भारतीय प्रौद्योगिकी संस्थान...

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भारतीय ौोगिकी संथान गतपगत INDIAN INSTITUTE OF TECHNOLOGY TIRUPATI Renigunta Road, Settipalli Post, Chittoor District, Tirupati – 517506 ______________________________________________________________________________________ Tender No: IITT/GHIS/2019-20/001 Date: 13 June 2019 NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES AND THEIR FAMILY MEMBERS (E-PROCUREMENT MODE ONLY) Indian Institute of Tirupati invites online bids (e-tender) from Insurance Companies/ Corporate Agents, having Certificate of Registration issued by IRDAI (Insurance Regulatory and Development Authority of India), valid as on the last date of submission of bids, in two bid systems for the following: Brief Details of Tender: Work Description Tender Fee (inclusive of all taxes) (Rs.) EMD (Rs.) Group Health Insurance Policy for IIT Tirupati Employees and their Family Members 500/- 5,000/- The Tender Document can be downloaded from Central Public Procurement (CPP) Portal http://eprocure.gov.in/eprocure/app and bid is to be submitted online only through the same portal up to the last date and time of submission of tender. Critical Dates of Tender: S. No. Particulars Date Time 01 Date & Time of Online Publication/Download of Tender 13 June 2019 1730 Hrs. 02 Bid Submission Start Date & Time 13 June 2019 1730 Hrs. 03 Bid Submission Close Date & Time 01 July 2019 1000 Hrs. 04 Closing date & time for Submission of EMD & Tender Fee 01 July 2019 1000 Hrs. 05 Opening of Technical Bids 02 July 2019 1000 Hrs.

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Page 1: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

भारतीय प्रौद्योगिकी संस्थान गतरुपगत INDIAN INSTITUTE OF TECHNOLOGY TIRUPATI Renigunta Road, Settipalli Post, Chittoor District, Tirupati – 517506

______________________________________________________________________________________ Tender No: IITT/GHIS/2019-20/001 Date: 13 June 2019

NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES AND THEIR FAMILY MEMBERS

(E-PROCUREMENT MODE ONLY)

Indian Institute of Tirupati invites online bids (e-tender) from Insurance Companies/ Corporate Agents, having

Certificate of Registration issued by IRDAI (Insurance Regulatory and Development Authority of India), valid

as on the last date of submission of bids, in two bid systems for the following:

Brief Details of Tender:

Work Description Tender Fee (inclusive of all taxes) (Rs.) EMD (Rs.)

Group Health Insurance Policy for IIT Tirupati Employees and their Family Members

500/- 5,000/-

The Tender Document can be downloaded from Central Public Procurement (CPP) Portal http://eprocure.gov.in/eprocure/app and bid is to be submitted online only through the same portal up to the last date and time of submission of tender.

Critical Dates of Tender:

S. No. Particulars

Date

Time

01 Date & Time of Online Publication/Download of Tender 13 June 2019 1730 Hrs.

02 Bid Submission Start Date & Time 13 June 2019 1730 Hrs.

03 Bid Submission Close Date & Time 01 July 2019 1000 Hrs.

04 Closing date & time for Submission of EMD & Tender Fee 01 July 2019 1000 Hrs.

05 Opening of Technical Bids

02 July 2019 1000 Hrs.

Page 2: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

1. ABOUT IIT TIRUPATI

Indian Institute of Technology Tirupati is governed by the Institutes of Technology Act

(Amendment) Act, 2016 and is an Institute of National Importance (INI).

2. SCHEDULE OF REQUIREMENT

Technical details Group Name Indian Institute of Technology Tirupati. Location Tirupati Start Date From the date of award of contract Period One year

Claim Ratio Not Applicable

Existing Policy Details Not Applicable Insured Group Details Employee Strength As on 01-04-2019 No. of employees 81 No. of Dependents 179 TOTAL NOS. OF LIVES Details of employees and their family members is attached

(Appendix -1) Family Definition Employee, Spouse, parents, sisters, widowed sisters,

widowed daughters, brothers, children, step children, divorced/separated daughter and step mother wholly dependent upon the employee and are normally residing with the employee. In case of son, the coverage will be till he starts earning or he attains the age of 25 years, whichever is earlier. In case of daughter, the coverage will be till she starts earning or gets married, whichever is earlier irrespective of the age limit. Dependency and other criteria to be decided as per Government of India Medical Attendance Rules. Maximum Age Not Applicable

