OBJECT
OF THE SCHEME
There are several lakhs of Non Resident Tamils all over the world. Majority
of them are employed in the Gulf and South East Asian countries . While
the bread winner toils abroad to earn money, unexpected and unfortunate
events like accident met
with or disease contracted by the bread winner on the foreign soil will
be a great blow to his family. Unexpected expenses for hospitalised treatment
of injury caused due to accident or major ailment suffered by the members
of the family of the Non Resident, either residing with him or in India
will leave the household in a no better position. In
order to alleviate these problems and provide adequate financial support
to the family, Government of Tamilnadu has introduced a Social Security
Scheme for
Non Resident Tamils to be implemented by Overseas Manpower Corporation
(A Government of Tamilnadu Undertaking) in association with The New India
Assurance Co Ltd.. (A
Government of
India Undertaking)
JOINING THE SCHEME
- It is not necessary
that the non resident himself should submit the application and
remit the premium. Spouse or parents (in respect of unmarried non
residents) in India may submit the application on behalf of the
person abroad
and remit the premium.
- Benefits under
the scheme are payable in Indian Rupee only.
- The proposal
form appearing on the following pages can be download and used.
- The proposal
form duly filled in all respects should be sent to Overseas Manpower
Corporation Ltd, 48, Dr.Muthulakshmi Salai, LB Road, Adayar, Chennai 600 020,
India.
- Along with
the proposal form, a cheque or Demand Draft drawn in favour of 'The
New India Assurance Co Ltd'
payable at Chennai for an amount calculated at the rates indicated
in the proposal form should be sent, towards payment of premium.
BENEFITS
OFFERED
- Against one
time payment of premium, coverage is given for five years.
- Overall benefits
available under the scheme is upto Rs.8 lakhs or Rs.13 lakhs
as follows:-
- Death due to
accident - Rs.5 lakhs or Rs.10 lakhs.
- Marriage grant
for two unmarried daughters - Rs.50,000/- each
- Education grant
for two children - Rs.50,000/- each
- Transportation
of body including airfare for escort - upto Rs.50,000/- (This benefit
is available even in case of death
due to illness)
- To and fro
airfare to visit home town to attend the last rites in the event
of death of spouse or any of the children
due to accident in India - upto Rs.50,000/-(Once during the period
of 5 years)
- Permanent total
disability or loss of sight of both eyes or loss of use of both
arms or both legs or any two of these organs-Rs.5 lakhs or Rs.10
lakhs
- Expenses including
airfare of an escort in the event of accident or sickness which
necessitates shifting of the Non Resident to India for treatment
or otherwise - upto Rs.50,000/-
- Medical benefits
for Non Residents and their families.
SALIENT FEATURES
OF THE SCHEME
ACCIDENT INSURANCE (AI)
- Any person,
below the age of 70 employed abroad can join the scheme
- Spouse and
children in India or abroad can also be enrolled in the scheme.
(Children to be between three months
and 25 years unmarried/unemployed)
- One-time premium
guarantees protection for five years continuously.
- Accidents occurring
anywhere in the world leading to death, permanent total disability
or loss of sight of both eyes
or loss of use of arms or legs are covered upto Rs.5,00,000 under
AI-I and Rs.10,00,000 under AI-II.
- Adequate coverage,
ie 50% of the sum insured is given for loss of sight of one eye
or loss of use of one limb, due to accident.
- In the event
of death consequent upon illness or accident abroad, expenses incurred
for repatriation of body to India including air fare of an accompanying
person and incidental expense upto Rs.50,000/- are payable
over and above
the amount indicated above.
- In the event
of an accident to the insured person which results in a valid claim
under this scheme, if the person is taken to India for treatment
or otherwise airfare of the injured and accompanying person subject
to the overall limit
of Rs.50,000/- is payable under the scheme .
- The above benefits
are available for each person joining the scheme.
- In the event
of accidental death of the person employed abroad-
Education grant of Rs.50,000/- each to two children below
25 years as on date of accident , for pursuing studies;
and Marriage grant of Rs.50,000/- each to two unmarried daughters-are
payable in addition to the benefits indicated above.
Overall benefits available under the scheme for
Rs. 5,00,000 is upto Rs. 8,00,000 and Rs.10,00,000
is upto Rs.13,00,000/-
- Cover is available
for 24 hours a day throughout the world, irrespective of whether
the non-resident is on leave or has relinquished his job abroad.
- Benefits under
the scheme are available in addition to other insurance covers,
if any.
