SOP FOR CLAIM SETTLEMENT UNDER PMSBY / PMJJBY
Contact Details for Document Submission
Senior Postmaster Sansad Marg HPO
- Email: srpmsmho-dl@indiapost.gov.in
This email address should be used for general queries and document submission related to claims processing. The Senior Postmaster oversees the handling of claims to ensure they are processed efficiently.
PMJSS Claim Branch
- Email: pmjssclaims@indiapost.gov.in
For specific claims related to PMJSS, use this dedicated email address. The PMJSS Claim Branch is responsible for addressing any issues or queries regarding your claim under the scheme.
CSC Nodal Office, Sansad Marg HPO
The CSC Nodal Office handles a range of services, including claims processing for APY, PMSBY, and PMJJBY. Direct your documents and inquiries here for specialized assistance.
Postal Address for Document Submission
If you need to submit your documents via postal mail, use the following address:
In-Charge PO-CSC
Sansad Marg Head Post Office
(Nodal Office PO-CSC)
New Delhi 110001
This form is issued without admission of liability. It must be completed and submitted to the post office where the insured holds the savings account, preferably within 30 days of the accident resulting in the claim.
Details | Information |
---|---|
1. Name of Account Holder (Insured person) | |
2. Full Address of Account Holder (Insured person) | |
3. Name and Address of Post Office and SOL ID where the account stands | |
Savings Account Number | |
4. Contact Details of Account Holder (if available) | |
(i) Mobile/Phone Number | |
(ii) Aadhar Number | |
(iii) Email ID | |
5. Details of Nominee (in case of death of Account Holder) | |
Name | |
Address | |
Mobile/Phone Number | |
Email ID (if any) | |
Aadhar Number (if any) | |
Bank or Post Office Account Details | |
Account Number | |
Bank or Post Office Name | |
IFSC Code or SOL ID | |
6. Details of Accident | |
(a) Day, Date, and Time of Accident | |
(b) Place of Accident | |
(c) Nature of Accident | |
(d) Details of Injury | |
(e) Cause of Death | |
7. Name, Address, and Contact Details of Hospital/Attending Doctor | |
8. State where and when a Medical or other person from the company can visit the insured | |
9. Documents to be Submitted with Claim: | |
(a) In case of death: Original FIR/Panchnama, Post Mortem Report, and Death Certificate | |
(b) In case of permanent disability: Original FIR/Panchnama and Disability Certificate from Civil Surgeon | |
Discharge Voucher Declaration |
I HEREBY DECLARE and warrant the truth of the foregoing particulars in every respect, and I agree that if I have made, or if shall make false or untrue statements, suppression or concealment, my right to compensation shall be absolutely forfeited. I also declare that I have not claimed the amount due under PMSBY cover on account of the above accident through any other cover under PMSBY.
| Signature/Thumb Impression of Claimant/Nominee | | | Dated | |
For Office Use:
Details | Information |
---|---|
Policy Number | |
Claim No. | |
Certified that the information relating to Post Office Savings Account and Nominee has been verified. Premium was debited from the Savings Account on | |
Signature of Authorized Official of Post Office | |
Designation Stamp |
PRADHAN MANTRI SURAKSHA BIMA YOJANA (PMSBY) DISCHARGE VOUCHER
Claim No.: (to be filled by Post Office)
Details | Information |
---|---|
Policy Number | |
Name of Post Office | |
SOL ID | |
Savings Account Number | |
Name of Account Holder | |
Date of Submission of Claim | |
In consideration of approval of my claim referred above, I/We, hereby accept from National Insurance Company (NIC) the sum of Rs.__________________________(approved net claim amount) in full and final settlement of my/our claim arising out of _______________________(accident or death) which occurred on___________________(date of loss) covered under Policy Number _____valid for the period from _______________ to. |
I/We hereby voluntarily give discharge receipt to the Company in full and final settlement of all my/our claims present or future arising directly/indirectly in respect of the said loss/accident. I/We hereby also subrogate all my/our rights and remedies to the Company in respect of the above loss/damages.
| Revenue Stamp | | | Signature or Thumb Impression of Nominee/Account Holder | | | Full Name | | | Address | | | Account No. of Nominee | | | Witness | | | Full Name | | | Address | | | Signature of Authorized Official | | | Designation Stamp | |
STANDARD OPERATING PROCEDURE FOR CLAIM SETTLEMENT UNDER PMSBY
Following benefits are available under PMSBY:
Sl.No. | Table of Benefit | Sum Insured (In Rs.) |
---|---|---|
1 | Death | 2 lakh |
2 | Total and irrecoverable loss of both eyes or loss of use of both hands or feet or loss of sight of one eye and loss of use of hand or foot. | 2 lakh |
3 | Total and irrecoverable loss of sight of one eye or loss of use of one hand or foot | 1 lakh |
The process followed will be as under:
Steps to be taken by the Nominee in case of death of depositor in an accident:
- Nominee should approach the CBS Post Office where the depositor was having the ‘Savings Bank Account’ through which he/she was covered under PMSBY and collect the Claim Form and Discharge receipt from the Post Office.
