Pension Pamphlet - Print-1

KJik fhg;Nghk; !
- ghtyh; ney;iy ,uhkr;re;jpud;
%j;Njhu;ahu;? Kj;jidau; ! mtupd; Ngr;R

KidkOq;fh fjpu;tPr;R! mwpTr; nrk;ky; !
fhj;Njhu;ahu;? kfs;gps;is> kfdpd; ike;jd;
fz;fSf;F ,izahf mtNu jhNd
ghu;j;Njhu;ahu;?grpg;gpizia Neha;tha;gl;lhy;
Nehd;gpUe;J fhj;jnjy;yhk; ,tNu jhNd!
Mu;j;Njhu;ahu;? jk;FLk;g ngUik fz;L
muq;Nfw;wk; nra;jnjy;yhk; %j;Njhu; jhNd!
njd;wYf;F tajile;J %g;gh cz;L!

Njd;ngUf;F KJikapdhy; fre;jh NghFk;?
epd;wejp> kiyj;njhlu;fs;> ,itfl; nfy;yhk;
ePs;taJ vdg;G+k; ntWj;jh js;Sk;?
njhd;Wnjhl;l ,yf;fpaq;fs;> jkpo;gg
; z;ghL
njhifE}w;fs; mj;jidAk; %g;Ng jhNd!
,d;Wyfpy; ‘kdpjUf;F’ mfit %j;jhy;
‘,Ufpoth’ vdntJk;gr; nrhy;fpd; whNu!
fhiynfhz;l KJikvJ? ,uT md;Nwh?

fUk;gile;j KJikaJ nty;yk; md;Nwh?
Njhy;nghUSk;>njhy;nghUSk;: KJik md;Nwh?
Njhd;Wfpd;w GijaYk; KJik md;Nwh?
$o;> NrhW> jhdpaj;jpd; KJik md;Nwh?
Fspu;Kj;Njh gdpKJik! epj;jk; tPl;by;
Njs;nfhLf;fha; KJikjidf; nfhl;Lk;
Nghf;ifj;
njsptile;J epWj;JtPu; ! KJik fhg;guP ; !
- ed;wp : jkpo; Njrpa jkpoh; fz;Nzhl;lk; - brk;gh; 2020
%j;jnghwpahsh; Xa;Tjpak; kw;Wk; Xa;T+jpag; gad;fs; - ifNaL

2
What My Family should know
Name : ………………………………. Mobile / Phone (Self): ................
PPO No. ………….
Pension Account
Type of Pension Due Date

Bank Account Operating Nominee/s Signature
Payment for Live
Name & Instructions Order No. Certificate
& Branch Pension
A/c No.
Name Office Address Residence Mobile /

Address Contact
Number
Family Doctor
Specialist
Doctor (if any)
Tax Consultant
Insurance
Agent
Stock Broker
Document Details :
Name Number Expiry Date
Passport
Driving License
Credit Card / ATM Cards
Club Membership
Professional
others
Vehicle Details
Income Tax PAN No.
Aadhar Card

3
Bank Accounts:
Bank Name Branch Type of Operating Nominees Specimen
Account Instruction Signature
Location of Important Documents :
Personal Will
Spouse’s Will
Insurance
Policies
Invest. Papers
Property Records
Birth Certificate
Marriage
Certificate
Domicile
Certificate
Important
Agreements
Other Important
Papers

4
Health Insurance Policy Details:
S.No Name & Policy Amount Issue Date / Premium Remarks

Type of No./ Insured Maturity Date (Annual)
Policy previous
Policy
No
1.
2.
3.
Fixed Deposit / Recurring Deposit / Company Deposit
Bank/ Type of Date Loan/

Company Dep. FDR of Fvg. Amt. Due Op. Nominees/s Specimen OD
Name & (SDR/ No. Dep. availed
(Rs.) Date Inst. Signature
Branch FDR/RD)
Immovable Properties
Name & Branch / Place
Standing in the name
Prope-rty Card No. &

Inst. Amt. O/s . Amt.
Share Certificate No.

Registrati- on No./
Mortgage with Bank

(Inherited / Loan)
Bank Loan Detail:
Property Detail &
Next Due Date of
Amt. & Due Date

House Tax (Rs.)
Inst. Policy No.,
Risk/s Covered
Nominee if any
How Acquired
Valid upon
House Tax
Loan Amt.
of Docs.
of:

5
House Tax Details
Sr. House Census Property Construct

No Name ion Sq. Remarks
Details No. Identification
. No. Mtrs.
Income Tax
Permanent Ward No. &
Last Return Filed File No.
Account No. Office address
Xa;T+jpau;fspd; ftdj;jpw;F
Xa;T+jpau;fs; tq;fp fzf;fpy; jdJ kidtpapd; ngaiuAk; Nru;j;J Joint Account. Mf Nru;j;J
tplTk;. Xa;T+jpau; fhykhdhy; mtuJ kidtpf;F FLk;g Xa;T+jpak; ngWtjw;F trjpahf
,Uf;Fk;. vdNt Xa;T+jpau; midtUk; jdJ kidtpapd; ngaiuAk; tq;fp fzf;fpy; Nru;j;J
tplTk;.
Xa;T+jpau; fhykhtjw;F Kd;Ng kidtp ,we;Jtpl;lhy;> mjd;gpwF fztd; fhykhdhy;
Lifetime arrears of pension & Family Security Fund Rs.50>000 ngw jhrpy;jhuplk; thupR
rhd;W ngw;W jhf;fy; nra;aNtz;Lk;. ,ijj;jtpu;f;f Xa;T+jpau; capUld; ,Uf;Fk;NghNj
Xa;T+jpak; toq;Fk; mYtyu; Kd;G Neupy; M[uhfp ,ul;il gpujpfspy; (In duplicate) Form A
(Prescribed in G.O. Ms. 562-Finance, Dt.15.6.1987 & Nomination for Family Security
Fund. Mfpa ,uz;L gbtq;fspSk; Nominee ngau; kw;Wk; Photo xl;b Neupy; Xa;T+jpau;
ifnahg;gkpl;L nfhLj;jhy; mYtyu; Nomination accepted vd;W rhd;Wld; xU gbtj;ij
jpUg;gp nfhLj;j cld; ,uz;L gbtq;fisAk; (Nominee for life time arrears Family
Security Fund) Xa;T+jpa Gj;jfj;jpy; xl;bitj;jhy; Xa;T+jpajhuuu; ,we;j gpwF Nominee
rpf;fypd;wp epYitj; njhiffis ngwKbAk;.
vdNt Nkw;fz;l ,uz;L gzpfisAk; nra;J Kbj;jpLkhW Nfl;L nfhs;fpNwhk;.
nrh.md;gofd;
,iz xUq;fpizg;ghsu; > j.eh.mikr;Rg; gzpahsu; $l;likg;G

6
Xa;T ngWk; taJ
1. cah;epiyg;gzp - 60 taJ (2021> Nk 31 Mk; Njjp tiu gzpapy; cs;s kw;Wk; Xa;T
2. mbg;gilg;gzp - 60 taJ ngWk; gzpahsh;fSf;Fk; nghUe;Jk;)
Xa;T+jpak; tiffs;
 taJ Kjph;T xa;T+jpak; (X.tp.32)

 Ra tpUg;g xa;T+jpak; (X.tp.42)
 Fiwe;jgl;rk; 20 Mz;Lfs; gzp my;yJ 50 taJ epiwT
 3 khj fhy Kd; mwptpg;G
 Cjpakpy;yh tpLg;G jil
 mjpfgl;rk; 5 Mz;Lfs; $Ljy; gzpf;fhyk;
 fl;lha Xa;T+jpak; (X.tp.39)

 nghJ eyk;
 50 taJ (mbg;gil gzp 55 taJ) my;yJ 30 Mz;L gzp
 3 khj Kd; mwptpg;G my;yJ 3 khj Cjpak; toq;Fjy;
 ,ayhik Xa;T+jpak; (X.tp.36)

 cly; FiwghL
 kdf;FiwghL
 epue;jukhfg; gzpahw;w jFjpaw;wth;
 kUj;Jt FO mwpf;if
 <L nra;Ak; Xa;T+jpak; (X.tp.38)

 epue;jug; gzpaplk; KbT
 gzpGhpe;j fhyj;jpd; mbg;gilapy;
 3 khj Kd; mwptpg;G
 fUizg;gb Xa;T+jpak; (X.tp.40)

 gzp ePff
; k;
 murpd; xg;GjYld; fUizg;gb
 Fiwe;j Xa;T+jpaj;jpw;Ff; Fiwtpy;yhky;
 jw;fhypf Xa;T+jpak; (X.tp.66)

 Kd;nkhopT mDg;gj; jhkjk;
 Fw;wr;rhl;LfSf;Fg; ghjfkpy;yhky; Xa;T

7
Xa;T+jpag; gad;fs;
 Xa;T+jpak;
 ,wg;G vdpy; FLk;g Xa;T+jpak;
 gzpf;nfhil
 tpUg;gj;jpd; Nghpy; Xa;T+jpa khw;wPL
Xa;T+jpak; fzf;fplj; Njitahd tptuq;fs;

 gpwe;j ehs;
 gzpapypUe;J Xa;T ngWk; ehs;
 gzpapy; Nrh;e;j ehs;
 nkhj;j gzpf;fhyk;
 jFjpapy;yhj gzpf;fhyk;
 jFjpAila epfug;gzpf;fhyk;
 filrp gj;Jkhj ruhrhp Cjpak;
 filrpahfg; ngw;w khj Cjpak;
nkhj;j gzpf;fhyk; fzf;fpLk; Kiw

Mz;L khjk; ehs;
1. gzp Xa;T ehs; 2017 11 30
2. gzpapy; Nrh;e;j ehs; (fopf;f) 1984 05 04
nkhj;jg; gzpf;fhyk; 33 06 26
(Gross Qualifying Service)
jFjpapy;yh gzpf;fhyk;
 18 taJf;Ff; fPo; gzpahw;wpa fhyk;
 gapw;rpahsh; gzpf;fhyk;
 kUj;Jtr; rhd;wpy;yhj Cjpakpy;yh tpLg;G
 Kiwg;gLj;jg;glhj $Ljyhfj; Ja;j;j gzpNaw;gpilf;fhyk;
 jz;lidahff; fUjg;gl;l jw;fhypfg; gzp ePff
; f; fhyk;
 gzpapil KwpTf; fhyk;
 Kiwg;gLj;jg;glhj tpLg;Gf; fhyk;
epfu gzpf;fhyk; fzf;fpLk; Kiw (Net Qualifying Service)

Mz;L khjk; ehs;
1. nkhj;jg; gzpf;fhyk; 33 06 26
2.jFjpapy;yhg; gzpf;fhyk; 01 08 14
(fopf;f)
3. epfug; gzpf;fhyk; 32 10 12

