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PREFACE  1. OBJECTIVES:  To find out general insurance and which are the companies involved init.  To know what are the trends in General Insurance.  To find out the developments in the General Insurance.  To find out the Procedure of Claims.  2. METHODOLOGY:  The study was carried out in Mumbai.  Extensiv e Library Research was carried out.  Various Websites were referred.  Primary data was collected through interviews.  Various books, magazines and newspapers have been referred

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Page 1: Project on General Insurance in India

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PREFACE

 

1. OBJECTIVES:

 

To find out general insurance and which are the companies involved init.

 

To know what are the trends in General Insurance.

 

To find out the developments in the General Insurance.

 

To find out the Procedure of Claims.

 

2. METHODOLOGY:

 

The study was carried out in Mumbai.

 

Extensive Library Research was carried out.

 

Various Websites were referred.

 

Primary data was collected through interviews.

 

Various books, magazines and newspapers have been referred

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EXECUTIVE SUMMARYInsurance is not the sale of products, but servicing customers.

It is a system, by which the losses suffered by a few are spread over many,Exposed to similar risks. Insurance is a protection against financial loss arising:on the happening of an unexpected event. Insurance companies collect

 premiumsto provide for this protection. A loss is paid out of the premiums collected fromthe insuring public andthe Insurance Companies act as trustees to the amountcollected. The very fundamental principle of spreading of 

the risk is actuallypracticed by the insurance companies by reinsuring the risks that they haveinsured. The openingup of the Insurance Sector to Private Companies, has madeavailable more products and world class service

to Indian Customer.This project has been made with an objective to give an insight into various factsof GeneralInsurance sector in India.An attempt has been made to explain the apex body of General Insurance. i.e.

General Insurance Corporation of India,its structure, products and subsidiaries.Also the review of latest entrants into insurance sector viz private players

likeTATA AIG General Insurance Company, Reliance General Insurance Companylimited, Bajaj Allianz GeneralInsurance Company, IFFCO Tokio GeneralInsurance Company, Royal Sundaram General Insurance Company

limited andICICI Lombard General Insurance Company have been described in brief, Due tothe growth in thetechnological sector of the country, the insurance companieshave started utilizing these technologies to it’soptimum level. A case study basedon the devastating Mumbai floods on 26

thJuly 2005 is been prepared and facts of the case are being listed along with the effect of the particular situation on

theGeneral Insurance Companies is been justified

INDEXSerial no. Topic Page no.

1 Origin of Insurance

1

2 A brief history of the Insurance sector

2

3 Insurance Sector Reforms

5

4 Insurance Regulatory Authority

7

5 Insurance Industry Classification

8

6 4 I’s of Insurance

10

7 General Insurance12

8 Product levels

15

9 Frequent Terms Used

20

10 Public Sector Subsidiaries

21

11 Private Players

30

12 Market Share

40

13 Insurance Regulatory & Development Authoritarian

4214 Products

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45

15 Changing Scenario of General Insurance Market

51

16 Trends

56

17 Claims

5918 Case Study

62

Origin of Insurance 

Whenever there is uncertainty there is risk. We do not have any control over uncertaintieswhich involves financiallosses. The risk may be certain events like death, pension,retirement or uncertain events like theft, fire, accident,

etc.Insurance is a financial service for collecting the savings of the public and providingthem with risk coverage.It comes under service sector and while marketing this servicedue care is taken in quality product and customer satisfaction. The main function of theInsurance is to provide protection against the possible chances of generating

losses.The insurance sector in India has come a full circle from being an open competitivemarket tonationalization and back to a liberalized market again. Tracing thedevelopments in the Indian insurance sector 

reveals the 360-degree turn witnessed over aperiod of almost two centuries.

Brief History of the Insurance SectorThe business of life insurance in India in its existing form started in India in the year1818 with the establishment

of the Oriental Life Insurance Company in Calcutta. Some of the important milestones in the life insurance

 business in India are:

1912: The Indian Life Assurance Companies Act enacted as the first statute to regulatethe life insurance business.1928: The Indian Insurance Companies Act enacted to enable the government to collectstatistical information

about both life and non-life insurance businesses.1938: Earlier legislation consolidated and amended to by the Insurance Act with theobjective of protecting the

interests of the insuring public.1956: 245 Indian and foreign insurers and provident societies taken over by the centralgovernment andnationalized. LIC formed by an Act of Parliament, viz. LIC Act, 1956,with a capital contribution of Rs. 5 crorefrom the Government of India. The Generalinsurance business in India, on the other hand, can trace its roots to theTriton InsuranceCompany Ltd., the first general insurance company established in the year 1850 inCalcutta by the

British.Some of the important milestones in the general insurance business in India are:1907: The IndianMercantile Insurance Ltd. set up, the first company to transact allclasses of general insurance business.

1957: General Insurance Council, a wing of the Insurance Association of India, frames acode of conduct for ensuring fair conduct and sound business practices.

 

1968: The Insurance Act amended to regulate investments and set minimum solvencymargins and the Tariff Advisory Committee set up.

1972: The General Insurance Business (Nationalization) Act, 1972 nationalized thegeneral insurance business inIndia with effect from 1st January 1973. 107 insurersamalgamated and grouped into four companies’ viz. the

 National Insurance CompanyLtd., the New India Assurance Company Ltd., the Oriental Insurance Company Ltd.

andthe United India Insurance Company Ltd. GIC incorporated as a company.INSURANCE SECTORTheopening up of Insurance sector was a part of the on going liberalization in thefinancial sector of India. The

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changing face of the financial sector and the entry of several companies in the field of life and non life Insurancesegment are one of the keyresults of these liberalization efforts. Insurance business by way of generating

 premiumincome adds significantly to be the GDP.Over the past three years, more than thirty companies haveexpressed interest in doingbusiness in India. The IRDA (Insurance Regulatory Development Authority) is

theregulatory authority, which looks over all related aspects of the insurance business. Theprovisions of the IRDA

 bill acknowledge many issues related to insurance sector.The IRDA bill provides guidance for three levels of  players - Insurance Company,Insurance brokers and Insurance agent. Life Insurance sector is one of the key

areaswhere enormous business potential exists. In India currently the life insurance premiumas a percentage of GDP is 1.3 % against, 5.2 per cent in the US.General Insurance is another segment, which has been growing at afaster pace. But asper the current comparative statistics, the general insurance premium has been lowerthan lifeinsurance. General Insurance premium as a percentage of GDP was a mere 0.5'per cent in 1996. In the General

Insurance Business, General Insurance Corporation(GIC) and its four subsidiaries viz. New India Insurance,Oriental Insurance, NationalInsurance and United India Insurance, are doing major business. The General

InsuranceIndustry has been growing at a rate of 19 percent per year.3 

The entry of several private insurance companies, particularly international insurancecompanies, through joint

ventures, will speed up the process of insurance mobilization.The competition will unleash new schemes and benefits, which will give consumers abetter Chance to save as well as insure. The regulatory system in India is

relatively newand takes some more time to make the Insurance sector a perfectly competitive one.InsuranceRegulatory Authority of India issued regulations on 15 subjects whichincluded appointed. Actuary, actuarial

report, Insurance agents, Solvency margins, re-insurance, registration of Insurers, and obligation of insurers torural and social sector,investment and accounting procedure. The reform in Insurance in India is guided byfactors

like availability of a variety of products at a competitive price, improvement inthe quality of customer servicesetc. Also the employment opportunities in the Insurancesector wil1 increase as major players set their business

 plans in India. The policy of thegovernment to open up the financial sector and the Insurance sector is expected to bringgreater FDI inflow into the country. The increase in the investment limit in this vitalsector has generatedconsiderable business interests among the foreign Insurancecompanies" Their entry wil1 certainly change the

Insurance sector considerably.

