1. Introduction and Purpose of the Scheme
Bujurg Sahayta Yojna is a community welfare and financial assistance scheme designed to provide financial assistance to eligible Policy Holders in the event of the death of their Insured Person, being an eligible elderly parent or eligible nearest elderly family member.
The scheme is based on the principle of mutual community support, under which members participating in the scheme contribute towards eligible Bujurg Sahayta in accordance with the applicable rules of the scheme and the prescribed contribution amount. The assistance payable under the scheme shall be determined in accordance with the applicable rules and conditions of the scheme, eligibility criteria, contributions received and other provisions mentioned herein.
The purpose of this scheme is to provide financial assistance to the Policy Holder in the event of the death of the Insured Person, being an elderly member, and to promote a system of collective support among the members participating in the scheme.
In addition to the Bujurg Sahayta provided under the scheme, the Policy Holder may be provided life insurance or personal accident insurance coverage through the relevant third-party insurance provider according to the selected insurance option. Such insurance coverage shall be subject to the terms and conditions, exclusions, eligibility requirements, required documents and claim approval process of the respective insurance policy.
Bujurg Sahayta Yojna shall be operated in accordance with these Terms and Conditions, and membership and participation in the scheme shall be subject to fulfillment of the eligibility, registration, contribution and other applicable requirements specified herein.
2. Purpose of the Scheme
Bujurg Sahayta Yojna aims to provide financial assistance to eligible Policy Holders through a community mutual support system in the event of the death of their Insured Person, being an elderly parent or eligible nearest elderly family member.
The purpose of the scheme is to establish a system of collective financial support among participating members so that the eligible Policy Holder may receive Bujurg Sahayta upon the death of the Insured Person. Such assistance shall be subject to the eligibility criteria, membership requirements, prescribed contribution amount, waiting period and other applicable Terms and Conditions specified under the scheme.
The assistance amount shall be determined and payable in accordance with the applicable provisions of the scheme and, unless expressly provided otherwise in these Terms and Conditions, shall not be considered a fixed or guaranteed amount. However, after completion of the prescribed 12-month waiting period from the date of successful registration and approval of membership, a minimum Bujurg Sahayta of ₹1,00,000/- shall apply, subject to fulfillment of all applicable conditions of the scheme.
3. Definitions of Persons Covered Under the Scheme
3.1 Policy Holder
Policy Holder means the person who registers for the Bujurg Sahayta Yojna for an eligible Insured Person, pays the prescribed enrollment fee and other applicable charges and contributions, and whose membership is registered and approved under the scheme. The Policy Holder shall be the registered nominee of the Insured Person and may be eligible to receive Bujurg Sahayta in the event of the death of the Insured Person, subject to the applicable rules and conditions of the scheme.
3.2 Insured Person
Insured Person means the eligible elderly person for whom the Policy Holder has registered under the Bujurg Sahayta Yojna and in whose event of death the applicable Bujurg Sahayta may be provided to the Policy Holder under the scheme. The Insured Person may be an eligible parent of the Policy Holder or an eligible nearest elderly family member as permitted under the scheme.
3.3 Nominee of the Policy Holder
Nominee of the Policy Holder means the eligible nearest family member nominated by the Policy Holder under the scheme. In the event of the death of the Policy Holder, the Nominee of the Policy Holder may be eligible to receive the Bujurg Sahayta that would otherwise be payable to the Policy Holder in relation to the death of the Insured Person, subject to the applicable conditions.
The Nominee of the Policy Holder shall be only the nearest family member of the Policy Holder. No other person shall be accepted as the Nominee of the Policy Holder. The Nominee of the Policy Holder may also be eligible to receive applicable life or personal accident insurance benefits in the event of the death of the Policy Holder or another insured event, subject to the terms, conditions, exclusions, required documents and claim approval process of the relevant insurance policy.
4. Eligibility and Membership Conditions
Bujurg Sahayta Yojna shall be available to eligible persons belonging to all social categories, including General, OBC, SC/ST and Minority categories. Separate groups may be created for each category in accordance with the applicable rules of the scheme.
A person wishing to obtain membership shall be required to complete the prescribed registration process, deposit the prescribed registration fee of ₹12,500/- for each policy, and provide the information and documents required by the Institution.
Membership shall become effective only after successful registration and approval by the Institution. Benefits under the scheme shall become applicable only after completion of 12 months from the date of successful registration and approval of membership, subject to fulfillment of all applicable conditions of the scheme.
The Policy Holder shall be required to deposit the prescribed contribution of ₹200/- per month for one year from the date of registration.
The Policy Holder shall be required to provide correct and complete information and comply with all applicable registration, fee, contribution, document and other requirements related to the scheme.
