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image   PRADHAN MANTRI SURAKSHA BIMA YOJANA [PMSBY]

Scheme Guidelines

Plan Type

Personal Accidental Insurance Plan linked to Saving Bank Account

Insurance Company

United India Insurance Co. Ltd.

Entry Age

Minimum – 18 Years

Maximum – 70 Years

Tenure of Policy

1 Year, Renewal Every Year

Sum Assured

Maximum Rs. 2 Lac

Scheme Launch Date

1st June 2015

Coverage Period

1st June to 31st May (1 Year).

Coverage

Death due to accident/ Permanent disability due to accident.

Benefits

Table of Benefits

Sum Insured

a. 

Death

Rs. 2 Lakh

b.

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 one hand or foot.

Rs. 1 Lakh

c.

Total and irrecoverable loss of sight of one eye or loss of one hand or foot

Rs. 1 Lakh

Premium Rates

a. Rs. 20/- per annum per member for enrolments done thru bank branches.

b. Rs. 19/- for Fresh enrolments done thru U-Mobile App, Internet banking and other electronic modes.

Master Policy Holder

Union Bank will be the Master Policy Holder on behalf of the participating customers

Claim Procedure

For detailed claim procedure and claim documents, please contact to the nearest bank branch.

  1. Q.2 What would be the benefits under the scheme and premium payable?

The benefits are as follows:

Table of Benefits

Sum Insured

a. 

Death

Rs. 2 Lakh

b.

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 one hand or foot.

Rs. 1 Lakh

c.

Total and irrecoverable loss of sight of one eye or loss of one hand or foot

Rs. 1 Lakh

Premium for fresh enrolments Rs.20.00 if enrolment is done thru branches and Rs. 19/- if enrolment done through U-Mobile App, Internet Banking and other electronic modes.
Premium for renewal is Rs. 20/- per annum per member. The premium will be deducted from the account holder’s savings account through auto debit facility in one installment annually.




FAQ For PMSBY


Plan Type

Personal Accidental Insurance Plan linked to Saving Bank Account

Insurance Company

United India Insurance Co. Ltd.

Entry Age

Minimum – 18 Years

Maximum – 70 Years

Tenure of Policy

1 Year, Renewal Every Year

Maximum up to the age of 70 years (as on last birthday)

Sum Assured

Maximum Rs. 2 Lac

Scheme Launch Date

1st June 2015

Anniversary Date

1st June of every year

Coverage

Death due to accident/ Permanent disability due to accident.

Benefits

 

Table of Benefits

Sum Insured

a. 

Death

Rs. 2 Lakh

b.

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 one hand or foot.

Rs. 1 Lakh

c.

Total and irrecoverable loss of sight of one eye or loss of one hand or foot

Rs. 1 Lakh

Premium Rates

Rs. 20/-

Master Policy Holder

Union Bank will be the Master Policy Holder on behalf of the participating customers

RULES FOR THE PRADHAN MANTRI SURAKSHA BIMA YOJANA (With effect from 1.6.2022)

DETAILS OF THE SCHEME:

PMSBY is an Accident Insurance Scheme offering accidental death and disability cover for death or disability on account of an accident. It would be a one-year cover, renewable from year to year. 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. Participating banks will be free to engage any such insurance company for implementing the scheme for their subscribers.

Scope of coverage: All Saving bank account holders in the age group of 18 to 70 years in participating banks will be entitled to join. In case of multiple bank accounts held by an individual in one or different banks, the person would be eligible to join the scheme through one bank account only. Aadhar would be the primary KYC for the bank account.

Enrolment Modality / Period: 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 bank account on the prescribed forms will be required to be given by 31st May of every year. Joining subsequently on payment of full annual premium would be possible. 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. Individuals who exit the scheme at any point may re-join the scheme in future years through the above modality. 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.

Premium: Rs.20/- per annum per member. The premium will be deducted from the account holder’s bank account through ‘auto debit’ facility in one instalment on or before 1 st June of each annual coverage period under the scheme. However, in cases where auto debit takes place after 1st June, the cover shall commence from the date of auto debit.

The premium would be reviewed based on annual claims experience.

Benefits: As per the following table:

 

Table of Benefits

Sum Insured

a

Death

Rs. 2 Lakh

b

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 Lakh

c

Total and irrecoverable loss of sight of one eye or loss of

use of one hand or foot

Rs. 1 Lakh

Eligibility Conditions: Individual bank account holders of participating banks aged between 18 years (completed) and 70 years (age nearer birthday) who give their consent to join / enable auto-debit, as per the above modality, will be enrolled into the scheme.

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 has been finalized by the respective general insurance company in consultation with the participating Banks.

Termination of cover: The accident cover for the member shall terminate on any of the following events and no benefit will be payable there under:

1) On attaining age 70 years (age nearest birthday).

2) Closure of account with the Bank or insufficiency of balance to keep the insurance in force.

3) 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 bank account only and the premium paid for duplicate insurance(s) shall be liable to be forfeited.

4) 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.

5) 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.

Administration: The scheme, subject to the above, will be administered as per the standard procedure stipulated by the Insurance Company. The data flow process and data proforma will be provided separately.

It will be the responsibility of the participating bank to recover the appropriate annual premium from the account holders within the prescribed period through ‘auto-debit’ process.

Enrolment form / Auto-debit authorization in the prescribed proforma shall be obtained and retained by the participating bank. In case of claim, the Insurance Company may seek submission of the same. Insurance Company reserves the right to call for these documents at any point of time.

The acknowledgement slip may be made into an acknowledgement slip-cum-certificate of insurance. The experience of the scheme will be monitored on yearly basis for re-calibration etc., as may be necessary.

Appropriation of Premium:

1) Insurance Premium payable to Insurance Company: Rs.20/- per annum per member

2) Payment of administrative and operational cost to the Bank is revised to Rs. 2/- per enrolment per year for PMSBY which is inclusive of annual commission to be paid to the Business Correspondents, agents, etc.

3) Commissions payable to Business Correspondents, agents, etc. by the insurer: Rs. 1/- per member (for new enrolments only).

Note: The amount of reimbursement of expenses specified in item 2) saved in case of voluntary enrolment by an accountholder through electronic means shall be passed on as a benefit to the subscriber by correspondingly reducing the amount of the Insurance Premium payable specified in item 1).

Date of commencement of the scheme is 1st June 2015. The Annual renewal dates shall be each successive 1st 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.

Insurer: From 01.06.2022 onwards all the PMSBY enrollments and claims will go to United India Insurance Company Limited.