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Aam Aadmi Bima Yojana (AABY) is a group insurance scheme for the benefit of rural landless agricultural labourers implemented
by the Society for Elimination of Rural Poverty (SERP) at the state level and ‘Zilla Samakhya’ at the district level in Andhra
Pradesh. The scheme extends benefits for life insurance as well as coverage of partial and permanent disability to a designated
family member. Scholarships are also awarded to two children in the family of a disabled/deceased insurance holder, who are
between grades 9 and 12. As of 2014, a total of 38 lakh rural landless agricultural labourers in Andhra Pradesh are covered
under the scheme.
Key Stakeholders
* The field work for this case study was conducted in Andhra Pradesh before the state of Telengana was carved out of it in June 2014.
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Aam Aadmi Bima Yojna: Life insurance for rural landless labourers in Andhra Pradesh
The LIC processes the insurance claims and payments Table 1: Eligibility and benefits under AABY in
for the cases submitted. Andhra Pradesh
The implementation from the grassroots level and upwards Eligibility criteria Rural landless households
is carried out entirely by a structure of CBOs (Figure 1)
Age Group 18-59 years
wherein one SHG has approximately 10-12 members,
and 10-20 SHGs form one Village Organisation at the Rs. 320/- per member. 50% by
Panchayat level. Premium Central government and remaining
50% by State government
These voluntary organisations form the Mandal Samakhya
at the block level and, finally, members of the Mandal Nodal Agency State government
Samakhya form the Zilla Samakhya (including District
Benefits
Project Managers and Assistant Project Managers) at the
district level. Finally, the most important stakeholders Natural Death Rs. 30,000/-
are the beneficiaries – rural landless labourers and their
families. Accidental Death Rs. 75,000/-
36,391 Village
Organisations VO
Figure 2: Process flow of insurance claim under
AABY in Andhra Pradesh
933,585 Self
Help Groups Self Help Groups
10,660,968
Members Women Members
Implementation Strategy
The overall process in obtaining the insurance claim The operators at the call centre will do a preliminary
takes approximately 30-36 days and involves a few steps verification of the beneficiary’s documents on record –
detailed in Figure 2. name, age, nominee’s name and corresponding details
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Social Security
on the policy bond. The operator then contacts the Bima If it cannot be resolved at the MS level, it will be
Mitra of the particular mandal so that he/she can proceed forwarded to the District Project Manager (DPM). The
to the beneficiary’s house. DPM is authorised to change details on the policy bonds
except the policy holder’s name. In cases where the
The Bima Mitra will withdraw a solatium of Rs. 5,000 DPM cannot take action, a written application will be
from a nearby ATM. She visits the house of the claimant sent to the Project Director and thereafter to the CEO.
(along with a member of the Village Organisation, where A beneficiary is also entitled to make changes to policy
necessary) and confirms the cause of mishap. If the cause details (except policy holder’s name) at the time of
is suicide or murder, the family will not be eligible for renewal of the policy each year.
the claim. She will collect the policy documents from
the family member, verify them and then hand over the
solatium to the nominee. c. Awareness generation and capacity building
Within the next seven days, the Bima Mitra must procure
the remaining documents – Death certificate, FIR (in Awareness at the grassroots level is important for
case of accidental death), post-mortem report or medical new entrants and importantly, also, for the existing
reports in the case of disability and upload it to the portal beneficiaries, who sometimes are not willing to pay the
at the Mandal Samakhya level. Rs. 15 service charge. Large-scale awareness campaigns
were conducted through flyers and door-to-door
campaigns by Bima Mitras.
Image 2: Copy of an LIC policy bond • They are trained by the DPM on how to
approach the bereaved family, what must be
said, which documents should be verified and
The call centre will verify the documents online and, if collected, and the procedure to be followed
found satisfactory, will pass it on to the LIC. If not, it thereafter.
will revert to the Bima Mitra. The LIC office downloads
these documents on a daily basis to process these for • Bima Mitras are given incentives for every claim
verification. If all the documents are satisfactory, LIC submitted. She receives Rs. 700 per claim if
reverts in approximately four days and uploads the documents are uploaded within 7 days and if
voucher details on the website. bank nominee details are sent within 15 days,or
Rs. 150 otherwise. The incentive system, thus,
LIC transfers the claim amount to SERP which is then helps in handling cases speedily and efficiently.
transferred to the concerned nominee’s bank account
or post office account directly via eFMS. In case the • Every Bima Mitra is given an account with an
beneficiary does not have a bank account, the money ATM card and will have a minimum balance of
is transferred to the Zilla Samakhya and then a bearer Rs. 10,000 at any given time, so the solatium
cheque is issued through mandal/village level officials. can be paid to the family in short notice.