8
 epfug;gzpf;fhyq;fis miuahz;Lfshf khw;w Ntz;Lk;
 3 khjk; kw;Wk; mjw;F Nkw;gl;l fhyj;ij xUmiu Mz;lhff; fUjNtz;Lk;.
 3 khjq;fSf;Ff; Fiwthd gzpf;fhyj;ijf; fzf;fpy; vLj;Jf;nfhs;sf;$lhJ.
 Fiwe;jgl;r gzpf;fhyk; -10Mz;Lfs; (9Mz;Lfs; 9 khjq;fs; kw;Wk; mjw;F Nky;)
KO Xa;T+jpaj;jpw;Fj; jFjpahd gzpf;fhyk;

(m
m.M.vz;.496 epjp (Xa;T+jpak;) Jiw ehs;:01.08.2006)
 KO Xa;T+jpaj;jpw;F 30 Mz;Lfs; my;yJ 60miu Mz;Lfs; epfugzpf;fhyk; ,Uj;jy;

Ntz;Lk;.
 30 Mz;LfSf;Ff; Fiwthf ,Ug;gpd;> tpfpjhr;rhu mbg;gilapy; Xa;T+jpak;
fzf;fplg;gl Ntz;Lk;.
ruhrhp Cjpak;
 gzpapypUe;J Xa;T ngWtjw;F Kd;G filrpg; gj;J khjq;fspy; ngw;w Cjpaj;ij
fzf;fpl;L mjd; ruhrhp (Xa;T+jpa tpjp 31)
filrpahfg; ngw;w Cjpak; (Xa;T+jpaj;jpw;F)

 Xa;Tngw;w ehsd;W xUth; ngw;w khj Cjpak;
 mbg;gil Cjpak; + juCjpak; + rpwg;G Cjpak; + jdp Cjpak; (01.01.2006 Kjy;
31.12.2015 Kba)
 mbg;gil Cjpak;; + rpwg;G Cjpak; + jdp Cjpak; (01.01.2016 Kjy; )
Xa;T+jpak;
 14.12.1987 Kjy; ruhrhp Cjpaj;jpy; 50 rjtPj Xa;T+jpak;
(m.M.vz;:1030/epjp(Xa;T+jpak;) ehs;:14.12.1987)
 01.07.1996 Kjy; filrpahf ngw;w Cjpaj;jpy; 50 rjtPjk; my;yJ ruhrhp

Cjpaj;jpy; 50 rjtPjk; ,jpy; vJ mjpfNkh mJ khj Xa;T+jpakhFk;.
(m.M.vz;:461/epjp(Xa;T+jpak;) ehs;:31.07.1996)

9
Fiwe;jgl;r / mjpfgl;r Xa;T+jpak;
Xa;T+jpak; fhyk; Fiwe;j msT mjpf msT

&gha; &gha;
31.03.1982 tiu 100 1500

01.04.1982 Kjy; 125 1500
01.10.1984 Kjy; 235 ,y;iy
01.04.1988 Kjy; 245 ,y;iy

01.06.1988 Kjy; 375 ,y;iy
01.01.1996 Kjy; 1275 ,y;iy

01.01.2006 Kjy; 3050 38500
01.01.2016 Kjy; 7850 112500
FLk;g Xa;T+jpak;
njhlh;e;J 1 Mz;L gzp KbTf;F gpd;dh; Kiwahd / jw;fhypf muR Copah;
,wf;f Nehpl;lhy;> gzptud;Kiw nra;ag;gl;l muR Copah; 1 Mz;L gzp
Kbf;ftpy;iy vdpDk; cly; jFjpr; rhd;wpjo; nfhLj;jpUe;jhy; my;yJ gzpapypUe;J
Xa;T ngw;W kuzk; milAk; ehs; tiu Xa;T+jpak; ngw;Wf;nfhz;bUe;jhy; mth;fspd;
FLk;gj;jpw;F FLk;g Xa;T+jpak; toq;fg;gLk;.
cah;j;jg;gl;l FLk;g Xa;T+jpak;

(m.M.vz;.313 epjp (Cjpaf;;FO)> Jiw ehs;;:25.10.2017)
 fhykhd ehSf;F mLj;j ehspypUe;J 10 Mz;Lfs; tiu my;yJ muR Copah; /

Xa;T+jpah; capNuhL ,Ue;jpUe;jhy; ve;j ehspy; 65 taJ G+h;j;jp MFNkh me;j
ehs; tiu cah;j;jg;gl;l FLk;g Xa;T+jpak; toq;fg;gLk;.
 gzp Xa;Tf;Fg; gpwF ,wf;f Nehpl;lhy; gzpf;fhd Xa;T+jpaj;ij tpl mjpfkhfhky;
kl;Lg;gLj;jg;gLk;.
 Fiwe;jgl;r FLk;g Xa;T+jpak; &gha;.7850.
 mjpfgl;r FLk;g Xa;T+jpak; &gha;.1>12>500.
 cah;j;jg;gl;l FLk;g Xa;T+jpak; = ,Wjp Cjpak; x 50 / 100
 gpd;dk; te;jhy; mLj;j 10&gha;f;F nfhz;L nry;y Ntz;Lk;.

10
,ay;ghd FLk;g Xa;T+jpak; (Family Pension)
(m.M.vz;;.313 epjp (Cjpaf;;FO)> Jiw ehs;;:25.10.2017 (Finance (Paycell) Department)
 cah;j;jg;gl;l FLk;g Xa;T+jpak; Kbe;j ehSf;F mLj;j ehs; Kjy; ,ay;ghd
FLk;g Xa;T+jpak; mDkjpf;fg;gLk;.
 Fiwe;jgl;r FLk;g Xa;T+jpak; &gha;.7850 /-
 mjpfgl;r FLk;g Xa;T+jpak; &gha;.67>500 /-
 ,ay;ghd FLk;g Xa;T+jpak; = ,Wjp Cjpak; x 30 / 100
 FLk;g Xa;T+jpak; gzpf;fhd Xa;T+jpaj;ij tpl mjpfkhfhky; kl;Lg;gLj;jg;gLk;.
FLk;g Xa;T+jpak; ngwj; jFjpahdth;fs;

• ,we;jthpd; kidtp my;yJ fztUf;F jFjp cz;L
• kWkzk; nra;jhy; jFjpapy;iy
• 25 taJ tiu kfDf;Fj; jFjp cz;L
• kdepiy CdKw;w my;yJ kdepiy rPh;Fiytile;j my;yJ cly;CdKw;w
fhuzj;jhy; Ntiyapy;yhky; Nghd kfd;fs; my;yJ kfs;fs; FLk;g Xa;T+jpak; ngw
jFjp cz;L. (Xa;T+jpa tpjp 46)
• Xa;T+jpajhuh;fs; / FLk;g Xa;T+jpajhuh;fspd; jpUkz Mfhj / tpjit / tpthfuj;J
ngw;w kfs; MfpNahUf;F mth;fs; 25 taij fle;j gpwFk; rpy epge;jidfSf;Fl;gl;L
FLk;g Xa;T+jpak; ngwj; jFjp cz;L. (m.M.vz;;:325 epjp(X.C) Jiw ehs;;:28.11.2011)
• %j;jth; jFjpapoe;jhy; filrpf; Foe;ij tiu njhlh;e;J fpilf;Fk;
• jpUkzkhfhj Copah; ,we;jhy; Kjypy; je;ijf;Fk; gpd;dh; jhahUf;Fk; fpilf;Fk;.
• ikdh; Foe;ijnadpy; ghJfhtyh; topahf
• fztd;> kidtp ,UtUk; muR Copah;fshf ,Ue;J xUth; ,wf;f Nehpl;lhy;
FLk;g Xa;T+jpak; mLj;jtUf;F fpilf;Fk; . xU kUj;Jtg; gb kl;Lk;.
,wg;G kw;Wk; Xa;T gzpf;nfhil

• Xa;T ngWk; CopaUf;F mtuJ gzpf;fhyj;jpw;F Vw;g nkhj;jkhf toq;fg;gLk;
• Fiwe;jgl;r 5 Mz;L epfug;gzpf;fhyk; ƒ mjpfgl;rk; 33 Mz;Lfs; gzpf;fhyk;
• mjpfgl;r gzpf;nfhil &.10.00 ,yl;rk; (m.M.vz;.235 epjpj;;Jiw ehs;;.01.06.2009)
• 01.01.2016 Kjy; mjpfgl;r gzpf;nfhil &.20.00 ,yl;rk;
,wg;G kw;Wk; Xa;T gzpf;nfhil fzf;fpLk; Kiw

(m.M.vz;.313 epjpj;Jiw ehs;;. 25.10.2017)
gzpf;nfhil= (mbg;gil Cjpak; + jdpCjpak; + rpwg;G Cjpak;
+ mftpiyg;gb) x ¼ x epfugzpf;fhyk; (miuahz;Lfs;)
 gpd;dk; te;jhy; mLj;j KO &gha;f;F nfhz;L nry;y Ntz;Lk;.
 mbg;gil Cjpak; + jdp Cjpaj;jpw;F kl;Lk; mftpiyg;gb fzf;fpl;L mtw;Wld; rpwg;G
Cjpaj;ijAk; Nrh;j;Jf; nfhs;s Ntz;Lk;.

11
 01.06.1988 Kjy; rpwg;G Cjpaj;jpw;F mftpiyg;gb fpilahJ.
,wg;G kw;Wk; Xa;T gzpf;nfhil cr;r tuk;G

fhyk;; cr;r
; tuk;;G njhif fhyk;; cr;;r tuk;;G njhif
30.05.1982 tiu &. 36000/- 01.01.96 Kjy; &. 350000/-

31.05.82 - 30.09.84 &. 50000/- 01.01.06 Kjy; &.1000000/-
01.10.84 Kjy; &.100000/- 01.01.16 Kjy; &. 2000000/-
14.12.87 Kjy; &. 250000/-
,wg;G kw;Wk; Xa;T gzpf;nfhil ngwj; jFjpahdth;fs;

 1978-k; Mz;L jkpo;ehL Xa;T+jpa tpjp vz;: 46-y; Fwpg;gplg;gl;Ls;s egh;fs;.
gzpf;nfhil (Service Gratutity)

 10 Mz;Lfs; my;yJ 20 miu Mz;LfSf;F Fiwthd epfu jFjpahd gzpf;fhyk;
cs;s muR Copah;fSf;F Xa;T+jpaj; jFjp ,y;iy.
 gzpf;nfhilf;F kl;LNk jFjp.
 xt;nthU Kbe;j miu Mz;L gzpf;Fk; miu khj rk;gsk; vd;w mbg;gilapy;
gzpf;nfhil toq;fg;gl Ntz;Lk;. (m.M.vz;.1030 epjp (Xa;T+jpak;) Jiw ehs;:
14.12.1987)
 rk;gsk; = mbg;gil Cjpak; + jdp Cjpak; + rpwg;G Cjpak; + mftpiyg;gb
Kbe;j miu gzpf;nfhil Kbe;;j miu gzpf;;nfhil tPPjk;