Floater/Individual Floater Sum Insured Rs. 1.5 Lakh per family (floater)

Additional coverage Option 1 – Rs.1 Lakh per family (floater)

Option 2 – Rs.2 Lakh per family (floater) Coverage and Benefits Details Domiciliary Hospitalization Covered Coverage of Pre Existing diseases from Day 1

Covered

Cashless facility Applicable in all network hospitals of which (At least in 3 major

hospitals in Tirupati. Names of such hospitals to be provided) 30 days waiting Period Waived 1st Year and 2 years exclusions

Waived

Page 3: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

3. TENDER FEE & EARNEST MONEY DEPOSIT DETAILS:

a) Tender Fee of Rs. 500/- (Rupees Five Hundred only) and EMD of Rs.

5,000/- (Rupees Five Thousand only) in the form of Bank transfer through

NEFT at the following account should be submitted.

Name of beneficiary: Indian Institute of Technology Tirupati Address: Tirupati-Renigunta Road, Tirupati – 517 506 Account No: 35523338208 Name of the Bank: State Bank of India Branch Address: Settipalli, Tirupati – 517 506, Andhra Pradesh IFSC Code: SBIN0006677

30 Days Pre and 60 Days post hospitalization Expenses covered

Covered

Maternity Benefit / New Born Baby from Day 1

Covered up to the amount of Sum Insured

Sub Limits for Disease / Room Rent Capping / Ambulance Charges

1. Room-Rent –Rs.7500 per day (Max.) per person 2. ICU Rent– Rs.15,000/- per day (Max.) per person 3. Ambulance Charges- Rs.5000/- (Max) per admission

Other Conditions New Employees along with their dependents shall be

included in policy from their date of joining the Institute; and resigned / terminated / separated employees along with their dependents shall be deleted from their date of relieving from the Institute. Accordingly, pro rata Premium to be charged/refunded in case of addition and deletion @ per family premium rate agreed upon. Institute would inform the Insurance company through e-mail about all such additions/separations twice in a month.

Addition and deletion in the family of existing employees would not have any financial implication for the institute.

TPA TPA Services Involved (if any) and Name and contact details to be submitted. List of Network of Authorized hospitals to be provided.

Any Service Should not be deducted from the individual Claim.

Time Limit for Reimbursement Cases

45 days from the submission of required documents. Additional 10 days would be provided from the date of submission of additional documents in case of any query/additional requirement of documents.

Page 4: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

b) Micro and Small Enterprises (MSEs) firms as defined in MSE Procurement

Policy issued by Department of Micro, Small and Medium Enterprises

(MSME) or the firms registered with the Central Purchase Organization

or the concerned Ministry or Department or Startups as recognized by

Department of Industrial Policy & Promotion (DIPP) for all these items

only, are exempted from Tender fee/EMD. However, they have to enclose

valid self-attested registration certificate(s) along with the tender to this effect.

c) The bidders who seeks exemption from Tender fee/EMD as per

clause no. 3 (b) above, if they withdraw or modify their bids during

the period of validity, or if they are awarded the contract and they fail

to sign the contract, they will be suspended for the period of three

years or as decided by the competent authority from being eligible to

submit bids for contracts with the entity that invited the bids.

d) EMD of all unsuccessful bidders (if any) will be returned after finalization of

the tender.

e) The amount of EMD (if any) is liable to be forfeited, if the tenderer withdraws

from the offer after submission of the tender or after the acceptance of the

offer and fails to complete the order

f) No interest will be paid on the EMD (if any) deposited / remitted

g) The details pertaining to Tender fee / EMD (if any) are to be filled as per

Annexure-I

4. ELIGIBILITY CRITERIA

4.1 Statutory Documents:

a) Firm Incorporation Certificate, PAN details, TIN/CST/ST etc. details are to be provided.

b) The Bidder should give self-declaration certificate for acceptance of all terms &

conditions of tender documents. A duly completed certificate to this effect is to be

submitted as per the Annexure-I.

c) The firm should be neither blacklisted by any Government Dept., nor is any criminal

case registered / pending against the firm or its owner / partners anywhere in India.

