The Ministry of Public Administration, Provincial Councils and Local Government has announced significant amendments to the Agrahara Insurance Scheme, effective from March 1, 2026. These changes, approved by the Cabinet, aim to expand health benefit coverage and ensure the long-term stability of the scheme.
Key Amendments to Contributions and Coverage
The monthly contribution rates for public officers have been revised as follows:
- Minimum Contribution: Rs. 200/-
- Silver Scheme: Rs. 450/-
- Gold Scheme: Rs. 750/-
Additionally, the maximum age limit for personal accident and natural death insurance has been adjusted to the compulsory age of retirement. While natural death benefits are capped at age 70, other insurance claims can now be enjoyed for a lifetime.
Mandatory Registration and New Procedures
A major administrative shift will take place on April 1, 2026, after which all Agrahara benefits will be processed exclusively through a digital database.
- Compulsory Registration: All public officers must register and keep their information updated in the Agrahara Database.
- Claims for Deceased Officers: In the event an officer passes away while hospitalized, spouses, children, or parents may now submit medical claims incurred prior to the death.
- Strict Timelines: Health insurance bills must be submitted to the National Insurance Trust Fund within 90 days. Death claim files must be submitted via the Head of the Institution within six months of the member’s passing.
