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PFRDA Introduces ‘NPS Swasthya Pension Scheme’

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Source: Business Standard

Why in News?

The Pension Fund Regulatory and Development Authority (PFRDA) has allowed the launch of the NPS Swasthya Pension Scheme as a Proof of Concept (PoC) under its Regulatory Sandbox Framework, marking a first attempt to integrate health-related benefits with India’s pension system.

What is the NPS Swasthya Pension Scheme?

  • A sector-specific, voluntary, contributory pension scheme under the National Pension System (NPS)
  • Designed to provide financial support for outpatient and inpatient medical expenses
  • Operates under the Multiple Scheme Framework (MSF)
  • Governed by the PFRDA Act, 2013
Key Objectives
  • Test the operational, technological, and regulatory feasibility of linking pensions with healthcare spending
  • Address rising out-of-pocket medical expenses
  • Explore pension-based solutions to ageing and health-related vulnerabilities

Key Features of the Pilot Scheme

1. Regulatory Sandbox & PoC
  • Implemented on a limited and controlled basis
  • Pension Funds (PFs) must obtain prior PFRDA approval
  • PFs may collaborate with:
    • FinTech firms
    • Health Benefit Administrators (HBAs)
    • Third-Party Administrators (TPAs)
2. Partial Withdrawals for Medical Needs
  • Allowed for medical expenses
  • Withdrawal cap:
    • Up to 25% of subscriber’s own contributions at any instance
  • No limit on number of withdrawals
  • Minimum corpus requirement: ₹50,000 before first withdrawal
3. Premature Exit for Critical Treatment
  • In case of inpatient medical expenses exceeding 70% of total corpus in a single instance
  • Subscriber permitted:
    • 100% lump-sum premature exit
4. Transfer from Existing NPS Accounts
  • Subscribers above 40 years (excluding government employees) may:
    • Transfer up to 30% of their contributions
    • From existing NPS Tier-I account to Swasthya account
5. Exit Safeguards
  • If PoC is found unviable:
    • Subscribers can transfer accumulated corpus back to the regular NPS account
    • Exit as per existing NPS rules

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