Mz;Lfs; tPjk;; Mz;Lfs;
1 0.50 khj rk;gsk; 11 5 .50
2 1 12 6
3 1.50 13 6.50
4 2 14 7
5 2.50 15 7.50
6 3 16 8
7 3.50 17 8.50
8 4 18 9
9 4.50 19 9.50
10 5
12
gzpapypUf;Fk; NghJ ,we;jth;fSf;Fg; gzpf;nfhil
(m.M.vz;.313 epjp (CjpaFO ) Jiw ehs; 25.10.2017)
gzpf;fhyk; Cjpak; + mftpiyg;gb

1 Mz;Lf;F Fiwthf ,Ue;jhy; 2 klq;F
Xuhz;Lf;F Nky; Ie;jhz;Lf;Fs;; 6 klq;F
Ie;jhz;Lf;F Nky; 11 Mz;Lf;Fs; 12 klq;F

gjpNdhU Mz;Lf;F Nky; 20 Mz;Lf;Fs; 15 klq;F
20 Mz;LfSk; mjw;F NkYk; (Cjpak; + mftpiyg;gb) x miuahz;L
gzpf;fhyk; (mjpfgl;rk; 33 klq;F)
vQ;rpa gzpf;nfhil (Residuary Gratuity) (Xa;Tjpa tpjp 45(2))

Xa;T ngw;w ehspypUe;J 5 Mz;LfSf;Fs; muR mYtyh; ,wf;f Nehpl;lhy; mth;
fhykhd ehs; tiu mtUf;F toq;fg;gl;l Xa;T+jpak;> gzpf;nfhil kw;Wk; Xa;T+jpak;
khw;wPL nra;J ngw;w njhif Mfpatw;iw tpl NkNy Fwpg;;gpl;;L;Ls;;s tPPjpjj;;jpyhd
,wg;Gg; gzpf;nfhil $Ljyhf ,Uf;Fkhdhy; me;jf; $Ljy; njhif
vQ;rpa gzpf;nfhilahf muR Copahpd; FLk;gj;jpw;F toq;fg;gLk;.
gzpf;nfhil jhkjkhdhy; tl;b

 Xa;T ngw;w 2 khjj;jpw;Fs; gzpf;nfhil toq;fg;gl Ntz;Lk;.
 jtwpdhy; nghJ Nrk ey epjpf;F eph;zak; nra;ag;gl;l rjtPfpj tl;b ($l;L tl;b)
toq;fg;gl Ntz;Lk;.
 jhkjj;jpw;F Xa;T ngw;wth; fhuzk; vdpy; tl;b ,y;iy
 Fw;wr;rhl;Lfs; epYitapy; ,Ug;gpd; - ,Wjp Mizf;Fg;gpd; 3 khjj;jpw;F gpwF
tUk; fhyj;jpw;F tl;b toq;fg;gl Ntz;Lk;.
 jhkj tl;bf;fhd Miz murhy; gpwg;gpf;fg;gl Ntz;Lk;.
Xa;T+jpak; khw;wPL (Commutation of Pension)

 gzpapypUe;J Xa;T ngw;wth; jdJ Xa;T+jpaj;jpy; xU gFjpia xg;gilj;J mjw;F <lhf
nkhj;jkhf xU njhif ngwyhk;.
 01.04.1998 Kjy; 31.03.2003 Kba Xa;T+jpaj;jpy; 40% tiu Xa;T+jpak; xg;gilg;G
01.04.2003 Kjy; 33 1/3 % Xa;T+jpak; xg;gilg;G nra;ayhk;
 xg;gilg;G nra;j gpd;dh; Fiwf;fg;gl;l Xa;T+jpak; kw;Wk; mftpiyg;gb
KO Xa;T+jpaj;jpw;Fk; fpilf;Fk;.
 Xa;T+jpak; Fiwf;fg;gl;l 15 Mz;Lfs; fle;j gpd;dh; KO Xa;T+jpak;.
 01.02.1987 Kjy; 2tJ Kiw xg;gilg;G nra;a mDkjpapy;iy.
 xUKiw xg;gilg;G nra;Jtpl;lhy; jpUk;g ngw ,ayhJ.
13
Xa;T+jpak; khw;wPL = Xa;T+jpak; xg;gilg;G njhif x 12 x xg;gilg;Gf; fhuzp
Xa;;Tf;;F mLj;;j khw;;wPL

gpwe;;j ehspy;; taJ fhuzp
58 8.446
59 8.371
60 8.287
61 8.194
fhzhky; Nghdhy;
Kjy; jfty; mwpf;if chpa fhty; epiyaj;jpy; gjpT nra;ag;gl;bUf;f Ntz;Lk;.
 2 Mz;L fle;j gpd;dh; gzpf;nfhil kw;Wk; FLk;g Xa;T+jpak;
(m.M.vz;.574 epjpj;Jiw ehs;.03.09.1996)
 fhzhky; Nghd muR Copah; 7 tUlq;fs; fope;j gpd; ,we;Jtpl;ljhf
vLj;Jf;nfhs;sg;gLthh;.
 fhzhky; Nghdth; vq;F NjbAk; fpilf;ftpy;iy vd fhty; Jiw rhd;W toq;fp ,Uf;f
Ntz;Lk;.
 rpwg;G tUq;fhy itg;G epjp (SPF) fhzhky; Nghd ehspypUe;J 2 Mz;L fle;j gpd;dh;
toq;fg;gLk;. muR khdpak; fpilf;fhJ. (muR fbj vz;:75868/Xa;T/87-2 epjpj;Jiw
ehs;:21.07.1987)
 7 tUlk; fle;j gpd;dh; Fw;wtpay; ePjpkd;wk; xd;wpy; fhzhky; Nghdth; ,we;Jtpl;ljhf
,e;jpa rhl;rpfs; rl;lj;jpd; gb jPh;gG
; ngw;W toq;fpdhy; kl;LNk FLk;g ghJfhg;G epjp
&gha; %d;W ,yl;rk; toq;fg;gl Ntz;Lk;. (m.M.vz;;.57 epjp (Xa;T+jpak;) Jiw
ehs;.22.02.2016)
Xa;T+jpa tpz;zg;gk; rkh;gg

; pj;jy;
 muR Copah; Xa;T ngWk; ehSf;F 24 khjq;fSf;F Kd;dNu Xa;T+jpa Kd;nkhopTfis
jahhpf;f mYtyfj;jiyik eltbf;if vLf;f Ntz;Lk;.
 Xa;T ngw cs;s mYtyh; mth; Xa;T ngWk; ehSf;F Fiwe;jJ Xuhz;Lf;F Kd;dNu
Xa;T+jpaj;jpw;fhd tpz;zg;gj;ij gbtk; 5-y; rkh;gg
; pf;f Ntz;Lk;.
<l;ba tpLg;G / nrhe;j mYty; Nghpy; <l;lh tpLg;G fhrhf;Fjy;

 Xa;T ngWk; ehspy; ,Ug;gpy; cs;s <l;ba tpLg;G mjpfgl;rk; 240 ehl;fis xg;Gtpj;J
Cjpak; ngwyhk;.
 cah;epiyg;gzpahsh; kw;Wk; 15 tUlk; gzpKbj;j epue;ju mbg;gil gzpahsh;fs; -
Ja;ff
; hj <l;lh tpLg;Gf; fhyj;jpw;F - mjpfgl;rkhf 90 ehl;fs; KO Cjpak; ngwyhk;.

14
6-tJ Cjpaf;FO ghpe;Jiug;gb Cjpa eph;zak;
(01.01.2006 Kjy; 31.12.2015 Kba) (m.M.vz;: 234 epjpj;Jiw ehs;: 01.06.2009)
 gioa gjtpia tplf; $Ljyhd gzpr;RikAk;> nghWg;GfSk; nfhz;l gjtpf;F gjtp

cah;T ngWk; nghOJ> mbg;gil tpjp 22(gp) my;yJ 22(1)(m)(i) Mfpatw;wpd;
mbg;gilapy; Cjpak; eph;zak; nra;ayhk;.
 mbg;;gil tpjp 22(gp): fPo;epiyg; gjtpapy; xU 3% fUj;jpayhd Cjpa cah;T kw;Wk; ju
Cjpa tpj;jpahrk; toq;fg;gl;l gpd; cs;s epiyf;F cah; gjtpapy; gjtp cah;T ngw;w
ehspy; njhlf;f Cjpakhf eph;zapf;fg;gLk;.
 fUj;jpayhd Cjpa cah;T 3% toq;Fk; NghJ kl;Lk; 99igrh kw;Wk; mjw;F fPNo tUk;
igrhitAk; fzf;fpy; vLj;Jf; nfhz;L mLj;j &gha; 10f;F eph;zapf;f Ntz;Lk;.
cjhuzk; &.230.90 vd;gJ &.240/- MfTk;> &.290.10 vd;gJ &.300/- MfTk; eph;zapf;f
Ntz;Lk;. (muR fbj vz;.41817/C.F/2009-1 epjpj;Jiw ehs;.4.8.2009)
 Mz;L Cjpa cah;Tf;F ,J nghUe;jhJ.
jkpof muR Copah; Xa;T+jpa tpjpfs;

^g;spNfl; P.P.O. toq;FtJ
xUthpd; P.P.O fhzhky; Nghdhy; ^g;spNfl; P.P.O. toq;fpl fPNo Fwpg;gpl;l eilKiw
gpd;gw;w Ntz;Lk;. [G.O. Ms. No. 30, Finance (Pension) Dept. dt. 01-02-2010]
Undertaking
I, (a) …………… (b) ……………., the son/wife/husband/daughter of ……………….. (who)
was holding the post of ……….. in the Department / office of ………….
My/our(Family) Pension Payment Order (No……….), is missing since ………….
In case of issue of duplicate of Pension Payment Order, I/we shall hand over the
lost Pension Payment Order, if it is found in future.
In case of any excess payment of Pension is found in future, the same shall be
recovered from my/our pension / family pension.
Signature with name.

15
New Health Insurance Scheme - 2018
GO Ms. No. 222 Finance (Pension) Department dt. 30-06-2018
Annexure-I
IMPLEMENTATION PROCEDURE FOR NEW HEALTH INSURANCE SCHEME, 2018 FOR

PENSIONERS (INCLUDING SPOUSE) / FAMILY PENSIONERS.
The New Health Insurance Scheme, 2018 for Pensioners (including spouse) / Family
Pensioners shall be implemented by the Director of Treasuries and Accounts, Chennai-15
through the United India Insurance Company Limited, Chennai-600 006 / Third Party
Administrator under the control of United India Insurance Company Limited, Chennai for a
block period of four years. The guidelines governing the New Health Insurance Scheme, 2018
for Pensioners (including spouse) / Family Pensioners are as follows:
The annual premium initially paid by the Government shall be recovered from the Pensioners /
Family Pensioners at the rate of Rs.350/- per month by deduction in monthly pension / family
pension from the month of July, 2018.
1. COMMENCEMENT:
The scheme will commence from 1-7-2018 for a block period of four years
i.e. upto 30-6-2022.
2. ENROLMENT:
The enrolment of the Pensioners / Family Pensioners under the New Health Insurance Scheme,
2014 for Pensioners (including spouse) / Family Pensioners shall be compulsory.
EXTENT OF THE SCHEME:
The scheme shall be applied to the following categories of existing/future Pensioners / Family
Pensioners whose pension / family pension is paid out of the Consolidated Fund of Tamil Nadu
and who draw their pension / family pension either directly from the Pension Pay Office,
Chennai / District Treasury / Sub-Treasury:-
State Civil Pensioners / Family Pensioners.
Teacher Pensioners / Family Pensioners.
Pensioners / Family Pensioners of All India Services belonging to the Tamil Nadu Cadre.
Pensioners / Family Pensioners of the State Government Employees who had drawn lumpsum
payment on absorption in Public Sector Undertakings / Autonomous Bodies / Local Bodies /
Co-operative Institutions and have become entitled to restoration of 1/3 rd commuted portion
of pension as well as revision of the restored amount.
Note: The State Government Employees who were permanently absorbed in the State /
Central Owned Corporations, Boards and Autonomous Bodies whose terminal benefits were
already settled for the service rendered under the State Government are not eligible under this
scheme.
Divisible Family Pensioners where family pension is granted to more than one family members.
Ex-Gratia Pensioners / Family Pensioners.

