PLEASE GO THROUGH THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE SUBMISSION OF OPTION
- PLEASE READ STAFF CIRCULAR 8128 DATED 06-11-2023 CAREFULLY BEFORE SUBMISSION OF THIS FORM
- THE FORM IS TO BE SUBMITTED FOR CONTINUATION IN POLICY ONLY BY :-
- RETIRED EMPLOYEE/FAMILY PENSIONERS WHO ARE ALREADY COVERED UNDER THE POLICY 2022-23.
OR
- RETIRED FROM BANK BETWEEN THE PERIOD OF 01.10.2022 TO 30.09.2023 AND OPTED FOR CONTINUATION OF MEDICAL INSURANCE POLICY, TILL 31.10.2023.
- ANY MODIFICATION IN OPTION, IF DESIRED, IS TO BE DONE THROUGH THIS FORM ONLY.
- IN CASE NO OPTION IS RECEIVED FROM THE RETIREE, IT WILL BE CONSIDERED AS EXIT FROM THE POLICY.
- THIS DATA WILL BE FREEZED ON 24-11-2023.THIS MODULE WILL NO MORE BE AVAILABLE TO THE RETIRED EMPLOYEES AFTER 24-11-2023.
- PLEASE ENSURE TO PRESERVE A COPY OF ACKNOWLEDGMENT GENERATED UPON SUBMISSION OF OPTION FOR FUTURE REFERENCE.
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