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SECRETARIAT
TENDER DOCUMENT
Tender for selection of Insurance Company for Implementing the “Cashless Mediclaim Insurance Scheme
for Sitting and Ex MLAs and MLCs of Maharashtra Legislature and their Family Members – 2019 -20”.
For Further details, Contact:
33. If a person is Hospitalized and has to use mobility Covered under hospitalisation/OPD
aids the same should be paid. If the person utilizes
day care and mobility aids are used the same to be
paid in day care. Any other to be claimed in OPD.
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34. Hearing Aides, Cochlear Implant – If a person is Covered under hospitalisation/OPD
Hospitalised for Hearing problems and is advice to
use a hearing aids the same should be paid in
hospitalisation. Due to advancement of technology
if the hospitalisation is less than 24 hours the same
should be paid in Hospitalisation. Any other to be
claimed in OPD.
35. Medical Emergency arising from pregnancy / Covered under hospitalisation/OPD
Sterilization/MTP
36. Testing equipment such as blood sugar monitors, Covered under hospitalisation/OPD
blood pressure monitor. Lens.
37. Terrorism related OPD / Hospitalisation Claims, Covered under hospitalisation/OPD
Robotic surgery, bone marrow transplant, Stem Cell
therapy & Cyber Knife procedures / hospitalisation to
be covered.
38. Circumcision Related Claim / Genetic Disorder / Covered under hospitalisation/OPD
Psychiatric Treatment / Morbid Obesity
39. Organ Transplant – Donor & Receiver expenses in case Covered under hospitalisation/OPD
of organ transplant to be covered. Including Organ
Cost, Limit up to Family Sum Insured
40. Infertility / Sterility / Test Tube Baby Expenses Covered under hospitalisation/OPD
related Treatment
41. RFQMR – Rotational field Quantum Magnetic Covered under hospitalisation/OPD
Resonance Device – Cytotron, C3R, Balloon
Sinuplasty, Bariatric surgery, Inj Avastin /
Lucentus / Macugen, Ozone Therapy, Enhanced
External Counter pulsation Therapy (EECP),
Rejuvenation therapy, Lasik Surgery, Cosmetic
Surgery Forming Part of Treatment / HIV & AIDS
related treatment.
42. GIPSA PPN Package Not Applicable
43. Claim Intimation Not Applicable
44. Claim Submission Till expiry of the policy & within 30 days
from date of discharge post expiry of policy
45. Deletion / Refund Clause In the event of any Member becoming the
Minister, the said Insurance Cover will
cease to operate from the date of his/her
holding the office of the Minister. In such
case, if the Member has not claimed then,
the Insurance Company is liable to pay the
refund of premium on pro-rata basis for the
balance period of the policy.
46. Addition Clause In the event of any Minister cease to hold
the office of the Minister, the said Insurance
Cover will be operational from the date of
his/her demitting the office of the Minister.
In such case, the Insurance Company will
calculate the premium on pro-rata basis and
intimate to the Maharashtra Legislature
Secretariat for making the payment for the
balance period of the policy.
The firms should quote rates in Rupees only in the above format and upload it in financial folder only.
1. At the time of opening of tender, the authorized person may remain present personally or may
depute representative with letter of authorization.
2. The firm / company will have to enter in the Memorandum of Understanding with the Secretary
(I/C) Maharashtra Legislature Secretariat and Tri partite agreement with the appointed Insurance
Broker M/s. Life and General Insurance and Reinsurance Brokers Pvt. Ltd.
3. Decision of Tender Scrutiny Committee formed by the Maharashtra Legislature Secretariat for this
scheme shall be final.
4. Right to accept or reject any one or all tender is reserved by the Tender Accepting Authority without
any reason.
5. The Guidelines of the scheme are as per this Tender dated: 23rd May, 2019 will be the part and
parcel of the contract.
6. The commercial offer shall be on fixed price basis. Rates quoted should be inclusive of all taxes,
duties etc. No price escalation will be allowed due to any reason. The offer should be firm without
any uncertain liability.
7. Maharashtra Legislature Secretariat will not be liable to pay any fees / commission to the broker.
It is the Liability of the Insurance Company to pay the broker fees / commission as per IRDA
Norms.
8. The decision of Secretary (I/C) about any matter or dispute about the contract shall be final and
binding on the bidder.
9. No tender will be considered unless submitted in the prescribed form.
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10. Conditional tenders will not be accepted.
11. Maharashtra Legislature Secretariat (MLS) reserves right to terminate the contract at any time
during execution period if the performance or progress of work is unsatisfactory, with prior notice
of one (1) month.
