Government-Sponsored Health Insurance in India

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13

ESIC and state ESIS departments

13,585 (includes hospital and dispensary staff )

Executing agency

Number of staff in governing agency

Same as governing agency

MOHFW / GOI

2

Yeshasvini Cooperative Farmers Health Care Trust/ autonomous trust TPA

<10

<10

~10 at center and ~100 at state nodal agencies

Licensed TPA

insurance company

State nodal agency and insurance company

Trust and insurance company

117

Suvarna Arogya Suraksha Trust/ autonomous trust

TN Health Systems Society/ autonomous society

State nodal agency/ insurance company

Aarogyasri Healthcare Trust/trust

State health department and contractual staff 5

HP Swasthya Bima Yojana Society/ autonomous society

Insurance companies and TPAs

Apka Swasthya Bima Yojana trust/ autonomous trust

Note: — = not available. a. In 2011–12, the scheme was modified to include additional procedures and relaunched as the Chief Minister’s Comprehensive Health Insurance Scheme, and the executing agency serving the scheme also changed. The maximum coverage was also changed from Rs. 100,000 floating over four years to Rs. 100,000 per year. Hereafter, this write-up reflects the scheme details that existed when this study was undertaken, in 2010–11. b. ASBY was on the drawing board when this study began. The expected launch in 2011–12 had not yet happened when this book went to press.

ESIC / autonomous corporation

Governing agency/legal status


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