A duly completed certificate to this effect is to be submitted as per Annexure-II.

d) The firm should have valid registration certificate issued by IRDAI on the last date

of submission of the tender. A duly sealed & signed valid certificate submitted to this

effect.

Page 5: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

e) Bidders should have experience in providing Group Health Insurance continuously for

last two years from the last date of submission of the tender. The details of the same

along with supporting document/copy of insurance policy are to be submitted. The

details of the same along with supporting document are to be submitted as per the

Annexure-III.

4.2 Technical Criteria

Bidders required to fully comply the Technical bid and sealed & signed of each page

of technical bid and submit as per Annexure-V. Unsigned technical bid or the bids

not in prescribed format will be rejected without assigning any reason.

5. FINANCIAL BID DETAILS

Financial bid ( B o Q ) given with tender to be submitted after filling all relevant information. The B o Q should be submitted strictly as per the E x c e l f o r m a t u p l o a d e d w i t h t h e t e n d e r d o c u m e n t failing which the offer is liable for rejection.

6. TIME SCHEDULE

S. No. Particulars

Date

Time

01 Date & Time of Online Publication/Download of Tender 13 June 2019 1730 Hrs.

02 Bid Submission Start Date & Time 13 June 2019 1730 Hrs.

03 Bid Submission Close Date & Time 01 July 2019 1000 Hrs.

04 Closing date & time for Submission of EMD & Tender Fee 01 July 2019 1000 Hrs.

05 Opening of Technical Bids

02 July 2019 1000 Hrs.

7. AVAILABILITY OF TENDER

The tender document can be downloaded from http://eprocure.gov.in/eprocure/app and

Institute website www.itttp.ac.in and be submitted only through

http://eprocure.gov.in/eprocure/app

8. BID VALIDITY PERIOD

The bid will remain valid for 90 days from the date of opening as prescribed by IIT

Tirupati. A bid valid for a shorter period shall be rejected, being non-responsive.

Page 6: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

9. BID SUBMISSION

9.1 Instruction to Bidder

Bidders are required to enroll on the e-Procurement module of the Central

Public Procurement Portal (URL: https://eprocure.gov.in/eprocure/app) by

clicking on the link "Online Bidder Enrolment" on the CPP Portal. The

registration is completely free of charge.

Possession of a valid Class II/III DSC in the form of smart card / e-token is a

prerequisite for registration and participating in the bid submission activities.

DSCs can be obtained from the authorised certifying agencies recognized by

CCA India (e.g. Sify/TCS/nCode/eMudhra etc).

Bidders are advised to register their valid email address and mobile numbers as

part of the registration process. These would be used for any communication from

the CPP Portal.

Only one valid DSC should be registered by a bidder. Please note that the

bidders are responsible to ensure that they do not lend their DSCs to others which

may lead to misuse.

The Bidders are required to log in to the site through the secured log-in by

entering their respective user ID / password and the password of the DSC.

The CPP portal also has user manuals with detailed guidelines on enrollment

and participation in the online bidding process. The user manuals can be

downloaded for reference.

Any queries related to process of online bid submission or queries related to CPP

Portal in general may be directed to the 24x7 CPP Portal Helpdesk. The Toll

Free contact numbers for the helpdesk are 1800 3070 2232, 7878007972 and

7878007973.

For any queries related to the Tender, you may please contact:

The Deputy Registrar Indian Institute of Technology Tirupati Tirupati – Renigunta Road, Tirupati – 517 506 Andhra Pradesh Tel. No. 0877- 250 3502 Email: [email protected]

Page 7: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

9.2 Online Bid Submission Procedure

Cover-1: The file should be saved in a PDF version and should comprise of the following items: 1. Packet-1: Scanned PDF copy of PAN Card, valid IRDAI Registration Certificate, and

GST Certificate.