16
Pensioners / Family Pensioners who are in receipt of Special Pension under Extraordinary
Pension Rules, Tamil Nadu and Compassionate Allowance.
Provisional Pensioners as provided in rules 60, 66, 69 & 69-B of Tamil Nadu Pension Rules,
1978.
Pensioners / Family Pensioners of former Travancore-Cochin State who drawing their pension
on 1st November, 1956 in the Treasuries situated in the areas transferred to Tamil Nadu State
on that date i.e. Kanniyakumari District and Shencottah Taluk of Tirunelveli District.
This scheme is also applicable to the Government Pensioners / Family Pensioners of the above
categories who are getting pension / family pension from the Treasuries / Sub-Treasuries and
under the Public Sector Bank Scheme outside the State.
OPTION TO BE EXERCISED FOR CERTAIN CASES:
The scheme is compulsory for all Pensioners / Family Pensioners. The following categories of
Pensioners / Family Pensioners alone are entitled to exercise their option at the time of
submitting the prescribed Form appended in the Annexure-IV to this order to the authorities
concerned:
All India Service (AIS) Pensioner.

A Pensioner who is a recipient of All India Service (AIS) Family Pension.
If the spouse of the Pensioner is a State Government Employee.
If both Husband and Wife are Pensioners.
If a Pensioner is also a Family Pensioner.
If an individual draws more than one Family Pension.
In respect of categories (i) to (iii) above, the subscription shall be recovered only from the
Pensioners / Family Pensioners who has opted to avail the benefits under this scheme. In
respect of categories (iv) to (vi) above, the subscription shall be recovered from one of the
Pensioner / Family Pensioner as per the option exercised.
If no such option is received from the above said categories on or before the completion of one
month from the date of issue of this order, it shall be construed that the above said categories
of Pensioners / Family Pensioners are willing to enroll themselves under this scheme. The
option once exercised shall be final.
Objectives:-
The main objectives of the Scheme are: -

(1) to extend the scope of assistance for medical treatments available under the existing
Scheme;
(2) to cover more ailments and more hospitals including payment wards of Government
Hospitals;

17
(3) to provide financial assistance upto Rupees Four Lakhs per Pensioner (including
spouse) / Family Pensioner for a block of four years for the approved treatments
taken and surgeries undergone as per Annexure-I to these Guidelines, with provision to pay
upto Rupees Seven Lakh and Fifty Thousands for specified approved treatments
taken and surgeries undergone as per Annexure-I A to these Guidelines; and
(4) to provide the assistance on a CASHLESS basis in Network Hospitals and on

reimbursement basis in Non-Network Hospitals for Emergency Care or following
an Accident.
Eligible Medical Expenses with reference to the Network Hospital shall include all expenses
charged by the Hospital upon Hospitalisation till the date of discharge except Non-Admissible
Expenses as listed in the Annexure-III to these Guidelines. However, with regards
Cataract Surgery, the total assistance shall not exceed Rs.20,000/- per eye and for
Hysterectomy (uterus removal surgery) shall not exceed Rs.45,000/-. The Room Rent shall be
restricted to the applicable rent for Standard A/c Room available in the hospital. Transport
Charges shall be excluded.
ACCREDITED TREATMENTS AND SURGERIES:

The accredited treatments and surgeries for availing assistance under the New Health
Insurance Scheme, 2018 for Pensioners (including spouse) / Family Pensioners are listed in
Annexure-II to this order.
The coverage shall also include pre-existing illnesses which have been included in the
accredited treatments and surgeries list.
APPROVED HOSPITALS:
The hospitals approved by the United India Insurance Company Ltd., Chennai / Third Party
Administrator under control of United India Insurance Company for undergoing accredited
treatments / surgeries are listed in Annexure-III to this order.
The additional list of approved hospitals to be included and list of deleted hospitals, if any
covered under this Scheme will also be updated and hosted in the websites of Government of
Tamil Nadu in Finance Department (www.tn.gov.in), the Treasuries and Accounts Department
( www.tn.gov.in / karuvoolam) and the United India Insurance Company Limited, Chennai /
Third Party Administrator ( www.tnnhis2014.com) for ready reference from time to time on
receipt of the same from the United India Insurance Company Limited, Chennai.
The assistance will not be extended for any other treatment / surgeries undertaken other than
those in the accredited treatments / surgeries / approved hospitals annexed to this order.
MEDICAL ASSISTANCE:
The Pensioners (including spouse) / Family Pensioners can avail medical assistance upto a
limit of Rupees Two Lakhs in a block period of four years from 1-7-2018 to 30-6-2022 on a
CASHLESS basis for the accredited treatments / surgeries in the hospitals approved by the
United India Insurance Company / Third Party Administrator under this Scheme.
The benefit will be on a floater basis with a total coverage upto Rupees Two Lakhs individually
or collectively for Pensioner (including spouse) and Family Pensioners during the said block
period of four years with no restriction on the number of times of availing the accredited
treatments / surgeries in the hospitals approved by the United India Insurance Company /
Third Party Administrator under this Scheme.

18
The scope of the scheme shall be to provide coverage for the eligible expenses incurred by the
Pensioners (including spouse)/Family Pensioners on behalf of himself / herself or spouse for
the accredited treatments and surgeries listed out in Annexure-III to this order.
The United India Insurance Company / Third Party Administrator shall ensure that the patient
i.e. Pensioners / Family Pensioners and spouse of the Pensioner who are eligible under this
Scheme are given coverage for accredited treatments / surgeries including pre-existing
illnesses in the approved hospitals upto the limit of Rupees Two Lakhs over a period of four
years commencing from 1-7-2014.
The Pensioners (including spouse) / Family Pensioners under this Scheme will not have to
make any payment for the approved cost to the hospitals upto the limit of Rupees Two Lakhs.
The hospitals approved by the United India Insurance Company / Third Party Administrator
under this Scheme shall extend treatment to the Pensioners (including spouse) / Family
Pensioners on a CASHLESS basis.
SUBSCRIPTIONS:
A sum of Rs.350/- (Rupees One Hundred and Fifty only) per month shall be recovered as
subscription from the pension / family pension of the Pensioner / Family Pensioner payable
from the month of July 2014.
In respect of Pensioners / Family Pensioners who drawing pension / family pension from the
Pension Pay Office, Chennai / District Treasuries / Sub-Treasuries, the subscription shall be
recovered by the Pension Disbursing Officers directly and credited into the relevant Revenue
Receipt head of account as indicated in para-5 of the G.O.
In respect of Pensioners / Family Pensioners who drawing pension / family pension directly
from Banks under Public Sector Bank Schemes, the subscription shall be recovered by the
Branch Manager of the bank concerned and the amount recovered shall be sent to the Director
of Treasuries and Accounts, Chennai by means of a Demand Draft along with details of Name /
PPO No. of the Pensioners / Family Pensioners. The Director of Treasuries and Accounts,
Chennai shall credit the subscription into the relevant Revenue Receipts Head of Account as
indicated in para-5 of the G.O.
In respect of the State Government Pensioners / Family Pensioners who are getting pension /
family pension from the Treasuries / Sub-Treasuries and under the Public Sector Bank
Scheme outside the State shall send their subscription at the rate of Rs.150/- per month (i.e.
Rs.1800/- in one lumpsum for every year on or before 31st July) for a block of four years
commencing from 1-7-2014 to 30-6-2018 directly to the Director of Treasuries and Accounts,
Chennai by means of a Demand Draft. The filled in Form prescribed in Annexure-IV to this
order may also be sent along with Demand Draft. The Director of Treasuries and Accounts,
Chennai shall credit the subscription into the relevant Revenue Receipts Head of Account as
indicated in para-5 of the G.O.
In respect of Provisional Pensioners, the subscription shall be recovered by the Disbursing

Officers concerned directly and credited into the relevant revenue receipts head of account.
The Pay and Accounts Officers / Pension Pay Officer, Chennai / Treasury Officers / Sub-
Treasury Officers from whom provisional pension is drawn shall ensure that the subscription is
being recovered towards this scheme.
In respect of Divisible Family Pensioners, the subscription shall be recovered from each of the
Family Pensioners separately.

19
The Pension Disbursing Officers including the Branch Manager of the Bank concerned shall be
held responsible for the prompt recovery of the subscription and remittance every month.
The Pension Disbursing Officers including the Branch Manager of the Bank concerned should
also send a monthly report to the Director of Treasuries and Accounts, Chennai about the
deductions and remittances made towards subscription of New Health Insurance Scheme,
2014 for Pensioners (including spouse) / Family Pensioners along with Pensioners / Family
Pensioners.
In the case of Divisible Family Pensioners, each of the Family Pensioners have to subscribe to
the New Health Insurance Scheme, 2014 separately.
SUBMISSION OF FORM:
The Pensioners / Family Pensioners / Provisional Pensioners at the time of retirement /

sanctioning of Family Pension / Provisional Pension as the case may be, shall submit their filled
in Form prescribed in Annexure-IV to this order to the following authorities:-
Pensioners / Family Pensioners : Pension Pay Officer, Chennai

attached to Pension Pay Office,
Chennai.
Pensioners / Family Pensioners : District Treasury Officer / Sub-Treasury
attached to Treasuries / Sub-Treasuries Officer concerned
Pensioners / Family Pensioners under : Branch Manager of Bank concerned.
the Public Sector Bank Scheme
Pensioners / Family Pensioners : The Director of Treasuries
drawing outside State. and Accounts, Chennai
Pay and Accounts Officers / Pension Pay
Officer, Chennai / Treasury Officers / Sub-
Provisional Pensioners
Treasury Officers concerned for Self- Drawing
Officers.
Head of Office / Pay Disbursing Officers
concerned for Non-Self Drawing Officers.
The authorities concerned shall scrutinise the Forms and furnish the certificate to the effect
that the applicant is a Pensioner / Family Pensioner drawing pension / family pension through
his/her office and that the monthly subscription amount is being recovered from the pension /
family pension and credited into the revenue receipts head of account. A copy of the same
may be furnished to the Pensioners / Family Pensioners duly signed by the authorities
concerned. In respect of Pensioners / Family Pensioners drawing pension/family pension
outside State, a copy of the same may be sent to the Pensioners / Family Pensioners duly
signed by the Director of Treasuries and Accounts, Chennai.
The Pension Drawing Officers including Branch Manager of Banks concerned shall send the
Forms directly to the United India Insurance Company, Chennai / Third Party Administrator
under the control of United India Insurance Company with due acknowledgement.
IDENTITY CARDS:
The identity cards for availing treatment under New Health Insurance Scheme, 2014 for
Pensioners (including spouse)/ Family Pensioners will be issued by the United India Insurance
Company through the authorities concerned where pension / family pension are received
based on the data provided by the authorities concerned. In respect of Pensioners / Family

20
Pensioners drawing pension / family pension outside the State, the Director of Treasuries and
Accounts, Chennai shall arrange to send the identity card directly to the pensioners / family
pensioners outside the State.
The United India Insurance Company / Third Party Administrator shall update the details of
each Pensioners (including spouse) / Family Pensioners provided by the authorities concerned
and arrange to issue new Identity Cards within the stipulated period with abstract of the
details of Pensioners (including spouse) / Family Pensioners to get signature from the
Pensioner / Family Pensioners.
Prior to issue of Identity Cards by the United India Insurance Company, Chennai / Third Party
Administrator, the Pensioners (including spouse) / Family Pensioners can avail treatment by
furnishing a copy of the filled in Form prescribed in Annexure-IV submitted by the Pensioner /
Family Pensioner and duly attested by the authorities.
During the interim period of preparation and distribution of the new Identity Cards, the United
India Insurance Company / Third Party Administrator shall accept copy of the filled in Form
prescribed in Annexure-IV submitted by the Pensioner / Family Pensioner to the authorities
concerned as valid identity for the purpose of availing benefits under this Scheme. This
arrangement will be applicable only for such interim period, till the Identity Cards are made
available.
The United India Insurance Company / Third Party Administrator shall arrange to issue the
new Identity Cards to the Pensioners / Family pensioners covered under this Scheme with the
details of spouse within the stipulated period of 60 days. The United India Insurance Company
/ Third Party Administrator shall also arrange to issue the Identity Cards to the new Pensioners
/ Family Pensioners as and when the details of the Pensioners / Family Pensioners are
furnished to the United India Insurance Company / Third Party Administrator. The authorities
concerned shall be responsible to arrange to furnish data in the Form prescribed in the
Annexure-IV to this order and get Identity Cards for their Pensioners / Family Pensioners. The
authorities concerned shall also be responsible to surrender the Identity Cards of such of those
Pensioners / Family Pensioners to the United India Insurance Company who die in harness.
If there is any difficulty in getting identity cards, a representation may be submitted to the
Director of Treasuries and Accounts, Chennai through Pension Pay Officer, Chennai and in
other districts to the District Treasury Officers at the District Headquarters including Branch
Manager of the Banks concerned. The representation received shall be sent to the United India
Insurance Company for redressal.
The Director of Treasuries and Accounts, Chennai-15 shall coordinate and monitor the
progress of the work of the United India Insurance Company / Third Party Administrator for
issuance of new Identity Cards to the Pensioners / Family Pensioners. Further, the United
India Insurance Company / Third Party Administrator shall arrange to issue the Identity Cards
to the Pensioners / Family Pensioners within the stipulated time.
The data furnished by the Pensioners / Family Pensioners shall be the property of the State
Government and should not be used by the authorities concerned for any other purpose
without the prior permission of the Government of Tamil Nadu.
The softcopy of the updated database of Pensioners / Family Pensioners shall be handed over
to the Government of Tamil Nadu in Finance (Pension) Department, as and when the data
compilations are completed and also to the Director of Treasuries and Accounts, Chennai-15
on monthly basis for calculation of actual annual premium.

21
All the Pensioners (including spouse) / Family Pensioners covered under this Scheme shall get
new Identity Card within the stipulated period without fail for availing medical assistance on a
CASHLESS basis under this Scheme. In case of loss of Identity Card, a duplicate Identity Card
can be obtained on payment of Rs.50/- by Pensioners / Family Pensioners to the United India
Insurance Company / Third Party Administrator through authorities concerned. In turn, the
authorities concerned shall arrange to obtain and issue the same to Pensioners (including
spouse) / Family Pensioners within the stipulated time.
The Director of Treasuries and Accounts, Chennai shall be the sole authority to sort out the
discrepancies if any in the implementation of this scheme as and when brought to notice by
the Pensioner / Family Pensioners concerned.
PROCEDURE TO BE FOLLOWED FOR AVAILING MEDICAL ASSISTANCE:
The procedure to be followed at the time of admitting Pensioners (including spouse) / Family
Pensioners for accredited treatments / surgeries are as follows:
The hospitals approved by the United India Insurance Company / Third Party Administrator
under this Scheme alone should be approached for availing the benefits.
The approved Hospitals shall be approached for the accredited treatments / surgeries to be
undertaken on CASHLESS basis so that pre-authorisation is given by the United India
Insurance Company / Third Party Administrator under the control of the United India
Insurance Company Limited, Chennai. In case of emergency only, the approval of the United
India Insurance Company / Third Party Administrator for the accredited treatments / surgeries
undertaken in the approved hospitals shall be obtained for settlement on CASHLESS basis by
the Pensioner / Family Pensioner during the period commencing from the date of treatment /
surgeries as in-patient to the date before discharge from the hospital. For claim assistance,
the Pensioners / Family Pensioners may contact through Toll Free Helpline No.1800 233
5544 [24 Hours] of the Third Party Administrator under the control of United India Insurance
Company Ltd. and also may contact Coordinators of the Third Party Administrator under this
scheme through Phone Numbers. Further, if there is any grievances for availing medical
assistance, Pensioners / Family Pensioners may contact Nodal Officers of the United India
Insurance Company Limited through Phone Numbers. The list of District wise/Other State Co-
ordinators and Nodal Officers under the New Health Insurance Scheme, 2014 for Pensioners
(including spouse) / Family Pensioners are listed out in Annexure-V.
The Identity Card of the Pensioners / Family Pensioners issued by the United India Insurance
Company / Third Party Administrator or by production of the copy of Form prescribed in
Annexure-IV shall be produced to the approved hospitals for the accredited treatments /
surgeries. This arrangement of production of the copy of Form in Annexure-IV in lieu of
Identity Card will be applicable only for such interim period, till the Identity Cards are made
available.
This Scheme is on a CASHLESS basis and no payment for approved cost need to be made by
the Pensioners (including spouse) / Family Pensioners to the approved Hospitals. Claims for
reimbursement of the payment, if any made shall not be entertained.
The eligible charges which are entitled to under this Scheme should be ascertained for the
accredited treatments / surgeries from the hospitals approved by the United India Insurance
Company / Third Party Administrator should not be allowed to charge any excess amount.
Any claim in deviation of the above procedure for reimbursement is liable to be rejected.

22
REDRESSAL OF GRIEVANCES:
Any complaints about difficulty in availing accredited treatments / surgeries, non-availability of

facilities, bogus availment of treatment for ineligible individuals, etc., shall be submitted to the
Pension Pay Officer, Chennai and other districts to the District Treasury Officers at the District
Headquarters. The complaints received shall be placed for decision of an Empowered
Committee at District Level headed by the District Collector, having the Joint Director of
Medical and Rural Health Services Department and the Pension Pay Officer, Chennai / District
Treasury Officer concerned as the case may be and a official representative of the United India
Insurance Company as member. In respect of Pensioners / Family Pensioners drawing pension
/ family pension directly from Banks under Public Sector Bank Schemes, the complaints if any
shall be sent to the Director of Treasuries and Accounts, Chennai.
An appeal against the decision of the District Level Empowered Committee may be preferred
by the Pensioners / Family Pensioners to the State Level Empowered Committee headed by
the Director of Treasuries and Accounts and having the Director of Medical and Rural Health
Services as Member Secretary and an official representative nominated by the United India
Insurance Company as members.
The appeals shall be filed with the Director of Medical and Rural Health Services, the Member
Secretary of the State Level Empowered Committee who shall place the appeals for a decision
of the said Committee.
Any dispute arising out of the implementation of this Scheme which remain unresolved at the
State Level Empowered Committee shall be referred within fifteen days of award of State Level
Empowered Committee to a High Level Committee, comprising of the Secretary to
Government (Expenditure), Finance (Pension) Department, the Secretary to Government,
Health and Family Welfare Department and the representative of the United India Insurance
Company nominated for the purpose.
The Civil Courts situated in Chennai shall have exclusive jurisdiction over any dispute, which
remain unresolved by the above procedure and nothing aforesaid, shall prejudice the rights of
the Government of Tamil Nadu to approach any other forum for dispute resolution permissible
under Law.
13. The United India Insurance Company, Chennai shall furnish a Monthly / Quarterly / Annual
report to the Government of Tamil Nadu in Finance (Pension) Department with the details of
the number of claims (hospital wise), and the total amount disbursed (treatments and
surgeries wise) and also to the Director of Treasuries and Accounts, Chennai-15. The Director
of Treasuries and Accounts, Chennai-15 shall furnish a Annual report to the Government every
year.
SECTION OFFICER

23
Annexure-I :
LIST OF APPROVED TREATMENTS AND SURGERIES
CLASSIFIED UNDER THE BROAD BASED SPECIALITIES.
Name of Diseases, Treatments and Surgeries
I. CARDIOLOGY AND CARDIO THORACIC SURGERY Heart Surgery including
a. Coronary By-Pass Surgery (CABG)
b. Valve Replacement and Other Valvulo Plastics
c. Correction of all Congenital Heart Diseases
d. Angioplasty and PTCA Stent
e. Baloon Valvuloplasty
f. Permanent and Temporary Pacemaker Implantation
g. Embolectomies for Peripheral Artery Embolism
h. Surgeries for Repair of Aneurysm
i. Enhanced External Counter Pulsation Therapy (EECP)
II. ORTHOPAEDIC SURGERY

a. Total Hip Replacement
b. Total Knee Replacement
c. Surgeries for Correction of Fractures of Bones and Joints
d. Arthroscopic Repair of Ligaments
III. NEPHROLOGY / UROLOGY
a. Renal transplantation
b. Lithotripsy
c. Surgeries for Prostrate Gland Problems
d. Surgeries for Ureteric Problems
e. Surgeries for Kidney Problems
f. Surgeries for Urinary Bladder Problems
IV. ONCOLOGY
a. Surgical Management of all Malignant Tumors
b. Laser or Radiation Treatment of Malignancy
c. Chemotherapy for Treatment of Malignancy
V. NEUROLOGY
a. Emergency Life Saving Surgeries on Brain and Spinal Cord
b. Advanced Specialized Surgeries on Brain and Spinal Cord such as Cerebrovascular Surgery
(Aneurysm and Arteriovenous (Malformation), Surgeries involving base of the Skull and
Synotactic Surgeries
c. Surgery for Intractable Epilepsy
d. Inter-vertebral Disc Prolapse related Surgeries
e. Management of Cerebro-Vascular Accidents (Stroke)
f. Surgery for all Congenital Malformations including Hydrocephalus
g. Management of Guillian Barre Syndrome
VI. OPTHALMOLOGY
I. Simple Surgery
a. Any Cataract Surgery with or without Intra Ocular Lens (IOL) Implantation
b. Surgery for Glaucoma
II. Specialised Surgery
a. Surgery and other procedures for Detachment of Retina.
b. Vitrectomy
c. Keratoplasty (Corneal Grafting)
d. Laser treatment,-Krypton Laser, Dye Laser, Argon Laser, Photo Coagulation
e. Liner Accelerator Theraphy (for Senile Macular Degeneration )

