ANNEXURE - 3(revised)

PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA

CONSENT-CUM-DECLARATION FORM
(To be filled in by members joining the scheme on or after 01.06.2016
For Office Use

Agent’/BC’s Name* Agency/BC Code No.*

Bank A/c details of
Agent/BC – *
Signature of Agent/Banking Correspondent*
* Mandatory Fields

I hereby give my consent to become a member of ‘Pradhan Mantri Jeevan Jyoti Bima Yojana’ of SBI Life Insurance Company Ltd.
which will be administered by your Bank under Master Policy No.76001002559.

I hereby authorize you to debit my Savings Bank Account with your Branch, for life cover under PMJJBY, with a premium of:

Month of enrolment Premium Payable for Premium amount payable

Rs. 330/- plus applicable taxes, if any
Entire policy year i.e. 4 (This includes administrative charges payable to
June, July & August
quarters Banks which is currently Rs 41/- per subscriber)
Rs. 258/- plus applicable taxes, if any
September, October & (This includes administrative charges payable to
3 quarters
November Banks which is currently Rs 33/- per subscriber)

Rs. 172/- plus applicable taxes, if any

December, January & (This includes administrative charges payable to
2 quarters
February Banks which is currently Rs 22/- per subscriber)

Rs. 86/- plus applicable taxes, if any

(This includes administrative charges payable to
March, April & May 1 quarter
Banks which is currently Rs 11/- per subscriber)

I further authorize you to deduct in future after 25th May and not later than on 1st of June every year until further instructions, an
amount of Rs.330/- (Rupees three hundred thirty only) and applicable taxes, if any, or any amount as decided from time to time,
which may be intimated immediately if and when revised, towards renewal of coverage under the scheme.

I have not authorized any other bank to debit premium in respect of this scheme. I am aware that my life cover shall be restricted to
Rs.2,00,000/- only in the event of my death.

I have read and understood the Scheme rules and I hereby give my consent to become a member of the Scheme. I am aware that
the risk will not be covered during the first 45 days from the date of enrollment into the scheme (lien period)
and in case of death (other than due to accident) during lien period, no claim would be admissible.

I authorize the Bank to convey my personal details, given below, as required, regarding my admission into the group insurance
scheme to SBI Life Insurance Company Ltd.

Page 1 of 2
Applicant Details, as per Bank / KYC records:

Name of the Account holder (as per Bank records)

Savings Bank Account No. Aadhaar
Number, if
available
E-mail Id Mobile No.
Nominee Name, Name and
address and relationship (if address of
any) Guardian
(if nominee is
minor)

Date of Birth Address

Occupation
Agriculturist
Housewife
Self-Employed/ Professional
Salaried
Business owner
Labour / Safai Karamcharis / Workers in informal sector

I hereby nominate my nominee as above under this scheme.

Nominee being minor, his / her guardian is appointed as above.
I hereby declare that the above statements are true in all respects and that I agree and declare that the above information shall form
the basis of admission to the above scheme and that if any information be found untrue, my membership to the scheme shall be
treated as cancelled.
Date: ____ Signature
Address:

Signature verified

(Branch Official) (Rubber Stamp with bank branch name and code)

__________________________________________________________
ACKNOWLEDGEMENT SLIP CUM CERTIFICATE OF INSURANCE

We hereby acknowledge receipt of “Consent-cum-Declaration Form” from Sh / Smt. ………………………………… holding Bank
Account No……………………………….. Aadhaar No………………………….. consenting and authorizing auto-debit from the
specified Bank Account to join the Pradhan Mantri Jeevan Jyoti Bima Yojana with SBI Life Insurance Company Ltd for cover under
Master Policy No………………………., subject to correctness of information provided regarding eligibility and receipt of
consideration amount.

Seal & Signature of Authorized Bank Official

Page 2 of 2
REVISED FAQs on PRADHAN MANTRI JEEVAN JYOTI BIMA YOJANA
(PMJJBY) (FOR POLICY YEAR 2018-19)

Q1. What is the nature of the scheme?

The scheme is a one year cover Term Life Insurance Scheme, renewable from year to
year, offering life insurance cover for death due to any cause.

Q2. What would be the benefits under the scheme and premium payable?

Rs.2 lakh is payable on a subscriber’s death due to any cause.

The premium payable is Rs.330/- per annum per subscriber.