2. Packet-2: Duly Completed Scanned PDF copy of Annexure – I with transactions details for Tender Fee & EMD, Duly Completed Scanned PDF copy of Annexure-II, Duly

Completed Scanned PDF copy of Annexure-III with supporting Documents, The

details of at least 3 major Hospitals located in Tirupati for Cashless Treatment as per Annexure-IV, details of the TPA along with contact details of TPA, if any, Duly completed sealed & signed Technical Bid as per Annexure-V, Duly Completed Copy of Company Profile as per Annexure-VI.

Cover-2: The BOQ should be downloaded from the CPPP under relevant tender-Id

and should be uploaded duly filling relevant information therein without any modification

in the format.

1. Packet-1: Financial Bid in Excel filled with all relevant information as

available under relevant tender-Id from CPPP.

9.3 Online Submission of Tender Fee & Earnest Money Deposit (EMD)

It is also required to submit Tender Fee & EMD through NEFT or RTGS at the

following account before 01 July 2019 at 1000 hrs.

Name of beneficiary: Indian Institute of Technology Tirupati Address: Tirupati-Renigunta Road, Tirupati - 517506 Chittoor District, A.P. Account No.: 35523338208 Name of the Bank: State Bank of India Branch Address: Settipalli, Tirupati - 517 506, Andhra Pradesh IFSC Code: SBIN0006677

10. BID OPENING

a) Technical Bids will be opened on 02 July 2019 at 1000 Hrs.

b) Financial Bids of the eligible bidders will be opened on a later date. The date and

time for opening of Financial Bids will be announced later.

c) Bids should be summarily rejected, if tender is submitted other than through

online or original EMD & Tender Fee are not submitted within stipulated date /

time.

Page 8: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

11. BID EVALUATION

Based on results of the Technical evaluation IIT Tirupati shall evaluate the

Commercial Bid of those Bidders who qualify in the Technical evaluation. The

Commercial Bid with the lowest price will be the highest evaluated bid.

12. PAYMENT TERMS

Payment to be made to the successful bidder along with the order.

13. LIQUIDATED DAMAGES

In case of any unsatisfactory service, suitable penalties as decided by the

Competent Authority shall be levied after issuing notice.

14. CONTRACT PERIOD

a) The contract will be initially for a period of one year. Based on satisfactory

performance, the contract may be extended maximum up to another two years on

mutually agreed terms and conditions.

b) IIT Tirupati can terminate the contract with one-month notice in case the services

are not found satisfactory. In such a case, I I T T i r u p a t i w i l l settle the premium

amount of service rendered on prorata basis and the remaining amount will be

recovered from the bidder, after levying appropriate penalty, if any.

15. DELIVERY SCHEDULE

The successful bidder has to commence the service from the date of award of contract or at a later date as decided by IIT Tirupati.

16. TERMS AND CONDITIONS

16.1 Termination for Insolvency:

a) IIT Tirupati may at any time terminate the Contract by giving a written notice to the

awarding firm, without compensation to the firm, if the firm becomes bankrupt or

otherwise insolvent as declared by the competent Court, provided that such

termination will not prejudice or affect any right of action or remedy, which has

accrued or will accrue thereafter to the department.

b) The courts of Tirupati alone will have the jurisdiction to try any matter, dispute or

reference between the parties arising out of this purchase. It is specifically

agreed that no court outside and other than Tirupati Court shall have jurisdiction in

the matter

Page 9: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

16.2 Force Majeure:

a) Should any force majeure circumstances arise, each of the contracting parties be

excused for the non-fulfillment or for the delayed fulfillment of any of its contractual

obligations, if the affected party within 15 days of its occurrence informs in a written

form the other party.

b) Force Majeure shall mean fire, flood, natural disaster or other acts such as war,

turmoil, sabotage, explosions, epidemics, quarantine restriction, strikes, and

lockouts i.e. beyond the control of either party.

16.3. Arbitration & Jurisdiction:

a) That in case of any dispute between party of first part and the party of other part

arising out of or in relation to the agreement, the dispute shall be referred to

arbitration of a sole arbitrator to be appointed by the Director, IIT Tirupati. The award

of the said arbitrator shall be binding on both parties.

b) Canvassing in connection with the tenders is strictly prohibited and tenders

submitted by the tenderers who resort to canvassing will be liable to rejection. Any

bribe, commission or advantage offered or promised by or on behalf of the tenderer

to any officer or staff of IIT Tirupati shall block his/ her tender from being

considered. Canvassing on the part or on behalf of the tenderer will also make his

tender liable to rejection.

c) The courts at Tirupati, Andhra Pradesh shall have the exclusive jurisdiction

to try all disputes, if any, arising out of this agreement between the parties.

