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NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19

Posted By educratsweb.com ❄ Government Schemes 🗓 Sunday January 16 2022 👁 153

1. What does this Scheme cover?
This accident insurance scheme covers; Loss of life due to COVID19 and
Accidental deathon account of COVID-19 related duty.

2. What is the definition of Accident?
An accident is sudden, unforeseen and involuntary event caused by external,
visible and violent means.

3. When does insurance coverage policy begins and ends?
The duration of the policy is extended for a period of 180 days, starting from
20th October, 2021.

4. What is the benefit available to the insured persons?
Rs 50 LAKHS will be paid to the claimant of the insured person.




ELIGIBILITY

1. Who all are covered under the scheme?

 * Public healthcare providers including community health workers, who may have
   to be in direct contact and care of COVID-19 patients and who may be at risk
   of being impacted by this.
 * Private hospital staffand 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/hospital of Central Ministries can also be drafted for COVID 19
   related responsibilities.

2. Who can be a volunteer under this scheme?
Volunteers are those who are drafted by the Government Official authorized by
Central/State/ UT Government for care and may have come in direct contact of the
COVID-19 patient.

3. Who are Private persons under this scheme?
Private persons are those who are engaged by both public & private health care
institutions/organization through an agency and were deployed /drafted for care
and may have come in direct contact of the COVID-19 patient (with the proof that
the service of the agencies were engaged by the institution / organization).

4. Is there any age-limit for health workers under this scheme?
There is no age limit for this scheme.

5. Is individual enrolment required?
Individual enrolment is not required.

6. Whether an individual is required to pay any premium to be eligible under the
scheme?
The entire amount of premium for this scheme is being borne by the Ministry of
Health and Family Welfare, Government of India.

7. Is COVID-19 laboratory test mandatory for claiming the benefit?
Laboratory report certifying positive medical test is required for loss of life
on account of COVID-19. However, it is not required in case of Accidental loss
of life on account of COVID-19 related duty.

8. Whether expenses incurred on treatment or during quarantine are covered under
the scheme?
Any type of expenses related to treatment or quarantine is not covered.

9. If a person is having another Personal accident policy or life insurance
policy, what is the effect of the same on claim under this policy?
The benefit/claim under this policy is in addition to the amount payable under
any other policies.




PROCESS

1. Documents required to claim benefits under this scheme?
In case of Loss of life due to COVID19 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 institutionand
   wasdeployed/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 MedicalOfficer of Primary Health Centre (PHC) that ASHA/ASHA
   Facilitator was drafted for work related to COVID-19.

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 Cert(Certified copy).
 * Death Certificate (in Original)VII.Post-mortem Report (Certified copy)
 * Cancelled Cheque (desirable) (in Original) IX.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.

2. Whom to contact in case of any claim?
The institution/department the insured person was working for has to be
informed.Insurance company also be intimated at email id
nia.312000@newindia.co.in

3. What is the process of submission of claim?
The claimant needs to fill up claim form along with necessary documents as
prescribed and submit the same to Healthcare Institution/ organization/ office
where the deceased was an employee of /engaged by the institution.
The respective institution will give necessary certification and forward it to
competent authority.
Competent authority for State/UT is Director General Health Services /Director
Health Services/ Director Medical Education or any other Official specifically
authorised by the State/UT Government for this purpose.
Competent authority for Central Government, Central Autonomous / PSU Hospitals,
AIIMS, INIs and Hospitals of other Central Ministries is Director or Medical
Superintendent or Head of the concerned institution.
Competent authority will forward and submit claim to the insurance company for
approval.

4. Whom to contact from insurance company?

 * Divisional office CDU 312000 of The New India Assurance Co.Ltd. located at
   B-401, Ansal Chambers 1, Bhikaji Cama Place, New Delhi-110066.
 * Contact persons:-1.Mrs. Sarika Arora, Divisional Manager, email
   sarika.arora@newindia.co.in or nia.312000@newindia.co.in
 * Mr.N.Ravi Rao, Deputy Manager, email id ravin.rao@newindia.co.in or
   niadelbroker20@gmail.com
 * Mr.Yogendra Singh Tanwar, Administrative Officer email id
   yogendra.tanwar@newindia.co.in




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NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19 NSURANCE SCHEME FOR HEALTH
WORKERS FIGHTING COVID-19 NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19
NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19 NSURANCE SCHEME FOR HEALTH
WORKERS FIGHTING COVID-19 NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19
NSURANCE SCHEME FOR HEALTH WORKERS FIGHTING COVID-19


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