SSS Help

  • The Escalation matrix

     

    For claims in the year 2025-2026.

    (for any claims of 2024-2025, you will have to contact Prudent brokers and Raksha TPA.)

     

     

    Escalation_matrixDownload

  • Basics – How to Join

    How to Join.

    The idea of Group Insurance through SSS involves two processes.

    1. Obtaining membership of SSS.
    2. Buying a policy through SSS.

     

     

     

     

     

     

     

     

    Obtaining Membership.

    There are four types of membership viz Primary , Associate, Linked Associate and Sponsored.

    1. Primary membership is for serving or retired officers from Army, Navy, Air Force or Coast guard. A primary member has voting rights in AGM and also he can sponsor applications for membership in accordance with the laid down rules.

    2. Spouse of a defence personal is also automatically eligible for primary membership.

    3. Associate Member Children above 25 years can become members but they cannot vote or sponsor applicants.

    4. Linked associate members.

    The parents or parents in law can apply for membership based on recommendations from their primary member..
    They will not be able to buy policies unless the linked primary member buys.

    5. Sponsored Members. A primary member can sponsor applicants as per the relationship tree given by SSS. It covers almost all , siblings, nephews , nieces etc.
    They will not be able to buy policies unless the linked primary member buys.

    Also this provison is only temporary for a particular period. But once a membership is obtained, it will be valid as long as the member fulfills all laid down conditions.

    All applications are processed on-line. At ssamiti.org separate forms are available for each category.

    Membership is open through out the year though policy purchase is open only for three months from the start of policy ie 15 Mar .

  • The Basics

    1. Sainik Seva Samiti is an Association of Persons with a common intent towards welfare of Veteran Community. The Aim as laid down in the AOP is 

    2.     SSS lays down rules for eligibility of members and is empowered to deal with external agencies for supporting health care of members .

    3.    ODIN is a brokerage service that interacts with various insurance companies to obtain  offers for group insurance as required by our organization. Mostly what we get is an offer tailor made for the composition of our group and the resources we have like ECHS cover.

    4. Magma General Insurance Ltd   They provide the insurance Cover.

    5. Volo  TPA  (Erstwhile East West Assist) . It is a  third party administrator  , hired by the insurer for servicing the clients.

    As members , or the insured , we will need to deal only with Volo TPA for all services related to health cover assured by our insurance policy issued by Magma. Odin assists the member in case there is any issue that cannot be satisfactorily resolved by Volo TPA.

    A point to note is that every year SSS has to  call for offers / negotiate for a brokering service, for insurer and for TPA.

    It is desirable to continue with the same entities , however competition provides for better terms and conditions as against monopoly by one Entity .