24
VII. VASCULAR SURGERY
Amputation of Legs, Arms, Toes and Foot
VIII. GASTROENTEROLOGY
a. Surgeries for various Gastro Intestinal Ulcers
b. Gall Bladder and Liver Surgeries
c. Surgery for Pancreatitis and Appendicitis
d. Liver Transplantation
e. Corrosive Strictures of GI Tract
f. Laproscopic Cholecystectomy
g. Surgeries for Perforation in GI Tract
IX. PLASTIC AND FACIO MAXILLIARY

Treatment of Acute Burns
X. E.N.T.
a. Tonsillectomy
b. Mastoidectomy
c. Stapedectomy
d. Injuries in Ear, Nose, Throat and Neck areas and its Management
XI. GYNAECOLOGY
a. Surgery for Removal of Uterus
b. Surgery for Removal of Ovaries and Ovarian Cysts
XII. THORACIC
Surgery for Lung Abscess, Pleural Effusion and Pneumothorax
XIII. GENERAL: OTHER SURGERIES
a. Thyroid Surgery
b. Surgery for various Hernias
c. Surgeries needed in Accident and Trauma
d. Management of Coma, Meningitis and Encephalitis
e. Piles and Fistula
f. All surgeries for correction of congenital deformities and management of subsequent
problems
g. All Interventional Radiology Procedure for Vascular Problems
h. All Interventional Radiology Procedures using Stents
MEDICAL CARE
Critical Care
a. Acute Respiratory Distress Syndrome (ARDS)
b. ARDS with Multi Organ Failure
c. ARDS plus DIC (Blood & Blood Products)
d. OP Poisoning requiring Ventilator Assistance
e. Septic Shock (ICU Management)
f. Metabolic Coma requiring Ventilator Support
Haematology
a. Hemophilia
b. Snake Bite requiring Ventilator Support
c. Treatment for Sickle Cell Anemia
d. Bone Marrow Transplantation
e. Stem Cell Transplantation
Pulmonology
Massive Hemoptysis

25
Gastroenterology
a. Acute Pancreatitis (severe)
b. Obscure GI Bleed
c. Cirrhosis with Hepatic Encephalopathy
d. Cirrhosis with Hepato Renal Syndrome
e. Corrosive Oesophageal Injury
f. Acute Pancreatitis with Pseudocyst (Infected)
g. Oesophageal Perforation
h. Oesophageal Varices, Variceal Banding
i. Oesophageal Varices, Sclerotherapy
Cardiology
a. Acute MI (Conservative Management without Angiogram)
b. Acute MI (Conservative Management with Angiogram)
c. Acute MI with Cardiogenic Shock
d. Acute MI requiring IABP Pump
e. Refractory Cardiac Failure
f. Complex Arrhythmias
g. Simple Arrythmias
h. Pericardial Effusion, Tamponade
Nephrology
a. Acute Renal Failure-(ARF)
b. Nephrotic Syndrome
c. Chronic Renal Failure 1 (CRF )
d. Hemodialysis / Peritoneal Dialysis
Neurology
a. Neuropathies (GBS)
b. Immunoglobulin Therapy – IV
c. Chronic Inflammatory Demyelinating Poly Neuropathy (CIDP)
d. Hemorrhagic Stroke/Strokes
e. Ischemic Strokes
f. Neuromuscular (Myasthenia Gravis)
g. Neuroinfections -Pyogenic Meningitis
h. Tb Meningitis
i. Neuroinfections -Viral Meningoencephalitis ( Including Herpes encephalitis)
j. Management of COMA
k. Cavernous Sinus Thrombosis
l. Rhinocerebral Mucormycosis
Rheumatology
a. SLE (Systemic Lupus Erythematosis)
b. Vasculitis
Endocrinology
a. Uncontrolled Diabetes mellitus with Infectious Emergencies.
b. Hyper Osmolar Non Ketotic Coma
c. Management of Endocrinal Disorders
d. Hypopitutarism
e. Pituitary – Acromegaly
f. Cushings Syndrome
g. Delayed Puberty Hypogonadism (ex.Turners synd, Kleinfelter synd)

26
under NHIS 2018 to the enrolled beneficiaries without insisting on collecting
cash from the Pensioners
Finance (Pension) Department Letter No. 41008A / Pension / 2020-3,
Dated : 12-07-2021
From
Thiru. S.Krishnan, IAS
Additional Chief Secretary to Government
To
The Division Manager,
United India Insurance Company Limited, 5th Floor, PLA Rathn Tower, Raja Buildings,
212, Anna Salai, Chennai – 600 006.
Sir,
Sub: NHIS – Direction to UIIC Ltd., / Third Party Administrators to ensure
cashless treatements to enrolled beneficiaries Pensioners / Family
Pensioners under NHIS 2018 – Instructions issues - reg.
Ref: 1. G.O. (Ms) No. 222, Finance (Pension) Department, dated 30-06-2018
2. Representation received from the State President, Tamilnadu Retired Officials’
Association, Chennai – 6 dtated 05-07-2021
I am to invite your attention to the references cited.
2. In the reference first cited, orders have been issued for implementation of New Health
Insurance Scheme, 2018 for Pensioners / Family Pensioners to provide health care
assistance to the Pensioners (including spouse / Family Pensioners on a CASHLESS
basis upto Rupees four lakh for a block period of four years for the accredited
treatments / surgeries in the hospitals approved by the United India Insurance
Company Limited
3. Under this scheme, the Government of Tamilnadu has entered into an agreement with
UIIC for implementation of this scheme for a block period of four years from 01-07-
2018 to 30-06-2022. This scheme shall also be administered through a Third Party
Administrator under your control. The eligible charges which are entitled to under
this Scheme should be ascertained for the accredited treatments / surgeries from the
hospitals apprived by the United India Insurance Company Limited / Third Party
Adminstrator should not be allowed to charge any excess amount for the treatment
taken by Pensioners (including spouse) / Family Pensioners for the procedures
mentioned in the above order.
4. In the reference second cited, the State President, Tamilnadu Retired Officials’
Assciation has pointed out that contrary o the “Cashless” treatment for all the
procedures covered under the scheme as ordered in the reference fist cited. Hospitals
seek large sum of money for providing treatment and refuse to admit the Pensioners /
Family Pensioners even if the hospital is an approved one. As a result, they are
suffering with mental anguish and depression. He has therefore requested to issue
suitable orders to the UIIC and empanelled hospital under NHIS to provide “Cashless”
treatment without any hassle.

27
5. I am also to state that several other instances have also been brought to the notice of
the Government that some Empanelled Hospitals insist on payments over and above
the insurance claim from the enrolled beneficiaries (Pensioner / Family Pensioners)
and refuse to implement cashless treatment to the pensioners when approached for
approved treatment leading to payment of full amount in view of emergency by the
Pensioners.
6. Though, there is a provision of penalty clause in the agreement executed between the
Government of Tamiln Nadu and UIIC Ltd., under NHIs 2018, the Government of Tamil
Nadu has not so for invoked the same. As per Clause 22 (1) of the guidelines for
implementation of New Health Insurance Scheme 2018 for Pensioners (including,
spouse) / Family Pensioners as per the reference first cited, it is indicated that in case
of Deficiency in services or failure to provide services as required by terms of Scheme
will attract penalty as my be determined by the Government, subject to the minimum
of five times the amount of the expenditure incurred by the Government of Tamil Nadu
or beneficiart due to non-compliance.
7. Therefore, I am to request you to issue necessary directions to the Third Party
Administrator (TPA) to instruct all the empanelled hospitals to ensure cashless
treatement for all the approved treatments covered under the scheme to the enrolled
beneficiaries without insisting on collecting cash from the Pensioners / Family
Pensioners who approach such hospitals for treatment under NHIS. Any failure to
abide by the contract in the service delivery, will invite invoking Penalty clause and the
amount will be recovered from the UIIC Ltd., and settled to the beneficiaries as per
the penalty clause of the agreement entered into with the Government.
8. A report on the action taken in this regard may be communicated to Government
immediately.
Yours faithfully,
For Additional Chief Secretary to Government,
Finance Department
Xa;T+jpah;fs; juT jsk; - Xa;T+jpak; ngw;w tptuq;fs; gjpNtw;wk;

Xa;T+jpak; toq;Fk; mYtyh;
e.f.vz;. 7409 / 2021 / rp ehs; 06-07-2021
Procedure for Download Pensioner Pay Slip & Pension Pay Drawn & Form 16
1. Login – www.karuvoolam.tn.gov.in
2. User Type – Pensioners
3. Enter Pension Payment Order Number (Example : PPO No. A125456)
4. Password – Pensioner Date of Birth (Ex: DDMMYYYY)
5. Click Reports (Right Side Top Corner)

28
Pension – Physical Appearance not necessary – Change in procedure
Department of Treasuries and Accounts – Mustering for First Pension after physical appreance
– Change in Procedure – Orders – Issued
--------------------------------------------------------------------------------------------------------
Finance (T&A-III) DEPARTMENT
G.O (Ms.) No. 41 Dated 26-02-2020
tpfhhp> khrp - 14.
jpUts;Sth; Mz;L - 2015
Read:
1. G.O. (Ms.) No. 400, Finance (T&A-III) Department, Dated 10-10-2013

