PMSBY ( Pradhan Mantri Suraksha Bima Yojana ) : Eligibility, Coverage & Benefits

The authorities keep coming up with beneficial welfare schemes for citizens belonging to different strata of society. The Pradhan Mantri Suraksha Bima Yojana is one such scheme. It is an Accident Insurance policy that was discussed in 2015’s budget speech. It was launched two months later in May 2015. Read ahead to know more about this government-backed insurance scheme.

What is the Pradhan Mantri Suraksha Bima Yojana?

The Pradhan Mantri Suraksha Bima Yojana (PMSBY) is an accident insurance scheme launched by the Government of India. It is also known as the PM Rs. 12 Insurance Scheme. The social security scheme is directed towards people belonging to the lower-income category. This is because unlike several other health insurance policies offered by commercial companies, this scheme does not charge a higher premium.

The policy offers an insurance cover against death, total disability, and partial disability. The insurance premium of Rs 12 for the policy shall be deducted from the registered bank account of the policyholder. People in the age group of 18 to 70 can avail the benefits of PMSBY by providing their Aadhaar card as a Know Your Customer (KYC) document.

Features and Benefits of Pradhan Mantri Suraksha Bima Yojana:

The PMSBY gives people from the lower-income group a chance to insure themselves against unfortunate events that can lead to death or disability. Here are the features and benefits of the government scheme.

Coverage of Pradhan Mantri Suraksha Bima Yojana:

Here’s a table highlighting the cover offered by the PMSBY.

Note: Definition of total and partial disability will be as per the policy’s terms and conditions.

What’s Not Covered in Pradhan Mantri Suraksha Bima Yojana?

As mentioned in the above section, the PMSBY is an accident and disability insurance policy. It covers a policyholder in case of death and disability. However, there are certain restrictions related to the cause of death and the nature of the disability. Death by suicide is not covered. Non-permanent disabilities (partial disability without irrecoverable loss) shall not be covered unless specified otherwise.

What are the Eligibility Criteria for Pradhan Mantri Suraksha Bima Yojana?

You will have to meet certain requirements to be able to avail the benefits of the PMSBY. Here’s a list of such eligibility requirements.

• The minimum age requirement for being part of the scheme is 18 years.

• The maximum PMSBY age limit to avail this scheme is 70 years.

• Interested potential policyholders must have an active savings bank account.

• The applicant’s saving bank account should be integrated with the person’s Aadhaar card.

• In case the Aadhaar details are not linked to the mentioned bank account, a copy of the card should be sent along with the application.

• Payment of the premium of Rs. 12.

Documents Required:

Mentioned below is a list of documents required to be a part of the PMSBY.

• Form – Submission of the duly filled PMSBY application form containing details such as name, contact details, Aadhaar number, and details of the selected nominee. This form is available in several regional languages apart from English and Hindi. For example, the form is available in Marathi, Tamil, Oriya, etc.

• Aadhar Card – In case the applicant’s Aadhaar card details are not linked to the stated savings bank account, the applicant will have to submit a copy of the Aadhaar card. The same will have to be accompanied with the application form.

Banks Participating in PMSBY:

Here’s a list of banks that are a part of the PMSBY.

• Allahabad Bank

• Axis Bank

• Bank of India

• Bank of Maharashtra

• Bharatiya Mahila Bank

• Canara Bank

• Central Bank

• Corporation Bank

• Dena Bank

• Federal Bank

• HDFC Bank

• ICICI Bank

• IDBI Bank

• IndusInd Bank

• Kerala Gramin Bank

• Kotak Bank

• Oriental Bank of Commerce

• Punjab and Sind Bank

• Punjab National Bank

• South Indian Bank

• State Bank of Hyderabad

• State Bank of India

• State Bank of Travancore

• Syndicate Bank

• UCO Bank

• Union Bank of India

• United Bank of India

• Vijaya Bank

Also, read: Arogya Sanjeevani Health Insurance

How to Enrol and Register for Pradhan Mantri Suraksha Bima Yojana:

You can enrol yourself for the PMSBY by approaching an affiliated bank or an insurance company. The Pradhan Mantri Suraksha Bima Yojana form or the PMSBY form can also be downloaded from the government’s Jansuraksha website. It is available in multiple languages.

The registration process can be initiated via the respective internet banking facility or by sending a message on the onboarding organization’s toll-free number.

Here’s how you can activate the policy using the SMS facility.

• Step 1 – Receive activation SMS.

• Step 2 – Reply to the activation SMS with ‘PMSBY Y’.

• Step 3 – Receive a message acknowledging the receipt.

• Step 4 – Bank will manage the processing information from the back-end of the savings account.

Here’s how you can activate the policy using the internet banking facility (PMSBY Online Apply).

• Step 1 – Login to the internet banking account.

• Step 2 – Click on Insurance.

• Step 3 – Identify the account to be used for paying the premium amount.

• Step 4 – Check details and confirm.

• Step 5 – Download receipt and note the stated reference number.

Pradhan Mantri Suraksha Bima Yojana Premium:

The PMSBY premium is Rs. 12 for a year. It will be auto-debited from the registered bank account of the policyholder. There is a possibility that the premium will be reviewed as per the annual claims experience.

Claim Process of PMSBY:

You can raise a claim against the PMSBY in case of partial or total disability. In case of death, your nominee can file a claim. If there is no nominee, then the claim amount shall be given to the legal heir of the deceased policyholder. Here’s the claim process.

