Professional Documents
Culture Documents
July 2010
Editor
U. Jawaharlal
Hindi Correspondent
Kamal Chowla
Printed by G. Venugopala Krishna and
published by J. Hari Narayan on behalf of
Insurance Regulatory and Development Authority.
Editor: U. Jawaharlal
Printed at Vamsi Art Printers Pvt. Ltd.
(with design inputs from Efforts)
11-6-872, Red Hills, Lakdikapul, Hyderabad.
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Phone: +91-40-23381100
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e-mail: irdajournal@irda.gov.in
18
Changing the Way Insurance
Issue Focus
is Transacted
Yegnapriya Bharat
Vantage Point
Contours of World Class
Organizations
Prof. Rajni M. Shah
24 U. Jawaharlal 17
32
Round up 48
Commitment towards Protection
CP Udayachandran
Statistical Supplement (Monthly) 49
A Myth or a Reality? 34
K.Nagaraja Rao and Dr Y.Raja Ram
from the editor
Ensuring Wholesome
Protection
- Essential Management Imperative
There is an increasing emphasis world over on Further, the need for legal intervention in several disputes pertaining
ensuring that the customer is rendered the best to the insurance industry bears silent testimony to the fact that the
of services, irrespective of whether it is degree of consumer dissatisfaction is still high. And if a majority of the
demanded or not. This puts the onus on the verdicts go against the insurers, it gradually leads to a situation where
providers to be proactive on assessment of the the policyholder begins to lose confidence in the system. This trend is
client's needs; and then put in place an detrimental to the growth of the industry and should be arrested
efficient mechanism to enable the fulfillment forthwith. Insurers and other stakeholders of the industry should
of those needs. The urge to be perfect led to the realize the importance of the spirit of the contracts rather than what is
evolution of such business management merely stated in the documents; in order that policyholder protection
strategies as Six Sigma which has become in its truest sense is achieved.
synonymous with corporate managements
seeking perfection. While it would not be easy 'Policyholder Protection' is the focus of this issue of the Journal. As
to emulate these models in the services the regulator of the industry, IRDA has been taking several measures
industry entirely, several organizations still set constantly to ensure the protection of the policyholders' interests.
their benchmarks at a high pedestal so that they Could there be a better way of opening the debate than looking at
hardly leave any space for consumer some of the regulator's initiatives? Ms. Yegnapriya Bharat gives a vivid
disenchantment. account of the various steps taken by the regulatory authority towards
ensuring policyholder protection. In the next article, Mr. Vishwavijay
In the domain of financial services in India, Singh lays emphasis on the importance of transparency in dealing
several service providers have defined pre-set with the policyholder at every stage of the policy lifecycle. Prof. Rajni
goals in terms of quality and timelines; and M Shah brings in the concept of adding value to the customer and
these are re-visited and reviewed from time to speaks about how to bring it out.
time to be in tune with the developments
taking place in the corporate world. The Mr. Anand Pejawar is the author of the next article in which he gives
performance of the organizations is assessed details of the various services rendered to a life insurance
vis-à-vis these standards in order to gauge the policyholder; and on how to attain the best degree of client servicing.
level of their accomplishment and it functions In the next article, Mr. C.P. Udayachandran speaks about the punitive
as a good tool to ensure that there is a constant measures to be adopted in case the service providers deliberately
attempt to perform well. It necessarily default on rendering the desired service to the customer. In the last
presupposes that the customer is literate and article of the issue, Mr. K. Nagaraja Rao and Dr. Y. Raja Ram throw
capable of taking care of his need-fulfillment, light on what the rural policyholder feels about the services being
at least to some extent. However, in a domain rendered by insurers.
where the financial literacy levels are not very
It was not long ago that the focus of the Journal was on Claims
high, there is need for organizations to be
Management. However, looking at the various issues associated with
additionally devoted to render the best
the hugely important aspect of insurance business, it is proposed to
services. Policyholder protection in the
focus on 'Claims Management' once again in the next issue of the
insurance industry occupies even a more
Journal.
important place considering the fact that
despite the growth in volumes of business, U. Jawaharlal
insurance is still not greatly understood by the
masses.
