAJAR 3ALAl,
TEPPAKuLAV, VA0uRAl - 25009
0452-2310257, 2311559
99 VKRAM HOSPTAL & NEW VKRAM
HOSPTAL
9/10, wE3T VAlN R0, ANNANA0AR,
VA0uRAl - 20
0452-2434853,2531221
100 JAWAHAR HOSPTALS 11 VAlN R0A0, K.K. NA0AR,
VA0uRAl-25 020
0452-4397777, 2580022
101 VADAMALAYAN HOSPTALS 9A, vALLA8AL R0A0, Cl0KKlKuLAV,
VA0uRAl - 2
0452-2532595 (8 LNES)
102 S.P. HOSPTAL, ORTHO AND
SURGCAL CENTRE,
ll0 31, 80 FEET R0A0, ANNA NA0AR,
VA0uRAl-25 020.
0452-4395510, 6525503
103 SR KRSHNA EYE HOSPTAL T.3. 5591/1, 30uTl 1Tl 3TREET,
Pu0uK0TTAl - 22 001
04322-221178, 266178,
98651 55456
104 T.M.S. EYE HOSPTAL 51, LRN C0L0NY, 3ARA0A C0LLE0E
R0, 3ALEV - 3 00Z
0427-2316955
105 SHANMUGA HOSPTALS & SALEM
CANCER CENTER
21, 3ARA0A C0LLE0E R0A0,
3ALEV - 300Z
0427-2315293, 2319469,
2315654
106 SR GOKULAM HOSPTAL 3/0, VEYYANuR R0A0, 3ALEV-3001. 0427-2448171-76
107 SR PALANAND MUDALAR
MEMORAL HOSPTAL
29-Cu00AL0RE VAlN R0A0,
AVVAPET, 3ALEV - 3 003
0427-2244500
108 SKS HOSPTALS NDA PVT LTD 23, 8RlN0AvAN R0A0, ALA0APuRAV,
3ALEV - 3 001
0427- 4033000, 4033093,
4033094
109 DR. AGARWAL'S EYE HOSPTAL
LTD
111/Z, 0AN0ll R0, 3ALEV - 300Z 0427- 2319993, 2313040
110 VNAYAKA MSSON HOSPTAL Nl-1Z, 3ANKARl VAlN R0A0,
vEERAPAN0l P03T, 3ALEV - 3 308
0427-3982090/91,
23
SI.
No.
Name of the HospitaIs Address Contact Numbers
111 VNODHAGAN MEMORAL
HOSPTAL (P) LTD
3210/3121, TRlClY R0A0,
TlANJAvuR - 1300Z
04362-230631, 230738,
234882 - 886
112 S.B. HOSPTAL
UROLOGY AND FERTLTY
RESEARCH CENTRE,
llrd 3TREET, RAJAPPA NA0AR,
VE0lCAL C0LLE0E R0A0,
TlANJAvuR-13 00Z.
04362-236872, 234859
113 SUNDARAM ARULRAHJ HOSPTAL 115/58,JEYARAJ R0A0,
TuTlC0RlN - 28002
0461-2320061
114 AVM HOSPTALS 135, PALAYAVC0TTAl R0A0,
TuTlC0RlN-28 003.
0461-2325438, 2320733,
2325461
115 RAJAM NURSNG HOME 3.38, PALAYAV K0TTAl R0,
TuTlC0RlN - 28 002
0461 2321166
116 SUBRAMANYAM NURSNG HOME
(KDNEY CARE CENTER)
90, VA0uRAl R0,
TlRuNELvELl - 2Z001
0462-2333980, 2334005,
2320943
117 ARAVND EYE HOSPTAL 3wAVl NELLAlAPPAR ll0l R0A0,
TlRuNELvELl
0462- 2337103
118 SHFA HOSPTALS 82, KAlLA3APuRAV Vl00LE 3T,
TlRuNELvELl JuNCTl0N- 1
0462-2333245,
2323041-46
119 R.S.P. NURSNG HOME & CARDO
THORACC RESEARCH CENTER
N0: 8,9,10, 3lvAPuRAV 3TREET,
TlRuNELvELl JuNCTl0N - 2Z001
0462-2337665,0462-
2323146
120 GALAXY HOSPTALS 110/E/20/1, N0RTl 8Y-PA33 R0A0,
vANNARPETTAl, TlRuNELvELl-2Z 003.
0462-2501951-56
121 SHREE SUDHARSON HOSPTALS 1, 3ALAl 3TREET, vANNARPETTAl,
TlRuNELvELl - 2Z003
0462-2501791, 2502320
122 JOSEPH HOSPTAL 25,ClATRAV 3TREET,
PALAYAVK0TTAl
0462-2579934-2573080
123 MAHATHMA EYE HOSPTAL , 3E3lAPuRAV, TENNuR,
TRlClY - 20 01Z
0431- 4740494, 2741198
124 A.G. EYE HOSPTAL AND
NSTTUTE OF OPHTHALMC
RESEARCH AND TRANNG
Z0, 0FFlCER3 C0L0NY, PuTluR,
TlRuCllRAPALLl-20 01Z.
0431-2792901
125 KMC SPECALTY HOSPTAL() LTD
(FORMERLY KNOWN AS
SEAHORSE HOSPTALS LTD)
, R0YAL R0, CANT0NVENT,
TRlClY - 20 001
0431- 4000661
126 GVN HOSPTAL (SNGARATHOPE) 1,3lN0ARATl0PE,TRlClY-20008 0431-2700712,2700811
127 KAVER MEDCAL CENTRE AND
HOSPTAL
1, K.C.R0A0, TENNuR,
TlRuCllRAPALLl-20 01Z.
0431-4022555, 4077777
128 MARUTH HOSPTALS 95, PATTA8lRAVAN 3TREET,
TlENNuR, TlRuCllRAPALLl-20 01Z.
0431-2793456
129 DEEPAM NURSNG HOME 50, 8l3l0P R0A0, PuTluR, TRlClY-1Z. 0431-2792449
130 PANNEER NURSHNG HOME 11,TllRuTlANTl0Nl
R0A0,w0RlYuR,TRlClY-20003
0431-2761519, 2768587
131 SUDARSANA HOSPTAL 119-0, PALAYAV 8AZAAR,
w0RlYuR, TRlClY-3.
0431-2761171
132 NDRA SESHADHR NURSNG
HOME
5, C0LLECT0R3 0FFlCE R0A0, RAJA
C0L0NY, TRlClY - 00001
0431- 2499199
133 VASAN'S EYE HOSPTAL 15-A, 1sl CR033, TllLLAlNA0AR VAlN
R0A0, TRlClY-20018.
0431-4089000
24
SI.
No.
Name of the HospitaIs Address Contact Numbers
134 ASSURED BEST CARE HOSPTAL
(P) LTD, (ABC HOSPTAL)
