Corrigendum (Tender No.: RBI/HRMD-CO Central Office Departments/Others/15/25-26/ET/1023) An offline pre-bid meeting on the captioned RFP was held at RBI, COB on February 24, 2026 (Tuesday) at 1100 Hrs. The meeting was chaired by Shri Saksham Sood, Assistant General Manager, EHS, HRMD, Central Office and attended by prospective bidders. The list of participants is furnished in Annex-I. 2. M/s Marsh Insurance Brokers India Private Limited (Marsh), the empanelled broker of the Bank gave the presentation on the Group Mediclaim Policy for Hospitalisation (GMP-IPD) and highlighted the following important points to the prospective bidders. -
Bidders were advised during the presentation to thoroughly review the Plan Design and RFP in its entirety, and to submit their financial quote along with all required documents as outlined in the tender. -
Bidders were informed that the tender’s co-insurance model will include a lead insurer and co-insurer(s), with the lead insurer responsible for all policy-related matters. -
Bidders were advised to provide recommendations on the Green Channel Hospitalisation Discharge process for the Bank’s retired senior management and to be prepared for its implementation. -
Bidders were advised to submit Non-Disclosure Agreement (NDA) on their letterhead, as per Annex – 1 of the RFP documents, post which additional documents along with detailed NDA and Service Level Agreement (SLA) will be shared by Marsh. -
Bidders were advised that no pricing or financial information should be submitted along with the Technical Bid; failure to comply with this requirement will result in the disqualification of the Technical Bid. -
Certain annexures are required to be executed on ₹500 stamp paper, as specified in the RFP. -
The documentation must be complete and in proper order, fully adhering to the requirements for supporting documents as outlined in the RFP. -
Participating bidders are required to submit their financial bid based on the Plan Design for 2026-27 policy. -
Bidders must comply with certification requirements to avoid disqualification. -
The selected bidder shall collaborate with the TPAs appointed by the Bank, and the use of in-house TPAs by the selected bidder (if any) will not be permitted for the policy. -
Bidders were also requested to advise on a suitable staggered payment structure for the TPA, linked to clearly defined service standards. -
Bidders were informed that the RFP contains a few typographical errors, which will be rectified through an official corrigendum. All bidders are requested to refer to the corrigendum for the corrected version of the document as furnished in Annex-II. 4. The queries submitted by the prospective bidders and response of the Bank are furnished below: | Sl. No. | Queries | Bank’s Response | | 1 | “Once the corporate buffer is fully utilized, RBI would pay additional corporate buffer @ 100% to enhance the corporate buffer amount as required.
There should be no limit on replenishment of Corporate Buffer during the policy period in terms of amount and events”.
The Oriental Insurance Company has enquired about the replenishment of Corporate Buffer (CB) from the Bank beyond the stipulated policy period. | The participants were informed that.
i. Requests for replenishment of the Corporate Buffer (CB), submitted by the Insurance Company either during the policy period or after its expiry, will be considered and processed accordingly.
ii. It was clarified that the CB replenishment shall be maintained in a separate and distinct account, entirely independent of the premium account. Under no circumstances shall the replenished CB be merged with, adjusted against, or appropriated toward the premium account or the regular claims account.
iii. The CB replenishment amount shall be utilised in full (100 per cent), subject to deduction of the pre-determined TPA administrative fees and applicable brokerage charges. | | 2 | “Local ambulance charges for admission, transfer to another hospital and/or discharge under critical condition as advised by the doctor”.
