| 1 | Director Health Services (MCH&FW) cum Joint CEO MHIS | Chairman |
| 2 | State Manager, State Nodal Agency, MHIS | Member Secretary |
| 3 | Monitoring & Control Officer, State Nodal Agency, MHIS | Member |
| 4 | Claims Officer, State Nodal Agency, MHIS | Member |
| 5 | Grievance & Redressal Manager, State Nodal Agency, MHIS | Member |
| 6 | Medical Officer, State Nodal Agency, MHIS | Member |
| 7 | State Coordinator of Insurance Company | Member |
| 8 | One Medical Officer/Officer of Insurance Company | Member |