Tender Title: Group Mediclaim Insurance Service for Pensioners

Reference Number: 5ef04408
Issuing Authority: Ministry of Finance, Regional Rural Banks

Scope of Work

This tender invites bids for Group Mediclaim Insurance Services specifically aimed at retired, superannuated, or pensioners. The services include comprehensive coverage for hospitalization due to accidents and emergency treatments, domiciliary treatment, and cover for all pre-existing ailments. The objective of this tender is to ensure that retired employees have access to adequate health insurance coverage that caters to their medical needs.

Objectives

• To provide a comprehensive health insurance plan for pensioners.
• To ensure hassle-free access to medical services for the insured individuals.
• To include provisions for emergency treatments and domiciliary care.
• To facilitate a transparent selection process for qualified insurers.

Eligibility Criteria

Eligible bidders must be registered insurance companies or entities authorized to provide health insurance services. Additionally, they must meet the following criteria:

• Certified by the Insurance Regulatory and Development Authority of India (IRDAI).
• Proven track record of providing medical insurance services for a significant duration.

Technical Requirements

Proposals must include detailed descriptions of the insurance coverage, including:

• Range of services covered under hospitalization and emergency treatment.
• Details of domestic treatment provisions for insured individuals.
• Claims processing timeline and mechanisms.
• Customer service and support provisions for beneficiaries.

Financial Requirements

Bidders must present a comprehensive financial proposal that includes:

• Premium rates for various age groups of pensioners.
• Clear structure of deductibles and out-of-pocket expenses.
• Performance guarantees to ensure timely claims processing and service delivery.

Document Submission Details

Interested bidders must submit their proposals electronically through the designated procurement portal. Required documents include:

• Company registration and IRDAI certification.
• Financial proposals and technical documentation.
• Any supporting literature that demonstrates capability.

Special Provisions

This tender includes provisions favoring Micro, Small, and Medium Enterprises (MSEs) and startups to encourage participation in the tender process. Bidders that fall under these categories may benefit from streamlined evaluation procedures and reduced compliance requirements.

Evaluation Process

Proposals will be evaluated based on:

• Compliance with technical specifications.
• Financial viability and premium competitiveness.
• Historical performance with similar insurance services.

Delivery Locations

The insurance services will be provided at designated hospitals, clinics, and facilities throughout India serving the retired population associated with the Regional Rural Banks.

Contact Information

For more information or clarifications, inquiries can be directed to the Ministry of Finance, Regional Rural Banks, following the details outlined on the procurement portal or related documentation.

Additional Information

Bidders are encouraged to attend the pre-bid meeting facilitated by the issuing authority to clarify any questions regarding the tender provisions and requirements.