Claim Settlement Procedure
2) The
Death claim benefits of Rs. 30000/- will be settled by the designated Pension
& Group Scheme (P&GS) Office of LIC. The process followed will be
as under:
a) The
Claim will be paid to the nominee who is the nominee in the Bank Account.
In the absence of nomination or if the nominee pre-deceases the insured member
or if the nominee is not spouse, child or parent then the Legal Heirs of
the Accountholder should submit Indemnity Bond to dispense with
Legal Evidence of Title in the prescribed Format of LIC (Given in Annexures #C1 and #C2).
b) The
Claim amount will be credited to Bank account of the nominee(s) / Legal Heirs
through #APBS i.e.
the amount will be credited to Account linked to Aadhar Card Number.
c) In
case where the claim form is directly submitted to any LIC office by the
claimant, then LIC office would forward the same to the concerned bank of the
deceased Account holder immediately to get necessary verification etc.
done from the bank concerned. The concerned Bank Branch will forward the
Claim Form to nearest P&GS unit of the LIC for processing the claim.
DEATH CLAIM
INTIMATION FOLLOWED BY BANKS
The concerned Branch of the Bank where the
PMJDY saving account was initially opened has to lodge the claim with LIC.
Whilst lodging the claim, the forwarding Bank Branch shall prima facie examine
whether the claim is payable or not based on the eligibility conditions.
For this purpose, the following documents will need to be called for:
1) Attested
copy of the Death Certificate of the deceased member.
2) Photocopy
of Aadhar card of the deceased to determine the age of the Account holder as on
the date of death. If Aadhar card is not issued then attested
photocopy of any one of the following age proof can be called for
:
a)
Extract from Birth Register
b) Extract
from School Certificate
c) Ration
Card
d) Voter’s
Identity Card
If the deceased completes 60 year
of age before the date of death, then the Life Insurance Benefit will not
be available to the person. Hence, the age on date of death assumes
importance.
3) Verification
of the validity and in force status of the RuPay Card (It is to be
checked whether the RuPay Card is Blocked or Not).
4) Verification
of ‘Head of Family’ status with help of BPL card or Ration Card of the
deceased and also whether the person is the Earning Member of the family.
5) To
verify if the deceased is not ineligible as per the #IneligibilityConditions given in para E.
6) To
verify if the deceased is covered under any other Life Insurance Cover of the
Bank against the Account as the benefit will be provided under any one Scheme
only.
7) In
case of Joint Account Holders under PMJDY, the first account holder
(primary account holder) will be provided Life Insurance cover subject to the Eligibility
Conditions.
8) Claim
form-cum-discharge receipt duly filled in (as given in Annexure #B):- Part
A of Claim Form has to be completed by the Nominee / Legal Heir /
Claimant. Authorized official of the Bank has to fill Part B.
The Officer has to witness the signature of Claimant at Part #C. Seal
of the Bank should be affixed on the Claim form at appropriate places. In the
absence of nomination or if the nominee pre-deceases the insured
member or if the nominee is not spouse, child or parent then the Legal Heirs of
the Account holder should submit Indemnity Bond to dispense with Legal Evidence
of Title in the prescribed Format of LIC (Given in Annexure #C1 and #C2).
9) The
completed claim form (Part #A, #B & #C) has to
be forwarded to the nearest LIC’s P&GS Unit along with the following
documents:
a) Attested
copy of Death Certificate of the deceased member.
b) Attested
Photocopy of Aadhar Card of the deceased.
c) Attested
Photocopy of Aadhar Card of the claimant. On receipt of Claim form with all the
above mentioned documents in our P&GS Unit, the P&GS Unit will settle
the claim in favour of Nominee / Legal heirs, subject to eligibility, by crediting
the death claim proceeds to Aadhar linked Bank Account.
CLAIM INTIMATION
FOLLOWED BY LIC
On receipt of Claim Form from Banks, after
doing necessary inward procedure, the user of P&GS unit take following
steps:
1) Verify
that the Claim Form is filled up in all respect and deceased has fulfilled the
eligibility criteria on the basis of documents submitted by bank.
2) If
the claim is otherwise payable, user will log into the claim module for PMJDY
(Pradhan Mantri Jan Dhan Yojana). The relevant data will be entered
in to the module. The module will generate queries within the system for
checking two aspects:
a) If
the claim has been paid earlier on the same life in order to avoid payment of
claim on more than one occasion on same life.
b) Whether
the deceased is also covered under Aam Adami Bima Yojana.
3) The
query will generate output from two data bases which would either affirmative
or negative.
4) If
output is affirmative, the list of records would be generated by module for
verification by the user. After due verification on manual basis, if it is
ensured that the claim on the same life is not paid earlier or the deceased is
not covered under #AABY, the same has to be authenticated by the
supervisor. After authentication by the supervisor, the user can proceed
with the settlement of the claim.
5) The
above process will ensure nonpayment of duplicate claim under PMJDY and #AABY to
the extent possible. The Aadhar Card number of the deceased as well as
the claimant will also be used for de-duplication purpose.
6) If
the output is negative, the module will allow the user to proceed with the
settlement of claim.
Registers and records of claim payment will
be maintained on similar lines as in case of Registers for #AABY claims.
Since #DAB and
Disability benefits are not payable under PMJDY, relevant columns are to be
excluded. The Claim form can be downloaded from www.licindia.in, www.iba.org.in,
http://financialservices.gov.in, www.nic.in.
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