16.4. Other Conditions:

a) The bidder has to upload the relevant & readable files only as indicated

in the tender documents. In case of any irrelevant or non-readable files, the

bid may be rejected.

b) IIT Tirupati reserves the right to accept or reject any or all the tenders in part or

in full or may cancel the tender, without assigning any reason thereof.

c) IIT Tirupati reserves the right to relax / amend / withdraw any of the terms and

conditions contained in the Tender Document without assigning any reason thereof.

Any inquiry after submission of the quotation will not be entertained.

d) IIT Tirupati reserves the right to modify / change / delete / add any further terms and

conditions prior to issue of purchase order

e) In case the bidders / successful bidder(s) are found in breach of any condition(s) at

any stage of the tender, Earnest Money / Performance Security shall be forfeited

f) Conditional tenders will not be considered in any case

Page 10: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

g) IIT Tirupati shall not be responsible for any transaction delay i.e., non-receipt of the

EMD & Tender Fee amount.

h) Tender fees will not be refunded if the bidder does not submit the online bid on CPP

portal by due date and time

i) IIT Tirupati may issue amendment / corrigendum to tender documents before

due date of submission of bid. Any amendment / corrigendum to the tender

document if any, issued by IIT Tirupati will be posted on CPP Portal. For the

bidders, submitting bids on downloaded tender document, it is ‘bidders’

responsibility to check for any amendment / corrigendum on the website of IIT

Tirupati or check for the same on CPP Portal before submitting their duly

completed bid.

Page 11: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

Seal

ANNEXURE – I

To The Registrar Indian Institute of Technology Tirupati Tirupati - Renigunta Road, Tirupati - 517 506

Undertaking

Tender No. IITT/GHIS/2019-20/001 dated 13 June 2019.

(Notice Inviting Tender for Group Health Insurance Policy for IIT Tirupati Employees and their

Family Members

Sir,

1. I / we hereby submit our bid in response to Notice Inviting Tender for Group Health Insurance Policy for IIT Tirupati Employee and their Family Members, along with other required documents.

2. I/ We enclosed herewith the following in favour of Indian Institute of Technology Tirupati

towards EMD & Tender Fee.

Particular Amount

(Rs.) Payment Details (UTR No.) Payment Date Supporting

documents are to

be attached along

with the

Annexure-I

Tender Fee (Including Tax)

500/-

EMD 5,000/-

3. I / We hereby reconfirm and declare that I / We have carefully read, understood & complying

the above referred tender document including instructions, terms & conditions, scope of work,

schedule of quantities and all the contents stated therein. I / We also confirm that the rates

quoted by me / us are inclusive of all taxes, duties etc., applicable as on date.

4. I /we have gone through all terms and conditions of the tender document before submitting the same.

Date: Authorized Signatory

Name:

Place: Designation:

Contact No.:

Page 12: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

ANNEXURE – II

CERTIFICATE

(to be provided on letter head of the firm)

I hereby certify that the above firm neither blacklisted by any Central / State Government / Public

Undertaking / Institute and Hospitals in Tirupati nor is any criminal case registered / pending

against the firm or its owner / partners anywhere in India.

I also certify that the above information is true and correct in any every respect and in any case

at a later date it is found that any details provided above are incorrect, any contract given to the

above firm may be summarily terminated and the firm blacklisted.

Date: Authorized Signatory

Name:

Place: Designation:

Contact No.:

Page 13: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

Seal

ANNEXURE – III

Work Order Details:

Evaluation Criteria Year Name of the Client Policy details Amount Remark

List of Purchase Order / Work Order/Policy where the similar type of Work

executed by you during the last 2 years as on last date

of bid submission

2017

Supporting

Documents are to be attached along with

the Annexure-III

2018

Date: Authorized Signatory

Name:

Place: Designation:

Contact No.:

Page 14: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

ANNEXURE-IV

S.

No.