For those getting enrolled under PMJJBY for the first time during the middle of the
policy period, payment of pro-rata premium has been allowed w.e.f. policy year
2018-19, as given below. Thus, if the enrolment takes place during the months of
–
 June, July & August –Annual premium of Rs. 330/- is payable.
 September, October & November –3 quarters of premium @ ₹86.00 i.e.
Rs. 258/- is payable.
 December, January & February – 2 quarters of premium @ ₹86.00 i.e.
Rs. 172/-is payable.
 March, April & May – 1 Qly premium @ ₹86.00 is payable.

However, full year’s premium @ Rs 330/- would be payable at the time of

renewal under the scheme.

For subscribers enrolling for the first time on or after 1st June 2016, insurance
cover shall not be available for death (other than due to accident) occurring during
the first 45 days from the date of enrolment into the scheme (lien period) and in
case of death (other than due to accident) during lien period, no claim would be
admissible.

Q3. How will the premium be paid?

The premium will be deducted from the account holder’s bank account through ‘auto
debit’ facility in one instalment, as per the consent to be given on enrolment.
Members may also give one-time mandate for auto-debit every year till the scheme is
in force, subject to re-calibration that may be deemed necessary on review of
experience of the scheme.

Q4. Who will offer / administer the scheme?

The scheme is offered / administered through LIC and other Life Insurance companies
willing to offer the product with necessary approvals on similar terms, in collaboration
with participating Banks. Participating banks are free to engage any such life
insurance company for implementing the scheme for their subscribers.
Q5. Who will be eligible to subscribe?

All individual (single or joint) bank account holders in the age 18 to 50 years in
participating banks are entitled to join. In case of multiple bank accounts held by an
individual in one or different banks, the person is eligible to join the scheme through
one bank account only.

Q6. What is the enrolment period and modality?

The cover shall be for one year period stretching from 1st June to 31st May for which
option to join / pay by auto-debit from the designated individual bank account on the
prescribed forms will be required to be given by 31st May of every year. Subscribers
who wish to continue beyond the first year are expected to give their consent for auto-
debit before each successive May 31st for successive years. Delayed renewal
subsequent to this date will be possible on payment of appropriate premium as
described in Q.2 above, subject to changes in terms regarding insurance coverage.

Q7. Can eligible individuals who fail to join the scheme in the initial year join in
subsequent years?

Yes, on payment of premium through auto-debit. New eligible entrants in future years
can also join accordingly. However, for such subscribers, insurance benefit shall not
be available for death (due to any cause other than accident) occurring during the
first 45 days from the date of enrolment into the scheme.

Q8. Can individuals who leave the scheme re-join?

Individuals who exit the scheme at any point may re-join the scheme in future years
by paying the appropriate premium as described in Q.2 above,. However, for such
subscribers, insurance benefit shall not be available for death (due to any cause other
than accident) occurring during the first 45 days from the date of enrolment into the
scheme

Q9. Who would be the Master policy holder for the scheme?

Participating Banks are the Master policy holders. A simple and subscriber friendly
administration & claim settlement process has been finalized by LIC / chosen
insurance company in consultation with the participating bank.

Q10. When can the assurance on life of the member terminate?

The assurance on the life of the member shall terminate / be restricted accordingly on
any of the following events:
i. On attaining age 55 years (age near birth day), subject to annual renewal up to that
date (entry, however, will not be possible beyond the age of 50 years).
ii. Closure of account with the Bank or insufficiency of balance to keep the insurance
in force.
iii. In case a member is covered through more than one account and premium is
received by LIC / insurance company inadvertently, insurance cover will be restricted
to Rs. 2 Lakh and the premium paid for duplicate insurance(s) shall be liable to be
forfeited.

Q11. What will be the role of the insurance company and the Bank?

The scheme will be administered by LIC or any other Life Insurance company which
is willing to offer such a product in partnership with a bank / banks.
ii. It will be the responsibility of the participating bank to recover the appropriate
premium in one instalment, as per the option, from the account holders on or before
the due date through ‘auto-debit’ process and transfer the amount due to the insurance
company.
iii. Enrolment form / Auto-debit authorization / Consent cum Declaration form in the
prescribed proforma, as required, shall be obtained and retained by the participating
bank. In case of claim, LIC / insurance company may seek submission of the same.
LIC / Insurance Company also reserve the right to call for these documents at any
point of time.

Q13. How would the premium be appropriated?

