1 G. P. A. PUNJAB PENSIONERS HANDBOOK Revised up to 30TH JUNE, 2014 GOVERNMENT PENSIONERS ASSOCIATION (REGD.) CHANDIGARH G.P.A. 2 Punjab Pensioners Hand Book Containing Pension & Other Retirement Benefits Including Medical Facilities Available to Punjab Government Pensioners Compiled by: Gurnam Singh Advisor Government Pensioners Association (Regd.) Chandigarh Hukam Chand Bansal General Secretary Government Pensioners Association (Regd.) Chandigarh Government Pensioners Association (Regd.) H.No. 3018, Sector 28-D, Chandigarh Tel. 0172-2651417, Mob. 94177-59300 3 4 5 6 INDEX S.No. Chapter No. 1 Contents Pages (i) Foreword (ii) Government Pensioners Association (Regd.) ( A profile) (iii) Preface 2 I Pension 1-5 3 II Family Pension 6-12 4 III Commutation of Pension 13-16 5 IV Gratuity 17-18 6 V Rationalisation of pension/ family pension of pre-1996 pensioners/family pensioners from 1.1. 1996. 19-20 7 VI Rationalisation of pension/family pension of pre-1.1.2006 pensioners/family pensioners from 1.1.2006 21-24 8 VII Dearness Relief 25-26 9 VIII Old Age Allowance/Old Age increase in pension /Additional Quantum of Pension 27-29 10 IX Travel Concession 30-31 11 X Other Miscellaneous retirement and death benefits 32-34 12 XI Pension procedures and miscellaneous matters 35-37 13 XII Medical facilities available to Punjab Government pensioners 38-56 14 List of Annexure (forms) Annexure I-XI 57 58-70 7 Government Pensioners Association Chandigarh A Profile 1. The Government Pensioners Association (Regd.) was formed in the year 1984 with the avowed objective of securing and furthering the interests of Government pensioners through constitutional means by taking up the matters with the concerned authorities. Nearly twenty associations of pensioners of various department of the Punjab Government and district level associations of pensioners are affiliated to it. It has about 300 life members. 2. All the associations of pensioners inthe State have been contributing their full might in securing maximum concessions for pensioners. The Government Pensioners Association on its part, under the able guidance of Shri K.D. Vasudeva, President, and with the cooperation of its affiliates and a few others associations, has also been making strenuous efforts in this direction. 3. With a joint effort, we have been successful in securing the orders contained in Punjab Government circular letter No. 1/7/98-3FPPC/6884, dated 25.08.2005 and also in getting its implementation to its logical conclusion with effect from 1.1.1996 for the benefit of pre-1996 pensioners/family pensioners, as enunciated in the order issued vide letter No. 1/3/06-1FPPC/4147 dated 07.06.2007. Again, we have been successful in getting the multiplier factor of 2.14, recommended by the fifth Punjab Pay Commission, improved upon to a multiplier factor of 2.26 for the benefit of pre-2006 pensioners/family pensioners in terms of para 4.1 of instruction contained in letter No. 3/23/093FPPC/885 dated 17.08.2009 with effect from 1.1.2006. We were also successful in getting implemented the correct interpretation of para 4.2 of the instructions ibid, so that the consolidated pension/family pension under para 4.1 of instructions above shall in no case be less than 50%/30% respectively of the corresponding initial pay of the relevant pre-revised pay scale, given in Col. 8 of the schedule of Punjab Civil Service (Revised Pay) Rules 2009, as substantiated in Government letter No. 2/23/09-3FPPC/201 dated 22.02.2010. We express our gratitude to Punjab Government, particularly the successive Finance Ministers, the Chief Secretary and the officers of Finance Department, Punjab for their patient hearing on each occasion of our frequent meeting with them and also for their positive approach to our submissions. 4. the Punjab Pensioners HANDBOOK, compiled by Sh. Gurnam Singh and Sh. Hukam Chand Bansal, is a store-house of information relating to pension, other retirement benefits and medical facilities available to Punjab Government Pensioners/ family pensioners. In my opinion, the two of them were the most suited persons in the Government Pensioners Association to handle this onerous task-former for his intimate knowledge of Pension Rules and Procedures and the latter for his specialization in the medical facilities to pensioners. They have accomplished this job exceedingly well and have quoted under each paragraph the number and date of the Punjab Government letter in support of the relevant provision. I wish them all the best. 5. I am sure that the HANDBOOK will prove useful for the Punjab Government pensioners/family pensioners. A.C. Sharma (Vice- President) Government Pensioners Association (Regd.) Chandigarh 27-5-2010 8 PREFACE 1. I have been immensely impressed by the selfless service being done by Shri K.D. Vasudeva, I.A.S. (Retd.) President, Government Pensioners Association (Regd.) Chandigarh for the cause of Punjab Government pensioners, even though he himself, having retired as Secretary to Government of India, is not directly benefited by the Punjab Government Pension Rules. His various key assignments in the Punjab Government official hierarchy, capped with his stint as Chief Secretary are of great advantage to the pensioners in securing speedy and judicious decisions from the Punjab Government. 2. The idea of bringing out a small booklet containing important rules and instructions issued by Punjab Government from time to time for the benefit of its pensioners was there in my mind for a long time, but it was the persuation and encouragement from Sh. A.C. Sharma, Vice President Government Pensioners Association (Regd.) that was instrumental in awakening in me the initiative to take up this task. His highly innovative ideas greatly helped me in making improvements in this compilation. 3. Last but not the least, I am highly grateful to Sh. Hukam Chand Bansal, Advisor Punjab Secretariat Services (Retd.) Officers Association who not only gave me valuable suggestions regarding the contents, but also himself compiled the Chapter on medical facilities after lot of painstaking research from old records. 4. It is hoped that this compilation will be of use to the Punjab Government Pensioners and also to the retirees of those Organisation that follow the Punjab Government rules. Readers are requested to point out any short-comings that come to their notice so that these can be taken care of in the next edition. NOTE: The rules regarding pension and other retirement benefits contained in this booklet do not apply to the Government employees who joined service on or after 1.1.2004 and are governed by the New Defined Contributory Pension Scheme. HUKAM CHAND BANSAL GURNAM SINGH Adviser, Adviser Punjab Secretariat Service (Retd.) Officers Government Pensioners Association (Regd.) Association (Regd.) Formerly Principal, accounts Training Formerly Secretary to Minister, Punjab, Institute Punjab H.No. 1618, Sector 15, Panchkula H.No. 63, S.S.T Nagar, Patiala M. 98889-88845 M. 98883-70547 Dated: May 17th 2010 CHAPTER - I PENSION 9 Pension is granted to a Government employee who retires from service under the following circumstances. 1. i) When he is required by rule to retire on attaining a certain age, which is at present 60 years for Group ‘D’ employees and 58 years for Group A, B and C employees (raised to 60 years for blind employees) called SUPERANNUATION PENSION. (Authority: Rule 5.27 of Punjab CIVIL Services Rules , Vol. II) II) When he retires voluntarily or is made to retire by the Competent Authority under the Premature Retirement Rules 1975, before attaining the age of superannuation or when he is retired compulsorily called RETIRING PENSION. (Authority: Rule 5.32 of Punjab Civil Services Rules Vol.II.) III) When he is discharged from service on abolition of his post, unless he is appointed to another post conditions of which are at least equal to those of his own or he does not accept a lower post or is permanently absorbed in a Punjab State Undertaking or any other similar organisation called -COMPENSATION PENSION. (Authority: Rule 5.2 of Punjab Civil Services Rules Vol. II ) (iv) When he is declared by the Competent Medical Authority to be permanently incapacitated for further public service or for the particular branch of it to which he belongs because of physical or mental infirmity, called INVALID PENSION. (Authority: Rule 5.11 of Punjab Civil Services Rules, Vol. II) v) Family Pension is granted to the family member of a Government employee who dies while in service or after retirement. Detailed rules of Family Pension are contained in Chapter II. 2. Pension is computed on the basis of length of qualifying service and emoluments drawn by the Government employee. 3.1. Emoluments include the following: i) From 1.1.1986: Basic Pay, special pay, Non-practicing allowance, personal pay and dearness pay. (Authority: P.G. letter No.1/15/89/1FPIII/8078, dated 31.8.1989.) ii) From 1.1.1996 : Basic pay, personal pay, and Non-practicing allowance. (Authority: P.G. letter No.1/7/98-1F3/8709, dated 16.7.1998) 10 iii) From 1.1.2006: Basic Pay, non-practicing allowance, (Authority: P.G. letter No. 3/23/09-3FPPC/879, dated 17.8.2009) Note: Basic pay has been defined from 1.1.2006 as pay drawn in the specific pay Band plus the applicable Grade Pay. 3.2. Emoluments for computation of pension. Prior to 1.1.2006, (since 1976) pension was computed on the basis of average emoluments of last ten months of qualifying service. From 1.1.2006, pension is computed on the basis of last pay drawn or ten months average, whichever is more beneficial to the employee. (Authority: P.G. letter No. 3/23/09-3FPPC/879, dated 17.8.2009. FULL PENSION: 4.1. Full pension at 50% of the emoluments as explained in para 3.2 above, is allowed for qualifying service of 33 years (66 half years) or more. In the case of qualifying service of less than 33 years, but not less than ten years, the amount of pension is proportionately reduced. NOTE: (i) Fraction of a year equal to three months and more shall be treated as a completed half year for calculating the length of qualifying service. (ii) Fraction of a rupee in pension is rounded to next higher rupee. (Authority: P.G. letter No.16/42/83 FR (6) 7291, dated 17.8.1983; and Rule 6.2 of Punjab Civil Services Rules, Vol. II). 4.2. The linkage of full pension with qualifying service of 33 years has been dispensed with from 1st December, 2011. Once a Government employee has rendered minimum qualifying service of twenty - five years, pension shall be admissible equal to 50% of emoluments last drawn or average emoluments received during the last ten months, whichever is beneficial to him. The other terms and conditions regarding grant of pension and other retirement benefits shall remain unchanged. (Authority: P.G. letter No.3/23/09/3FPPC/1358, dated 15.12.2011.) 5. POST 1.1.2006 RETIREES. 5.1. In the case of Government employees who retired / died between 1.1.2006 and the date of issue of revised orders consequent on the implementation of the recommendations of the Fifth Punjab Pay Commission i.e., 17.8.2009, the amount of pension, gratuity, family pension shall be revised in terms of the revised order. But the pension already sanctioned shall not be revised to the disadvantage of the pensioner. 11 5.2. The average emoluments of those employees who retire within ten months from the date of coming over to the revised pay structure introduced from 1.1.2006 shall be calculated as follows: i) For the period during which pay is drawn in the pre-revised pay scale, Basic Pay, Personal Pay, if any, Non-Practicing Allowance (NPA), Dearness Allowance admissible as on 31.12.2005 in the un-revised pay scale. ii) For the period during which pay is drawn in the revised pay structure, Basic Pay, plus Grade Pay and NPA in the revised pay structure scales according to Punjab Civil Services (Revised Pay) Rules, 2009. Such employees have the option to have their pension computed on the basis of their pre-revised reckonable emoluments in the manner as if they retired on 31.12.2005 (ignoring the revised emoluments drawn after 1.1.2006) and have such pension consolidated and updated to 1.1.2006 level, if it is more beneficial, which will be paid to them from the date of their actual retirement. Such option was to be exercised up to 17.11.2009. (Authority: P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009). 6. Additional Quantum of Pension as detailed in Chapter VIII, is paid to pensioners at the age of 65 years and above to compensate them for increase in expenses (specially health) attendant to old age. 7. Future Conduct: Future good conduct is an implied condition for the grant of pension. It can be withheld / withdrawn, if the pensioner is convicted of serious crime or be guilty of grave misconduct. (Authority: Rule 2.2.(a) of Punjab Civil Services Rules, Vol. II.) 8. No recovery can be made from pension even for sums admittedly due to Government (such as house rent, over payment of pay and allowances etc.) without the consent of the pensioner. However, excess payment of pension can be recovered or adjusted against future payments of pension. (Authority: Rule 2.2 of Punjab Civil Services Rules, Vol. II) 9. Provisional Pension The process of completing the pension papers has to be started by the Head of Office two years before the date of retirement on superannuation of the Government employee. During the first eighteen months, the work of verification of service with reference to Pay bills, acquaintance Rolls, obtaining of ‘ No Due Certificates’ from the concerned Departments, obtaining of information from the Government employee in Form 15 (Annexure I) regarding details of family members and place where 12 payment of pension is desired etc. has to be completed. The pension papers complete in all respects have to be sent to the Accountant General (A & E) Punjab six months before the actual date of retirement to enable him to issue Pension Payment Order (PPO) and payment orders for other retirement dues e.g., gratuity, and commuted value of pension. If in any isolated case, the Head of Office considers that despite all efforts to complete the process of sanctioning pension in time, the issue of PPO and order regarding payment of gratuity is not likely to be issued before the date of retirement of the Government employee he shall take steps to sanction provisional pension and gratuity (deducting there-from the dues like house rent , balances of advances etc.) equal to hundred per cent of what is actually due on the basis of available records and the affidavit of the retiring Government employee and pay the same to him by drawing the amount in the same manner as pay and allowances of the establishment, withholding ten percent of the gratuity ; or 1,000/- rupee which-ever is less. The provisional pension shall be paid for a period not exceeding six months. During this period of six months, the final pension and gratuity shall be determined by the Accountant General (A & E) Punjab and adjustment made in respect of provisional payments. Excess payment of provisional pension can be adjusted against the withheld amount of gratuity or future payment of pension but the excess payment of gratuity shall be ignored. If in any rare case the final pension and gratuity cannot be determined during the period of six months, then the provisional pension and gratuity shall be treated as final. 