Insurance Sector Reforms:In 1993, Malhotra Committee, headed by former Finance Secretary and RBI GovernorR.N. Malhotra was formedto evaluate the Indian insurance industry and recommend itsfuture, direction. The Malhotra committee was set upwith the objective of complementing the reforms initiated in the financial sector.In 1994, the committee submitted

the report and some of the key recommendationsincluded:Structure:1. Government stake in the insuranceCompanies to be brought down to 50%. 2.Government should take over the holdings of GlC and its subsidiaries

so that thesesubsidiaries can act as independent corporations.3. All the insurance companies should be givengreater freedom to operate.Competition:I. Private Companies with a minimum paid up capital of Rs. 1 bn should

 be allowed toenter the industry.2. No Company should deal in both Life and General Insurance through a singleentity.3. Foreign companies may be allowed to enter the industry in collaboration with thedomestic companies.4.Postal Life Insurance should be allowed to operate in the rural market.5. Only one State Level Life Insurance

Company should be allowed to operate in eachstate.5

 

Regulatory Body:1. The Insurance Act should be changed.2. An Insurance Regulatory body should be setup.Controller of Insurance (Currently a part from the Finance Ministry) should be madeindependent.Investment:1.Mandatory Investments of LIC Life Fund in government securities to be reduced from75% to 50%.2. GIC and itssubsidiaries are not to hold more than 5% in any company (There currentholdings to be brought down to this level

over a period of time.)Customer Service:1. LIC should pay interest on delays in payments beyond 30 days.2.Insurance companies must be encouraged to set up unit linked pension plans.3. Computerization of operations and

updating of technology to be carried out in theinsurance industry.The committee emphasized that in order toimprove the customerServices and increase the coverage of the insurance industry should open up tocompetition.

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But at the same time, the committee felt the need to exercise caution as anyfailure on the part of new players couldruin the public confidence in the industry. Hence,it was decided to allow competition in a limited way by

stipulating the minimum capitalrequirement of Rs. 100 crores. The committee felt the need to provide greater autonomyto insurance companies in order to improve.

 

Insurance Regulatory AuthorityOn the recommendations of the Malhotra Committee, government has set up an interimInsurance RegulatoryAuthority (IRA), with a view to activate an insurance regulatoryapparatus essential for proper monitoring andcontrol of the insurance industry. The IRAis headed by a chairman who is also Controller o0f insurance and

chairman of TBC. Theother members of the IRA, not exceeding seven in number of whom not more thanthreeshall serve full time, shall be nominated by the central government.INSURERS:Insurance industry, as on

1.4.2000, comprised mainly two players: the state insurers:

Life Insures:•

 

Life Insurance Corporation of India (LIC)

General Insurers•

 

General Insurance Corporation of India (GIC) (with effect from Dec ‘2000, anational reinsurer)

SOME PLAYERS IN THE INDUSTRY:

Life Insurance- Life Insurance Corporation of India.

ICICI Prudential Life Insurance Ltd.

Tata AIG Life Insurance Corporation Ltd.

ING Vysya Life Insurance Corporation Ltd. Etc

General Insurance -General Insurance Corporation of India.1. 

Oriental Insurance Company Ltd.2. 

 New India Assurance Company Ltd.3. 

 National Insurance Company Ltd.4. 

United India Insurance Company Ltd

  Bajaj Alliaz General Insurance Company Ltd.

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Reliance General Insurance Company Ltd

4 I’s of Insurance ServiceThe 4 I’s refers to the different dimensions/ characteristics of any service. Unlikepure product, services have its

own characteristics and its related problems. So theservice provider needs to deal with these problemsaccordingly. The serviceprovider has to design different strategies according the varying feature of theservice.

These 4 I’s not only represent the characteristics of different services butalso the problems and advantagesattached to it.These 4 I’s can be broadly classified as:

 

Intangibility

 

Inconsistency•

 

Inseparability•

 

Inventory

 

Intangibility:

Insurance is a guarantee against risk and neither the risk nor the guarantee istangible. Hence, insurance rightly

come under services, which are intangible.Efforts have been made by the insurance companies to make insurancetangible tosome extent by including letters and forms

 

 

Inconsistency

Service quality is often inconsistent. This is because service personnel havedifferent capabilities, which vary in performance from day to day. This problem of inconsistency in service quality can be reduced through

standardization, trainingand mechanization.

 

Inseparability

Services are produced and consumed simultaneously. Consumers cannot and donot separate the deliverer of theservice from the service itself. Interaction betweenconsumer and the service provider varies based on whether 

consumer must bephysically present to receive the service.

 

Inventory

 No inventory can be maintained for services. Inventory carrying costs are moresubjective and lead to idle production capacity. When the service is available butthere is no demand, cost rises as, cost of paying the people

and overhead remainsconstant even though the people are not required to provide services due to lack of demand.In the insurance sector however, commission is paid to the agents on each policythat they sell. Hence,

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not much inventory cost is wasted on idle inventory. As thecost of agents is directly proportionate to the policysold

GENERAL INSURANCEWith the opening up of the insurance industry to the private sector, the need for a strong,independent and

autonomous Insurance Regulatory Authority was felt. As the enacting of legislation would have taken time, thethen Government constituted through aGovernment resolution an Interim Insurance Regulatory Authority pendingthe enactmentof a comprehensive legislation.The Insurance Regulatory and Development Authority Act, 1999 isan act to provide forthe establishment of an Authority to protect the interests of holders of insurance policies,toregulate, promote and ensure orderly growth of the insurance industry and for mattersconnected therewith or 

incidental thereto and further to amend the Insurance Act, 1938,the Life Insurance Corporation Act, 1956 and theGeneral insurance Business(Nationalization) Act, 1972 to end the monopoly of the Life Insurance Corporation

of India (for life insurance business) and General Insurance Corporation and its subsidiaries(for general insurance business).Definition and meaning:

1.INSURANCE:Insurance is the means of managing risk and protection against financial lossarising as a result of contingencies,

which may or may not occur.In other words, insurance is the act of providing assurance, against a possible loss,byentering into a contract, with one who is willing to give assurance. Through thiscontract the person willing to give

assurance binds himself to make good such loss, if itoccurs. 

