Académique Documents
Professionnel Documents
Culture Documents
COPY TO
NAME DESIGNATION
4th Copy :
This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
Document #:
Title: Policy for Medical Benefits
DISTRIBUTION LIST
2.
<Job Title>
3.
<Job Title>
4.
<Job Title>
This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
Document #:
Title: Policy for Medical Benefits
AMENDMENT SHEET
This document and the information herein are the property of XXXX and all unauthorized use and reproduction is
prohibited.
Document #:
Title: Policy for Medical Benefits
TABLE OF CONTENTS
1. Scope...................................................................................................... 5
2. Purpose................................................................................................... 5
3. Exclusion.................................................................................................. 5
4. Policy..................................................................................................... 5
4.1 General................................................................................................... 5
4.2 ELIGIBILITY................................................................................................. 5
4.3 CLAIM PROCEDURE..........................................................................................6
4.4 EXECUTIVE CHECKUP.......................................................................................6
1. SCOPE
This policy is applicable to all departments and following employees of the company
2. PURPOSE
The purpose of this Policy Document is to describe Policy and Procedures relating to
Outpatient Medical Facility provided by the Company to its employees
3. EXCLUSION
This policy is not applicable to the temporary / project based employees of the company.
4. POLICY
4.1 GENERAL
4.1.1 The purpose of outpatient medical benefit is to encourage healthy and
productive workforce by providing financial cover up to a certain limit
4.1.2 The outpatient limit is structured in accordance with the employee’s grade
4.1.3 OPD Limits lapse at the end of the year (July – June cycle). No Carry Forward or
Accumulation is allowed
4.1.4 Medical expenses related to spouse, children and parents will be covered under
this policy for all permanent employees
4.1.5 Medical expenses should be claimed within the same year. Any claims
submitted after July 1st will be rejected. Only exception is the expense
incurred within the month of June of the preceding year which can be claimed
in July of the subsequent year
4.1.6 After August, no medical expenses for the last year will be entertained
4.1.7 Permanent part-time employees will be eligible for 50% of their Annual
outpatient entitlement
4.1.8 In case of termination of employment, employee will be eligible to claim his /
her outpatient entitlement on pro-rated bases only
4.1.9 In case the employee has exceeded his/her OPD limit for which he/she will be
eligible on pro-rata basis, the same will be adjusted against the final
settlement of the employee
4.1.10 In case of termination of employment, employee has to serve the entire month
to claim OPD for that month on pro-rata basis
4.1.11 Any claim without proper receipts and evidence will not be entertained
4.2 ELIGIBILITY
4.2.1 All the confirmed and full-time employees with their
dependants (spouse, children and parents)
4.2.2 All the contractual /permanent part-time employees with
their dependants (spouse, children and parents)
4.2.3 The Outpatient entitlements are as follows:
Structure for Outpatient Limit