- Nominee to submit duly completed Claim Form, Discharge Receipt, along with the death certificate in original, FIR/Panchnama in original, and Post Mortem Report.
- Nominee has to provide his/her own Post Office Savings Bank Account details (if opened in any CBS Post Office) or bank account details (if the nominee has a savings account in any Nationalized Bank).
Steps to be taken by the Depositor in case of permanent disability in an accident:
- Depositor should approach the CBS Post Office where the depositor was having the ‘Savings Bank Account’ through which he/she was covered under PMSBY and collect the Claim Form and Discharge receipt from the Post Office.
- Depositor to submit duly completed Claim Form, Discharge Receipt, along with the permanent disability certificate in original by Civil Surgeon and FIR/Panchnama in original.
Steps to be taken by the Post Office:
- Upon receipt of the claim form and discharge certificate along with documents mentioned above, the Post Office should check whether the cover for the said member was in force on the date of his death, i.e., whether the premium for the said cover was deducted from the account prior to the Member’s death.
- Post Office to verify the Claim Form & the nominee details from the relevant Finacle menu through which enrolment was made and to fill in the relevant columns of the Claim form.
- Post Office should ensure that the following documents are attached with the claim form:
- (i) Claim Form duly completed
- (ii) Death Certificate (in case of death)
- (iii) FIR/Panchnama in Original
- (iv) Post Mortem report (in case of death)
- (v) Permanent Disability Certificate issued by Civil Surgeon
- (vi) Discharge Certificate duly completed.
- (vii) Photocopy of canceled cheque of the Nominee account (if it is a cheque account).
- Post Office user will enter relevant details in the Finacle menu CCSPMY.
The screen shots of the menu – CCSPMY
Criteria Page – CCSPMY (Claims and Settlements for PMY Policies)
In the criteria page of the CCSPMY menu, the following functions are provided:
- A – Add
- M – Modify
- V – Verify
- I – Inquire
Also read: STANDARD OPERATING PROCEDURE FOR CLAIM SETTLEMENT UNDER PMJJBY
- C – Cancel
- Post Office User has to select the function ADD. Then enter Account ID and select the scheme as PM Suraksha Bima. Click on GO. In case of permanent disability, the user will change the option of Existing Disability Status to Yes and fill in the details of disability in the relevant field. The following screen will appear:
- User has to enter Nominee Aadhar No. (if given), Nominee Address, Nominee Mail ID (if given), Nominee Mobile Number (if given), Nominee PAN No.(if given), Nominee Bank Account (either POSB or any Bank Account), Nominee IFSC Code (if having an account in Bank), Guardian name if Nominee is a minor, Nominee Date of Birth (if nominee is a minor), select Bank as DOP(if POSB Account) or others if other Bank Account.
- User will click on validate and ensure that all mandatory fields are filled. It will submit documents to the Supervisor.
- Supervisor will select Function Code Verify and compare all the information filled in the claim form and discharge voucher with the data filled by the user. After satisfaction, he will verify the claim. Upon verification, Claim Identification No. will be displayed by the system. This number should be noted on the top of the Claim Form and the claim register.
- Claim Form duly filled and verified by CBS Post Office along with enclosures should be sent to Sr. Post Master Sansad Marg HO, New Delhi 110001 by service registered Letter. One RL should be sent even if more than one claim form is due to be sent on the same day.
- User will also maintain a claim register in which the claim shall be entered. This register has to be prepared manually by entering Date of entry of claim/Account ID/Name of Account Holder/Date of Death/Name of Nominee/Claim Identification No. (generated by system)/ Date on which claim Form sent to Sansad Marg HO/Registered Letter receipt to be pasted against claims sent on a particular date.
- Sansad Marg HO, on receipt of the claim form will enter the claim in the register to be maintained manually and designated PA of this HO will intimate System Manager for extraction of the data from Finacle for the said claim. Data extraction file will be sent to NIC by Sansad Marg HO and all the claim forms received will be sent by service Registered Parcel to the designated branch of NIC.
- NIC, after sanctioning of the claim will push credit of the claimed amount into the Bank Account of the depositor or nominee as the case may be if the account stands at any Bank or Credit the funds to Sansad Marg HO Bank Account No._________________ IFSC Code_______________________ If depositor or nominee account is in any CBS Post Office. NIC will provide data file in the format of HTTUM to Sansad Marg HO. Sansad Marg HO will upload the HTTUM file in Finacle provided that funds are already received and account for the money in SB Deposit and Remittance to Bank (against credit entry received from NIC).
- Sansad Marg HO will make entry of the date of credit against the claims in the register and send intimation to the relevant CBS Post Office about the credit.
- Relevant CBS Post Office will make entry of the date of credit in its register and inform the claimant over the phone about the credit. No accounting entry is to be made in any other CBS Post Office.