Eligibility to receive Bujurg Sahayta shall be subject to the death of the Insured Person occurring after completion of the prescribed 12-month waiting period and fulfillment of all other applicable Terms and Conditions of the scheme.
In the event of the death of the Insured Person, the Policy Holder or, where applicable, the Nominee of the Policy Holder shall be required to immediately inform the Institution of the death and comply with the prescribed Bujurg Sahayta contribution and other requirements.
The Institution shall have the right to verify the information and documents submitted by the Policy Holder and may approve, reject, suspend or terminate membership where applicable eligibility or membership conditions are not fulfilled.
The selected life insurance or personal accident insurance coverage for the Policy Holder shall be applicable only up to the age of 60 years and shall remain subject to the Terms and Conditions of the relevant insurance policy.
5. How the Scheme Works
Bujurg Sahayta Yojna operates on the principle of mutual financial support among members participating in the scheme. The scheme shall operate as follows:
An eligible person joins the scheme by completing the prescribed registration process, depositing the applicable registration fee and obtaining membership approval from the Institution.
The Policy Holder shall deposit the prescribed contribution of ₹200/- per month for one year from the date of registration.
After completion of the prescribed 12-month waiting period from the date of successful registration and membership approval, the Policy Holder may become eligible for Bujurg Sahayta in the event of the death of the Insured Person.
After the Institution provides information regarding the death of the Insured Person, all eligible Policy Holders participating in the scheme shall be required to deposit the prescribed ₹300/- Bujurg Sahayta contribution within the prescribed time.
The contributions received from all eligible members shall be used as the basis for providing Bujurg Sahayta to the eligible Policy Holder in relation to the death of the Insured Person, subject to the applicable rules and conditions of the scheme.
Where Bujurg Sahayta becomes payable, the applicable assistance amount shall be determined according to the rules of the scheme and the contributions received. After deduction of the applicable 20% institutional charge from the total assistance amount, the remaining eligible assistance amount shall be provided to the Policy Holder or eligible person in accordance with these Terms and Conditions.
After completion of the 12-month waiting period from the date of successful registration and approval of membership, a minimum Bujurg Sahayta amount of ₹1,00,000/- shall apply. Even if the number of active members in the scheme is low at that time, the minimum assistance amount of ₹1,00,000/- shall remain applicable, subject to fulfillment of eligibility and all other applicable conditions of the scheme.
In the event of the death of the Insured Person, the Policy Holder or, where applicable, the Nominee of the Policy Holder shall immediately inform the Institution of the death and, after receiving the notification from the Institution, deposit the prescribed ₹300/- contribution and required documents within the prescribed time.
6. Registration Process
A person wishing to join the Bujurg Sahayta Yojna shall apply for membership through the form prescribed by the Institution or through the prescribed registration process.
The applicant shall be required to provide complete and correct information relating to the Policy Holder, Insured Person and Nominee of the Policy Holder, along with all documents and information required by the Institution for registration and verification.
The applicant shall deposit the prescribed registration fee of ₹12,500/- for each policy and fulfill other applicable payment or contribution requirements under the scheme.
The Institution shall verify the information and documents submitted by the applicant and may require additional information or documents where necessary.
Membership shall be considered valid only after successful completion of the registration process and approval of membership by the Institution.
After approval of membership, a membership certificate containing the relevant membership and scheme details shall be issued to the Policy Holder. The Policy Holder should receive the membership certificate within 15 days from the date of registration.
If the membership certificate is not received within the prescribed period, the Policy Holder may seek assistance through the concerned agent, the designated helpline number of the Institution or the official website of the Institution.
7. Eligibility of the Insured Person
The Insured Person shall be the eligible elderly parent or eligible nearest elderly family member of the Policy Holder for whom the Policy Holder has registered under the Bujurg Sahayta Yojna.
The details of the Insured Person must be declared and registered as the Insured Person at the time of membership or according to the process prescribed by the Institution.
Bujurg Sahayta shall apply only in relation to the death of the registered and verified Insured Person whose details have been duly registered under the scheme.
The death of the Insured Person must occur after completion of 12 months from the date of successful registration and approval of the Policy Holder's membership for such death to be eligible for Bujurg Sahayta under the scheme.
The Policy Holder shall be required to submit all information and supporting documents requested by the Institution relating to the Insured Person and the death of the Insured Person for verification and processing of Bujurg Sahayta.
The Institution may verify the identity of the Insured Person, relationship with the Policy Holder, eligibility and documents relating to the death before approving the applicable Bujurg Sahayta.
8. Conditions for Receiving Bujurg Sahayta
Bujurg Sahayta Yojna shall provide Bujurg Sahayta only when all applicable conditions mentioned below have been fulfilled:
The membership of the Policy Holder must have been successfully registered and approved, and at least 12 months must have been completed from the date of such registration and approval.