The Oriental Insurance Company has enquired whether there is a sub-limit/ceiling on the ambulance charges. | The participants were informed by the Bank that there is no ceiling on the ambulance charges. It was further clarified that ambulance services for return journeys from the hospital shall not be admissible, unless specifically warranted and duly prescribed by the hospital or the treating doctor. | | 3 | The plan design specifies an indicative list of 150+ day care procedures, explicitly noting that coverage is not restricted to this enumerated list. In this context, The New India Assurance Company Limited has sought clarification on the periodicity of updates to such procedural lists within their database to ensure seamless coverage for insured individuals | It was clarified that the existing list of 150+ day care procedures has been expanded based on past claims experience to ensure that patients who are clinically eligible for day care treatment are not required to undergo unnecessary 24-hour hospitalisation solely to meet the IPD policy’s hospitalisation clause for claim admissibility. It was further stated that RBI doctors, in consultation with the broker’s medical team, shall review the day care list on a quarterly basis in line with advancements in medical treatment. However, where immediate inclusion of a specific procedure is warranted, the matter shall be taken up with the TPA and the Insurance Company will be expected to facilitate the same. | | 4 | In case of treatment in government/municipal hospital where cashless facility is not available on account of (advance) payment facility, up to 50% of the estimated cost of treatment within the limit per hospitalisation will be paid directly to the hospital from where the estimate is taken.
The Oriental Insurance Company has raised their concerns with the respect to submission of documents of the claim post hospitalisation. | It was clarified that the TPA shall not question or seek verification of the credentials of Government Hospitals and that such hospitals shall be automatically empanelled for the purpose of extending cashless facilities. Given that these hospitals are fully owned and managed by the Government, it was further observed that there should not be any significant discrepancy in hospitalisation costs, whether under cashless treatment or reimbursement mode. | | 5 | “Repudiation of claims shall be at sole discretion of Employee Health Section, HRMD, Central Office of RBI”.
The Oriental Insurance Company has informed that claims will be processed and settled or repudiated in accordance with applicable IRDAI guidelines. In this regard, they have requested the Bank to provide the Standard Operating Procedure (SOP), if any, followed for claim repudiation under the above-mentioned provision | The participants were informed that all reimbursement claims proposed to be rejected by the TPA will be forwarded to the Bank through the Insurance Broker. The Bank will take a decision based on the opinion of its Medical Officer and the decision of the Bank will be final in this regard. It was further deliberated that the existing process shall be appropriately strengthened and streamlined to ensure effective and seamless handling of repudiated claims as well as cases involving substantial deductions. | | 6 | Universal Sompo General Insurance Company Limited has requested for claims and demographic data from the Bank. | The participants were informed that the claims and demographic data will be shared with the bidders upon submission of Non- Disclosure Agreement (NDA). | | 7 | “In case of bilateral knee or hip replacement surgery done during the same hospitalisation, reimbursement to be made up to twice the ceiling applicable and cashless facility extended in the empaneled hospitals to be made twice the ceiling applicable as per Table 1”.
“Oral & adjuvant chemotherapy to be covered up to double the Sum Insured (SI) on cumulative basis”.
The Oriental Insurance Company Limited has requested clarification on the procedure for settling of above-mentioned claims exceeding the Sum Insured (SI) under the Base Cover and the adjustment of excess amounts against the Corporate Buffer. | The Bank reiterated that, in accordance with the terms and conditions stipulated in the Plan Design, the Insurer’s liability shall extend up to twice the Sum Insured (SI) under the Base Cover in respect of bilateral knee or hip replacement surgery performed during the same hospitalization and for oral and adjuvant chemotherapy, and that the Corporate Buffer shall be invoked only after the reinstated Sum Insured under the Base Cover has been fully exhausted.
However, in the event of the insured’s death, the Insurer’s liability shall be limited to one SI only, with any balance amount, if applicable, to be met from the Corporate Buffer. This position was expressly endorsed by the incumbent insurer, The New India Assurance Company Limited, and duly acknowledged and confirmed by the other prospective bidders. | Note: For certain other queries on filling up of technical bid, scoring, process of selection, etc., the participants were advised to refer to the RFP document. 4. Assistant General Manager, RBI thanked all the participants and advised them to submit their bids well in advance to avoid last minute technical glitches, if any, on the MSTC portal. |
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