9.2. Provisional pension equal to the maximum amount admissible on the basis of length of qualifying service and emoluments will be allowed in cases where departmental or judicial proceedings have been pending against the Government employee who has retired but no gratuity shall be paid in such case. The payment of provisional pension shall be made up to the date of conclusion of the proceedings and passing of final orders. Payment of provisional pension will be adjusted against the final retirement benefits sanctioned on the conclusion of proceedings but no recovery shall be made where pension finally sanctioned is less than the provisional pension or the pension is reduced or withheld either permanently or for a specified period. (Authority: Chapter 9 of Punjab Civil Services Rules, Vol. Ii.) Note:- Commutation of such provisional pension is not allowed during the pendency of Departmental or judicial proceedings. (Authority: Second Proviso to Rule 11.1(b) of Punjab Civil Services Rules, Vol. II) 13 Pension once sanctioned after final assessment cannot be revised to the disadvantage of the pensioner, unless such revision becomes necessary on account of a clerical error. If the clerical error is detected after a period of two years, the revision of pension shall require the approval of Finance Department and serving a proper notice to the pensioner to refund the excess payment within two months. (Authority: Rule 9.15, of Punjab Civil Services Rules, Vol. II.) ********** CHAPTER II FAMILY PENSION 14 The Family Pension Scheme at present applicable to Punjab Government employees / pensioners was introduced from 1.7.1964. The rates at which the family pension is payable have been changed several times. A. The rates applicable from 1.1.1986: 1. Enhanced Rates: Applicable during the first seven years from the date of death or till the Government employee would have attained the age of 65 years, had he survived , whichever period is less. Pay in the revised pay scale Rates of family pension per mensem. i) Up to Rs.1500/- 60% of pay minimum Rs.750/- ii) Rs.1501/- to Rs.3000/- 40% of pay minimum Rs.900/- iii) Above Rs.3000/- 30% of pay minimum Rs.1200/-, and maximum Rs.2500/- In case both husband and wife are Government employees, the maximum family pension in the event of death of both of them shall not exceed Rs.3000/ The revised rates were also made applicable in the case of pre 1.1.1986 pensioners / family pensioners. II. Normal rates: Applicable after the expiry of seven years or the completion of 65 years of age had the Government employee survived whichever period is less. Pay in the revised pay scale. Rates of family pension per mensem i) up to Rs.1500/- 40% of pay, minimum Rs.375/- ii) Rs.1501/- to Rs.3000/- 30% of pay, minimum Rs.600/- iii) Above Rs.3000/- 20% of pay, minimum Rs.900/- and maximum Rs.1500/- In the case of both husband and wife are Government employees, the maximum family pension in the event of death of both of them shall not exceed Rs.2250/-. The revised rates were also made applicable in the case of pre 1.1.1986 pensioners / family pensioners. (Authority: P.G. letter No.1/15/89-1FPIII/8078, dated 31.8.1989.) B. Rates applicable from 1.1.1996: I. Enhanced Rates: 15 Payable in the case of employees who die in harness during the first seven years from the date of death or till the Government employee would have attained the age of superannuation, had he survived, whichever period is less. Pay in the revised scale II. Rates of enhanced family pension per mensem. i) Pay up to Rs.4500/- 60% of pay. ii) Above Rs.4500/- 50% of pay, minimum Rs.2700/- Normal Rates: Applicable in the case of pensioners and also in the case of Government employees who die in harness after the expiry of period of enhanced rates of family pension mentioned above. Pay in the revised pay scale Rates of family pension per mensem. i) Pay up to Rs.4500/- 40% of pay ii) Pay Above Rs.4500/- 30% of Pay, minimum Rs.1800/-. (Authority: P.G. letter No. 1/7/98-1FP3/ 8709 dated 16.7.1998. C. Rates applicable from 1.1.2006. I. Enhanced rates: Applicable in the case of employees who die in harness during the first seven years from the date of death or till the Government employee would have attained the age of superannuation had he survived whichever period is less. Pay in the revised pay scale Rates of family pension per mensem i) Pay up to Rs.10,000/- 60% of pay ii) Pay above Rs.10,000/- 50% of pay, minimum Rs.6000/-. Note: (a) The Punjab Government has increased the period of seven years to ten years from 1.7.2011. (b) The enhanced rates mentioned above shall not apply for the Increased period of ten years in those cases where the period of seven years for payment of family pension at enhanced rates stood completed before the first day of July, 2011 and the family was receiving family pension at the normal rates. (Authority: P.G. letter No.3/39/09-3F PPC/ 944, dated 25.7.2011) II. Normal Rates: Applicable after the expiry of period of enhanced rates of family pension mentioned above. 16 Pay in the revised pay scale Rates of family pension per mensem. i) Pay up to Rs.10000/ii) Pay above Rs.10000/- 40% of pay. 30% of pay, minimum Rs.4000/- Maximum limit of family pension shall be 30% of highest pay applicable under the revised pay structure which is Rs.77000/- (Pay in Pay Band 67000/- plus Grade Pay Rs. 10000) per mensem (Authority: P.G. letter No.3/39/09-3FPPC/1513, dated 21.12.20009/-) D. Rates applicable from 01.12.2011 1. Enhanced Rates: The rates of family pension in respect of employees who die in harness during the first fifteen years from the date of death or till the Government employee would have attained the age of sixty five years, had he survived, whichever period is less, shall be as follows:Pay in the revised pay Structure Rate of enhanced family pension p.m. Pay up to Rs.10,000/- 60% of Pay Pay above 10,000/- 50% of Pay subject to minimum of Rs.6000/- These enhanced rates mentioned above shall not apply in those cases where the period of ten years for payment of enhanced family pension in terms of provisions as mentioned in Note below Para 1-C-1 above, stood completed before the first day of December 2011. (Authority: P.G. letter No.3/39/09-3FPPC/1413, dated 23.12.2011.) II. Normal Rates. The rates of family pension in respect of employees who die in harness after first fifteen years from the date of his death or till the Government employee would have attained the age of sixty five years, had he survived, whichever period is less, shall be as follows:Pay in the revised Pay Structure Rate of Family pension per mensem Pay up to Rs.10,000/- 40% of pay Pay above Rs. 10,000/- 30% of pay subject to minimum of Rs.4000/-. (Authority: P.G. letter No.3/39/09-3FPPC/1413 dated 23.12.2011.) Note: (i) In the case of pensioners who die after retirement, normal rates of family pension were made applicable from 1.1.1996 (See B II above). There is no mention of applicability of normal rates of family pension introduced from 17 1.1.2006 in respect of pensioners who die after retirement. Obviously, normal rates of family pension should apply in such cases. (ii) As per rules, Non-practicing allowance counts for computing retirement benefits and the maximum pay including Non-Practicing Allowance has been fixed at Rs.85,000/- p.m. as per Finance Department ID No.1/34/09-4FPI/458-459, dated 14.9.2009. There is, therefore, obvious contradiction regarding the highest pay in the revised pay structure (Rs.77,000/-) and the maximum pay including NPA (Rs. 85,000/-). (iii) There was a cap on two family pensions as per rules introduced from 1.1.1986 in cases where both husband and wife were Government employees and had died. No such cap has been mentioned in the Rules introduced from 1.1.1996 and 1.1.2006. 2. Family pension would be admissible in the case of death while in service only if the Government employee had completed one year continuous service without break. The condition of one year’s continuous service would not apply in case where a Government employee had been medically examined and declared fit for entry in to Government service. (Authority: Rule 6.17(2) of Punjab Civil Services Rules, Vol. II. Notification No.32(5)OSD(F) 81/9022, dated 28.10.1981.) 3. Family pension at enhanced rates would be admissible only if the Government employee had put in not less than seven years continuous service prior to death. (Authority: Rule 6.18(iii) of Punjab Civil Services Rules, Vol. II) 4. Dearness Relief is admissible on family pension. Where a person is in receipt of pension as well as family pension, the Dearness Relief is payable on the total of the two pensions. (Authority: P.G. letter No.16/6/84-3FPPC/4741, dated 14.5.2001.) 5. Dearness Relief was not payable on family pension where an appointment had been made on compassionate grounds because of the death of the Government employee. Now the Government has decided that Dearness Relief shall be paid with effect from 4th October, 2010 on such family pension also. (Authority: P.G. letter No.3/20/2010-3FPPC/1203, dated 4.10.2010.) 6. Family: For the purpose of grant of family pension, family includes: i) Wife or husband of the government employee as the case may be; ii) Judicially separated wife or husband, such separation not being granted on the ground of adultery. iii) Sons and daughters including unmarried, widowed, divorced daughters. 18 Note: (iii) above includes children adopted legally before retirement. iv) Parents who were wholly dependent on the Government employee when he / she was alive, provided the deceased employee had left behind neither a widow nor a child. (Authority: Rule 6.17 of Punjab Civil Services Rules, Vol. II ) P.G. letter No.1/7/98-1FP3/8709, dated 16.7.98.) NOTE (1). For the purpose of determining whether the person eligible to receive family pension is earning livelihood or not and whether the parents were dependent on the Government employee or not, the limits are: From 1.1.1996........................................Rs.2620/-p.m. From1.1.2006.........................................Rs.3500/-p.m. (Authority: P.G. letter No.1/7/98-1FP3/8709, date 16.7.1998 P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009). Note (2) For the purpose of determining whether the parents were dependent on the Government employee, the limits of income for livelihood have been revised as under:From 1.1.1996.......................Rs.2620/- p.m. with Dearness Relief thereon. From 1.1.2006.......................Rs.3500/- p.m. with Dearness Relief thereon. (Authority: P.G. letter No.3/23/09-3FPPC/ 243, dated 10.2.2014. Period for which the family pension is payable: (1) (2) In the case of widow or widower up to the date of death or re-marriage, whichever is earlier. In the case of son and daughter till he / she attains the age of 25 years or marriage or till he / she starts earning his / her livelihood whichever is earlier. Note: (i) In the case of unmarried, widowed, and divorced daughters, the family pension is payable even beyond 25 years of age provided the other two conditions are fulfilled. (Authority: P.G. letter No.3/81/05-3FPPC/6944, dated 30.8.2005.) (P.G. letter No.31/81/05-3FPPC/382, dated 18.7.2008.) Note: (ii) In the case of son or daughter who is suffering from any disorder, disability of mind or physically crippled or disabled so as to render him / her unable to earn a living, the family pension is payable for life. For this purpose a Certificate has to be obtained from a Medical Officer not below the rank of a Civil Surgeon, which has to 19 be renewed every three years. The family pension will be paid through a guardian, as if he or she is a minor. 8. Where a Government employee is survived by more than one widow, the pension will be paid to them in equal shares. On the death of a widow, her share of pension becomes payable to her eligible child. If at the time of her death, a widow leaves no eligible child, the payment of her share of family pension will cease. 9. Except as provided in Para 8 above, the family pension will not be payable to more than one member of the family at the same time . It will be first admissible to widow/ widower and then to the eligible children in order of their age, the younger one getting it after the elder has become ineligible. 10. In the event of remarriage or death of the widow / widower, the pension will be granted to the minor children through guardian. 11. Where a Government employee dies leaving behind a judicially separated spouse and no child, the family pension in respect of the deceased employee shall be paid to the surviving person. 12. Where a Government employee dies leaving behind a judicially separated spouse with a child or children, the family pension will be payable to the surviving person provided he or she is the guardian of such child or children. 13. If a person in the event of death of a Government, while in service, is eligible to receive family pension, is charged with the offence of murdering the Government employee or for abetment to murder, the claim of such person including all others, shall remain suspended till the conclusion of criminal proceedings. If acquitted, he / she will receive family pension from the date of death of the Government employee. If convicted, he / she will be debarred and the family pension will be paid to the other eligible person from the date of death of the Government employee. The provision also applies in the case of family pension payable after the death of the pensioner. (Authority: Rule 6.17 (13 a) of Punjab Civil Services Rules, Vol. II.) 14. Earlier, marriage after retirement was not recognised for the purpose of grant of family pension. Now marriage after retirement is recognised for this purpose. (Authority: Note.2 below Rule 6.17(3) of Punjab Civil Services Rules, Vol. II P.G. letter No.1/7/90-4FPIII/3270, dated 18.4.1991.) 15. In cases, where the whereabouts of a Government employee are not known, family pension may be given one year after the lodging of F.I.R. with the Police regarding missing of the official. The benefit of family pension may, however, be given from the date on which the F.I.R. is lodged with the Police. These provisions also apply in the case of missing pensioners. 20 (Authority: P.G. letter No. 3/44/90-2FP3/3354-56, dated 19.4.1996; P.G. Letter No.1/23/86-1FP3/2818, dated 29.3.1996, and P.G. letter No.1/4/91-1FP3/8310, dated 21.10.1991.) ************* 21 CHAPTER - III COMMUTATION OF PENSION 1. The concept of commutation of a portion of pension implied that the pensioner would receive a lump sum in lieu thereof and forego the commuted portion for ever. However, later on, it was allowed to be restored. 2. The employees who retired up to 3.12.1995 under the New Pension Rules introduced from 10.6.1951, had the option to commute for a lump sum payment any portion in whole rupee not exceeding one-third of their pension, the amount payable being determined on the basis of age next birthday as per prescribed Table. (Authority: Rule 11.1(b) of Punjab Civil Services Rules, Voll. II.) 3. Percentage of pension allowed to be commuted. 