Government of West Bengal
Department of Information & Cultural Affairs
Nabanna, Howrah – 711102.
No. 2315-ICA(N)/IC/O/3C(vii)- 01 /2018 Dated: Howrah, the 29th June, 2018
Whereas, vide the Finance Department Notification No. 2899-F[P], dated- 07-05-2018, the Cable Operators, sub-operators and workers employed by them in such business have been brought under the coverage of ‘Swasthya Sathi’, a Group Health Insurance Scheme, as notified vide Finance Department Notification No. 1104-F(P), dated- 25th February, 2016.
And whereas the question of determining the modalities of scrutinizing and recommending individuals for inclusion under ‘Swasthya Sathi’ by this Department has been under examination.
Now, after careful consideration, the Governor is pleased, hereby, to accord approval towards the following modalities for scrutinizing and recommending individuals for inclusion under ‘Swasthya Sathi’:
A: The Scheme
i. Basic health cover for secondary and tertiary care upto Rs. 1.50 lakh per primary member, with dependent family members during the policy year.
ii. Coverage of Rs. 5.00 lakh per family during the policy year in cases of critical illness like cancer, neuro surgeries, cardiothoracic surgeries, liver diseases, blood disorders.
iii. All pre-existing diseases will be covered from the first day of the policy.
iv. There is no cap on family size.
v. The entire premium will be paid by the State Government.
B: Eligibility Criteria
i. The Cable Operators/ sub-operators engaged in the business of transmitting Cable TV programmes within the State of West Bengal and duly registered with the Post & Telegraph Department/ having license issued by District Magistrate or Municipal Bodies/ or having provisional license issued by competent authority and having valid Trade Licence shall qualify for the coverage under ‘Swasthya Sathi’.
ii. The Cable Operators/ sub-operators [i.e. proprietor (s), partners, society members etc.] and the workers employed by them in such business shall be the ‘Primary Members’
iii. The dependent family members – i.e. (i) spouse, (ii) minor son, (iii) unmarried daughter upto 21 years of age, (iv) dependent parents of primary members as well as of the spouse and (v) all dependent physically-challenged person (s) in the family – shall be covered under ‘Swasthya Sathi’ as ‘Secondary Members’.
Note-1: Person below 18 years of age shall not be considered as employee/ worker as per Labour Rules;
Note-2: Persons who are members of any other State sponsored Group Health Insurance Scheme, shall not get coverage under ‘Swasthya Sathi’.
C: Controlling Agencies
i. The Health and Family Welfare Department shall be the Nodal Department for implementing the Scheme.
ii. The Information and Cultural Affairs Department shall scrutinize and recommend the individuals for inclusion under the Scheme.
D: Operational procedure for preparation of database
i. For the districts, the District Information and Cultural Officer (D.I.C.O.) under the supervision of the concerned District Magistrate, and for Kolkata Municipal Corporation, the Director of Films, shall receive from the Cable Operators/ Sub-Operators, the completed Forms A and B, duly recommended and forwarded by the ICO/ employer, both in duplicate, compile the information so received, and forward the database of eligible beneficiaries to the State-Level Cable Television Network Advisory Committee.
ii. The State-Level Cable Television Network Advisory Committee shall examine the database of eligible beneficiaries and thereafter, recommend names to the Health & Family Welfare Department for inclusion and registration under ‘Swasthya Sathi’ Scheme.
By order of the Governor,
Sd/- VIVEK KUMAR
Principal Secretary to the
Government of West Bengal
Information & Cultural Affairs Department