All Grama/Ward Sachivalayams are hereby notified as YSR
Bima Beneficiary Facilitation Centers, for facilitation of
registration of Beneficiaries, their enrollment in social security
schemes, processing of claims and for delivery of such other
services required for implementation of the YSR Bima Scheme.
Implementing agency for this scheme shall be GSWS
Department and the Director, GSWS Department using the
services of Grama / Ward Volunteers shall identify the eligible
beneficiaries.
Implementing Agency (GSWS) shall identify the members who
are eligible to be covered under the scheme, enroll them as
members and prepare database of such members and shall
intimate the Government and nodal agency (the Department
of Labour) regarding such enrollment along with the data.
Data shall be accepted by the Department of Labour after due
validation.
For the purpose of admission into the scheme, the member
shall sign a formal enrolment form and the declaration of good
health. If the declaration of health made by the member and
other particulars are found to be satisfactory, the
implementing agency may enroll the member to the scheme
and include in the data base to affect the assurance subject to
other conditions.
Eligibility Criteria: The members should be aged between 18
completed years and 70 years. He / She should be from Below
Poverty line. He / She should be Primary Bread earning
member. The decision as to the eligibility of the member for
the enrolment into the scheme is fully vested with the Nodal
Agency. The Nodal Agency will however, verify the eligibility of
the member as per the above criteria.
Verification of Age: The Nodal Agency has to satisfy that the
member covered under the Scheme is in the respective age
group as desired by the scheme. Age admission will be done
based on Aadhar or any other document as specified in the
notification under section 7 of the Aadhar Act.
Appointment of Nominee: Every insured member shall
appoint one or more from the spouse or children or
dependents to be the nominee or nominees in accordance with
Section 39 of Insurance Act 1938. In the event of death of the
insured member while being covered under the Scheme, the
benefits of insurance cover as assured on his life will be paid to
the nominee. If the insured member does not have a spouse
or child/children or dependents, then he shall appoint his legal
representative to be the nominee. The Data regarding
nomination will be maintained by the Implementing Agency
and they shall submit the details of nomination or legal heirs
to Insurance Companies for settlement of claims. In case the
nominee is a minor, then the insured member shall appoint an
Appointee to receive the benefit of assurance.
Servicing of the Scheme: The Nodal Agency will coordinate
with all concerned Implementing Agencies to adopt a strong IT
based system to service the Scheme. The implementing
agencies will maintain centralized data base of the insured
members. The settlement of claims would be subject to
implementing Agency submitting Claim form, claim-cumdischarge form and copy of the Death Certificate, age proof of
member as required by the insurance company in accordance
with policy terms, conditions & MoU. Details of nominee like
the Aadhar number and bank account to which the claim
proceeds are to be credited, and other details as required by
insurance company to process the claim.