The death must be of the same registered and eligible Insured Person whose details have been duly recorded under the scheme.
Upon the death of the Insured Person, the Policy Holder or, where applicable, the Nominee of the Policy Holder shall immediately inform the Institution of the death and submit the required information and supporting documents within the prescribed time.
After the Institution notifies the members regarding the death of the Insured Person, all eligible Policy Holders participating in the scheme shall deposit the prescribed ₹300/- Bujurg Sahayta contribution immediately or within the time prescribed by the Institution.
All applicable membership requirements, contributions, documents, verification requirements and other prescribed conditions related to the scheme must have been fully complied with.
Before proceeding with the assistance process, the Institution shall verify the eligibility of the Policy Holder and Insured Person, the death of the Insured Person and the documents submitted.
Where Bujurg Sahayta becomes payable, the applicable assistance amount shall be determined according to the rules of the scheme and the contributions collected. 20% of the total collected Bujurg Sahayta amount shall be deducted as institutional charges, and the remaining eligible amount shall be provided in accordance with these Terms and Conditions.
Subject to fulfillment of all applicable conditions, after completion of the 12-month waiting period, a minimum Bujurg Sahayta amount of ₹1,00,000/- shall apply irrespective of the number of active members at the relevant time.
Failure to fulfill any mandatory contribution, notification, document or other applicable requirement within the prescribed time may result in the assistance being delayed, withheld or rejected or may result in termination of membership in accordance with these Terms and Conditions.
9. Bujurg Sahayta Amount and Contribution
The Policy Holder shall deposit the prescribed contribution of ₹200/- per month for one year from the date of registration under the scheme.
After notification by the Institution regarding the death of the Insured Person, every eligible participating Policy Holder shall deposit a Bujurg Sahayta contribution of ₹300/-. The prescribed contribution must be deposited within the time period specified by the Institution.
The Bujurg Sahayta amount shall be determined on the basis of the applicable rules of the scheme and the Bujurg Sahayta contributions received from participating members in relation to the death of the Insured Person.
If the death of the Insured Person occurs after completion of the prescribed 12-month waiting period and all applicable conditions of the scheme are fulfilled, a minimum Bujurg Sahayta amount of ₹1,00,000/- shall apply irrespective of the number of active members at the relevant time.
20% of the total Bujurg Sahayta amount collected shall be deducted as institutional charges. The remaining amount shall be the net Bujurg Sahayta payable subject to the applicable rules and conditions of the scheme.
After the Institution provides notification regarding the death of the Insured Person, the Policy Holder shall deposit the prescribed ₹300/- Bujurg Sahayta contribution immediately or within the time prescribed by the Institution. Failure to deposit the required contribution within the prescribed time may result in the Bujurg Sahayta being withheld or rejected and membership may be terminated at the discretion of the Institution.
All payments and contributions under the scheme shall be subject to the applicable payment rules, timelines and other conditions prescribed by the Institution.
10. Bujurg Sahayta Payment Process
Upon the death of the Insured Person, the Policy Holder or, where applicable, the Nominee of the Policy Holder shall immediately inform the Institution of the death and submit all required information and supporting documents within the prescribed time.
Before approving Bujurg Sahayta, the Institution shall verify the membership and eligibility of the Policy Holder and Insured Person, details relating to the death, applicable contribution and documents submitted.
After notification by the Institution regarding the death, all eligible Policy Holders shall deposit the prescribed ₹300/- Bujurg Sahayta contribution immediately or within the time prescribed by the Institution. The assistance process shall proceed only after fulfillment of the applicable contribution and other requirements.
After successful completion of verification and approval, the applicable Bujurg Sahayta amount for the eligible death shall be determined according to the rules of the scheme and the contributions collected.
20% of the total Bujurg Sahayta amount collected shall be deducted as institutional charges, and the remaining eligible amount shall be payable as Bujurg Sahayta.
The approved assistance amount shall generally be provided to the Policy Holder through the payment method prescribed or approved by the Institution. If the Policy Holder has died, the assistance amount may be provided to the eligible Nominee of the Policy Holder, subject to fulfillment of applicable conditions and verification requirements.
If the eligibility requirements, prescribed contribution, documents, verification or other applicable conditions are not fulfilled, the Institution may withhold, postpone or reject the Bujurg Sahayta amount.
Actual payment shall be made only after completion of the applicable verification and approval process and shall be subject to the provisions of these Terms and Conditions.
11. Rights of the Nominee of the Policy Holder
The Nominee of the Policy Holder must be the eligible nearest family member of the Policy Holder and must be duly registered in the records of the scheme. No other person shall be accepted as the Nominee of the Policy Holder.