04 irda journal July 2010
Report Card:LIFE
First Year Premium of Life Insurers for the Period Ended May, 2010
Sl Insurer Premium u/w (Rs. in Crores) No. of Policies / Schemes No. of lives covered under Group Schemes
No. May, 10 Upto May, 10 Upto May, 09 May, 10 Upto May, 10 Upto May, 09 May, 10 Upto May, 10 Upto May, 09
1 Bajaj Allianz
Individual Single Premium 58.62 85.27 23.98 8168 13509 8087
Individual Non-Single Premium 130.30 248.21 234.60 121885 228264 196089
Group Single Premium 4.93 9.72 3.69 7 8 2 9036 15037 684
Group Non-Single Premium 15.67 30.35 78.58 151 257 80 1192532 2839409 1049199
2 ING Vysya
Individual Single Premium 0.02 0.03 1.08 1 3 171
Individual Non-Single Premium 29.12 58.06 72.08 13875 28284 40942
Group Single Premium 0.83 1.37 1.35 0 0 0 148 254 520
Group Non-Single Premium 0.00 0.00 0.08 0 0 0 27 70 902
statistics - life insurance
3 Reliance Life
Individual Single Premium 15.63 23.82 8.83 2904 5063 2804
Individual Non-Single Premium 167.26 278.07 216.60 148306 239555 230556
Group Single Premium 0.69 2.46 28.90 13 37 1 23343 64569 76
Group Non-Single Premium 1.61 13.33 6.19 26 43 97 16884 20806 224064
4 SBI Life
Individual Single Premium 39.81 59.15 31.99 5318 7760 6294
Individual Non-Single Premium 139.18 226.56 279.27 39505 62127 87933
Group Single Premium 3.01 7.07 30.34 0 1 0 474 735 23048
Group Non-Single Premium 260.50 335.11 442.34 8 9 22 132019 152138 147066
5 Tata AIG
Individual Single Premium 2.55 4.84 3.03 284 605 918
Individual Non-Single Premium 56.00 117.46 107.95 35607 78087 91405
Group Single Premium 2.27 4.33 2.76 0 0 1 3955 7783 4607
Group Non-Single Premium 6.48 7.64 5.61 7 14 16 4620 17803 20987
6 HDFC Standard
Individual Single Premium 8.23 12.08 15.77 2040 4038 2655
Individual Non-Single Premium 195.86 312.93 196.08 45867 75426 78982
Group Single Premium 0.60 1.98 20.98 18 39 35 21093 43413 64906
Group Non-Single Premium 33.04 74.08 1.03 3 9 0 17289 38723 225
7 ICICI Prudential
Individual Single Premium 1.49 2.60 22.87 11 65 2299
Individual Non-Single Premium 283.25 549.67 282.59 105760 204959 223655
Group Single Premium 44.16 54.40 29.30 52 140 113 146146 241353 165741
Group Non-Single Premium 131.07 156.97 148.78 60 190 189 49007 166039 224386
8 Birla Sunlife
Individual Single Premium 3.84 5.76 8.27 3914 25679 18869
Individual Non-Single Premium 112.18 182.92 183.36 98749 224616 178788
Group Single Premium 0.30 0.52 0.09 0 0 0 56 137 46
Group Non-Single Premium 46.36 58.93 50.79 13 35 34 88209 133531 68707
9 Aviva
Individual Single Premium 1.83 2.93 12.41 59 121 1921
Individual Non-Single Premium 40.39 63.78 61.64 15612 26782 24568
Group Single Premium 0.02 0.03 0.00 0 0 0 53 82 0
Group Non-Single Premium 2.93 5.46 4.93 8 16 12 106151 285478 147118
10 Kotak Mahindra Old Mutual
Individual Single Premium 5.46 10.75 1.29 515 952 172
Individual Non-Single Premium 44.44 76.57 64.96 18311 28611 27197
Group Single Premium 6.59 10.52 3.42 0 0 0 24953 41830 10747
Group Non-Single Premium 11.34 19.55 8.68 87 137 109 111923 213441 97855
11 Max New York
Individual Single Premium 13.43 26.09 36.01 179 281 2306
Individual Non-Single Premium 107.41 226.61 239.08 59170 124562 153236
Group Single Premium 0.42 1.59 0.05 2 8 6 59689 425438 206232
Group Non-Single Premium 12.62 18.01 2.73 87 248 195 1559950 1761163 205792
12 Met Life
Individual Single Premium 1.41 2.70 0.53 311 632 79
Individual Non-Single Premium 34.88 54.58 62.72 13652 22158 22812
Group Single Premium 1.85 3.75 0.00 0 0 0 967 1879 0
Group Non-Single Premium 3.42 7.40 12.22 58 78 36 323470 367518 68473