3.1 In the case of employees retiring on or after 1.1.1996, the maximum amount that could be commuted was raised from one-third of pension to 40% of pension. (Authority: P.G. letter No.1/7/98-1FPIII/8830, dated 21.7.1998) 3.2. The employees retiring on or after 01.04.2013, were entitled to commute portion equivalent to 20% of their basic pension instead of 40%. The restoration of commuted portion was allowed to be restored after 15 years from the actual date of commutation. These instructions applied to employees: i) retiring on or after 01.04.2013; ii) who were on one year’s extension and retiring on or after 1.4.2013; iii) who retired before 1.4.2013 but had not applied for the commutation of pension as yet, due to any reason; and iv) retiring on or after 1.4.2013 but whose commutation had already been sanctioned. In those cases, their commutation would be revised in view of these instructions. (Authority: P.G. Letter No. 3/30/2012-3FPPC/562, dated 22.4.2013.) 3.3. The amount of commutation has been enhanced from 20% to 30% on 12.5.2014 and shall be applicable to the employees: i) retiring on or after 1.4.2014; ii) who are on extension and retired on or after 1.4.2014; iii) retired before 1.4.2014 but have not applied for the commutation of pension as yet, due to any reason; iv) retire on or after 1.4.2014 and whose commutation has already been sanctioned or the employee retired on or after 1.4.2013 shall have the option to receive the additional commutation at enhanced rates. (Authority: P.G. letter No.3/30/2012-3FPPC/795, dated 12.05.2014.) 22 4. The Commutation Table which is based on rate of interest and mortality rate, has been changed a few times. A few entries of these Tables are reproduced below. Age next Birthday (1) 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 Commutation value expressed as number of years purchase (Rupee one per annum) From 1971 to 30.7.2003 (2) 14.64 14.37 14.10 13.82 13.54 13.25 12.95 12.66 12.35 12.05 11.73 11.42 11.10 10.78 10.46 10.13 9.81 9.48 9.15 From 31.7.2003 (3) 8.70 8.54 8.38 8.21 8.04 7.87 7.69 7.52 7.34 7.16 6.97 6.78 6.59 6.40 6.21 6.02 5.83 5.63 5.43 From 31.10.2006 (4) 14.64 14.37 14.10 13.82 13.54 13.25 12.95 12.66 12.35 12.05 11.73 11.42 11.10 10.78 10.46 10.13 9.81 9.48 9.15 From 17.8.2009 (5) 8.996 8.971 8.943 8.913 8.881 8.846 8.808 8.768 8.724 8.678 8.627 8.572 8.512 8.446 8.371 8.287 8.194 8.093 7.982 (Authority: 1. Annexure to Chapter XI of Punjab Civil Services Rules, Vol. II. 2. P.G. letter No.3/13/2001-3FPPC/6377, dated 29.7.2003; 3. P.G. letter No.3/13/2001-3FPPC/6587, dated 31.10.2006. 4. P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009. Note: (1) Orders regarding the revised Commutation Table in respect of post 1.1.2006 retirees (Column 5) were issued on 17.8.2009 and it is applicable in cases where commutation becomes absolute after the issue of these orders. In cases where commutation becomes absolute between 1.1.2006 and 17.8.2009, the pre-revised Table will be used for commutation of pension based on pre-revised pay / pension, but such pensioners will have the option to commute the pension that has become additionally commutable on account of retrospective revision of pay / pension, and in such cases the revised Table (Column 5) will apply. (Authority: P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009.) 23 Note (2): Prior to 9.2.1978, commutation of pension was allowed only after the pensioner had been medically examined by the appropriate competent Medical Authority, who on medical examination could add to the age of the pensioner considering the state of his health , thus entitling him to lesser amount of commuted value. Now commutation is allowed in all cases without medical examination, on the submission of application in the prescribed form (Annexure – II) except in the following cases: i) Retirement on invalid pension; ii) If commutation is applied for after one year of the date of retirement iii) Where employees on permanent absorption in Public Sector Undertakings / autonomous Bodies opt to draw commuted value of full pension (1/3rd commutable and 2/3rd terminal benefit). Note (3) In cases where the commutation is done on the basis of medical examination, the commutation becomes absolute on the date the medical certificate is signed. In other cases it becomes absolute when the application in the prescribed form is submitted to the Head of Office and received by him. (Authority: 1. P.G. Notification No.3-2(10)OSD(F) 81/4463, dated 25.5.1982. 2. Amendment No. VIII of 1982 to Punjab Civil Services Rules Vol. II. 3. Rule 11.11 and 11-12A of Punjab Civil Services Rules, Vol. II ) 5. Reduction in pension on account of payment of commuted value will start from the date on which the commuted value is paid or three months after the issue of payment authority by the Accountant - General (A & E), Punjab, whichever is earlier. (Authority: Rule 11.14 of Punjab Civil Services, Vol. II) 6. If a pensioner dies on or after the date on which the commutation becomes absolute, the value shall be paid to the heir (s). (Authority: Rule 11.16 of Punjab Civil Services Rules, Vol. II) 7. Restoration of the commuted portion of pension: The Punjab government allowed pension from 1.12.1981 as follows:Position up to 31.12.1995. restoration of the commuted portion of Sr. Categories of pensioners No. 1 Those who got their pension commuted on completion of 58 years but before completion of 59 years of age. Period after which the commuted potion is restored. Restoration on attaining the age of seventy years. 24 2 3 4 Those who get their pension commuted between 59 years and 65 years. Those who get their pension commuted between 65 years and 70 years of age. Cases of compulsory and voluntary retirement before completing 58 years of age. Period during which the commuted value is fully recovered plus one year for interest recovery. Period during which the commuted value is fully recovered plus 9 months for interest recovery. After 15 years of such commutation or after the pensioner has attained the age of 70 years whichever is earlier. (Authority: P.G. letter No.38/52/80-6FR /10195, dated 8.12.1981. Letter No.38/52/80-6FR/ 4380, dated 19.5.1983; and Letter No.6/16/87-2FPIII/4874, dated 30.5.1990.) From 1.1.1996: Restoration of commuted portion of pension is done after fifteen years from the actual date of commutation. (Authority: P.G. letter No.1/7/98-1FPIII/8830, dated 21.7.1998.) *************** 25 CHAPTER - IV GRATUITY 1. For qualifying service of less than ten years only Service Gratuity (not pension) is allowed at the rate of half month’s emoluments for every completed half year of service. (Authority: P.G. letter No.1/5/89-1FPIII/8078, dated 31.8.1989) 2. Retirement Gratuity is allowed for qualifying service of five years or more at the rate of 1/4th month’s emoluments for each completed half year of qualifying service subject to a maximum of 17-1/2 months emoluments for class IV (Group D) employees and 16-1/2 months emoluments in the case of other categories. (Authority: Rule 6.16 AA Punjab Civil Services Rules, Vol. II.) 3. Death Gratuity is allowed at the following rates in cases of death while in service : (1) Qualifying service less than 1 year............Two times the emoluments (2) Qualifying service of one year and more but less than five years.....................Six months emoluments. (3) Qualifying service of five years or more but up to 12 years.................Twelve months the emoluments. (4) Qualifying service above 12 years.......Half months emoluments for each completed six monthly period of qualifying service subject to a maximum of 33 times the emoluments and the ceiling in Para 4 below. (Authority: P.G. letter No.1/7/98-1FP3/8709, dated 16.7.1998.) 4. Maximum amount of Gratuity payable has been varied from time to time From 31.3.1985..............................................Rs. 50,000/From 1.1.1986................................................Rs.1,00,000/From 1.4.1995................................................Rs.2,50,000/From 1.1.1996................................................Rs.3,50,ooo/From 1.1.2006...............................................Rs.10,00,000/- 26 5. The amount of Gratuity is computed on the basis of emoluments last drawn on the date of retirement / death, which has been defined as follows:Up to 31.12.1995: Basic pay, Special Pay, Non-practicing Allowance Personal pay and Dearness Pay. (Authority: Rule 6.19(c) of Punjab Civil Services Rules, Vol. II. P.G. letter No.1/15/89-1FPIII/8078, dated 31.8.1989.) From 1.1.1996: Basic Pay, Personal Pay, and Non-practicing Allowance. Plus Dearness Allowance as on the date of retirement / death. (Authority: P.G. letter No.1/7/98-1FP3/8709, dated 16.7.1998) From 1.1.2006: Basic Pay, Non-practicing Allowance, Plus Dearness Allowance as on the date of retirement or death. (Authority: P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009) 6. Rounding of qualifying service of three months or more than 3 months into a complete six monthly period will be applicable in the case of Death-cum- Retirement Gratuity. (Authority: P.G. letter No.2/46/03-2FPPC/421, dated 25.7.2008.) NOMINATION: 7. A Government employee can nominate any person to receive gratuity in the event of his death before receiving the amount of gratuity, provided that if he has a family, he can nominate only a member / members of the family. 8. If a person in the event of death of Government employee while in service is eligible to receive gratuity is charged with the offence of murdering the Government employee or for abetment to murder, his claim to receive his share shall remain suspended till the completion of criminal proceedings. If convicted, he/ she shall be debarred to receive his share of gratuity which shall be paid to other member(s). If acquitted, he shall be paid his share. (Authority: Rule 6.16A(4a) Punjab Civil Services Rules, Vol. II.) 9. If the payment of gratuity is delayed beyond three months from the date of retirement and delay is due to administrative lapse and not due to failure on the part of the Government employee to comply with the prescribed procedure, then interest at the rate applicable to Provident Fund deposits, shall be paid to the Government employee for the period beyond three months to the end of the month preceding the month in which the orders for making the actual payment are issued. (Authority: Rule 9.13 of Punjab Civil Services Rules, Vol. II; P.G. letter No.1/24/93-1FPIII/5254, dated 14.7.1995.) *************** 27 CHAPTER – V RATIONALISATION OF PENSION / FAMILY PENSION OF PRE-1996 PENSIONERS / FAMILY PENSIONERS FROM 1.1.1996. 1. In the case of employees who retired or died during the period from 1.1.1986 to 31.12.1995. The pension / family pension in the case of retirement or death during the period from 1.1.1986 to 31.12.1995, shall be consolidated by the Pension Disbursing Authority by adding the following: a) Basic pension / family pension admissible on the date of retirement / death. b) Dearness Relief (DR) admissible on the above up to CPI – 1510 at applicable rate, i.e., 148%, 111%, or 96% as the case may be. c) IR – I and IR-II. d) 40% of (a) above. 2. In the case of employees who retired prior to 1.1.1986. (1) Pay of all the employees who retired before 1.1.1986 and were in receipt of pension as on 1.1.1996 and also in the case of deceased employees in respect of whom family pension was being paid on 1.1.1996 shall be fixed on notional basis in the revised pay scale of the post held by them at the time of retirement or on the date of death according to the rules issued by the Government for implementation of the recommendations of the successive Pay Commissions. The notional pay so fixed as on 1.1.1986 shall be treated as average emoluments and pension fixed at 50% of such notional pay for qualifying service of 33 years or more, subject to proportionate reduction if the length of qualifying service is less than 33 years. (2) The pension thus updated shall be consolidated as in the case of those who retired / died during the period from 1.1.1986 to 31.12.1995 mentioned at 1 above, and treated as basic pension for granting of further DR from 1.1.1996, Old Age Increase in pension and Travel Concession. (Authority: P.G. letter No.1/7/98-1FPII/8825, dated 21.7.1998/18.8.1998) 3. The pension consolidated as at Para 1 and 2 above shall not be less than 50% of the minimum pay in the revised pay scale introduced with effect from 1.1.1996 of the post last held by the pensioner for qualifying service of 33 years and more subject to proportionate reduction for service of less than 33 years. Similarly the family pension shall not be less than 30% of the minimum pay in the revised pay scale introduced from 1.1.1996 of the post last held by the pensioner / deceased Government employee. 28 4. The pension consolidated from 1.1.1996 shall be subject to maximum of 50% of the highest pay which is Rs.23,600/-, i.e., Rs. 11,800/- PM. 5. Both pension and family pension shall be subject to a minimum of Rs.1310/- PM. 6. The pensioners / family pensioners who are benefitted by the above said provision in Para 3 above, are required to apply in the prescribed form (Annexure III). (Authority: P.G. letter No.1/7/98-3FPPC/1717, dated 10.8.2010.) NOTE: For determining the revised pay scales introduced from 1.1.1996, in terms of Para 3, the pay scales mentioned for posts and services in the Second Schedule to Punjab Civil Services (Revised Pay) Rules, 1998 as amended vide Notification No.7/1/97-FPI/7370, dated 19.5.1998 shall have precedence over the pay scales mentioned in the First Schedule. 7. The pension / family pension fixed as per Para 1, 2, and 3 above shall be treated as basic pension for the grant of further DR from 1.1.1996 and Old Age Increase in pension as well as Travel Concession. (Authority: P.G. letter No.1/7/98-3FPPC/6884, dated 25.8.2005; P.G. letter No.1/3/06-1FPPC/4147, dated 7.6.2007; P.G. letter No.1/7/98-3FPPC/1485, dated 15.12.2009.) 8. The family pension of employed family pensioners (who are not allowed Dearness Relief on family pension during the period of employment) will be consolidated as per the general formula in para 1 above by adding Dearness Relief at the applicable rates on notional basis. The family pension will be re-fixed from 1.1.1996 with reference to the consolidated family pension becoming admissible to them. Dearness Relief beyond 1.1.1996 will, however, not be admissible to them during the period of employment. (Authority: P.G. letter No.1/39/98-1FPPC/3778, dated 31.3.1999.) ************ 29 CHAPTER - VI RATIOLNALISATION OF PENSION / FAMILY PENSION OF PRE-1.1.2006 PENSIONERS / FAMILY PENSIONRS FROM 1.1.2006 1. The pension / family pension in the case of pre 1.1.2006 pensioners / family pensioners will be consolidated by the Pension Disbursing Authority with effect from 1.1.2006 by adding together a) Existing pension / family pension as on 31.12.2005 b) Dearness pension where applicable. c) Dearness Relief (DR) at 24% of Basic pension / family pension plus Dearness pension / family pension. d) Fitment weightage @ 40% of existing pension / family pension. (Where the existing pension at (a) above includes the effect of merger of 50% of Dearness Relief (DR) with effect from 1.4.2004, the existing pension for the purpose of weightage will be recalculated after excluding the merged 50% DR from the pension.) The amount so arrived at will be regarded as consolidated pension / family pension with effect from 1.1.2006 and treated as basic pension for grant of Dearness Relief, Additional Quantum of Pension and Travel Concession. 