Nomination alone shall not create an automatic or unconditional right to receive any benefit. The Nominee shall become eligible for the applicable benefit only after fulfilling the conditions prescribed under the scheme and, where applicable, the relevant insurance policy.
In the event of the death of the Policy Holder, the eligible Nominee of the Policy Holder may receive the Bujurg Sahayta payable to the Policy Holder in relation to the death of the Insured Person, subject to the eligibility, membership, contribution, document, verification and other applicable requirements of the scheme.
The Nominee shall submit proof of death of the Policy Holder, identity proof, proof of relationship with the Policy Holder and other documents and information prescribed by the Institution for processing the applicable assistance.
In the event of the death of the Policy Holder, the applicable Bujurg Sahayta payable to the Nominee shall be determined and provided according to the rules and conditions of the scheme, applicable deductions and verification requirements.
The Nominee may also be eligible to receive applicable life or personal accident insurance benefits in the event of the death of the Policy Holder or another insured event. Such benefits shall be entirely subject to the terms, conditions, exclusions, eligibility requirements, required documents and claim approval process of the relevant third-party insurance policy.
Approval of a third-party insurance claim or determination of the claim amount shall not be made by the Institution. The final insurance benefit shall be determined and provided according to the relevant insurance policy and the decision of the concerned insurance provider.
If the Nominee fails to meet applicable requirements or is found to be ineligible, the applicable benefit may be withheld or rejected in accordance with the applicable rules and conditions.
12. Required Documents
For registration and verification under the Bujurg Sahayta Yojna, the Policy Holder shall be required to submit the following documents:
12.1 Policy Holder
Recent Photograph
Aadhaar Card
Bank Passbook
12.2 Insured Person
Recent Photograph
Aadhaar Card
12.3 Nominee of the Policy Holder
Recent Photograph
Aadhaar Card
Bank Passbook
Documents Required for Bujurg Sahayta
For processing Bujurg Sahayta, the Policy Holder or, where applicable, the eligible Nominee of the Policy Holder shall submit the documents required by the Institution for verification of the death of the Insured Person, relationship with the Policy Holder, eligibility, identity and other applicable conditions of the scheme.
The Institution may require additional documents, declarations, certificates or other supporting information where necessary for verification, processing or approval of Bujurg Sahayta.
All documents submitted by the Policy Holder, Nominee or Insured Person must be valid, correct, complete and genuine. Submission of false, forged, altered or misleading documents may result in rejection of the application or assistance and may result in termination of membership in accordance with these Terms and Conditions.
13. Claim / Bujurg Sahayta Request Process
Upon the death of the Insured Person, the Policy Holder or, where applicable, the Nominee shall immediately inform the Institution of the death through the prescribed communication channel or assistance request process.
The Policy Holder or Nominee shall submit the prescribed assistance application/request along with all required documents and information relating to the Policy Holder, Insured Person, applicable Nominee and death of the Insured Person.
After the Institution provides notification regarding the death, all eligible participating Policy Holders shall deposit the prescribed ₹300/- Bujurg Sahayta contribution immediately or within the time prescribed by the Institution. The assistance request shall be processed only after fulfillment of the required contribution and other applicable conditions.
If the Policy Holder dies before payment of the eligible Bujurg Sahayta, the Nominee of the Policy Holder may submit the Bujurg Sahayta request subject to fulfillment of applicable eligibility and document requirements.
The Institution shall examine and verify the application, documents, membership status, contribution records, details relating to the death of the Insured Person, relationship between the Policy Holder and Insured Person and other relevant information to determine eligibility for Bujurg Sahayta.
Where required for verification and processing of the Bujurg Sahayta request, the Institution may require the Policy Holder or, where applicable, the Nominee to provide additional documents, information, declarations or explanations.
The Bujurg Sahayta request shall proceed only after satisfactory completion of the applicable verification and approval process. Submission of an application or documents alone shall not constitute approval of assistance and shall not create an automatic or unconditional right to receive assistance.
If the applicable eligibility conditions, contributions, documents, verification requirements or other Terms and Conditions of the scheme have not been fulfilled, the Institution may reject, postpone or withhold the Bujurg Sahayta request.
14. Verification and Approval
Before approving any Bujurg Sahayta, the Institution shall verify the information, documents, membership records, contribution records and other relevant details submitted by the Policy Holder or, where applicable, the Nominee.
The Institution may verify the identity and eligibility of the Policy Holder, Insured Person and Nominee, their relationship, membership status, contribution history and the death of the Insured Person and eligibility for Bujurg Sahayta under the scheme.
The Institution may require additional documents, information, declarations or explanations from the Policy Holder or Nominee where necessary to complete the verification process.
All documents and information submitted for verification must be genuine, correct, complete and valid. Any discrepancy, incorrect information, forged document or concealment of material facts may result in rejection of the assistance request and suspension or termination of membership in accordance with these Terms and Conditions.
