A PRESENTATION By ORIENTAL INSURANCE 1 PRADHANMANTRI SURAKASHA

A PRESENTATION By ORIENTAL INSURANCE 1

PRADHANMANTRI SURAKASHA BIMA YOJNA §As a measure towards financial inclusion of the poor in the national mainstream, the government launched the “ Pradhan Mantri Jan Dhan Yojna” (PMJDY) on 24 th August, 2014 §One of the benefits under the scheme is providing Personal Accident Insurance Coverage of Rs. 2 lacs to Account Holders.

PROFILE §The Oriental Insurance Company Ltd. " earlier known as "The Oriental Fire & General Insurance Co. Ltd" was incorporated at Bombay on 12 th September, 1947. Has a vast network of 1900 offices §The Premium Income from Indian Operations has reached the level of Rs. 7127 crores with a Global Premium of Rs. 7282 Crores in the year 2013 -14. §Recorded a PBT of Rs. 660. 73 Crores and PAT of Rs. 460. 29 Crores in 2013 -14. §Having PAN India Bancassurance tie up with Two Major Banks namely Punjab National Bank and Oriental Bank of Commerce. §Procured a Premium of Rs. 182 Crs. from Punjab National Bank and Rs. 62 Crs. from Oriental Bank of Commerce with a total Bancassurance Premium of Rs. 256 Crs.

TECHNOLOGICAL ADVANTAGE Ø 1 st Public Sector General Insurer to implement Core Insurance Solution. Ø Our system has E-mail & SMS integration for real time updates of various transactions for all Stake Holders. Ø Facility to renew policies Online. Ø Online Grievance Redressal Mechanism in line with IGMS (Integrated Grievance Management System) of IRDA. Ø Customer can also register Grievances on OICL Portal. Ø Call Centre support for prompt and efficient Customer Service.

PROPOSED GROUP PERSONAL ACCIDENT POLICY This insurance will pay to the insured (or in case of death, to the Nominee) the amount shown against the table of benefits, if the insured sustains any bodily injury resulting from Accident caused by External, Violent and Visible means, Snake Bite, Drowning and Unprovoked Murder or such bodily injury within twelve months of its occurrence. Table of benefits Death Total and irrecoverable loss of both Eyes or loss of use of both Hands or Feet or loss of sight of One Eye & loss of use of Hand or Foot Total and irrecoverable loss of Sight of One Eye or loss of use of one Hand or Foot Sum Insured Rs. 2 lacs Rs. 1 lac

MODALITIES OF ENROLMENT / UNDERWRITING §Initially an Group Personal Accident Policy for a period of one year shall be issued. The policy will be for all existing Bank Account Holders under this initiative for a sum insured of Rs. 2 lacs for which a premium of Rs. 12 + applicable service tax per Bank Account Holder will be payable to the Insurance Company by the Bank. § The cover will incept for all such Account Holders from the date of payment of Premium to the Insurer. §Bank will provide KYC details of all Account Holders, name of the Nominee and Bank Account details in Excel file at inception for issuance of Group Policy. §In case of Joint Account, two separate polices to be issued for Account Holders for which individual Premium of Rs. 12+ service tax will be payable for each Account.

MODALITIES OF ENROLMENT / UNDERWRITING § Similar Excel file will also be provided by the bank for monthly additions in the Group Policy. All new Account Holders during the month will be covered w. e. f. 1 st of the succeeding month on receipt of premium for all such new Account Holders. § Bank necessarily has to provide Nominee details to facilitate payment of Claims. § In absence of Nominee details, claim amount to be transferred to the Beneficiary Account Holder. § A bi-lingual pamphlet giving details of Broad Coverage, Exclusions, Dos and Don’ts, premium, Claims Procedure , Details of the Nodal Office of the Insurer will be supplied to the bank to be given to the Account Holder at the time of opening of account.

DOCUMENTS REQUIRED FOR SIMPLIFIED PROCESSING OF CLAIMS • Death Certificate • Copy of FIR/Final report wherever applicable • Post Mortem Report / Panchnama wherever applicable • Account Holder information certified by Bank • Disability Report from Civil Surgeon, wherever applicable.

MODALITIES FOR ADMINISTRATION OF CLAIMS OPTION 1 : • Claims to be handled through Banks. All original documents (FIR, Death Certificate and Post Mortem Report) to be collected and retained by the Bank Branches. • Insurance Company will send the Claim Settlement amount to the concerned Bank Branches by ECS.

MODALITIES FOR ADMINISTRATION OF CLAIMS OPTION 2: • Intimation and Claim Documents can be given to Bank. • Claim to be processed by the Nodal Office of the Insurer. • Payment to be made to the Beneficiary / Nominee on Monthly basis by way of ECS / NEFT to the Account-holder.

FORMAT – SIMPLIFIED CLAIM FORM This form is issued without admission of liability and must be completed and returned within 7 days after its receipt. Claim No. ___________ Bank Branch Name & Code_____ N _1. Name in Full_________________ Address______________________________________ Contact Number________________ 2 3. 3. 3. A) When did the accident / death occur? State Day, Date and Hour B) B) Where did it occur? C) Give full particulars of the cause of death / injuries sustained. B) 4. Give name and address of the attending Doctors Policy No. _________________ 2. Name of the Bank with address____________________________________ Saving Account No. ________________ 5. State where and when a Medical or other Officer of the Company can visit you, if necessary. 6. Have you previously claimed or received compensation under an Accident Policy? If so, give Particulars. 7. A) Are you insured elsewhere? B) If so, give the name of each Company or Insurer. 8. A) In case of Death, Original FIR / Post Mortem Report/ Death Certificate to be attached. A) B) B) In case of Disability, Disability Certificate from Civil Surgeon towarrant be attached. I HEREBY DECLARE and the truth of the foregoing particulars in every respect, and I agree that if I have made, or if shall make false or untrue statement, suppression or concealment, my right to compensation shall be absolutely forfeited. Dated ____________ Signature____________________ (Claimant)

LIST OF MEMBERS ENROLLED UNDER PRADHAN MANTRI SURAKSHA BIMA YOJNA Forming Part of Master Policy No. _______________ Contac t Name of Aadhar No. the wherever Sl. Ag Numbe Saving Bank No. Member available e r Account No. Nomine e Na Relatio me nship

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FORMAT – CERTIFICATE OF INSURANCE (To be issued to the Members covered under Pradhan Mantri Suraksha Bima Yojana by the Partner Insurance Company ) Name of the Master Policy Holder: __________________Bank Master Policy No. : ___________________________ Name of the Insured: Shri / Smt. _____________________ ( Name in Full) Date of Birth (As per Aadhar): _________ Company ID_______ Saving Bank Account No. : _______________________ Aadhar No. : _____________________________ Date of Entry into the Scheme: ______________________ Premium Rs. 12/- (Rupees Twelve only) per annum Frequency of Premium: Yearly Nominee : _____________Relationship____________ This is to certify that the above member is covered under the scheme of insurance effected under the above master policy. Insurance benefits are available to the member subject to the conditions specified in the policy documents. Signature of the Issuing Official Date: ___________ Note : 1) This certificate is primarily issued to create awareness about insurance affected in the life of the member. It does not confer any legal rights on the nominee/or any other person to claim the benefits under the policy. The benefits will be payable only to the authorised person specified in the policy and subject to the fulfillment of the conditions specified therein. 2) For informing about lodging of claims under the Scheme, please contact the bank.