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Rashtiya Swasthiya Bima Yojana (RSBY) Employment State Insurance Scheme (ESIS)
RSBY (Rashtriya Swasthiya Bima Employees State Insurance Scheme of India, is
Yojana) has been launched to provide a multidimensional social security system tailored
health insurance coverage for Below to provide socio-economic protection to worker
Poverty Line (BPL) families. population and their dependants covered under
The objective of RSBY is to provide the scheme. Besides full medical care for self and
protection to BPL households from dependants, that is admissible from day one of
financial liabilities arising out of health insurable employment, the insured persons are
shocks that involve hospitalization. also entitled to a variety of cash benefits in times
Beneficiaries under RSBY are entitled to of physical distress due to sickness, temporary or
hospitalization coverage up to Rs. 30,000/- permanent disablement etc. resulting in loss of
for most of the diseases that require earning capacity, the confinement in respect of
hospitalization. insured women, dependants of insured persons
Government has even fixed the package who die in industrial accidents or because of
rates for the hospitals for a large number of employment injury or occupational hazard are
interventions. Pre-existing conditions are entitled to a monthly pension called the
covered from day one and there is no age dependants benefit.
limit.
Coverage extends to five members of the Central Government Health Scheme (CGHS)
family which includes the head of The Central Government Health Scheme
household, spouse and up to three (CGHS) provides comprehensive health care
dependents. facilities for the Central Govt. employees and
Beneficiaries need to pay only Rs. 30/- as pensioners and their dependents residing in
registration fee while Central and State CGHS covered cities.
Government pays the premium to the Started in New Delhi in 1954, Central Govt.
insurer selected by the State Government Health Scheme is now in operation in many
on the basis of a competitive bidding. cities of India.
It provides comprehensive healthcare to the
CGHS Beneficiaries in India.
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Insurance Capsule for NICL AO Phase-II Exam 2017
The medical facilities are provided through family, death cover due to an accident @
Wellness Centres (previously referred to as Rs.25,000/- to the earning head of the family
CGHS Dispensaries) /polyclinics under and compensation due to loss of earning of the
Allopathic, Ayurveda, Yoga,Unani, Sidha and earning member @ Rs.50/- per day upto
Homeopathic systems of medicines. maximum of 15 days.
The Universal Health Insurance Scheme (UHIS)
Aam Aadmi Bima Yojana(AABY) has been redesigned targeting only the BPL
Aam Admi Bima Yojana, a Social Security families. The premium subsidy has been
Scheme for rural landless household was enhanced from Rs.100 to Rs.200 for an
launched on 2nd October, 2007. individual, Rs.300 for a family of five and
The head of the family or one earning member Rs.400 for a family of seven, without any
in the family of such a household is covered reduction in benefits.
under the scheme.
The premium of Rs.200/- per person per Pradhan Mantri Fasal Bima Yojana (PMFBY)
annum is shared equally by the Central India is the land of farmers where the maximum
Government and the State Government. proportion of rural population depends on
The member to be covered should be aged agriculture. Hon'ble Prime Minister Shri Narendra
between 18 and 59 years. Modi unveiled the new scheme Pradhan Mantri
a) On natural death- Rs 30,000 Fasal Bima Yojana (PMFBY) on 13th January,
b) On death due to accident/on permanent 2016.
disability due to accident (loss of 2 eyes or 2
limbs)- Rs 75,000 Highlights of PMFBY-
c) On partial permanent disability due to There will be a uniform premium of only 2% to
accident (loss of one eye or one limb)- Rs be paid by farmers for all Kharif crops and
37,500 1.5% for all Rabi crops. In case of annual
commercial and horticultural crops, the
Note:
A separate fund called "Aam Admi Bima Yojana premium to be paid will be only 5%.
Premium Fund" has been set up by Central Govt. The premium rates to be paid by farmers are
to pay the Govt. contribution. Fund is maintained very low and balance premium will be paid by
by LIC. A free add-on benefit in the form of the Government to provide full insured amount
scholarship to children is also available under the to the farmers against crop loss in any natural
Scheme. calamities.
There is no upper limit on Government
Janashree Bima Yojana subsidy. Even if balance premium is 90%, it
Janashree Bima Yojana (JBY) was launched on will be borne by the Government.
10th August 2000. The Scheme replaced Social
Earlier, there was a provision of capping the
Security Group Insurance Scheme (SSGIS) and
Rural Group Life Insurance Scheme (RGLIS). premium rate which is low claims being paid to
farmers. Now this is removed and farmers will
Universal Health Insurance Scheme (UHIS) get claim against full sum insured without any
The four public sector general insurance reduction.
companies have been implementing Universal The use of technology will be encouraged to a
Health Insurance Scheme for improving the great extent. Smart phones, Remote sensing
access of health care to poor families. drone and GPS technologies will be used to
The scheme provides for reimbursement of capture and upload data of crop cutting to
medical expenses upto Rs.30,000/- towards reduce the delays in the claim payment.
hospitalization floated amongst the entire
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Insurance Capsule for NICL AO Phase-II Exam 2017
illness, or death in return for payment of a
Pradhan Mantri Suraksha Bima Yojana specified premium. It is callled?
(PMSBY) Answer- Insurance.
Pradhan Mantri Suraksha Bima Yojana is 2. An insurance ________ is the amount of money
Indian Governments accidental insurance that an individual or business must pay for an
cover which was announced in the 2015 insurance policy.
Budget. Answer- Premium.
This scheme was launched to provide personal 3. In which year the Life Insurance sector and Life
accident insurance to the high risk category Insurance Corporation came into existence?
such as mechanics, labourers, truck drivers Answer- 1956
which involves a lot of travelling. It is also one 4. In 1993, the Government set up a committee
of the cheapest insurance cover. The scheme under the chairmanship of _________ former
also covers both partial and permanent Governor of RBI, to propose recommendations
disability cover. for reforms in the insurance sector.
This scheme is available to those between the
Answer- RN Malhotra
ages of 18 and 70 years and they must have a
5. In which year the formation of the General
bank account. The annual premium of the
Insurance Council, a wing of the Insurance
scheme is Rs.12 excluding the service tax.
Associaton of India?
The premium amount is automatically debited
Answer- 1957
from the bank account of the scheme holder.
Rs.2 lakh is paid to the nominee if the 6. IRDA was constituted as an _________ to regulate
subscriber dies in an accident or if he is fully and develop the insurance industry.
disabled. Answer- autonomous body.
If the subscriber meets with an accident and 7. IRDA stands for-
suffers partial permanent disability, then Rs.1 Answer- Insurance Regulatory and
lakh is paid. Development Authority.
8. In which year, the IRDA was incorporated as a
statutory body?
Answer- April 2000
9. Name the organisation, which is regulate the
Indian insurance industry to protect the
interests of the policyholders and work for the
orderly growth of the industry.
Answer- Insurance Regulatory and
Development Authority (IRDAI)
10. What is the mission of IRDAI?
Answer- To protect the interests of
policyholders, to regulate, promote and ensure
orderly growth of the insurance industry and
for matters connected therewith or incidental
thereto.
11. Frames regulations for insurance industry in
terms of Section ________ of the Insurance Act
Important One-Liners for NICL AO Mains 2017 1938 From the year 2000 has registered new
1. An arrangement by which a company or the insurance companies in accordance with
state undertakes to provide a guarantee of regulations.
compensation for specified loss, damage, Answer- section 114A