Bujurg Sahayta shall be approved only when the Institution is satisfied that the applicable eligibility, membership, contribution, document and other requirements of the scheme have been fulfilled.
Approval of the assistance request may be communicated through the communication method prescribed by the Institution. Where the required conditions or verification requirements are not satisfactorily fulfilled, the Institution may postpone or reject the assistance request.
Verification and approval of Bujurg Sahayta by the Institution shall be limited to the benefits provided under this scheme. Any life, accident, health or other insurance claim shall be independently assessed and approved by the relevant third-party insurance provider in accordance with its applicable insurance policy.
15. Waiting Period and Membership Period
The membership of the Policy Holder shall become effective only after successful registration and approval by the Institution.
Benefits of Bujurg Sahayta under the Bujurg Sahayta Yojna shall not be available immediately after registration. The Policy Holder shall be required to complete a 12-month waiting period from the date of successful registration and approval of membership.
The death of the Insured Person shall be eligible for Bujurg Sahayta under the scheme only when the death occurs after completion of the prescribed 12-month waiting period and all other applicable conditions of the scheme have been fulfilled.
The Policy Holder shall deposit the prescribed ₹200/- per month contribution for one year from the date of registration as per the scheme. Completion of the contribution period alone shall not terminate or reduce the applicable 12-month waiting period.
After completion of the 12-month waiting period, the Policy Holder may become eligible to receive Bujurg Sahayta subject to fulfillment of the prescribed contribution, documents, verification and other applicable requirements of the scheme.
Applicable insurance coverage, including its commencement, continuation, validity, renewal and termination, shall be separately determined by the Terms and Conditions of the selected third-party insurance policy and such insurance coverage shall remain valid only up to the age of 60 years.
16. Pre-Existing Condition / Prior Event
Any illness, medical condition, disability or other related condition existing in the Insured Person or Policy Holder before registration shall be subject to the applicable rules, conditions, exclusions and eligibility provisions of the relevant third-party insurance policy.
If the Insured Person has an existing illness or medical condition and subsequently dies due to the same condition, eligibility for Bujurg Sahayta under the scheme shall be determined according to the applicable conditions of the scheme, and any applicable life or accident insurance benefit shall be payable only if the claim is admissible under the Terms and Conditions of the relevant insurance policy.
The existence of a pre-existing condition or rejection of an insurance claim due to such condition shall not, by itself, affect eligibility for Bujurg Sahayta in relation to the death of the Insured Person, provided all applicable conditions of the Bujurg Sahayta Yojna have been fulfilled.
Any condition or event existing before registration that is required to be disclosed under the relevant insurance policy must be disclosed correctly. Concealment of material information may affect insurance coverage or claim eligibility.
17. Multiple Insured Persons / Multiple Benefits
Under the Bujurg Sahayta Yojna, Bujurg Sahayta shall be payable only once in relation to the death of each registered Insured Person.
No Policy Holder or Nominee shall have the right to claim or receive Bujurg Sahayta more than once for the same Insured Person's death.
If the Policy Holder has registered separate policies for more than one eligible Insured Person under the scheme, assistance in relation to the death of each separately registered Insured Person may be considered separately, subject to the applicable eligibility, waiting period, contribution and other Terms and Conditions of the scheme.
No duplicate or additional benefit shall be payable on the basis of multiple applications, claims or nominations for the death of the same Insured Person.
18. Circumstances of Ineligibility
The Policy Holder or Nominee may become ineligible for Bujurg Sahayta under the scheme in the following circumstances:
The Policy Holder or Insured Person does not fulfill the eligibility, membership or 12-month waiting period requirements of the scheme.
The prescribed contribution or payment is not deposited within the applicable time period.
The details of the death of the Insured Person do not match the information recorded in the Institution's records or the Insured Person was not duly registered under the scheme.
Required documents or information are not submitted or the documents submitted are found to be false, forged, invalid, incomplete or misleading.
Any material information is intentionally concealed or incorrect information is provided during registration, verification or the Bujurg Sahayta process.
The Policy Holder or Nominee does not cooperate with the Institution's verification or approval process or fails to fulfill any mandatory requirement of the scheme.
The Bujurg Sahayta request is found to be a duplicate, fraudulent or otherwise ineligible claim.
Membership has already been suspended or terminated in accordance with these Terms and Conditions before Bujurg Sahayta became payable.
19. False Information and Fraud
The Policy Holder, Nominee and Insured Person shall be required to provide true, accurate, complete and genuine information and documents at the time of registration and during membership in the scheme.
Submission of false, misleading, forged, altered or fraudulent information or documents or intentional concealment of any material fact shall be considered a violation of these Terms and Conditions.
