CHANDIGARH, MARCH 29
The Haryana Government today decided to implement a new Insurance Scheme known as Aam Aadmi Bima Yojana (AABY) to provide life insurance protection to the rural and urban persons living below poverty line and marginally above the poverty line and rural landless households.
A decision to this effect was taken in a meeting of the State Cabinet held under the Chairmanship of Chief Minister, Mr Bhupinder Singh Hooda here today. The scheme would be implemented through Life Insurance Corporation of India.
Under the Aam Aadmi Bima Yojana, which is a scheme of the Central Government, death and disability cover would be provided by the LIC of India to rural/urban families living below poverty line or marginally above the poverty line and rural landless households. The Head of the family or one earning member of the family in the age group of 18-59 years in case of death or disability will be insured. The Central Government will bear 50 per cent of the premium of Rs.200 per year per person through Social Security fund and the remaining 50 per cent would be paid by State Government.
To be eligible for the scheme, the members should be aged between 18 to 59 years, the member should normally be the head of the family or one earning member in the family of rural landless or rural or urban BPL or as defined by the Government of India/ Haryana.
In case of natural death of a member, prior to terminal date, on admission of claim by the Corporation, the Sum Assured of Rs.30,000 under assurance, then in force, shall become payable to the nominee.
In case of accidental death or disability benefits, Rs 75,000 would be paid on death due to accident and an equal amount in case of permanent total disability, due to accident. In case of loss of two eyes or two limbs or loss of one eye and one limb in an accident, Rs.75,000 would be given. Similarly, in case of loss of one eye or one limb, in an accident, Rs.37,500 would be given.
Death or Total Permanent Disability due to Accident shall mean Death/Disability occurring within 180 days of the happening of bodily injury, resulting solely and directly from accident caused by violent, external and visible means, independently of any other cause which have occurred after commencement of the Policy. However, death or total permanent disability due to accident shall not include death or disability caused by intentional self-injury, suicide, or attempted suicide, insanity or immorality or whilst the member is under influence of intoxicating liquor, drug or narcotic; or caused by injuries resulting from riots, civil commotion, rebellion, war (whether war be declared or not), invasion, hunting, mountaineering, steeple chasing or racing of any kind; or resulting from member committing any breach of law. In respect of Physically Handicapped Persons the Accidental Cover would be restricted to death and disablement, excluding the existing disablement.
Scholarship as a free add-on benefit
Scholarship as a Free Add-on benefit will be provided to a maximum of two children of the insured member, studying between 9th to 12th Standard at a rate of Rs.100 per month for each child payable half yearly that is on July 1 and on January 1 each year, provided the insured member continues to be covered under AABY. In other words, the scheme must be renewed on each annual renewal date. A maximum of two half yearly scholarships only for each standard shall be paid. A child shall not be paid again for studying in the same standard.
On the insured member reaching age of 60 years, the scholarship benefit under the scheme will be discontinued from the half year following the insured member reaching the terminal date that is insured member completing age of 60 years. On the death of the insured member before the terminal date, his eligible children will continue to receive the scholarship for that academic year only. On the member sustaining total partial disability or total permanent disability, the children will continue to get scholarship provided the member continues to be in the scheme.
The Sub-Divisional Officer (Civil) concerned will be the Nodal Officer for this scheme and shall furnish to LIC all the relevant particulars of the members as are required in connection with the administration of the scheme. The Nodal Officer will be assisted by District Social Welfare Officer and shall maintain a register and complete details of members covered under the scheme and furnish to the Corporation all the relevant particulars as may be called for by the Corporation.
All the claim applications will be received in the office of the Sub-Divisional Officer (Civil) being Nodal officer, who in turn would forward the same to Life Insurance Corporation of India alongwith the documents like claim form duly completed in all respects, copy of death certificate duly attested.
In case of accidental death benefit claim cases the additional requirements would include a copy of FIR, Post Mortem Report and Police Inquest Report (panchanama). In case of claims due to snake bite and wild animals, the additional requirements included Medical Certificate given by Assistant Civil Surgeon and Panchanama.
Death Claims should be preferred with the Corporation within six months of the date of death of the insured member. Claims delayed beyond six months will not be entertained by the Corporation.
In the event of death of the Insured Member whilst being covered under the scheme, the benefits under the Assurance on his life will be paid to the Nominee (through NEFT/ECS) by LIC on receipt of complete claim papers as per requirement of LIC.
With the implementation of Aam Aadmi Bima Yojana, the existing scheme namely Rajiv Gandhi Pariwar Bima Yojana will thereafter cease to operate except for the payment of an amount of Rs.25,000 to the family members of the victims of accidental death (In addition to Rs.75,000 available under the Aam Aadmi Bima Yojana) which will be paid by the department on the receipt of intimation from LIC for settlement of claim.