West Bengal Health Scheme, 2008 : Checklist for enrolment (pensioners): This is a checklist for government pensioners in West Bengal to enroll in the West Bengal Health Scheme of 2008. You will need to provide your basic information and details about your last job and pension. If you are a family member of a deceased government employee, you will also need their date of death and pension details. You need to provide information about your residential address, bank account, and treasury. If your spouse is also a government pensioner, you need to inform them about discontinuing medical allowance and enrolling separately. You need to provide details about your dependent family members who are below 25 years, unmarried, widowed/divorced daughter, sister, or minor brother; and your dependent parents whose income is less than Rs. 3,500 per month. Take note that the enrollment deadline is until March 31, 2012.
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Checklist for enrolment of Government pensioners under the West Bengal Health Scheme, 2008:
(1) Name :
(2) Last Office Address :
(3) Last Pay :
(Band Pay + Grade Pay)
(4) Basic Pension :
(5) Date of death of Ex- Government employee (for family pensioner) :
(6) Last Basic Pay / Basic Pension of the Ex-Government employee :
(for family pensioner)
(7) P.P.O. No. :
(8) Whether information has been furnished on-
(a) Residential Address : Yes/ No
(b) Treasury with address : Yes/ No
(c) Bank with Account No. : Yes/ No
(pensioners residing in Kolkata)
(9) Details of family has been furnished : Yes/ No
(10) If spouse is a State Government Pensioner/ Government employee – Whether arrangement for discontinuation of medical allowance has been made : Yes/ No
(11) Whether spouse has enrolled name under the Health Scheme separately : Yes/ No
(12) If yes, whether joint declaration regarding beneficiaries has been furnished : Yes/ No
(13) Spouse is an employee of other Government/ Government Aided Institution/ Public Undertaking / Local Bodies and wants to get the benefits of the Scheme as family member of husband/wife : Yes/ No
(14) Whether son is below 25 years Of age and has no income : Yes/ No
(15) Age proof of son has been furnished : Yes/ No
(16) Unmarried daughter- Whether has any income : Yes/ No
(17) Widowed/ Divorced daughter- Whether actually dependent and has no income and also living with the parents : Yes/ No
(18) Unmarried/ Widowed/ Divorced sister- Whether actually dependent and has no income and also living with the pensioner : Yes/ No
(19) Minor brother- Whether dependent and living with the pensioner : Yes/ No
(20) Whether Parents are dependent on the pensioner and income less than Rs. 3,500/- per month : Yes/ No
Note:- (1) Enrolment under the Health Scheme is open up to 31-03-2012.
(2) Retired Government employee/ family pensioner whose pension has not yet been finalised and got no P.P.O. number is also entitled to enrol his/ her name under the Health Scheme. Such pensioner will get the benefits of the Scheme based on Temporary Family Permit till he/ she gets P.P.O. number.
(3) Retired Government employee who was a member of the West Bengal Health Scheme, 2008 while on service will get the benefits of the Scheme from the next date of his/ her retirement as pensioner. Identity Card/ Temporary Family Permit may be given following the provisions of the F.D. Notification No. 8219-F (MED), dt. 19-08-2011. Concerned Treasury/ Bank may be informed of properly.
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