List of Hospitals in Tirupati in which Cashless hospitalization

is available compulsorily

(at least three hospitals)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

Date: Authorized Signatory

Name:

Place: Designation:

Contact No.:

Page 15: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

ANNEXURE – V

TECHNICAL BID

Technical details Group Name Indian Institute of Technology Tirupati Location Tirupati Start Date From the date of award of contract Period One year

Claim Ratio Not Applicable

Existing Policy Details Not Applicable Insured Group Details Employee Strength As on 01-04-2019 No. of employees 81 No. of Dependents 179 TOTAL NOS. OF LIVES Details of employees and their family members is attached

(Appendix -1)

Family Definition Employee, Spouse, parents, sisters, widowed sisters, widowed daughters, brothers, children, step children, divorced/separated daughter and step mother wholly dependent upon the employee and are normally residing with the employee. In case of son, the coverage will be till he starts earning or he attains the age of 25 years, whichever is earlier. In case of daughter, the coverage will be till she starts earning or gets married, whichever is earlier irrespective of the age limit. Dependency and other criteria to be decided as per Government of India Medical Attendance Rules.

Maximum Age Not Applicable Floater/Individual Floater Sum Insured Rs. 1.5 Lakh per family (floater)

Additional Coverage Option 1 - Rs.1 Lakh per family (floater) Option 2 – Rs.2 Lakh per family (floater)

Coverage and Benefits Details Domiciliary Hospitalization Covered Coverage of Pre Existing diseases from Day 1 Covered Cashless facility Applicable in all Network Hospitals of which (At least in 3 major hospitals in

Tirupati)

30 days waiting Period Waived 1st Year and 2 years exclusions Waived 30 Days Pre and 60 Days post hospitalization Expenses covered

Covered

Maternity Benefit / New Born Baby from Day 1 Covered up to the amount of Sum Insured Sub Limits For Disease / Room Rent Capping / Ambulance Charges

4. Room-Rent –Rs.7500/- per day (Max.) per person 5. ICU Rent– Rs.15,000/- per day (Max.) per person 6. Ambulance Charges- Rs.5000/- (Max) per admission

Page 16: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

Other Conditions New Employees along with their dependents shall be included in policy from their date of joining the Institute; and resigned / terminated / separated employees along with their dependents shall be deleted from their date of relieving from the Institute. Accordingly, pro rata Premium to be charged/refunded in case of addition and deletion @ per family premium rate agreed upon. Institute would inform the Insurance company through e-mail about all such additions/separations twice in a month.

Addition and deletion in the family of existing employees’ would not have any financial implication for the institute.

TPA TPA Services Involved (if any) and Name and contact details to be submitted. List of Network of Authorized hospitals to be provided.

Any Service Charges on Medical Bills Should not be deducted from the individual Claim.

Time Limit for Reimbursement Cases 45 days from the submission of required documents. Additional 10 days would be provided from the date of submission of additional documents in case of any query/additional requirement of documents.

Name and Signature of Authorized Person

Seal

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INDIAN INSTITUTE OF TECHNOLOGY TIRUPATI Appendix-1

Primary member (Self) + Age Band No. of Members

20-30 15

31-40 58

41-50 6

51-60 2

Total 81

Dependents Age Band

0-10 47

11-19 8

20-30 26

31-40 32

41-50 12

51-60 30

61-70 17

71-80 7

Total 179

Name and Signature of Authorized Person

seal

Employee strength as on 01-04-2019

No. of Employees 81 No. of Dependents 179 Total No. of Lives 260

Page 18: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES

ANNEXURE –VI

Company Profile

Name of the Party

Date of Incorporation /

Establishment

PAN Number

GST Registration Number

Bank Details

Account Number

IFS Code

Bank Name

Branch Name

Office Address for Postal

Communication

Authorized Signatory

Details

Name

Designation

Email

Phone

Details of Contact other

than Authorized Signatory

Name

Designation

Email

Phone

Signature and Seal of the Tenderer:

Name in Block Letter:

Designation:

Full Address:

Page 19: भारतीय प्रौद्योगिकी संस्थान गतरुपगत · NOTICE INVITING TENDER FOR GROUP HEALTH INSURANCE POLICY FOR IIT TIRUPATI EMPLOYEES