2.GENERAL INSURANCE:General insurance means managing risk against financial loss arising due to fire,marine or miscellaneous events asa result of contingencies, which may or may not occur.General Insurance means to “Cover the risk of the financial

loss from any naturalcalamities viz. Flood, Fire, Earthquake, Burglary, etc.. i.e. the events which are beyondthecontrol of the owner of the goods for the things having insurable interest with theutmost good faith by declaring

the facts about the circumstances and the products bypaying the stipulated sum , a premium and not having amotive of making profit from theinsurance contract.”Some of the General Rules:

1.Mis-description :The insurance policy shall be void and all the premiums paid by insured may beforfeited by theinsurance company in the event of mis-presentation or mis-declaration and/or non-disclosure of any material facts.

2Reasonable care :The insured shall take all reasonable steps to safeguard the property insuredagainst any loss or damage. Insured shall exercise reasonable care that onlycompetent employees are employed and shall take allreasonable precautions toprevent all accidents and shall comply with all statuary or other regulations

 

3.Fraud :If any claim under the policy may be in any respect fraudulent or if any fraudulentmeans or device areused by the insured or any one acting on the insured’s behalf to obtain any benefit under the insurance policy, allthe benefits under theinsurance policy may be forfeited..

 

Few basic principles of general insurance are :1.Insurable interest2.Utmost good faith3.Subrogation4.Contribution5.Indemnity5Risks of loss not covered under general insurance are:

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The loss or damage or liability or expenses whether direct or indirect occasion byhappening through or arisingfrom any consequences of war, invasion, act of foreignenemy, hostilities (whether war be declared or not), civilwar, rebellion revolution, civilcommotion or loot or pillage in connection therewith and loss or damage caused

 bydepreciation or wear and tear. However the risk of loss or damage by war can be insuredby payment of additional premium in some cases only.

Product levels:In this figure there is a nucleus or core in the center, which is supported by series of tangible and intangible

features and benefits and these form a cluster around the coreproduct.

The core product of insurance company is insuring life and non life products. People optfor this service as theywant to secure their life, people dependent on them and othervaluable things in life.The time factor plays animportant role while providing service to the customer. Thecustomer expects that the procedures for settling theclaim should be short and not muchtime consuming. They should get the benefits of the service as soon as

 possible

 

Today the technology is boosting in each and every field. Insurance is not an exception.Companies have started providing customers facility of online payment of premiumthrough their websites. They also provide online

assistant to the customer the policystatus and how to calculate the premium. To calculate the premium they just

need thepresent age, the type of police, sum assured, and accident covered if any. By filling in thisinformation youcan calculate the amount of premium you have to pay. The customer canpay their premiums by means of credit

cards or can also give standing instruction to thebank in order to pay their monthly premiums.The insurancecompanies also provide loan facilities against their policies. At presentloans are granted on unencumbered polices

afollows:

 

Up to 90% of the Surrender Value for policies, where the premium due is fully paid-up, and•

 

Up to 85% of the Surrender Value for policies where the premium due is partly paid-up.The minimum amount for which a loan can be granted under a policy is Rs150. The rateof interest charged is 10.5% p.a., payable half-

yearly. Loans are not granted for a periodshorter than six months, or on the security of lost policies (the assuredmust have theduplicate policies) or on policies issued under certain plans. Certain types of policies are,however,

without loan facility.

FREQUENT TERMS USEDAgent:An insurance company representative licensed by the state, who solicits,negotiates or effects contracts of 

insurance, and provides service to the policyholder farthe insurer.

Actual Total Loss:It is a loss where the goods are completely lost and become irrecoverable

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Additional cover:An insurance policy extended to cover additional risk perils such as strikes. Riotsand Civilcommotion etc on payment of extra premium.

Agreed value policy:Policy which undertakes to pay a specified amount in case of total loss.Under this case the policy does not take into account the current market value.

Assessor:Person who estimates the value of goods for the purpose of apportioning the sumpayable by theunderwriters to settle the claims. Also called as Surveyor.

Assured:Party indemnified against 19ss by means of insurance.

Burglary:It is a theft committed by breaking into or out of the premises. Evidence of breaking In, Is necessary

Coverage:The scope of protection provided under a contract of insurance; any of several riskscovered by a policy.

Cargo insurance:A generic term used in both inland marine and ocean marine insurance todesignate the type’s of 

insurance available to provide coverage for cargo that is beingtransported by truck, rail, air, ship, or boat.

Certificate of Insurance:A statement of coverage issued to an individual insured, specifying theinsurancebenefits and principal provisions applicable to the member.

Claim:The formal request by a policyholder or a claimant for payment of loss under aninsurance policy.Co-insurance:A provision under which an insured who carries less than the stipulatedpercentage of insurance to

value, will receive a loss payment that is limited to the sameration which the amount of insurance bears to theamount required;

Cover Note:Is the document that is issued provisionary pending issuance of insurance Policy.

Indemnity:Legal principle that specifies an insured should not collect more than the actualcash value of a loss butshould be restored to approximately the same financial positionas existed before the loss

Insurable Interest:A condition in which the person applying for insurance and the person who is toreceive the policy benefit will suffer all emotional or financial loss, if any untouchedevent occurs. Without insurable interest,

an insurance contract is invalid,

Insurance:Social device for minimizing risk of uncertainty regarding loss by spreading therisk over a large

enough number of similar exposures to predict the individual chance of loss.

Net Premium:The portion of premium rate which is designed to cover benefits of the policy,excluding expenses,contingencies and profit.

Policy:Is the legal document that has the conditions of the insurance contract.

Premium:It is the amount paid to secure an insurance policy.

Salvage:Recovery made by an insurance company by the sale of property which has beentaken over from that

insured as a part of loss settlement. The remains of damaged vehicleor any other property.

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Third party:Any person other than the two parties signing an insurance, contract.

Underwriting:Underwriting of a risk involves consideration of material, facts on the basis of which a decisionwill be taken whether to accept the risk and if so at what rate of premium.

 

Public Sector SubsidiariesI.Oriental Insurance Company.The Oriental Insurance Company Ltd. (OICL) is one of the leading General Insurancecompanies in India and is asubsidiary of the General Insurance Corporation (GIC) of India. It is one of the oldest Insurance. If companies and

was established in the year 1947.The Company transacts all kinds of non-life insurance business ranging frominsurancecovers for very big projects to small rural insurance covers.

