PMFBY (Pradhan Mantri Fasal Bima Yojana) β complete guide on claims, delays, and using RTI for crop insurance issues:
Step 1: What is PMFBY? (a) PMFBY is the Pradhan Mantri Fasal Bima Yojana (launched in 2016 β by the Ministry of Agriculture and Farmers Welfare β to provide crop insurance to farmers against natural calamities, pests, and diseases), (b) the coverage: (i) all food crops (cereals, millets, pulses), (ii) oilseeds, (iii) annual commercial/horticultural crops (cotton, sugarcane, etc.), Β© the premium: (i) 2% of sum insured for kharif crops, (ii) 1.5% for rabi crops, (iii) 5% for commercial/horticultural crops β the rest is subsidised by the government (50% by Centre, 50% by State), (d) the sum insured: equal to the scale of finance (the crop loan amount β as notified by the District Level Technical Committee), (e) the implementation: through insurance companies (empanelled by the government β both public and private β like LIC, AIC, ICICI Lombard, HDFC Ergo, etc. β the farmer enrols through the bank or the Common Service Centre).
Step 2: Claim process. (a) on-season approach (the claim is based on the yield data β collected by the State Government β through Crop Cutting Experiments (CCEs) β conducted at the village level β by the agriculture department), (b) the CCEs are conducted (for each crop β in each village β as per the prescribed methodology β and the yield is estimated), Β© if the actual yield is less than the threshold yield (the average yield of the area β for the past 7 years β minus the yield of the notified calamity year): the claim is triggered, (d) the claim amount = (threshold yield - actual yield) x sum insured / threshold yield, (e) the insurance company processes the claim (within 21 days of receiving the yield data from the State Government β and the claim is credited to the farmer's bank account β directly), (f) for localised calamities (hailstorm, landslide, inundation): the farmer can file an individual claim (within 72 hours of the event β to the insurance company β or the bank β with evidence β photos, videos), (g) for post-harvest losses (within 14 days of harvest β due to unseasonal rain or cyclone): the farmer can file an individual claim (within 72 hours).
Step 3: Common claim problems. (a) claim not received (the farmer's crop was damaged β but the claim was not credited β because: (i) the CCE was not conducted β or was conducted incorrectly, (ii) the yield data was not submitted β or was submitted late β by the State Government, (iii) the bank account is not linked β or the IFSC code is wrong, (iv) the farmer's name is not in the portal β or the name is misspelled), (b) claim amount is wrong (the claim was credited β but the amount is less than expected β because: (i) the threshold yield is set too high, (ii) the actual yield is reported higher than the actual damage, (iii) the sum insured is lower than the scale of finance), Β© CCE not conducted (the CCE is the basis for the claim β but the CCEs are often not conducted β or are conducted on healthy crops β or the data is manipulated β by the agriculture department officials), (d) delay in claim settlement (the insurance company takes months β or years β to process the claim β because the State Government delays the yield data β or the insurance company delays the processing), (e) enrolment issues (the farmer paid the premium β through the bank β but the enrolment is not reflected in the portal β because the bank did not upload the data β or uploaded wrong data), (f) name mismatch (the farmer's name in the bank account β the Aadhaar β and the PMFBY portal β do not match β and the claim is rejected).
Step 4: File RTI. File RTI with: (a) the District Agriculture Officer (or the District Level Implementation Committee) asking for: (i) the CCE data (for [village] β [crop] β [year] β the date of CCE β the yield estimated β and the CCE report), (ii) the threshold yield (for [village] β [crop] β [year] β and the data used to calculate it), (iii) the claim status (for the farmer [name] β [crop] β [year] β whether the claim is processed β and the amount β and the date of credit), (iv) the number of CCEs conducted (in [village] β [crop] β [year] β and the list of farmers covered β and the claims paid), (b) the insurance company asking for: (i) the claim status (for the farmer [name] β policy number [number] β whether the claim is received β and processed β and credited), (ii) the reason for delay (if the claim is not processed β the specific reason β and the expected date), (iii) the claim amount (and the calculation β and the yield data used), Β© the bank asking for: (i) the premium payment record (for the farmer [name] β [crop] β [year] β whether the premium was deducted β and remitted to the insurance company β and the date), (ii) the enrolment data (whether the farmer's data was uploaded to the PMFBY portal β and the date β and any errors), (d) the State Agriculture Department asking for: (i) the yield data submission (to the insurance company β for [district] β [crop] β [year] β the date of submission β and the data), (ii) the total claims paid (in [district] β [crop] β [year] β the number of farmers β and the total amount β and the pending claims).
Step 5: Grievance redressal. (a) file a grievance on the PMFBY portal (pmfby.gov.in β the grievance module β with the policy number and the details), (b) the grievance is forwarded to the insurance company (and the State Government β and must be resolved within 15 days), Β© if not resolved: approach the District Agriculture Officer (with the RTI reply β and the grievance number), (d) if the DAO does not resolve: approach the District Collector (who chairs the DLIC β and can order the insurance company to process the claim), (e) if the DC does not resolve: file a writ petition (in the High Court β under Article 226 β the court can order the insurance company and the State Government to process and pay the claim β with interest and compensation).
Step 6: Practical tips. (a) check the PMFBY portal (pmfby.gov.in β with the Aadhaar number β or the mobile number β to verify the enrolment and the claim status), (b) ensure the bank account is linked with Aadhaar (and the IFSC code is correct β and the name matches β to avoid claim rejection), Β© file RTI early (the CCE data and the yield data are available for a limited time β file RTI within 3-6 months of the crop damage β to get the data before it is lost), (d) cite the PMFBY guidelines (the operational guidelines β 2023 β which mandate claim settlement within 21 days of yield data submission β and penalty for delay), (e) Example: A farmer's cotton crop was damaged in [district] β the claim was not received β the farmer filed RTI with the District Agriculture Officer β asking for the CCE data β the CCE was not conducted in the farmer's village β the farmer filed a grievance β and approached the DC β the DC ordered the insurance company to process the claim β based on the neighbouring village's yield data β Rs 45,000 was paid β with Rs 2,000 interest.