Government of Jammu and Kashmir Civil Secretariat, Finance Department

(Insurance Division)

CIRCULAR No: 05 -FD of2018 Dated: 25 -09-2018

Subject: J&K Group Mediclaim Insurance Policy for Employees and Pensioners.

A web based application has been launched to facilitate review / correction/ checking of the entries in the enrolment forms submitted by the employees / pensioners recently for the proposed J&K Group Mediclaim Insurance Policy (www.trinityjakcom).

1. Android based mobile users can download this web based application "J&K Health Insurance" from Google play store. Employees can access the above application with their mobile numbers as mentioned in their enrolment forms. Information provided by the employees/pensioners earlier in the enrolment forms shall pre populate on their screens. The same should be checked and corrected as per the requirements.

2. Employees can check/correct the information in respect of name, age, sex, relationship with dependents, name of employer, name of the organization/ department, DDO's name & his code and other contact details and fill the correct information. Employees are also advised to check other allied information and correct it, if required.

3. Similarly, pensioners who desire to opt for the policy can also check/correct the information in respect of name, age, sex, relationship with dependents, PPO's No, department last served, name of bank branch and/ or treasury from where pension is being drawn and fill the correct information, subject to if he has already deposited his/her enrolment form with the concerned agency.

4. This online Application shall remain open for 30 days. It may be noted that information once submitted after review/correction shall freeze and

~ become final.

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5. The detailed process of accessing the above application/website is enclosed as 1I Annexure- Aand B".

6. The employees/pensioners can also contact on the toll free no 18001807161 for any assistance.

Sd/- (Navin K. Choudhary) lAS,

Principal Secretary to Government, Finance Department

No: FD/JI-Mediclaim/2018-271 Copy to the:-

a. Financial Commissioner, Housing and Urban Development Department. 2. Vice-Chairman/Director General, J&K Institute of Management, Public Administration

and Rural Development. 3· Director General of Police, J&K. 4· Principal Secretary to the Hon'ble Governor. 5· Chief Electoral Officer, J&K. 6. Principal Resident Commissioner, J&K Government, New Delhi. 7. All Principal Secretaries to the Government. 8. All Commissioners/Secretaries to the Government. 9. Divisional Commissioner, Jammu/Kashmir ro. Chairperson, J&K Special Tribunal. aa. Secretary, J&K Public Service Commission. az. All Heads of Departments/Managing Directors. ~3. Director General Accounts& Treasuries, J&K. ~4. All Deputy Commissioners. 15. Director Information, J&K with the request to give wide publicity of the circular

through Paper/TV/Radio. ~6. Director Estates, J&K. ~7. Director Archives, Archaeology and Museums. 18. Secretary, J&K Legislative Assembly/Council. 19. Secretary, J&K Services Selection Board. 20. General Manager, Government Press, Srinagar /Jammu. 21. Private Secretary to Advisor (V) to the Governor. 22. Private Secretary to Advisor (K) to the Governor. 23. Private Secretary to Advisor (G) to the Governor. 24. Private Secretary to the Chief Secretary. 25. Private Secretary to Commissioner/Secretary to the Government, General

Administration Department. 26. Pvt Secretary to CEO/Chairman, J&K Bank Ltd. 27. National Manager -Govt. Business Reliance General Insurance Company Ltd for

immediate necessary action. 28. Director & Principal Officer, Trinity ReInsurance Brokers Pvt. L

Sector-7, Noida, Uttar Pradesh -201 301 for immediate necessary 29. In charge website, GAD/Finance Department.

Dated: 25.09.2018

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~ - w- - iil'J Nazim ~ Khan (KAS)

~ Special Secretary to Govt ~ . Finance Depart~

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Annexure-A Circular No: O~FD of2018 dated 25-09-2018

J&K Group Health Insurance Policy for Employees and Pensioners.

Mobile based application namely "J&K Health Insurance" to facilitate all the employees and pensioners of J&K Government for reviewing/ correcting/ checking of their enrolment form submitted earlier has been released. How to operate the APP (Android)

¥' Download the application 'J&K Health Insurance' from Google Play store. ¥' Open the same and click appropriate option - Employee/Pensioner. ¥' Enter your mobile No. given in enrolment form, An OTP SMS will be sent to

your registered mobile no. ¥' Kindly feed the same into given field. ¥' Read & click Agree on disclaimer screen. ¥' Now click on +sign or on front page left side, option is also given to view

the details. ¥' Your filled enrolment form will appear on your screen. ¥' Ensure all the information are filled in correctly ¥' Check the correctness of all mandatory information, Such as Employee

Name, DOB, Gender, Department, and Dependent Details and correct the same if so require.

¥' Likewise other modification in dependents information can also be made. ¥' At last use proceed and upload buttons for save.

Note: In some cases, Error Message such as your mobile No. is not registered can popup due to the following reasons;

2 The Aircel No. users whose No. has been changed to other operator, they won't be able to operate or review the details and shall call on Toll Free number 18001807161 for updating the new Mobile Number.

