| Social Security Insurance |
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Social Security Insurance
Swavalamban Pension Scheme (For details of Swavalamban pension scheme please login www.pfrda.org.in) National Health Insurance Scheme (Rashtriya Swasthaya Bima yojana) Aam Admi Bima Yojana Janashree Bima Yojana Mahatma Gandhi Bunkar Bima Yojana Health Insurance Scheme for Handloom Weavers Group Accident Insurance Scheme for Active Fishermen Universal Health Insurance Sceme Raj Rjeshwari Mahila Kalyan Bima Yojana Provisions in The Motor Vehicle Act 1988 Provisions of The Public Liability Insurance Act 1991 Compulsory Personal Accident Cover for Owner/Driver of Private Car/Two wheeler in Motor Insurance Policies
Directions in Constitution of India regarding Social security and Insurance In the PREAMBLE of the Constitution of India it self there is resolution to secure to all its citizens: JUSTICE Social, Economic and Political; EQUALITY of Status and Opportunity ; and to promote among them all. Further the matters relating to Social Security are specifically mentioned in the List III-Concurrent List in the Seventh Schedule and in the Directive Principles of State Policy List III-Concurrent List (Seventh Schedule of the Constitution of India) Item No. 23: Social Security and insurance, employment and unemployment. Item No. 24: Welfare of Labour including conditions of work, provident funds, employers’ liability, workmen’s compensation, invalidity and old age pension and maternity benefits. Part IV -Directive Principles of State Policy (Constitution of India ) Article 41. Right to work, to education and to public assistance in certain cases.—The State shall, within the limits of its economic capacity and development, make effective provision for securing the right to work, to education and to public assistance in cases of unemployment, old age, sickness and disablement, and in other cases of undeserved want. Article 42. Provision for just and humane conditions of work and maternity relief.—The State shall make provision for securing just and humane conditions of work and for maternity relief. Insurance Regulatory and Development Authority has described the social Sector in IRDA Regulations( Obligations of Insurers for Rural Social Sectors) 2000: “Social sector” includes unorganised sector, informal sector, economically vulnerable or backward classes and other categories of persons, both in rural and urban areas. Further the terms Unorganised sector, Economically vulnerable or backward classes and Other categories of persons have also been defined. “Unorganised sector” includes self-employed workers such as agricultural labourers, bidi workers, brick kiln workers, carpenters, cobblers, construction workers, fishermen, hamals, handicraft artisans, handloom and khadi workers, lady tailors, leather and tannery workers, papad makers, powerloom workers, physically handicapped self-employed persons, primary milk producers, rickshaw pullers, safai karmacharis, salt growers, sericulture workers, sugarcane cutters, tendu leaf collectors, toddy tappers, vegetable vendors, washerwomen, working women in hills, or such other categories of persons., “Economically vulnerable or backward classes” means persons who live below the poverty line;“Other categories of persons” includes persons with disability as defined in the Persons with Disabilities (Equal Opportunities, Protection of Rights, and Full Participation) Act, 1995 and who may not be gainfully employed; and also includes guardians who need insurance to protect spastic persons or persons with disability. IRDA has also made compulsory for all insurers to insure prescribed minimum no.of persons belonging to social sector every year vide its IRDA (Obligations of Insurers to Rural/Social Sector) Regulations 2000 which have since been amended and the last amendment no. III issued in the year 2008, prescribing for insurance of increased no. of persons. _____________________________________________________________ National Health Insurance Scheme (Rashtriya Swasthaya Bima yojana-RSBY) In this health insurance scheme family is required to pay only Rs.30 registration fees per annum and the premium is paid by central and state government. The sum insured would be Rs. 30000 per family per year on floater basis for a maximum 5 members which include head of household,spouse and up to three dependent children or parents. Pre-existing diseases would be covered for hospitalization with cashless facility through smart cards.Maternity benefit is covered. There is no age limit.Policy also reimburses maximum Rs.100 per visit towards conveyance charges with a maximum limit of Rs.1000 per annum. Administration of the scheme is done by state government.The Rashtriya Swasthaya Bima Yojana (RSBY) which was launched on 01.10.2007 and became operational w.e.f. 01.04.2008 has been extended to all the estimated 6 crore BPL families ( a unit of five) in the unorganised sector from the year 2009-10. The estimated 6 crore BPL families are, however, likely to be covered in five years. The premium under RSBY is shared between Central Government and State Governments in the ratio of 75:25 and in case of States of North East Region and Jammu and Kashmir , the sharing of premium is in the ratio of 90:10. An amount of Rs. 250 crore and Rs. 350 crore has been allocated during the financial year 2008-09 and 2009-10 respectively for release of Centre share of premium. To know the latest on RSBY please login :http://www.rsby.gov.in/ Aam Admi Bima Yojana In this insurance scheme insured family is not required to pay any premium which is paid by central and state government .Insurance scheme has been launched in Oct, 2007 by the Central Government for the benefit of landless families of the