N0 1, ANNAVALAl NA0AR , VAlN R0 ,
TRlClY - 20018
0431-2750238, 2750239
135 SR BALAJ HOSPTAL ClENNAl TRuNK R0A0, TlRuvANAl
K0vlL, TRlClY-20005
0431-2230300
136 VVEKANANDA EYE HOSPTAL 31F/10, vANATlARAYAPALAYA
3TREET, vETTAvALAV R0A0,
TlRuvANNAVALAl - 002
04175-226884, 223771
137 SR RAMANA MAHARSH EYE
HOSPTAL
51-C,30VAvARAKuLA
3TREET,TllRuvANNAVALLAl-0 01.
04175-220620
138 LONS EYE HOSPTAL vAN0AVPALAl,KAN0ALANClERRY
P03T, TllRuvARuR - 10101
04366-240099
139 ARAVND EYE HOSPTAL 3Z1, PERlYAKuLAV R0A0,
TlENl - 25531
04546-252658, 253258
140 CHRSTAN MEDCAL COLLEGE &
HOSPTAL
l0A 3Cu00ER R0A0, P03T 80X N0.3,
vELL0RE - 32 001
0416-2222102
141 CHRSTAN MEDCAL COLLEGE
EYE HOSPTAL
3ClELL CAVPu3, ARNl R0A0,
vELL0RE - 32 001
0416-2232921, 2222115
142 THRUVENGDAM HOSPTAL -T-1 RAVAV00RTlY R0A0,
vlRu0luNA0AR - 2 001
04562- 242565, 267565
143 PRASHANTH MULTSPECALTY
HOSPTAL
ZZ, lARRlN0T0N R0A0, ClETPET,
ClENNAl - 00031
044-42277777, 28363113,
28363513-15
144 PATERSON CANCER CENTRE
[VJAYA]
N3K 3ALAl, vA0APALANl,
ClENNAl - 00 02
044-24724292
145 BALAKRSHNA EYE HOSPTAL &
EYE RESEARCH CENTER
11/, 3A3TRl l CR033 3TREET, KAvERl
R0, 3Al0APET-P0, ClENNAl - 00015
044-24359514, 32550260
146 KKR ENT HOSPTAL & RESEARCH
NSTTUTE (P) LTD.
2Z1, P00NAVALLEE ll0l R0A0,
KlLPAuK, ClENNAl - 00 010
044 26411444 26411987
26411612
147 SR KUMARAN HOSPTAL ZZ1,P.N.R0A0, NEAR NEw 8u3 3TAN0,
TlRuPuR - 1102
0421-2478787, 4330000,
148 ARVNTH HOSPTAL 1Z, RAN0AR 3ANNATll 3TREET,
NAVAKKAL - 3Z 001
04286- 232333, 231333,
149 RAMAKRSHNA NURSNG HOME 20-21,vlvEKANAN0A
NA0AR,w0RAlYuR,TRlClY-20 003.
2774851,4040444,404
0555
150 RETNA GLOBAL HOSPTAL 95/1, PATTA8lRAVAN 3TREET,
TENNuR, TRlClY - 20 01Z
0431-2791450, 2791460,
151 RANA MATERNTY HOSPTAL A-10/15,3ALAl R0A0, TllLLAl NA0AR,
TlRuCllRAPPALLl
0431-2763570, 2767536
152 C.S..BELLPNS NDRAN
CHELLADURA MSSON HOSPTAL
59, TlRuClEN0uR
R0A0,PALAYAVK0TTAl-2Z002
0462-2579811 / 2576779,
2576778
153 JANET NURSNG HOME 21/8, REN0ANATlAPuRAV,
PuTluR,TlRuCllRAPALLl - 20 01Z
0431-2792824 2792543
154 ROYAL PEARL HOSPTAL C12, 3R0 CR033 3TREET, TllLLAl
NA0AR EA3T, TRlClY - 20018
0431-2768661, 2764891,
2762060
155 THLAK HOSPTAL 103,A/2 0EvAR C0L0NY, 13T CR033
TllLLAl NA0AR, TRlClY-20018.
0431-2762288, 2762277
2S
SI.
No.
Name of the HospitaIs Address Contact Numbers
156 VELAN EYE HOSPTAL 1Z, 3RlNlvA3APuRAV, KARuR - 39001 04324- 260716
157 V.P.N. EYE HOSPTAL 25, NEELA wE3T 3TREET,
NA0APATTlNAV - 11001
04365- 221144, 221344
158 GEM HOSPTAL NDA PVT LTD 15-A, PANKAJA VlLL R0A0,
RAVANATlAPuRAV,
C0lV8AT0RE-11 015
0422-2324105
159 SENTHL HOSPTAL 8/1, R&R LAY0uT, VETTuPALAYAV R0,
C0lV8AT0RE - 11002
0422-2549222
160 DEV HOSPTAL 0l3TRlCT 3ClENCE CENTRE R0A0,
K0KlRAKuLAV,
TlRuNELvELl- 2Z 009.
0462-2501502
161 ANNA VELANKANN NURSNG
HOME
1/111, 30VA3lNAYANAR 3T, VuRu0AN
KuRlCll, PALAYAVK0TTAl,
TlRuNELvELl - 2Z002
0462- 2501661 - 64
162 LATHA EYE HOSPTAL Z-A, TluRAlYuR R0A0,
NAVAKKAL - 3Z 002
04286- 234545
163 LOTUS EYE CARE HOSPTAL LTD N0.5(2), 0AJALAK3lVl TlEATRE
R0A0(8ACK3l0E) NEAR vALARVATll
8u3 3T0P, TlRuPuR - 11 01
0421-4346060, 4346161
164 SANTOSHAM CHEST HOSPTAL NEw N0 155- E0V0RE ll0l R0A0,
ClENNAl - 00 008
044-28190250
165 SR RAGHAVENDRA EYE
HOSPTAL
N0.Z2, V03uvANNA 3TREET,
ER00E 38001
0424-2258735, 2262044
166 PREETH HOSPTAL 2Z, 0ANE3l NA0AR, 120- FEET R0,
0PP VATTuTlAvANl 8u3 3TAN0,
VA0uRAl - Z
0452- 2589996, 3203396
167 MADURA EYE CENTER 13Z, EA3T PERlA3AVY R0A0, R.3.
PuRAV, C0lV8AT0RE-11002
0422- 2553077
* Addiiional Lisi of Hosiials arovcd ly iIc Uniicd India Insurancc
Conany Liniicd, CIcnnai / TIird Pariy Adninisiraior undcr iIc
conirol of Uniicd India Insurancc Conany Liniicd undcr iIis
ScIcncwilllcnoiificdsIorily.
-J True Copy J-

