The government Tuesday briefed the Rajya Sabha that as on August 5, 1016 claims have been resolved and paid under a central insurance scheme for health workers challenging Covid while 276 claims have either been retracted by the states and union territories or found ineligible. Further, 111 claims are pending due to incomplete claim papers or delay in receipt of documents from states and union territories, Minister of State for Health Bharati Pravin Pawar said in a written reply.
Pradhan Mantri Garib Kalyan Package (PMGKP): Insurance Scheme for Health Care Workers challenging COVID-19 was initiated on March 30, 2020 to supply comprehensive personal accident cover of Rs 50 lakh to 22.12 lakh health care providers including community health workers and private health workers who may have been in direct contact and care of Covid victims and may be at risk of being affected by this.
Further, “private hospital staff/retired/ volunteer/local urban bodies/contract/daily wage/ad-hoc/outsourced staff requisitioned by states/ central hospitals/autonomous hospitals of central/states/UTs, AIIMS and Institute of National Importance/hospitals of central ministries specifically drafted for care of COVID-19 victims are also protected under the scheme subject to fulfilment of the laid down conditions”, the reply stated.
The scheme is being executed through an insurance policy from New India Assurance Company Limited, a public sector insurance company under Department of Financial Services, Ministry of Finance.
Initially, the insurance policy had legitimacy of 90 days which was extended twice and it finally ended on March 24, 2021 on the expiry of its validity. Further, considering the second wave and the ensuing lockdowns and other difficulties, the period of receipt of claims in respect of the policy was stretched up to June 30, 2021.
Considering the fact that COVID-19 contamination numbers started increasing from April 2021, a conscious choice was adopted to continue the benefits under the scheme by renewing the insurance policy on the same terms and conditions for a further spell of 180 days with effect from April 24, 2021 with provision of another elongation of 180 days, the reply said.
Demises of eligible health workers between March 25 and April 23 are also protected under the scheme, the reply stated. “As on August 5, 2021, 1016 claims have been paid, 276 claims have either been retracted by the states and UTs or found ineligible and 111 claims are pending on account of receipt of incomplete claim papers/delay in receipt of documents from states and UTs,” the minister’s reply said.