PRAVASI BHARTIYA BIMA YOJANA
(Effective from 1.04.08)
(.) An insurance cover of a minimum sum of Rs. 10.00 lakhs payable to the nominee/legal heir in the event of death or permanent disability of any Indian emigrant who goes abroad for employment purpose after obtaining emigration clearance from the concerned Protector of Emigrants (POE).
(.) The Insurance policy shall be valid for a minimum period of two years or the actual period of employment contract, whichever is longer.
(.) In case of death, besides the cost of transporting the dead body, the cost incurred on economy class return airfare of one attendant shall also be reimbursed by the Insurance company. The claim for reimbursement shall be filed with the Insurance company within ninety days of completion of journey.
∗ In the event of death or permanent disability due to any accident/physical injury sustained while in employment abroad, the Insurance company shall reimburse the sum assured even after expiry of the Insurance policy provided the accident occurred during currency of the Insurance cover and claim in this regard is filed within 12 calendar months from the date of the accident.
∗ If the emigrant worker is not received by the employer or if there is any substantive change in the job/Employment Contract/Agreement to the disadvantage of the insured person, or if the employment is prematurely terminated within the period of employment for no fault of the emigrant, the Insurance Company shall re-imburse one-way Economy Class airfare of the one attendant shall also be reimbursed by the insurance company provided the grounds for repatriation are certified by the concerned Indian Mission/Post and the Air-tickets are submitted in original.
∗ A medical insurance cover of a minimum of Rs 75000/- only in case of hospitalization of the insured worker in an emergency on grounds of accidental injuries and/or sickness/ailments/diseases occurring during the period of Insurance whether in India or in the country of his employment.
∗ The Insurance company shall either provide cash-less hospitalization and/or re-imburse the actual medical expenses in above eventuality, provided the medical treatment is in India.
∗ Hospitalisation cover of Rs. 50,000/- per annum for the family of the emigrant worker in India consisting of spouse and two dependent children upto twenty one years of age in the event of death or permanent disability of the insured person.
∗ In case of falling sick or declared medically unfit to commence or continue or resume working and the service contract is terminated by the FE within the 1st 12 months of taking the insurance cover, the actual one-way Economy Class airfare shall be re-imbursed by the Insurance company provided the grounds for repatriation are certified by the concerned Indian Mission/Post and the Air-tickets are submitted in original.
∗ In case the repatriation is arranged by the Indian Mission/Post, the Insurance Company shall re-imburse the actual expenses to the concerned Indian Mission/Post.
∗ Maternity benefits to women emigrants, subject to a minimum cover of Rs. 25,000/-. In case of medical treatment in the country of employment, the maternity benefits would be provided only if the requisite documents are certified by the concerned Indian Mission/Post. The re-imbursement shall be restricted to actuals.
∗ A cover of Rs. 30,000/- for legal expenses incurred by the emigrant in any litigation relating to his/her employment, provided the necessity of filing such case is certified by the appropriate Ministry of that country. The actual expenses incurred will be certified by the concerned Indian Mission/Post.
∗ The premium charged will be Rs. 275 and Rs. 375/- +service tax, for a policy periods of 2 and 3 years respectively.
Details of the Pravasi Bharatiya Bima Yojana (PBBY)
· The Pravasi Bharatiya Bima Yojana (PBBY) was started in 2003. The PBBY was upgraded as the Pravasi Bharatiya Bima Yojana, 2006 to provide broader coverage to the emigrant workers.
· The scheme has been further modified in 2008. Under the current Scheme, the emigrant workers get a minimum insurance cover of Rs. 10 lakhs (instead of Rs. 5 lakhs) and the policy will be for the period of employment contract, i.e. either 2 years or 3 years as the case may be. The reduced premium along with other benefits have been made effective from 01.04.08.
Minimum sum for which insured under PBBY Rs. 10.00 Lakhs
Hospitalization (Medical Expenses) Covering injuries /
sickness / ailment / diseases Rs. 75,000/-
Repatriation covers for medical Unfit Actual one-way economy class air fare
Family Hospitalization in India Rs. 50,000/-
Maternity Rs. 25,000/-
Attendant Actual one-way economy class air fare
Legal Expenses Rs. 30,000/-
Actual Premium to be charged(without any hidden costs)
Rs. 475/- for the contract period
Rs. 275/-for 2 years policy period.
Rs. 375/- for 3 years policy period.
This policy is available from undernoted Insurance Companies:-
1. Oriental Insurance Company Ltd.
2. United Insurance Company Ltd.
3. National Insurance Company Ltd.
4. ICICI Lombard.
5. Star Health & Allied Insurance Co. Ltd.
6. IFFCO Tokyo
7. Bajaj Allianz General Insurance Co. Ltd.
8. Reliance General Insurance Co. Ltd.
Insured worker is supposed to possess the copy of PBBY insurance policy with him/her wherein the name of the nominee is also mentioned. In the eventuality of death of the insured, the claim can be made by the nominee.
In the event of claim, insured worker/claimant(nominee) has to lodge a claim under the policy, with the respective insurance company’s office wherefrom the policy was issued, if not specifically provided by the insurance company otherwise. While doing so, claimant has to indicate the policy number and details of accident. In the event of death, nominee has to lodge the claim.
(For lodging the claim, individual has to convey its intention to do so by way of sending an application to the office of the insurance company from where the policy was bought/issued with all relevant details of the event under which, claim is intended to be lodged.)
After intimation of reported claim, insurance company intimates the insured/claimant the details of documents required to settle the claim. After processing such requisite documents, claim amount is paid to the insured worker/claimant, as the case may be.