country and is administered by the Life Insurance Corporation of India.Policy insures head of the family or one earning member between the age of 18 and 59 years in the family of the landless household. On the death of the insured person Rs. 30000 is paid and if death or permanent total disability is due to accident then Rs. 75000 is paid. Further in case of the loss of one eye or one limb due to accident Rs. 37500 is payable. Premium of the policy Rs. 200 per household per year is paid and shared by Central and State government in the ratio of 50:50 % and the beneficiary need not pay any premium. State government with the help of Panchayat will identify the beneficiaries who will be provided an identity card with an unique identity number by LIC. Scheme also provides for the scholarship at the rate of Rs.100 per month for maximum of two children studying in 9th to 12th standard of the beneficiary member.For further details of scheme please login: http://www.licindia.in/aam_admi_features.htm Janashree Bima Yojana. This insurance scheme is applicable to the rural and urban poor below poverty line and marginally above poverty line. Persons should be in the age group between 18 years to 59 years and member of approved vocation/occupation group. Membership size of the group should be minimum 25.In the event of death of a member Rs.30000 is payable and if death or permanent and total disability is due to accident then Rs. 75000 is payable. In case of permanent partial disability due to accident Rs. 37500 is payable. Premium per member is Rs. 200 per year. 50 % of the premium is contributed by Social Security Fund and 50 % by the member and /or state government. The scheme is administered by Life insurance Corporation of India and the vocation/occupation is required to be approved by the LIC and state government. Scheme also provides scholarship for the maximum two children who are studying in 9th to 12th standard of the members covered under the Janashree Bima Yojana.The amount of scholarship is Rs 300 per quarter per child for maximum four years. The groups of workers of approved vocation which can be covered are: i) Foodstuffs like khandsari (ii) Textile (iii) Manufacture of wood products (iv) Manufacture of paper products(v) Manufacture of leather products (vi) Printing(vii) Rubber and coal products(viii) Chemical products like candle manufacture (ix) Mineral products like earthern toys manufacture (x) Fire cracker's workers (xi)Construction workers (xii)Other related cottage industries. The groups of approved occupations are: Beedi workers, Brick Kiln Workers(Jalandhar),Carpenters, Cobblers, Fisherman, Hamals, Handicraft Artisans, Handloom Weavers, Handloom and Khadi Weavers, Lady Tailors, Leather and Tannery Workers, Papad Workers attached to 'SEWA', Physically Handicapped self- Employed Persons, Primary Milk Producers, Rickshaw Pullers/ Auto Drivers, Safai Karmacharis, Salt Growers, Tendu Leaf Collectors, Scheme for the Urban Poor, Forest Workers, Sericulture, Toddy Tappers, Powerloom Workers, Scheme for Women in Remote Rural Hilly Areas. For further details please login:http://www.licindia.in/social_securities_001_features.htm Mahatma Gandhi Bunkar Bima Yojana. Mahatma Gandhi Bunkar Bima Yojana provides insurance cover of Rs.50,000/- for natural death and Rs.80,000/- for accidental death with a premium of Rs.330/- per annum. The scholarship benefit of Rs.300 per quarter per child is also available in the scheme for maximum of two children studying in 9th to 12th standard for maximum of four years. Out of total premium of Rs.330/- the weaver’s share is Rs.80/-, LIC’s share is Rs.100/- and the Government of India’s share is Rs.150/-. The scheme is implemented through the Life Insurance Corporation of India. Health Insurance Scheme for Handloom Weavers Health Insurance Scheme covers not only the weaver but his wife and two children also. It covers all pre-existing and new diseases. The maximum limit of coverage per family is Rs.15000/- per annum out of which the OPD cover is Rs.7500/-. Premium is Rs.1000 out of which Rs.800 plus service tax is paid by central government and Rs.200 by the weaver. The scheme would also offer cashless facility for pre and post - hospitalization care. The handloom weavers will get an ID card. The scheme covers the weaver's family of four i.e. self, spouse and two children. The scheme covers weaver and family members in the age group of 1 day to 80 years. Group Accident Insurance Scheme for Active Fishermen Group accident insurance scheme for active fishermen covers fisher folk/ licensed/ identified or registered with the State/UT Governments for Rs.50,000/- sum insured against death or permanent total disability and Rs.25,000/- for partial permanent disability. The insurance policy is taken out by FISHCOPFED in respect of all the participating States/ UT’s. The annual premium payable would not exceed Rs.15/- per head; 50% of which will be subsidized as grants-in-aid by the Centre and the remaining 50% by the State Government. In the case of Union Territories,00% premium will be borne by the Central Government. No contribution will be collected from the fishermen. The scheme would cover fishermen in both marine and inland sectors. FISHCOPFED will be the executing agency. Universal Health Insurance Sceme Universal Health Insurance Scheme is for weaker sections of society below poverty line and is implemented through all four public sector General Insurance Companies and covers (a).Hospitalization expenses upto Rs.30000/- to an individual/family with sub-limits of maximum per illness Rs.15000/-. The benefit of the family is on floater basis i.e. the total reimbursement of Rs.30000/- can be availed of individually or collectively by members of the family. (b).Personal Accident Cover: Coverage for Death of the Earning Head of the family due to accident : Rs.25,000/-.