INFORMATION TO POLICYHOLDERS ABOUT POLICY

PAYMENT BY NEFT AND INSTRUCTIONS ABOUT

SUBMITTING NEFT MANDATE FORM

The payment under your policy/ies will be to be credited, directly to your Bank account through
electronic mode of payment only. For this purpose, we require your bank details for making the policy
payment through NEFT (National Electronic Fund Transfer). The details of NEFT are described below.
You are requested to submit the NEFT mandate along with necessary enclosures to settle the payment
under your policy through NEFT. Kindly note, it is not possible for us to settle the policy payment in any
other mode of payment like cheque.
1. What is a NEFT ?
It is a nationwide system that facilitates to transfer a fund from one account of any bank branch to
another account of any bank branch. This system is operated by Reserve Bank of India. For
transfer of funds the participating banks have to be NEFT enabled. At present around 74000
Banks all over India are participating under NEFT system. For details please refer to RBI website
on http://www.rbi.org.in/scripts/neft.aspx

2. Advantages of NEFT system for LIC Policy holders / Annuitants :

a) The policy holder / claimant will get the credit in his own account on the due date of payment
irrespective of the location of his bank.
b) NEFT will ensure speedier and secure mode of payment.
c) There will be no extra charges to the policy holders / claimant.
d) SMS and E-mail alerts may also be provided wherever the policy payment is made to the
policyholder/ claimants’ account through NEFT.
e) Each payment from LIC through NEFT will create one UTR(Unique Transaction Reference)
number. If there is any problem in credit to the account, policy holders / claimant can confirm
from their bank by quoting this UTR no. In other words it is easy to track a transaction of
NEFT, using UTR number.

3. important information to the Policy holder / claimants opting for NEFT :

a) All the items mentioned in the enclosed mandate form should be filled correctly. This
mandate can be used for 6 different policy numbers of the same policyholder..
b) The completed mandate for NEFT should be sent to our Branch, servicing at least one of the
policies, listed in the mandate.
c) The policy holder / claimant should also submit either a cancelled blank cheque leaf or the
photo copy of the page of the passbook / cheque book where details of the Bank account are
mentioned.
d) If within two days of the due date, the amount is not credited to your Bank Account, then you
may contact the branch where you have submitted the NEFT mandate.
d) The account of the policy holder / annuitant should be operational at the time of receipt of
policy payment.
e) Before submitting the mandate form, the policyholder/ claimant should confirm from his bank
that it is NEFT enabled.
f) Policy holder’s/ claimants’ name under the policy should match with that of Bank A/c, else it
is likely to be rejected.
g) NRI accounts are guided by FEMA regulations; LIC has decided not to include NRI accounts
for fund transfer. So policy holders / annuitants are requested not to submit their NRI account
details.
h) After submission of NEFT details, if there is any change in bank details then fresh mandate
form will have to be submitted.
i) If you are getting the annuity payments through ECS mode from our IPP cells, you may opt
for payment by NEFT by submitting the mandate or continue to receive the annuity payment
in the existing ECS mode.
 LIFE INSURANCE CORPORATION OF INDIA
NATIONAL ELECTRONIC FUNDS TRANSFER – MANDATE FORM
To
LIFE INSURANCE CORPORATION OF INDIA
Branch :-__________________________

Sub : Receipt of policy payment through NEFT

I am giving below the details of my Bank account for receiving policy payment through NEFT.

(1) Policy No/s

Name of policy holder/ claimant : ________________________________________

(2) Bank Name : _______________________________________________

(3) Bank Branch Address : ______________________________________________

(4) Account Type : Savings/Current/Cash Credit/NRI ____________________

(5) Account No.

( Bank account number should be written from left to right)

(6) IFS Code :

(7) Mobile number. :

+ 9 1

(8) E-Mail Id : _________________________________________________

(9) Are you willing to receive SMS/E-mail, on matters related to your LIC policies : *
Yes no

I have enclosed the following document to this effect. (Please √ appropriate item)
A. Cancelled cheque leaf
B. if cheque is not having the name of bank holder then Photo copy of the
page of Bank pass book containing details of Bank accounts number, IFS code

_____________________
Signature of the policy holder Date :
-----------------------------------------------------------------------------------------------------------------
(In case of change in Bank details, please fill this mandate form again and submit the same to Our
Branch office)
*If your answer to Q no 9 is ‘Yes’, then we will be able to send you a message when LIC transfers
money to your Account through NEFT. This message will contain the UTR ( Unique Transaction
Reference)number which can be used to make any enquiry regarding the payment.
 (Applicable for pension on retirement or leaving the services of
employer, In case of death, another form to be used)