If such information or documents are discovered during verification or after payment of Bujurg Sahayta, the Institution may reject, withhold, suspend or recover the relevant Bujurg Sahayta amount and may suspend or terminate the membership.
Bujurg Sahayta obtained through fraud, misrepresentation or concealment of material facts may be recovered from the concerned person, without prejudice to any other rights and remedies available to the Institution under applicable law.
If incorrect or fraudulent information affects a third-party insurance claim, such matter shall be subject to the Terms and Conditions of the relevant insurance policy and the applicable decision of the insurance provider.
20. Membership Cancellation / Termination / Completion
The Policy Holder may request cancellation of membership by submitting a written request to the Institution in accordance with the prescribed process.
The Institution may suspend or terminate membership in the following circumstances:
Failure to deposit any mandatory contribution or payment within the prescribed time;
Submission of false, misleading, forged or fraudulent information or documents;
Failure to fulfill the eligibility, document, verification or other mandatory requirements of the scheme; or
Violation of any material provision of these Terms and Conditions.
After verification, if the Institution determines that the Policy Holder or Insured Person is not eligible to participate in the scheme, the Institution may terminate the membership.
If membership is terminated before the Policy Holder becomes eligible for Bujurg Sahayta, the Policy Holder shall not be eligible to claim Bujurg Sahayta on the basis of the terminated membership.
Completion of Membership: After the applicable Bujurg Sahayta has been successfully provided in relation to the death of the Insured Person, the relevant policy shall be considered fully completed and terminated. Thereafter, all benefits and facilities available under the Bujurg Sahayta Yojna shall cease and the Institution shall have no further obligation to provide any additional benefit or assistance in relation to such completed policy, provided that the Policy Holder and Nominee have complied with all applicable Terms and Conditions of the scheme and no fraud, misrepresentation or concealment of material facts has been established.
After completion of the policy in accordance with the above provision, the Institution shall not demand or recover any additional amount from the Policy Holder or Nominee in relation to the completed policy, except where recovery is permitted under these Terms and Conditions due to fraud, misrepresentation, concealment of material facts or any other unlawful act.
If at any stage it is established that the Policy Holder or Nominee obtained Bujurg Sahayta by submitting false or forged documents, providing incorrect or misleading information, concealing material facts, committing fraud or using any other unlawful means, the Institution shall have the right to cancel the relevant benefit and recover the amount incorrectly paid.
In the event of fraudulently or improperly obtained Bujurg Sahayta, the Institution shall have the right to recover the improperly paid assistance amount together with applicable interest, costs and expenses and take appropriate legal action or other available remedies under applicable law.
Termination or completion of membership shall not affect any right or obligation that arose before the effective date of termination or completion, including any amount lawfully recoverable by the Institution under these Terms and Conditions.
Any insurance coverage associated with the membership shall separately be governed by the Terms and Conditions of the relevant third-party insurance policy, including provisions relating to cancellation, termination, continuation and validity of insurance.
21. Death of a Participant
In the event of the death of the Insured Person, the Policy Holder shall immediately inform the Institution of the death and the Bujurg Sahayta process may proceed subject to fulfillment of the eligibility, waiting period, contribution, document, verification and other applicable conditions of the scheme.
For processing the applicable assistance, the Policy Holder shall submit the death certificate, identity proof, proof of relationship and other required documents prescribed by the Institution.
If the Insured Person dies before completion of the 12-month waiting period, no Bujurg Sahayta shall be payable in relation to the death of such Insured Person and applicable membership benefits related to such event may cease.
In the event of the death of the Policy Holder, the registered Nominee of the Policy Holder may, subject to applicable rules and verification requirements, become eligible to receive the Bujurg Sahayta that would otherwise be payable to the Policy Holder in relation to the death of the Insured Person.
Any life, accident, health or other insurance benefit payable due to the death of the Policy Holder shall be payable to the eligible Nominee only in accordance with the Terms, Conditions, exclusions, required documents and claim approval process of the relevant third-party insurance policy.
The death of the Policy Holder, Insured Person or Nominee alone shall not create any other or additional benefit beyond the benefits expressly provided under the scheme or applicable insurance policy.
22. Change of Nominee / Beneficiary
The Policy Holder may request a change of Nominee by submitting a written request to the Institution in accordance with the prescribed process, subject to applicable rules and verification requirements.
The new Nominee must be the eligible nearest family member of the Policy Holder and must submit the prescribed identity, relationship and other supporting documents. No other person shall be accepted as the Nominee.
Any change in Nominee shall become effective only after verification and approval by the Institution and necessary modification of the official membership records.
A change in Nominee shall not affect any benefit or claim duly approved or paid before the effective date of such change.
In the event of the death of the existing Nominee, the Policy Holder may request a change of Nominee in accordance with the applicable process by nominating another eligible nearest family member.
