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RASTRIYA SWASTHYA BIMA YOJANA

    Grievance Redressal -
    Capacity building workshop for State Nodal Agencies.




                        1-2nd March 2012


                         VVGNLI , Noida
                     National Capital Region
 Difference between helpline and grievances
 Why it is required?




                                               Noida 1-2 March 2012
                                               DKMA Capacity building workshop VVGNLI
 From tender document

 From MOU between IA and SNA




                                               2
INSTITUTIONAL MECHANISM

   District Grievance Redressal Committee (DGRC):
   District Magistrate or an officer of the rank of Addl. Magistrate : Chairman
   District Key Manager : Convenor
   Representative of the Insurance Co.




                                                                              Noida 1-2 March 2012
                                                                              DKMA Capacity building workshop VVGNLI
State Grievance Redressal Committee (SGRC):
  State Principal Secretary/Secretary of Department handling RSBY : Chairman
  State Nodal Officer for RSBY : Convenor
   State Representative of the Insurance Co.
National Grievance Redressal Committee (NGRC):
   Deputy Director General, GoI/Director in the DGLW : Convenor
   National Nodal Officer of the concerned Insurance Company
   Director/Under Secretary, Ministry of Labour & Employment, GoI : Convenor
                                                                          3
TYPES OF GRIEVANCES


 Grievance of a Beneficiary
 Grievance of a Hospital




                                                            Noida 1-2 March 2012
                                                            DKMA Capacity building workshop VVGNLI
 Grievance of an Insurance Company
     Grievance Against FKO
     Grievance Against DKM or other District Authorities

   Grievance against State Nodal Agency/State
    Government




                                                            4
REDRESSAL
•   Helpline
•   Dispute between Beneficiary and Health Care Provider




                                                           Noida 1-2 March 2012
                                                           DKMA Capacity building workshop VVGNLI
•   Dispute between Health Care Provider and the
    Insurance Company
•   Dispute between Insurance Company and the State
    Government




                                                           5

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Training of SNA 1-2 March 2012 -Greviance reddressal in RSBY

  • 1. RASTRIYA SWASTHYA BIMA YOJANA Grievance Redressal - Capacity building workshop for State Nodal Agencies. 1-2nd March 2012 VVGNLI , Noida National Capital Region
  • 2.  Difference between helpline and grievances  Why it is required? Noida 1-2 March 2012 DKMA Capacity building workshop VVGNLI  From tender document  From MOU between IA and SNA 2
  • 3. INSTITUTIONAL MECHANISM District Grievance Redressal Committee (DGRC): District Magistrate or an officer of the rank of Addl. Magistrate : Chairman District Key Manager : Convenor Representative of the Insurance Co. Noida 1-2 March 2012 DKMA Capacity building workshop VVGNLI State Grievance Redressal Committee (SGRC): State Principal Secretary/Secretary of Department handling RSBY : Chairman State Nodal Officer for RSBY : Convenor State Representative of the Insurance Co. National Grievance Redressal Committee (NGRC): Deputy Director General, GoI/Director in the DGLW : Convenor National Nodal Officer of the concerned Insurance Company Director/Under Secretary, Ministry of Labour & Employment, GoI : Convenor 3
  • 4. TYPES OF GRIEVANCES  Grievance of a Beneficiary  Grievance of a Hospital Noida 1-2 March 2012 DKMA Capacity building workshop VVGNLI  Grievance of an Insurance Company  Grievance Against FKO  Grievance Against DKM or other District Authorities  Grievance against State Nodal Agency/State Government 4
  • 5. REDRESSAL • Helpline • Dispute between Beneficiary and Health Care Provider Noida 1-2 March 2012 DKMA Capacity building workshop VVGNLI • Dispute between Health Care Provider and the Insurance Company • Dispute between Insurance Company and the State Government 5