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  • KADCHMA scheme has two kinds of beneficiaries in formal and informal sector

    • Informal sector insures contributions based on out-of-pocket payments

    • Formal sector insures, mainly government employees, contributions based via deduction from their salary (currently 3%)

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  • On contribution as salary deduction e.g. Nepal case (SSF) combined deduction - financed through salary-based contributions amounting to 31 % of a worker’s/employee’s basic salary whereby 11 % is paid by the worker/employee and 20 % is borne by the employer

    • Fundamental difference of KADCHMA scheme, compared to Nepal / SSF schemes, it is only a health insurance scheme, whereas SSF contribution covers multiple schemes (‘contribution bundles’ = integrates several benefits) including pension

    • In the described case of Nepal several ‘contribution plan’s are sub-surmised under a ‘contribution bundle’, i.e. for each benefit one contribution plan is created, subsequently the contribution bundle is created where you define which contribution plans are pulled into the bundle; these bundles might vary by person / insure (bundles can be defined individually) Group insurance /wiki/spaces/SB/pages/3623878972

  •  Encouraging work on documentation – user manual, might need additions on the formal sector functionalities 

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