Subject: Clarification regarding list of hospitals/laboratories for
conducting special medical examinations consequent on enhancement of sum
assured limit in r/o PLI
This
has reference to Para 4 and 14 of this Directorate Letter of even number dated
12.01.2015 regarding 'Enhancement of Sum Assured to 50 Lakhs in R/O PLI"
2.
The circles are raising doubts regarding process of conducting special medical examination
of proponent opting for higher sum assured policies i.e. more than Rs 20 Lacs
and authorized medical doctors, hospitals and dispensaries for special medical
examination of these proponents. In this regard, it is clarified that special
medical examinations may be conducted at any hospital/laboratory approved by CGHS,
Central/State Government or at any specialized hospital at CGHS rate.
3.
Status of Medical Officer conducting medical examination of proposer(s) based
on
special
medical reports should be as under: -
i)
Civil
Surgeon, Medical Officers in the employment of Government enjoying
the
status not lower than that of a Civil Surgeon or Chief Medical Officer,
nearest
to the place of duty of the proponent. CMO Grade I Specialist Grade II
shall
also be considered as equivalent to the rank of Civil Surgeon.
ii)
Medical
Officer (Allopathic) equivalent to Civil Surgeon employed in Central
and
State Government, Public Sector undertaking both State and Centre with
at
least 10 years’ experience, nearest to the place of duty of the proponent.
iii)
Retired Civil Surgeon, CMO Grade I and Specialist Grade II.
4.
Revised LI-24 (Proposal Form) for PLI proposals exceeding sum assured limit of Rs.
20
lac is being revised and will follow.
5.
This has approval of CGM (PLI).
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