How important is it to get the Shram Karyalaya sticker for someone who is on an H-1b visa? Will there be trouble at the airport in Kathmandu? I just went to the Karyalaya today. I would complete the whole process if it were only the Rs. 500 fee at the Karyalaya. But they want a health report. And insurance documentation from Rastriya Beema Sansthan (RBS). Apparently, the fact that my work provides me with comprehensive health, dental and life insurance is not enough. I was told it HAS to be from RBS. They were unable to tell me what type of insurance I need. The uncompetitive nexus between the government and RBS aside, I really question if RBS will actually "help" me if I get into some trouble in a foreign land. Not to speak of the redundancy in coverage. Do you think I could just skip the entire process?