- Details
- Benefits
- Eligibility
- Application Process
- Documents Required
- Frequently Asked Questions
- Sources And References
- Feedback
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Ministry Of Health & Family Welfare
Pradhan Mantri Garib Kalyan Package : Insurance Scheme For Health Workers Fighting COVID-19
COVID-19
Health Workers
Life Insurance
Details
An Insurance scheme from Ministry of Health and Family Welfare for health workers who Lost their life due to COVID19 or accidental death on account of COVID-19 related duty.
This accident insurance scheme covers;
- Loss of life due to COVID19, and
- Accidental death on account of COVID-19 related duty.
Beneficiary
- Public healthcare providers including community health workers, who may have to be indirect contact and care of COVID-19 patients and who may be at risk of being impacted by this.
- Private hospital staff and retired /volunteer /local urban bodies/ contracted /daily wage /ad hoc/outsourced staff requisitioned by States/ Central hospitals/ autonomous hospitals of Central/ States/UTs, AIIMS and INIs/ hospital of Central Ministries can also be drafted for COVID 19 related responsibilities.
Benefits
Health workers get an insurance coverage of Rs. 50 Lakhs. The complete amount shall be paid to the claimant of the insured person.
Eligibility
- Public healthcare providers including community health workers, who may have to be in direct contact and care of COVID-19 case and who may be at risk of being impacted by this.
- Private hospital staff and retired /volunteer /local urban bodies/ contracted /daily wage /ad-hoc/outsourced staff requisitioned by States/ Central hospitals/ autonomous hospitals of Central/ States/UTs, AIIMS and INIs/ hospital of Central Ministries can also be drafted for COVID 19 related responsibilities.
- There is no age limit for this scheme
Application Process
Offline
Whom to contact in case of any claim?
- The institution/department the insured person was working for has to be informed.
- Insurance company must be intimated via email id "nia.312000@newindia.co.in"
Process of claim submission
- The claimant needs to fill up the claim form along with necessary documents as prescribed and submit the same to Healthcare Institution/organization/office where the deceased was an employee of/engaged by the institution.
- The respective institution will give the necessary certification and forward it to competent authority.
- Competent authority for State/UT is Director General Health Services /Director Health Services/ Director
- Medical Education or any other Official specifically authorized by the State/UT Government for this purpose.
- Competent authority for Central Government, Central Autonomous / PSU Hospitals, AIIMS, INIs and Hospitals of other Central Ministries is Director or Medical Superintendent or Head of the concerned institution.
- Competent authority will forward and submit claim to the insurance company for approval.
Whom to contact from insurance company?
- Contact the following officials regarding any claim related queries:
Contact persons:-
1. Mrs.Sarika Arora, Divisional Manager, email - sarika.arora@newindia.co.in or nia.312000@newindia.co.in
2. Mr.N.Ravi Rao, Deputy Manager, email id- ravin.rao@newindia.co.in or niadelbroker20@gmail.com
3.Mr.Yogendra Singh Tanwar, Administrative Officer email id- yogendra.tanwar@newindia.co.in
Documents Required
In case of Accidental loss of life on account of COVID-19 related duty following documents are required:
- Claim form duly filled and signed by the nominee/claimant.
- Identity proof of Deceased (Certified copy)
- Identity proof of the Claimant (Certified copy)
- Proof of relationship between the Deceased and the Claimant (Certified copy)
- Death summary by the Hospital where death occurred (in case death occurred in hospital)(Certified copy).
- Death Certificate (in Original)
- Post-mortem Report (Certified copy)
- Cancelled Cheque (desirable) (in Original)
- FIR (Certified copy)
- Certificate by the Healthcare Institution/ organization/ office that the deceased was an employee of /engaged by the institution and had an accidental loss of life on account of COVID-19 related duty.
In case of Loss of life due to COVID19 following documents are required
- Claim form duly filled and signed by the nominee/claimant.
- Identity proof of Deceased (Certified copy)
- Identity proof of the Claimant (Certified copy)
- Proof of relationship between the Deceased and the Claimant (Certified copy)
- Laboratory Report certifying having tested Positive for COVID-19 (in Original or Certified copy)
- Death summary by the Hospital where death occurred (in case death occurred in hospital) (Certified copy).
- Death Certificate (in Original)
- Certificate by the Healthcare Institution/ organization/ office that the deceased was an employee of /engaged by the institution and was deployed/drafted for care and may have come in direct contact of the COVID-19 patient. For community health care workers, the Certificate should be from Medical Officer of Primary Health Centre (PHC) that ASHA/ASHA Facilitator was drafted for work related to COVID-19.
