J&K HC directs IFFCO TOKIO to continue with insurance of citizens
28-Aug-2024 10:57 PM 1657
Jammu, Aug 28 (Reporter) In a major relief to Jammu and Kashmir government in Ayushman Bharat, the Jammu-Kashmir and Ladakh High Court on Wednesday directed IFFCO TOKIO General Insurance Company to continue with the existing arrangement as per terms and conditions of the contract agreement pending resolution of dispute by the arbitrator. The state government has launched Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana-SEHAT [AB-PMJAY-SEHAT] to provide free-of-cost Universal Health Coverage to all its residents, including the serving and retired employees and their families. The Scheme is intended to provide same benefits that were available under Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana [AB-PMJAY], a government of India scheme, that provides annual health insurance cover of Rs five lakh per family on a floater and cashless basis through an established network of healthcare providers. Notably, the Scheme came to be introduced by the government with the object to reduce catastrophic health expenditure and to improve access to quality healthcare of the domiciles of UT. The eligible beneficiary families, under this Scheme, are to be provided the Health Coverage through a network of Empanelled Health Care Providers (EHCPs). The government decided to implement the Scheme to provide health insurance to defined categories of families eligible in the UT of Jammu and Kashmir. As a result, bidding process was commenced by the government, through State Health Agency (SHA), by issuing the tender document and the respondent-company emerged the successful bidder. Consequently, a contract, for maximum period of three years, came to be executed between the parties on March 10, 2022, and since the beneficiary families are to be provided the Health Coverage through a network of EHCPs, a separate Tripartite agreement also came to be executed between the parties and EHCPs in terms of clause 6 of the contract...////...
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