Pradhan Mantri Garib Kalyan Package : Insurance Scheme For Health Workers Fighting COVID-19 के कारण मृत्यु या स्थायी विकलांगता की स्थिति में ₹50,00,000/- का बीमा कवर प्रदान किया जाएगा।
Details
The Pradhan Mantri Garib Kalyan Package: Insurance Scheme for Health Workers Fighting COVID-19 by the Ministry of Health and Family Welfare, Government of India, aims to provide financial protection to health workers combating the COVID-19 pandemic. Under this scheme, an insurance cover of ₹50,00,000/- is provided to healthcare professionals, including doctors, nurses, and other frontline workers. The scheme is implemented by the Department of Health and Family Welfare.
This accident insurance scheme covers:
- Loss of life due to COVID-19, 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/hospitals of Central Ministries can also be drafted for COVID-19-related responsibilities.
Benefits
- An insurance cover of ₹50,00,000/- will be provided in case of death or permanent disability due to COVID-19.
Eligibility
- The applicant must be a healthcare worker, including doctors, nurses, paramedics, and support staff, who is directly involved in COVID-19 duties.
- The applicant should be a citizen of India.
- The applicant should have registered under a government health program and be working in a COVID-19-designated hospital or care facility.
Application Process
Offline
Whom to contact in case of any claim?
- The institution/department the insured person was working for has to be informed.
- The 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 the necessary documents as prescribed and submit the same to the 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 the competent authority.
- The competent authority will forward and submit a claim to the insurance company for approval.
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 COVID-19 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.
Volunteers 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.