5. Payment Terms:-
The premium amount will be paid to the selected Insurance Company. The Agreement and MOU
should be signed before payment. The scheme will be in operation from 1st June, 2019 to 31st May, 2020.
However, 60% of the amount of the premium will be paid to the selected Insurance Company by 31st May,
2019 and the remaining 40% of the amount of the premium will be paid by 30th September, 2019.
6. Contents of Technical Bid and Financial Bid.
A. Technical Bid:
1. Application form (Bid Cover Letter) duly signed and stamped as given in the tender.
2. The firm should attach the attested copy of their company IRDA License.
3. The firm should furnish all the information about the availability of infrastructure required to
provide insurance services to Maharashtra Legislature Secretariat in the prescribed format.
4. Upload self-attested copy of GST Registration Certificate, copy of PAN card in the name of
company / firm or if PAN card is the name of Proprietor in that case attested copy of certificate of
firm registration is mandatory.
5. Information regarding previous experience in insurance services in Cashless Mediclaim
Insurance under any scheme of Government or semi government bodies in the State of Maharashtra.
The experience certificate/documentary proof should be submitted.
6. The Firm should provide the certificate of authorization from concerned company.
7. The Firm should submit audited copy of balance sheet of last 3 financial years.
Note: - The large volumes of financial reports may not be accepted in the tender. In such case abstract
should be submitted.
B. Financial Bid:
The financial quote must be in specified format as mentioned in tender document and should be submitted
in Separate Envelope mentioning Financial Bid. The rates should be quoted in the format duly signed and
stamped.
7. Bid Opening and Evaluations of Bids.
(a) Technical Evaluation.
(1) The Tender Scrutiny Committee will open the bids.
(2) After opening of technical bid Tender Scrutiny Committee will scrutinise the tender
documents.
(b) Evaluation of Commercial Bids.
The commercial bids of only technically successful bidders will be opened.
8. Award of Contract:
The Contract will be awarded to the Successful Bidder whose Bid has been determined to be
substantially responsive and has been determined as the Best Value Bid.
9. Termination of contract -
The Maharashtra Legislature Secretariat reserves the right to cancel the contract placed on the bidder if
(1) The bidder commits breach of any of the terms and conditions;
(2) The bidder goes into liquidation voluntarily or otherwise;
(3) The service is found unsatisfactory,
Sir,
Having examined the Bidding documents, I/We, the undersigned, offer to work as Insurer for
“Cashless Mediclaim Insurance Scheme for Sitting and Ex MLAs and MLCs of Maharashtra Legislature
and their Family Members 2019-20” for a period of one year i.e. from 1st June, 2019 to 31st May, 2020, as
mentioned in the scope of the work and in conformity with the said bidding documents for the same.
1. I/We have capacity to provide Insurance Services to Maharashtra Legislature Secretariat.
2. My / Our rates of Premium for “Cashless Mediclaim Insurance Scheme for Sitting and Ex
MLAs and MLCs of Maharashtra Legislature and their Family Members 2019-20” as
specified in Schedule of Terms and Conditions of this Expression of Interest will be
inclusive of all taxes and as per the statement enclosed of each item.
3. I / We have studied and understood the terms and conditions of the contract to provide
Insurance to Maharashtra Legislature Secretariat. I/ We agree to provide insurance services
to Maharashtra Legislature Secretariat with provisions contained there in the execution of
the contract.
4. I / We give the guarantee of providing insurance services to Maharashtra Legislature
Secretariat by me/us within the stipulated time period as per schedule.
5. I / We hereby assure that my/our organization is not black-listed by the Central/State
Government.
6. I / We undertake that the rates submitted in commercial bid are in conformity with the
terms and conditions prescribed.
7. I / We agree to abide by this bid. We agree to the terms and conditions mentioned in the
Tender document.
2)
Your faithfully,
Format A
Financial Bid format
Cashless Mediclaim Insurance coverage for
1134 Sitting and Ex MLAs and MLCs of
Maharashtra Legislature and their family
members. (Approximately 120 New Members
are likely to be added in November, 2019 post
General Elections to Maharashtra Legislative
Assembly and, accordingly, pro-rata premium
will be calculated for these Members for the
remaining period till expiry of policy.)
1134 Sitting and Ex MLAs and MLCs of Maharashtra
Legislature and their family members. (Approximately
120 New Members are likely to be added in November,
2019 post General Elections to Maharashtra Legislative
Assembly and, accordingly, pro-rata premium will be
calculated for these Members for the remaining period
till expiry of policy.)
Rate in Rs. (inclusive of GST / taxes, if any) The
amount of premium and GST/taxes should also be
shown separately.
The company/firm should quote rates in Rupees only in the above format in sealed envelope separately
mentioning Financial Tender.
Format B
Format for submitting about past experience