SECTION OFFICER.
26
Annexure-IV
LIST OF THE NODAL OFFICERS OF THE UIIC LTD.
SITUATED IN THE DISTRICT HEADQUARTERS AND TOLL
FREE HELPLINE NUMBER

NodaI OIIIcers oI tbe UnIted IndIa Insurance Company LImIted under
New HeaItb Insurance Scbeme, 2012.
Chief Nodal Officer Dr.S.Valaguru Regional Manager 94428 84340
Nodal Officer K.Ramakrishnan Assistant Manager 94444 18897
SI.
No.
District NodaI Officer Designation
Contact
Number
1 Ariyalur P.Stalin Branch Manager 96007 79261
2 Chennai K.Ramakrishnan, Assistant Manager 94444 18897
3 Coimbatore N.K.Ashok Kumar Sr. Divisional Manager 90470 12341
4 Cuddalore M.Anbalagan, Sr. Divisional Manager 94438 10845
5 Dharmapuri S.Karunanithi Branch manager 94421 41918
6 Dindigul A.Thangayyan Divisional Manager 94431 22464
7 Erode R.Rajan Sr. Divisional Manager 98431 84492
8 Kancheepuram N.Ravichandran Divisional Manager 94444 92475
9 Kanniyakumari M.Muthuswamy Sr. Divisional Manager 94439 71935
UNITED INDIA INSURANCE COMPANY LIMITED,
0|v|s|ora| 0ll|ce: 010Z00, F|rsl F|oor, 3|||rg| 8u||d|rg,
131, 0rears Road, Crerra|-00 00.

