Tender Title: Group Mediclaim Insurance Service - Contract Employees

Tender Reference Number: GEM/2025/B/6172905

Issuing Authority/Department: Ministry of Railways, Railways Public Sector Undertakings

Scope of Work and Objectives

The Ministry of Railways is inviting bids for the provision of Group Mediclaim Insurance Service specifically designed for contract employees. This comprehensive insurance service encompasses hospitalization for accidents and emergencies, domiciliary treatment, maternity services, and coverage for all pre-existing illnesses. The objectives are to ensure that all contract employees are provided with timely and appropriate medical care, thus enhancing their welfare and productivity.

Eligibility Criteria

To be eligible for this tender, bidders must be legally registered entities capable of providing health insurance services. The criteria include a proven track record in the insurance sector, possessing relevant licenses and certifications from regulatory authorities.

Technical Requirements

Bidders must demonstrate compliance with the technical specifications outlined in the tender documentation, which include but are not limited to:

• Provision of a robust network of hospitals and clinics with immediate access for contract employees.
• Capability to handle domiciliary treatments effectively.
• The ability to cover pre-existing conditions without exclusions.
• A user-friendly claim process that ensures swift re-imbursement.

Financial Requirements

Potential bidders must provide a detailed financial proposal that includes the premium structure, payment processes, and any associated fees. Financial stability, as evidenced by audited statements for the last three fiscal years, is also a prerequisite for submission.

Document Submission Details

Interested bidders are required to submit their proposals in accordance with the submission guidelines set forth in the tender documentation. This includes the required format for financial and technical proposals, along with necessary certifications such as GST registration, insurance licenses, and company registration documents.

Special Provisions

Benefits are extended to Micro, Small, and Medium Enterprises (MSEs) and Startups, offering them an advantageous position in the evaluation process. The tender also encourages compliance with 'Make in India' policies, enhancing local content in service delivery.

Evaluation Process

The evaluation of submitted tenders will be conducted in a two-stage process:

1. Technical Evaluation: Assessment of the technical proposals based on the outlined criteria, including coverage, service networks, and claim processing.
2. Financial Evaluation: Review of financial proposals for cost-effectiveness and transparency.

Delivery Locations

The service will primarily be available in locations across the Indian Railways operational areas to ensure that all contract employees have access to necessary medical facilities.

Contact Information

For any queries related to this tender, bidders are encouraged to reach out to the designated contact points within the Ministry of Railways. Ensure that you refer to the official tender documentation for contact details.

This comprehensive overview ensures a clear understanding of the Group Mediclaim Insurance Service tender aimed at providing essential healthcare services to contract employees. Bidders are encouraged to prepare their proposals in alignment with the outlined scope and requirements to enhance their chances of selection.