13 Sahara Life
Individual Single Premium 1.56 2.28 2.66 444 620 806
Individual Non-Single Premium 3.54 5.59 6.80 4689 6920 7245
Group Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
Group Non-Single Premium 0.00 0.00 4.38 0 0 0 0 0 554412
14 Shriram Life
Individual Single Premium 15.51 28.70 5.52 1772 3260 933
Individual Non-Single Premium 14.66 27.30 29.73 6086 10858 18289
Group Single Premium 4.31 6.11 0.00 0 0 0 18738 26165 0
Group Non-Single Premium 1.52 1.52 0.00 2 2 0 162190 162190 0
15 Bharti Axa Life
Individual Single Premium 0.46 1.02 0.48 356 734 59
Individual Non-Single Premium 28.72 48.81 39.30 13239 21090 19482
Group Single Premium 1.36 2.84 2.50 0 0 2 1021 2038 2458
Group Non-Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
16 Future Generali Life
Individual Single Premium 0.37 0.53 0.84 48 72 145
Individual Non-Single Premium 27.46 40.57 22.60 25514 36081 20686
Group Single Premium 0.02 0.04 0.00 0 0 0 440 1044 0
Group Non-Single Premium 2.08 4.14 5.98 7 14 20 333764 831945 70397
17 IDBI Fortis Life
Individual Single Premium 6.08 9.92 12.64 1182 2023 1792
Individual Non-Single Premium 15.50 27.91 22.05 5944 9749 6848
Group Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
Group Non-Single Premium 0.03 0.06 0.01 0 5 2 8239 15673 5230
18 Canara HSBC OBC Life
Individual Single Premium 0.55 1.23 0.76 42 73 54
Individual Non-Single Premium 34.01 87.19 75.45 5234 11619 7619
Group Single Premium 2.26 3.28 0.00 0 0 0 1289 1863 0
Group Non-Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
19 Aegon Religare
Individual Single Premium 0.81 1.18 0.12 31 54 16
Individual Non-Single Premium 11.63 17.92 6.78 3275 4924 2669
Group Single Premium 0.06 0.11 0.00 0 0 0 128 238 0
Group Non-Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
20 DLF Pramerica
Individual Single Premium 0.09 0.36 0.00 8 52 0
Individual Non-Single Premium 3.51 8.99 2.17 1846 4151 1576
Group Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
Group Non-Single Premium 0.00 0.00 0.00 0 0 0 0 0 0
21 Star Union Dai-ichi @
Individual Single Premium 12.26 17.66 2.61 877 1212 447
Individual Non-Single Premium 10.45 15.09 5.92 3599 4919 2412
Group Single Premium 2.89 5.27 0.00 0 0 0 1660 2232 0
Group Non-Single Premium 0.11 0.62 0.00 6 7 0 9006 14542 0
22 IndiaFirst #
Individual Single Premium 8.64 15.13 711 1366
Individual Non-Single Premium 17.17 46.15 6620 15577
Group Single Premium 0.20 0.20 2 2 6782 6782
Group Non-Single Premium 0.00 0.00 0 2 0 0
Private Total
Individual Single Premium 198.65 314.04 191.69 29175 68174 50827
Individual Non-Single Premium 1506.92 2720.95 2211.75 792345 1469319 1442989
Group Single Premium 76.74 115.60 123.38 94 235 160 319971 882872 479065
Group Non-Single Premium 528.79 733.17 772.32 523 1066 812 4115280 7020469 2884813
23 LIC
Individual Single Premium 2348.55 3959.23 1201.18 379548 648372 322389
Individual Non-Single Premium 1827.79 3273.81 2130.94 1819657 3269264 2983085
Group Single Premium 1039.77 2076.77 2022.80 1154 1986 1993 1561108 2425687 1990944
Group Non-Single Premium 693.04 773.04 0.00 81 81 0 393170 447295 0
Grand Total
Individual Single Premium 2547.20 4273.26 1392.87 408723 716546 373216
Individual Non-Single Premium 3334.71 5994.75 4342.69 2612002 4738583 4426074
Group Single Premium 1116.51 2192.36 2146.18 1248 2221 2153 1881079 3308559 2470009
Group Non-Single Premium 1221.83 1506.21 772.32 604 1147 812 4508450 7467764 2884813
Note: 1. Cumulative premium / No.of policies upto the month is net of cancellations which may occur during the free look period.
