Common use of Scope of Monitoring Clause in Contracts

Scope of Monitoring. a. Monitoring under AB-PMJAY shall include supervision and monitoring of all the activities under the AB-PMJAY undertaken by the Insurer and ensuring that the Insurer complies with all the provisions of the Insurance Contract signed with the State Health Agency (SHA) and all contracts and sub-contracts/ agreements issued by the Insurer pursuant to the Insurance Contract with the SHA for implementation of the Scheme. b. Monitoring shall include but not be limited to: i. Overall performance and conduct of the Insurer. ii. Claims management process. iii. Grievance redressal process. iv. Fraud control process v. Any other aspect/ activity of the Insurer related to the implementation of the Scheme.