Page 1 of 7

MECON LIMITED,

Ranchi - 834002

HR DEPARTMENT

CIRCULAR

No.11.73.1/PSMBS/2020 Date: 15.05.2020

Sub: Renewal of Post Superannuation Medical Benefit Scheme for Below Board Level Employees

The existing Group Health Insurance Policy 2019-20 under POST SUPERANNUATION MEDICAL BENEFIT

SCHEME (PSMBS) for below board level employees will be expiring on 28.06.2020 and new policy

period will be made effective from 29.06.2020 to 28.06.2021. Therefore, the eligible ex-employees/

spouse (in case of deceased ex-employee), interested for enrolment are requested to send the

application form along with employee’s contribution as mentioned below, latest by 15.06.2020, for

further process to be done beforehand:

Components Existing Beneficiaries New Beneficiaries

Employees contribution Rs. 2400/- Rs. 2400/-

Registration fee Nil To be paid depending on grade at

the time of separation:

CGMs (E-8) & ED: Rs. 250/-

Executives from E-0 to E-7: Rs. 200/-

Non-Executive Employees: Rs.150/-

Total Contribution to be paid Rs. 2400/- Rs. 2400/- + Registration fee

Photograph of self and spouse Not required Required (with name and Pl. No.

written at the back).

1. Mode of Payment:

Payment should be made through MECON Online Payment Gateway Portal. The whole process for

making payment through online payment gateway portal has been described in Steps in next

pages attached herewith.

2. Submission of Application:

The prescribed application form has already been uploaded on Ex-Employee portal. The hardcopy

of the filled in consent form (application form also attached herewith), the receipt of payment

made through above mode along with passport size photographs of self and spouse (if new

enrolment) should be sent to Junior Executive (HR), Establishment Section, HR Department, MECON

Ltd., Vivekanand Marg, Doranda, Ranchi - 834002

Or

The scanned copy of the filled in consent form (application form) in pdf format along with the soft

copy of payment receipt and passport size photographs separately in jpg format should be emailed

at psmbs@meconlimited.co.in

This is for kind information of all concerned.

(K.T Durai)

General Manager I/c (HR)

Page 2 of 7

Steps for Payment towards PSMBS

1. Go to www.meconlimited.co.in

3. Following Screen will appear. Click on “Pay Online”. You will be redirected to MECON

Online Payment Gateway Portal.

2. Click Link ‘ Ex - Employee Portal’ .

Page 3 of 7

4. For New User, click on the “Sign-Up” link.

5. Enter your Name, Mobile No., Email ID, Desired Password, Address and click on “Register”.

Page 4 of 7

7. O n successful registr ation, Login to the Porta l .

6. An OTP will be generated and sent to the Mobile Number. Enter OTP and click “Submit”.

8. After Successful Login, below screen will appear. Click on “Ex-Employees” tab.

Page 5 of 7

9. A popup window will appear. Select the “Payment Against” in drop down list, and Enter

your “Pers. No” and click on “Pay”. Please ensure that your Personal Number is correct

as payment details will be updated against Personal Number.

10. Read the Terms and Policy carefully and Click “Proceed”.

11. Use Debit Card/ Credit Card/ NetBanking/ UPI for payment.

Page 6 of 7

12. A transaction Invoices will be generated after successful transaction. Click on download and

save the invoice for future reference.

Page 7 of 7

11.73.1.F.30

MECON LIMITED, RANCHI-834002

Application For Enrolment To The POST SUPERANNUATION MEDICAL BENEFIT SCHEME (PSMBS) 2020-21

Sl No.

EMPLOYEE DETAILS

1 Name of Applicant (ex-employee)*

2 Gender: (Kindly tick) * Male Female

3 Personnel No. *

4 Designation (Grade), Section last held*

5 Date of joining (DD-MM-YYYY) *

6 Date of Birth of Employee (DD-MM-YYYY)* - -

7 Date of Separation (DD-MM-YYYY) * - -

8 Nature of Separation : (Kindly tick) * Retirement VR Death

9 Name of the Spouse*

10 Date of Birth of Spouse (DD-MM-YYYY) * - -

11 Gender (Spouse): (Kindly tick) * Male Female

12 Whether spouse is employed in any Central/State Government/PSU or Govt. Local Bodies. (Kindly tick) *

Yes

No

13

Address for correspondence: *

City/Town: * State: * Pin Code: *

14

E-mail address *

15 Mobile No. *

16 Coverage for (Kindly tick) * Self Spouse Both

17 Aadhar Card No.

18 PAN Card No.*

19 Membership status: (Kindly tick)* Renewal New (1

st time)

20 Payment details: * a. Amount

b. Mode(DD/online) c. DD No./Tracking Id no.

21

Sign of Employee*

Sign of Spouse* * Mandatory Fields to be filled by Beneficiary

NA to be filled wherever Not Applicable

Note: Please enclose ONE passport size photograph of self and spouse separately for new membership.

DECLARATION

I hereby declare and certify that the above information given in respect of self and spouse, is true and complete in all

respects. I further agree that I am aware of MECON’s POST SUPERANNUATION MEDICAL BENEFIT SCHEME (PSMBS) and am joining

the Scheme on my free will and volition. Any change in the above information should be informed to the TPA with a copy to

MECON Office promptly. In case at a later date, if the information is found to be false, I agree to forfeit my membership under the

Scheme.

Date:

Signature of the Applicant: