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Binder 3-13141

The document announces revisions to 13 employee benefit schemes by Larsen & Toubro Employees Trust effective October 1, 2020. Key changes include: 1) Increasing income limits and reimbursement amounts for schemes supporting differently abled children, medical assistance, and education of employees' children. 2) Raising prize amounts for academic performance in school and college, with additional rewards for post-graduation and doctorate degrees. 3) Increasing limits for medical assistance for life-threatening diseases, cataract surgeries, and other hospitalization expenses. 4) Allowing discretionary waiver of disability certificates for certain schemes.

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Anubhav Jain
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0% found this document useful (0 votes)
81 views93 pages

Binder 3-13141

The document announces revisions to 13 employee benefit schemes by Larsen & Toubro Employees Trust effective October 1, 2020. Key changes include: 1) Increasing income limits and reimbursement amounts for schemes supporting differently abled children, medical assistance, and education of employees' children. 2) Raising prize amounts for academic performance in school and college, with additional rewards for post-graduation and doctorate degrees. 3) Increasing limits for medical assistance for life-threatening diseases, cataract surgeries, and other hospitalization expenses. 4) Allowing discretionary waiver of disability certificates for certain schemes.

Uploaded by

Anubhav Jain
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 93

MS&CHC-2021-26 22nd April 2021

Dear All,
Larsen & Toubro Employees Trust (LTET) is pleased to announce the enhancement of
reimbursement / rewards in various schemes (Scheme no. 1 to 13) w.e.f. 1st October 2020.
The amendments / revision are as follows.

Scheme no.02 Support studies of Differently Abled Children of employees

Category Existing Revised


Service Period • Existing: Min. 3 years- as • Existing: Min. 2 years- as
Permanent employee Permanent employee
• Retired: Min. 15 years- as • Retired: Min. 10 years- as
permanent employee permanent employee
Income Limit • Gross Annual Income up • Gross Annual Income up to
to Rs.20 Lakh Rs.25 Lakh
Vocational Training • 90% of the cost -Max up • 90% of the cost -Max up to
to Rs. 50,000/- Including Rs. 1 Lakh /- Including
reimbursement of reimbursement of
a) Cost of Books & Uniform a) Cost of Books & Uniform
Max up to Rs. 5000/- Max up to Rs. 10,000/
b) Transport-Rs. 20,000/- b) Transport-Rs. 30,000/-
Disability certificate Min. 15% disability certificate Waiver off Govt. disability
from Govt. recognized certificate on case to case
institute/ hospital basis discretion of Head
Medical services and
Community Health Centers.

Scheme no. 04 Recognition & Prize for Academic Performance from SSC to Post-
Graduation including Professional Courses & Doctorate.

Passing in 1st attempt with percentage of marks Existing Revised


SSC or as under: Prize Amt Amt (₹)
Equivalent (₹)
examination 70 % & above but less than 80% 7,000 10,000
with marks
80 % & above but less than 90% 10,000 15,000
indicated.
90% & above but less than 95% 20,000 25,000
95% & above 30,000 35,000
HSC or Passing in 1st attempt with percentage of marks Existing Revised
Equivalent as under: Prize Amt Amt (₹)
examination (₹)
without 70 % & above but less than 80% 11,000 15,000
marks but 80 % & above but less than 90% 15,000 20,000
Grade Point 90 % & above but less than 95% 30,000 35,000
Average 95% & above 40,000 45,000
indicated.
Passing in 1st attempt with percentage of Existing Revised
Final year marks as under: Prize Amt (₹)
examination Amt (₹)
of any degree

1
/ post- 60 % & above but less than 70% 13,000 15,000
Graduate 70 % & above but less than 80% 20,000 25,000
degree /
80 % & above but less than 85 % 25,000 30,000
Doctorate.
85 % & above but less than 90% 30,000 40,000
90 % & above 50,000 60,000
90% & above for Post-Graduation 1,00,000 1,00,000
Doctorate 2,00,000 2,00,000
Final year Passing in 1st attempt with percentage of Prize Revised
examination marks as under: Amt (₹) Amt (₹)
of any 60 % & above but less than 70% 13,000 15,000
Diploma.
70 % & above but less than 80% 17,000 20,000
80 % & above but less than 85% 24,000 30,000
85 % & above but less than 90% 30,000 35,000
90 % & above 40,000 50,000

Scheme no.05 Medical Assistance for Life Threatening Diseases (LTDs)

Existing Limit Revised Limit


Rs. 5 lakhs per financial year Rs.6.25 lakhs per financial year

Scheme no.06 Medical Treatment for Differently Abled Children of employees

Category Existing Revised

Service Period • Existing: Min. 2 years as • No change


Permanent employee • Retired: Min. 10 years as
• Retired: Min. 15 years- permanent employee
permanent employee

Income Limit • Gross Annual Income up to • Gross Annual Income up to


Rs.20 Lakh Rs.25 Lakh
Therapy • 90% of the cost: Max up to • No change
Rs. 4 Lakh
Hearing aid & • 90% of the cost & Max up • 90% of the cost & Max up
wheel-chair to Rs.2 Lakh – once in 2 to Rs.2 Lakh – Once a year
years
Other Appliances • 90% of the cost & Max up • No change
to Rs.2 Lakh – once in 2
years
Surgical cost • Rs. 2 Lakh per annum • Rs. 4 Lakh in block of 2
years
Medical • 90% of the cost & Max up • No change
Consultation, to Rs. 1 Lakh
Assessment charges
Transport Expenses • Rs. 5000/- per month (with • Rs. 7500/- per month
prior approval) (with prior approval)

2
Disability • Min. 15% disability • Waiver off Govt. disability
certificate certificate from Govt. certificate on case to case
recognized institute/ basis on discretion of Head
hospital Medical services and
Community Health
Centers.

Scheme no. 09 Support education of children of employees who died/ fully


incapacitated while in service & Scholarship to meritorious Students.

Category Pre-Primary, Junior & Senior


Primary, Secondary College Professional
Amt (₹) Amt (₹) Courses
Amt (₹)
Existing Revised Existing Revised Existing Revised
Tuition Fees 30,000 60,000 60,000 1,00,000 1,20,000 1,20,000
Uniform 4,000 5,000 4,000 5,000 -
Books 8,000 10,000 7,000 10,000 10,000 15,000
Transport 8,000 15,000 5,000 15,000 6,000 15,000
Hostel 18,000 20,000 24,000 40,000 24,000 40,000
Total Eligible 68,000 1,10,000 1,00,000 1,70,000 1,60,000 1,90,000
Amt.

Scheme no.12 Financial Assistance towards Cataract Surgeries

Existing Limit Revised Limit


Rs. 30,000/- per procedure Rs. 40,000/- per procedure

Scheme no.13 Hospitalisation for Surgical Expenses other than Life Threatening
Diseases (LTDs)

Existing Limit Revised Limit


Rs. 1 lakh per financial year Rs. 1.5 lakh per financial year

22-04-2021

X
Dr. Divyang Shah
Head- Medical & Community Health Services
Signed by: Divyang

3
L&T Employees Trust
Scheme – 1 : Scholarship to meritorious students for doing Graduation & Post
Graduation in specified courses. (October 2020).

Eligibility

Income & age criteria:


1. Scheme covers Children of existing and retired employees of L&T, its Subsidiary and Associate
companies.
2. Existing employees should have served for at least three (03) years before being eligible to
claim under this scheme.
3. Retired employees should have served for at least 15 years as permanent employees before
being eligible to claim under this scheme.
4. In addition, the following conditions are to be fulfilled:
4.1. Gross Annual Income of existing employees should not be over ₹ 20 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediately preceding
financial year i.e. Form 16 while enrolling in the scheme.
4.2. Gross Annual Income of Retired employees should not be over ₹ 20 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediately preceding
financial year i.e. Form 16 at the time of retirement while enrolling in the scheme.
4.3. For the employees posted abroad, Overseas Allowance will also be reckoned.
5. The term “Children” means legitimate children and legally adopted children up to a maximum
of 02 children. The children should complete Graduation courses by the age of 25 years &
Post-Graduation courses by the age of 28 years. Married children of employees are not eligible
for the scholarship under the scheme.
6. Norms for award of scholarship for various courses are as under:
6.1. Students studying for Engineering / Architecture/ Medical / Physiotherapy / Pharmacy /
Hotel Management / Chartered Accountancy and Law ( Full Time 3/5 year course
excluding part time law courses ) courses covered under this scheme should have to
enroll in colleges/institutes coming under Universities recognized by UGC and institutions
created by an Act of Parliament.
6.1.1. Engineering (B.E., B.Tech.) / Architecture (B.Arch.) / Physiotherapy ( BPT ) /
Pharmacy ( B. Pharm. ) / Hotel Management (B.Sc. in Hospitality & Hotel
Administration) / Chartered Accountancy (C.A.) and Law (L.L.B.) Courses:
The students should have secured minimum of 70% marks in the 12th or equivalent
examinations and Minimum 70% marks in qualifying (Entrance) examination to
qualify under the scheme. The students will be ranked according to the marks
obtained in the examinations mentioned herein. (Refer point No.3 under Benefits
Head)
6.1.2. Medical Courses (MBBS, BDS ):
The students should have secured minimum of 70% marks in the 12th or equivalent
examinations and Minimum 70% marks in NEET examination to qualify under the
scheme. (Refer point No.3 under Benefits Head).

Page 1 of 78
6.1.3. Diploma students seeking admission to 2nd year engineering / pharmacy can apply
for the scholarship provided they have secured minimum of 70% marks in final year
Diploma Examination and Minimum 50% marks in qualifying (Entrance) examinations
to qualify under the scheme. For 3 year Diploma course, aggregate marks of 5th &
6th Semesters and for 4 year Diploma course, aggregate marks of 7th & 8th
Semesters will be considered. Students will be ranked based on percentage of marks
obtained in qualifying examination. (Refer point No.3 under Benefits Head).
6.1.4. Offer of scholarship for MBA students is withdrawn forthwith.
6.2. Post-Graduation in Physiotherapy, Pharmacy, Hotel Management and Law (full-time)
have been added under the Scheme effective from the academic year 2017-18. The
Norms for Scholarship for Post-Graduation courses are as under:
6.2.1. Engineering / Architecture / Physiotherapy / Pharmacy / Hotel Management / Law
(Full-time) Courses:
The students should have secured minimum of 65% marks in the final year Graduation
Examination and Minimum 50% marks in qualifying (Entrance) examinations to
qualify under the scheme. The students should get admission in colleges recognized
by UGC. The students will be ranked according to the marks obtained in Graduate
Aptitude Test in Engineering (GATE)/ Post-Graduate qualifying examination
conducted by other Universities (Deemed or Autonomous). (Refer point No.3 under
Benefits Head)
6.2.2. Medical Courses – (Allopathy) (MD, MS, MDS, DNB):
The students should get admission in colleges recognized by National Medical
Commission (NMC) earlier known as Medical Council of India (MCI).
6.3. For students to become eligible for scholarship in subsequent years both in Graduation
& Post-graduation courses, the students should fulfill the following norms:
6.3.1. Secure a minimum of 60% marks in the previous year’s examination in Engineering/
Architecture/ Physiotherapy / Pharmacy /Hotel Management / Chartered
Accountancy/ Law (Full-time) Courses.
6.3.2. Secure a minimum of 50% marks in the previous year’s examination in Medical
courses at Graduation level.
6.3.3. Students have to pass the previous year’s examination in the first attempt.

Benefits

1. Reimbursement will be limited to 85% of cost of Tuition fees + Hostel fees + Books (purchase
of Books not exceeding ₹ 5,000/- per year). The maximum amount of scholarship for
Graduation & Post-Graduation per student per academic year:
Engineering/ Architecture/ Physiotherapy / Pharmacy /Hotel Management / Chartered
Accountancy, Law (full-time) - ₹ 1.50 Lakh
Medicine - ₹ 2.25 Lakhs
2. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees. The Trustees may use relative ranking as a method to
determine the eligible students for disbursement of earmarked fund.

Page 2 of 78
Special Conditions

1. Children of employees studying Graduation & Post-Graduation in Engineering/Architecture/


Chartered Accountancy/ Law (Full-time) Courses will have to sign an undertaking to serve
L&T for a minimum period based on scholarship availed, only for Post-Graduation – 1 year,
only for Graduation – 2 years & both for Graduation & Post-Graduation – 3 years. In case, the
child is not joining the company despite selection or after selection does not serve the
number of years required as per this paragraph, then the employee has to refund the
scholarship amount availed of for the number of years not served.
2. Selection of the child will be subject to the norms of recruitment/availability of vacancy
within the company and suitability for employment under the Company’s GET/PGET schemes.
3. In the case of students who have passed out from L&T Institute of Technology (LTIT) and
availed scholarship under this scheme, the above condition will apply over & above the bond
executed by them with LTIT.
4. Employees claiming benefits under this scheme will have to sign an undertaking to serve the
Company for a minimum period of 2 years before disbursement of the amount. In case the
employee separates other than by retirement, then the amount paid under the Scheme to
the employee/his or her family members for the last two preceding years from the date of
separation will be recovered from the employee.
5. The scholarship to meritorious students is available for studies only in India.
6. Any implication of tax on the scholarship amount received will be on the employee’s
account.

How to Apply

1. Claim should be lodged online on LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all the relevant documents as applicable to the
scheme. Detailed list of documents to be submitted with the claim is mentioned in the claim
form. Incomplete claim may render the application to be rejected.
3. All applicants need to route their applications through their Departmental / HR Head before
forwarding to Powai Welfare Department (PM&WS).
4. The application should be submitted to PM&WS by end November for the Academic Year for
which application is lodged. The application received after due date will not be considered.
5. Applicant can lodge two claims in an academic year in case fees are paid for each semester
separately.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees whose children are selected to receive scholarship can view it online in their claim
status after it has been approved by the Trustees.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

*************

Page 3 of 78
L&T Employees Trust – Mumbai
Scheme – 1: Scholarship to meritorious students for doing Graduation &
Post-Graduation in Engineering, Architecture and Medicine etc. (October 2020)

Claim Form No: 1 (First Year Graduation & Post-Graduation courses)


I wish to apply for the scholarship for the academic year ______________
(a) Name of Student: _________________ ____________________ ________________
(First name) (Middle Name) (Surname)
(b) Date of Birth: _________________ Age: _______ yrs. (As on 01.06.______)

(c) Sex: M F Married: Yes: No: (Tick whichever applicable)

(d) Date & Year of 12th Std./Degree Exam :__________

% Marks obtained in 12th Std/Degree Exam :________

% Marks obtained in GATE/CET/NEET/PGCET/others as applicable ______________ _


(e) Name of the College: __________________________
(f) Details of claim made for 1st Year: ___________________

Details Expenses incurred Amount Amount


(₹) recommended by sanctioned by LTET
PM&WS (₹) (₹)
1. Tuition Fees
2. Hostel Fees
3. Cost of Books
Total (1+2+3)
(Cost of books ₹ 5,000/- maximum)
Amount claimed - 85% of Total (1+2+3) - ₹ ________________ (To be filled by Applicant)
Amount recommended for sanctioning - ₹________________ (To be filled by PM&WS)
Amount sanctioned by LTET - ₹ ________________ (To be filled by LTET)
Any implication of tax on the scholarship amount received by me on behalf of my ward will be on
my account.
The particulars furnished above are true to the best of my knowledge. We agree to abide by the
decision of the Management Panel & the Trustees in all matters concerned with this application.
______________________________ _______________________________
Signature of applicant (student) Signature of parent (Employee)

Date: __________________________ Date:_____________________

Mobile No./Res.No: _______________ Mobile No./Res.No: _______________

Email id: ________________________ Email id: ________________________

Name of Employee: _____________________________ PS No: ______________________


In Service Retired VRS (Tick whichever is applicable)
Date of Joining:____________ Date of VRS/Retirement :____________
Cadre & Grade___________ SBU/IC: _________ Dept. Code: ________ Location _____________
Page 4 of 78
Verification by Dept. / HR Head

The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name: ___________________________ Name: ____________________________

PS No: ___________________________ PS No: ____________________________

Designation: ______________________ Designation: ________________________

Signature: ________________________ Signature: _________________________

Mobile No: ________________________ Mobile No: _________________________

Date: ____________________________ Date: _____________________________

Verification by Welfare Department

This claim has been verified & undertaking enclosed.

Total eligible amount claimed: ₹_______________________

Amount recommended for sanctioning: ₹____________________________________ (Rupees in words


_________________________________________________________________________________________)

Name:_____________________ Signature:_________________________ Date:________________

__________________ _______________
Verification number Date

Copies of the following documents to be attached with the Claim form.

1. Entrance/12th Examination Mark sheet/Grade sheet/Final year Mark sheet of Graduation.


2. College Admission Letter.
3. Birth Certificate.
4. Tuition Fee receipts in original.
5. Hostel Fee receipts in original with lodging & boarding break up.
6. Cash Memo/s in original for purchase of Book/s.
7. Company ID card of the employee.
8. Latest Form 16 from Company.
9. Undertaking.
10. Copy of cheque leaf of employee’s bank account for remitting the amount by way of NEFT.
11. Passport Size Photo of child

Page 5 of 78
L&T Employees Trust – Mumbai
Scheme - 1: Scholarship to meritorious students for doing Graduation &
Post-Graduation in Engineering, Architecture and Medicine etc. (October 2020)

L&T Employees Welfare Foundation – Mumbai


Claim Form No: 2 (Second Year onwards Graduation & Post-Graduation courses)

(Verification number ____________ Dated ____________ of the previous year’s claim)


I wish to apply for the scholarship for the academic year _______________

(a) Name of Student: ________________ _______________ _______________


(First name) (Middle Name) (Surname)
(b) Date of Birth: _____________ Age: _____ yrs. (As on 01.06.______)

(c) Sex : M F Married: Yes: No: (Tick whichever applicable)


/ (
(d) Name of the College: _________________________________

(e) Studying in year: 2nd /3rd /4th (________)/Final (Arch.): 2nd /3rd /4th /Final(Med): Post-
Graduation _____ (Tick whichever applicable)

(f) 1st Sem ( %/Grade) _______ 2nd Sem (%/Grade)________ (1st Year Aggregate) ______

3rd Sem ( %/Grade) _______ 4thSem (%/Grade)________ (2nd Year Aggregate) ______

5th Sem ( %/Grade) _______6th Sem (%/Grade)________ (3rd Year Aggregate) ______

7th Sem ( %/Grade) _______8th Sem (%/Grade)________ (4th Year Aggregate) ______

Final Sem/Year (%/Grade)__________________________ (For Arch. / Medical)


(g) Details of claim made for __________ Year of (________________________)

Details Expenses incurred Amount Amount


(₹) recommended by sanctioned by
PM&WS (₹) LTET(₹)
1. Tuition Fees
2. Hostel Fees
3. Cost of Books
Total (1+2+3)
(Cost of books ₹ 5,000/- maximum)
Amount claimed - 85%of Total (1+2+3) - ₹_________________ (To be filled by Applicant)
Amount recommended for sanctioning - ₹_________________ (To be filled by PM&WS)
Amount sanctioned by LTET - ₹_________________ (To be filled by LTET)

Any implication of tax on the scholarship amount received by me on behalf of my ward will be
on my account. The particulars furnished above are true to the best of my knowledge. We agree
to abide by the decision of the Management Panel & the Trustees in all matters concerned with
my application.

_______________________________ ________________________________
Signature of applicant (Student) Signature of parent (Employee)
Date: __________________________ Date: ___________________________
Mobile No./Res. No.:______________ Mobile No./Res. No:_______________
Email id: ________________________ Email id: _________________________
Page 6 of 78
Name of Employee: _______________ PS No: ___________

In Service Retired VRS (Tick whichever is applicable)

Date of Joining: ___________ Date of VRS/Retirement: ______________

Cadre & Grade_________ SBU/IC: _______ Dept. Code: ________ Location: __________

Residential Address: _______________________________________________________

Verification by Dept. / HR Head


The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name: _________________________ Name: ___________________________

PS No: _________________________ PS No: ___________________________

Designation: _____________________ Designation: ______________________

Signature: _______________________ Signature: ________________________

Mobile No.: ______________________ Mobile No.: ________________________

Date: ___________________________ Date: ____________________________

Verification by Welfare Department


This claim has been verified & undertaking enclosed.

Total eligible amount claimed ₹_____________________


Amount recommended for sanctioning ₹_____________________________ (Rupees in words
___________________________________________________________________________)

Name: ______________ Signature: ________________ Date: ___________

____________________ _________________
Verification number Date

Copies of the following documents to be attached with the Claim form. Mark sheets.
1. Tuition Fee receipts in original.
2. Hostel Fee receipts in original with lodging & boarding break up.
3. Cash Memo/s in original for purchase of Book/s.
4. Company ID card of the employee.
5. Undertaking.
6. Copy of cheque leaf of employee’s bank account for remitting the amount by way of NEFT.
7. Passport Size Photo of child.

Page 7 of 78
L&T Employees Trust – Mumbai
Scheme - 1: Scholarship to meritorious students for doing Graduation &
Post-Graduation in Engineering, Architecture and Medicine etc. (October 2020)

Claim Form No: 3 (Diploma Holders Direct Admission) - For 2nd Year Engineering student

I wish to apply for the scholarship for the academic year __________
(a) Name of Student: ________________ _______________ _______________
(First name) (Middle Name) (Surname)
(b) Date of Birth:____________ Age: _____ yrs (As on 01.06.______)

(c) Sex: M F Married:- Yes No (Tick whichever applicable)

(d) Date & year 10th/12th Exam:______& %Marks/ Grade obtained in 10th/12thStd:____

(e) Name of Branch (Elec/Mech/Comp etc.):___________

(f) % of Marks: 5thSem ___ %, 6thSem___ % ; Aggregate _____% (For 3 years Diploma )

(g) % of Marks: 7thSem_____%, 8thSem___%; Aggregate ____% (For 4 years Diploma )

(h) Name of the College: ______________________________________

(i) Details of Claim Made for 2nd Year:


Details Expenses incurred Amount Amount
(₹) recommended by sanctioned by LTET
PM&WS (₹) (₹)
1. Tuition Fees
2. Hostel Fees
3. Cost of Books
Total (1+2+3)
(Cost of books ₹ 5,000/- max.)
Amount claimed - 85%of Total (1+2+3) - ₹__________________ (To be filled by Applicant)
Amount recommended for sanctioning - ₹__________________ (To be filled by PM&WS)
Amount sanctioned by LTET - ₹__________________ (To be filled by LTET)

Any implication of tax on the scholarship amount received by me on behalf of my ward will be
on my account. The particulars furnished above are true to the best of my knowledge. We agree
to abide by the decision of the Management Panel & the Trustees in all matters concerned with
my application.

________________________________ ________________________________
Signature of applicant (student) Signature of parent
(Employee)

Date: ___________________________ Date: ___________________________

Mob No./Res.No.:_________________ Mob No./Res.No.:_________________

Email id: ________________________ Email id: _________________________

Page 8 of 78
Name of Employee: _____________________________ PS No: ____________________
In Service Retired VRS (Tick whichever is applicable)
Date of Joining:____________ Date of VRS/Retirement :____________
Cadre & Grade__________ SBU/IC:_________ Dept.Code:________ Location ___________
Residential Address:___________________________________________________________

Verification by Dept. / HR Head


The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name: _________________________ Name: ___________________________

PS No: _________________________ PS No: ___________________________

Designation: _____________________ Designation: ______________________

Signature: _______________________ Signature: ________________________

Mobile No.: ______________________ Mobile No.: ________________________

Date: ___________________________ Date: ____________________________


Verification by Welfare Department

This claim has been verified & undertaking enclosed.

Total eligible amount claimed ₹_____________________

Amount recommended for sanctioning ₹_____________________________ (Rupees in words

__________________________________________________________________________)

Name: ______________ Signature: ________________ Date: ___________

___________________ _________________
Verification number Date

Copies of the following documents to be attached with the form.


1. Mark sheets/Grade sheet of 5,6,7 & 8 semesters of Diploma as applicable.
2. Mark Sheet for 10thStd & 12thStd (if appeared).
3. College Admission Letter.
4. Birth Certificate.
5. Tuition Fee receipts in original.
6. Hostel Fee receipts in original with lodging & boarding break up.
7. Cash Memo/s in original for purchase of Book/s.
8. Company ID card of the employee.
9. Latest Form 16 from Company.
10. Undertaking.
11. Copy of cheque leaf of employee’s bank account for remitting the amount by way of NEFT.
12. Passport Size Photo of child.
Page 9 of 78
LTET/Scheme-01(Edu)
Date: _________________
Scheme – 1
Scholarship to meritorious students for doing Graduation & Post Graduation
in Engineering, Architecture and Medicine etc.
Undertaking

Thru. : Dept. Head (Name & Signature) : __________________________


I, Ms./Mr.___________________________________________, PS no.________________,
Dept./SBU/IC_________________________, hereby declare that pursuant to receiving benefits
under the Scheme “Scholarship to meritorious students for doing Graduation & Post-Graduation
in Engineering, Architecture and Medicine etc., I will serve Larsen &Toubro and / or it’s
Subsidiary and Associate Companies for a minimum period of 2 years.
Over and above this my ward will also serve the company for a minimum period of 1/2/3
#
year/s after graduation/Post-graduation in Engineering / Architecture / Chartered
Accountancy/ Law (Full-time) Courses (* in addition to his existing bond with L&T Institute of
Technology), subject to meeting the norms of recruitment / availability of vacancy with
company, and suitable for employment under the GET/PGET schemes.

#
Pl. refer point 1 of Special Conditions of the Scheme and strike out which is not relevant.
*
strike out in case not applicable.

In-case I fail to work for the specified period of 2 years from the date of disbursement/s received
by me under this scheme or my ward fails to join L&T after qualifying, I hereby authorize:
a) Larsen & Toubro or its Subsidiary/Associate Companies to recover the sum of monies
received under the said scheme by me/ my family members in the preceding two years
from date of separation under the said scheme from my settlement amount. In case my
ward is not joining after being selected & I continue to be in employment then the amount
can be recovered from me.
b) The amount so deducted / recovered be remitted to L&T Employees Trust in settlement
of the amount paid to me / my family members under this Scheme.

__________________________________ ________________________________
Employee’s Signature / Date Ward’s Signature / Date

Contact number ______________________ Contact number __________________

The particulars furnished above are verified and are true to the best of my knowledge.

____________________________________________
HR Head, Signature & Name

Page 10 of 78
L&T Employees Trust
Scheme – 2: Support studies of differently abled children of employees (October
2020).

Eligibility

1. Scheme covers Children of existing and retired employees of L&T, its Subsidiary and Associate
companies.
2. Existing employees should have served for at least two (02) years before being eligible to
claim under this scheme.
3. Retired employees should have served for at least 10 years as permanent employees before
being eligible to claim under this scheme.
4. In addition, the following conditions are to be fulfilled:
4.1. Gross Annual Income of existing employees should not be over ₹ 25 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediate preceding
financial year i.e. Form 16 while enrolling in the scheme.
4.2. Gross Annual Income of Retired employees should not be over ₹ 25 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediate preceding
financial year i.e. Form 16 at the time of retirement.
4.3. For the employees posted abroad, Overseas Allowance will also be reckoned.
5. The term “Children” means legitimate children and legally adopted children up to a maximum
of 2 children. Married Children with disability will not be covered under this scheme.
6. The term “differently abled children” would include children having disabilities mentioned
in Annexure ‘A’.
6.1. Certification from government recognized institute, which confirms a minimum of 15%
of such disability, needs to be obtained.
6.2. Waiver off Government disability certificate on case to case basis on discretion of CMO
at Mumbai.

Benefits

1. The amount of reimbursement will be 90% of the cost of vocational training subject to a
maximum limit of ₹ 1,00,000/- per annum per child. This amount will include reimbursement
of up to a maximum of – (a) cost of Books & Uniform of ₹ 10,000/- & (b) cost of transportation
to school & back ₹ 30,000/-.
2. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. Concerned employee need to obtain prior approval from the management panel for admission
to any vocational course & reimbursement of transportation expenses.
2. Any implication of tax on the reimbursement amount received by the employee on behalf of
her/his ward will be to the account of the employee.

Page 11 of 78
How to Apply

1. Lodge your claim online on the LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Application should be submitted on LTET Portal once the child has been enrolled for any
vocational training.
4. Last date for receiving application will be end November for the academic year for which
application is lodged. The application received after due date will not be considered.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees whose children are selected to receive reimbursement will be intimated by
PM&WS after it has been approved by the Trustees.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.
Annexure – ‘A’
Disability Categories

• Pervasive Developmental • Emotional & • Intellectual Disability


Disability Behavioural Disability • Mild MR
• Autism/ Autism Spectrum • Anxiety/ ADHD/ ADD • Moderate MR
Disorder • Depression • Severe MR
• Rett’s Syndrome • Schizophrenia • Profound MR
• Asperger’s Syndrome
• Traumatic Brain Injury • Learning Disability • Disability & Other Physical
• Reading Health Impairment
• Spelling • Blindness
• Arithmetic • Deafness
• Speech & Language Impairment • Visual Impairment
• Specific Speech Articulation Disability • Hearing Impairment
• Expressive Language Disability • Orthopaedic Impairment
• Delayed Language Development • Cerebral Palsy
• Receptive Language disability • Congenital Deformity
• Muscular Dystrophy
• Multiple Disability
• Other Health Impairment

*************

Page 12 of 78
L&T Employees Trust – Mumbai

Scheme- 2: Support studies of differently abled children of employees


L&T Employees Welfare
(October 2020) Foundation – Mumbai

ENROLLMENT FORM No : 1A

I wish to apply for enrollment of my ward for the academic year ___________________

Details of differently abled Child

a. Name of the Student: _____________________ _________________ _______________


(First Name) (Middle Name) (Last Name)
b. Date of Birth: _____________ Age: ______ years

c. Sex: M F Married : Yes No (Tick whichever is applicable)

d. Type of Problem : _________________________________________________________

_______________________________________________________________________

e. Name of the course :______________________________

f. Name of Employee: _____________________________ PS No ______________

In Service Retired VRS (Tick whichever is applicable)

Date of Joining: ____________ Date of VRS/Retirement______________

Cadre & Grade :___________ SBU/IC:________ Dept. Code____________ Location: ____________

Email id :__________________________________ Contact No:_____________________________

Name of Spouse: ___________________________________________________________

I agree to abide by the decision of the Management Panel & the Trustees in all matters concerned
with my application.

I confirm that the above statements are true and have been verified by me.

Signature of employee _______________________ Date _______________________________

Residential Address: ____________________________________________________________

Tel No.: ____________________________ Mobile No.:_________________________________

Email id:________________________________________________________________________

Page 13 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No: ________________________ PS No: ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date : ____________________________

Verification by Welfare Department

The above facts have been checked by me from the employee’s record with the company.

Name :__________________________Signature____________ Date_______________

______________________________ ____________
Verification / Enrollment number Date

Copies of the following documents to be attached with the enrollment form.

1. Admission letter of concerned Vocational training institute.


2. Certification from Government recognized institute confirming minimum of 15% disability.
3. Mark Sheet.
4. Company ID card of the employee.
5. Birth Certificate of Child.
6. Latest Form 16 from Company.

Page 14 of 78
Name :___________________________ PS No:_____________________

Designation :______________________ SBU/IC :___________________


L&T Employees Trust – Mumbai
Scheme - 2: Support studies of differently abled children of employees
(October 2020)
Claim Form
(Revised No: 1B
Form - June,14).
(Enrollment No_______________________________)
(Verification No._______________________ Dated__________of previous claim)

Name of employee:__________________________________________ PS No_________


In Service Retired VRS (Tick whichever is applicable)

Date of Joining:___________ Date of VRS/ Retirement___________

Cadre & Grade ___________ SBU/IC: _______ Dept. Code:_______ Location:________

Address :_________________________________________________________________

Mobile No.:___________________ Office Tel No :__________________

Email id : ________________________________________

I submit my application for reimbursement of vocational / educational / transportation expenses for


the academic year: _______________________________________________________

Name of Student (in block letters )________________________________________

Sex: M F Married : Yes No (Tick whichever is applicable)

Disability: ___________________________________________________________

Name of Institution/ Organization: ________________________________________

Name of the Course:___________________________________________________

Duration : _______________________

Details of claim made:

Tuition Fees : ₹________________ Transportation Expenses ₹ ______________

Others (Books & Uniform max. ₹ 5,000/- for both put together) : ₹______________

Total : ₹ _________________

Eligible amount claimed as per scheme* ₹________ (*90% of the Total or ₹ 50,000/- whichever is
lower)

Any implication of tax on the reimbursement amount received by me will be on my account. The
particulars furnished above are true to the best of my knowledge. I agree to abide by the decision of the
Management Panel & the Trustees in all matters concerned with my application.

Name of Employee:_______________________________________________________

Signature :________________________ Date:______________

Page 15 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ________________________

PS No: ________________________ PS No: ________________________

Designation : ___________________ Designation : ___________________

Signature : _____________________ Signature : _____________________

Mobile No. : ____________________ Mobile No. : ____________________

Date : _________________________ Date : _________________________

Verification by Welfare Department


This form has been verified.

Amount claimed ₹____________________

Amount recommended for sanctioning ₹________________________ (Rupees in words


_____________________________________________________________________)

Name: ___________________________ Signature: ____________Date: ____________

_______________________ _______________
Verification number Date

Copies of the following documents to be attached with the form.


1. Tuition Fee receipts.
2. Certification from Government recognized institute confirming minimum of 15% disability.
3. Mark sheets.
4. Course completion certificate/Mark sheet at the end of the course.
5. Bills for Transportation expenses along with receipt for payment.
6. Cash memo for uniform & books.
7. Cheque leaf for remitting the amount by way of NEFT.
8. Company ID card of the employee.
9. Latest Form 16 from Company.

Page 16 of 78

Name :___________________________ PS No:_____________________

Designation :______________________ SBU/IC :___________________


L&T Employees Trust
Scheme – 3: Recognize & Reward winners of National / State level Scholarship
Examinations & Olympiad (Mathematics & Sciences) ( October 2020).
(e.g. National Talent Search Examination, etc.)

Eligibility

1. Scheme covers Children of existing and retired employees of L&T, its Subsidiary and Associate
companies.
2. Existing employees should have served for at least two (02) years before being eligible to
claim under this scheme.
3. Retired employees should have served for at least 15 years as permanent employees before
being eligible to claim under this scheme.
4. The term “Children” means legitimate children and legally adopted children. Married
children of employees are not eligible for the reward under the scheme.

Benefits

1. The reward amount is as per Annexure – ‘A’.


2. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. The child should have secured the scholarship certificate either at International / National /
State level as per Annexure – ‘A’.

2. Any implication of tax on the reward amount received by the employee will be on the
employee’s account.

How to Apply

1. Kindly lodge your claims claim online on the LTET Portal: https://ltet.larsentoubro.com/
2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted within two months of receiving the scholarship certificate.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.
Page 17 of 78
Annexure – ‘A’

Name of Examination Eligibility One-Time Reward

th th
National Talent Search 10 / 11 Std. ₹ 50,000/-
Examination
th
State Talent Search 10 Std. ₹ 30,000/-
Examination
th
State Scholarship Examination 7 Std./ 8th Std. ₹ 16,000/-
Equivalent
th
State Scholarship Examination 4 Std./5th Std. ₹ 10,000/-
Equivalent
Olympiad (Mathematics & 8th/10th or 11th Std. State Level -₹ 30,000/-
Sciences) conducted by / Equivalent. National Level -₹ 50,000/-
National Board for Higher International Level -₹1,00,000/-
Mathematics (NBHM).

*************

Page 18 of 78
L&T Employees Trust – Mumbai

Scheme – 3: Recognize & Reward winners of National / State level Scholarship Examinations &
Olympiad (Mathematics & Sciences). (October 2020)
Claim Form

I wish to apply for reward for my ward for the academic year _______________

a. Name of the Student: _____________________ _________________ _____________


(First Name) (Middle Name) (Surname)

b. Date of Birth: ___________ Age: _________ years.

c. Sex: M F ; Married : Yes No (Tick whichever is applicable)

d. Standard:____________________

e. Details of Scholarship Examination: ___________________________________________________

f. Name of Scholarship Examination passed: ______________________________________________

g. Name of School:__________________________________________________________________

h. Date & Year of Examination: ____________

i. Percentage of marks or Grade or Rank (whichever applicable): ______________________________

j. Eligible amount claimed as per scheme: ₹____________________

Any implication of tax on the prize money received by me on behalf of my ward will be on my account.

The particulars furnished above are true to the best of my knowledge.

I agree to abide by the decision of the Management Panel & the Trustees in all matters concerned with my
application.

Name of Employee: _______________________________________ PS No _______________________

In service Retired VRS (Tick whichever is applicable)

Date of Joining: _________________ Date of VRS/Retirement : ____________

Cadre & Grade: __________ SBU/IC: ___________ Dept. code: _________ Location:______________

Mobile No: ________________________________ Email id :________________________________

Signature :_________________________________ Date:_________________________________

Residential Address: ___________________________________________________________________

Page 19 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No: ________________________ PS No: ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date : ____________________________

Verification by Welfare Department

This form has been verified.

Amount claimed ₹_____________________

Amount recommended for sanctioning ₹__________________________________ (Rupees in words

__________________________________________________________________________________)

Name: ______________________________________ Signature: ____________Date: ____________

_____________________ _______________
Verification number Date

Copies of the following documents to be attached with the claim form.

1. Scholarship Certificate (In case certificate is not received at the time of applying, letter from
school authority on the school letter head in the prescribed format as per Annexure- 1 should
be submitted).
2. Mark Sheet.
3. Cheque leaf for remitting the amount by way of NEFT.

Page 20 of 78
Name :___________________________ PS No:_____________________

Designation :______________________ SBU/IC :___________________


Annexure - 1

School Letterhead

Date : ___________________

TO WHOMSOEVER IT MAY CONCERN

This is to certify that Miss/Master _______________________________ was awarded the


Scholarship for standard _______________ Examination conducted by
_________________________ in the year ______________. He/She has secured
___________________ percentage/rank.

_________
Name of Principal & Signature

School stamp

Page 21 of 78
L&T Employees Trust
Scheme – 4: Recognition and Prize for Academic Performance from SSC to Post -
Graduation including Professional Courses & Doctorate ( October 2020).

Eligibility

1. Scheme covers Children of all existing, permanent and retired employees of L&T, its
Subsidiary and Associate companies.
2. Children of deceased employees who were permanent before demise are also eligible to
apply.
3. The term “Children” means legitimate children and legally adopted children up to a maximum
of 2 children.
4. Maximum age limit for completion of any Graduate courses is 25 years and for Post Graduate
in Engineering, Architecture & Medicine courses is 28 years.
5. Married children of the employees are not eligible for claiming prize amount under the
scheme except for Doctorate.
6. In addition, the following conditions are to be fulfilled:
6.1. Only final year’s (last two semesters wherever applicable) percentage of marks/ GPA
will be applicable for determining the eligibility.
6.2. Students who have appeared for examinations conducted by Schools / Colleges and other
Institutions based in India & having recognition from State or Central Government / UGC
are eligible.
6.3. Students should have passed the examinations in the first attempt.
6.4. Students awarded Doctorate by Universities recognized by UGC or other recognized
Indian Institutes are eligible.

Benefits

1. The Prize amount is as per Annexure – ‘A’ attached. This revised amount will be for results
declared after 1st Oct 2020.
2. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. Any implication of tax on the prize money received by the employee’s children will be either
on the employee or on the applicant as the case may be.

How to Apply

1. Lodge your claims online on LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all the relevant documents as applicable to the
scheme. Detailed list of documents to be submitted with the claim is mentioned in the claim
form. Incomplete claim may render the application to be rejected.

Page 22 of 78
3. Claim should be submitted by end November for the Academic Year for which application is
lodged. The application received after due date will not be considered.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.
Annexure – ‘A’
Prize for Academic Performance

1. SSC or Equivalent Examination.

Passing in 1st attempt with percentage of marks as Prize


under: Amount (₹)
SSC or
Equivalent 70 % & above but less than 80% 10,000
examination 80 % & above but less than 90% 15,000
with marks
indicated. 90 % & above but less than 95% 25,000
95 % & above 35,000

SSC or Prize
Passing in 1st attempt with GPA (10 point scale):
Equivalent Amount (₹)
examination 7 & above but < 8 10,000
without
marks but 8 & above but < 9 15,000
Grade Point
Average 9 & above but < 9.5 25,000
indicated. 9.5 & Above 35,000

2. HSC or Equivalent Examination.

Passing in 1st attempt with percentage of marks as Prize


under: Amount (₹)

HSC or 15,000
70 % & above but less than 80%
Equivalent
examination
80 % & above but less than 90% 20,000
with marks
indicated.
90 % & above but less than 95% 35,000

95 % & above 45,000

Page 23 of 78
Prize
Passing in 1st attempt with GPA (10 point scale): Amount (₹)
HSC or
Equivalent
examination 7 & above but < 8 15,000
without
marks but 8 & above but < 9 20,000
Grade Point
Average 35,000
indicated. 9 & above but < 9.5

9.5 & above 45,000

3. Final year examination of any degree /Post-Graduate degree / Doctorate.

Passing in 1st attempt with percentage Prize Amount


of marks as under: (₹)

60 % & above but less than 70% 15,000

Final year 25,000


70 % & above but less than 80%
examination of any
degree / post- 30,000
80 % & above but less than 85 %
Graduate degree /
Doctorate. 40,000
85 % & above but less than 90%

90 % & above 60,000

90% & above for Post-Graduation 1,00,000


Doctorate 2,00,000

4. Final year examination of any diploma*


Passing in 1st attempt with percentage Prize Amount
of marks as under: (₹)

60 % & above but less than 70% 15,000

Final year 20,000


70 % & above but less than 80%
examination of any
Diploma. 30,000
80 % & above but less than 85%

85 % & above but less than 90% 35,000

90 % & above 50,000


*Only Govt. approved Diploma courses as decided by the management would be
considered for prize amount.

Page 24 of 78
5. CA, CMA, CS Examinations:
Prize Amount
Passing in first attempt:
(₹)

Student who has passed all groups / parts. 50,000

Student who is in the First Fifty in All India Merit List. 1,00,000

************

Page 25 of 78
L&T Employees Trust – Mumbai

Scheme – 4: Recognition and Prize for Academic Performance from SSC to Post-
Graduation including Professional Courses & Doctorate. ( October 2020)

Claim Form for Recognition & Prize for Academic Performance


I wish to apply for prize for the academic year ____________________

a) Name of Student: ________________ _______________ _______________


(First name) (Middle Name) (Surname)

b) Date of Birth: _____________ Age: ______________yrs.

c) Sex: M F ; Married : Yes No (Tick whichever is applicable)

d) School/College/Name of university: __________________________________

e) Date of Exam/ Year of passing: ________________________________________

f) Percentage of Marks or Grade or Rank whichever applicable : ______________


(Aggregate Percentage / CGPA / Rank )

g) Name of Examination : X/XII/Grad./PG/Dip./CA,CMA,CS/Doctorate (Tick whichever applicable)

h) Eligible amount claimed as per scheme: ₹______________________


Any implication of tax on the prize money received by the child will be either on the employee’s or the
applicant’s account as the case may be.

The particulars furnished above are true to the best of my knowledge.

We agree to abide by the decision of the Management Panel & the Trustees in all matters concerned
with my application.
_______________________________ __________________________________
Signature of applicant (student) Signature of parent (Employee)

Date: __________________________ Date: _____________________________

Mobile No/Res. No:_______________ Mobile No. /Res. No.:_________________

Email id: ________________________ Email id: ___________________________

Name of Employee: ____________________________________ PS. No:______________

In service Retired VRS (Tick whichever is applicable)

Date of Joining: _____________________ Date of VRS/ Retirement: ___________________

Cadre & Grade: __________SBU/IC: ___________Dept. Code ________Location: ______________

Residential Address: ________________________________________________________________

Page 26 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No: ________________________ PS No: ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date: ____________________________

Verification by Welfare Department

This claim has been verified.

Amount claimed ₹_____________________

Amount recommended for sanctioning ₹__________________________________ (Rupees in words

________________________________________________________________________________)

Name :___________________________ Signature: ____________ Date ________________

______________________ ______________
Verification number Date

Copies of the following documents to be attached with the form.

1. Birth Certificate.
2. Mark sheet.
3. Company ID card of the employee.
4. Cheque leaf / copy of the applicant’s passbook with IFSC Code of the bank for remitting the
amount by way of NEFT (Please note remittance will be only made to the Bank account of
applicant).
5. In case of Doctorate copy of Thesis.

Page 27 of 78
L&T Employees Trust
Scheme – 5: Medical Assistance for Life Threatening Diseases (LTDs) (October
2020).

Eligibility

1. Scheme covers existing and retired employees of L&T, its Subsidiary and Associate
companies, their spouse and maximum two children up to the age of 21 years.
2. Employees both Existing and Retired should have served for at least 5 years before being
eligible.
3. Spouses of deceased employees (Existing & Retired) and their children up to the age of 21
years are also covered in this scheme provided the employee has completed 5 years service
in the company before his/her demise.
4. Employee whose spouse is employed and covered by medical scheme provided by his/her
employer shall not be eligible for this benefit.

Benefits

1. Reimbursement will be for the cost of treatment in respect of hospitalization only subject to
a limit of ₹ 6,25,000/- per annum after exhausting all other sources of reimbursements
including their personal insurance cover wherever applicable. Unutilized amount, if any, in
a particular Financial Year will not be carried forward to the next Financial Year. The limit
of ₹ 6,25,000/- per annum for hospitalization will cover expenses incurred on or after 1st
October 2020.
2. Limit for Reimbursement of Room Tariff is as under:
Tier I Cities - ₹ 5,000/-
Tier II Cities - ₹ 4,500/-
Tier III Cities - ₹ , 4,000/-
3. Room Tariff can be claimed only from one of the sources. Room tariff will be part of
hospitalization limit mentioned above. Refer Annexure ‘B’ for list of cities covered.
4. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Condition

1. Any implication of tax on the reimbursement amount received under the scheme will be on
the employee’s account.

How to Apply

1. Lodge the claim online on LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted within one month after treatment.

Page 28 of 78
Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

Annexure ‘A’
List of Life Threating Disease (LTDs), critical illnesses and Major Surgeries / Accidents
1 Heart Bypass Surgery, Angioplasty, Replacement / Repair of heart valves, ICCU
treatment leading to Angioplasty / Bypass surgery, Pacemaker, Valves
implantation
2 Cancer Surgery, Bone marrow transplant, Chemotherapy / Radiotherapy / port
implantation
3 Brain Brain surgery, ICU treatment, Cerebro-vascular accidents (Stroke)
4 Kidney Transplantation, Dialysis, Major kidney surgery
5 Bone & Joints Joint replacement surgeries
6 Liver Treatment for Liver failure
7 Spine Surgery for spinal problem
8 Major surgeries Major surgeries involving abdominal and thoracic region
9 Accidents Accidents leading to major surgeries of brain, spine, abdomen and
thorax region, joint replacement

Annexure ‘B’
Tier-wise list of the Cities
Tier Cities
I Delhi, Mumbai , Kolkata, Chennai, Bengaluru, Pune, Hyderabad

II Surat ,Vadodara , Kochi , Ahmedabad


Ahmednagar, Jamshedpur, Mysore , Vizag, Coimbatore & Rest of the cities
III in India

*************

Page 29 of 78
L&T Employees Trust – Mumbai
Scheme - 5 : Medical Assistance for Life Threatening Diseases (LTDs) (October 2020)

Claim Form
Name of employee: _____________________________________________ PS NO._______________

Sex: M F In service Retired VRS (Tick whichever is applicable)

Date of Joining:__________________________ Date of VRS/Retirement _______________________

Cadre & Grade ____________SBU/IC:___________Dept. Code :__________ Location:__________

Office Address :_____________________________________________________________________


_________________________________ Off Tel No./Mobile No.: ______________________________

Residence Address_________________________________________________________________

_________________________________ Res.Tel No./Mobile No.:______________________________


Email id : _________________________________________________________________________

Name of Patient _________________________________ Relation with Employee________________


Details of Disease / Ailment: ____________________________________________________________
I submit my application for reimbursement under Medical assistance for Life Threatening Diseases (LTDs) for
the financial year _____________ for the treatment of self / my relation
________________________________ (spouse / child – up to age of 21 years).

Amount Amount
Expenses
Details recommended by sanctioned by
incurred (₹)
PM&WS (₹) LTET (₹)
A - Total expenses incurred
B – Excess amount of Room Tariff over
and above my entitlement included in A.
C ( A – B)
D - Less amount received from : #
1
2
Subtotal – D
Total E ( C – D)
Maximum Eligible Amount – ₹ 6,25,000/-
#Please indicate against item numbers 1 & 2 under D the amount received from other sources if any, to meet
the hospitalization expenses. You may attach a separate sheet under D if need be. Proof of such receipts
should be attached along with the claim form. Any implication of tax on the amount received by me will
be on my account. The particulars furnished above are true to the best of my knowledge. I agree to abide
by the decision of the Management Panel & the Trustees in all matters concerned with my application.

Name of Employee: ________________________________________ Place: ___________________


Signature: ________________________________________________ Date: ___________________

Page 30 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ______________________

PS No. ________________________ PS No. _______________________

Designation : ___________________ Designation : _________________

Signature : _____________________ Signature : __________________

Mobile No. : ____________________ Mobile No. : ___________________

Date : _________________________ Date : _______________________

Verification by Powai Medical Services

This claim has been verified & found in order.

Amount claimed ₹__________________, Room Rent as per the bill ₹ _______________________

Room Rent entitled as per rules ₹ _________ Room Rent received from any sources ₹________

Amount recommended for sanctioning ₹______________________________ (Rupees in


words_______________________________________________________________________)

Name :_________________________ Signature :___________________Date: ________________


__________________ _________________
Verification number Date

Copies of the following documents to be attached with the form.

1. Discharge Card.
2. Hospitalization bills / Cash Memos for purchase of medicines.
3. Receipts for payments made to hospital.
4. Photocopies of Investigation reports
5. Prescription for purchase of medicines.
6. Declaration Form.
7. Settlement certificate from insurance company if applicable
8. Cancelled Cheque leaf for remitting the amount by way of NEFT.
9. Company ID card of the employee.
10. Expenses statement (Giving details Bill No., Bill Dt., Amount).

Page 31 of 78
LTET/Scheme-5(Med)

Date: __________________

Medical Assistance for Life Threatening Disease (LTDs)

Declaration

Submission of claim for reimbursement of Hospitalization expenses under the above


scheme

I, Ms./Mr.________________________________ PS No._____________________,

Dept./SBU/IC____________________________, hereby confirm the following:

1. S/he is employed with ________________________________________ and


not getting any medical reimbursement from the employer.

2. My son / daughter is below 21 years and not employed.

3. My son / daughter is above 21 years and is employed with


______________________________________ and not getting any medical
reimbursement from the employer.

4. I have received ₹____________________ from the Company under the Company’s


Scheme.

5. I have not claimed any amount under Mediclaim Policy for this hospitalization.

The particulars furnished above are true to the best of knowledge.

______________________________
Employee’s Signature

____________________________________
Dept. Head, Signature & Name

Page 32 of 78
L&T Employees Trust
Scheme – 6: Support Medical Treatment for Differently Abled Children ( October
2020).

Eligibility

1. Scheme covers Children of all existing and retired employees of L&T, its Subsidiary and
Associate companies.
2. Existing employees who are permanent and should have served for at least 2 years before
being eligible to claim under this scheme.
3. The children of deceased employees are also eligible to apply.
4. Retired employees should have served for at least 10 years as permanent employees before
being eligible to claim under this scheme.
5. In addition, the following conditions are to be fulfilled:
5.1. Gross Annual Income of existing employees should not be over ₹ 25 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediate preceding
financial year i.e. Form 16 while enrolling in the scheme.
5.2. Gross Annual Income of Retired employees should not be over ₹ 25 Lakhs as shown in the
TDS certificate of salary income issued by the company for the immediately preceding
financial year i.e. Form 16 at the time of retirement while enrolling in the scheme.
5.3. For the employees posted abroad, Overseas Allowance will also be reckoned.
6. The term “Children” means legitimate children. The scheme covers maximum of two
children. Married Children with disability will not be covered under this scheme.
6.1. The term “differently abled children” would include children having disabilities
mentioned in Annexure ‘A’.
6.2. Certification from government recognized institute, which confirms a minimum of 15%
of such disability, needs to be obtained. Waiver off Government disability certificate on
case to case basis on discretion of CMO at L&T Mumbai.

Benefits

1. Reimbursement of expenses related to medical treatment - Refer Annexure ‘B’ (Table 1).
2. Limits for reimbursement – Refer Annexure ‘B’ (Table 2).
3. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. Any implication of tax on the reimbursement amount received by the employee will be to
the account of the employee.
2. Concerned employee needs to obtain prior approval from the management panel before
undertaking treatment.
3. Treatment other than Allopathic such as Ayurvedic, Homeopathic, Naturopathy, Unani,
Siddha etc. are not reimbursable.
Page 33 of 78
How to Apply

1. Kindly lodge the claim online on LTET portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be lodged within one month after treatment.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees to receive reimbursement will be intimated by PM&WS after it has been approved
by the Trustees.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

Annexure ‘A’
Disability Categories

• Pervasive Developmental • Emotional & Behavioural • Intellectual Disability


Disability Disability • Mild MR
• Autism/ Autism Spectrum • Anxiety/ ADHD/ ADD • Moderate MR
Disorder • Depression • Severe MR
• Rett’s Syndrome • Schizophrenia • Profound MR
• Asperger’s Syndrome
• Traumatic Brain Injury • Learning Disability • Disability & Other Physical
• Reading Health Impairment
• Spelling • Blindness
• Arithmetic • Deafness
• Speech & Language Impairment • Visual Impairment
• Specific Speech Articulation Disability • Hearing Impairment
• Expressive Language Disability • Orthopaedic Impairment
• Delayed Language Development • Cerebral Palsy
• Receptive Language disability • Congenital Deformity
• Muscular Dystrophy
• Multiple Disability
• Other Health Impairment

Page 34 of 78
Annexure ‘B'
Table 1: Therapy Covered

Speech Therapy Occupational Therapy Physiotherapy

Remedial Therapy Play Therapy Music & Dance Therapy

Group Therapy Individual Therapy Cognitive Therapy

Hydro Therapy Sensory Integration Speech & Language


Therapy Intervention

All Day Learning Special Education Brain Function / Neuro


Feedback (w.e.f. 01/04/2015)

Table 2: Reimbursement Details (Limits)

Category Reimbursement limit

90% of the claim, which should not


Therapies covered as given in above
exceed more than Rs. 4 Lakhs per
table
annum.

90% of the cost - once a year which


Hearing Aid & wheel chair appliances
should not exceed ₹ 2 Lakhs

Other appliances like calipers, crutches 90% of the cost - once in a year which
etc. should not exceed more than ₹ 2 Lakhs

Surgical cost (Prior approval of Panel is


₹4 Lakh in block of 2 years
required)

Medical Consultation, Physical and


90% of the claim, which should not
Mental Assessment tests. (Hospitalization
exceed more than 1 Lakh per annum
/ OPD basis) (w.e.f. 01/04/2019).

Transport expenses (Prior approval of


₹ 7,500/- per month.
Panel required)

Procedure to be followed before purchasing appliances/ undergoing surgery/


reimbursement of Travel expenses-
➢ Doctor’s recommendation/prescription should be submitted to PM&WS
➢ Quotation of two vendors to be submitted to PM&WS
➢ In case of Travel expenses- Employee has to submit a letter confirming the
Disability, travel location and km distance and mode of transport.
Approval for the appliances or surgical cost will be intimated to the employee by
PM&WS after it has been approved by the Trustees.

*************

Page 35 of 78
L&T Employees Trust – Mumbai

Scheme 6 – Support Medical Treatment for Differently Abled Children (October 2020)

ENROLLMENT FORM No: 1A


Details of the Employee:

Name of Employee: _____________________________ PS.No. ________________________

Sex: M F (Tick whichever is applicable)

In Service Retired VRS (Tick whichever is applicable)

Date of Joining: _____________________ Date of VRS/ Retirement ______________________

Cadre & Grade:____________SBU/IC:____________Dept.Code:___________Location: ___________

Date of birth of Employee: __________________ Age of employee: _______________________

Office Address: __________________________________________________________________

______________________________Off.Tel. No. /Mobile No.: _______________________________

Email id: __________________________________________________________________________

Residential Address: _______________________________________________________________

_______________________________Res.No./Mobile No.:_________________________________

Spouse Name: _________________________________ Mobile No.__________________

Email id: ___________________________________________________________________________

Sr. No. of Family Members & Relation with the Occupation


No their Names Employee

Significant medical history of employee: ________________________________________

Significant medical history of family members: ___________________________________

Details of the Sickness of the Child for whom claim is lodged. ________________________

Page 36 of 78
Name of the child DOB / Gender Edu. Health Problems – (Tick where applicable)
Age
Sensory Loss Physical Neurological Mental

Describe the disability & treatment taken up till now:


Describe the Disability

Treatment Taken up till now-

I agree to abide by the decision of the Management Panel & the Trustees in all matters concerned with
my application. I confirm that the above statements are true and have been verified by me.
Employee’s Signature: _______________________ Date: ______________________

Verification by Dept. / HR Head


The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No. :_______________________ PS No.: ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date : ____________________________

Page 37 of 78
Verification by Welfare Dept.

The above facts have been checked by me from the employee’s record with the company.

Name: _______________________________________Signature____________ Date_______________

____________________________ ____________
Verification / Enrollment number Date

Copies of the following documents to be attached with the enrollment form.

1. Certification from Government recognized institute confirming minimum of 15% disability.


2. Medical certificate pertaining to the current treatment / therapies undertaken
3. Company ID card of the employee.
4. Birth Certificate of Child.
5. Photo of the child (post card size).

Page 38 of 78
L&T Employees Trust – Mumbai
Scheme – 6: Support Medical Treatment for Differently Abled Children.
(October 2020)

Claim Form No: 1B


(Enrollment number of Form No. 1A ____________________)

(Verification number: _______________________ Date ________of previous claim)

Name of employee:___________________________________ PS NO : ____________

Sex: M F (Tick whichever is applicable)


;
In Service Retired VRS VRS (Tick whichever is applicable)

Date of Joining:____________________ Date of VRS/Retirement ___________________


Cadre & Grade__________ SBU/IC:____________Dept.Code :______Location:_______
Office Address :____________________________________________________________
______________________________Off. Tel No./Mobile No._________________________
Email id :________________________________________________________________
Residence Address:_______________________________________________________
_______________________________Res.Tel.No._______________________________
Email id : _______________________________________________________________
Any implication of tax on the reimbursement amount received by me will be on my account.

I submit my application for reimbursement under Support medical treatment for differently abled
children scheme for the period (From ______________ To__________________)

Name of child / Disability of the child: ________________________________________

Expenses Amount Amount


Details of the
Particulars of Treatment Incurred (₹) Approved by Sanctioned by
Bill
PM&WS (₹) LTET (₹)

Total (₹)
The particulars furnished above are true to the best of my knowledge. I agree to abide by the
decision of the Management Panel & the Trustees in all matters concerned with my
application.

Name of Employee: ________________________________________ Place: _________


Signature: ________________________________________________ Date: __________

Page 39 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No. ________________________ PS No. ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date : ____________________________

Verification by Welfare Department

This claim has been verified.

Amount claimed: ₹_______________________

Amount recommended for sanctioning : ₹_________________________ (Rupees in words

_________________________________________________________________________________)

Name :____________________Signature :__________________Date: ________________

___________________ ________________
Verification number Date

Copies of the following documents to be attached with the Claim form.

1. Hospitalization bills / Cash Memos for purchase of instruments / appliances.


2. Bill for transportation expenses.
3. Consultant’s bill.
4. Receipts for all payments with number of sessions attended. If the amount of claim is above
₹5,000/- the receipt should have revenue stamp.
5. Cheque leaf for remitting the amount by way of NEFT.
6. Company ID card of the employee.

Page 40 of 78
L&T Employees Trust
Scheme - 7: Recognize & Reward Excellence in Major Events, Sports & Games at
International/ National / Inter-State/ Inter-University Levels and Sponsorship for
International /National/ State/ University Level Sports ( October 2020).

Eligibility

1. Scheme covers Children of all existing and retired employees of L&T, its Subsidiary and
Associate companies.
2. Existing employees should be permanent before being eligible to claim under this scheme.
3. Retired employees should have served for at least 15 years as permanent employees before
being eligible to claim under this scheme.
4. The children of deceased employees are eligible to apply with prior approval of the panel.
5. The term “Children” means legitimate children and legally adopted children.
6. Winners, first & second runner up & even those who qualify to participate in all major
Events, Sports & Games at International, National, Inter-State, State and Inter-University
(Universities recognized by UGC) levels are eligible for Reward & Sponsorship.
7. Events, Sports & Games will be as per the pattern followed by Asian and Olympic games.
8. Eligibility for Sponsorship will be for International/ National /Inter-State/ State / University
level sports, applicable from financial year 2017-18.

BENEFITS

PART-A: Reward
LEVEL First Prize (₹) Second Prize Third Prize (₹) Participation
(₹) (₹)
Inter-University Level 25,000/- 20,000/- 15,000/- 10,000/-
State Level 50,000/- 40,000/- 30,000/- 20,000/-
Inter-State Level 75,000/- 65,000/- 55,000/- 40,000/-
National Level 1,00,000/- 90,000/- 80,000/- 50,000/-
International Level 2,00,000/- 1,90,000/- 1,80,000/- 1,50,000/-

1. Each employees & children of employee will be entitled to claim for maximum of any two
Events/Sports/Games as per financial year for Reward.

PART-B: Sponsorship
Amount limit per financial year Other conditions

Coaching Up-to Rs.2 Lakhs Coaching fees will be covered


for one year before the actual
game/ event/sports held.

Travel Up-to Rs. 75,000/- Bills to be submitted

Sports Kit/Instrument Up-to Rs. 1,50,000/- Once in two years

Page 41 of 78
Lodging (Applicable only Up-to Rs. 50,000/- Bills to be submitted
for out of town/city/nation)

Boarding (Applicable only Up-to Rs. 25,000/- Bills to be submitted


for out of town/city/nation)

2. Sponsorship will be provided for International/ National / State/ Inter-state / University


Level sports as per the pattern followed by Asian & Olympic Games.
3. The sponsorship will be provided for any One Game (Multiple Events); Sponsorship amount
will be at actuals, per employee/ per child including coaching, travel, sports kit, lodging and
boarding, subject to a maximum of Rs 5,00,000/-.
4. The above-mentioned heads may be kept flexi in case of International event/sports/games
with prior approval of the panel.
5. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. Employee and Children of employees who receive award/sponsorship under this scheme are
expected to impart training and guidance to other employees and children of employees.
2. Any implication of tax on the reward / Sponsorship amount received by the Claimant will be
on the employee’s account.

How to Apply

1. Kindly lodge the claims online on LTET portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. The application pertaining to the current financial year will only be considered.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employee & children of employees selected to receive award/ sponsorship money will be
intimated by PM&WS after it has been approved by the Trustees.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

Page 42 of 78
L&T Employees Trust (Form – 07/2020)

Scheme - 7: Recognize & Reward Excellence in Major Events, Sports & Games
At International / National / Inter-State / Inter-University Levels and Sponsorship for International /
National/ State/ University level Sports. (October 2020)

Claim Form for Reward & Sponsorship

I wish to apply for myself/ for my ward for reward for excellence in Events /Sports /Games
/Sponsorship for the financial year _____________

a.) Name of the Child/Employee: _____________ ______________ ____________


(First name) (Middle Name) (Surname)
b.) Date of Birth: __________ Age: _____ yrs (As on 01.06.______)

c.) Sex: M F Married: Yes: No: (Tick whichever is applicable)


/ Ti
d.) School/College/ Institution: _________________________________
chc
(
e.) Coaching Class Name: ____________________ Recognition from: __________

f.) Write-up on Coaching imparted:

g.) Name of Events/Sports/Games: _______________________________________

h.) Participation Details:

i.) Date & Year of the Event: _________________

Name of Employee: _____________________________ PS No.: ___________________

In Service Retired VRS Death (Tick whichever is applicable)

Date of Joining: ___________________ Date of VRS/Retirement/Death _______________

Cadre & Grade: _______ SBU/IC: _________Dept. Code: _________Location: __________

Residential Address: ________________________________________________________


____________________________________________________Mobile Number
_________________

Page 43 of 78
Details of Reward Claim Made:

Claim For Reward-


Sports/ Game Level Claim Amount

Details of Sponsorship Claim Made:


Particulars Amount Duration Other Details
Coaching Fees

Travel From To
& Return

Lodging & Boarding

Particulars Amount Duration Other Details


Employee

Child

One Parent
accompanying child
below 18 year
Declaration by Employee-
My child is below 18 years of age and hence require to be accompanied by either me or my
spouse for State/ National/ International level Sports.

Expenses for Sports Kit/ Equipment-


Name Amount

Total=

Total Claim made for Sponsorship --------------------------------

Amount Approved by PM&WS Amount Sanctioned by LTET

Reward

Sponsorship

Any implication of tax on the award amount received by my child /me will be on my account.
The particulars furnished above are true to the best of my knowledge. I agree to abide by the
decision of the Management Panel & the Trustees in all matters concerned with my application.
Signature of Employee: ___________________________ Date: __________________

Page 44 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name: ________________________ Name: ___________________________

PS No. ________________________ PS No. ___________________________

Designation: ___________________ Designation: ______________________

Signature: _____________________ Signature: ________________________

Mobile No. : ____________________ Mobile No. : _______________________

Date: _________________________ Date: ____________________________

Verification by Welfare Department

This claim has been verified.

Amount claimed ₹________________

Amount recommended for sanctioning ₹____________________________ (Rupees in words

Certified/Attested copies of the following documents to be attached with the form.


________________________________________________________________________)
These documents to be attested by Dept. Head. (Name & Designation of Dept. Head should
appear distinctly on attested copies)
Name: __________________________ Signature: ____________ Date: _____________

_______________________ ___________________
Verification number Date

Copies of the following documents to be attached with the Claim form:

1. Award Certificate or any other Proof of Award/ Certificate for International/ National /
State/ University level Sports.
2. Birth Certificate.
3. Company ID card of the employee.
4. Passport Size Photo.
5. Original Bills/ Receipt in respect of expenses incurred (in case of Sponsorship for Sports)
6. Invitation letter at State/ Inter- state/ Inter-University/ National/ International level Sports
OR Letter from Organizers confirming name and number of participating District/State/
Nations.
7. Ranking Letter, if any.
8. Cheque leaf of participant for remitting the amount by way of NEFT.
(Please note remittance will be only made to the Bank account of participant).

Page 45 of 78

Verification by SUB Head/ IC HR


L&T Employees Trust
Scheme - 8: Support towards training & education to help in rehabilitating
spouse of deceased employees or of fully incapacitated employees to become
employable (October 2020).

Eligibility

1. Scheme covers Spouses of all deceased or fully incapacitated employee of L&T its Subsidiary
and Associate companies.
2. Spouse of deceased employees who were serving as permanent employees at the time of
demise or incapacitation and have served for a minimum period of 5 years in the company
are eligible to apply.
3. The benefit of this scheme can be availed only by the legally wedded spouse of deceased or
fully incapacitated employees.
4. If the spouse remarries then benefits under this scheme will not be given.
5. No age bar for enrollment of the spouse under this scheme.
6. For benefits under this scheme, the spouse should register for any recognized course with
Private/Government Vocational/Educational/Professional Organization (Refer Annexure ‘A’).

Benefits

1. 75% of the Course Fee with a limit of ₹ 1 Lakh per financial year will be reimbursed for the
duration for course not exceeding three years.
2. The spouse of deceased or fully incapacitated employee can claim for reimbursement of
maximum two short or one long term course (Refer Annexure ‘A’) in a particular financial
year, once during their lifetime.
3. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Conditions

1. Spouse of deceased/fully incapacitated employee, needs to obtain prior approval from the
management panel before enrolling for any of the eligible courses as defined in Annexure
‘A’.
2. The course chosen should help the spouse in becoming employable or enable the spouse to
be self-employed.
3. If the spouse wishes to join any other course other than mentioned in Annexure ‘A’ the
decision to sanction will rest with the management panel.
4. Any implication of tax on the reimbursement amount received under the scheme will be to
the account of the employee’s spouse.

How to Apply

1. Lodge the claim online on LTET Portal: https://ltet.larsentoubro.com/

Page 46 of 78
2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

Annexure ‘A’
Details of Courses

Tailoring & Embroidery Computer Course

Fashion Designing Typing, DTP

Textile Designing Secretarial Course

Art & Craft Montessori Teacher’s training Course

Beauty Parlor Para Medical Courses

Jewelry Designing Graduation, Degree / Diploma

Driving Food processing /Bakery & Confectionery

Catering Housekeeping

Page 47 of 78
L&T Employees Trust – Mumbai

Scheme 8: Support towards training & education to help in rehabilitating spouses of deceased
employees or of fully incapacitated employees to become employable.
(October 2020)
ENROLLMENT FORM No: 1A

I wish to apply for enrollment for the financial year ___________________

Details of Spouse of deceased/ incapacitated employee

a. Name of the spouse (in block letters):

_______________________ ________________________ ______________________


(First Name) (Middle Name) (Surname)

b. Date of Birth: _____________ Age: ____________ years

c. Sex: M F (Tick whichever is applicable)

Residential Address: __________________________________________________________

___________________________________________________________________________

Tel No.: ____________________________ Mobile No.:_______________________________

Email id:____________________________________________________________________

Name of deceased/ incapacitated employee:_____________________________________

Date of Joining: _____________________ PS.No:______________

Cadre & Grade: ________SBU/IC:____________Dept Code:________ Location:__________

Date of Expiry/ Incapacitation:______________

Name of the Institute with Address : ______________________________________

Name of the Course : __________________________________________________

I agree to abide by the decision of the Management Panel & the Trustees in all matters concerned
with my application. I confirm that the above statements are true.

Signature of Spouse_____________________ Date _____________________

Page 48 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ___________________________

PS No. ________________________ PS No. ___________________________

Designation : ___________________ Designation : ______________________

Signature : _____________________ Signature : _____________________ __

Mobile No. : ____________________ Mobile No. : _______________________

Date : _________________________ Date : ____________________________

Verification by Welfare Department


This form has been checked by me from the employee’s record with the Company and found
correct.

Name: ___________________________________Signature_______________Date____________

___________________________ _____________
Verification / Enrollment number Date

Copies of the following documents to be attached with the enrollment form.

1. Copy of Death Certificate /Certificate of incapacitation of the Employee.


2. Original letter from the Institute enrolled for the Course.

Page 49 of 78
L&T Employees Trust, Mumbai (Form – 08/2020)

Scheme - 8: Support towards training & education to help in rehabilitating spouses of deceased
employees or of fully incapacitated employees to beco8me employable
(October 2020)
Claim Form No: 1B
(Enrollment No :____________________________________________________)
(Verification number: _____________________ Date_________ of previous claim)
Details of Spouse of deceased/ incapacitated employee
a. Name of the spouse (in block letters):
_______________________ ________________________ ____________________
(First Name) (Middle Name) (Surname)

b. Date of Birth: _____________ Age: ______years Sex:


M F (Tick whichever
is applicable)
Residential Address:
______________________________________________________________
_______________________________________________________________________

Tel No.: ____________________________ Mobile No.:___________________________


Email id :________________________________________________________________

Name of deceased/ incapacitated employee:____________________________________

Date of Joining: _________________P S. No.:____________ Date of Death/ Incapacitation:


________

Cadre & Grade: _________ SBU/IC: __________ Dept. Code: ________Location: ______

I request you to reimburse the vocational/ educational expenses for the Financial Year: ______

Name of College / Institution: ____________________________________________

Name of the Course: __________________________________________________

Duration: _________________ ₹ Per Annum/ course tenure: _______________

Eligible amount - ₹1 Lakh or 75% of


Expenses incurred Amount Claimed (₹)
expenses incurred whichever is lower
Tuition Fees (attach
receipts/ vouchers)
Copy of cheque leaf for remitting the amount by way of NEFT or Cheque in favor of (Name of
Institution): __________________________________

I confirm the above. Original Fee Receipt / Vouchers for the amount claimed is enclosed & I shall
submit the mark sheet/ course completion certificate at the end of the course.
Any implication of tax on the reimbursement amount received will be on my account.
I agree to abide by the decision of the Management Panel & the Trustees in all matters concerned
with my application.
Name: _________________________________ Place: _____________________

Signature: ___________________ Date: _____________________

Page 50 of 78
Verification by Dept. / HR Head

The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name: _____________________________ Name : ______________________________

PS No. : ____________________________ PS No. :______________________________

Designation : ________________________ Designation : __________________________

Signature: ___________________________ Signature: ____________________________

Mobile No.: __________________________ Mobile No.: ___________________________

Date : ______________________________ Date : _______________________________

Verification by Welfare Department


This claim has been verified.

Total eligible amount claimed: ₹__________________

Amount recommended for sanctioning ₹____________________________ (Rupees in words

___________________________________________________________________________)

Name: ___________________________________Signature_______________Date_________

__________________ ___________
Verification number Date

Copies of the following documents (except item 3) to be attached with the claim form.
1. Death Certificate /Certificate of incapacitation of the Employee.
2. Cheque leaf for remitting the amount by way of NEFT.
3. Tuition Fees (attach receipts/ vouchers).

Page 51 of 78
L&T Employees Trust
Scheme -9: Support education of children of employees who died/fully
incapacitated while in service & scholarship to meritorious students ( October
2020).

Eligibility

1. Children of deceased or fully incapacitated employees who were serving as permanent


employees at the time of demise or incapacitation and have served for a minimum period of
2 years in the company are eligible to apply.
2. The term “Children” means legitimate children and legally adopted children up to a maximum
of 02 children.
3. The child should have completed the age of 3 years and should not be above the age of 25
years on the first day of the academic year in respect of which the claim is being made.
4. Children from the marriage of a deceased employee whose spouse remarries can claim
benefits provided proper documents are submitted like death certificate etc. The payment
will be made to the child or the spouse of the deceased employee.
5. Students who are studying in Pre-Primary, Primary, Secondary, Junior & Senior Colleges, and
Professional courses can apply under the scheme provided they have passed previous year’s
examination.
6. Scholarship to Meritorious students is given in point 6.1 , 6.2 & 6.3 below :
6.1. Students studying for Engineering / Architecture/ Medical / Physiotherapy / Pharmacy /
Hotel Management / Chartered Accountancy and Law ( Full Time 3/5 year course
excluding part time law courses ) courses covered under this scheme should have to
enroll in colleges/institutes coming under Universities recognized by UGC and institutions
created by an Act of Parliament.
6.1.1. Engineering (B.E., B.Tech.) / Architecture (B.Arch.) / Physiotherapy ( BPT ) /
Pharmacy ( B. Pharm. ) / Hotel Management (B.Sc. in Hospitality & Hotel
Administration) / Chartered Accountancy (C.A.) and Law (L.L.B.) Courses:
The students should have secured minimum of 70% marks in the 12th or equivalent
examinations and Minimum 70% marks in qualifying (Entrance) examinations to
qualify under the scheme. The students will be ranked according to the marks
obtained in the examinations mentioned herein.
6.1.2. (Medical Courses (MBBS, BDS ):
The students should have secured minimum of 70% marks in the 12th or equivalent
examinations and Minimum 70% marks in qualifying (Entrance) examinations to
qualify under the scheme. The students will be ranked based on the percentage of
marks obtained in Common Entrance Test (CET)/ /National Eligibility Cum Entrance
Test (NEET).
6.2. Diploma students seeking admission to 2nd year engineering / pharmacy can apply for
the scholarship provided they have secured minimum of 70% marks in final year Diploma
Examination and Minimum 50% marks in qualifying (Entrance) examinations to qualify
under the scheme. For 3 year Diploma course, aggregate marks of 5th & 6th Semesters
and for 4 year Diploma course, aggregate marks of 7th & 8th Semesters will be
considered. Students will be ranked based on percentage of marks obtained in qualifying
examination. (Refer point No.3 under Benefits Head).
6.3. Offer of scholarship for MBA students is withdrawn forthwith.

Page 52 of 78
7. Post-Graduation in Physiotherapy, Pharmacy, Hotel Management and Law (full-time) have
been added under the Scheme effective from the academic year 2017-18. The Norms for
Scholarship for Post-Graduation courses are as under:
7.1. Engineering / Architecture / Physiotherapy / Pharmacy / Hotel Management / Law (Full-
time) Courses:
7.1.1. The students should have secured minimum of 65% marks in the final year Graduation
Examination and Minimum 50% marks in qualifying (Entrance) examinations to
qualify under the scheme. The students should get admission in colleges recognized
by UGC. The students will be ranked according to the marks obtained in Graduate
Aptitude Test in Engineering (GATE)/ Post-Graduate qualifying examination
conducted by other Universities (Deemed or Autonomous). (Refer point No.3 under
Benefits Head)
7.2. Medical Courses – (Allopathy) (MD, MS, MDS, DNB): The students should get admission in
colleges recognized by UGC.
8. For students to become eligible for scholarship in subsequent years both in Graduation &
Post-graduation courses, the students should fulfill the following norms:
8.1. Secure a minimum of 60% marks in the previous year’s examination in Engineering/
Architecture/ Physiotherapy / Pharmacy / Hotel Management / Chartered Accountancy/
Law (Full-time) Courses.
8.2. Secure a minimum of 50% marks in the previous year’s examination in Medical courses at
Graduation level.
8.3. Students have to pass the previous year’s examination in the first attempt.

Benefits

1. Tuition Fees & other expenses will be reimbursed at actuals subject to ceiling as given in
Annexure ‘A’ per child per academic year.
2. In respect of Meritorious students, Scholarship amount per academic year will be :
2.1. The maximum amount for Graduation & Post-Graduation per student (effective from
academic year 2017-18):
Engineering /Architecture /Physiotherapy /Pharmacy /Hotel Management/ Chartered
Accountancy/ Law (Full Time) Courses - ₹ 1.50 Lakh
Medicine - ₹ 2.25 Lakhs
For details of reimbursement of expenses, please see Annexure ‘B’.

Eligibility:

1. Student who is not qualifying to apply for meritorious scholarship in subsequent year/s as
given in Annexure ‘B’ above can avail of the benefits as given in Annexure ‘A’.
2. A student eligible to claim Meritorious scholarship as defined in point 6 above (As per
annexure ‘B’), will not be entitled to get benefit under point 1 (As per Annexure ‘A’).
3. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Page 53 of 78
Special conditions

1. Where both father and mother are employees, in case of death or incapacitation of either of
them, the children will not be eligible to avail the benefits of this scheme.
2. Any implication of tax on the reimbursement amount received under the scheme will be on
the beneficiary’s account.

How to Apply

1. A claim should be lodged on LTET portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted by end November for the Academic Year for which application is
lodged.
4. A child who fails and is not promoted to a higher standard will not be eligible for
reimbursement in that particular year. This condition may be waived on the recommendation
of the Panel in the case of a child who has failed and who is not promoted to the next higher
standard on account of ill health.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their discretion. In all matters concerning this scheme, the Trustees’ decision will
be final & binding.

Page 54 of 78
Annexure ‘A’
(Amount in ₹)
Particulars of Pre-primary, Junior & Professional
Expenditure Primary & Senior College Courses
Secondary
Tuition Fee 60,000 1,00,000 1,20,000

Uniform 5,000 5,000 -----------

Books 10,000 10,000 15,000

Transport 15,000 15,000 15,000

Hostel 20,000 40,000 40,000

Total Eligible 1,10,000 1,70,000 1,90,000


Amount

Annexure ‘B’
Scholarship for Meritorious students limit
1. Graduation & Post-Graduation in Engineering / Architecture / Physiotherapy / Pharmacy /
Hotel Management / Chartered Accountancy/ Law (Full-time) - ₹ 1, 50,000/-
2. Graduation & Post-Graduation in Medicine - ₹ 2,25,000/-
3. The above scholarship amount will include
a) Tuition Fees
b) Hostel Fees
c) Books (not exceeding ₹ 5,000/-)
4. Maximum eligible amount will be 85% of item no.3 above, subject to limits shown in point 1
& 2.

*************

Page 55 of 78
(Form – 09/2020)

L&T Employees Trust – Mumbai

Scheme 9: Support education of children of employees died/ fully incapacitated


while in service & Reward of scholarship to meritorious students. (October 2020)
ENROLLMENT FORM No: 1 A

Name of deceased / incapacitated employee _____________________________________

PS No. : ________________ Date of Joining:________________ Cadre :______________

Date of Death/Incapacitation: ____________________ SBU/IC: ___________________

Dept. Code:____________________ Location: ________________________________

Name of Spouse /Guardian: ______________________________ Relation: ____________

Address :_________________________________________________________________

_________________________________________________________________________

Mobile /Res.No. :______________________ Email id: _____________________________

Data regarding the children to be enrolled:


Sr. Name Date of Birth Sex Standard Remarks, if any
No. (enclose
proof)
1

I agree to abide by the decision of the Management Panel & the Trustees in all matters
concerned with my application.

I confirm that the above statements are true and have been verified by me.

Signature: ___________________ Date: __________________

Page 56 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ______________________ Name : ____________________________

PS No: ______________________ PS No: ____________________________

Designation : _________________ Designation : _______________________

Signature : ___________________ Signature : _________________________

Mobile No. : __________________ Mobile No. : ________________________

Date : ________________________ Date : _____________________________

Verification by Welfare Department

The above facts have been checked by me from the employee’s record with the company.

Name: _____________________________________ PS No :___________________

SBU / IC :___________________________ Location : _________________________

Signature:___________________________ Date: ____________________________

Verification/Enrollment No.______________________ Date:_____________________

Copies of the following documents to be attached with the Enrollment form.

1. Death Certificate /Certificate of incapacitation of the Employee.


2. Birth Certificate of the Child.
3. Copy of Cheque leaf in the name of guardian for remitting the amount by way of NEFT.

Page 57 of 78
L&T Employees Trust – Mumbai

Scheme - 9: Support education of children of employees died / fully incapacitated


while in service & Reward of scholarship to meritorious students. (October 2020)

Claim Form No: 1 B

(Enrollment number______________________ & Date ______________)

Name of deceased / incapacitated employee _____________________________________

PS No. : ________________ Date of Joining:________________ Cadre :______________

Date of Death/Incapacitation: ___________________ SBU/IC: _______________________

Dept. Code: _______________________ Location: ________________________________

Name of Spouse / Guardian: ____________________________ Relation: ______________

Address :__________________________________________________________________

_________________________________________________________________________

Mobile/Res.Tel. No.:____________________ Email id:_____________________________

I request you to reimburse the educational expenses of my children for the Academic
Year: ____________________

First Child Second Child


Name (in block letters)

Name of
School/Institution Standard Standard

Amt. per academic year (₹) Amt. per academic year (₹)
Amount Eligible amount Amount Eligible amount
Expenses incurred claimed as per scheme claimed as per scheme
1. Tuition Fee

2. Uniform
3. Books
4. Transport

5. Hostel
Total Amount

I confirm that the above statements are true. Any implication of tax on the reimbursement
amount received under the scheme will be on my account. I agree to abide by the decision of
the Management Panel & the Trustees in all matters concerned with my application.

Name of the Spouse/ Guardian: ______________________________________________

Signature: _____________________________________ Place: _____________________


Page 58 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ______________________ Name : ___________________________

PS No: ______________________ PS No: ___________________________

Designation : _________________ Designation : ______________________

Signature : ___________________ Signature : ________________________

Mobile No. : __________________ Mobile No. : ________________________

Date : ________________________ Date : _____________________________

Verification by Welfare Department

This claim has been verified.

Amount claimed : ₹______________________________

Amount recommended for sanctioning ₹________________________ (Rupees in words

______________________________________________________________________)

Name : ________________ Signature: ____________________ Date ______________

_______________________ ______________________
Verification number Date

Copies of the following documents to be attached with the Claim form

1. Death Certificate /Certificate of incapacitation of the Employee.


2. Entrance/Mark sheet of earlier year’s examination/ Grade sheet/ Graduate Final year Mark
sheet.
3. School/College Admission Letter.
4. Birth Certificate.
5. Tuition Fee receipts.
6. Cash Memo for uniforms purchased.
7. Cash Memo/s for purchase of books.
8. Receipt for payment for transport.
9. Hostel Fee receipts in original with lodging & boarding break up.
10. Annual Progress Report.
11. Cheque leaf for remitting the amount by way of NEFT.

Page 59 of 78
L&T Employees Trust
Scheme – 10: Reimbursement of Maternity Expenses in Complicated Cases
(October 2020).

Eligibility

1. Scheme covers employees and spouses of employees of L&T, its Subsidiary and Associate
companies.
2. Employees & spouses of employees who are serving as permanent employees and have served
for a minimum period of 2 years in the company.
3. Employee whose spouse is working and covered by medical scheme provided by employer
shall not be eligible for this benefit.
4. Scheme will apply for two maternities to meet expenses only in complicated cases however
normal delivery excluded.

Benefits

1. Reimbursement will be up to ₹ 2, 00,000/- or actual expenses incurred whichever is lower.


The amount payable under this scheme will be after exhausting all limits including their
personal insurance cover wherever applicable.
2. The nature of complicated cases will be decided by CMO L&T Mumbai.
3. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Condition

1. Any implication of tax on the reimbursement amount received under the scheme will be on
the employee’s account.

How to Apply

1. Lodge the claim online on LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted within one month after treatment.
4. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.

Procedure for Disbursement

1. L&T Management will form a suitable panel which will include CMO L&T Mumbai for
scrutinizing and recommending the eligible applications for the final approval by the
Trustees. The panel’s decision will be final and binding.
2. Employees who have to receive reimbursement will be intimated by PM&WS after the
approval of Trustees.

Page 60 of 78
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

*************

Page 61 of 78
L&T Employees Trust – Mumbai

Scheme – 10 : Reimbursement of Maternity Expenses in Complicated Cases.

Claim Form (October 2020)

Name of employee: _____________________________________________ PS NO. ___________

Sex M F (Tick whichever applicable)

Date of Joining:__________________________

Cadre & Grade ____________SBU/IC:_____________Dept. Code :__________ Location:_______

Office Address :__________________________________________________________________

_________________________________Off Tel No/Mobile No. :__________________________

Residence Address_______________________________________________________________

_________________________________ Res. Tel No/Mobile No . :_______________________

Email id : _______________________________________________________________________

Name of Patient _________________________________ Relation with Employee – Self / Spouse

Details of the Case: _________________________________________________________________

I submit my application for your consideration under the scheme “Reimbursement of Maternity Expenses in
Complicated Cases”.

Expenses Amount Approved Amount Sanctioned


Details Incurred (₹.) by LTET (₹)
by PM&WS (₹)
A - Total expenses incurred
B - Less amount received from : #
1
2
Subtotal – B
Total C ( A – B)
Maximum Eligible Amount – ₹
2,00,000/-
#Please indicate against item numbers 1 & 2 under B the amount received from other sources if any, to
meet the hospitalization expenses. You may attach a separate sheet under B if need be. Proof of such
receipts should be attached along with the claim form.

Any implication of tax on the reimbursement amount received under the scheme will be on my account.

The particulars furnished above are true to the best of my knowledge. I agree to abide by the decision of
the Management Panel & the Trustees in all matters concerned with my application.

Page 62 of 78
Name of Employee: ________________________________________ Place: __________________

Signature: ________________________________________________ Date: ___________________

Verification by Dept. / HR Head

The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name :____________________________ Name: ___________________________

PS No : ___________________________ PS No.: ___________________________

Designation: Designation :_______________________

Signature: ________________________ Signature: _________________________

Mobile No.:________________________ Mobile No. :________________________

Date: ____________________________ Date: _____________________________

Verification by Powai Medical Services

Certified that the above claim is covered under the Scheme & has been verified & found in order.

Amount claimed Rs.________________

Amount recommended for sanctioning Rs.______________________________ (Rupees in words


____________________________________________________________________________)
Name: _________________________ Signature: ___________________Date: _____________

__________________ _________________
Verification number Date

Name:__________________________________

Designation: Head – Medical, Health & Welfare Services


Larsen & Toubro Limited

Signature: _____________________ Date: ____________________

Copies of the following documents (except items 2,4,7) to be attached with the Claim form

1. Discharge Card.
2. Hospitalization bills / Cash Memos for purchase of medicines.
3. Receipts for payments made to hospital.
4. Settlement certificate from insurance company.
5. Photocopies of Investigation reports.
6. Prescription for purchase of medicines.
7. Declaration Form.
8. Cancelled Cheque leaf for remitting the amount by way of NEFT.

Page 63 of 78
LTET/Scheme-10(Med)

Date: _______________

Reimbursement of Maternity Expenses in Complicated Cases

Declaration

Submission of claim for reimbursement of Hospitalization expenses


under the above scheme

I, Ms./Mr.___________________________________________ PS No.________________,
Dept./SBU/IC___________________________________, hereby confirm the following:

1. My wife is a house wife.

2. S/he is employed with ______________________________________ and not getting any


medical reimbursement from the employer.

3. I have received ₹____________________ from the Company under the Company’s Scheme.

4. I have not claimed any amount under Mediclaim Policy for this hospitalization.

The particulars furnished above are true to the best of knowledge.

________________________________
Employee’s Signature

________________________________
Dept. Head, Signature & Name

Page 64 of 78
L&T Employees Trust
Scheme – 11: Financial Assistance in case of Natural Calamities ( October 2020).

Eligibility

1. Scheme covers all existing employees of L&T, its Subsidiary and Associate companies.
2. Spouse & two children are also covered under the scheme.
3. The natural calamities happening from 1st April, 2015 will be covered under the scheme.

Benefits:

1. Benefit of ₹ 3 Lakhs is payable only in the case of death & out of such natural calamities &
benefit will be payable for each case of death.
2. The amount will be paid only to the surviving member out of the four family members
mentioned above.
3. No relatives of the family of the employee will be entitled to receive any money under the
scheme in the event of death of all.
4. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.
5. Nature of Natural Calamities:
5.1. Earthquake
5.2. Flood
5.3. Tsunami
5.4. Lightning & Thunder
5.5. Thunderstorm
5.6. Hurricane
5.7. Tornado
5.8. Rainstorm
6. These are only explanatory in nature & any other calamity happening & not covered above
will be decided from time to time. The Natural calamities happening have to be declared by
a competent authority.

How to Apply

1. Kindly lodge the claim on LTET portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. The applicant needs to route her/his application through the employee’s Departmental/ HR
Head before forwarding to PM&WS.
4. Claim should be submitted within three months from the date of natural calamity.

Procedure for Disbursement

Page 65 of 78
1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employee/Survivor/Guardian will receive a system email regarding approval of claim after
the Trustees have approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.
*************

Page 66 of 78
L&T Employees Trust – Mumbai

Scheme – 11 : Financial Assistance in case of Natural Calamities

Claim Form (October 2020)

Name of employee:_____________________________________________ PS NO ___________

Sex M F (Tick whichever is applicable)

In service Retired VRS (Tick whichever is applicable)

Date of Joining:__________________________ Date of VRS/Retirement ___________________

Cadre & Grade ____________SBU/IC:___________Dept. Code :__________ Location:________

Office Address :_________________________________________________________________

_________________________________Off Tel No/Mobile No.:___________________________

Residence Address_______________________________________________________________

_________________________________Res. Tel No/Mobile No.:_________________________

Email id : ______________________________________________________________________

Name of Applicant: ___________________________ Relation with Employee______________

Details of Natural Calamity : ______________________________________________________

List of Persons Died :

Name___________________ Age ________ Relation With employee_____________________

Name___________________ Age ________ Relation With employee_____________________

Name___________________ Age ________ Relation With employee_____________________

I submit my application for payment under the scheme.

Name of Applicant: ________________________________________ Place: ________________

Signature: _______________________________________ Date :


________________

Page 67 of 78
Verification by Dept. / HR Head

The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name :___________________________ Name: ______________________

PS No.: __________________________ PS No.: _____________________

Designation: Designation: _________________

Signature: ________________________ Signature: ____________________

Mobile No.:________________________ Mobile No.:______________________

Date: ____________________________ Date: _______________________

Verification by Welfare Department

This claim has been verified.

Amount claimed Rs._________________________

Amount recommended for sanctioning Rs_________________________________ (Rupees in words

________________________________________________________________________________)

Amount to be paid in favour of _____________________________________________________

Name: _____________________ Signature: ____________ Date: ________________

___________________ _____________________
Verification number Date

Copies of the following documents to be attached with the form.


1. Attested copy of Declaration of natural calamity from competent authority.
2. Death Certificate/s & Original letter from competent authority stating that death has
occurred as a result of natural calamity giving name of the persons died on whose behalf
claim is made.
3. List of Surviving member/s with birth certificates duly attested.
4. Affidavit duly notarized in case claim is made on behalf of the Minor.
5. Cheque leaf of the surviving member.
6. Company ID card of the employee.

Page 68 of 78
L&T Employees Trust
Scheme - 12: Financial Assistance for Cataract Surgeries ( October 2020)

Eligibility

1. Scheme covers existing and retired employees of L&T, its Subsidiary and Associate
companies, their spouse.
2. Employees both Existing and Retired should have served as permanent employee for at least
5 years before being eligible.
3. Spouses of deceased employees (Existing & Retired) are also covered in this scheme
provided the employee has completed 5 years’ service in the company before his/her
demise.
4. Financial Assistance will be provided for Cataract surgeries.
5. Employee whose spouse is employed and covered by medical scheme provided by his/her
employer shall not be eligible for this benefit.

Benefits

1. Reimbursement will be for the cost of treatment in respect of hospitalization / Day care
procedure only subject to a limit of ₹ 40,000/- per eye after exhausting all other sources of
reimbursements including their personal insurance cover wherever applicable. Unutilized
amount, if any, in a particular Financial Year will not be carried forward to the next Financial
Year. The limit of ₹ 40,000/- per eye for cataract surgery will cover expenses incurred on or
after 1st October 2020.
2. For Cataract surgeries claimant may choose hospital / Ophthalmologist of their own choice.
Claimant will be reimbursed maximum of ₹ 40,000/- per eye (irrespective of city / hospital
/ Ophthalmologist / cadre). Reimbursement of ₹ 40,000/- per eye towards Cataract Surgery
includes the following
2.1. Pre Hospitalization Consultation / Investigation charges / Medication for 1 month
2.2. Hospitalization & procedure
2.3. Intra Ocular Lens (IOL)
2.4. Post Hospitalization Consultation / Investigation charges / Medication for 1 month
3. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year,
claims received but unpaid will be taken up for reimbursement in the subsequent year at the
sole discretion of the Trustees.

Special Condition

1. Any implication of tax on the reimbursement amount received under the scheme will be on
the employee’s account.

How to Apply

1. Lodge the claim online on LTET Portal: https://ltet.larsentoubro.com/

Page 69 of 78
2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted within one month after treatment.

Procedure for Disbursement

1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.

*************

Page 70 of 78
L&T Employees Trust – Mumbai (Form- 12/2020)

Scheme - 12 : Financial Assistance for Cataract surgery (October 2020)

Claim Form

Name of employee: _____________________________________________ PS NO._______________

Sex: M F

In service Retired VRS (Tick whichever is applicable)

Date of Joining:__________________________ Date of VRS/Retirement _______________________

Cadre & Grade ____________SBU/IC:_____________Dept. Code :__________ Location:__________

Office Address :_____________________________________________________________________

_________________________________Off Tel No./Mobile No.: ______________________________

Residence Address_________________________________________________________________

_________________________________Res.Tel No./Mobile No.:______________________________

Email id : _________________________________________________________________________

Name of Patient _________________________________ Relation with Employee________________

Details of Disease / Ailment: __Cataract Surgery (Left Eye / Right Eye)


________________________________

I submit my application for reimbursement under Financial assistance for Cataract Surgery for the financial
year _____________ for the treatment of self / my relation ________________________________ (Spouse)

Amount Amount
Expenses
Details recommended by sanctioned by
incurred (₹)
PM&WS (₹) LTET (₹)
A - Total expenses incurred
B - Amount received from other sources#
Final Amount Claimed : A –B
Maximum Eligible Amount – Rs. 30,000/-

#
Proof of such receipts should be attached along with the claim form If amount is received through any
other source) Any implication of tax on the amount received by claimant will be on his /her account. The
particulars furnished above are true to the best of my knowledge. I agree to abide by the decision of the
Management Panel & the Trustees in all matters concerned with my application.
Name of Employee / Claimant ________________________________________

Place: ___________________Signature: ________________________________Date: ___________________

Page 71 of 78
Verification by Dept. / HR Head
The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : _______________________

PS No. ________________________ PS No. _______________________

Designation : ___________________ Designation : __________________

Signature : _____________________ Signature : ____________________

Mobile No. : ____________________ Mobile No. : __________________

Date : _________________________ Date : _______________________

Verification by Powai Medical Services

This claim has been verified & found in order.

Amount claimed ₹__________________,

Amount received from any sources ₹________

Amount recommended for sanctioning ₹______________________________ (Rupees in


words
_____________________________________________________________________________)

Name :_________________________ Signature :___________________Date: _____________


__________________ _________________
Verification number Date

Copies of the following documents to be attached with the Claim form

1. Discharge Card along with Original Lens Sticker


2. Hospitalization bills / Cash Memos for purchase of medicines
3. Receipts for payments made to hospital.
4. Photocopies of Investigation reports
5. Prescription for purchase of medicines.
6. Declaration Form.
7. Settlement certificate from insurance company if applicable
8. Cancelled Cheque leaf for remitting the amount by way of NEFT.
9. Company ID card of the employee.
10. Expenses statement with Bill no. date and amount which will include
a. Pre Hospitalization Consultation / Investigation charges / Medication for 1 month
b. Hospitalization
c. Post Hospitalization Consultation / Investigation charges / Medication for 1
month

Page 72 of 78
L&T Employees Trust
Scheme- 13: Financial Assistance Scheme - Hospitalisation for Surgical
Procedures (October 2020)

Eligibility

1. Scheme covers existing and retired employees of L&T, its Subsidiary and Associate
companies, their spouse and maximum two children up to the age of 21 years.
2. Employees both Existing and Retired should have served as permanent employees for at least
5 years before being eligible.
3. Spouses of deceased employees (Existing & Retired) and their children up to the age of 21
years are also covered in this scheme provided the employee has completed 5 years’ service
as permanent employee in the company before his/her demise.
4. Medical Assistance will be provided for Hospitalization for Surgical Procedures

Benefits

1. Reimbursement will be for the cost of treatment in respect of hospitalization only subject
to a limit of ₹1,50,000/- per annum (Financial Year) per family member after exhausting all
other sources of reimbursements including their personal insurance cover wherever
applicable. Unutilized amount, if any, in a particular Financial Year will not be carried
forward to the next Financial Year. The limit of ₹ 1,50,000/- per annum for hospitalization
will cover expenses incurred on or after 1st October 2020.
2. Consultation, Investigations, medications will also be considered for 15 days pre-
hospitalization and 07 days post hospitalization period.
3. Please refer annexure A for the procedures covered
4. Twenty four hours hospitalization is not mandatory. A daycare surgical procedures can also
be claimed in this scheme.
5. Limit for Reimbursement of Room Tariff is as under:
5.1. Tier I Cities - ₹ 5,000/-
5.2. Tier II Cities - ₹ 4,500/-
5.3. Tier III Cities - ₹ 4,000/-
6. Room Tariff can be claimed only from one of the sources. Room tariff will be part of
hospitalization limit mentioned above. Refer Annexure ‘B’ for list of cities covered.
7. On an annualized basis, the Trustees will earmark the funds for this scheme and if the funds
allocated for the scheme are fully disbursed and exhausted during that particular year, claims
received but unpaid will be taken up for reimbursement in the subsequent year at the sole
discretion of the Trustees.

Special Condition

1. Any implication of tax on the reimbursement amount received under the scheme will be on
the employee’s account.

Page 73 of 78
How to Apply

1. Lodge the claim online on LTET Portal: https://ltet.larsentoubro.com/


2. All claim forms should be supported by all relevant documents as applicable to the scheme.
Detailed list of documents to be submitted with the claim is mentioned in the claim form.
Incomplete claim may render the application to be rejected.
3. Claim should be submitted within one month after treatment.

Procedure for Disbursement

1. 1. L&T Management will form a suitable panel for scrutinizing and recommending the eligible
applications for the final approval by the Trustees. The panel’s decision will be final and
binding.
2. Employees will receive a system email regarding approval of claim after the Trustees have
approved it.
3. The Trustees reserve the right to add, alter, modify, delete or close the scheme without
notice at their sole discretion. In all matters concerning this scheme, the Trustees’ decision
will be final & binding.
4. The trustees have the right to approve / reject the claim including the amount for the
procedure.

Annexure A: List of surgical procedures covered

• Eye Surgery (other than cataract, LASIK)


• Surgery of Nose (except rhinoplasty)
• Dental surgery following an accident if the treatment is done under GA & in OT
• Surgery of throat
• Tonsillectomy
• Surgery of Gall bladder, Pancreas and bile duct
• Surgery of Appendix
• Surgery of Hernia and Hydrocele
• Surgery of Prostrate
• Gastrointestinal Surgery
• Lithotripsy (kidney stone removal)
• Surgery of Urinary System
• Genital Surgery (except circumcision)
• D&C
• Hysterectomy
• Surgical Treatment of fractures / dislocation
• Arthroscopic Knee surgery
• Laparoscopic therapeutic surgeries
• Any such disease / procedure approved by Head – Medical Services / EVP Medical
Services

Annexure ‘B’ Tier-wise list of the Cities


Tier Cities
I Delhi, Mumbai , Kolkata, Chennai, Bengaluru, Pune, Hyderabad
II Surat ,Vadodara , Kochi , Ahmedabad

Page 74 of 78
III Ahmednagar, Jamshedpur, Mysore , Vizag, Coimbatore & Rest of the cities in
India.
************

Page 75 of 78
L&T Employees Trust – Mumbai
Scheme - 13: Hospitalization for Surgical Expenses other than Life Threatening Diseases (LTDs)
(October 2020)

Claim Form

Name of employee: _____________________________________________ PS NO._______________

Sex: M F

In service Retired VRS (Tick whichever is applicable)

Date of Joining:__________________________ Date of VRS/Retirement _______________________

Cadre & Grade ____________SBU/IC:_____________Dept. Code :__________ Location:__________

Office Address :_____________________________________________________________________

_________________________________Off Tel No./Mobile No.: ______________________________

Residence Address_________________________________________________________________

_________________________________Res.Tel No./Mobile No.:______________________________

Email id : _________________________________________________________________________

Name of Patient _________________________________ Relation with Employee________________

Details of Disease / Ailment: __Cataract Surgery (Left Eye / Right Eye)


________________________________

I submit my application for reimbursement under Financial assistance Hospitalisation for Surgical
Expenses other than Life Threatening Diseases (LTDs) (Form -November 2019) for the financial year
_____________ for the treatment of self / my relation ________________________________ (spouse /
child – up to age of 21 years).

Details Expenses Amount Amount


incurred (₹) recommended by sanctioned by
PM&WS (₹) LTET (₹)

A - Total expenses incurred


B – Excess amount of Room Tariff
over and above my entitlement
included in A.
C (A – B)
D - Less amount received from: #
1
2
Subtotal – D

Page 76 of 78
Total E (C – D)
Maximum Eligible Amount –
₹1,00,000/-

Please indicate against item numbers 1 & 2 under D the amount received from other sources if
any, to meet the expenses. You may attach a separate sheet under D if need be. Proof of such
receipts should be attached along with the claim form.

Any implication of tax on the amount received by me will be on my account. The particulars
furnished above are true to the best of my knowledge. I agree to abide by the decision of the
Management Panel & the Trustees in all matters concerned with my application. Name of
Employee: ________________________________________ Place: _________________

Signature: ________________________________________________ Date: __________________

Verification by Dept. / HR Head


The particulars furnished above are verified and are true to the best of my knowledge.

Dept. Head HR Head

Name : ________________________ Name : ____________________

PS No. ________________________ PS No. ____________________

Designation : ___________________ Designation : _______________

Signature : _____________________ Signature : ________________

Mobile No. : ____________________ Mobile No. : ________________

Date : _________________________ Date : ____________________

Verification by Powai Medical Services

This claim has been verified & found in order.