The Manager(P&GS)
L.I.C. of India,
Divisional Office
25 K G Marg
New Delhi – 110 001

Dear Sir,

Re : Master Policy No. GSCA/GS/___________

Fvg. Sh/Smt. ________________________________________________

We are enclosing herewith claim papers Form C, Form N and two discharge receipts duly signed by member and one of
our existing trustees. The stamps are duly affixed on discharge receipts. The particulars of member are given hereunder:

1. Address at which pension payment is to be made

PIN
2. Date of Appointment

3. Date of entry into the scheme

4.. Date of exit (leaving)

5. Mode of exit (Retirement / Resignation) (Specify)

6. Date of birth of member

(figures & words)

7. Option to chose pension

i) Life pension ceasing at death, No purchase price shall be paid on death to beneficiary, No guaranteed
payments.
ii) Life Pension with guaranteed payments for 5/10/15 years. No purchase price shall be paid on death or at
end of 5/10/15 years guarantee. On survival to guaranteed payment pension shall be continued to be
payable till life survives. (Please specify period ___________________________________ )
iii) Life pension ceasing at death of member with return of capital (purchase price) to beneficiary along with
group pension terminal bonus declared by LIC. (Normal Pension)
iv) Joint life and last survivor pension to member and his/her spouse (without any guaranteed payments as in
case of 1)
8. Mode of payment of pension (specify specifically) (MLY/QLY/HLY/YLY)
9. State whether member wants commutation of pension (Yes/No) ______ as per prevalent Income Tax (Please note
that at present member can commute to 1/3 (33.33%). This portion may range maximum upto ½ (50%) if member
is not eligible to get group gratuity.)
10. Do you want to transfer your Annuity Servicing to your nearest LIC Divl. Office specify area _____________
11. Remittance particulars after Last Schedule (Please attach separate sheet)
12. PAN No.
Yours faithfully,

__________________________
Signature of the member Name & Address_______________________
(TRUSTEE)
Dated : ____________________ _____________________________________

P.S. Please note that pension is paid in arrears. Suppose member retires
on 30.06.1999 and opts for half yearly more, the pension shall be
due on 1-7-99 and paid six months after i.e., 1-1-2000. In case your
fund is small please chose yearly or half yearly mode of pension so
that pension amount is reasonable.
 Form N

(LETTER OF AUTHORITY FOR PAYMENT OF ANNUITY)

The Sr. Divisional Manager

LIC of India, Divl. Officer, P&GS Dept.
th
7 floor, 25, Kasturba Gandhi Marg
New Delhi – 110 001.

Dear Sir,
Re : Master Policy No GS/GGI/GS(CA) _____________

We hereby direct, authorise & empower you to pay on our behalf and as our agent to the under mentioned members, who have left or
retired from service, the respective pension amounts shown against their names in the list below after deduction of income tax and other
taxes & duties, particulars of which have also been given in the list.

Membership No. Name of the Member & Due date of Pension Amount of Pension Income Tax net
Address deduction amount if
payable any

We likewise direct , authorise & empower you to pay on our behalf and as our agent, to the under mentioned beneficiaries of deceased
members the pension payments shown against their names in the list below after deduction of Income Tax and other taxes & duties,
particulars of which have also been given in the list.

Master Name of the Beneficiary & Due date of Amount of Income Tax Net amount
Policy Address Pension Pension deduction if any payable
No.

We hereby admit and acknowledge that the above mentioned payments which shall be made by you shall be in full settlement of
payments due to us and we hereby declare that receipts signed by the payee shall be sufficient, valid and legal discharge to you for the
respective payments made to them and shall be fully binding on us as if the payments had been made to us and the receipts signed by
us.

Dated at ______________________________ this _________ day of __________________________

Yours faithfully,

(Signature of the Trustees)

for Self and on Behalf of the
Co-Trustees of _________________________
Superannuation Fund Trust

________________________
(Signature of the Annuitant)
 Form ‘C’

To be completed by Trustees on Leaving Services

_____________________ Retirement of Member

The Manager
L I C of India
P&GS Deptt. 7th Floor
25 Kasturba Gandhi Marg
New Delhi – 110 001.

Reg: Master Policy No. GS/GSI/GSCA ___________

Name of Member : ___________________________________
(Assce. No.) ________________________________________

Dear Sir,

We hereby give you notice that the above member has left/retired from the services of
_____________________________________ with effect from ________________________ and
in accordance with the option exercised by him, he is entitled to receive from the said date a
pension of Rs.___________ (Rupees ___________________________________________)
payable as per option exercised option no. ________________ First instalment of pension
becomes due on _____________________________.

