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EDLI Scheme 2021: Features & Benefits

The scheme of the name EDLI or Employee Deposit Linked Insurance is not one that many are familiar with. It is a Life Insurance of Rs.2.5 lakh that is built into your EPF Life Insurance of 7 Lakh.

Earlier the maximum ceiling was Rs.6 lakh, Government increased the maximum limit to Rs.7 lakh with effect from 28th April 2021.

Features of EDLI Scheme 2021

  • All employees who are members of EPF are automatically eligible for EDLI.
  • This Life Insurance coverage is irrespective of whether the death occurred during working hours or non-working hours.
  • It covers the death of an employee, irrespective of the cause of death.
  • There are no exclusions under this plan.
  • Coverage and premium will be purely based on your salary but not on age or gender.
  • Earlier there was a condition that one must complete a year to be eligible for EDLI. Recently they removed such restrictions. Hence, you are covered from the first day itself.
  • There is no maximum age set for this insurance.
  • You no need to add nominees separately. Your EPF nomination itself is considered for this scheme.
  • Your Employers can also set up a separate insurance scheme for their employees with approvals from the EPFO if they find that the current coverage is low.
  • You get covered even if you shift jobs and work for another employer covered by the EDLI scheme before you complete one year of service. Earlier, 12 months’ service was applicable under one establishment.


EDLI Scheme 2021 – EPF Life Insurance of Rs. 7 Lakh

Under new changes, now EPF offers Life Insurance of Rs.2.5 lakh to Rs.7 lakh. The employee will not contribute to EDLI. Only your employer will contribute to it. It is 0.5% of Rs.15,000 or Rs.75 per month to the maximum (based on your actual Basic+DA). The maximum amount payable by the employer is Rs.75.

How is Employees’ Deposit-Linked Insurance (EDLI) calculated?

The average monthly salary (Basic+DA) drawn (subject to a maximum of Rs 15,000), during the last 12 months preceding the month in which the employee dies, is first multiplied by 35 times (Earlier it was 30 times). This is added to 50% of the average balance in the account of the deceased in the provident fund during the preceding 12 months or during the period of his membership subject to a ceiling limit of Rs.1.75 lakh (previously it was Rs.1.5 lakh), is also paid to the beneficiary family. 

Note that Rs.15,000 is the ceiling under the EDLI scheme for the purpose of this calculation even if your basic salary exceeds this amount.

The minimum payable will now be Rs 2.5 lakh while the maximum will be Rs 6 lakh.

Let us assume that Mr.A’s salary (Basic+DA) at the time of death is Rs.10,000. Then assume his last 12 months’ average salary was Rs.10,000. Then we have to multiply this by 35. This will be Rs.3,50,000.

Now we have to add 50% of the average balance in the account of Mr.A during the preceding 12 months. Assume his EPF balance for the last 12 months is Rs.1 lakh. Then 50% of this is Rs.50,000. However, the maximum ceiling is Rs.1.75 lakh. Hence, his nominee will receive Rs.50,000 as a bonus but not Rs.1.75 lakh.

So in total, his nominee will receive Rs.3,50,000+Rs.50,000=Rs.4,00,000.

Now let us assume a simple calculation like one’s salary is Rs.15,000, then 35 times of Rs.15,000 is Rs.5,25,000 and the bonus added to the maximum is Rs.1,75,000. Hence, the total maximum benefit under the EDLI is Rs.7,00,000. The benefit will not go beyond this amount.

How to claim the EDLI Benefit?