- Duly filled-in
claim form along with supporting documents, may be submitted at
the earliest, following which the
- claim would
be disposed of within 7 days.
- A Non Resident
can join the scheme for Rs. 5,00,000 (AI-I) at a one-time
premium of Rs. 2490/- and that for Rs.10,00,000 (AI-II)
at Rs. 4525/-
- Accidents while
engaged in criminal acts, suicide or attempt thereof, or while under
the influence of intoxicants or drugs & arising out of war or
warlike operations are not covered under the scheme.
FAMILY HEALTH INSURANCE (FI)
- The scheme
provides for reimbursement of hospitalization expenses incurred
in India following accident or illness
- Members of
family, in India or abroad, including parents below the age of 70
can join the scheme along with the Non Resident.
- One-time Premium
guarantees protection for five years continuously.
- Schemes for
Rs.1,00,000 (FI-I) and Rs.2,00,000/- (FI-II) are available.
- Hospitalization
expenses upto Rs.1,00,000/- or Rs.2,00,000/- can be reimbursed
during the period of 5 years either jointly or singly by members
of the family i.e. there is no ceiling on expenses per person or
the number of claims
that can be lodged during this period.
- In the event
of the non resident suffering from major ailments of heart, kidneys,
brain or liver, cancer or grievous injuries following an accident,
airfare to India (one way) to undergo hospitalized treatment is
also payable subject to the limit of the sum insured.
- Prior medical
check-up is not required. Declaration, by proposer, on the status
of health of the members is sufficient.
- In case of
hospitalization of a member, immediate intimation of claim to the
servicing office of the company is required. The claim form (issued
by the Insurance company) duly filled-in and signed together with
medical reports, discharge card, prescriptions, bills and receipts
are to be submitted at the Insurance company within 30 days of discharge
from hospital.
- Expenses incurred
in connection with treatment of sinusitis, piles, cataract, hernia,
hysterectomy etc., (indicated
on policy) is not payable during the first year.
- Expenses incurred
on hospitalization during the first 30 days of joining the scheme
are not payable. However expenses incurred for treatment of accidental
injuries are payable even during this period..
- Illnesses existing
at inception of cover as well as pre-existing illnesses are to be
declared in the proposal form. No reimbursement would be available
for expenses incurred on treatment of such illnesses.
- A family comprising
husband, wife and two children (at least 3 months old / unmarried
daughters and unemployed sons below 25 years) can avail of the benefit
of Rs.1,00,000/- at a one- time premium of Rs.2500 and that
of Rs.2,00,000 at Rs.4875/-.
INSTRUCTIONS
ACCIDENT
INSURANCE (AI)
- If more than
one person of a family is covered in one proposal form , 10% discount
of premium of all persons is offered.
- In case both
Non Resident and spouse are employed abroad, they can avail of the
benefits for identical amount (Rs.5,00,000/-or Rs.10,00,000/-).
If only one is employed abroad, the other can be covered upto 50%
of the amount opted by the employed person. Children would be covered
upto 25% of the amount opted by the employed person.
- The Non Resident
and members of the family have to be covered under the same scheme.
One can not join AI-I and the other AI-II.
- The Non Resident
should be compulsorily covered under one of the schemes of Accident
Insurance (AI-I or AI-II) to enable him alone, or along with family,
to join 'Family Health Insurance'
- The Non Resident
joining 'Accident Insurance' can include members of family (along
with self) under Family Health Insurance Scheme, i.e., a Non Resident
alone can join 'Accident Insurance'. However, the members of the
family
can be covered under Family Health Insurance scheme, only if the
Non Resident joins both the schemes i.e., Accident Insurance and
Family Health Insurance Schemes.
FAMILY HEALTH INSURANCE
(FI)
- There is no
discount for covering more than one person under this scheme.
- Parents below
70 years, can join the scheme, provided the immediate family (Spouse
and Children) of the Non Resident is also covered. Unmarried Non
Residents can cover dependent parents along with self.
- More than two
children as indicated above, can be covered under the scheme.
- The Non Resident
and members of the family have to be covered under the same scheme.
One can not join FI-I
and the other FI-II.
- The Non Resident
should be compulsorily covered under Accident Insurance to enable
him/her and members of
the family to join the Family Health Insurance scheme i.e., the
Non Resident should be covered under both the schemes to enable
him to include his family under 'Family Health Insurance Scheme'.
Date of Birth, Age and
details of existing illness and those contracted on earlier occasions
of all the persons desirous of joining the
scheme should be clearly indicated in the proposal form.
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