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Stop Loss
In case of total claims exceeding the total premium amount, the Insurance Company will cover the risk up to 120% of the
total premium amount i.e. the insurance company can have a stop loss at 120% of total premium amount. Similarly in
case of claims falling short of total premium amount, the Insurance Company shall pay back 90% of the savings, after
deducting 20% as administrative cost.
Implementation
The entire scheme may be implemented & monitored by the National Trust through registered organisation with the active
participation of the Local Level Committees (LLC). The registered organisation shall liaise with the Insurance Company,
health service providers, LLCs, State Nodal Agency Centres (SNAC) of the National Trust, State Govt. and all the
stakeholders concerned for awareness generation, enrolment as well as for the speedy settlement of claims.
http://www.thenationaltrust.co.in/nt
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