• Step 1 – Policyholder/nominee should reach out to the bank or the insurance company from where the policy was purchased to raise a claim.

• Step 2 – Obtain claim form and fill it. It will include details such as name, address, contact information, details of the hospital, etc. The PMSBY’s claim form can be downloaded from the Jansuraksha website for free. The form is available in multiple languages such as Punjabi, Telugu, etc.

• Step 3 – Submit the filled form with the relevant supporting documentation such as disability certificate or death certificate in case the claim is raised by the nominee.

• Step 4 – The insurance company will confirm the details.

• Step 5 – If the documents turn out to be proper, the claim amount will be transferred to the specified bank account and the claim will be settled.

Also, read: Nominee in Health Insurance

How to Renew PMSBY:

You can renew PMSBY by enabling the auto-debit facility. This way the premium will be automatically debited from your bank account and the policy shall be renewed. The scheme can be renewed on an annual basis. The policy duration is between June 1 to May 31. Therefore, the policy should be renewed before the end of May. If you don’t want to renew, you will have to send a cancellation request to the respective bank.

How to Check Pradhan Mantri Suraksha Bima Scheme’s Application Status:

You can check PMSBY’s account status by following these steps.

• Step 1 – Visit your bank’s website.

• Step 2 – Login using internet banking.

• Step 3 – Visit the appropriate PMSBY section.

• Step 4 – Enter the bank account number.

• Step 5 – Enter PMSBY application number.

• Step 6 – Click Submit.

• Step 7 – Check status.

Pradhan Mantri Suraksha Bima Yojana (PMSBY) Vs Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY):

In the year 2015, the Government of India announced three Social Security Schemes for the welfare of the country’s poor and underprivileged citizens. PMSBY and PMJJBY are a part of those three schemes, the third one being Atal Pension Yojana. These schemes are directed towards financial inclusion. The two insurance schemes aim to offer financial security to the weaker sections of the society. Here’s a table distinguishing between PMJJBY and PMSBY.

Also, read: Insurance for COVID-19

PMSBY Toll-Free Number:

The PMSBY customer care number is 1800-180-1111/1800-110-001. It is a national-wide toll-free number. You can get the state-wise toll-free number on Jansuraksha’s website.

Frequently Asked Questions:

Listed below are commonly asked questions

related to the government’s social welfare scheme called PMSBY.

What is the essence of this scheme?

The essence of the scheme is to provide people with a Personal Accident insurance cover at a price that is considerably lower than what is charged by commercial insurance plans. It is a yearly policy and covers death and disability as per the terms and conditions of the scheme.

What are the top benefits of the scheme?

The top benefits of the scheme are that the policyholder will receive a fixed amount in case of disability and the nominee shall receive a fixed amount in case of the policyholder’s death. The amount will be as stated in the terms and conditions.

What is the premium payment process?

The premium payment process relies on the auto-debit facility. The policyholder must approve of this while enrolling for the scheme.

Which organisations are responsible for offering and administering the scheme?

Public sector general insurance companies and other general insurance companies along with banks are responsible for offering and administering the scheme.

Are joint account holders eligible for the scheme?

Yes, joint account holders are also eligible for the scheme.

Does the scheme follow the financial year pattern for the policy period?

No, the scheme does not follow the financial year pattern, the period usually is from June 1 to May 31.

Can someone join the scheme in subsequent years after it was launched?

Yes, one can join the scheme in subsequent years as well by adhering to the terms and conditions.

Is it possible to be a part of the scheme for a year, leave it for a couple, and then rejoin again?

It is possible to rejoin the scheme.

Which organisation will be known as the Master Policyholder?

The participating banks will be the Master Policyholders as per the scheme.

When will the policy be terminated?

The policy will be terminated if the registered bank account is closed, the balance is insufficient, the policyholder reaches the age of 70 and if multiple banks have debited the premium (the only one will be allowed). The policy can be cancelled by the individual by getting in touch with the participating bank.

Does the scheme cover death by murder?

Yes, death by murder is covered as per the scheme. Note that suicide is not covered.

Is death or disability due to natural calamities covered?

Yes, death or disability due to natural calamities mentioned in the terms and conditions is covered.

Is it possible for a Non-resident Indian to be a part of this scheme?

Yes, a non-resident Indian can also be a part of this scheme. The claim amount shall be paid in Indian currency.

Will the policy reimburse expenses related to the hospitalisation in case of an accident?

No, reimbursement of expenses is not supported by the scheme.

 Is a police FIR necessary while applying for a claim under the scheme?

The answer varies from one case to another. For example, if the accident is caused because of a car accident, a police FIR is needed. It is not needed for disability due to falling from a tree. For that, hospital records should suffice.

Is it necessary to support accidental death claims with documentary evidence?

Yes, necessary supporting documents are a must.

Is there a possibility that the Rs. 12 premium can increase in the future?

There is a possibility of price rise.

Can I opt for PMSBY Online Apply facility?

Yes, you can do so using internet banking.

What is the other name for the PMSBY scheme?

The PMSBY scheme is also known as Pradhan Mantri (PM) 12 Rs. Insurance and PMSBY 12 Rs. Policy.

What forms the core of Pradhan Mantri Suraksha Bima Yojana risk coverage?

The core of PMSBY insurance is to offer a cover against accidental death and disability.

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