OICL, is the – •

 

First to have underwritten the biggest Grass Root Refinery Project, RelianceJamnagar Refinery.•

 

First to have issued a Package Policy under mega risk to PSU Oil giants. .•

 

First to have issued Advance Loss of Profits policy in India.•

 

First to have issued directors & Officers liability policy in India.•

 

First to introduce Kidnap & Ransom cover in India.•

 

First to have issued Stock Brokers and Stock Exchange custodial services policyin India.•

 

First to have issued tailor-made cover for Cellular Communication systems.•

 

First to have front office computerization drive in India.•

 

First to have a system of in-house loss assessment upto statutory limits.•

 

First to have started motor third party conciliatory proceedings

THE PROFILE

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The Oriental Insurance Company' Ltd. (OICL) is one of the leading GeneralInsurance companies in India and is asubsidiary of the General Insurance Corporation(GIC) of India. It is one of the oldest Insurance companies and

was established in theyear 1947. The Company transacts all kinds of non-life insurance business rangingfrominsurance covers for very big projects to small rural insurance covers.OICL has its Head office in New Delhi,

the capital of India. The Company has 21Regional Offices, 311 Divisional Offices and 635 Branch offices in

various cities of thecountry.Reinsurance connections are spread all over the world. The Company has a veryhighreputation in the Reinsurance market.OICL specializes in devising special covers for large projects like Power 

Plants,Petro-chemical, Steel Plants and chemical plants. It has a highly technically qualifiedand competent team of  professionals, to render the best customer service. The Companyhas a dedicated project cell at the Head Office aswell as major cities of India. A specialR & D team has been dedicated to bring out special innovative covers like

Stock-Brokers' Policies, Special Package Policies etc.MISSIONo

 

To develop general insurance business in the best interest of the community.o

 

To provide financial security to individuals, trade and commerce by offeringinsurance products and service of high quality at affordable cost.

VALUESo

 

Highest priority to customer needs.o

 

High standards of public conduct.o

 

Transparency in operations.

COMMITMENTS TO THE CITIZENSo

 

In areas coming within competence of GIC respond to all commercially viablegeneral insurance requirements of the citizens, not hitherto available within threemonths from the date on which such a demand is received.

o

 

In areas covered by tariff, appropriate proposals will be submitted to the Tariff Advisory Committee withappropriate comments within two months.

o

 

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Continue to provide customized insurance products for weaker sections of thesociety at affordable price within sixmonths of receipt of a request for a specifictype of cover.

o

 

Prepare booklets on standard policy covers setting out essential information andmake such booklets readily

available for purchase at suitable places.o

 

Promote customer education in general insurance service by holding workshopsin important regional centers.o

 

Make available to a customer, on request to the policy issuing office, the status of his claim and/or claimsettlement details within 7 working days.

o

 

Endeavor to set up a system of Ombudsman at four metropolitan cities toconciliate disputes on personal line

insurance claims

CORPORATE OBJECTIVES:

o

 

To serve better the insurance needs of the entire community, keepingCUSTOMER as the focus.o

 

To serve better the insurance needs of the entire community, keepingCUSTOMER as the focus.o

 

To manage Business profitably, Manage funds judiciously and deploy investiblefunds for optimum Yield.o

 

To manage Business profitably, Manage funds judiciously and deploy investiblefunds for optimum Yield.o

 

To work towards minimization of losses and develop Risk ManagementTechnologies.o

 

To function as a strong and dynamic non-life insure

 

PRODUCTS:The various products can be grouped under the following categories:

o

 

Individuals/Family

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Marineo

 

Professionalso

 

Business/Office/Traderso

 

Engineering/Industryo

 

Agriculture/Sericulture/Poultryo

 

Animals/Birds

Aviationo

 

Motor Vehicle – Private/Commercialo

 

Health-Mediclaim/Overseas Mediclaim/Personal Accident

Documents requirement for various types of Claims

Different documents are required for settling different types of claims. The mostcommonly required ones arementioned under each claims type listed below. Yourfull cooperation to surveyor/Investigator appointed by the

Company would enableprompt settlement of claims.o

 

Claim due to Fire and/or Explosion.o

 

Claim due to Flood, Storm, Cyclone, Earthquake, and Subsidence/Landslide.o

 

Claim due to Riot, Strike, Malicious Damage and Terrorism (RSMDT).o

 

Marine Inland Transit Loss of cargo/machinery.o

 

Marine Loss of cargo/machinery for export'

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Marine Loss of cargo/machinery during Importo

 

Claim due to Electrical/Mechanical/Electronic Breakdown/mishandling/o

 

Impact damage to machine.o

 

Claim due to Burglary/Theft of Vehicleo

 

Accidental Death Claimo

 

Permanent Disability/Injury claim due to accident

Temporary Total Disability (TTD) (Weekly compensation) claim due to accidento

 

Mediclaim claim due to hospitalization (disease/accident)o

 

Claim due to Death of Cattle (Non-IRDP)/Permanent Total Disablement.Damage claim to private Vehicle(Car/2Wheeler) due. to accident

o

 

Claim of Damage to Commercial Vehicle (Taxi/Bus/Lorry) due to accident.Third Party (T.P.) Claim due toaccident

II. 

The New India Assurance Company.

Established by Sir Dorab tata in 1919, New India’ was the first fully Indian ownedinsurance company in India.There were nearly 150 insurance firms in India - includingones from France, the UK and America. These wereoperated through managing agenciesin India largely held by Indian business houses.New India is a leading globalinsurancegroup, with offices and branches throughout India and various countries abroad. Thecompany servicesthe Indian subcontinent with a network of 1,130 offices, comprising26 Regional offices, 366 Divisional officesand 738 Branches. With approximately25,000 employees, New India has the largest number of specialist and

technicallyqualified personnel at all levels of management, who are empowered to underwrite andsettle claims of high magnitudeNew India has historically been a frontrunner in several diverse fields of business andindustrialactivity. New India are lead underwriters of India's Space programn1e havinginsured several INSAT and other,

satellites. New India are pioneers in Engineeringinsurance, Financial risks insurance and are now offeringcustomized Risk Managementsolutions to our: corporate clients in the Private and public Sectors in Power,

Telecom,Petrochemicals, Steel and Automobile industriesNew India's foreign operations started with theestablishment of an office in London in1920. An international presence was built up by New India as a direct

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writing Companyin 23 countries spanning 5 continents. It increased its reach and capacity, for reinsurancefacilities for all classes of business.Starting way back in the 1920s, New India's UK operations have

now taken deep root.New India is party to one of the oldest reinsurance treaties in the UK market.Throughparticipation in Aviation and Marine Hull underwriting, New India has, over a period of time,

strengthened its market presence. In 1980's with the establishment of a full-fledgedbranch to underwrite UK 

Business, it has extended its UK operations, authorized by theDepartment of Trade and industryThe New Indiacommenced its Japan operations in 1950, and now: operates through 8branches. The Japanese operation covers

35% of the Company’s overseas premiumincome

II. 