T1rd Por1g Adm1n1s1ro1or
(Undc tIc conto o UIIC Lntcd)
MDIndIa HeaItbcare ServIces (TPA) Pvt. Ltd.
(Ncu HcutI Insuuncc ScIcnc, 2Ul2 o Enoccs o Goucnncnt
Dcutncnts und Ogunsutons couccd undc tIs ScIcnc)

+HDG3URMHFW2IILFH
No.27,LaniTowcr,TIirdFloor,
Dr.FadIalrisInanSalai,Mylaorc,CIcnnai-600004.
|Landnarl-YcllowPagcs|

TOLL FREE (24 Hours) HELPLINE NO.

2?
SI.
No.
District NodaI Officer Designation
Contact
Number
10 Karur K.Balasubramaniam Divisional Manager 98945 65100
11 Krishnagiri N.K.Budhan Sr. Divisional Manager 94437 78887
12 Madurai K.Ravi Sr. Divisional Manager 94431 88803
13 Nagapattinam S.Vadivelu Divisional Manager 94422 62172
14 Namakkal T.Nanjappan Sr. Divisional Manager 94422 46611
15 Nilgiris John Thomas Divisional Manager 94434 78730
16 Perambalur P.Stalin Branch Manager 96007 79261
17 Pudukkottai D.Asokan Branch Manager 98941 09690
18 Ramanathapuram K.Kalaimani Divisional Manager 94437 97755
19 Salem S.Rangarajan Sr. Divisional Manager 99443 22223
20 Sivaganga A.Jeyaraj Branch Manager 94898 00011
21 Thanjavur S.Aluguraj Branch Manager 94425 81821
22 Theni S.Thangamani Branch Manager 94422 52195
23 Thoothukudi K.Annadurai Divisional Manager 94422 33705
24 Tiruchirappalli D.Antony Raj Divisional Manager 94432 06064
25 Tirunelveli B.Swaminathan Divisional Manager 94433 43493
26 Tiruvallur A.Umapathy Branch Manager 96001 19034
27 Tiruvannamalai A.Sundarajan Branch Manager 94441 12116
28 Tiruvarur D.Shanmugam Divisional Manager 98424 91421
29 Tiruppur V.Vasantha Divisional Manager 97880 52192
30 Vellore G.Rajendiran Divisional Manager 94425 38305
31 Villupuram M.P.Dudu Branch Manager 94453 90410
32 Virudhunagar K.Paramasivan Divisional Manager 94434 36372
33 Puducherry Lawrence TPA - Coordinator 73730 05036
34 Bengaluru V.G.Venkat TPA - Coordinator 93413 16538
35 Thiruvananthapuram Annie Twinckle TPA - Coordinator 93490 73897
36 New Delhi. Dr.Atul Arora TPA - Coordinator 93113 01508
CoordInators oI tbe TPA - MDIndIa HeaItbcare ServIces (TPA) Pvt.
Ltd. under New HeaItb Insurance Scbeme, 2012.
Chief Coordinator Anzil Lawrence Project Office 7373005036
Coordinator M. Vijay Babu Project Office 7373004787
SI.
No.
District
E

Designation
Contact
Number
1 Ariyalur Kalai Selvan B. TPA - Coordinator 8883178328
2 Chennai Vijay Babu TPA - Coordinator 7373004978
3 Coimbatore Saravanakumar TPA - Coordinator 04222477151
4 Cuddalore Subash Chandra Bose TPA - Coordinator 7373004925
2S
SI.
No.
District
E

