Pradhan
Mantri Suraksha Bima Yojana is a government-backed accident
insurance scheme
in India. It was originally mentioned in the 2015 Budget speech by Finance Minister Arun Jaitely in February 2015. It was formally launched
by Prime Minister Narendra Modi on 9 May in Kolkata. As of May 2015, only 20% of India's
population has any kind of insurance, this scheme aims to increase the number
DETAILS OF THE SCHEME
Ø The scheme will be a one year cover, renewable from
year to year, Accident Insurance Scheme offering accidental death and
disability cover for death or disability on account of an accident.
Ø The scheme would be offered / administered through
Public Sector General Insurance Companies (PSGICs) and other General Insurance
companies willing to offer the product on similar terms with necessary
approvals and tie up with Banks for this purpose.
Ø Participating banks will be free to engage any such
insurance company for implementing the scheme for their subscribers.
ELIGIBILITY
Ø All savings bank account holders in the age 18 years
(completed) and 70 years (age nearer birthday) years in participating banks
will be entitled to join & give their consent to join / enable auto-debit.
Ø In case of multiple saving bank accounts held by an
individual in one or different banks, the person would be eligible to join the
scheme through one savings bank account only.
Ø Aadhar would be the primary KYC for the bank account.
ENROLLMENT PERIOD
Ø The cover shall be for the one year period stretching
from 1st June to 31st May for which option to join / pay by auto-debit from the
designated savings bank account on the prescribed forms will be required to be
given by 31st May of every year, extendable up to 31st August 2015 in the
initial year.
Ø Initially on launch, the period for joining may be
extended by Govt. of India for another three months, i.e. up to 30th of
November, 2015.
Ø Joining subsequently on payment of full annual premium
may be possible on specified terms. However, applicants may give an indefinite
/ longer option for enrolment / auto-debit, subject to continuation of the
scheme with terms as may be revised on the basis of past experience.
Ø Individuals who exit the scheme at any point may
re-join the scheme in future years.
Ø New entrants into the eligible category from year to
year or currently eligible individuals who did not join earlier shall be able
to join in future years while the scheme is continuing.
BENEFITS
|
Type of Accident
|
Sum Assured
|
1
|
Death
|
Rs. 2,00,000/-
|
2
|
Total and irrecoverable
loss of both eyes or loss of use of both hands or feet or loss of sight of
one eye and loss of use of hand or foot
|
Rs. 2,00,000-
|
3
|
Total and irrecoverable
loss of sight of one eye or loss of use of one hand or foot
|
Rs. 1,00,000/-
|
PREMIUM
Ø Rs.12/- per annum per member. The premium will be
deducted from the account holder’s savings bank account through ‘auto debit’
facility in one installment on or before 1 st June of each annual coverage
period under the scheme.
Ø However, in cases where auto debit takes place after
1st June, the cover shall commence from the first day of the month following
the auto debit.
Ø The premium would be reviewed based on annual claims
experience. However, barring unforeseen adverse outcomes of extreme nature,
efforts would be made to ensure that there is no upward revision of premium in
the first three years.
MASTER POLICY HOLDER
Participating Bank will be the Master policy
holder on behalf of the participating subscribers. A simple and subscriber
friendly administration & claim settlement process shall be finalized by
the respective general insurance company in consultation with the participating
Banks.
TERMINATION
The accident cover for the member shall
terminate on any of the following events and no benefit will be payable there under:
Ø On attaining age 70 years (age nearest birth day).
Ø Closure of account with the Bank or insufficiency of
balance to keep the insurance in force.
Ø In case a member is covered through more than one
account and premium is received by the Insurance Company inadvertently,
insurance cover will be restricted to one only and the premium shall be liable
to be forfeited.
Ø If the insurance cover is ceased due to any technical
reasons such as insufficient balance on due date or due to any administrative issues,
the same can be reinstated on receipt of full annual premium, subject to
conditions that may be laid down. During this period, the risk cover will be
suspended and reinstatement of risk cover will be at the sole discretion of
Insurance Company.
Ø Participating banks will deduct the premium amount in
the same month when the auto debit option is given, preferably in May of every
year, and remit the amount due to the Insurance Company in that month itself.
APPROPIATION OF PREMIUM
Ø Insurance Premium to Insurance Company: Rs.10/- per annum per member
Ø Reimbursement of Expenses to BC/Micro/Corporate/Agent
: Rs.1/- per annum per member
Ø Reimbursement of Administrative expenses to
participating Bank: Rs.1/- per annum per member
The proposed date of commencement of the
scheme will be 1st June 2015.The next Annual renewal date shall be each
successive 1 st of June in subsequent years. The scheme is liable to be
discontinued prior to commencement of a new future renewal date if
circumstances so require.
CLAIM PROCESS
PMSBY claim process is
like claiming other insurance from either private or governmental bank. You
need to be prepare with each supporting document and must inform bank. Below
steps can be summarized as claim process of Pradhan mantri suraksha Yojana.
Ø Need to inform the bank ( There are more than 25
banks) regarding accident.
Ø Claim should be submitted to the Bank from which PMSBY
has been bought.
Ø Claim Form should be submitted within 30 days after
incidence.
Ø Submit claim supporting document like FIR, death
certificate, report of post mortem, disability certificate (if any) and the
discharge certificate.
Ø After Verification Bank will provide insurance amount
to nominee or legal heir.
NATIONAL TOLL FREE NUMBER - 1800 110 001 / 1800 180 1111
Source - wikipedia