The National Insurance Company Since incorporation in the year 1906, National Insurance~ Company has beencarrying out general insurance

 business under private management until 1972, the yearof its nationalization. In the same year 22 foreign and 11Indian Insurance Companieswere amalgamated with National Insurance Company Limited, as a subsidiary

companyof General Insurance Corporation of IndiaHeadquartered in Calcutta it has an organizational network of 

over 964 officeswith around 20,077 trained workforces. The company also has operations in Hong Kongand Nepal and ranks among the top global business insurers. Later on in 2002, with thepassage of Insurance

amendment Bill (2002), National Insurance Company has beendelinked from GlC and. has been functioning as anindependent companyIts product range includes motor vehicle insurance; fire insurance on buildingsand other 

assets; various crime covers like burglary and theft of cash; machinerybreakdown cover for industrial equipment;transit damage cover for imported orexported goods; as well as legal liability cover.Professional indemnity and

directors and officer’s liability covers are some of thenew covers. NICO General Insurance seeks to attract clientsand intermediaries andflexibility in claims settlements, and at the same time ensuring that we do not

erodeshareholder value. The objective is to add value to the shareholders' funds whilstensuring customer satisfaction? The strength of NGI is in its balance sheet.NICO General Insurance views the future and its

 prospects as extremely bright,exciting and rewarding for staff, clientele and shareholders alike

IV. United India Insurance Company United India Insurance is one of the four subsidiaries of the General InsuranceCompany carrying on general

insurance business with its head office at Chennai. Lateron in 2002, with the passage of Insurance amendment Bill(2002), United IndiaInsurance has been Del inked from GIC and has been functioning as an

independentcompany.UI spans the country with a network of 1123 offices and manpower of Over21,000employees. The organizational structure comprises 22 regional offices, 327divisional offices.., and 777 branchoffices, supported by 21,505 employees. ICRA hasmaintained the iAAA rating, indicating the claims paying

ability of United IndiaInsurance (UII) to be of the highest order. The rating takes into consideration thefavorable

 prospects for the domestic general insurance industry following thederegulation of the sector.UII continues to be adominant player in the Indian insurance industry, with anoverall market share of 25% and a leadership position in

the southern markets. UII is aPioneer of Personal Insurance Products in India who specializes in non-lifeinsuranceproducts including Medical and Accident Insurance. It enjoys a market share of over 25percent of the

non-life insurance sector in India

Market Share 

As by this time we are well versed with all the General Insurance companies bothPublic and private we know howeach company contributes serving the customersand also generating revenue through it. We also know that

General Insurancecontributes towards the Gross Domestic Profit, but now let us see how thesecompaniesindividually contribute towards the Gross Domestic Profit through theway of Market Share of each company both

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Private & Public.As we can see in the Pie Charts a comparison of 3 consecutive years have beentaken which are2003-04, 2004-05 & 2005-06.Public Companies have been dominating the General Insurance Market since alongtime, the market share of Private companies have been improving in the lastfew years by approximately 6 % eachyear, but then too Public sector companiescapturing the major market.But also in Public sector companies NewIndia Assurance is been leading the waywhich is been closely followed by the remaining. Among the private

 players wecan note that ICICI Lombard is leading the way.By considering 2005-06 as the base year, we can notethat the market share of Public companies have been deteriorating having 73.43% of the market share

from85.54% in the year 2003-04

INSURANCE REGULATORY AND DEVELOPMENT AUTHORITARIAN

Insurance Regulatory and Development Authority Act, 1999, came into beingfrom 19/04/2000.Objects are statedin Act are as follows:"An Act to provide for establishment of Authority to protect interests of holdersof insurance

 policies to regulate, promote and ensure orderly growth of insuranceindustry and for matters connected there withand further to amend Insurance Act, 1938,Life Insurance Corporation Act, 1956 and General Insurance Business(Nationalization)Act, 1972".Composition:IRDA will consist of a chairperson and not more than Five whole timemembersand not more than four part time members.Whole time members shall hold office for 5 years or until age

of 62 (65 in case of chair person) whichever is earlier. Part time members shall hold office for not more than5years.

 

Powers and Function of Authority1. To regulate, promote and ensure orderly growth of insurance and re- insurancebusiness2. To issue a certificate of registration, renew, modify, withdraw, suspend or cancel suchregistration of applicant,

i.e. insurance company3. To prepare a code of conduct for agents, surveyors and loss accesses and otherintermediaries who take part in

insurance business4. To exercise all powers and perform all functions of controller of Insurance underInsurance Act, 19385. To protect interest of policy holders in matters concerning assignment of policy,settlement of claims, terms andconditions of contract etc.6. To promote efficiency in conduct of insurance business7. To promote and regulate professional organizations connected with insurance business8. To regulate investment of funds of insurance companies9. To regulate maintenance of margin of solvency10. To adjudicate disputes between insurers and intermediaries

11. To call for information from" undertake inspection and conduct enquiries andinvestigations including audit of insurers, intermediaries etc.12. To control and regulate rates', advantages, terms and conditions offered by Insurersin respect of generalinsurance business riot so controlled by Tariff Advisory committee13. To prescribe manner and forms in which books of accounts is to be maintained14. To exercise other powers as such may be prescribed by central government.

 

Insurance Advisory Committee:

Authority has power to appoint a committee to provide guidance toAuthority and committee is called Insurance

Advisory Committee.This committee contains not more than 25 members excluding ex-officio

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memberrepresenting interest of commerce, trade industry, agriculture, surveyors, agents,intermediariesetc.Chairperson and members ~f Authority are ex-officio members of InsuranceAdvisory Committee.15)

Code of conduct for insurance agent:

Every insurer agent shall,•

 

Identify himself and insurance company of whom he is an agent

 

Disclose his license to prospect on demand

 

Give requisite information in respect of insurance product offered for sale by hisinsurer and into account needs of  prospect while recommending a specific 'plan.

 

Disclose scales of commission payable to him if asked by prospect

 

Indicate premium to be charged by insurer on insurance product

 

Explain to prospect nature of information required in proposal from and alsoimportance of disclosure of materialinformation•

 

Bring to notice of insurer any adverse habits or income inconsistency of Prospect

 

Inform promptly about acceptance of rejection of proposal by insurer.