2. G.O.(Ms.) No. 106, Finance (T&A-III) Department, Dated 31-02-2016
3. From the Commissioner of Treasuries and Accounts
Letter No. 048220/IFMS/2016-29, Dated 20-12-2018
4. G.O.(Ms.) No. 321, Finance (Pension) Department, Dated 15-10-2019
*****
ORDER:
In the Government Orders first and second read above, orders were issued for
implementation of the Integrated Financial and Human Resource Management System
(IFHRMS) Project, whereby all human resources and financial activities of the Government are
to be carried out by online.
2. In the letter third read above, the Commissioner of Treasuries and Accounts has requested
for orders for modifying the procedure for payment of first Pension/ Commuted value of
Pension, to the Pensioners as per subsidiary Rule 65(a) of Treasury Rule 16. According to
which, in present practice, pensioner has to appear in person Treasury / Pension Pay Office to
receive his/her first Pension/ Commuted value of Pension as authorized by the Accountant
General besides furnishing various copies of documents and certificates. This results in the
Pensioners not receiving their first Pension in time. Hence, the Commissioner of Treasuries
and Accounts has suggested that the Pensioners shall utilize the option of e-mustering through
Jeevan Praman Portal in addition to the present practice.
3. In the case off e-mustering through Jeevan Praman Portal, the pensioner need not visit
Pension Pay Office / Treasury to get his Commuted Value of pension or First Pension. When
authorization is received from the Accountant General, Commutation of Pension can be
disbursed on the first working day after the date of retirement, provided the retirement orders
copy consisting no charges pending certificate is received and First Pension can be disbursed
on the due date of date payment of monthly pension, provided all the orders / certificates
required are furnished and mustering done through Jeevan Praman Portal
4. The Government, after careful examination, has decided to accept the proposal of the
Commissioner of Treasuries and Accounts and issue orders for enabling the Pensioners to
receive their First Pension and Commuted Value of Pension, either in person or through e-
mustering in Jeevan Praman Portal as per the option of the Pensioner.
5. The Commissioner of Treasuries and Accounts is requested to take necessary steps to issue
detailed procedures, if required, in the website.
6. Necessary amendment to the relevant codal provisions will be issued separately.
(BY ORDER OF THE GOVERNOR)
S. KRISHNAN, Additional Chief Secretary to Government

29
PENSION/FAMILY PENSION – Furnishing of Life Certificate, Non-employment
Certificate and Non-remarriage / Non-marriage Certificate by the Pensioners / Family
Pensioners - Orders – Issued.
----------------------------------------------------------------------------------------------
G.O.Ms.No.215, Dated 26th March 2020.
Read the following:-
1. G.O.Ms.No.212, Finance (Pension) Department, dated 24-05-2001.
2. G.O.Ms.No.103, Finance (Pension) Department, dated 31-03-2015.
3. From the Tamil Nadu Retired Officials’ Association, DPI Campus, College Road,
Chennai-6, representation, dated 23-01-2020.
4. From the Commissioner of Treasuries and Accounts, Chennai-35
D.O.Rc.No.10073/E2/2020, dated 20-03-2020.
ORDER:
In the Government Order first read above, orders were issued that State
Government Pensioner including Family Pensioners shall furnish Life Certificate, Non-
Employment Certificate and Non-remarriage / Non-marriage Certificate at any time during
the months of April, May and June every year to the Pension Disbursing Officer
concerned after duly getting it attested by the authority mentioned in the said
Government Order. If the Pensioners / Family Pensioners do not furnish/produce the
said Certificates on or before 30th June, the Pension Disbursing Officer concerned shall
call for annual mustering of the Pensioners / Family Pensioners during the month of
July every year. If the Pensioners / Family Pensioners neither produce said
certificates nor appear for annual mustering, the Pension Disbursing Officer concerned
shall stop the payment of pension / family pension with effect from the month of
August and the payment of pension / family pension will resume only on production of
the said certificates or the Pensioner / Family Pensioner shall appear in person before the
Pension Disbursing Officer concerned. In the Government Order second read above,
orders were issued that Pensioners including Family Pensioners shall furnish additional
information along with Life Certificate.
2. In the reference third read above, the Tamil Nadu Retired Officials’
Association, Chennai and in the reference fourth read above, the Commissioner of
Treasuries and Accounts has requested the Government to change time period for
mustering to avoid the spreading of Corona virus in the present scenario and also to
avoid peak summer season.
3. After careful consideration, the Government in partial modification of the
orders issued in the Government Orders first and second read above, direct that the
State Government Pensioners / Family Pensioners be allowed to give their
Life Certificate at any time during the months of July, August and September every
year for annual mustering instead of April, May and June to the Pension Disbursing
Officer concerned. If any pensioner including family pensioner fails to do so, the Pension
Disbursing Authority shall call for the personal appearance in October and pension /
family pension will be stopped from November onwards for those pensioners including
family pensioners who neither appear directly for mustering nor furnish life certificate.
S. KRISHNAN, Additional Chief Secretary to Government

30
ATTENTION SICK & DISABLED / INCAPACITATED PENSIONERS
It has been brought to the notice of Department of Pension & Pensioners’ Welfare
that sick and disabled pensioners are facing difficulties in withdrawing their pension
amount from the banks. For such pensioners, RBI has already issued guidelines to
all the banks to operate their bank accounts. The banks are required to follow these
guidelines.
The extract of the relevant point of the guidelines issued by RBI is attached herewith.
(M.P.Singh)
Director (PP)
Guidelines Issued by Reserve Bank of India
5.7 Operation of Bank Accounts by Old/Sick/Incapacitated Customers

5.7.1 In order to facilitate old/sick/incapacitated bank customers to operate their
bank accounts, procedure as laid down in para 5.6.2 below may be followed.
The cases of sick / old / incapacitated account holders fall into the following
categories :
(i) an account holder who is too ill to sign a cheque/ cannot be physically present in
the bank to withdraw money from his bank account but can put his/her thumb
impression on the cheque / withdrawal form, and
(ii) an account holder who is not unable to be physically present in the bank but is
also not even able to put his/her thumb impression on the cheque / withdrawal
form due to certain physical defect / incapacity
5.7.2 The banks may follow the procedure as under:
(i) Wherever thumb or toe impression of the sick / old / incapacitated account holder
is obtained, it should be identified by two different witnesses known to the bank,
one of whom should be a responsible bank official.
(ii) Where the customer cannot even put his/her thumb impression and also would
not be able to physically present in the bank, a mark obtained on the cheque /
withdrawal form which should be identified by two independent witnesses, one of
whom should be a responsible bank official.
5.7.3 In such cases, the customer may be asked to indicate to the bank as to who
would withdraw the amount from the bank on the basis of cheque / withdrawal
form as obtained above and that person should be identified by two
independent witnesses. The person who would be actually drawing the money
from the bank should be asked to furnish his signature to the bank.

31
32
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33
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kw;Wk; FLk;g Xa;T+jpajhuhpd; taij cWjp nra;j gpd;dh; toq;fyhk;. ,jw;nfd jdpNa khepyf;
fzf;fhahpd; xg;Gjiyg; ngwj; Njitapy;iy.
8. nghJj;Jiw tq;fpfisg; nghWj;jkl;by;> Nkw;fhZk; eilKiwiag; gpd;gw;wp mt;t q;fpfNs

$Ljy; Xa;T+jpak; / $Ljy; FLk;g Xa;T+jpaj;ij toq;f mjpfhuk; mspf;fg;gLfpwJ.
9. gfph;T Kiwapy; FLk;g Xa;T+jpak; ngWgth;fisg; nghWj;jtiuapy; $Ljy; FLk;g Xa;T+jpak;

tpfpjhr;rhuj;jpw;fpzq;f gphpj;J toq;fg;glNtz;Lk;.
(MSehpd; Mizg;gb)
f.rz;Kfk;
muR Kjd;ikr; nrayhsh;
34
Application for Additional Pension (G.O.No.42, Finance, dated. 7.02.2011)
Regarding Claiming of Additional Pension and Additional D.A. for the Pensioners and
Family Pensioners in the Age Group of 80-100.
By Regd, Post
Date:
From
Thiru / Tmt.
To
Sir / Madam,
Sub : Pension – Claiming of Additional Pension and Additional DA sanctioned for my Service
pension / Family pension under G.O.42 (Finance Pension) Dept. dated 07.02.2011 for
the pensioners under the age group of 80-100-Requested.
Ref : 1. G.O.42 (Finance Pension) Dept. dated 07.02.2011 (Copy enclosed)

2. My PPO No. (Copy enclosed)
---------------
I submit the following details of information and records for claiming the additional pension
and additional DA sanctioned in the G.O. cited due to me.
1. My PPO No :
(Copy enclosed)
2. Whether Service Pensioner :
or Family Pensioner
3. Name of Scheme under which : Pilot / PSB Scheme
Pension is drawn
4. Nature of pension : Service Pension / Family Pension
5. Name of Bank Paying the Pension :
6. My Date of Birth :
7. Date of completed age :
8. Evidence for proof of age :
or date of birth furnished with ref.
to para 5 of G.O.42, cited above
9. Remarks :
An early compliance is requested.
Thanking you,
Yours sincerely.

35
Family Security Fund - Financial Assistance RS. 50000/-
G.O.Ms.No.189, Finance (Pension) Department, Dated: 7th June, 2013 PENSION
- Tamil Nadu Government Pensioners’ Family Security Fund Scheme -
Enhancement of financial assistance from Rs.35,000/- to Rs. 50,000/- in the
case of death of pensioner - orders - Issued.
Read:-
1. G.O.Ms.No.762, Finance (Pension) Department, dated 31.12.1996.
2. G.O.Ms.No.413, Finance (PGC) Department, dated 17.10.2001.
3. G.O. Ms.No.416, Finance (Pension) Department, dated 18.11.2010.
4. G.O.Ms.No.184, Finance (Pension) Department, dated 1.6.2012.
ORDER:
In the Budget Speech for 2013-2014, an announcement has been made by Government
to enhance the financial assistance under the Tamil Nadu Government Pensioners’ Family
Security Fund Scheme from the present level of Rs.35,000/- ordered in the Government
Order fourth read above to Rs.50,000/- in the event of death of the pensioner.
2. Accordingly, the Government direct that the financial assistance under the Tamil Nadu
Government Pensioners’ Family Security Fund Scheme shall be enhanced from
Rs. 35,000/- to Rs.50,000/- (Rupees fifty thousand only) in the event of death of the
pensioners.
3. The Government have also decided to enhance the pensioner’s contribution and
accordingly direct that the contribution towards Tamil Nadu Government Pensioners’
Family Security Fund Scheme be increased from Rs.70/- per month to Rs.80/- (Rupees
eighty only) per month.
4. There shall be no change in the existing rules and regulations governing the sanction
of assistance under the Tamil Nadu Government Pensioners’ Family Security Fund
Scheme.
5. This order takes effect from the date of issue of this order.
K. SHANMUGAM.
PRINCIPAL SECRETARY TO GOVERNMENT.
Note : G.O.Ms.No.164, Dated 07th July 2021.