Designation
Contact
Number
5 Dharmapuri Mahendiran V. TPA - Coordinator 9790958518
6 Dindigul Padmanaban TPA - Coordinator 9789766020
7 Erode Sivakumar R. TPA - Coordinator 9791242136
8 Kancheepuram Senthil Kumar TPA - Coordinator 7373004791
9 Kanyakumari Suresh Kumar TPA - Coordinator 9865412512
10 Karur Felix S. TPA - Coordinator 7708853244
11 Krishnagiri Esakkiyappan TPA - Coordinator 7373004969
12 Madurai Palani TPA - Coordinator 98426 65577
13 Nagapattinam Duraimurugan P. TPA - Coordinator 9894920090
14 Namakkal Bakiaraj TPA - Coordinator 9842656100
15 Nilgiris Saravanakumar TPA - Coordinator 7373004919
16 Perambalur Gopinath D. TPA - Coordinator 9965958520
17 Pudukkottai Parameeswar TPA - Coordinator 9994039699
18 Ramanathapuram Usman Ali TPA - Coordinator 9940074070
19 Salem Jameer TPA - Coordinator 9344004413
20 Sivagangai Vijaya Adhappan TPA - Coordinator 8508880822
21 Thanjavur Vivekanandan TPA - Coordinator 7373004963
22 Theni Sarfraz TPA - Coordinator 9994529880
23 Thiruvallur Karthick A. TPA - Coordinator 9790958532
24 Thoothukudi Ukkirapandi TPA - Coordinator 9597702445
25 Tiruchirappalli Rajamanickam TPA - Coordinator 9443828860
26 Tirunelveli Esaki TPA - Coordinator 9003857067
27 Tirupur Murugan TPA - Coordinator 9842766867
28 Tiruvannamalai Fayaz Ahmed A.K. TPA - Coordinator 9944000146
29 Tiruvarur Vivekanandhan TPA - Coordinator 9865959420
30 Vellore Selvaganesh TPA - Coordinator 9629546868
31 Viluppuram Muthunarayanan K. TPA - Coordinator 9790958527
32 Virudunagar Rabik Raja TPA - Coordinator 9965407280
33 Puducherry Lawrence TPA - Coordinator 73730 05036
34 Bengaluru V.G.Venkat TPA - Coordinator 93413 16538
35 Thiruvananthapuram Annie Twinckle TPA - Coordinator 93490 73897
36 New Delhi. Dr.Atul Arora TPA - Coordinator 93113 01508
* Lisiof AddrcsscsofiIcOfficcsofiIcUniicdIndiaInsuranccConany
Liniicd / TIird Pariy Adninisiraior ai Disirici Hcadquaricrs undcr
iIisScIcncwilllcnoiificdsIorily.

-J True Copy J-

SECTION OFFICER.
29
Annexure-V
GUIDELINES REGARDING IDENTITY CARDS
For inlcncniaiion of iIc NcwHcaliI Insurancc ScIcnc, 2012, ii
iscsscniialiIaiiIccisiingdaialascofiIcEnloyccsandiIcircligillc
FanilyMcnlcrsarcudaicdandiIcdaiaislcingvalidaicdiocnallciIc
InsuranccConany/TIirdPariyAdninisiraiorioissuciIcncwIdcniiiy
CardsforavailinglcncfiisinalloclcriodoffourycarswiiIcffccifron
1-7-2012io10-6-2016.

2.ForiIcEnloyccswIoarcalrcadyIavingIdcniiiyCardsissucd
undcriIcrcviouslloclcriod2008-2012,iIcguidclincsdciailcdlclow
sIalllcfollowcdforissucofncwIdcniiiyCards.-

(a}TIccisiingdaialascavailallcinCovcrnncniwilllcrovidcd
ioiIcInsuranccConany/TIirdPariyAdninisiraior.

(l} TIc Insurancc Conany / TIird Pariy Adninisiraior in iurn

sIall gcncraic iIc Forns ly using iIc daia in iIc rcscrilcd
fornai as in iIc Anncurc-VII io iIis ordcr for iIc cisiing
Enloyccs wiiI iIc dciails of iIcir cligillc Fanily Mcnlcrs.
TIc Insurancc Conany / TIird Pariy Adninisiraior sIall
scnd iIc gcncraicd Forns io iIc Drawing and Dislursing
Officcrs inCovcrnncni Dcarincni/Pay Drawing Officcrsin
Organisaiions covcrcd undcr NHIS, 2012 for udaiing iIc
dciails.

(c} TIc Drawing and Dislursing Officcrs in Covcrnncni

Dcarincni / Pay Drawing Officcrs in Organisaiions covcrcd
undcrNHIS, 2012 sIall disiriluic iIc gcncraicd Forns io iIc
cnloyccs for furnisIing iIc laicsi dciails wiiI any addiiion
anddclciion.

(d}EacIcnloyccsIallfurnisIiIclaicsidciailsofIinsclf/Icrsclf
and iIcir cligillc Fanily Mcnlcrs along wiiI iIc rcccni
Passori sizc PIoiograIs in iIc rcscrilcd Forn disiriluicd
ioiIcn.