 

Render necessary assistance to policyholder or claimant in complying with,requirements of settlement of claims

ProductsThe different types of General insurance products are listed below. While most policiesare optional that is at the

 behest of the insured, some are mandatory. The mandatory onesare:

 

1.Motor Insurance

 2.Public liability (for corporate class)

Other policies include:

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Fire insurance:-

 

1.Building or flat

 

2.Furniture fixtures & other content’s

 

3.Loss of profit that is consequential loss

Miscellaneous insurance

 

Personal insurance

 Burglary ,theft

 Workmen’s compensation

Fidelity guarantee

 Cancer

 Mediclaim

 

Comprehensive Package Policy for jewelry, T.V, V.C.R, Furniture etc

 

Marine Cargo Insurance:-

 

Cargo In Transit

 Cargo Declaration Policy

Marine Hull Insurance:-

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Inland vessels ocean going vessels, fishing & sailing vessels, freight at risk, constructionof ships, voyageinsurance of various vessels, ship breaking , insurance Awaiting break up, insurance Oil & energy in respect of 

onshore & offshore risks including constructionrisk.

Non – Traditional / Rural:-

 

1.Cattle / Hens

 

2.Crop

 

3.Water Pump for agriculture

 

4.Hut

 

5.Other Livestock 

Motor Insurance:-Motor insurance is mandatory for all types of vehicles in India. There are two types

of motor insurance viz

 

1.Third party, which only insures the party / parties other than the owner in anaccident

 

2.Comprehensive, which insures the owner as well as the third party involved.46

 

The premium for motor vehicles is decided on the following factors:

 

Value of the vehicle

 

Location where it is to registered .places having higher claim rates (like Mumbai)are likely to have higher  premium

The premium for heavy commercial

 

Value of the vehicle

 

Gross laden weight, that is, the carrying capacity of the vehicle

.For HCV’s the driver is also insured along with the vehicle. A charge of rs.15/- is madeas premium for the driver.For all sorts of vehicles insured, the policy would not cover theuse on hire , reward or organized racing ,speed

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reliability trails and speed testing.There is (NCB) No Claim Bonus applicable for each year an insured persondoes notclaim .It is accrued as a 5% deduction from the premium amount for the next year,subject to maximum

50%.

Property Insurance:- Property insurance covers land, buildings and the contents of building.There are several

types of Property insurance packages, but the most common are theFire Insurance and burglary Insurance 

Fire Insurance  Fire insurance is a comprehensive policy, which goes beyond only fire accidents.The policy,

 besides covering loss on account of fire, also covers loss on account of thefollowing

 

Earthquake

 

Riots

 

Strikes

 

Malicious Intent

 

Floods

Fire insurance only can be taken by the owner of the premises to be insured. A tenantcannot insure rented premises since he does not have insurable interest. But the tenant hasthe option of insuring the contents of the

 premises. The premium is based on “Goodfaith” and depends on the value of property being insured.It should benoted that thought fire insurance is not compulsory, in case of corporateavailing of loans, the lending institutionmay insist on equipment or relevant property tobe insured against fire. This trend is now also being followed by

housing financecompanies, some of which are insisting that the premises be insured against fire

Burglary:- Burglary insurance covers all losses arisen out of burglary committed in one’s premises.The only

condition for lodging a claim on the insurance party is that there should be a“forced entry” in to the premises. Aforced entry may in the form of physical damage tothe entry area, or to a person or entry gained through coercion.

In this case too, the policyhas no limitations and it is the right of the insured to decide upon the value of 

theinsurance cover 

  Overseas Mediclaim Policy – Travel Insurance

Policies issued in India under Overseas Mediclaim Scheme, as approved byReserve Bank Of Indian residentstraveling abroad for any approved visits viz.Business, Study Tour, Specialized training conferences, Employment

or higherstudies. Premium on such policies may be collected in rupees but for employment inforeigncurrency.This policy was originally introduced in 1984, to provide for payment of medicalexpenses in respect of 

illness suffered or accident sustained by Indian residents duringtheir overseas trips for official or holiday purposes.In. 1998, a new policy known as VIDESH YATRA MITRA, was made availablefor Business and

Holiday Travelers. Cover for corporate frequent travelers were alsointroduced.

 

The policy provides for following Sections:-

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Medical Cover 

 

Repatriation Of Remains

 

Checked Baggage Loss / Baggage Delay

 

Passport Loss 

Personal Accident – Overseas 

Personal Liability

 

Hijack Relief Benefit

The plan available now with various companies are however not the same as eachcompany has introduced. Somevariation in the cover to suit the varyingrequirements.Types of overseas Mediclaim insurance policy

 

Individual Overseas Mediclaim insurance policy

 

Student Overseas Mediclaim insurance policy

 

Senior Citizen Mediclaim insurance policy

CHANGING SCENARIO OF GENERALINSURANCE MARKET'Looks to the future with confidence and optimism'Brief the history of general Insurance.In India GeneralInsurance business started, Marine Insurance started on later part of the17th century. Before nationalization in

1947 we have 147 insurance companies, foreignand Indian both. But during there nationalization, in 1973 we have107 companies thatmerge into four companies, i.e. taken over by Government.General Insurance Corporation of 

India (GIC) was set up in 1973 as a holding company,with four subsidiary operating companies - NationalInsurance co Ltd., New IndiaAssurance Co. Ltd., Oriental Insurance co Ltd., and United India Insurance Co Ltd.,

with aclear cut mission as set out in the Act.The overall scenario in the insurance market in India after nationalization.GIC and its subsidiaries function through a vast country - wide network of around 4100offices

spread across the length and breadth of the country, GIC has taken the benefit of insurance to almost everydistrict, across hilly terrain and often inaccessible areas of thecountry. The customer interface is made easy

through a network of agents, developmentofficers and employees at Branch, Divisional and Regional offices aswell as at thecorporate level.51

 

The GIC and its subsidiaries have a workforce of approximately 86,000In 1973 tainted at various levels through inhouse training institutions. Now the totalnumber of employees went up.The industry has also promoted the

 National Insurance Academy (NIA), which is thepremier training institute in insurance, catering not only to Indian Nationals but also toselect foreign nationals. The industry issues around 23 million documents and settles 2millionclaims every year.Country wide computerization in the recently past has made the task of policy- holder'sservicing

easier and rapid. At the same time, profitable lines and premium componentsincreases and we became ainvestment company.

Where does Indian Insurance sector stand compared to International InsuranceSector?

Technologically, Indian insurance sector is quiet comparable with theinternational sector. Our vast resources of skilled and technical manpower, huge marketpotentiality and technical know-how - all are comparable with the

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international market.But lacking in the process of computerization and in pricing (premium rate) is also seen.In product, we have demand in less because lack of awareness for adequate insurancecover in India with insuring

 public. Our marketing strategy is not very modern. But weare trying to rectify both these (Technology andMarketing) areas.The problems faced by Indian Insurance Sector Today:The main problems are:[Lack of awareness for insurance needs.[Lack of penetration due to inadequate marketing/delivery system.[Total

computerization still in the process of implementation.[Sophisticated covers do not have adequate demands because of General attitude toinsurance in India

 

The SchemesRecognizing its organizational strengths, the Govt. of India has also entrusted thecorporation with the

administration of various schemes for social melioration and publicwelfare. Social security schemes benefitingmillions of Citizens below the poverty line.Personal Accident Insurance and Hut Insurance are operated all over the country forwhich the premiums are paid by the Government. The GIC administers on behalf of Government,

the crop Insurance scheme for areas and crops notified under the cropInsurance Scheme.Various low cost massinsurance policies have been evolved over a period of time, e.g.'Jan Arogya Bima Policy'.