2. The fixation of pension as above will be subject to the provision that the revised pension in no case will be lower than fifty percent of the initial pay shown in Col. 8 of the Schedule to Punjab Civil Services (Revised Pay) Rules, 2009 against the relevant Pay Band and Grade Pay corresponding to the pre-revised scale of pay in which the pensioner had worked (Annexure IV). Such pension shall be reduced proportionately if the qualifying service is less than 33 years (66 half years). Similarly the benefit of this provision will also be available for fixation of family pension which shall not be less than 30% of the initial pay shown in Col.8 of the Schedule to the Rules, 2009 quoted above against the relevant Pay Band and Grade Pay corresponding to the pre-revised scale of pay in which the pensioner / deceased employee had last worked. NOTE:- In respect of existing pensioners in whose cases the family pension has not come into operation as on 1.1.2006 as pensioners are / were alive on that date, the family pension (including additional pension wherever applicable) will also be updated in terms of Punjab Government circular letter No.3/23/09-3FPPC/885, dated 17.8.2009 as modified from time to time. However, the updated rates of family pension will apply as and when family pension becomes payable in such cases. Accordingly, where a pensioner has died on or after 1.1.2006, the updated family 30 pension shall become payable to the family pensioner from the date of death of the pensioner. (Authority: P.G. letter No.3/23/09-3FPPC/795, dated 5.7.2011.) 3. It shall be the responsibility of the Head of Office / Department from which the Government employee had retired or was working last before death to inform the Pension disbursing Authority within two weeks of the date of receipt from the Pension Disbursing Authority or the concerned person about the Pay Band, Grade Pay and Initial Pay corresponding to the pre-revised pay scale in which the pensioner / deceased employee had last worked , as well as the length of qualifying service. 4. The pension / family pension so consolidated is subject to a minimum of Rs.3500/-. The maximum pension will be 50% of the highest pay which is Rs.77,000/(Pay in the Pay Band 67,000/- plus Grade Pay 10,000/-) and the maximum family pension will be 30% of Rs.77,000/-. NOTE: The maximum pay including Non-practicing Allowance which is counted for retirement benefits, has been fixed at Rs.85,000/-vide ID No. 1/34/09-4FPI/458-459, dated 14.9.2009 from Finance Department to Principal Secretary, Health services, Punjab., and the Principal Secretary, research and Medical Education Punjab There is thus obvious contradiction between maximum pay / pension / family pension as at 4 above and the ID datd14.9.2009. 5. Pension so consolidated was payable from 1.8.2009, and the arrears for the period from 1.1.2006 to 31.7.2009 have been allowed to be paid in three equal instalment payable with the pension of November, 2010, November, 2011, and November, 2012. (Authority: P.G. letter No.3/23/09-3FPPC/885, dated 17.8.2009; P.G. letter No.3/23/09-3FPPC/201, dated 22.2.2010; P.G. letter No.3/23/09-3FPPC/1174, dated 29.9.2010.) NOTE: (1) the Government further decided that in the unfortunate event of the death of a pensioner, the entire amount of arrears of pension / family pension / extraordinary pension admissible to him under the Rules, shall become payable to his legal heir(s) in lump sum. (Authority: P.G. letter No.3/23/09-3FPPC/1244, dated 12.10.2010.) NOTE: 2(a): The entire amount of arrears on account of revision of pension as per recommendations of the Fifth Punjab Pay Commission for pension / family pension / extra-0rdinary pension admissible to the pensioners who are of the age of 75 years or above as on 1.1.2006 shall become payable in cash in lump sum in July, 2011. (Authority: P.G. letter No.3/23/2009-3FPPC/ 431, dated 31.3.2011.) 31 NOTE: 2(b): Further to Note 2(a) above, the Government decided that the entire outstanding amount of arrears on account of revision of pension / family pension / extra-ordinary pension admissible under the rules shall also become payable in July, 2011 in cash in lump sum to those pensioners who have attained the age of 75 years. Similarly, the entire outstanding amount of arrears shall also become payable in cash in lump sum as and when a pensioner attains the age of 75 years on or after the date of issue of this letter. (Authority: P.G. letter No.3/23/2009-3FPPC/806, dated 6.7.2011.) 6. Intimation regarding the consolidated pension shall be sent in the prescribed form by the Pension Disbursing Authority to the Accountant-General (A&E) Punjab and District Treasury Officer concerned. (Authority : P.G. letter No. 3/23./09-3FPPC/885, dated 17.8.2009. P.G. letter No.3/23/09-3FPPC/201, dated 22.2.2010, P.G. letter No.3/23/09-3FPPC/1513, dated 21/12/2009.) 7. The employed / re-employed pensioners / family pensioners are not paid dearness relief on pension during the period of employment / re-employment. In their case notional dearness relief which would have been admissible to them but for their employment / re-employment will be taken into account for consolidation of their pension in terms of para 1 above as if they were drawing the Dearness Relief. Their pension will be re-fixed from 1.1.2006 with reference to the consolidated pension becoming admissible to them. Dearness relief beyond 1.1.2006 will, however, not be admissible to them during the period of their employment / reemployment. (Authority: P.G. letter No. 3/23/09-3FPPC/885, dated 17.8.2009.) EXAMPLE: Retired before 1.4.2004 (Reference para 1 above.) i) Basic Pension..................................................Rs.6000/- ii) Dearness Pension.......................................... Rs.3000/- iii) Dearness Relief at 24% of (i) and (ii)............ Rs.2160/- iv) Fitment Weightage at 40% of (i)....................Rs.2400/- v) Consolidated Pension from 1.1.2006 (i) + (ii) + (iii) + (iv).......................................Rs.13,560/- 32 EXAMPLE: Retired after 1.4.2004 (Reference Para 1 above.) i) Pension including the element of merger of 50% Dearness Relief.............................................................Rs.9,000/- ii) Less the amount of Dearness Relief merged.................Rs.3,000/- iii) Net (i) – (ii).....................................................................Rs.6,000/- iv) Dearness Relief at 24% of (i).........................................Rs.2160/- v) Fitment weightage at 40% of (iii)...................................Rs.2400/- vi) Consolidated pension fro 1.1.2006..(i)+(iv)+(v).............Rs.13,560 (Detailed Annexure Dated 17.8.2009.) I attached with ************ letter No.3/23/09-3FPPC/885, 33 CHAPTER - VII DEARNESS RELIEF 1. Dearness Relief is paid to the pensioners / family pensioners on basic pension / family pension plus Old Age Increase in pension (now termed as Additional Quantum of Pension / family pension from1.1.2006.) The rate of Dearness Relief is decided every six months payable from 1st January and 1st July based on the average increase in the last 12 months in the All India Consumer Price Index for Industrial Workers (AICPI – IW) As and when Dearness Relief payable is merged with pension and the pension is revised on the recommendation of the Pay Commission, the base index over which the increase in AICPI is to be calculated , is changed with effect from the date of such revision: From 1.1.1996.............................306.33.......(1982 = 100) From 1.1.2006.............................115.76.......(2001 = 100) 2. The rates of Dearness Relief on revised pension and on un-revised pension , at present payable, are: From On revised pension From On revised pension Nil On unrevised Pension plus Dearness pension 24% 1.7.2006 2% On unrevised Pension plus Dearness pension 29% 1.1.2006 1.1.2007 6% 35% 1.7.2007 9% 41% 1.1.2008 12% 47% 1.7.2008 16% 54% 1.1.2009 22% 64% 1.1.2009 27% 73% 1.1.2010 35% 87% 1.7.2010 45% 103% 1.1.2011 51% 115% 1.7.2011 58% 127% 1.1.2012 65% 139% 1.7.2012 72% 151% 1.1.2013 80% 166% 1.7.2013 90% 183% 1.1.2014 100% 200% (expected) 1.7.2014 107% (expected) 212% (expected) NOTE: (1) The Dearness Relief at 80% of pension due from 1.1.2013 was paid in cash from 1.7.2013 and the arrears of Dearness Relief for six months from 1.1.2013 to 30.6.2013 were paid in February, 2014. (2) The Dearness Relief at 90% (enhanced by 10%) of pension due from 1.7.2013 was paid in cash in February 2014 and the arrears for seven months i.e., from 1.7.2013 to January 31.1.2014 shall be paid after 15th August, 2014. 34 (3) The Dearness Relief at 100% (enhanced by 10%) of pension due from 1.1.2014 shall be paid in cash from 1st December, 2014, and the decision for payment of arrears for eleven months i.e., from 1.1.2014 to 30.11.2014 shall be taken in due course. (Authority: P.G. letter No.3/2/97-FPI/2039, dated 25.10.2013; P.G. letter No.1/29/98-3FPPC/ 384, dated 25.2.2014,; P.G. letter No. 1/29/98-3FPPC/848, dated 20.5.2014.) 3. If the recipient of family pension is also in receipt of service pension in respect of past service, the dearness relief shall be determined on the total amount of the two pensions. (Authority: P.G. letter No.16/66/84- 3FPPC/ 4741, dated 14.5.2001.) ************** 35 CHAPTER - VIII OLD AGE ALLOWANCE OLD AGE INCREASE IN PENSION ADDITIONAL QUANTUM OF PENSION 1. Old Age Allowance was granted by the Punjab Government to pensioners and family pensioners with effect from 1.9.1989 at the following rates to compensate them for higher expenses attendant with old age. On completion of 70 years..................5% of Basic Pension On completion of 80 years................10% of Basic Pension. The allowance was to be allowed from the month succeeding the month in which the age of 70/80 was completed. (Authority: P.G. letter No. 1/5/89-1FPIII/8078, dated 31.8.1989.) 2. This allowance was subsequently treated as increase in pension and Dearness Relief was allowed on it with effect from 1.2.1995. (Authority: P.G. letter No.1/7/93-1FPIII/1343, dated 14.2.1995. 3. The age for admissibility of this increase in pension was lowered from 70/80 years to 65/75 years with effect from 1.1.2001. (Authority: P.G. letter No.3/31/2000-3FPPC/8936, dated 22.11.2001.) 4. The rates were revised as follows on the recommendation of the Fifth Punjab Pay Commission and this increase was termed as Additional Quantum of Pension / Family Pension. Age of pensioner / family pensioner Additional Quantum of Pension / Family Pension From 65 years to less than 75 years 5% of basic pension / family pension. From 75 years to less than 80 years 10% of basic pension / family pension From 80 years to less than 85 years 20% of basic pension / family pension From 85 years to less than 90 years 30% of basic pension / family pension From 90 years to less than 95 years 40% of basic pension / family pension From 95 years to less than 100 years 50% of basic pension / family pension From 100 years and more 100% of basic pension / family pension Additional Quantum of pension / family pension from 80 years and above was to take effect from the 1st August, 2009. 36 This Additional Quantum of Pension would become admissible from the first of the month in which the date of birth falls. Those born on the first of a month shall get it from the first of that month. Dearness Relief will be admissible on Additional Quantum of Pension. (Authority P.G. letters No.3/23/09-3FPPC/879, dated 17.8.2009; No.3/23/09-3FPPC/885, dated 17.8.2009.) 5. The quantum of pension available to the old pensioners / family pensioners has been further increased prospectively, with effect from 01.12.2011 as under: Age of pensioner pensioner / From 65 to less than 70 years family Additional quantum of pension / family pension 5 per cent of revised basic pension/family pension From 70 years to less than 75 years 10 per cent of revised basic pension / family pension From 75 years to less than 80 years 15 pr cent of revised pension / family pension From 80 years to less than 85 years 25 percent of revised pension / family pension From 85 years to less than 90 years 35 per cent of revised pension / family pension From 90 years to less than 95 years 45 per cent of revised pension / family pension From 95 years to less than 100 55 per cent of revised pension / family pension years 100 years or more 100 per cent of revised basic pension / family pension. The other terms and conditions regarding grant of pension and other retirement benefits shall remain unchanged. (Authority: P.G. letter No.3/23/09-3FPPC/ 1402, dated 22.12.2011.) NOTE: (1) The orders (in Para 5 supra) issued vide Punjab Government letter No.3/23/09-3FPPC/1402, dated 22.12.2011 shall also be applicable to the pensioners belonging to All India Services of Punjab Cadre. (Authority: P.G. letter No.3/31/2000-3FPPC/865, dated 30.7.2012.) NOTE: (2) In Para 1 of letter No.3/23/09-3FPPC/1402, dated 22.12.2011 (mentioned as authority to Para 5 supra) after the words and expression, “3/23/09-3FPPC/879, dated 17.8.2009”, the words and expression, namely “ and 3/3/09-3FPPC/885, dated 17.8.2009” shall be inserted. (Authority: P.G. letter No.3/23/09-3FPPC/485, dated the 16th May, 2012) 37 6 (a) The family pensioners who have no documentary evidence of the date of birth shall produce medical certificate from the Chief Medical Officer of the District concerned regarding their age and this increase in family pension would be allowed to them with reference to the age thus determined or the age of the deceased employee / pensioner whichever is later. (Authority: P.G. letter No.1/84/90-1FPIII/4391, dated 2.6.1992). 6 (b) Government has further decided that if the date of birth is not recorded in PPO or in the office record, the Pension Disbursing Authority / Bank will send an intimation to the pensioner / family pensioner about the non-availability of the information regarding date of birth and request him to submit copy of any of the following documents duly attested by the Pension Disbursing Authority: (1) Pan Card; (2) Matriculation Certificate; (3) Passport; (4) Aadhaar Card (if it contains date of birth). 6 (c) If the pensioner/ family pensioners submits a document which contains the information regarding exact date of birth, the additional pension / family pension will be payable on the basis of such documents. 6 (d) In case the pensioner / family pensioner fails to submit any of the above documents, the procedure as mentioned in Para 6(a) above shall be followed. (Authority: P.G. letter No.3/4/2014-3FPPC/296, dated 18.2.2014.) 6 (e) The Punjab Government has further decided that the instructions as contained in Paras 6(a), 6(b), 6(c) and 6(d) above shall also be applicable to all the pensioners / family pensioners to settle their claims of additional quantum of pension / family pension, if their date of birth has not been recorded in their Pension Payment Order. (Authority: P.G. letter No.3/4/2014-3FPPC/673, dated 16.4.2014.) 