For any life, accident, health or other third-party insurance benefit, the Nominee shall be determined according to the requirements of the relevant insurance policy and insurance provider. Any change of Nominee under such insurance policy shall be made separately according to the process prescribed by the relevant insurance provider.
The Institution shall not be responsible for any delay, rejection or non-payment of an insurance claim caused by failure to update the Nominee details with the relevant insurance provider.
23. Suspension / Rejection of Bujurg Sahayta
If the Policy Holder or Nominee fails to fulfill the applicable eligibility, membership, contribution, document, verification or other requirements of the scheme, the Institution may suspend, withhold, postpone or reject the Bujurg Sahayta request.
If the prescribed ₹300/- Bujurg Sahayta contribution is not deposited within the prescribed time or the death of the Insured Person is not reported to the Institution immediately by the Policy Holder or applicable person, the Bujurg Sahayta may be withheld or rejected.
If the Insured Person dies before completion of the prescribed 12-month waiting period or fails to satisfy any other eligibility condition of the scheme, Bujurg Sahayta may be rejected.
If the documents or information submitted are found to be false, forged, incomplete, invalid, misleading or inconsistent with the records of the Institution, the Institution may withhold or reject the Bujurg Sahayta.
If additional documents, information, explanations or verification requested by the Institution are not submitted within the prescribed time, the Bujurg Sahayta may be withheld.
Upon confirmation of fraud, misrepresentation, concealment of material facts or any other unlawful activity, the Institution shall have the right to reject Bujurg Sahayta, cancel the relevant benefit and recover any amount already paid together with applicable interest and costs, subject to these Terms and Conditions and applicable law.
Submission of an application for Bujurg Sahayta or completion of required documents alone shall not create any automatic or unconditional right to receive Bujurg Sahayta. Payment shall be made only after satisfactory verification and approval by the Institution.
24. Accuracy of Information and Documents
The Policy Holder, Nominee and Insured Person shall be required to submit correct, accurate, complete, valid and updated information and documents at the time of registration and whenever required by the Institution.
All personal, identity, relationship, bank, death and other information submitted to the Institution must correspond with the relevant official records and documents.
The Policy Holder shall immediately inform the Institution of any change, error or discrepancy in the submitted information or documents.
If any information is found to be incomplete, incorrect, invalid or inconsistent, the Institution may require clarification, correction or updated documents.
Any false, forged, altered, misleading or materially incorrect information or document may result in suspension or rejection of Bujurg Sahayta, termination of membership and recovery of any amount incorrectly paid, subject to these Terms and Conditions and applicable law.
25. Right to Amend the Scheme
Subject to applicable law, the Institution reserves the right to periodically amend, modify or update the rules, conditions, contribution amount, Bujurg Sahayta process, eligibility requirements or other provisions of the scheme.
Notice of any such amendment shall be provided to the Policy Holder through the communication methods prescribed by the Institution and the amendment shall become effective from the date specified in the amendment notice.
No amendment shall affect any duly approved and paid benefits before the effective date of such amendment.
Any change to the rules, coverage, premium, exclusions or benefits of a third-party insurance policy shall be determined by the relevant insurance provider and applicable insurance policy and shall not be considered an amendment made by the Institution to the scheme.
26. Exceptional Circumstances
The Institution shall not be responsible for any delay, suspension or inability to process or pay Bujurg Sahayta caused by circumstances beyond its reasonable control, including natural disasters, pandemics, war, riots, government restrictions, legal or regulatory orders, strikes, technical failures, banking disruptions or other unforeseen circumstances.
If the Bujurg Sahayta process or payment is affected by such circumstances, the Institution may temporarily postpone or suspend the relevant process until normal operations are restored or a reasonable alternative arrangement becomes available.
After the exceptional circumstances cease, the Institution shall make reasonable efforts to resume the Bujurg Sahayta process as soon as practicable and complete payment of eligible Bujurg Sahayta.
No valid benefit shall be rejected solely on the basis of an exceptional circumstance without reasonable cause, and all assistance shall remain subject to these Terms and Conditions and applicable law.
27. Dispute Resolution
Any dispute, complaint or disagreement relating to the scheme shall first be submitted in writing to the Institution for resolution.
The Policy Holder or Nominee shall provide relevant policy details, facts, documents and necessary supporting information for examination of the dispute.
The Institution shall review the dispute and make reasonable efforts to resolve it in a fair manner and within a reasonable period in accordance with these Terms and Conditions.
If the dispute cannot be resolved through the Institution's internal process, the concerned party may seek an appropriate legal remedy before the competent authority or court having jurisdiction in accordance with applicable law.
No provision of these Terms and Conditions shall deprive the Policy Holder, Nominee or any other eligible person of any statutory right or legal remedy available under applicable law.
