Tuesday, August 5, 2008

Pre-Existing Condition

I was hitting the ski slopes when a bizarre accident occurred. While fumbling my way off a chair lift, another chair hit me from behind and knocked me out cold. I woke up with a headache, in a hospital bed and immediately called my insurance company.
After explaining what happened the insurance rep said, “We’re covering nothing on this claim. You hit yourself in the head with a chair on a ski lift. You’re an idiot. And that’s a pre-existing condition.”

A Skydiver is Blown Off Course

A skydiver is blown off-course and lands in a tree in a remote area. After dangling from branches for an hour, he spots a hiker walking by.
“Excuse me,” yells the parachutist, “but could you tell me where I am?”
The hiker looks up and says, “Yes, you’re twenty feet above the ground.”
“Thank you,” replies the skydiver, “You must be an actuary.”
“What makes you say that?” asked the hiker.
The skydiver answered, “Because what you just told me was 100% accurate, but totally worthless!”

HEALTH INSURANCE



CEILING ON ESI MEDICAL REIMBURSEMENTS TO GO

Thiruvananthapuram: The ceiling on medical reimbursement to family members of workers covered under the ESI Scheme for treatment done outside ESI hospitals will be lifted.

Labour Minister P.K. Gurudasan said here on Monday that the Union government had approved a proposal of the State government in this regard. Besides, agreements would be signed with outside hospitals for direct reimbursement of bills. The ceiling was Rs.1 lakh for family members, while no ceiling was specified for the member of the Scheme (worker).

He said facilities at super-specialty hospitals of the ESI Corporation would be upgraded. Besides, more government, quasi-government and private hospitals would be enlisted to provide super-specialty services to patients referred by ESI dispensaries and hospitals. The Corporation had authorised the State Medical Commissioner to enter into an agreement with hospitals in this regard, and direct payment of bills.

Mr. Gurudasan said the proposed medical college under the ESI Corporation at Parippally in Kollam district was expected to start functioning from the next academic year. The Corporation had applied for the affiliation of the University of Kerala. The State government was in the process of issuing NOC to the college. He said the government had requested the Corporation that seats be reserved in the college for family members of workers covered under the ESI Scheme.

He said the Corporation had also completed a feasibility study for starting nursing schools in the State. The State government had sought opening of four schools (Ezhukone, Udhyogamandal, Peroorkada and Feroke).

He said hospital development committees were being formed at the ESI hospitals as per the decisions of the Corporation. These committees would be empowered to spend Rs.25 lakh to Rs.40 lakh for hospital development depending on the number of beds. Mr. Gurudasan said after the LDF government came to power, several steps had been taken to improve the infrastructure facilities under the ESI scheme.

Source: The Hindu

BOMBED OUT OF SLUMBER, AMC TO GET INSURANCE COVER FOR ITS BUSES

Ahmedabad: Ahmedabad has borne the brunt of both man-made and natural disasters in the recent past, taking a toll on both life and property. Over the years, the city has grown by leaps and bounds, adding public assets worth billions to its pride; a host of bridges, installations like pumping stations, water tanks, hospitals and other buildings to name a few. But curiously, none of these have an insurance cover against sabotage or damage due to terror attacks even as the threats loom larger than ever before.

Now, the Ahmedabad Municipal Corporation (AMC) is considering whether to provide an insurance cover to its much-hyped Bus Rapid Transit System (BRTS). AMC standing committee chairman Asit Vora said the general view that installations like bridges and other buildings do not require insurance cover is possibly because of the high premium involved, which often acts as a deterrent. "There has never been any insurance cover for all these structures and we do not see any need for it,” said Vora.

Incidentally, the civic body has also not gone for the insurance of its city buses because of the high premium involved. Also, it finds it convenient to pay compensation as and when accidents occur rather than pay the high premium regularly. But in view of the recent terror attack, the AMC is considering an insurance cover for the BRT installations in the city, said BRT in-charge D Thara.

As a matter of precaution, the civic authorities, with the help of the police, recently had the installations checked thoroughly, when it received threat calls, which later turned out be hoaxes. Insurance experts opine that the civic body is a government in itself and there is no need for it to get its installations insured. “The government is exempted from getting its assets insured … if work on some project is in progress, the contractor may go for the insurance of that project to cover the risk on investment,” said Ajay Dave, an insurance surveyor in the city.

He said the government has been in insurance cover activity to the extent of group insurance of persons like students in schools, employees and labourers under the social security schemes.



Source: The Indian Express