J&Ok HEALTH INSURANCE FRAUD CASE | ED attaches property value Rs 36 Cr

Srinagar, Jan 18: Directorate of Enforcement (ED) Thursday provisionally hooked up immovable and movable properties value Rs 36.57 crore within the case of M/s Reliance Common Insurance coverage Pvt Ltd (RGIPL) and M/s Trinity Reinsurance Brokers Non-public Restricted (TRBL) associated to the fraudulent awarding of tender of Mediclaim Insurance coverage Coverage for the J&Ok authorities workers, PSU workers and pensioners fraudulently to M/s Reliance Common Insurance coverage Pvt Ltd by Finance Division, J&Ok, in collusion with M/s Trinity Reinsurance Brokers Restricted (Insurance coverage Dealer).

Officers stated that the ED initiated an investigation based mostly on FIR registered by the CBI, ACB, Srinagar for the fee of offences below varied sections of the Ranbir Penal Code (Pari-Materia to sections 120-B and 420 of the Indian Penal Code) and JKPC (Pari-Materia to sections 13(1) (d) learn with 13(2) of PC Act), based mostly on a criticism filed by the Common Administration Division (GAD), Authorities of J&Ok towards M/s Trinity Reinsurance Brokers Restricted, M/s Reliance Common Insurance coverage Firm Restricted, and unknown public servants and personal individuals.

They stated that the ED investigation revealed that the Finance Division, Authorities of J&Ok, intentionally awarded the tender for the engagement of an middleman (insurance coverage dealer) for designing and floating the tender for and implementation of the stated well being scheme for the federal government workers and pensioners of J&Ok by doubtful choice and shortlisting course of to M/s TRBL with out holding the important eligibility standards.

Furthermore, the ED officers stated that the tender for engagement of IRDAI registered insurance coverage firm was awarded by means of M/s TRBL to the stated insurance coverage firm which was already blacklisted by the Authorities of Chhattisgarh by modification and deletion of important eligibility standards.

This was although the stated firm had much less presence in J&Ok state and naked minimal expertise, as per the requirement of the stated tender, through the stipulated interval.

On this approach, an quantity of Rs 63.53 crore was fraudulently disbursed to the above firms.

Out of this quantity, the medical claims of roughly Rs 17 crore have been disbursed by the M/s RGIPL.

The ED has hooked up land value roughly Rs 4.04 crore within the identify of M/s Globus Commerce Hyperlinks Pvt Ltd, a subsidiary of M/s TRBL and FDRs to the extent of worth of Rs 32.53 crore about M/s Reliance Common Insurance coverage Pvt Ltd.

The officers stated that additional investigation is below progress.