Any dispute relating to a third-party insurance policy or insurance claim shall be resolved according to the complaint, claim and dispute resolution process prescribed by the relevant insurance provider and applicable law.
28. Governing Law and Jurisdiction
All matters relating to or arising from these Terms and Conditions, membership and the Bujurg Sahayta Yojna shall be governed by the laws applicable in India and interpreted accordingly.
Any dispute or legal matter relating to the scheme shall be subject to the jurisdiction of the competent courts having jurisdiction over the registered office of the Institution, subject to applicable law.
No provision of these Terms and Conditions shall deprive the Policy Holder, Nominee or any other eligible person of any mandatory right, legal remedy or protection available under applicable Indian law.
Matters relating to any third-party insurance policy or insurance claim shall also be governed by the applicable insurance laws and regulations along with the Terms and Conditions of the relevant insurance policy and insurance provider.
29. Third-Party Insurance Benefits
The Policy Holder may select any one of the two available insurance options, namely a life insurance policy or a personal accident insurance policy, according to his/her choice and applicable eligibility requirements. The selected insurance facility shall be subject to the rules, conditions, exclusions, required documents and claim approval process of the relevant insurance provider.
The Institution shall provide the benefit of either the life insurance policy or personal accident insurance policy selected by the Policy Holder. If the Policy Holder wishes to take both policies, the applicable premium or amount prescribed under the applicable rules for the second policy shall be paid separately by the Policy Holder.
All benefits under the life insurance policy and personal accident insurance policy shall be subject to the Terms, Conditions, exclusions, required documents and claim approval process of the relevant insurance policy. The actual amount payable shall be limited to the amount approved under the relevant insurance policy.
The Institution shall bear the applicable premium for either the life insurance policy or personal accident insurance policy selected by the Policy Holder for the first one year on behalf of the Policy Holder. After completion of the first year, if the Policy Holder wishes to continue the selected insurance policy, the applicable future premium shall be paid by the Policy Holder himself/herself subject to the prevailing Terms and Conditions of the relevant insurance provider.
The selected insurance coverage shall remain valid only up to the age of 60 years, and all provisions relating to commencement, continuation, validity, renewal and termination of insurance shall be subject to the Terms and Conditions of the relevant third-party insurance policy.
29.1 Life Insurance Policy
Under the Life Insurance Policy option, the Policy Holder shall be provided insurance coverage of up to ₹1,00,000/-.
In the event of the death of the Policy Holder, the registered Nominee may receive an insurance benefit of up to ₹1,00,000/- subject to the applicable rules, conditions, exclusions, required documents and claim approval process of the relevant Life Insurance Policy.
29.2 Personal Accident Insurance Policy
Under the Personal Accident Insurance Policy option, the Policy Holder shall be provided accident insurance coverage of up to ₹5,00,000/-, subject to the Terms and Conditions of the applicable policy.
In the event of the death of the Policy Holder due to an accident, the registered Nominee may receive an accident insurance benefit of up to ₹5,00,000/-, subject to the Terms, Conditions and claim approval process of the applicable Personal Accident Insurance Policy.
In the event of permanent disability of the Policy Holder due to an accident, financial assistance of up to ₹5,00,000/- may be provided subject to the applicable policy terms and claim approval process.
In the event of the death of the Policy Holder due to an accident, financial assistance of up to ₹50,000/- may be provided towards the education of his/her son or daughter, subject to applicable rules and approval process.
If the Policy Holder is hospitalized due to an accident, financial assistance of up to ₹50,000/- may be provided towards hospitalization expenses subject to the applicable policy terms, required documents and approval process.
If the Policy Holder dies due to an accident outside his/her city of residence, financial assistance of up to ₹10,000/- may be provided for bringing the mortal remains to the place of residence, subject to applicable rules and approval process.
30. Contact and Grievance Redressal
The Policy Holder, Nominee or any other eligible participant may contact the Institution for questions, assistance requests, complaints or clarifications relating to the scheme.
Any complaint or issue should be submitted through the official communication channels prescribed by the Institution along with the relevant policy/membership details and, where required, supporting documents.
The Institution shall receive and review the complaint and make reasonable efforts to provide an appropriate response or resolution within a reasonable period.
If additional information or documents are required for resolution of the complaint, the complainant shall provide them within the prescribed time to facilitate timely resolution.
For assistance relating to the membership certificate, if the certificate is not received within 15 days of registration, the Policy Holder may contact the concerned agent or the Institution.
Any complaint or insurance claim relating to life insurance, personal accident insurance or any other third-party insurance policy should be submitted through the applicable complaint or claim process of the relevant insurance provider.
The contact details and grievance redressal channels of the Institution may be updated from time to time. Members should use only the latest contact details officially published by the Institution.