7. In case where a pensioner is also drawing family pension, this old age increase in pension is payable on both the pension and family pension. (Authority: P.G. letter No.3/31/2001-3FPPC/1415, dated 19.2.2007). 8. The Old Age Allowance / Old Age Increase in Pension is also admissible to pensioners of All India Services (IAS, IPS, IFS) borne on Punjab Cadre. (Authority: P.G. letter No.1/7/93-1FP3/9368, dated 11.8.1998). ************** 38 CHAPTER - IX TRAVEL CONCESSION 1. Travel concession equal to one month’s basic pension is payable to pensioners after every two years. The Block of two years was to be calculated from the 1st January following the date of retirement. Family pensioners are not allowed Travel Concession. (Authority: P.G. letter No.1/15/89-1FPIII/8078, dated 31.8.1989.) 2. Later on it was decided by the Government in the year 2000 to change the date of reckoning of two years as follows with effect from 1.7.2000. 1 Those retiring between Block of two years to be reckoned from July 1st January to 30th June succeeding the date of retirement. 2 Those retiring between Block of two years to be reckoned from 1st 1st July to 31st December January succeeding the date of retirement. (Authority: P.G. letter No.1/4/2000-1FPIII/7599, dated 12.7.2000.) 3. The benefit of Travel Concession admissible to Punjab Government Pensioners shall be admissible to family pensioners also with effect from 19.10.2011. It would be equal to one month’s basic family pension in a block of two years. In the case of those family pensioners who were in receipt of family pension on or before 1st January, 2010 the block of two years shall commence from the 1st January, 2010, and the first payment of travel Concession will be payable to them in January, 2012. Thereafter the Travel Concession will be payable to them in January after the completion of every block of two years. In the case of those family pensioners who start receiving family pension after st the 1 January 2010, the block of two years shall continue to be determined in the same manner as was determined in the case of the deceased pensioners, i.e., the Government pensioner after whose death the concerned family pensioner becomes entitled to family pension. Other conditions for the grant of Travel Concession , already notified, shall apply mutatis mutandis in the case of family pensioners also. (Authority: P.G. letter No.1/4/2000-1FP3/1219, dated 19.10.2011. P.G.letter No.1/42/2009-3FPPC/769, dated 10.7.2012) Note: The family pensioner, who gets employed in Government service, shall have the option of claiming either the benefit of Travel Concession as a family pensioner or the benefit of Leave Travel Concession admissible to a Government employee. The requisite option can be exercised within a period of six months from the date of joining the Government service or from the date of issue of this letter, whichever is later. Option once exercised shall be final. (Authority: P.G. letter No.1/42/2009-3FPPC/769, dated 10.7.2012.) 39 4. Where both husband and wife are pensioners, only one of them (who is getting higher pension) is to be allowed Travel Concession (effective from 1.1.1995). A certificate has been prescribed for the purpose, to be signed while claiming the amount of Travel concession. CERTIFICATE: “ Certified that my husband / wife is not a Punjab Government pensioner OR Certified that my husband / wife is a Punjab Government pensioner holding P.P.O. No. _____________of _________________________ Department. He / she has not claimed any Travel Concession for the Block ending ___________ "Signature” (Authority: P.G. letter No.1/43/93-1FPIII/9029, dated 28.12.1994) 5. Travel Concession is computed on the basis of pension as revised with effect from 1.1.2006. The Government has decided that no arrears of Travel Concession for the period from 1.1.2006 to 31.7.2009 are admissible to pensioners irrespective of the date of retirement. (Authority: P.G. letter No.1/4/2000-3FPPC/1091, dated 13.9.2011.) Note: If the amount of Travel Concession has not been paid to the pensioner or has not been drawn by the eligible pensioner on the due date(s), its payment is admissible and shall be made to the eligible pensioner like the arrears of pension. (Authority: P.G. letter No.1/45/90-1FP3/1818, dated 8.3.1991.) 6. Travel Concession is also admissible to pensioners of All India Services (IAS, IPS, IFS )borne on Punjab Cadre. (Authority: P.G. letter No. 1/7/93-1FPIII/11783, dated 22.10.1998.) *************** 40 CHAPTER - X OTHER MISCELLANEOUS RETIREMENT AND DEATH BENEFITS. 1. Ex-gratia Grant. 1.1. Ex-gratia Grant is intended to providing relief to the family of a Government employee who dies while in service. It is payable to the following members of the family of the deceased and in the order mentioned below: a) Widow or widower as the case may be b) Sons and daughters ) If they are un-employed and were entirely c) Father ) dependent on the deceased employee as d) Mother ) certified by the Deputy Commissioner. e) Brothers and sisters ) (Authority: Rule 2.7 of Punjab Civil Services Rules, Vol. II.) 1.2. With effect from 1.1.1996, the ex-gratia grant at the rate of Rs.50,000/- on a uniform basis is admissible to the eligible member of family of the employee who dies in harness, disabled and rendered unfit for further service. (Authority: P.G. letter No.1/7/98-1FP3/8709, dated 16.7.1998). 1.3. The ex-gratia grant admissible to dependents of the Government employee dying in harness shall be equal to 24 times the basic pay of the employee on the date of his / her death with a minimum limit of Rs.1.00 lac and maximum limit of Rs.3.00 lac, if the death of the employee occurs due to causes attributable to service i.e., for reasons which are directly or substantially connected with the performance of official duties and is clearly relatable to performance of such duties. (Authority: P.G. letter No.2/19/200-3FPPC/641, dated 24.1.2001.) 1.4 (a) Where death occurs in harness or the employee is permanently disabled and rendered unfit for further service, the ex-gratia payment shall be made at the rate of Rs.1,00,000/- (Rs. one lac only) on a uniform basis. 1.4 (b) Where death occurs in harness due to causes attributable to service i.e., for reasons which are directly or substantially connected with the performance of official duties and is clearly relatable to performance of such duties, the payment of ex-gratia shall be equal to 24 times the revised basic pay of the employee on the date of his / her death, with a minimum of Rs.2.00 lacs and maximum of Rs.4.00 lacs. 1.4.(c) If death occurs in performance of duty such as dealing with riots, terrorists attack or enemy action, ex-gratia shall be paid @ Rs.10.00 lacs on a uniform basis. NOTE:(1) These orders shall take effect from 1st January 2006.) (Authority: P.G. letter No.3/19/10-3FPPC/1251, dated 13.10.2010.) 41 NOTE:(2) In partial modification of the provisions contained in para 1.4 above, the Punjab Government has decided that in case of accidental or homicidal death of an employee during the performance of duty, his legal heirs will be entitled to a lump sum payment of Rs.5.00 lakhs as ex-gratia amount. However, the ex-gratia grant envisaged in these orders shall not be admissible in the case of those Government employees who commit suicide during the performance of duty. The ex-gratia payment admissible under these orders shall not be linked to the basic pay or group of the employee concerned. The full amount of ex-gratia payment admissible under these orders shall also be payable to those employees who incur complete permanent disability during the performance of duty rendering them unit for further service. In case of those employees who incur partial permanent disability during the performance of duty, exgratia payable under these orders shall be proportionate to the percentage of partial permanent disability incurred by him. The instructions contained in para 1.4(b) above shall be deemed to have been amended accordingly. These orders shall come into force with effect from 1st December, 2011. (Authority: P.G. letter No.3/19/2010-3FPPC/1368, dated 16.12.2011). 2. CONSTANT ATTENDANT ALLOWANCE A Constant Attendant Allowance (CAA) at the rate of Rs.3000/- per month is payable to Government employees who suffer 100% disability as a result of action against extremists or anti-social elements and who are dependent on some body for day to day functions. This shall be in addition to the extra–ordinary disability pension and other benefits, effective from 17.8.2009. (Authority: P.G. letter No.3/23/09-3FPPC/879, dated 17.8.2009.) 3. LEAVE ENCASHMENT Admissible limit for encashment of earned leave at the credit of Government employee at the time of retirement / death, is 300 days from 1.1.1996. The limit of 300 days has been continued from 1.1.2006 also. In case of employees who retired / died on or after 1.8.2009, payment of leave encashment was made at revised rates of pay under the revised Pay Structure immediately. Decision regarding the payment of arrears accruing as a result of revised pay in the case of those who retired/ died between 1.1.2006 to 31.7.2009 would be taken by the Government in due course. (Authority: P.G. letter No.1/10/98-3FPII/7219, dated 13.5.1998. P.G. letter No.1/27/09-3FPII/189, dated 21.5.2010.) 42 NOTE: The Government decided that the payment of arrears on account of enhanced amount of leave encashment on the basis of revised basic pay under the Punjab Civil Services (Revised Pay ) Rules, 2009 to those employees who retired during the period from 1.1.2006 to 31.7.2009 should be made forthwith. (Authority: P.G. letter No.1/27/09-3FP2/410, dated 24.9.2010.) ************ 43 CHAPTER - XI PENSION PROCEDURES AND MISCELLANEOUS MATTERS. 1. Earlier the pensioners had to draw their pension from Treasury. From 1.8.1977 they were given the option to draw their pension from specified Public Sector Banks, but with effect from 20.2.2003, the drawl of pension from the banks was made mandatory for all pensioners. (Authority: P.G. letters No.473-OSD(F)-77/15357, dated 13.6.1977; and No.FPPC/2003/3FPPC/2476, dated 20.2.2003) 2. The pension was to be credited automatically every month to the bank account of the pensioner / family pensioner, which was to be in his / her own name and not a joint account. Later on, credit of pension to a joint account with the spouse was allowed on submission of an application and undertaking in the prescribed form (Annexure V). (Authority: P.G. letter No. TA (D-I Pension Scheme)2006 / 11283, dated 4.9.2006 ) 3.1. In addition to the nomination as per Banking Law (Amendment) Act 1956 (Form DA I) a pensioner should make another nomination in the prescribed form ‘A’ or ‘B’ for payment of the life time arrears of pension due before the death of the pensioner, but not credited to the account, as otherwise such amount would be paid to the legal heir / heirs after completion of legal formalities. Such nomination has to be made with the Pension Disbursing Authority in the prescribed form in triplicate, who after authenticating all the three forms shall deliver one copy to the pensioner, and another to the Department concerned from where the pensioner had retired and retain the original in its record. This applies in the case of those pensioners who did not make any nomination in form ‘A’ at the time of submission of pension papers (See Para 3.2 below) (Annexures VI and VII). 3.2. In the case of employees who are due to retire, the nomination in form ‘A’ in triplicate has to be submitted to Head of Office, who after authenticating all the copies shall return one copy to the employee concerned, retain one copy in his office and send the third copy to the Accountant General (A&E) Punjab along with the pension papers. The latter will send the third copy (received by him along with the pension papers) to the Pension Disbursing Authority along with the Pension Payment Order. (Authority: P.G. letter No.21(I)-83-FR(6)/11991, dated 28.11.1984.) 3.3. Nomination of Life Time Arrears of family pension is not allowed. (Authority: Letter No.43/4/95-P&PW (G), dated 30.10.1995). 44 4. On retirement of a Government employee the pension papers are sent to the Accountant General (A & E) for issue of Pension Payment Order and payment of other retirement dues e.g., gratuity, commuted value of pension. The Accountant General (A&E) shall send both halves of the Pension Payment Order and other payment orders to the District Treasury Officer concerned (from where the pensioner wishes to draw his pension) who shall pass on the same to the Link Branch of the Bank concerned. The Link Branch will send both the halves and other payment orders to the Paying Branch who shall deliver the pension’s half to the pensioner concerned after proper identification and credit the retirement dues in his account. 5. In the month of November each year the pensioner / family pensioner is required to furnish to the Paying Branch the Life Certificate and the marriage / nonmarriage certificate wherever applicable. 6. Since the rate of family pension is also indicated in the Pension Payment Order, no further authority is required for making payment of family pension to the spouse after the death of the pensioner. The Paying Branch of the Bank will start making payment of family pension by crediting it to the account of the family pensioner on receipt of the death Certificate of the pensioner and application in the prescribed form. In cases where the family pension is payable to a family member other than the spouse, fresh Pension Payment Order is required to be issued by the A.G. ( A & E) Punjab on submission of application in prescribed form through the Head of Office. (Annexure – VIII). (Authority: P.G. letter No.473-OSD(F) -77/15357, dated 13.6.1977.) 7. With a view to enabling the pensioner to know the details leading to the computation of his pension, the Head of Office shall prepare in quadruplicate a Pension Calculation Sheet, certify it and forward three copies thereof to the Accountant General (A & E) Punjab (retaining one copy with him) The Accountant General (A&E) Punjab shall countersign the Pension Calculation Sheet and forward one copy thereof to the pensioner along with the intimation of his having sent the Pension Payment Order to the Treasury Officer concerned. One copy of the Pension Calculation Sheet duly countersigned shall be sent to the Head of Office (Annexure IX). 8. (i) If a pensioner wants his pension to be transferred to another Branch of the same Bank, at the same place or at another place in the same district, he shall make a request to the Paying Branch, who will send the disburser’s half (of PPO) to the Link Branch after recording entry regarding the month up to which the payment has been made. The Link Branch shall pass on the disburser’s half to the new Paying Branch for further payments, under intimation to the District Treasury. 45 (ii) If the pensioner wants his pension to be transferred to another District, the Paying Branch will collect the pensioner’s half (of PPO) from the pensioner and send both the halves to the District Treasury through the Link Branch, after indicating therein the month up to which the payment has been made. On receipt of the papers, the District Treasury will send both the halves of PPO to the District Treasury from where the pensioner wants to receive payment, who will take action for payment of pension at the Paying Branch by sending the papers to the Paying Branch through the Link Branch as per procedure contained in Para 4 above. NOTE; In the case of banks where work in all the branches has been computerised and pension work has been centralised, the entire record relating to pensions is kept in a Central Office called “Central Pension Processing Centre”. The transfer of pension in such cases is done through the Central Pension Processing Centre. (iii) Except as provided in (i) and (ii) above transfer of pension from one payment point to another is not ordinarily permitted. In case the pension is required to be transferred to another circle (State) the same has to be done through the Accountant General (A&E) Punjab who will transfer the pension papers to the Accountant General of the other State for further action for arranging payment. NOTE: Specimen signatures of the District Treasury Officer ( or other officer authorised by him to sign on his behalf) duly countersigned by the Manager of the State Bank of India / State Bank of Patiala conducting Government business and a copy of the special seal of the Treasury is required to be sent by the District Treasury Officer to each Link Branch in the District under registered cover . Communications regarding payment of pension to the Link Branch have to be signed by such authorised officer with the special Treasury Seal to avoid fraudulent payments. (Authority: P.G. letter No.473-OSD(F)-77/15357, dated 13.6.1977) *********** 46 CHAPTER - XII MEDICAL FACILITIES AVAILABLE TO PUNJAB GOVERNMENT PENSIONERS 1. PARITY WITH SERVING EMPLOYEES. 1.1 Medical facilities to Punjab Government employees and pensioners are governed by the Punjab Services (Medical Attendance) Rules, 1940 and the instructions issued by the Punjab Government from time to time. 1.2. The Punjab Government pensioners were allowed facility of free medical treatment in Government Hospitals and dispensaries for the first time in the year 1967. This facility at that time did not include the facility of re-imbursement of medicines purchased from the market. The medical facilities to the pensioners have been liberalised from time to time and now they are treated at par with the serving employees in the matter of medical facilities. (Authority: PG letter No.15159-1HBI-67/35446, dated 29.11.1967 and No.10/12 (4) -86 – 3HBV / 19897, dated 28.9.1989) Note: (1) The term pensioner includes family pensioners also, and the medical facilities detailed in this chapter are also available to the dependents of pensioners and family pensioners. Note: (2) i) These medical facilities are also available to:- retired members of All India services belonging to Punjab Cadre, who have not already availed of the concessions under Central Government Health Scheme; and the Chief Secretary to Government, Punjab would be their Controlling Officer; and ii) retired Judges of Punjab and Haryana High Court; (and their dependent family members) who had been serving the affairs of Punjab State irrespective of the State where they have settled. (Authority: P.G. letter No.445-IIHBI-78/ 83, dated 11.12.1978; Letter No.5471-5HBV-82/ 14588, dated 17.9.1982; and Letter No.7(9)82-5HBV/ 12870, dated 26.5.1983. 2. FIXED MEDICAL ALLOWANCE: A Fixed Medical Allowance has been granted and is being paid to Punjab Government employees / pensioners on a uniform basis without any option with effect from 1.1.1998 @ Rs.250/- per month, from 1.11.2006 @ Rs.350/- PM , and from 1.8.2009 @ Rs.500/- per month. (Authority: P.G. letters No. 5/22/97-1FPI/ 11179. dated 31.12.1997. No.5/22/97-1FPI/6580, dated 31.10.2006, and No.5/60/09-1FPI/379, dated 12.8.2009.) 3. REIMBURSEMENT OF EXPENDITURE ON MEDICAL TREATMENT. 3.1. (I) Except as provided in Para 8 infra, no reimbursement of expenditure is now allowed for outdoor treatment with effect from 1.1.1998. 47 (ii) The facility of reimbursement of expenditure on indoor treatment is to continue as hitherto-fore. (Authority: P.G. letter No.5/22/97-1FP!/11179, dated 31.12.1997.) 3.2. REIMBURSEMENT OF THE COST OF PRE-INDOOR AND POST INDOOR TREATMENT OF THE SAME DISEAiSE. The cost of pre-indoor medical tests / investigations conducted to know the disease and its treatment within seven days prior to the indoor treatment and the prescribed post-indoor followup treatment taken within thirty days of the indoor treatment shall be reimbursable w. e. from 29th April, 2011, provided that one single medical claim bill for the pre-indoor medical tests / investigations, indoor treatment and the prescribed follow-up treatment is submitted for reimbursement after the consumption of the medicines prescribed as follow–up treatment (Authority: P.G. letter No.12/6/2011-5HB5/1212, dated 29.4.2011) 3..3. ANTI-RABIES TREATMENT OF DOG / ANIMAL BITE. The cost of anti - rabies treatment taken from a Government Hospital / Dispensary, as outdoor patient, by Punjab Government employees / pensioners and their dependents for having been bitten by dog / snake / mongoose or any other animal is reimbursable w. e. from 24.8.2010, in addition to the Fixed Medical Allowance already payable on uniform basis. The medical claim should be duly verified by the Government Doctor. (Authority: P.G. letter No.12/25/2010-5 f; 5/1740, dated 24.8.2010.) 3.4. The benefit of reimbursement of medical charges to the Punjab Government pensioners is admissible for treatment in any State Government Hospital / Dispensary in the Punjab and Chandigarh irrespective of their residence or place of their drawing pension. (Authority: P.G. letter No.254-5HBV/84/3384, dated 6th March, 1984.) 3.5. Further to the provisions contained in Punjab Government letter No.254-5 HBV/84/3384, dated 6th March, 1984, (and as given in Para 3.4 above,) it has been clarified that the Punjab Government pensioners, who are drawing their pension from Punjab Government Treasury Chandigarh, but are residing at Panchkula, are entitled to reimbursement of medical expenses for treatment in Central / State Dispensary at Panchkula. (Authority: Punjab Government letter No.12/5/89-5HBV/8590, dated the 19th April, 1990. 3.6. The Punjab Government employees / Pensioners and their dependents who have subscribed to medical insurance Policies on their own, can claim reimbursement of medical expenditure from both sources, namely insurance agencies and Government, subject to the condition that employees / pensioners will first claim insurance from insurance company and thereafter submit the medical bill to the Government which will reimburse the difference between the total amount of the bills and the payment made by the Insurance Company with condition that the payment by the Government will not exceed the admissible amount as per Government rates. (Authority: P.G. letter No.12/3/2013 – 5 HB5/ 843. Dated 23.05.2013. 48 4. MEDICAL TREATMENT TAKEN FROM PRIVATE COUNTRY. HOSPITALS WITRHIN THE 4.1 (a) The pensioners are free to get medical treatment in any private Institute / Hospital (of their own choice) in the country provided that he / she gives an undertaking out of his / her free will and in unambiguous terms that he / she will accept reimbursement of expenditure incurred by him / her on his / her treatment to the level of expenditure as per rates fixed by the Director Health and Family Welfare (DHS) Punjab for a similar treatment package or actual expenditure whichever is less. NOTE: The instructions contained in Paras 4 and 5 of Punjab Government letter No.12/53/20005HBV /2119, dated 23.01.2002, regarding taking treatment from any private Hospital without permission , have been withdrawn. Now the approval of the State Medical Board shall continue to be obtained as per instructions contained in letter No.12/193/94 – 5HBV/5251-54, dated the 13th February, 1995 , as mentioned in Para 4.1 (b) below, (except in the case of Institutions mentioned at page 4.4(a) and 4.4(b) infra.) (Authority: P.G. letter No.12/53/2000-5HBV/27931, dated 18.11.2003.) 4.1 (b) The permission to have medical treatment in private Hospitals, would be granted by DHS Punjab on the advice of State Medical Board in case of treatment in the private Hospital within the State. 4.2 (a) The State Medical Board as well as District Medical Board shall meet on the FIRST WEDNESDAY of each month. In case this day happens to be a holiday, the Board will meet on the next working day. 4.2(b) For the purpose of Punjab Government employees posted at Chandigarh and pensioners residing at Chandigarh a separate District Medical Board has been constituted. The Board shall meet in the Directorate of Health and Family Welfare, Punjab on the second Monday of each month and in case of holiday, the Board will sit on the next working day. (Authority: P.G. letter No.12/193/94-5HB5 /5251-54, dated 13.2.1995.) NOTE: The dates for the meetings of the Medical Boards are subject to change at the convenience of the members and keeping in view the pendency of the cases. 4.3(a) In case of emergency where there is immediate danger to life, it shall not be necessary to obtain prior permission from the Medical Board . However the treatment taken (both outside and inside in the State of Punjab) would have to be got authenticated from the Medical Board for reimbursement of medical expenses incurred after the patient has recuperated. 4.3(b) The above relaxation is subject to the condition that the Medical Board will also verify on the basis of evidence produced before it, that “ it was a case of emergency where there was immediate danger to life of the patient. (Authority: P.G. letter No.12/193/94-5HB5/26556, dated 5.10.1995.) Note: Ordinarily the Medical Board should verify the medical claims on the basis of Medical Bills / documents, and the patient should not be asked to appear before the Board except when absolutely necessary. (Authority: Letter No. PMH(4)/407 / 31396 – 31416, dated 19.10.2007, from Director Health Service and Family welfare, Punjab to all Civil Surgeons. 49 4.4(a) MEDICAL TREATMENT AT AIIMS NEW DELHI. For the Government employees / pensioners and their dependents, there shall be no need to obtain any Certificate from the Authorised Medical Attendant of State Government prior to their treatment at All India Institute of Medical Sciences (AIIMS) New Delhi. All Government employees / pensioners and their dependents can obtain the treatment directly at AIIMS New Delhi. 4.4(b) MEDICAL TREATMENT AT PGI CHANDIGARH, GOVERNMENT MEDICAL COLLEGE AND HOSPITAL , SECTOR 32, CHANDIGARH AND GOVERNMENT MULTI - SPECIALITY HOSPITAL. SECTOR 16, CHANDIGARH. All Government employees / pensioners whether they are residing at Chandigarh , Mohali, Panchkula (Haryana) or in any part of the State, there shall be no need to obtain a certificate from the Authorised Medical Attendant of Government Hospital / Institute prior to their treatment at PGI Chandigarh, Government Medical College and Hospital, Sector 32, Chandigarh and Government Multi-speciality Hospital, Sector 16, Chandigarh. (Authority: PG letter No.12/53/2000-5HBV/2119, dated 23.1.2002.) 5. MEDICAL TREATMENT TAKEN FROM A COUNTRY ABROAD. 5.1. The treatment of a disease in a country abroad would be permitted in extremely rare cases where satisfactory treatment is not available in the country. Such treatment and follow up should be recommended by the State Medical Board. Prior approval of the State Medical Board shall be pre-condition in such cases. All efforts should be made by the concerned employee / pensioner to take prior approval of the State Medical Board. 5.2. If a person gets medical treatment abroad without prior approval of the Medical Board, no reimbursement shall be allowed except with the permission of Finance Department. 5.3. In case of treatment taken abroad , the scale of expenditure and the eligibility for treatment, the person concerned is entitled, shall be identical to the scale of expenditure and the eligibility of an officer / official of the Indian Foreign Service of corresponding grade in the Ministry of External Affairs under any Assistance Medical Attendance Scheme for the time being in force. 5.4. In case the treatment is taken abroad, the person concerned will bear 10% (ten per cent) of the expenditure excluding such travelling fare subject to a maximum of Rs.25,000/-. 5.5. The person concerned (employee / pensioner) will be entitled to an advance at the rates as mentioned in Para 12 infra to be sanctioned by the Head of Department of the total estimated expenditure (on medical treatment ) which would be subject to adjustment at the time of total reimbursement. This should be adjusted within three months. (Authority: P.G. letters No.12/193/94-5HBV/5251-54, dated 13.2.1995; No.7/7/85-5HBV5/2498, dated 25.1.1991; and No.21/65/2009-5 f; 5/948, dated 10.5.2010.) 5.6. In case of emergency where there is immediate danger to life, it shall not be necessary to obtain prior permission from the Medical Board. However, the treatment taken would have to be authenticated from Medical Board for reimbursement of medical expenses incurred after the patient has recuperated subject to the condition that the Medical Board will also verify on the basis 50 of evidence produced before it, that “ it was a case of emergency where there was immediate danger to life of the patient. (Authority: P.G. letter No.7/7/85-5HBV/34576 dated 29.12.1995) 6. GOVERNMENT RATES OF VARIOUS SURGERIES AND OPERATIONS / TESTS ETC. 6.1 As per Government policy the reimbursement of medical charges is permissible only at AIIMS New Delhi / PGI Chandigarh rates to Punjab Government employees / pensioners , taking treatment at private Hospitals. (Authority: P.G. letter No.PMH (I) Pb – 97/11821-11921, dated 23.12.1997.) Note: AIIMS Website. www.aiims.ac.in PGI Website: htp.www.pgimer.nic.in 6.2. However, the actual rates for the purpose of reimbursement of the cost of medical treatment taken from private Hospitals / Institutions are fixed / determined by the Committee of Technical Experts constituted by the Director , Health and Family Welfare, Punjab. (Authority: P.G. letter No.12/193/94-5HB5/5251-54, dated 13.2.1995). 6.3. The charges reimbursable to Punjab Government employees/ Pensioners as circulated by the Director, Health and Family Welfare, Punjab from time to time are as under: CARDIOLOGY NAME OLF THE PROCEDURE / MANAGEMENT – GOERNMENT RATES. RS. (1) Coronary Artery By pass Graft (CABG) 75,000/- (2) Percutaneous Translational Coronary Angioplasty (OTCA) 50,000/- (3) Angiography 7,000/- (4) Single Valve 91,000/- (5) Double Valve (6) Stents 70,000/- (7) Balloning 17,500/- (8) CABG PI Valve 1,10,000/- (9) CABG with IABP 1,05,000/- (10) Magnetic Resonance Imaging Test (MRI) 4,500/- (11) Thallium Test 3,000/ (12) Echo Cardiography 550/- (13) Holter Monitoring 550/- (14) Computerised Tomography Scan (CT Scan) 1,35,000/- 1,000/- 51 NEPHROLOGY (15) Kidney Transplantation with the condition that Transplantation is of donor blood relation. 