Amount claimed ₹__________________, Room Rent as per the bill ₹--------------------

Room Rent entitled as per rules ₹ _________ Room Rent received from any
sources_________

Amount recommended for sanctioning _____________________ (Rupees in words


____________________________________________ )

Name :______________________Signature :____________Date: ________


__________________ _________________
Verification number Date

Copies of the following documents to be attached with the Claim form


1. Company ID card of the employee
2. Cancelled Cheque leaf for remitting the amount by way of NEFT.
3. Declaration Form.
Page 77 of 78
4. Expenses statement (Giving details Bill No., Bill Dt., Amount).
5. Discharge Card.
6. Hospitalization bills / Cash Memos for purchase of medicines. (original)
7. Receipts for payments made to hospital. (original)
8. Settlement certificate from insurance company if applicable. (original)
9. Prescription for purchase of medicines.
10. Photocopies of Investigation.

************

Page 78 of 78
Larsen & Toubro Employee Trust
Schemes

Scheme Scheme Enrolment/


no. Direct Apply
1 Scholarship to meritorious students for doing Graduation Apply Direct
& Post Graduation in specified courses

2 Support Studies of Differently Abled Children Enrolment


required
3 Recognize & Reward winners of National / State level Apply Direct
Scholarship Examinations & Olympiad (Mathematics &
Sciences)

4 Recognition and Prize for Academic Performance from Apply Direct


SSC to Post-Graduation including Professional Courses &
Doctorate

5 Medical Assistance for Life Threatening Diseases (LTDs) Apply Direct

6 Medical Support for Differently abled Children Enrolment


required
7 Recognize & Reward Excellence in Major Events, Sports & Apply Direct
Games at International/ National / Inter-State/ Inter-
University Levels and Sponsorship for International
/National/ State/ University Level Sports

8 Support towards Training & Rehabilitation of spouses of Enrolment


Deceased or fully incapacitated employees to become required
employable

9 Support Education of children of employees who dies/or are Enrolment


fully incapacitated while in service & scholarship to required
meritorious students

10 Reimbursement of Maternity Expenses in Complicated Apply Direct


Cases

11 Financial Assistance in case of Natural Calamities Apply Direct

12 Financial Assistance for Cataract Surgeries Apply Direct

13 Financial Assistance Scheme - Hospitalisation for Surgical Apply Direct


Procedures
1. Understanding schemes, registration, enrolment and claim
process at LTET Portal. The Link is given below-

https://ltet.larsentoubro.com

By clicking on the link, you will visit the LTET Portal website. You may access through
Portal by following few easy steps:

Stage 01: First time User registration: Click on NEW USER

Stage 02: Employee Verification: Employee registration page will request you for PS no
& Verification Code

Stage 03: Employee Registration details to be updated and click on Register

Stage 04: Confirmation: Employee will receive a confirmatory email on the email ID
provided in the third stage along with a system generated password

Stage 05: Ready to Log In: Go back to website. Put Username as Employee's PS no and
password shared on email can be uploaded.

Stage 06: Change Password: System will request to change the password.

Portal Accessed Successfully


Annexure A: Supporting Registration from back end.
Powai Medical & Welfare Service (PM&WS) Team will support an employee who is
unable to register themselves primarily through LTET Portal.
Employee must share his/her details in the following format through Email.
Kindly email on- [email protected]

PS NUMBER

EMPLOYEE NAME

EMPLOYEE STATUS

DATE OF JOINING

DATE OF RETIREMENT/VRS

CADRE & GRADE

DEPT. CODE

SBU/IC

LOCATION

RESIDENTIAL ADDRESS

MOBILE NUMBER

EMAIL
(THIS EMAIL ID WILL BE USED FOR
FURTHER COMMUNICATION)

Mandatory document to be shared along with the Employee details-


➢ Attach Copy of Retirement letter (In case of retired employees)
➢ Attach a copy of Death certificate & FNF Settlement letter (In case of
Deceased Employees)
2. Understanding the process of Registration of Employee and Family
members in the LTET Portal.
➢ Once we have registered and accessed LTET Portal successfully, we need to update
employee details and family details in the portal.
➢ Family details includes- registration of Spouse and maximum two children.
You may update your and family details by following easy steps given below-

Stage 01: Personal Details: Click on Update Employee Details. Ensure you have
updated contact no., Email ID, PS No.

Stage 02: Child Registration: Click on Child registration and update child details
including birth date. Ensure to upload Child's Photo.

Stage 03: Spouse Registration: Click on Spouse registration and update Spouse
details. Ensure to upload contact no, Email ID and confirm if spouse is
employed.

You have Successfully registered yourself and your family members in the LTET
Portal.
3. Understanding the schemes and claim process
➢ To read the scheme, click on Schemes. You will have access to each scheme
document. You can check the eligibility to apply under scheme.
You may follow few steps given below and claim directly for schemes:

Step 01: Log in

Step 02: Create Claim

Step 03: Select Scheme

Step 04: Fill Appropriate Bank details (Self/Child)

Step 05: Fill up Claimant Details (Spouse/Child/Self)

Step 06: Fill up Claim details

Step 07: Upload claim related documents (Write short description of


each document ) (Annexure B)

Step 08: Tick on Declaration

Step 09: Submit the Claim

Step 10: You will receive an email for successful submission of the
claim
Annexure B: Uploading Claim related Documents

Sr no. Common Documents to be uploaded


1. Company ID Card/ Retirement letter/ Death certificate and FNF
Settlement letter in case of deceased employees
2. Birth Certificate of the Child/ claimant
3. Cancelled Cheque Leaf of the participant/ Employee

Documents to be Uploaded Scheme wise:


Sr Medical Scheme Educational Scheme Sports and Other
no. Schemes

1 Investigation Child’s Birth proof Letter of


Reports participation in the
Event/Game
2 Original Bill Mark sheets Award Certificate

3 Insurance College admission letter Original bills for


Letter/Other claim Coaching, Sports Kit,
sources (if any) Lodging- Boarding,
Travel, Bills (if
applicable)
4 Discharge summary Entrance exam result _____________

5 Treatment/ therapy Tuition/Hostel/Transport _____________


bills Fee receipts

6 Medical Prescription Form 16 part A & B of _____________


employee (if applicable)
7 Form 16 part A & B _____________ _____________
of employee for
scheme no.06 only
4. Understanding the Claim Scrutiny, Approval and Payment process
Once the claim is submitted by an Employee, the claim goes through scrutiny and approval
at different levels. Let’s understand the process at LTET Panel.

Step 01: Employee Submits the claim

Step 02: The claim and the related documents are scrutinized at PWD level

Step 03: If the claim is correct and all the necessary documents uploaded then PWD
requests for original documents (Refer Annexure C)

Step 04: Employee receives the notification for submitting the hard copies of relevant
documents. Employee may courier the same to PWD

Step 05:The original documents are scrutinized at PWD level and the claim is sent to Sub-
Panel level for approval

Step 06: Post Sub-Panel approval, Claim goes to Apex-Panel Approval

Step 07: Post Apex-Panel Approval, Claim goes to SSC for Approval and Payment (At SSC-
Original Documents are again verified)

Step 08: At SSC, once the claim is approved, payment process is initiated and within 15
working days, payment is transferred to the Employee/participant/ Claimant

Step 10: You will receive a confirmatory email from LTET regarding approval of the claim
and releasing the payment shortly.

In case of any query related to claim or original document, the claim may be sent back to
PM&WS level from Sub Panel or Apex Panel level. Once the query is resolved claim can be
processed with approval.
Kindly note- Employee has access to see the status of their claims once the claim is
submitted till approval from SSC.
Annexure C: Sending Original Documents at PM&WS

Documents to be sent to PM&WS Scheme wise:


Sr Medical Scheme Educational Scheme Sports and Other
no. Schemes

1 Original bills and Claim form verified by Original Bills of


hospital payment Dept & HR Head (Scheme Coaching/ Lodging
receipts no.01) /Boarding/Travelling
2 Cancelled cheque Undertaking (Scheme
no.01)

3 Documents as asked Original Tuition / Hostel/


by PM&WS to submit Book Fee Receipts
(Scheme no.01)
4 Cancelled Cheque
(Scheme no.01)
5
6

Annexure D: Understanding if Claim is Delayed/ Sent back/ Under scrutiny or


Rejected
➢ The claim may get delayed:
1. If the Original Document is not received at PM&WS.
2. If employee has not submitted the claim.
➢ The claim may be sent back:
1. Eligibility related issues
2. Form 16 is not updated
3. Wrong calculations of the marks
4. Document being not uploaded
➢ The claim is under scrutiny for long:
1. If verification by HR is not done (scholarship schemes)
2. Wrong calculations of the marks
3. Document is not uploaded
4. If Original Documents are not received within 2 weeks after receiving
claim online
➢ The claim is Rejected:
1. Employee does not fulfil eligibility criteria
2. Disease/Disorder not covered under the scheme
3. If the course is not covered.
4. The exam is not passed in first attempt.
5. Escalation Matrix:
Understanding the right time and reason to escalate or share grievances with
LTET team and or Panel members.

1. If claim is not scrutinized for more than two weeks after submission
2. In case the payment is not received even after SSC has approved the claim,
after checking with PM&WS for the reason for non-receipt of payment
3. In case of less amount received than the claimed amount after checking
with PM&WS for the reason for less amount sanction and if you are not
satisfied with reason
If the claim is rejected kindly contact SPOC

Ways of Sharing your Grievances:


You may Email us at- [email protected]
Contact us on- 67055709/2474/3014/2213
Scheme wise Single Point of Contact:
Scheme No / Details Phone No Email ID
Education Schemes +91 22 6705 2474 Neha Agwekar
(1, 3, 4, 9) <[email protected]>
Disability, Sports and +91 22 6705 5709 ASAVARI PATANKAR
other Schemes (2,6,7, <[email protected]>
8, 11)
Medical Schemes (5, +91 22 6705 2213 SATISH RANANAWARE
10, 12,13) <[email protected]>
Escalation to Sub +91 22 6705 2728 Dr. Divyang Shah
Panel committee <[email protected]>
Escalation to Apex +91 22 6705 1541 K J Kamat<[email protected]>
committee

------------------------------------------------------------------------------------------------------
Frequently Asked Questions for LTET schemes:

1. How to register employee on LTET Portal?


Kindly refer Guide to LTET Process point no.01

2. I do not know my husband’s PS no.


Kindly connect with IC-HR or Respective IR Department.

3. I do not have PAN no.


Kindly follow the process given in Annexure A of Guide to LTET Process
Document.

4. What is my User ID and Password?


User ID is Employee’s PS no. To generate the password kindly follow, Point no
01 from Guide to LTET Process Document.

5. Do I need to change my password, is it mandatory?


Yes. It’s a pre-requisite of system for data security purpose after log in for first
time.

6. What to do if I am not able to register using NEW USER option?


Kindly refer Guide to LTET Process document Point no.01-Annexure A

7. What if I do not have Retirement letter?


Kindly contact your IC-HR/IR

8. How to claim on LTET Portal?


Kindly refer Guide to LTET Process Document Point no.03

9. How to upload documents?


Firstly, go through the online claim form, make a list of documents required to
be uploaded. Scan all these documents which should be readable and clear
copies. Upload all requested document in corresponding row and check TICK
MARK is visible near uploaded documents. Also write the description of the
document uploaded.

10. How to register my Spouse or Children?


Kindly refer Guide to LTET Process Point no.02.

11. Can I upload all Medical bills in one PDF File?


NO, you cannot upload all bills in one PDF file. Portal has option of adding row.
You may add row and upload all bills separately. You can add any number of
rows.

12. What to upload in Multiple Upload?


In multiple uploads, you must upload minimum three documents. For example
in case of Medical Scheme you may upload- Discharge Card, Prescription and
Investigation reports by adding row. You may upload additional document by
describing the document in short description.

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13. What is the next procedure once claim is submitted?
Kindly refer Guide to LTET Process point no. 04.

14. How do I know the status of my claim?


LTET Portal can assist you to check the exact status of your claim once it is
submitted successfully.
Kindly log in the portal and click on Employee claim View to see the status. For
more details refer Guide to LTET Process point no.04.

15. How will I receive payment?


Payment will be directly credited to beneficiaries’ account within 15 working
days once approved at SSC level.

16. When to submit ORIGINAL documents?


➢ Do not send original documents immediately after submitting an online
claim.
➢ Wait till your claim goes through scrutiny level at PMS/PWD level.
➢ Once the claim is scrutinized, you will receive an email requesting to
submit the original documents. You may either Courier or Personally
handover documents to PMS/PWD.
➢ Ensure to submit the documents mentioned in your email.

17. How do I Know where and why my claim is pending?


➢ Login to your portal, go the scheme and click on Employee View to see
the status of your claim.
➢ Interpretation of status column is given below-
1. Draft: Claim is still with you and is not been submitted. Please check and
submit.
2. Pending with PMS/PWD: Claim is received by PMS/PWD and is under
scrutiny.
3. Pending with SPM: Pending for approval from Sub Panel Member
4. Pending with APM: Pending for approval of Apex Panel Member
5. Pending with SSC: Pending with Accounts department, once your original
documents received by SSC claim will be processed.
6. Approved by SSC: Your claim is approved by SSC and you will receive
payment within 15 working days post approval date.

18. If my income is less than 20 lakhs at the time of entry in scheme no 01


and later, it increases is my child eligible to get benefitted from scheme?
Yes. Income eligibility criteria is considered only at the time of the entry in the
scheme.

19. If my child fails in one of the subjects or gets ATKT in the semester exam
will he/she be still eligible to get the scholarship?
No. All the exams should be passed in first attempt only. (Except for children
enrolled under scheme no 9).

20. If my child clears the ATKT/subject he/she is failed in, will he/she be
eligible to get the scholarship?

2|Page
No. All the exams should be passed in first attempt only. (Except for children
enrolled under scheme no 9).

21. If my child is pursuing or completed Graduation/ Post Graduation from


abroad, can I claim for Scholarship or Prize?
No. These schemes are applicable only for courses in India.

22. Which percentage should be considered for checking the eligibility? Best
of 4/5 or all the subjects?
Aggregate percentage including all the subjects will be considered for the
eligibility.

23. Which marks should I enter for prize scheme?


SGPA/SPA / Percentage of Final Year's last two semester's will be considered.

24. Can I claim twice a year for scholarship?


Yes, you can claim semester wise.

25. In case of deceased employee what will be the username for scheme 9?
It will be deceased employee’s PS No.

26. Why would I get less amount and not what I claim?
In tuition/ hostel fees receipt specific factors are considered hence the amount
differs from the actual claimed amount.

27. Can I round off the percentage?


No employee must describe exact percentage amount.

28. Can I email all the receipts or bills instead of sending in hardcopy?
No. All the bills, receipts should be sent Original to PM&WS.

29. My child has been undergoing coaching/training for a game but has not
participated in any competition. Can I still get sponsorship for
Coaching/training fees?
No. Coaching or training fees will be considered in case of competition
attended.

30. Both me and my spouse have attended child’s outdoor competition. Can I
get reimbursement for lodging and boarding?
➢ No. Only one of the parent’s lodging and boarding will be covered under
sponsorship claim if the child is below 18 years.
➢ If the child is above 18 years, then only child’s lodging and boarding will
be covered under sponsorship claim.

31. My child does not have Government Disability certificate. Can I still enrol
in the scheme no.02/ 06?
The Government disability certificate is mandatory to get enrolled in the
scheme. Kindly contact [email protected] for further assistance.

_______________________________________________________________________

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