Appropriation of Full Annual Rs.258/- Rs.172/- Rs.86/- is

Premium Where: Premium collected in collected collected
of Rs.330/- the 2nd in the 3rd in the 4th
collected quarter of quarter of quarter of
risk Period risk period risk period
01 Insurance
Premium to LIC/ Rs.289/- Rs.225/- Rs.150/- Rs.75/-
Insurance
Company
02 Reimbursement Rs. 11/- Rs.10.50 Rs.7/- Rs.3.50
of Expenses to
BC/Micro/Corpor
ate/ Agent
03 Reimbursement Rs.30/- Rs.22.50 Rs.15/- Rs.7.50
of Administrative
Expenses to
participating
Banks

Q14. Will this cover be in addition to cover under any other insurance scheme
the subscriber may be covered under?

Yes.

Q15. Can all holders of a joint bank account join the scheme through the said
account?

In case of a joint account, all holders of the said account can join the scheme provided
they satisfy its eligibility criteria and pay the appropriate premium as described in
reply to Q. 2 above.
Q16. Are NRIs eligible for coverage under PMJJBY?

Any NRI having an eligible bank account with a bank branch located in India is
eligible for purchase of PMJJBY cover subject to fulfilment of the terms and
conditions relating to the scheme. However, in case a claim arises, the claim benefit
will be paid to the beneficiary/ nominee only in Indian currency.

Q17. Which Bank Accounts are eligible for subscribing to PMJJBY?

All bank account holders other than institutional account holders are eligible for
subscribing to PMJJBY scheme.

Q18. Does the PMJJBY cover death resulting from natural calamities such as
earthquake, flood and other convulsions of nature? What about coverage from
suicide / murder?

All these events are covered as PMJJBY covers death due to any reason.

Q19. Are PMJJBY policies being introduced and serviced in association with
foreign insurance Companies?

There are no foreign insurance Companies directly operating in India. As permitted by

the Insurance Act and IRDA Regulations there are some foreign Companies in joint
ventures with Indian companies, where the stake of foreign insurers is restricted to
49% only.

Q.20. Contrary to other Life Insurance products, benefit under PMJJBY is

payable only to nominee of the insured on the death of the insured. Why is there
no maturity benefit or surrender value, which is available in normal life
insurance policies?

The cover under PMJJBY is for death only and hence benefit will accrue only to
nominee. PMJJBY is a pure term insurance policy, which covers only mortality with
no investment component. The pricing is also accordingly low when compared to
other life insurance policies where maturity benefits, surrender value etc.is available.
It has been designed to provide life insurance cover to weaker sections of the society.
With this aim, the premium is kept low, eliminating the investment component.

Q.21. Will the PMJJBY scheme which is being promoted aggressively and sold in
large numbers accrue huge profits to the foreign insurance Companies who in
joint venture with Indian entities have floated life insurance companies and are
operating this insurance cover?

Only Indian Insurance Companies as defined in the Insurance Act can operate in
India. The policy holders’ funds of all such insurance companies operating in India
including those with foreign partners within the 49% cap are to be invested in India as
per regulations and cannot be invested abroad. The premium charged for PMJJBY has
been worked out based on actuarial calculations taking into account all risk factors,
current mortality rates and adverse selection. Thus there is no scope for any huge
profits accruing from the scheme.
Q.22. Why are foreign insurance Companies associated with PMJJBY when LIC
which is a government owned corporation could have managed this scheme
launched by the government?

There are 24 Life insurance companies operating in India, who are licensed by IRDAI
to carry on life insurance business in India. To promote competition and better pricing
and service to customers, all these companies are permitted to participate. Moreover,
they are all Indian insurance companies. Their foreign partners, if any, have only a
stake in these companies within the stipulated 49% cap. However, LIC is still the
primary insurer involved in operation of the scheme.

Q.23. In case of non-settlement of claims is it possible to proceed legally against

the foreign insurers in India?

There are no foreign insurance Companies directly operating in India. As permitted by

the regulations there are Companies operating as joint ventures with Indian
companies, where the stake of foreign insurers is restricted to 49% only. By
definition, these are Indian insurance companies. All these companies are subject to
Indian laws and there is no bar against proceeding legally against them.

Q.24. Rates of premium may be increased, or the Companies may discontinue the
schemes in future.

Insurance is like any other product. While rates can go up in future, with 24 life
insurance Companies operating in India, due to competition among them, prices are
likely to remain stable. It is expected that with the design of the PMJJBY cover and
it’s pricing, the scheme will be viable, and there is little chance of discontinuing. In
any event, even if a particular company discontinues, banks have several other options
to tie up with.

*************