Tamil Nadu Government Pensioners’ Family Security Fund Scheme be increased from
Rs.80/- per month to Rs.150/- (Rupees eighty only) per month effect from
01-07-2021

36
37
ANNEXURE – A
(In case of claim by the

spouse)
1 Name of the deceased pensioner :

2 P.P.O.No. :
3 Treasury where from pension was drawn :
4 Post field and office and department served last :
5 Date of retirement :
6 Date of death :
7 Whether death certificate enclosed :
8 Date of admission to Govt. Pensioner’s Family Security
: Fund scheme
9 Date from which contribution recovered from pension :
10 Whether the spouse of the deceased pensioner is alive :
11 Name of the spouse :
12 Whether the name of the spouse has been
incorporated : in P.P.O.
13. Whether joint PPO has been issued :
14. Whether heirship certificate enclosed :
15. Whether the spouse has titled to receive Rs.50000/- : from this fund
16. Address of the spouse : Door No.
Street
Town
District
Pincode
Station :
Date : Signature of the spouse
Enclosures:
1. Death certificate of the deceased
2. First page of the P.P.O.
3. Descriptive Roll of the spouse.
4. Specimen signature of the spouse.
5. Photograph of the spouse.
6. Form of Finger Impressions.
7. Advanced Stamped Receipt
38
ANNEXURE – B
(In case of claim by nominee)
1. Name of the deceased pensioner :
2. P.P.O.No. :
3. Treasury where from pension was drawn :
4. Post field and office and department served last :
5. Date of retirement :
6. Date of death :
7. Whether death certificate enclosed :
8. Date of admission to Govt. Pensioner’s Family Security Fund scheme :
9. Date from which contribution recovered from pension :
11. If not, whether the death certificate of the spouse enclosed :
12. Whether nomination has been filed :
13. Whether the nomination is valid :
14. Name(s) of the nominee(s) :
15. Address of the nominee (s) :
(1)
(2)
(3)
(4)
16. Whether any nominee is minor :
17. If so, the name of the guardian to receiv the amount on behalf of the :
minor nominee
18. Relationship of the guardian with the minor nominee :
19. Address of the guardian :
Name
Door No. & Street
Town & District
Pincode
20. Whether certificate of Age / date of birth for minor nominee enclosed
21. Any other remarks
Station:
Date : Signature of the claiming Legal Heir
Enclosures:
1. Death Certificate of the deceased spouse of the deceased pensioner

2. Heirship Certificate
3. Death certificate of the deceased pensioner
4. Guardianship Certificate in case of minor heir
5. First page of P.P.O
6. Descriptive Roll of the heir
7. Specimen signature of the heir
8. Photograph of the heir
9. Form of Finger Impressions of the heir
10. No Objection Letter from other heirs.
11. Advanced stamped Receipt

39
Annexure C
(In case of claim by legal Heirs)
1. Name of the Deceased pensioner :
2. P.P.O No. :
3. Treasury where from pension was drawn :
4. Post field and office and department served last :
5. Date of retirement :
6. Date of Death :
7. Whether death certificate enclosed :
8. Date of admission to Govt. Pensioner’s Family security Fund Scheme :
9. Date from which contribution recovered from Pension :
11. If not, whether the death certificate of the spouse enclosed :
12. Whether nomination has been filed :
13. Whether the nomination is valid :
14. Name(s) of the nominee(s) :
15. Address(es) of the heirs :
(1)
(2)
16. The name(s) of the minor heirs :
(1)
(2)
(3)
(4)
17. Name of the guardian to receive the amount on behalf of the minor :
heir(s)
18. Relationship of the guardian with minor heir(s) :
19. Address of the guardian :
Name
Door No. & Street
Town & District
Pincode
20. Any other remarks
Station:
Date : Signature of the claiming Legal Heir
Enclosures:
1. Death Certificate of the deceased spouse of the deceased pensioner

2. Heirship Certificate
3. Death certificate of the deceased pensioner
4. Guardianship Certificate in case of minor heir
5. First page of P.P.O
6. Descriptive Roll of the heir
7. Specimen signature of the heir
8. Photograph of the heir
9. Form of Finger Impressions of the heir
10. No Objection Letter from other heirs.
11. Advanced stamped Receipt

40
41
Application for Family Pension - FORM 14
(See Rules 72(4); 74(3) and 76(2) )
(Introduced in G.O.Ms.No.830 Finance, dated 3.12.93)
1.Name of the applicant:
(i) Widow/Widower:
(ii) Guardian if the deceased Government Servant/Pensioner is survived by Minor child:
2.Name and age of surviving widow/widower and children of the deceased

Government Servant/Pensioner.
Serial Name Relationship with Date of birth

Number deceased person by Christian
era.
(1) (2) (3) ( 4)

1.
2.
3.
4.
5.
6.
3. Name of the deceased Government Servant/Pensioner

4. Pension Pay Order No. of the deceased Pensioner, if any
5. Date of death of the deceased Government Servant/Pensioner
6. Office/Department in which deceased Government Servant/pensioner served last. In the
case of Educational Institution whether it is Government/ Aided/Panchayat/Municipal School
and the District in which the Institution falls may also be stated.
7. If the applicant is guardian, his date of birth and relationship with the deceased
Government Servant / Pensioner
i. If the applicant is widow/widower the details of the amount of service pension, if any
which she/he may be in receipt on the date of death of the husband/wife.
ii. If the widow/widower or the son/daughter is employed the details of such
employment.
9. Full address of the applicant
10. Name of the Treasury or Sub Treasury at which payment is desired.
11. Indicate whether Family Pension is admissible from any other source
(Military/Government of India /Local Body)
12. Signature or left hand thumb impression of the applicant**
42
13. Enclosures:
a) Two specimen signatures of the applicant duly attested (to be furnished in two
separate sheets)
b) Two copies of passport size photograph of the applicant duly attested.
c) Two slips each bearing left hand thumb and finger impressions of the applicant, duly
attested
d) Descriptive Roll of the applicant duly attested indicating
i. height and
ii. personal marks if any, on the hand, face, etc., (to be furnished in duplicate).
e) Certificate (s) of age (in original with two attested copies) showing the date of birth of
the children. The certificate should be from the Municipal Authorities or from the Local
Panchayat or from The Head of a recognised school if the child is studying in such
school.
14. Attested by:***
Name Full address Signature
15. Witnesses:
1.
2.
NOTE:
1. Proof for Death (Original or attested copy ) should be attached

2. Heir ship Certificate (original or attested copy) issued by Tahsildar/Court of Law should be
furnished
3. Where claim is made by guardian, a guardianship certificate issued by Court of Law should
be furnished
4. In case of claim by a widow who happened to be the second wife of the deceased, the
information whether the first wife is alive or not, whether the second marriage had taken
place after the demise of the first wife, whether the children are through the first wife or
second wife etc., should be furnished against column 2.
5. In case where a passport size of Joint Photograph of the pensioner with wife or husband, as
the case may be is already available, there is no need to obtain the photograph of the wife
or husband as the case may be, again while applying for family pension on the death of the
pensioner. (Introduced in G.O. Ms.No.838, Finance, dated 7.10.94)
**To be furnished in case the applicant is not literate enough to sign his name.
*** Attestation should be done by one Gazetted Government Servant or one or more
persons of respectability in the town or village in which the applicant resides.

43
Expeditious Settlement of Family Pension cases by Banks

44
45
46
47
New Health Insurance 2018 – Contact Phone Numbers
If there is any problem in claiming funds under New Health Insurance 2018,
please contact the following Nodal Officers of concerned Districts
Chief Nodal Officer K.Ramakrishnan Divisional Manager 7373703090
Sl.No District Nodal Officer Designation Conctact Number

1. Ariyalur Mr.V.Sridharan Branch Manager 98653 92772
2. Chennai Mr.K.Ramakrishanan Divisional Manager 73737 03090
3. Coimbatore Mr. T.Lakshmanasekar Divisional Manager 97894 69856
4. Cuddalore Mr. Mohan Kumar Sr. Divisional Manager 98406 21596
5. Dharmapuri Mr.P. Ramachandran Branch Manager 94430 81620
6. Dindigul Mr. D.Ravixhandran Divisional Manager 99942 61019
7. Erode Mr.A.Radhakrishnan Divisional Manager 98427 22304
8. Kanchipuram Mr.R.Govindarajan Divisional Manager 98841 98691
9. Kanyakumari Mr.B.B.Rajasekar Divisional Manager 94434 53899
10. Karur Mr.A.Periyasame Sr.Divisional Manager 94433 43300
11. Krishnagiri Mr.S.Panneerselvam Divisional Manager 97900 02421
12. Madurai Mr.R.Udayakumar Divisional Manager 94431 50659
13. Nagapattinam Mr.S.Sridhar Branch Manager 94424 62094
14. Namakkal Mr.s.Panneerslevam Divisional Manager 97900 02421
15. Perambalur Mr.A.Ananthan Divisional Manager 94431 01032
16. Pudukottai Mr.D.Senthil Kumaran Sr. Branch Manager 94425 17208
17. Ramanathapuram Mr.R.Kanagarajan Branch Manager 94431 46699
18. Salem Mr.Murugesan Branch Manager 94439 78481
19. Sivagangai Mr. Venkatesan Divisional Manager 94430 89134
20. Thanjavur Mr.S.Ramasubramanian Branch Manager 73730 04154
21. Theni Mr.G.Walter Rajendiran Divisional Manager 98430 70808
22. The Nilgris Mr.D. Kannan Branch Manager 94437 42168
23. Thirunelveli Mr.B.Shanmugam Divisional Manager 98424 91421
24. Thiruvallur Mr.s.Vasudevan Divisional Manager 94865 51846
25. Thiruvannamalai Mr.R.Sekar Divisional Manager 94432 49963
26. Thiruvarur Mr.S.Balakumar Sr. Branch Manager 98406 61656
27. Thoothukudi Mr. Thirumavalan Sr. Branch Manager 94435 41409
28. Thiruchirapalli Mr.M.R.Balakirshnan Divisional Manager 99444 33073
29. Tirupur Mr.K.Rajkumar Sr.Divisional Manager 94440 18500
30. Vellore Mr.P.Anandan Divisional Manager 87781 78569
31. Villupuram Mr.Gunapal Sr. Branch Manager 88386 18663
32. Virudhunagar Mr.S.Vadivel Divisional Manager 94422 62172
Head Quarters of Other States
33. Puducherry K.Ramakrishnan Divisional Manager 73737 03090
34. Bengaluru K.Ramakrishnan Divisional Manager 73737 03090
35. Thiruvanandapuram K.Ramakrishnan Divisional Manager 73737 03090
36 New Delhi K.Ramakrishnan Divisional Manager 73737 03090

48

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Sr. House Census Property Construct

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 KO Xa;T+jpaj;jpw;F 30 Mz;Lfs; my;yJ 60miu Mz;Lfs; epfugzpf;fhyk; ,Uj;jy;

filrpahfg; ngw;w Cjpak; (Xa;T+jpaj;jpw;F)

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%j;jnghwpahsh; Xa;Tjpak; kw;Wk; Xa;T+jpag; gad;fs; - ifNaL

Xa;T+jpak; fhyk; Fiwe;j msT mjpf msT

31.03.1982 tiu 100 1500

01.10.1984 Kjy; 235 ,y;iy

01.04.1988 Kjy; 245 ,y;iy

01.01.1996 Kjy; 1275 ,y;iy

01.01.2016 Kjy; 7850 112500

cah;j;jg;gl;l FLk;g Xa;T+jpak;

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FLk;g Xa;T+jpak; ngwj; jFjpahdth;fs;

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30.05.1982 tiu &. 36000/- 01.01.96 Kjy; &. 350000/-

01.10.84 Kjy; &.100000/- 01.01.16 Kjy; &. 2000000/-

14.12.87 Kjy; &. 250000/-

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