(c} TIc Drawing and Dislursing Officcrs in Covcrnncni

Dcarincnis and iIc Pay Drawing Officcrs in Organisaiions
covcrcd undcr NHIS, 2012 sIall collcci iIc rcscrilcd Forns
fron iIcir cnloyccs. Aficr vcrificaiion, iIc Forns sIall lc
counicrsigncd and scni io iIc Insurancc Conany / TIird
PariyAdninisiraior.DcforcscndingiIcForns,iIccoyofiIc
sanc sIall lc nainiaincd ly iIc Drawing and Dislursing
Officcrs in Covcrnncni Dcarincnis and iIc Pay Drawing
OfficcrsinOrganisaiionscovcrcdundcrNHIS,2012forfuiurc
rcfcrcncc.
30
(f} TIc Insurancc Conany / TIird Pariy Adninisiraior sIall
udaic iIc dciails of cacI cnloycc and iIcir cligillc Fanily
McnlcrsrovidcdlyiIciIcDrawingandDislursingOfficcrs
in Covcrnncni Dcarincnis and iIc Pay Drawing Officcrs in
OrganisaiionscovcrcdundcrNHIS,2012andarrangcioissuc
ncwIdcniiiyCardswiiIiniIcsiiulaicdcriodioiIcDrawing
and Dislursing Officcrs in Covcrnncni Dcarincnis and iIc
PayDrawingOfficcrsiniIcOrganisaiionscovcrcdundcrNHIS,
2012wiiIalsiraciofiIcdciailsofcnloyccs.

(g} TIc ncw Idcniiiy Cards will lc disiriluicd io iIc cnloyccs

iIrougI iIc Drawing and Dislursing Officcrs in Covcrnncni
Dcarincnis and iIc Pay Drawing Officcrs in iIc
Organisaiions covcrcd undcr NHIS, 2012 wiiI duc
aclnowlcdgcncni.

3. For iIc Enloyccs wIo arc ncwly rccruiicd or alsorlcd

cnloyccs inscrviccandEnloyccswIoarcnoifurnisIcdiIcdciailsof
iIccligillcFanilyMcnlcrssofar,iIcguidclincsdciailcdlclowsIalllc
followcdforissucofncwIdcniiiyCards.-

(a}EacIcnloyccsIallfurnisIdciailsofIinsclf/IcrsclfandiIcir
cligillc Fanily Mcnlcrs along wiiI iIc rcccni Passori sizc
PIoiograIs in iIc fornai rcscrilcd in iIc Anncurc-VII io
iIisordcrinncdiaiclyioiIcDrawingandDislursingOfficcrs
in Covcrnncni Dcarincnis and iIc Pay Drawing Officcrs in
iIcOrganisaiionscovcrcdundcrNHIS,2012.

(l}Aficrvcrificaiion,iIcFornssIalllccounicrsigncdandscniio
iIc Insurancc Conany / TIird Pariy Adninisiraior. Dcforc
scnding iIc Forns, iIc coy of iIc sanc sIall lc nainiaincd
ly iIc Drawing and Dislursing Officcrs in Covcrnncni
Dcarincnis and iIc Pay Drawing Officcrs in Organisaiions
covcrcdundcrNHIS,2012forfuiurcrcfcrcncc.

(c} TIc Insurancc Conany / TIird Pariy Adninisiraior sIall

arrangcioissuc Idcniiiy Cards ai oncc io iIc ncwly rccruiicd
or alsorlcd cnloyccs in scrvicc covcrcd undcr iIis ScIcnc
for availing of iIc lcncfiis wiiI alsiraci of iIc dciails of
cnloyccs.

(d}TIcIdcniiiyCardswilllcdisiriluicdioiIccnloyccsiIrougI
iIc Drawing and Dislursing Officcrs in Covcrnncni
Dcarincnis and iIc Pay Drawing Officcrs in iIc
Organisaiions covcrcd undcr NHIS, 2012 wiiI duc
aclnowlcdgcncni.

