Insurance Schemes of Government of India
Insurance Schemes of Government of India
Week 7_E2
The Pradhan Mantri Jan Arogya Yojana (PM-JAY) and the Central Government Health Scheme
(CGHS) are two well-known health insurance programmes. The PM-JAY aims to protect
vulnerable families financially from high medical costs, and the CGHS is mainly for central
government employees and pensioners. The Employees' State Insurance Scheme (ESIS) also
makes sure that workers in the organised sector can get medical care and other perks.
Life insurance programmes like the Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY) and
the Pradhan Mantri Suraksha Bima Yojana (PMSBY) try to make life insurance economical for
people, especially those with low incomes. Policyholders and their families can feel safe about
their finances with these plans in case something unexpected happens.
To make sure that seniors and people who work in the unorganised sector have a steady source
of income, the government has started programmes like the Atal Pension Yojana (APY) and
the National Pension System (NPS). In the same way, the Pradhan Mantri Shram Yogi Maan-
dhan (PM-SYM) programme helps unorganised workers by giving them a salary when they hit
a certain age.
In agriculture, the Pradhan Mantri Fasal Bima Yojana (PMFBY) and the Weather Based Crop
Insurance Scheme (WBCIS) help farmers reduce their risks and get money when their crops
get destroyed by natural disasters or bad weather.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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Banking and Insurance
Week 7_E2
Health Insurance Pradhan Mantri Jan Arogya Yojana (PM-JAY), Central Government Health
Scheme (CGHS), Employees' State Insurance Scheme (ESIS)
Life Insurance Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY), Pradhan Mantri
Suraksha Bima Yojana (PMSBY), Pradhan Mantri Jeevan Nidhi Yojana
(PMJNY), Pradhan Mantri Garib Kalyan Yojana (PMGKY)
Social Atal Pension Yojana (APY), Pradhan Mantri Shram Yogi Maan-dhan (PM-
Security/Pension SYM), National Pension System (NPS
Agriculture Pradhan Mantri Fasal Bima Yojana (PMFBY), Weather Based Crop
Insurance Insurance Scheme (WBCIS), Pradhan Mantri Fasal Bima Yojana (PMFBY)
for Kharif Crops, Pradhan Mantri Fasal Bima Yojana (PMFBY) for Rabi
Crops
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
scripts, may be reproduced, or stored in a retrieval system or transmitted in any form or by any means – electronic, mechanical, photocopying,
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Week 7_E2
HEALTH INSURANCE
❖ Pradhan Mantri Jan Arogya Yojana (PM-JAY)
➢ Introduction to PM-JAY: The Pradhan Mantri Jan Arogya Yojana (PM-JAY) was
launched in 2018 as the world's largest health insurance scheme. It targets over 12 crore
(120 million) economically disadvantaged families in India, providing free secondary
and tertiary care hospitalization. This initiative aims to alleviate the financial burden on
vulnerable populations and improve healthcare access.
➢ Key Features:
➢ Benefits:
• Reduced Financial Burden: The scheme covers hospitalization costs, easing the
financial strain during medical emergencies.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
scripts, may be reproduced, or stored in a retrieval system or transmitted in any form or by any means – electronic, mechanical, photocopying,
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Week 7_E2
➢ Eligibility:
• Target Population: The scheme targets the bottom 40% of the population based
on the Socio-Economic Caste Census (SECC) data.
➢ Key Benefits:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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• Diagnostic Tests: X-rays, blood tests, and other investigations are covered at
empanelled diagnostic centers.
• AYUSH Medicines: Certain traditional Indian medicines are also covered under
CGHS.
➢ Eligibility:
➢ Applicability:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Eligibility:
• Employees earning up to ₹21,000 per month are covered under the scheme.
• Employees earning less than ₹137 per day as daily wages are exempt from
contributing their share.
➢ Benefits of ESIS:
• Cash Benefits:
➢ Funding:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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• Claims for cash benefits can be submitted through the employer or online portal
provided by ESIC.
LIFE INSURANCE
❖ Pradhan Mantri Suraksha Bima Yojana (PMSBY)
➢ Benefits:
• Accidental Death Cover: A lump sum payment of Rs. 2 lakh is provided to the
nominee if the insured individual dies due to an accident during the policy year.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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Week 7_E2
➢ Eligibility:
• Age: Individuals between 18 and 70 years old (completed) with a valid savings
bank account in a participating bank or post office can enroll in PMSBY.
➢ Enrollment:
• The premium is typically deducted automatically from the savings bank account
in one installment of Rs. 12 every year, subject to consent for auto-renewal.
➢ Key Points:
• Pure Accident Insurance: The scheme offers coverage only for accidental
death or disability and does not cover natural death or death due to illness.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Target Group:
• Eligibility: Individuals aged between 18 years (completed) and 50 years (age nearer
birthday).
➢ Death Benefit: In case of the policyholder's death due to any reason (natural or
accidental), a sum assured of Rs. 2 lakh is paid to the nominee(s).
➢ Premium:
• The annual premium for PMJJBY is Rs. 330 per insured person.
• Premium payment is automatically deducted from the bank account linked to the
scheme.