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Aam Aadmi Bima Yojna: Life insurance for rural landless labourers in Andhra Pradesh
Mandal level meetings have also been used as a platform seven days, reminder SMS alerts will also be sent to the
for disseminating information on insurance schemes like nominee.
AABY and roping in new registrations. Stickers and posters
have been used for advertising the toll free numbers of The State and Central government have set aside funds
district insurance call centres. Capacity building sessions and partnered with LIC for the payment of insurance
are conducted through a chain that starts at the State premiums on each policy. The Government of Andhra
level in the first instance, and then proceeds down to the Pradesh pays 50%, i.e. Rs. 160 and the remaining amount
district, mandal and other levels. is paid by the Central government.
There are two main technological components in AABY Wide coverage and high performance: The programme
– a web portal and SMS alerts system. User-defined login has a wide coverage as a total of 38 lakh rural landless
access has been given to officials from the State to the agricultural labourers are covered under the scheme
mandal level and to LIC. Most of the data entry is done as of 2014. Even as early as 2010-11, 33% of the total
by the Mandal Samakhya and the district insurance call beneficiaries in the country were from Andhra Pradesh
centre at the time of registration, renewal, and in case of and had a high performance rate of 84.96% claims settled
death of a beneficiary. as opposed to 15.03% in the rest of the country. Data from
2012-13 shows further improvement in Andhra Pradesh,
In 2013-14, mobile applications have also been as the claim settlement rate rose to 58%, while the rate
introduced to support the web portal’s format. SMS for the rest of India was 42%. Also, the total number of
alerts will be sent immediately to the nominee and the scholarships sanctioned in Andhra Pradesh in the year
Assistant Project Manager (APM) of the mandal, if a claim 2012-13 was 10,253 in Phase I and 30,248 in Phase II. In
is raised by officials at the state or district call centre. terms of reaching marginalised communities, data from
When documents are not submitted within a period of 2011-12 demonstrates that while 39% and 9% of the
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The prevalence of superstitions is also a stumbling block. The Direct Benefit Transfer (DBT) scheme does not work
At the time of enrolment and renewal, a common very well in this case as several beneficiaries do not have
superstition is that if a beneficiary enrolls, s/he will die. bank accounts. The fund flow process has now been
Bima Mitras and other village members have been changed to the DBT system to prevent the misuse of
actively creating awareness on the benefits of the scheme funds and delays in the claim amount reaching the family.
to dispel this belief. However, only 42% of the beneficiaries have active bank
accounts, and so the earlier fund flow system will have
Inability to pay solatium in the case of delays is also a to be followed until there is 100% coverage under the
significant challenge. A time limit of 12 days from death of banking system.
the policy holder has been set for receiving the solatium
of Rs. 5,000. Where cases are not reported in time, the
Bima Mitra will be unable to pay this amount for the Replicability and Sustainability
funeral expenditure to be incurred by the family.
The poor quality of claim documents also hinders the One of the success factors in the Andhra Pradesh
process. Problems are faced, mostly in accidental deaths, model of the AABY is the active participation of
where the death certificate, post-mortem report and CBOs, ensuring delivery of the scheme’s services
other such documents are not signed by the appropriate by the community itself. This factor not only
authorities or the signatures are not appropriately strengthens the social sustainability quotient of the
placed on the document. Delays are still common in scheme but is also a requirement for successful replication
interior areas where officials are not easily available for in other states.
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Aam Aadmi Bima Yojna: Life insurance for rural landless labourers in Andhra Pradesh
For replication, implementation, monitoring and accounts review by the State machinery also helps in
evaluation of the scheme, it should be complemented tightening this process and making it more sustainable. To
with a strong IT architecture to ensure transparency and enhance the benefits of the scheme, SERP is planning to
efficiency. Processes facilitated through the web-based introduce a new programme called Insurance Plus. The
application in Andhra Pradesh are: programme is meant to provide more comprehensive
support to the bereaved family by, for example, ensuring
1. Online registration and renewal of claims that the widow pension is transferred on time, or by
accommodating children in hostels so that they can
2. Database of information on each beneficiary continue their studies.
Fact Sheet
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