We shall be passing to you, every year, letters of authority to pay, on our behalf and as our agent,
to the members who have left the service/retired from service (including the above member and
the beneficiaries of deceased members) the pension shown against their names in such letters and
we agree and declare that the receipts signed by the said member shall be sufficient, valid and
legal discharge to you for the payment that may be made by you from time to time in respect of
such letters of authority.

We hereby agree that, if any time you are called upon to make payment to the Govt. of India of any
sums towards Income Tax and any other taxes and duties in respect of the said member in excess
of the amounts deducted by the Corporation on the basis of deductions advised by us in the said
letters of authority for payments, we shall reimburse the Corporation such excess sums on receipts
of the appropriate advice from them.

Upon the death of the member the outstanding instalment of the pension, if any, or the balance of
the guaranteed instalments of the pension, if any shall be paid to us or under our instructions, to
the nominee of the member as intimated by us.

Dated at ___________________ this _____ day of _______________________________

1. _______________________
2. _______________________

Trustees ________________________
________________________________
________________________________
________________________________
________________________________
 (seal)
Form No. P.G.S. 37

DISCHARGE RECEIPT

Received a sum of Rupees _______________________ (Rupees __________________

______________________________________)

From the Life Insurance Corporation of India in full and final settlement of all our claims

and demands in respect of ____________________ Shri __________________________

Assurance No. ________________________ under Master Policy No. GSCA __________

who expired/left services/Retired on ___________________

Dated at _______________ on this ________ day of _____________________________

Witness :

Signature : __________________
Designation: __________________ …………………………………………
Across
Rs.1/- Signature of the authorised
Revenue
Address : __________________ Stamp signatory / Trustees
_____________________________ Name _______________________
_____________________________ Designation __________________
Office Stamp
 Form No. P.G.S. 36

DISCHARGE RECEIPT

Received from Life Insurance Corporation of India a sum of Rs. ______________ (Rupees

__________________ ______________________________________) being amount of

refund of deposit under Master Policy No. GSCA ____________

Dated at _______________ on this ________ day of _____________________________

Witness :

Signature : __________________
Designation: __________________ …………………………………………
Across
Rs.1/- Signature of the authorised signatory
Revenue
Address : __________________ Stamp

_____________________________ Name _______________________

_____________________________ Designation __________________
 ANNEXURE -I

(i) OPTIONAL LIFE PENSION CEASING AT DEATH

A pension payable throughout the lifetime of the member . No payments are guaranteed and no lumpsum
money is payable at the death of the member.

(ii- a) OPTIONAL LIFE PENSION GUARANTEED FOR 15 YEARS

A pension guaranteed for 15 years (even if the member dies within 15 years after retirement ) and continued
thereafter during the lifetime of the member ( i.e. if the member lives beyond the period of 15 years). In the
event of the member's death within 15 years after retirement , the pension will continue to be paid to the
Beneficiary for the balance of the guaranteed period of 15 years from the retirement date.

(ii- b) OPTIONAL LIFE PENSION GUARANTEED FOR 10 YEARS

A pension guaranteed for 10 years ( even if the member dies within 10 years after retirement ) and continued
thereafter during the lifetime of the member ( i.e. if the member lives beyond the period of 10 years) . In the
event of the member's death within 10 years after retirement, the pension will continue to be paid to the
Beneficiary for the balance of the guaranteed period of 10 years from the retirement date.

(ii- c) OPTIONAL LIFE PENSION GUARANTEED FOR 5 YEARS

A pension guaranteed for 5 years ( even if the member dies within 5 years after retirement ) and continued
thereafter during the lifetime of the member ( i.e. if the member lives beyond the period of 15 years). In the
event of the member's death within 5 years after retirement , the pension will continue to be paid to the
Beneficiary for the balance of the guaranteed period of 5 years from the retirement date.

(iii) NORMAL PENSION - Life pension ceasing at death of the member with return of Capital
A pension payable throughout the lifetime of the member. On death of the member the lumpsum balance in
the account of the member as on the date of his/her death is paid to the beneficiary of the member. This type
of pension will automatically apply to the member in case the member doesn’t exercise this option.

(iv) OPTIONAL JOINT LIFE AND LAST SURVIVOR PENSION

A pension payable to the member and his/her spouse so long as both of them are alive and continued
thereafter to the survivor of them until his or her death.