SALIENT FEATURES OF THE PRAVASI BHARTIYA BIMA YOJANA
∗ 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 re-imbursed 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 re-imburse 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.