  • A nominee can claim the amount.
  • In case there is no nomination, then the legal heir can claim the amount.
  • If the nominee or legal heir is a minor, then a guardian of the minor nominee can claim the amount.
  • You have to fill the forms like Form 20 (for EDLI), Form 10D/10C (for claiming the Provident Fund dues and Pension/Withdrawal Benefit as applicable).
  • All details should be in BLOCK LETTERS.
  • Provide bank details (better to attach a cancelled cheque copy for accuracy of bank details).
    Attach the death certificate of a deceased employee.
  • Guardianship certificate (If the claim is on behalf of a minor family member/nominee/legal heir is by other than the natural guardian.)
  • Succession certificate (in case of a claim by the legal heir).
  • In case the members were last employed under an establishment exempted under the EPF Scheme 1952, the employer of such establishment should furnish the PF details of the last 12 months under the Certificate part and also send an attested copy of the Member’s Nomination Form.
  • You have to send such a filled application to the EPFO Commissioner through the employer.
    In case the company closed or they are not cooperating for a claim, then you have to get the claim form to be attested by any one of the following officials-Magistrate, A Gazetted Officer, Post/Sub-Post Master, President of the Village Panchayat, where there is not Union Board, Chairman/Secretary/Member of Municipal/District Local Board, MLA or MP, Member of CBT/Regional Committee EPF, Manager of the Bank in which the Bank Account is maintained or Head of any recognized educational institution.
  • A claim must be settled with 30 days of such submission.
    However, if there is any fault in filling the form or processing, then you will receive the letter from EPFO for the same and that too within 30 days.
  • If EPFO does not settle the claim within 30 days, then EPFO Commissioner will be liable to pay the 12% per annum interest on such claim amount from the date of the set period for claim settlement.

Conclusion: For some, this Rs.2.5 lakh to Rs.7 lakh insurance may be a small amount. However, for many families, in case of the sudden demise of an employee, this amount would help a lot.

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EDLIS - Employee Deposit Insurance Scheme

We have discussed the basic contributions of EPF and how the money is invested, contributed and received by the employees. There is a component called EDLIS (Employee Deposit Insurance Scheme) of EPF contributions. We have discussed the features of EDLIS as under:

  • The EDLI scheme was launched in 1976 and applies to all employers who provide the Employee’s Provident Fund (EPF) provisions to their employees. The point of the scheme is to provide life insurance coverage to all their employees.
  • The EDLI Scheme is clubbed and linked to the EPF Scheme and EPS scheme. All employees who subscribe to the EPF scheme are automatically enrolled in the EDLI scheme.
  • All of the employees’ contribution goes toward the EPF scheme. The employees do not contribute to EDLIS. Contributions are made by the employer.
  • EDLI contribution by Employer: 0.50% (subject to a maximum of INR.15,000)

Features and benefits of the EDLI scheme:

  • The Claim amount under the EDLI Scheme is 30 times the salary. Salary is calculated as (D.A. + Basic Salary).
  • A bonus of INR 1,50,000 is also payable along with the claim amount.
  • The quantum of coverage is directly linked to the salary of the employee.
  • The premium payable is similar for all employees.
  • Payments are made by the employer to the Provident Fund Authorities.
  • Under Section 17 (2A) of the Act, the employer can opt-out of contributing to this scheme if the employer has already opted for a better insurance policy for its employees under a different scheme.
  • In lieu of EDLI, the employer can also opt for schemes like the LIC Group Insurance Scheme.

EDLI claim procedure:

  • The amount payable can be claimed by the nominee of the employee.
  • In case there has been no nominee named, the surviving family members of the deceased can claim the amount.
  • Under the claims to be made by surviving family members, claims cannot be made by the oldest son or married daughters whose husbands are still alive.
  • In case there is no nominee or eligible surviving family member, the claim can be made by the legal heir.
  • In case the nominee, surviving family member, or legal heir is a minor – the claim can be made by the legal guardian.
  • In order to initiate the claims process, Form 5(which can be found here http://www.epfindia.gov.in/site_docs/PDFs/Downloads_PDFs/Form5IF.pdf) should be duly filled out and submitted.
  • While filling out the claim, it should be kept in mind that: The EDLI Claims are only admissible if the deceased person was actively employed at the time of death. The application for the claim must be attested by the employer.

In case the employer is not available to attest the claim application, the attestation must be done with the official seal of either:

Documents required for a claim under the EDLI scheme

  • Death certificate: of the EDLI member.
  • Guardianship Certificate: If the claim is being made on behalf of a minor family member, nominee, or legal heir, the legal guardian must also submit a guardianship certificate.
  • Succession certificate: If the claim is being made by a legal heir of the deceased.
  • Canceled cheque: of the bank account of the claimant in which claim funds are to be deposited.

Example

Mr. Nath was employed and was actively contributing to the EPF, EPS, and EDLI schemes. He drew a monthly salary of Rs.15,000. Upon his death, his nominee claimed the EDLI insurance benefit which was equal to (30 x Rs.15,000) + (Rs.1,50,000) = Rs.6,00,000.

 

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