(c). Disability Cover: If the earning head of the family is hospitalized due to an accident/illness a compensation of Rs.50/- per day will be paid per day of hospitalization upto a maximum of 15 days after a waiting period of 3 days. Age limit: 3 months to 70 years. Premium Payable by an individual beneficiary is Rs.100/-per annum excluding GOI subsidy Rs. 200, for a family up to 5 Rs.150/- per annum excluding GOI subsidy Rs. 300, for a family up to 7. Rs.200/- per annum excluding GOI subsidy Rs. 400 . All pre-existing diseases, and diseases contracted during the first 30 days are not covered from the commencement date of the policy. Claim Settlement to be made cash less through listed hospitals.Maternity benefit is covered Raj Rjeshwari Mahila Kalyan Bima Yojana This scheme provides economic security to women. All sections of women in the age group of 10 - 75 years irrespective of their income, vocation or occupation can be covered in this policy. Policy covers death, permanent and total disability due to accident for a sum insured of Rs 25000.Loss of one limb or one eye is covered for Rs.12500.Temporary total disablement is also covered for and compensation is Rs.500 per month for maximum Rs.1500. Death is also covered during child birth at hospital, and surgical operation such as sterilization, caesarean, hysterectomy and removal of breast due to cancer provided that it occurs within 7 days from the date of operation. Policy provides coverage for death of husband also. Loss/damage to House hold articles due to fire, flood, riot, terrorism is covered for a maximum sum insured of Rs.2000.The premium is Rs.23 per woman per year. Group and long term discounts in the premium are available. This scheme is implemented through all four public sector General Insurance Companies. Welfare Schemes Please click link below to know details of other Welfare Schemes of Central Government Ministries/Departments/ State Governments/UT http://www.india.gov.in/govt/schemes.php ___________________________________________________ Government of India has enacted Social Security Laws and started Social Security Insurance Schemes for implementation of the directions given in the Constitution of India. The main social security laws are:- 1.The Employees Estate Insurance Act 1948 2.The Employee’s Provident Funds and Miscellaneous Provisions Act 1952 3.The Workmen’s Compensation Act 1923 4.The Maternity Benefits Act 1961 5.The Payment of Gratuity Act 1972 There are some other laws like The Motor Vehicle Act 1988, The Public Liability Insurance Act 1991 which are not social security laws but some of the provisions there in nevertheless serve the welfare of victims and their dependents in an unfortunate accident caused due to motor accident/accident caused due to handling of hazardous substances. In the private car and two wheeler motor insurance policies also, the compulsory provision of personal accident insurance of owner/driver, has been kept to mitigate to some extent misery of victims and their dependents. Provisions in The Motor Vehicle Act 1988 1.Under The Motor Vehicle Act 1988 Section 140 (2) The amount of compensation in case of death of a person resulting from an accident arising out of the use of motor vehicle is Rs. 50000 (Rs.Fifty Thousands) and in respect of permanent disablement of a person it is Rs.25000 (Rs.Twenty Five Thousands).The final amount of compensation is decided by Motor Accident Claims Tribunal taking in to consideration the age, income and depedency of/on victim.The motor insurance policy covers these provisions. 2.Under The Motor Vehicle Act 1988 Section 161 in case of hit and run motor accident where the identity of motor vehicle can not be ascertained the amount of compensation in case of death of a person resulting from an hit and run motor accident is Rs. 25000 (Rs.Twenty Five Thousands) and in respect of grievous hurt of a person it is Rs.12500 (Rs.Twelve Thousands and Five Hundred ) Provisions of The Public Liability Insurance Act 1991 Where death or injury to any person or damage to any property has resulted from an accident involving a fortuitous or sudden or unintended occurrence while handling any hazardous substance resulting in continuous or intermittent or repeated exposure to death of,or injury to, any person or damage to any property the owner shall be liable to give relief as specified in the schedule under section 3 (1) of the Act:- 1. Reimbursement of medical expenses up to Rs.12500 2. In case of death of a person Rs.25000 in addition to reimbursement of medical expenses up to Rs.12500 3. In case of permanent total disability of a person Rs.25000 in addition to reimbursement of medical expenses up to Rs.12500. 4. In case of permanent partial disability of a person cash relief on the basis of percentage of disablement as certified by an authorized physician, in addition to reimbursement of medical expenses up to Rs.12500. 5. For loss of wages due to temporary partial disability fixed monthly relief not exceeding Rs.1000 up to 3 months provided victim has been hospitalized for more than 3 days and is above 16 years of age. 6.Up to Rs.6000 for any damage to private property. Compulsory Personal Accident Cover for Owner/Driver of Private Car/Two wheeler in Motor Insurance Policies In the case of private cars it is Rs.2 lakhs and in two wheelers it is Rs.1 lakh sum insured. 100 % of sum insured is payable in case of death, permanent total disablement, loss of two limbs or sight of both eyes or loss of one limb and loss of sight of one eye. 50 % of sum insured is payable for loss of one limb or loss of sight of one eye.
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