50,000/- OPTHALMOLOGY (16) Cataract Operation 2,000/- MISCELLANEOUS (17) ELECTRO CARDIOGRAPHY (ECG) 50/- (18) X-Ray (19) NON-REIMBURSABLE OITEMS I) Anaesthesia fee ii) Nursing Charges iii) Doctor’s fee iv) Surgeon’s fee v) OT Charges vi} Diet Charges. (20) Medicines / injections and disposable items are all reimbursable except already declared non-reimbursable. (21) Room Rent Admissible .( See Para 11 infra.) 30/- per film (Authority: P.G. letter No.PMH(I) Pb.97/11821-11921, dated 23.12.1997) Note: As stated in Para 6.1 and 6.2 above, the rates of AIIMS New Delhi /PGI Chandigarh are followed by the State Government as a matter of policy , it is, therefore, presumed that the rates are subject to change and as such the medical bills /claims are normally sent to Director Health Services and Family Welfare, Punjab / Medical Board for advice. ORTHOPAEDICS. (22) KNEE REPLACEMENT. The cost of Knee implant as prescribed by operating Surgeon shall be reimbursed. In addition, the admissible expenses on accommodation charges, ICU / ICCU charges, monitoring charges, operation charges, cost of drugs, consumables and disposables, surgical sundries Physiotherapy, investigation and laboratory test charges etc also be reimbursed at AIIMS New Delhi rates both for Government and Private Hospitals. However, charges on inadmissible items like admission charges, diet, air condition charges, telephone / TV charges, operation theatre charges, anaesthesia charges, cost of cosmetic, toiletry tonics etc will not be reimbursable. (Authority: P.G. letter No.12/23/03-5HBV/3879, dated 1.3.2005.) Note: Above rates have been partially modified on 11.8.2011 as given in Para (22 A) below. (22-A) The cost of Knee implant shall be reimbursed as under with effect from 11.8. 2011. 1 For Knee Implant Rs. 65,000/- per Knee. 2 For revised Knee Implant Rs. 1,00,000/- per Knee. 52 In addition, as already decided, the charges for accommodation , ICU / ICCU, monitoring, operation, cost of drugs, consumables and disposables surgical sundries, physiotherapy, laboratory tests charges etc shall be reimbursed at AIIMS New Delhi and PGI Chandigarh rates. (Authority: P.G. letter No.12/5/2011-5 f; 5/2218, dated 11.8.2011. 23. TOTAL HIP IMPLANT / REPLACEMENT. 23.1 1 Normal cemented THR Rs.25,000/- + Rs.5000/for bone cement. 2 Non-cemented THR (Iso-elastic) Used Rs.65,000/- + Rs.5000/for hip disease in young adults less For bone cement. than 45 years of age In addition, the admissible expenses on accommodation charges, ICU / ICCU charges, monitoring charges, operation charges, cost of drugs, consumable and disposable surgical sundries, Physiotherapy, investigation and laboratory test charges also be reimbursed at AIIMS New Delhi rates both for Government and private hospitals as approved by Government memo No.12/23/035HBV/3879, dated 1.3.2005. However, charges on inadmissible items like admission charges, diet, air condition charges, telephone / TV charges, operation theatre charges, anaesthesia charges, cost of cosmetic items, toiletry, tonics, nursing charges, and doctor’s consultation visiting fee will not be reimbursable as decided vide Government letter dated 1.3.2005 quoted above. (Authority: P.G. letter No. 12/316/94-5HBV/1769, dated 10.9.2007.) 23.2. The expenditure incurred on HIP Implant during the period from 20.9.2000 to 9.9.2007, shall be reimbursed at the rate of 35,000/- and in addition the expenditure on other Hospital charges, such as mentioned in 22,1 above, shall be reimbursed at AIIMS NEW DELHI rates. (Authority: P.G. letter No. 12/316/94-5HBV/21954, dated 3.7.2008.) NOTE: The reimbursable cost of HIP JOINT IMPLANT has been revised with effect from 11.8.2011 as given in Para 23-A below:(23-A) 1 Normal cemented THR Rs.40,000/Rs.5,000/- + for bone cement. 2 Non-cemented THR Rs. 80,000/- (Iso Elastic) used for hip disease for persons below the age of 50 years. In addition, as already decided, charges for accommodation ICU, ICCU, monitoring , operation, cost of drugs, consumable and disposable surgical sundries, physiotherapy, laboratory test charges etc., shall be reimbursed at AIIMS NEW DELHI and PGI CHANDIGAFRH rates. (Authority: P.G. letter No.12/5/2011-5 f; 5/2218, dated 11.8.2011) (24) OTHER ITEMS 53 1. EYE Sr.No. Item / Treatments II. Remarks 1 Intra Ocular lens Once Rs.6500/in life time for each eye. Rs.8000/- or actual Once in life expenditure time for each whichever is less eye. 2 Spectacles after ten Rs.400/year reimbursement will be allowed 2nd time only. Rs.500/- HEARING AID: Sr.No. Item / Treatment III. Existing New Rates / limits rates/limits Existing New rates / limits rates/limits 1 Analogue Hearing Aid Rs. 1500/with ordinary Battery. Rs.2500/- 2 Digital Hearing Aid Rs.2500/Moderate to severe hearing loss (for one ear) Rs.18000/- Before prescribing or advising Digital Hearing Aid the concerned Specialist must certify that analogue Hearing Aid with ordinary battery is not effective or helpful in that particular person. DENTURE: Sr.No. Item / Treatment 1 Partial Denture Existing rates/limits New rates Remarks /limits 1 to 4 teeth Rs.225/- Rs.800/- 5 to 10 teeth Rs.450/- Rs.2000/- Exceeding 10 teeth Rs.825/- Rs.2500/- 2 Half Denture Rs.1050/- Rs.2500/- 3 Full Denture Rs.2100/or Rs.5000/- or actual cost Actual cost whichever is whichever is less. less. NOTE: (1) The facility of fixation of denture is also allowed second time after a span of ten years. The rates mentioned in Para 6(24) above are applicable with effect from the 9th July, 2010. (Authority: P.G. letter No.12/69/2009-5 5/1385, dated 9.7.2010) NOTE: (2) Instructions contained in Punjab Government letter No.12/69/2009-5 5/1385 Dated 9.7.2010, regarding revised rates of Denture, Intraocular lens /Spectacles And Hearing Aid 54 shall also be applicable to Punjab Government employees / Pensioners and their dependent family members. (Authority: P.G. letter No.12/69/209- 5 f; 5/3017, dated 15.12.2010.) 7. REIMBURSEMENT OF THE COST OF SPECIAOL ITEMS. In addition to the Fixed Medical Allowance, the Government employees / pensioners are entitled to have reimbursement of the cost of following special items: 1. Orthopaedic Appliances. 2. CAT Scan 3. Heart Pace Maker 4. Hearing Aid 5. Intra Ocular Lens. (Authority P.G. letter No.12/17/99-5HBV/21250, 18.9.2002.) 8. COMPLICATED CHRONIC DISEASES: 8.1. The reimbursement of medical expenses incurred by Punjab Government employees / pensioners on the treatment of Complicated Chronic Diseases as out-door patient including preindoor and post in-door treatment is admissible to them subject to the following :i) The amount of reimbursement will be correspondingly reduced if any and is claimed / received from any other source including Medical Insurance / Accident Insurance. ii)(a) The First Certificate that the employee / pensioner or any dependent member(s) of his / her family is suffering from any Complicated Chronic Disease, will be obtained from any of the State Government Medical Colleges, Post Graduate Institute of Medical Education and Research (PGI) Chandigarh or All India Institute of Medical Sciences, (AIIMS), New Delhi in the prescribed Format (Annexure X). ii) (b) In addition to the existing authorities , the Government Medical College and Hospital, Sector 32, Chandigarh has also been authorised to issue the first Complicated Chronic Disease Certificate with effect from 14.6.2010. The expenditure incurred on medical treatment on the basis of this certificate shall also be reimbursed to pensioners in future. (effective from 14.6.2010). iii) The reimbursement shall be subject to verification of the rates and justification of the expenditure incurred as per existing Rules. (Authority: P.G. letter No.12/69/98-5HBV/21329, dated 1.9.2000; Letter No.12/10/10-5 f; 5/1165, dated 14.6.2010.) 8.2. The Complicated Chronic Diseases are listed below:COMPLICATD CHRONIC DISEASES (32 in number) 1) 2) 3) 4) 5) Chronic Renal failure; Cancer /Malignancies of different Organs; Heart Failure (Cardiiomyopathy (Myocardial infarction) and Angina Pectoris; Thalisemias; Degenerative disorders of Nervous System and other Organs; 55 6) 7) 8) 9) 10) 11) 12) 13) 14) 15) 16) 17) 18) 19) 20) 21) 22) 23) 24) 25) 26) 27) 28) 29) 30) 31) 32) Organ Transplant; Congenital Disorder; Cirrosis; Coelics Disease; Immunological Disorders leading to disability including AIDS; Chronic Respiratory failure; Chronic Pelvic infection; Spinal Injuries; (Authority: P.G. letter No.12/69/98-5HBV/21329-33, dated 1.9.2000) Insulin Dependent Diabetes Mellitus; Haemophilia; (Authority: P.G. letter No.12/77/2000-5HBV/28432, dated 19.11.2001.) Intractable / Resistant Epilepsy; Chronic Glaucoma; Ulcerative Colitis; Brain Stroke; Obstructive Sleep Apnea Syndrome; Hypertension; Hypothyroidism; Secondary Adrenal Insufficiency; Diabetes Mellitus Type -2; (Authority: P.G. letter No.12/77/2000-5HBV/13137, dated 21.7.2004) Hepatitis-B ; Hepatitis –C; Hyperthyroidism; (Authority: P.G. letter No. 12/77/2000-5HBV/21950, dated 10.9.207) Rheumatoid Arthritis; Schizophrenia; Epilepsy ; Mental Retardation; Respiratory Disease leading to Chronic Respiratory failure – (a) Bronchial Asthma, (b) Bronchiectasis; (c) Chronic obstructive pulmonary; and (d) Interstitial Lung Disease etc. (Authority: P.G. letter No.2/10/10-5 f; 5/1165, dated 14.6.2010.) 8.3 (i) The condition laid down in clause (i) of Para No.1 of the instructions dated 1.9.2000 that no reimbursement will be allowed if the expenditure on the treatment of Complicated Chronic Disease does not exceed Rs.6000/- per annum, has been removed. (Authority: P.G. letter No.12/17/2000-5HBV/ 13137, dated 21.7.2004.) (ii) The period of validity of Complicated Chronic Disease Certificate has been increased from three years to five years . The existing certificates shall also be valid for five years from the date of issue. Note: The above noted additions / modifications to Para 8.1 (ii)(b), and 8.3 (ii) Shall be applicable with effect from 14.6.2010. 56 (Authority: P.G. letter No.2/10/10-5 f; 5/1165, dated 14.6.2010) 8.4. FOLLOW UP TREATMENT AS OUTDOOR PATIENT: I) The Punjab Government has allowed the reimbursement for follow up outdoor treatment taken from all such hospitals / institutions whether Government or private from where indoor treatment has been taken by Government employee / pensioner at AIIMS / Government rates for treatment of Complicated Chronic Diseases. 8.4 (ii) In addition to the outdoor treatment taken from PGI / AIIMS and the three State Government Medical Colleges for Complicated Chronic Diseases, the reimbursement of expenditure on outdoor treatment taken from Government Medical College and Hospital Sector 32, Chandigarh, Government Multi-Speciality Hospital, Sector 16, Chandigarh, Christian Medical College and Hospital, Ludhiana, Dayanand Medical College and Hospital Ludhiana (being teaching Institutions) and all District level Civil Hospitals in the State shall be admissible based on the Complicated Chronic Disease Certificate already issued. However, the medical bills / claims of the patient / claimant shall be verified by the Head of the Institution / Hospital from where the outdoor treatment has been taken. (Authority: P.G. letter No.12/23/03-5HBV/3883, dated 1.3.2005.) 8.4 (iii) Where initial indoor treatment was taken from a Specialist Private Hospital outside Punjab / UT Chandigarh, the follow up treatment may be allowed from a nearby specialised Hospital for the said Chronic disease on the basis of Complicated Chronic Disease Certificate issued by the Competent Authority at AIIMS / Government rates. (Authority: P.G. letter No.12/7/97-5HBV/22024, dated 10.9.2007.) 8.5. The follow up treatment of already notified complicated chronic diseases, can also be had from Government Hospitals / Government Institutions located in Punjab or at Chandigarh on the basis of complicated chronic Disease Certificate obtained from AIIMS New Delhi, PGI Chandigarh, Government Medical College, Sector 32, Chandigarh or any of the Punjab Government Medical Colleges at Amritsar, Patiala, and Faridkot. (Authority: P.G. letter No.12/28/2010-5 f; 5/3019, dated 1 5.12.2010.) 8.6. The cost of treatment as outdoor patient of disease other than the complicated chronic disease is not reimbursable. The Government has, therefore, issued instructions to the Departments that the cost of medicines relating to diseases other than complicated chronic diseases mentioned in the OPD Card should not be reimbursed in the case of employees / pensioners and their dependents. (Authority: P.G. letter No.12/28/2010-5 f; 5/152, dated 19.01.2011) 9. DEPENDENCY CRITERIA The member(s) of the family shall be considered dependent of the Punjab Government employee / pensioner for the purpose of reimbursement of their medical claim, in case he is not income tax payee nor has received reimbursement of his medical claim nor has preferred medical claim from any other source. These orders shall take effect from 30.3.2012. ( Authority: P.G. letter No. 12/2/11-5 f; 5/721, dated 30.3.2012.) 57 NOTE: See Para 3.6 supra also. 10. DEPENDENT FAMILTY MEMBERS OF PUNJAB GOVERNMENT EMPLOYEES / PENSIONERS. 10.1 a) Wife including judicially separated wife. b) Husband (in case of lady employee) who lives with her and is wholly dependent on him. c) Children (up to two children) including step-child and adopted child. d) Parents who live with employee and are wholly dependent on him / her. e) Sisters, widowed sisters, minor brothers who are wholly dependent on the employee and are living with him / her. NOTE:(1) For employees recruited after 17.3.1994, sisters, widowed sisters, minor brothers mentioned at (e) above have been excluded from the dependent family members of the employee for the purpose of reimbursement of the cost of their medical treatment. NOTE:(2) The Punjab Government pensioners are treated at par with the serving employees in the matter of Medical facilities. ( Authority: P.G. letter No.12/42/90-5HBV/17572, dated 11.7.1990; and Letter No.12/97/93-5HBV/9495, dated 17.3.1994.) 11. ENTITLEMENT FOR SPECIAL / PRIVATE WARD AS INDOOR PATIENT. 11. (i) The Punjab Government has allowed the reimbursement of expenses incurred towards ward / room in the Punjab Government Hospitals (if charged) including PGI Chandigarh and AIIMS New Delhi as in-patient subject to the entitlement under the relevant instructions. 11.(ii) It has further been decided to allow reimbursement of expenses incurred towards ward / room rent at rates equal to that prevalent in AIIMS New Delhi where the indoor treatment in any private Hospital in the country relates to the period on or after 9.9.1994. (Authority: P.G. letter No.12/193-04-5HBV /30868, dated 20.11.1997.) 11.2. The entitlement of a Punjab Government pensioner taking indoor treatment to have a private room in PGI Chandigarh shall be according to his status and entitlement at the time of retirement and also as per conditions laid down by PGI Chandigarh. (Authority: P.G. letter No.12/190/94-5 f; 5/9248, dated 24.03.1995.) 12. ADVANCE FOR MEDICAL TREATMENT: 12.1. Heads of Departments are competent to sanction / allow an advance at the following rates of the estimated cost of medical treatment of Punjab Government employees/ and Pensioners and their dependents in Government / private Hospitals within / outside the country. Sr. No. 1. Name of Disease Existing rates of advance as Revised rates per Govt. Policy. of advance. Hepatitis – B & C 75% 90% 58 2. Major illness of Bye-pass Surgery, 75% Kidney Transplant, Major Cancer 80% Treatment. 