Role General Insurance Industry is playing in the growth of economy of the country:

The General Insurance Industry has an enviable track record among public sectorunits. It has a consistent profitand dividend paying record accompanied by a steadygrowth in its financial resources.Through investments in the-

Government sector and: socially - oriented Sectors theIndustry has contributed immensely to the nation'sdevelopment. The industry isrecognized as one of the largest financial' Institutions in the Country. The

venturesinitiated by the industry in the areas of Mutual Fund, Housing Finance have doneexceedingly well inrecent years.To protect the country's foreign exchange reserves, the reinsurance arrangement are soorganized thatmaximum retention is made possible within the country while at the sametime protecting interests of the policyholders. The GIC'S inwards reinsurance wing,called the SWIFT, maximizes the foreign exchange balance by

acting as an internationalinsurer-accepting risk from all over the globe.

 

GIC'S International operation:GIC'S international operations span over 31 countries around the globe. Thereinsuranceexpertise built over a long period has made the Indian Insurance Industry a globallyacknowledged

reinsurer of repute GIC'S risk management skill has been backed byspecialists with a vast insuranceexperience.Thus, the technical and underwriting skills have been acknowledged in theinternational market. The

corporation operates in 17 countries through branches andagencies, whereas in another 14 countries, it hassubsidiaries and associatecompanies. The GIC has a subsidiary company known as 'India International Pvt,Ltd.,'operating in Singapore and a joint-venture company, Kenindia Insurance co.Ltd.The impact of liberalization of 

economy in the activities of GlC.With the liberalization of economy, General Insurance in India is poised for aquantum jump, both in quality and quantity.Vision for the future:It is estimated that the industry will outstrip the present rate of growth and reach apremium value of over Rs. l,20,000 millions by taking advantage of the extra-large mega-risk and social awareness of insurance in general, even as . a developing country turnsinto a developedcountry.The task before the industry to service the growing number of policy-holders wouldequally see a quantum jump in issuance of documents and settlement of claims. Matchingreserves and consequent investment will be a

natural corollary. 

It is expected that the investment portfolio will touch around Rs. 2,50,000 millions bythe end of the next decade,with the strength built up over the years since nationalization,GIC new looks to the future with confidence and

optimism, takes on global chal1engewith its high standard of service, innovative initiative and a compelling

socialperspective.GIC's plan - in new business areas:The two new areas that GIC is getting into are the areas of health care and cropinsurance. For the health care business, the corporation has received permission to set upa

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separate management services company. GIC has plans to increase the scope of coverin health care, personalaccident and crop insurance and will require expertise in pricingthe products.The Research & Development

activities:They have just entered these areas and for the coming five years we are investingapproximately 500crores. GIC'S R & D cell is created backed up market research data.The subsidiaries of GIC are becoming an

autonomous body.Privatization in the insurance sector of India - Is it in the right directionIt's purely a government

decision and the nationalized sector is ready to face thechallenge. And have taken the challenge to stand in thestiff competition.And now, many private companies have entered the market. These companies are a resultof 

merger of Indian companies with foreign companies

TRENDSTrends in any sector basically refers to the up gradations or acquiring new technologieswhich has replaced the

conventional methods in any organizationsIn Today’s automated and modernized era any organization cannot takea chance by notmaintaining pace with the competition.With the passage of time and taking into considerationtoday’s needs and changingscenario insurance companies should also adopt new technology i.e. it should be

trendyenough to meet customer needs and expectations.Trends or use of technology should be such that it is ecofriendly enough to be used bycustomers. Today, right from a grocery shop to I.T sector technologies is explored to

thefullestE-Business or E-commerce has sown its seeds in every sector of business which is one of the strongestsign of improvement and technology.As we are dealing here with insurance industry let us see the technology

involved in theInsurance sector.Technological:

 

Computerization:

Initially, in the late 1950’s the insurance companies used Unit Record Machines (ElectroMagnetic Machines) to process data punched into cards. Computers were introduces inthe mid 1960’s and by the 1980’s the Unit Phased

Machines were phased out and theentire process was computerized. This brought about greater efficiency and

quick servicedelivery.56 

 

Internet:

Internet usage has drastically improved in the last decade. There was a tremendousincrease in the use of technology by GIC during the late 1990’s. The companiesLaunched its website in the mid 1990’s to offer basicservices such as modifying policies(change of address, change of nominee, etc) and querying the status of the

 policy.But today, the internet has completely changed the service delivery process. Internet istoday used to evensell insurance policies. Internet is, in fact, proving to be one of thewidely used distribution networks for selling

insurance policies. Also internet is used forsending premium notices to policy holders through e-mails.Also GIC

has a special feature on its website. It has a premium calculator whichaccurately displays the amount of premiummonth wise and the remaining balance. One just has to enter the age, name of the insurance policy, the sum

assured and whether thereis an accident cover or not. By keying in this information, the entire premiumamountsare shown within no time. This has helped the customer in a way so that he/she doesn’thave to travel all

the way to the branch to ascertain the amount of premium to be paid.

 

Metropolitan Area Network (MAN) and Wide Area Network (WAN):

GIC has commissioned a MAN connecting more than 75 branches in Mumbai. Thisenabled the policy holders to pay their premiums and get their status report, surrendervalue quotations and loan quotation, from any branch in

the city. Following the MAN inMumbai, seven MAN centres (Chennai, Bangalore, Delhi, Calcutta, Pune,

Hyderabad,and Ahmedabad) became operational.These MAN centres were connected to each other by a WANnetwork. This WAN wasdesigned for distributed processing without a central database – each division

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maintaineda database of the policyholders. The central office in Mumbai maintained an index of policy numbersand the corresponding IP addresses of the servers where the details of thepolicy were maintained.57

 

 

Electronic Clearance Service (ECS):Almost all the big organizations today provide the ECS facility to its customers. A policyholder having an accountin any bank which is a member of the local clearing house canopt for ECS debit to pay premiums. The advantage

here is that once the option isexercised, the policy holder need not visit a branch for paying the premium or collectingthe receipts. On the day indicated by the policy holder, the premium amount will bedirectly debited to

the bank account of the policyholder and the receipt will be issued bythe designated branch office.•

 

Bank ATM’s:

Many insurance companies have a tie-up with commercial banks so as to enablepolicyholders to use the facility of  paying premiums through the bank ATM’s. ICICILombard has a tie up with ICICI bank; Bajaj Allianz has a tie-

up with Corporation bank and UTI Bank.•

 