➢ Enrolment:
• Individuals can opt for auto-debit while opening a new bank account.
• Existing account holders can visit their bank branch and express their interest in
enrolling for PMJJBY.
➢ Renewal:
➢ Key Points:
• The scheme is administered by the Life Insurance Corporation of India (LIC) or other
designated life insurance companies.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
scripts, may be reproduced, or stored in a retrieval system or transmitted in any form or by any means – electronic, mechanical, photocopying,
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➢ Target Group:
➢ Benefits:
• Maturity Benefit:
• If the subscriber passes away during the scheme's term, the nominee
receives the deposited amount along with accrued interest.
➢ Premium:
• Entry age.
• Maturity period.
➢ Enrollment:
• Individuals can enroll at designated bank branches and post offices across
India.
➢ Key Points:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Launched: PMGKY was launched by the Government of India to address the issue of
black money and provide assistance to the economically weaker sections of society.
➢ Target Group: The scheme primarily targeted individuals who declared undisclosed
income under the Taxation and Investment Regime for Pradhan Mantri Garib Kalyan
Yojana, 2016.
➢ Benefits:
• The scheme aimed to provide relief and assistance to those who declared
undisclosed income, offering them a means to regularize their assets and
contribute to the welfare of the nation.
• PMGKY also facilitated the utilization of the declared income for the benefit
of the economically weaker sections through various government initiatives
and programs.
➢ Premium: PMGKY did not involve any premium payment as it was not an insurance
or investment scheme but rather a tax compliance and welfare initiative.
➢ Enrollment: Individuals who wished to avail the benefits of PMGKY had to declare
their undisclosed income under the specified provisions of the Taxation and
Investment Regime for Pradhan Mantri Garib Kalyan Yojana, 2016. The declaration
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Renewal: PMGKY did not involve any renewal process as it was a one-time scheme
aimed at addressing the issue of undisclosed income within a specific period.
➢ Key Points:
• PMGKY was a significant step by the government to curb black money and
promote tax compliance among individuals.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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SOCIAL SECURITY/PENSION
➢ Benefits:
• Tax Benefits: Contributions towards APY are eligible for tax deductions under
Section 80CCD(1) of the Income Tax Act, 1961.
➢ Eligibility:
➢ Contribution:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Key Points:
➢ Benefits:
➢ Eligibility:
• Age: Unorganized workers between 18 and 40 years old are eligible to enroll
in PM-SYM.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Enrolment:
➢ Key Points:
• Fixed Monthly Pension: The monthly pension amount is fixed at Rs. 3,000
regardless of the subscriber's total contribution.
• Early Exit: Early exit is possible under specific circumstances, but it results in
a reduced pension amount.
➢ Key Features:
Week 7_E2
• Tax Benefits: Contributions to both Tier I and Tier II accounts offer tax benefits
under various sections of the Income Tax Act.
➢ Eligibility:
• Age: Any Indian citizen aged 18-70 can open an NPS account.
➢ Contribution:
• Flexibility: Subscribers can decide the contribution amount and frequency, with
options for monthly, quarterly, or annual contributions.
• Minimum Contribution: The minimum contribution is Rs. 1,000 per year for
Tier I and Rs. 250 per contribution for Tier II.
➢ Benefits at Retirement:
• Lump Sum Withdrawal: Upon reaching the retirement age of 60, subscribers
can withdraw up to 60% of the accumulated corpus as a tax-free lump sum.
➢ Key Points:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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• Early Withdrawal: While there are restrictions on early withdrawal from Tier I
accounts, withdrawals in specified circumstances are allowed subject to
conditions.
AGRICULTURE INSURANCE
➢ Introduction to PMFBY:
➢ Key Features:
• Claim Process: Farmers can file claims if crop losses exceed pre-determined
thresholds, with claims settled by insurance companies.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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Week 7_E2
➢ Benefits:
➢ Implementation:
➢ Key Points:
• Subsidy: The extent of government subsidy for loanee farmers may vary based
on crop, scheme version, and state.
• Limitations: PMFBY covers yield loss only due to specific insured events and
does not cover losses from other causes.
➢ Introduction to WBCIS:
➢ Key Features:
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Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Benefits:
➢ Eligibility:
➢ Implementation:
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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➢ Key Points:
• Not a Yield Guarantee: WBCIS does not guarantee against yield loss but
serves as a safety net against specific weather extremes.
Kharif Crops:
• Coverage Period: Typically, from June to September, coinciding with the monsoon
season in India.
• Seasonality Discipline: Farmers need to enroll separately for Kharif season insurance
from Rabi season insurance.
Rabi Crops:
• Coverage Period: Typically, from October to March, following the Kharif season.
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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Key Points:
• Specific crops covered and their insurance details may vary across states due to diverse
agricultural practices and regional considerations.
• Enrollment deadlines for both Kharif and Rabi seasons typically fall before the start of
the respective season. Ensure timely enrollment to ensure coverage and claim
eligibility.
ACCIDENT INSURANCE
© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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© All Rights Reserved. This document has been authored byDr.Ruchi Jain and is permitted for use only within the course "Banking and
Insurance” delivered in the online course format by IIM Bangalore. No part of this document, including any logo, data, illustrations, pictures,
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