3 Other diseases. 75% 80% Subject to the following conditions: (1) The advance shall be paid direct to the concerned Hospital in the form of Cheque/Bank Draft. (2) In the case of PGI Chandigarh, the advance shall be paid to the concerned Government employee / pensioner. (3) In the case of private Hospitals, this advance will be limited to rates given above of the estimated cost of medical treatment at Government rates reimbursable as per Government policy. The estimated costs shall be verified by the concerned Civil Surgeon and in case of Chandigarh by the Director, Health and Family Welfare, Punjab. (Authority: 21/65/2009-5 f; 5/948, dated 10.5.2010). 12.2. (i) (ii) It shall be ensured by the concerned Head of Department that the amount of advance is adjusted within six months of the date of drawl of the advance. It shall also be ensured that in case the cost of treatment is less than the amount of advance, the balance amount is repaid to the Government within six months. (Authority: P.G. letters No.12/2/2000-5 f; 5/287, dated 5.1.2001. No.21/65/2009-5 f; 5/ 948, dated 10.5.2010) 12.3. (i) In case the treatment of complicated chronic disease (as outdoor patient) is taken from PGI Chandigarh , AIMS New Delhi or any of the State Government Medical Colleges, the advance at rates mentioned in Para 12.1 above, of the estimated cost of treatment is admissible and is paid to the employee / pensioner concerned. (ii) Before taking the second advance, the bill of expenditure adjusting the first advance be submitted by the employee / pensioner to his / her Department as per Government instructions. (iii) These instructions are applicable to all employees and pensioners (irrespective of their place of residence) and their eligible dependents. (Authority: P.G. letters No.12/2/2000-5 f; 5/1898, dated 22.1.2002.) 21/65/2009-5 f; 5/948, dated 10.5.2010.) 13. SUBMISSION OF MEDICAL BILLS / CLAIMS FOR THE REIMBURSEMENT OF MEDICAL CHARGES. 13.1. The claim for reimbursement of medical charges in respect of a particular spell of illness should ordinarily be preferred within six months from the date of completion of treatment shown in the Essentiality Certificate issued by the authorised Medical Attendant concerned. Authority: P.G. letter No.2477-2HBI-71/13645, dated 6.7.1971.) 13.2. BELATED CLAIM: In cases, the claims are not preferred within the time limit of six months, the Controlling Officer while countersigning the bill, should record a certificate on the bill that he is satisfied with the reasons of delay explained by the Officer / official and he was not personally responsible for the 59 delay. Such cases are not referable to the Health Department and the Controlling Officers are fully competent to dispose of such claims. (Authority: P.G. letters No.1200-5HBII-73 /6083, dated 6.8.1973; and No. 12/33/2010-5 f; 5/988, dated 01.04.2011.) 13.3. In cases of prolonged medical treatment, the reimbursement of the cost of medicines etc., can be claimed / allowed every month. (Authority: P.G. letter No.10/12 (143) /87-3HBV/ 7390, dated 20.4.1988.) 14.1. CHECK LIST FOR SCRUTINISING THE MEDICAL REIMBURSEMENT BILLS. The Punjab Government has drawn a Check list to be followed while preferring / disposing of medical claims. Some of these items have become obsolete because of – a) Grant of Fixed Medical Allowance without option, and b) Stoppage of reimbursement of treatment as outdoor patient except in cases of Complicated Chronic Diseases. Some other items are to be followed by the Government Department concerned. The rest which are to be complied with by the claimant are listed below:(1) That the medicines have been purchased within the time limit from the prescription of medicines. date of (2) That the bill has been submitted within six months from the date of completion of treatment. (3) That the claim pertains to the in-door treatment, or out-door treatment (in the case of complicated chronic diseases only) (4) That the bill is according to various instructions issued by the Government from time to time. (5) That the total of the bill is correct. (6) That the prescription slip(s) Attendant. (7) That the bill is countersigned by the Head of the Office. (8) That the names of the medicine items should be written in capital letters so that the Bill could be checked properly. (9) Certified that the charges for Heater and A.C. are not included. and bills bear the stamp of the Authorised Medical (10) Certified that the patient is fully dependent upon me. (11) Certified that the undertaking regarding accepting of Govt. rates for taking treatment from private hospital is attached. (12) Certified that the Bill is for treatment in private Hospital in the State and has been approved by the District Medical Board. (13) Certified that the bill is for treatment in private Hospital out side the State and has been approved by the State Medical Board. 60 (14) Certified that the bill is for treatment in private Hospital and has been approved by the Director Health Services. (Authority: P.G. letter No. 21/49/96-5HBV/32733, dated 5.12.1996). NOTE: (a) An Essentiality Certificate is to be obtained from the Authorised Medical Attendant duly countersigned by the in-charge of the Hospital (Medical Superintendent with seal) and be submitted in duplicate to the Department concerned. (Annexure XII). Note: (b) Attachment of the prescription slips with medical reimbursement claim is not necessary. If the sanctioning authority is satisfied about the genuineness of the Essentiality Certificate, the prescription slip would not be insisted upon, and Essentiality Certificate would do. In case the Sanctioning Authority has any reason to doubt the genuineness of the Essentiality Certificate, the prescription slips may also be asked for. (Authority: P.G. letter No.4330-3HBV-81/18453, dated 10.11.1981.) 14.2. TIME FRAME FOR SANCTIONING OF THE CLAIM. The Punjab Government has prescribed the following procedure for ensuring efficient disposal of medical reimbursement cases beginning with the preferment of a claim to the actual stage of reimbursement. (1) Total time frame for the disposal of a case from the time of preferment of claim may vary from one month to six months depending on the nature of the claim and the financial powers with the concerned Reimbursing Authority. (2) A Check List has been drawn up for use at the point of preferment of claim in order to ensure that the entire documentation is completed. Where there are deficiencies and defects these should be pointed out to the applicant in one go. There should be no occasion for any objection thereafter. (3) The lower / subordinate office will take not more than seven working days in submitting the Bill to the next higher Authority after thoroughly scrutinising the bill according to the Check List. (4) The next higher Officer will also not take a time more than 7 working days after receipt of the Medical bill from the lower office. (5) The Head of Department will approve reimbursement claim in case where he / she is competent. Those cases requiring approval of the Administrative Secretary, would be sent to the Administrative Department. The Assistant, Superintendent, and sanctioning authority will not take more than seven working days. (6) The time taken for the transmission of the bill will be in addition to the time mentioned above. (7) Where the case is required to be sent to the Finance Department, the Head of Department may send it directly with a copy thereof to the Administrative Secretary. The Finance Department should also not take more than 20 working days for its final decisions. (8) The reimbursement should be made as per powers delegated by Government from time to time. (Authority: P.G. letter No.21/49/96-5-5HBV/ 32733, dated 5.12.1996,) 61 14.3. In order to scrutinise the medical claims of employees as well as pensioners of Punjab Government a new standard Performa given below has been approved by the Finance Department. Therefore, the Administrative Department concerned is required to enclose this Performa on the medical claim case to be sent to the Finance Department. PROFORMA FOR SUBMITTING MEDICAL CLAIMS. (1) Name of the employee. a) Name of dependent patient (if any) b) Relation. (2) Whether claim is for indoor treatment or outdoor treatment. (3) Diagnosis (Chronic / Non-Chronic) (4) Name of Hospital from where treatment obtained. (Private / Government) (5) Date of treatment. (6) Whether permission of the State Government for treatment outside the State or in a Private Hospital has been taken according to instructions of Punjab Government. (7) Total expenditure incurred on treatment. (8) AIIMS / PGI Rate admissible in such cases. (9) Amount payable after deducting non-reimbursable items according to check list. (10) Whether all necessary documents are complete and attested by the competent Medical Officer and claim presented. Signed by Administrative Secretary or Spl., Addl or Joint Secretary. (Authority: P.G. ID No. 12/54/96-5HB5 / 12720, dated 14.6.1996,) NOTE: The claimant should enclose the above proforma duly filled in with his / her medical claim for the convenience of Administrative Department concerned. 15. DEVOLUTION OF FINANCIAL POWERS: Note: The provisions regarding devolution of financial powers as contained in Punjab Government letters No.12/53/2000/5 f; 5/2115, dated 23.1.2002 And No.12/53/2000/5 f; 5/20800, dated 13.9.2002, have since been Substituted by the following with effect from 24.6.2010, vide Punjab Government letter No.21/47/2009/5 f; 5 /1210, dated 24.6.2010. 15.A. Financial Powers to sanction medical claims. Sr. Amount of Medical Competent Officer for sanctioning the medical Claim. No. claim 62 1 2 3 15.B 1) For those Government employees /pensioners Who have their offices at District level the District officer of the (Fifty thousand) per concerned Department. case. 2) Where there is no District level office of the concerned Department ( for pensioners only) Civil Surgeon of the District. 3) For Government employees posted at Chandigarh and pensioners residing in Chandigarh – Head of of office of the concerned Department of Punjab Government. Head of the Department Full powers Full powers Administrative Secretary of the Department. Up to Rs. 50,000/- Financial Powers to verify medical bills 15-B(i). In respect of Government Hospitals: S.No. Amount of Medical Bill Authority to verify the medical Bill. 1 Up to Rs.25000/- Concerned Doctor (Authorised Medical Attendant.) 1 Up to Rs.1,00,000/- Civil Surgeon of the District with the approval of District Medical Board. Director of Health and Family welfare Punjab (with the approval of District Medical Board or in other cases with the approval of Medical Board. Constituted in the Directorate of Health, Punjab ) 2 Full Powers 15-B(ii) In respect of private Hospitals located in the State of Punjab / Chandigarh. Amount of Authority to verify the medical Bill. S.No. medical Bill Civil Surgeon of the District with the approval of District 1 Up to Rs.25000/Medical Board. Director, Health and Family Welfare Punjab with the 2 Above approval of District Medical Board (For employees posted at Rs.25,000/Headquarters, a separate Medical Board has already been constituted in the Directorate of Health, Punjab.) 15-B (iii) The Medical Bills in respect of Private Hospitals outside the State of Punjab shall be verified by the Director, Health and Family welfare Punjab with the approval of the Medical Board. NOTE: Ordinarily the Medical Board should verify the medical claims on the basis of Medical Bills / documents, and the patient should not be asked to appear before the Board except when absolutely necessary. (Authority: Letter No. PMH(4)/407 / 31396 – 31416, dated 19.10.2007, from Director Health Service and Family welfare, Punjab to all Civil Surgeons. 15-C (i) It would be the responsibility of the concerned Officer to check the bills of medical expenditure as per the above delegation of financial powers in accordance with the relevant instructions issued by Government from time to time and financial rules. 63 15-C (ii) If in any case, relaxation in Punjab Services (Medical Attendance) Rules, 1940 and / or in the relevant instructions is needed, such cases shall be decided by the Health Department in consultation with the Finance Department. Note: The provisions in Para 15-A, 15-B and 15-C above are applicable with effect from 24th June 2010. (Authority: P.G. letter No.21/47/2009 – 5 f; 5/1210, dated 24th June, 2010.) 16 - 1(a) In partial modification of the previous instructions on the subject, it has been decided in public interest that their medical claims for reimbursement be submitted by the pensioners to the concerned Officers as below. Pensioners living near or They will submit their medical claims to their around Chandigarh, Mohali and respective Head of Department who will finally Panchkula dispose of the claim as per existing Government instructions on the subject and wherever required, the approval / verification of DHS be obtained. 1 Note: this Para has been partially modified as per para 16.1(b) infra.(vide P.G. letter No. 12/8/2011-5 f; 5/3365, dated 26.12.2011) 2 Pensioners living in other parts They will submit their medical claims to the Head of of Punjab District Office of the Department from where they have retired. In case there is no such District Office of his Department, he will submit his claim to the Civil Surgeon of the District from where he is drawing his pension who will finally dispose of the claim. 3 Other than the above They will submit their medical claims to the Head of categories of pensioners (who Department from where they have retired. live outside Punjab.) (Authority: P.G. letters No.12/8/2011-5 f; 5/880, dated 22.3.2011; and No. 1/8/2011-5 f; 5/1465, dated 31.5.2011.) 16.1.(b) Serial No.1 of Para 16.1(a) added vide Punjab Government letter No. 12/8/2011-5 5/880, dated 22.3.2011 has been partially modified as under: 16-1(b)(i) Pensioners residing in Chandigarh / Panchkula and drawing their pension from there, and whose District level Office or Head of Department from where they have retired, is not located at Chandigarh, shall submit their medical claims to Director Health Services and Family Welfare, Punjab for final settlement, irrespective of the fact that they might have retired from any office in any District of the State. 16-1(b)(ii) Pensioners retired from Mohali or any other District, who reside at Mohali and draw their pension from there, whose District level office or Head of Department, from where they have retired, is not located at Mohali / Chandigarh, shall submit their medical claims to the Civil Surgeon Mohali for final settlement. 64 (Authority: P.G. letter No.12/8/2011 – 5 f; 5/3365, dated 26.12.2011.) 16.2. Payment of Reimbursement amount of medical claims: After the claim for reimbursement of medical expenditure has been sanctioned by the competent authority, the Head of Office submits the bill to the Treasury and the payment of the bill is made to the claimant through cheque, issued by the Treasury Officer concerned. **************