4. TIc IdcniiiyCardssIalllcissucdlyiIcInsuranccConany/
TIird Pariy Adninisiraior wiiIin a criod of siiy days fron iIc daic of
conncnccncniofiIc ScIcnc.Dung tIc ntcn cod o cuuton und
dstIuton o tIc ncu Idcntt Cuds, tIc Insuuncc Conun / TId Put
Adnnstuto sIu uutIosc uccctuncc o tIc Idcntt Cuds ssucd ucud
31
undc tIc ScIcnc o 2UUS-2Ul2 or a Ccriificaic rcscrilcd in iIc
Anncurc-VI auiIcniicaicd ly iIc Drawing and Dislursing Officcrs in
Covcrnncni Dcarincnis / Pay Drawing Officcrs in Organisaiions
covcrcd undcr iIis ScIcnc as valid idcniiiy for iIc urosc of availing
lcncfiisundcriIisScIcnc. TIisarrangcncniwilllcalicallconlyfor
sucIinicrincriod,iilliIcIdcniiiyCardsarcnadcavailallc.
S.TIcdaiafurnisIcdlyiIccnloyccssIalllciIcrocriyofiIc
Siaic Covcrnncni and sIould noi lc uscd for any urosc wiiIoui iIc
riorcrnissionofiIcCovcrnncniofTanilNadu.
6. TIc soficoy of iIc udaicd daialasc of Enloyccs and iIcir
cligillcFanilyMcnlcrssIalllcIandcdovcrioiIcCovcrnncniofTanil
Nadu in Financc (Salarics} Dcarincni, as and wIcn iIc daia
conilaiions arc conlcicd and also io iIc Connissioncr of Trcasurics
and Accounis, CIcnnai-15 on noniIly lasis for calculaiion of aciual
annualrcniun.
?. TIcConnissioncrofTrcasuricsandAccounis,CIcnnai-15sIall
coordinaic wiiI iIc Insurancc Conany / TIird Pariy Adninisiraior io
issucIdcniiiyCardsioalliIccnloyccswiiIiniIcsiiulaicdcriodand
noniioriIcrogrcssofiIcworls.AllDrawingandDislursingOfficcrsin
CovcrnncniDcarincnisandiIcPayDrawingOfficcrsinOrganisaiions
covcrcd undcr NHIS,2012 sIall coniaci iIc Connissioncr of Trcasurics
andAccounis,CIcnnai-15foranydclayingciiingIdcniiiyCardsioiIcir
cnloyccs.
S. TIcfollowingdaicscIcdulcssIalllcadIcrcdioiniIccollcciion
ofiIcdciailsofEnloyccsandiIcircligillcFanilyMcnlcrsandioissuc
ncwIdcniiiyCardsioiIccnloyccs.
(a} For tbe EmpIoyees wbo are aIready bavIng
IdentIty Cards Issued under tbe prevIous
bIock perIod 200S-2012:
CcncraicdFornsin iIcrcscrilcd fornaiasin
iIcAnncurc-VIIioiIisordcrwiiIiIcdciailsof
Enloyccs and iIcir cligillc Fanily Mcnlcrs
sIall lc Iandcd ovcr io iIc Drawing and
Dislursing Officcrs in Covi. Dcarincnis and
Pay Drawing Officcrs in iIc Organisaiions
covcrcd undcr NHIS,2012 ly iIc Insurancc
Conany/TPA.

OnorDcforc
20-0?-2012
(l} For tbe EmpIoyees wbo are newIy recruIted
or absorbed empIoyees In servIce and
EmpIoyees wbo are not IurnIsbed tbe detaIIs
oI tbe eIIgIbIe FamIIy Members so Iar:
Forns in iIc rcscrilcd fornai as in iIc
Anncurc-VII io iIis ordcr sIall lc rovidcd ly
iIcDrawingandDislursingOfficcrsinCovi.
Dcarincnis and Pay Drawing Officcrs in iIc
Organisaiions covcrcd undcr NHIS,2012 io iIc
cnloyccs.

OnorDcforc
20-0?-2012
32
(l} Udaicd/FillcdFornssIalllcfurnisIcdioiIc
Insurance Company J TbIrd Party
AdmInIstrator ly iIc Drawing and
Dislursing Officcrs in Covi. Dcarincnis and
Pay Drawing Officcrs in iIc Organisaiions
covcrcdundcrNHIS,2012.

31-0?-2012
(d} Ncw Idcniiiy Cards sIall lc issucd io iIc
Enloyccs iIrougI iIc Drawing and
Dislursing Officcrs in Covi. Dcarincnis and
Pay Drawing Officcrs in iIc Organisaiions
covcrcd undcr NHIS,2012 ly iIc Insurancc
Conany/TIirdPariyAdninisiraior.
31-0S-2012

9. All iIc Enloyccs in Covcrnncni Dcarincnis and

Organisaiions covcrcd undcr iIis ScIcnc sIall gci ncw Idcniiiy Card
wiiIiniIcsiiulaicdcriodwiiIouifailforavailingncdicalassisianccon
casIlcssnodclundcriIisScIcnc.IncascoflosiofncwIdcniiiyCard,a
dulicaic Idcniiiy Card can lc oliaincd on ayncni of Fs.50/- ly
cnloyccioiIcInsuranccConany/TIirdPariyAdninisiraior.

-J True Copy J-

SECTION OFFICER.
33
Annexure-VI
CERTIFICATE TO BE ISSUED IN LIEU OF IDENTITY CARD UNDER
THE NEW HEALTH INSURANCE SCHEME, 2012.

CERTIFICATE
(Neu Heo11 1nsuronoe Soeme, 2DJ2 ordered 1n
G.O.Ms.No.24S, F1nonoe (So1or1es) Depor1men1 Do1ed: 29-t-2DJ2)

Fcf.No._______________________
Ccriificd iIai TIiru/Tni./Sclvi _____________________ is cnloycd as
____________________ in _______________________________________
____________________________________________________________ and Iis/Icr
cligillc Fanily Mcnlcrs as dciailcd lclow arc cligillc for ircaincnis /
surgcrics covcrcd undcr iIc Ncw HcaliI Insurancc ScIcnc, 2012. TIc
IdcniiiyCardundcriIcNcwHcaliIInsuranccScIcnc,2012isyciiolc
sulicd ly iIc Uniicd India Insurancc Conany Liniicd, CIcnnai /
TIird Pariy Adninisiraior. TIis ccriificaic is issucd io cnallc iIc
EnloyccandiIcircligillcFanilyMcnlcrsundcriIcalovcscIcncfor
availing arovcd ircaincnis / surgcrics in iIc cnancllcd Iosiials
arovcd ly iIc Insurancc Conany / TIird Pariy Adninisiraior. TIc
arovcd Iosiials conccrncd sIall rovidc CASHLESS IcaliI carc
covcragcascnvisagcdundcriIisScIcnc.
34
DetaIIs oI tbe EmpIoyee and tbeIr FamIIy Members under New HeaItb
Insurance Scbeme, 2012:
SI.
No.
Name
Age as
on
1-6-2012
ReIationship
to the
EmpIoyee
MaritaI
Status
EmpIoyment
Status
Stamp size
Photo
1.

SeII
2.

3.

4.

S.

* TIc Drawing and Dislursing Officcr in Covcrnncni Dcarincni / Pay Drawing
OfficcrsinOrganisaiionscovcrcdundcriIisScIcncsIallalsolcfurnisIcdDaiaof
Enloycc and iIcir cligillc Fanily Mcnlcrs for insurancc covcragc undcr Ncw
HcaliIInsuranccScIcnc,2012ioInsuranccConanyaioncciogciIdcniiiyCard
ascriIcfornaircscrilcdiniIcAnncurc-VIioiIisordcr.

SIgnature oI DrawIng
and DIsbursIng OIIIcer In
Government Departments

SIgnature oI Pay DrawIng OIIIcers

In OrganIsatIons covered under
tbIs Scbeme.

Nanc .
Dcsignaiion .
Daic .
Scal .
-J True Copy J-

SECTION OFFICER.
3S
Annexure-VII
NEW HEALTH INSURANCE SCHEME, 2012
for EmpIoyees of Govt. Departments and Organisations covered under this Scheme

Form Ior IurnIsbIng Data oI EmpIoyee and tbeIr eIIgIbIe FamIIy
Members Ior Insurance coverage under New HeaItb Insurance
Scbeme, 2012 to Insurance CompanyJTbIrd Party AdmInIstrator.

1. Name of the Employee * :
Contact Mobile No. :
In case the spouse is employed, the details
of the spouse shall also be furnished in the
same format separately.
2. Designation :
3. Pay Drawn Particulars : Pay in PB + Grade Pay = TotaI
+ +
4. Head of Account in which the Govt.
Employee's contribution is being
recovered.
5. Type of Office :
Govt. / PSU & SB / Local Bodies / Universities /
Organisations / nstitutions
6. Office in which Employed :
7. Date of Birth :
8. Date of Appointment :
9. Date of Retirement :
10. Designation of Drawing & Disbursing
Officer & Code
:
11. Pay Drawing Office attached :
[PAO / Treasury / Sub-Treasury with Address
for Govt. Employees]
{Others Address of the Office
12. Employee Code :**
**GPF/CPS/TPF No. for Govt. EmpIoyees
Employee Code of other organisations, if any
assigned shall be indicated along with the
dentification of the Organisation
36
13. Details of the Employee and their
eligible Family Members under the
NHS, 2012
:

SI.
No.
Name
Age as
on
1-6-2012
ReIationship
to the
EmpIoyee
MaritaI
Status
EmpIoyment
Status
Stamp size
Photo
1.

SeII
2.

3.

4.

S.

SIgnature oI tbe EmpIoyee.
Ccriificd iIai iIc alovc ariiculars arc vcrificd wiiI iIc Scrvicc
FcgisicrofiIcEnloycc.

SIgnature oI DrawIng and DIsbursIng

OIIIcer In Government Departments

SIgnature oI Pay DrawIng OIIIcers In

OrganIsatIons covered under tbIs
Scbeme.

Nanc .
Dcsignaiion .
Daic .
Scal .

-J True Copy J-

SECTION OFFICER.