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This is an Application Form for a one-year life insurance scheme for an individual that is issued by the central government of India. The cover under PMJJBY is for death only and hence benefit will accrue only to the nominee. PMJJBY is a pure term insurance policy, which covers only mortality with no investment component and renewed every year.

Details to Mention in PMJJBY Form

  • Name of the Insurer
  • Bank details of the Insurer
  • Any Other details

The PMJJBY scheme is a life cover for a fixed amount of Rs 2 lakh for an annual premium of Rs 330 and is available to people in the age group of 18 to 50 years having a bank account In the case of a joint account, all holders of the said account can join the scheme provided they meet its eligibility criteria and pay the premium at the rate of Rs.330 per person per annum.

Waiting period for claims

Risk cover under PMJJBY is applicable only after the first 45 days of enrollment. In other words, insurers do not have to settle claims during the first 45 days from the date of enrollment. However, deaths due to accidents will be exempt from the lien clause and will still be paid.

How to Enrollment

PMJJBY is administered through LIC and other Indian private life insurance companies. One may also approach their bankers as for the process of enrollment banks have tied up with insurance companies. In the case of multiple bank accounts held by an individual in one or different banks, the person would be eligible to join the scheme through one bank account only.

Download the Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY) Form in PDF format using the link given below.

PMJJBY Form PDF Download Link

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