Call Centres and SMS services:

Almost all the insurance companies have their own call centres which cater to the phonebased queries of the policyholders. This service is 24x7 and they have the InteractiveVoice Response (IVR) systems at all the

 branches.Also, LIC and other companies now provide SMS services going with the new trends likeSMS bankingin the banking sector 

 

ClaimsThe Settlement of claims constitutes one of the important functions in an insuranceorganisation.The proper settlement of claims requires a sound knowledge of thee law, principles andpractices governing insurance

contracts and in particular a thorough knowledge of theterms and conditions of the standard policies and variousextensions and modificationsthere under.The procedure in respect of claim a under various classes of insurance

follows a commonpattern and may be considered under 3 broad headingsPreliminary procedure

 

It is essential that early notification of the loss is received by insurance undue delay innotification would adverselyaffect the position of the insurer. However if there is anydelay in notification or not or weather is material will beultimately decided by the courtsbased on the facts of the individual casesThe notice of loss condition in liability

 policies provides for two aspectsa.) 

 Notification of the happening of the accident immediately followed byb.) 

 Notification of the receipt of claim or suit filed against the insured.Under certain types of policies (e.g. Burglary)notice is also to be given to policeauthorities.

Loss MinimizationAt common law, there is a duty on the part of the insured to observe good faith .This dutyof good faith means that

at all times the insured has to act as if he is uninsured.For E.g., the private car package policy provides , amongother things , that the insuredshall take all reasonable steps to safeguard the motor car from loss or damage and

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tomaintain it in efficient condition. In the event of any accident or breakdown the motor carshall not be leftunattended without proper precautions being taken to prevent furtherdamage or loss.59

 

ProceduralOn receipt of intimation of loss or damage insurers check that:a.)

 

the policy is in force on the date of occurrence of the loss or damageb.)

 

The loss or damage is by a peril insured by the policy.c.) 

 Notice of loss received without undue delay.After this check up the loss is allotted a number and entered inthe claims register.

Claim FormsThe contents of the claim form vary with each class of insurance .In general the claim ingeneral the claim form isdesigned to elicit full information regarding the circumstancesof the loss such as date of loss, time, cause of loss,

extent of loss etc claim forms areinvariably sued in fire and miscellaneous insurance.

Investigation and AssessmentOn receipt of the claim form duly completed from the insured the insurers decide aboutthe investigation andassessment of loss if the loss is small the investigation to determinethe cause and extent of loss is done by an

officer of the insurers. Some times even thismay be waived and the loss settled he basis of the claim formonly.The investigation of larger or complicated claims is entrusted to independent professionalsurveyors who arespecialist in their line the appointment of a surveyor is intimated to theclaimant the surveyor is furnished with all

relevant claim papers such as claim formpolicy copy etc…However, many a times surveyor is appointed andsurvey is carriedimmediately on receipt on notice of loss, that is even before claim form could be issued.

Claims documentsIn addition to the claim form independent survey report certain documents are requiredto be submitted by the

insurers to substantiate the claim for example for fire claims forfire claims a report for the fire brigade for motor claims driving license registration copypolice report etc

 

Arbitration 

It is distinct from litigation and is a method of settling disputes under contract inaccordance and conciliation act1996.

SettlementThe claim is processed on the basis of Claim formIndependent report from Surveyors, legal opinion, medical

opinion etc as the case maybe. Various documents furnished by the insured. Any other evidence secured bytheinsurersIf the claim is in order settlement is effected by cheque the payment is entered in claimsregister as wellas in the relevant process record. Appropriate recoveries are made fromthe insurers if any

Case Study 26/7/2005 – 

Mumbai under water

 Mumbai will never be the same again. And so will the insurance sector in Mumbai afterthe 26/7 floods. Torrential

rains which killed thousands and rendered many homeless,also led to loss of business and vehicles.•

 

The facts:

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As fallout of the torrential rains, the non-life insurance sector was flooded with more than10000 claims totallingover Rs. 2000 crores. However, these did not include the 50000cars that have been damaged in

Maharashtra.While the top four private sector general insurance companies, ICICI Lombard GeneralInsurance,Bajaj Allianz General Insurance, Iffco Tokio General Insurance and Tata AIGhave together received claims worthover Rs 1,000 crore; the four state-owned generalinsurance companies New India Insurance, Oriental Insurance,

United Insurance andNational Insurance received claims close to Rs 1,500 crore.Private insurer, Bajaj AllianzGeneral Insurance Company Ltd (BAGICL) alone hadreceived claims for at least 10,000 motor vehicles after the

recent floods in Mumbai.As several companies temporarily closed down their operations and godown stockswentmissing, corporate claims were the highest, in terms of value. Next came claims for carsand household goods

and from shopkeepers and traders for their warehouses. A majorityof individuals and small and mediumentrepreneurs also submitted claims.ONGC's insurance claim is considered to be the largest given its loss of $ 500

millionafter fire gutted the Bombay High rig.62

 

Insurance firms set up special cells to visit victims and settle claims. In many firms, thespecial teams workedround-the-clock to take stock of the loss and speed up thesettlement process.Bajaj Allianz settled claims worthabout Rs 200 crore without any documentation, to thevictims of the recent floods in Mumbai.After the natural

calamity, the Finance Minister sought speedy redressal of claims. Hedirected the Chairmen and ManagingDirectors of the four public sector general insurancecompanies that claims below Rs 50,000, arising out of the

recent floods in Maharashtraand Gujarat, should be settled by August 31.Public sector player, National InsuranceCompany received 3,000 claims for Rs 350 crorefrom its customers in Mumbai for damage to property caused by

the recent rains.While some insurers had taken a re-insurance cover, some have not. Mumbai floodsbrought tofore the ill-preparedness both among the mega polis administrative officialsand the insurance sector. While the

latter seems to have realized the damages, the formeris still grappling with the situation. As death toll continues torise, insurance firms haverealized the need to better manage natural calamities. The premium for flood covers

mayrise in coming years.63

 

 

The effect:

Here’s a warning to the lakhs of Mumbaikars who are planning to insure their houses inthe wake of the recentdeluge. One will have to read the fine print carefully. Public sectorinsurance firms are quietly planning to drop theword ‘flood’ from the policy.As of now, a household insurance policy is basically a fire insurance policy, whichalsoincorporates a flood insurance policy. However, with 10,000 policy-holders filing claimstotalling Rs 1,500

crores, insurance firms are looking at new ways to keep their headsabove water. After the last calamity—the Latur quake of 1993— insurance firms haddropped earthquakes from the household insurance policy.Those wanting toinsure their homes against flooding may now have to pay a separatepremium. The insurance sector has suffered

losses of about Rs 1,500 crore. Thesecompanies may not get re-insurance for these policies as they had not taken

re-insurancefor these small individual polices