3 Those who have entered landline no. in the enrolment form also won't be able to check/review the details.

4 Mobile No with 9 digit/not visible/wrong no entered can't get access to view the form in Mobile APP.

5 Those who have not provided Mobile No. in enrolment form can't get the access.

6 There might also be reason in few cases where the form has not reached or yet may be in transit.

Note :The facility is provided for android users only and the same can be downloaded from Google play store, further lOS based application will be

~ released soon in due course of time. ('\

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Annexure-B Circular No:OS:FD of 2018 dated 25-09-2018

Website of J&K Group Health Insurance Policy

Employees who have already given details in 2017, are existing as enrolled employees and the given mobile number at that time is to be used as Login 10 for this portal.

The employees and pensioners are requested to follow the below mentioned steps on the official website of J&K Group Health Insurance Policy for employees and pensioners-www.trinityjak.com to review I correct their enrolment forms.

~ How to operate the website.

1. Go to www.trinityjak.com 2. Enter your registered mobile number. 3. Enter the OTP generated to login into your account. 4. Review the details therein and make corrections wherever needed. S. The requisite 000 code may be obtained for your respective 000 and

used to submit form with changes.

For New Enrolment

~ The employees, who have not deposited their enrolment form till date can now fill the prescribed form (enclosed) and submit the same to Ms. Trinity Reinsurance Brokers Ltd Srinagar/ Jammu through their concerned 000 on most immediate basis within 30 days.

For any clarifications, Mis Trinity Reinsurance Brokers Ltd can be contacted at the following:

1. 37-A Sector lA, Near Punjab National Bank Trikuta Nagar Extension Jammu, J&K-180020

2. 2nd Floor, Landmark Complex Karan Nagar Srinagar, J&K-190010

Toll Free Number-1800-180-7161

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l

I~ 1.

Enrolment Form - J&K Government Employees Group Mediclaim Insurance Policy

Administrative Department* Directorate / HOD/Controlling Oftice* .

000 Code* District* 000 Name* .

Office address of the 000/ Nodal Officer '" .

DDO/Nodal Officer Contact No.* DDO/Nodal Officer EmaillD .

Employee Details (Block letter)

Name of the Employee* '" Employee DOB* Sex* Employee Mobile No. * .

Designation of the Employee* Emp. 10 Emp. Email 10 .

Address

...............................................................................................................................................................................................................

~ p;o Cod" " . District* Aadhar Card No '" .

~_:::=- Gr 5

Continue on next page (6)

r t Employee can cover any 5 dependents in between spouse / children /parents / siblings

Female employee can cover parents / in laws (any couple) as dependents

Part' fthe D dent fth I I S.No I Full Name* Sex (M/F) Relationship with I Date of Birth* Aadhar Card NO. I

(in Block Letters) Employee* (DD/MM/YY) 1 I 2 I

I 3 :

I ! 4 i

I

I

5 I I

---- ------ ---- l. _____________ - - -----------

Note:

I. The employees are required to fill up the prescribed format properly and include only those dependents who are intended to be covered under the policy.

2. The DDOs/Nodal Officers concerned are requested to verify the above details stated by employee.

Signature of Employee

Date:

Place: Seal & Signature of 000 I Nodal Officer

Note: 1. Form to be filled in BLOCK LETTERS and with Ball Pen. 2. Information with * marl, is compulsory to be provided by proposer without * form may be rejected. 3. Your mobile number is Unique 10 No. hence to be used carefully. 4. Aadhar card number if available should also be mention of each member of the family 5. The form should be verified by 000 stating his name and 000 code number with sign & stamp

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Enrolment Form for all categories of J&K Government Pensioners (For use of Pensioner Only)

1. Name of the Pensioner* .

2. Department last served* .

3. Designation of the last 000 with full address .

4. Name of the bank Branch / Treasury from which the pension is being received .

5. Pensioner's DOB* 5ex* M / F .

6. Pensioner's Mobile No. * .

7. Pensioner's PPO NO* .

8. Pensioner's Email 10 .

9. Address .

10. Pin Code* District* Aadhaar Card No .

Pensioners can cover his / her dependent family members{s) only maximum upto five, i.e., (1+5)=6

- - -- -,----- S.NO Full Name* Sex Relationship with Date of Birth* Aadhar Cud

(i n Block Letters) (M/F) Employee= (OO/MMIYY) NO. 1 - - - -- - - 2 -- - - - ---.- 3 - - - _. -r-- 4 - 5 -- - - -

Signature of Pensioner

Note:

Note: 1. Form to be filled in BLOCK LETTERS and with Ball Pen. 2. Information with * mark is to be given compulsorily. 3. Your mobile number is Unique ID No. hence to be filled in carefully. 4. Aadhar card number if available of each member of the family should also be mentioned.

"Insu.anoe Divisfon FD)