Nothing in these regulations shall relieve an Insurance Medical Officer to whom an insured woman has been allotted, or an Insurance Medical Officer attached to the dispensary, hospital, clinic or other institution to which an insured woman is allotted of the obligation to examine and if in his opinion, the condition of the woman so justifies, issue free of charge a certificate of pregnancy, of expected confinement, of confinement or miscarriage or of a sickness arising out of pregnancy, confinement, premature birth of a child or miscarriage during any period in which such insured woman is obtaining treatment or attendance from any other person or from any other hospital or institution.
MEDICAL BENEFIT TO FAMILIES 95-A. Medical benefit to families of insured persons. — (1) Medical benefit may be extended to the families of insured persons from such date as the Corporation may in consultation with State Government, notify.
(2) The family of an insured person shall become entitled to medical benefit from the day the insured person himself becomes entitled to medical benefit and shall continue to be so entitled so long as the insured person is entitled to receive medical benefit for himself, or in the case of death of the insured person till such date upto which the insured person would have remained entitled to medical care, had he survived.
(3) The nature and scale of medical benefit to which the family of an insured person shall be entitled shall be such as may be specified by the State Government in consultation with the Corporation from time to time.
(4) The appropriate office shall arrange to add in Form 4, Form 4-A, the particulars of the family entitled to medical benefits.
(5) * * *.
FUNERAL EXPENSES 95-B. Report of death of insured person. — In case of death of an insured person, —
(a) if the death occurs at the place of employment, the employer shall, and
(b) if the death occurs at any other place, the person entitled and intending to claim funeral expenses shall, or
(c) any other person present at the time of death (sic.) may, immediately, report the death to the Branch Office of the deceased insured person.
95-C. Issue of death certificate. — An Insurance Medical Officer attending the insured person at the time of death or the Insurance Medical Officer who examines the body after the death or the Medical Officer who attended the insured person in a hospital or other institution where such insured person died, shall issue free of charge a death certificate in Form 13 to the person entitled and intending to claim funeral expenses.
95-D. Other evidence in lieu of a certificate. — The Corporation may accept any other evidence in lieu of a death certificate by Insurance Medical Officer if in its opinion, the circumstances of any particular case so justify.
95-E. Submission of claim for Funeral Expenses. — (1) A claim to funeral expenses shall be submitted to the appropriate Branch Office by post or otherwise in Form 22 by the claimant entitled under the Act and in case of a minor, by his guardian, and such claim shall be supported by documents proving :
—
(i) the death of the deceased person.
(ii) that the person claiming is the eldest surviving member of the family of the deceased insured person and incurred the expenditure necessary for the funeral of the deceased, or
(iii) in case the claimant is other than the eldest surviving member of the family : —
(a) that the deceased insured person did not have a family or that the deceased insured person was not living with his family at the time of his death ; and
(b) that the claimant actually incurred the expenditure claimed on the funeral of the deceased insured person:
Provided that where the appropriate office is satisfied about the bona fides of the applicant or about the truth of the facts relating to any of the matters mentioned above, one or more of the documents may be dispensed with.
(2) The following may be accepted as proof for purposes of clauses (ii) and (iii) of sub-regulation
(1) of this Regulation : — A declaration of the claimant duly countersigned by —
(i) An Officer of the Revenue, Judicial or Magisterial Departments of Government ; or
(ii) A Municipal Commissioner ; or
(iii) A Workmen’s Compensation Commissioner ; or
(iv) The Head of Gram Panchayat under the official seal of the Panchayat ; or
(v) The employer of the deceased insured person ; or
(vi) 9 member of the Regional Board ; or
(vii) A member of Local Committee ; or
(viii) An official of the Trade Union ; or
(ix) An Insurance Medical Officer or Insurance Medical Practitioner.
(b) Any other evidence or declaration acceptable to the appropriate office in the circumstances of a particular case.]
CHAPTER IV MISCELLANEOUS