Certificate Details
Those employees (Regular/Adhoc/Contractual/Daily Wagers/retired Government Officials/ Private individuals) engaged by
- Health care facilities of Central/State/UT Governments/ Urban Local Bodies
- Autonomous / PSU hospitals of Central/State / UT Government, AIIMSs, INIs and Hospitals of Central Ministries.
- Certificate of employment/engagement by the Head of Institution/ organization/office indicating that the Deceased was an employee of/engaged by the Institution.
- Certify and submit proof that the deceased had accidental loss of life on account of COVID-19 related duty.
Private healthcare Institution
- Certificate of Employment by the Director / Medical Superintendent / Head of the Institution.
- Certify and submit proof that the deceased had accidental loss of life on account of COVID-19 related duty.
Private person engaged by the Health Care Institutions / Organizations (both public and private) through an Agency
- Certified copy of the document indicating that the services of the Agency were engaged by the Institution / Organization.
- Proof of engaging the services of individual by the Agency.
- Certify and submit proof that the deceased had accidental loss of life on account of COVID-19 related duty.
Community Health Workers (ASHAs and ASHA Facilitators)
- Certificate of engagement as ASHA/ASHA Facilitator provided by the Medical Officer of Primary Health Centre (PHC).
- Certificate by Medical Officer of Primary Health Centre (PHC) that ASHA/ASHA Facilitator had accidental loss of life on account of COVID-19 related duty.
Volunteer drafted for COVID 19 related responsibilities by the Government officials authorized by the State/UT Government
- Proof of engaging the services of individual by the Government officials authorized by the State/UT Government.
- Certify and submit proof that the deceased had accidental loss of life on account of COVID-19 related duty.
Frequently Asked Questions
Who Can Be A Volunteer Under This Scheme?
Volunteers are those who are drafted by the Government Official authorized by Central/State/ UT Government for care and may have come in direct contact of the COVID-19 patient
Who Are ‘Private Persons’ Under This Scheme?
Private persons are those who are engaged by both public & private health care institutions/organization through an agency and were deployed /drafted for care and may have come in direct contact of the COVID-19 patient (with the proof that the service of the agencies were engaged by the institution/organization).
Is Individual Enrolment Required?
Individual enrolment is not required.
Whether An Individual Is Required To Pay Any Premium To Be Eligible Under The Scheme?
The entire amount of premium for this scheme is being borne by the Ministry of Health and Family Welfare, Government of India.
Is COVID-19 Laboratory Test Mandatory For Claiming The Benefit?
Laboratory report certifying positive medical test is required for loss of life on account of COVID-19. However, it is not required in case of Accidental loss of life on account of COVID-19 related duty.
Whether Expenses Incurred On Treatment Or During Quarantine Are Covered Under The Scheme?
Any type of expenses related to treatment or quarantine is not covered.
If A Person Is Having Another Personal Accident Policy Or Life Insurance Policy, What Is The Effect Of The Same On Claim Under This Policy?
The benefit/claim under this policy is in addition to the amount payable under any other policies.
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You need to sign in before applying for schemes
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You need to sign in before applying for schemes
Something went wrong. Please try again later.
It seems you have already initiated your application earlier.To know more please visit
Apply Now
Check Eligibility
Ministry Of Health & Family Welfare
Pradhan Mantri Garib Kalyan Package : Insurance Scheme For Health Workers Fighting COVID-19
COVID-19
Health Workers
Life Insurance
Details
Benefits
Eligibility
Application Process
Documents Required
Frequently Asked Questions
An Insurance scheme from Ministry of Health and Family Welfare for health workers who Lost their life due to COVID19 or accidental death on account of COVID-19 related duty.
This accident insurance scheme covers;
- Loss of life due to COVID19, and
- Accidental death on account of COVID-19 related duty.
Beneficiary
- Public healthcare providers including community health workers, who may have to be indirect contact and care of COVID-19 patients and who may be at risk of being impacted by this.
- Private hospital staff and retired /volunteer /local urban bodies/ contracted /daily wage /ad hoc/outsourced staff requisitioned by States/ Central hospitals/ autonomous hospitals of Central/ States/UTs, AIIMS and INIs/ hospital of Central Ministries can also be drafted for COVID 19 related responsibilities.
Was this helpful?
Share
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