2. Compiled on the basis of data submitted by the Insurance companies
3. @ Started operations in February,2009
4. #Started operations in November,2009
EXPOSURE DRAFT
4th June, 2010 ALL INSURERS/CONSUMER BODIES/GENERAL PUBLIC
Re: Exposure draft regarding proposed amendment to IRDA simple manner. Legal documents are complex
Regulations for Protection of Policyholders Interests, 2002 - and not comprehensible to the insured
Issuance of Key Feature Documents for insurance products. persons. It is observed that insurance policy
documents are long and run into several pages
In line with the nation's approach to economic reforms, the IRDA has
making it almost impossible for policyholders
initiated reform measures around the principle of sustainable growth
to read them.
along with public accountability. Therefore protecting the interests of
policyholders is the main mission of IRDA and the Authority's efforts While, more than 30% of the Indian
have been constantly directed towards this end. population is illiterate, even the literate
population will not understand complex legal
In 2002, the Authority brought out the IRDA (Protection of
language. In view of this, providing product
Policyholders' Interest) Regulations. The Regulations define the
information in a simple and easy to understand
obligation of insurers and intermediaries and lay down time-frames
manner is very crucial.
for compliance that cover the entire life cycle of a product, starting
from its sale to servicing, including at the point of claim. Key Feature Documents: To ensure fair
treatment to policyholders, it is necessary for
The opening up of the insurance sector has given insurers the
insurers to bring out Key Feature Documents in
opportunity to bring about many innovative designs and concepts in
simple language. This document will have the
product development. Spurred by competition triggered by this
same legal sanction that a comprehensive
opportunity, the market has seen a plethora of new products. This has
policy document will have. Towards this end,
raised new concerns regarding availability of information to prospects
it is proposed to incorporate a provision in
and policyholders.
IRDA Regulations for Protection of
While IRDA has made continuous efforts to demystify complex Policyholders Interests that would require
products by requiring insurers to follow certain guidelines relating to insurance companies to issue Key Feature
disclosures especially in respect of the new breed of products such as Documents for various insurance products to
ULIPs and carry out adequate safeguards while advertising about policyholders.
products etc, there is a need to constantly scale up the efforts to ensure
Format of Key Feature Document: It is
that the required information is made available to prospects and
necessary that the proposed Key Feature
policyholders and that the “information gap” between them and the
Documents are developed in a clear format
insurers is reduced or removed.
with an appropriate title and sub-titles that
The Authority is sensitive to the fact that information asymmetry is a makes it easy for policyholders to
reality in the market and that it is necessary for all stakeholders to comprehend. The language used should be
work towards its removal. In this backdrop, the importance of giving simple. Illustrations relating to cover/benefits
policyholders clear and precise information with regard to insurance offered should be part of the Key Feature
products needs no further emphasis. The Authority has brought out Document. The ultimate test of a Key Feature
the IRDA (Insurance Advertisement and Disclosure) Regulations in Document is whether or not the target
2000 to ensure that asymmetry is addressed. It has been IRDA's customer for a particular product understands
constant endeavour to permit only correct, easily understood its main features and is able to take a decision
depiction of the product features. Apart from the Regulations, IRDA as to whether the product is suitable for
irda journal July 2010
has also issued guidelines in this regard. him/her. A good example of a Key Feature
Document is one that clearly captures the aim
Ensuring fair treatment to policyholders: There should be utmost
of the product or in other words, what the
transparency at the time of sale and promotion so that the
product seeks to cover. It would clearly bring
policyholder is made to feel confident that he or she is being given
out the risks involved for the policyholder and
complete information regarding the product. Provision of clear and
the obligations or commitments required of
complete information about products is not only a fundamental
him/her. A Key Feature document should not
expectation but also a necessity to ensure fair treatment to
be too long as to lose the precision nor should
policyholders by insurance companies. It is a necessary disclosure
it be too short thereby missing out on key facts.
obligation of insurance companies.
06
EXPOSURE DRAFT
4th June, 2010
Re: Exposure Draft on Guidelines on Distance policyholders, consumer organisations, general public, distributors,
Marketing and Sale Process Verification of insurers and various other stakeholders.
Insurance Products
It is therefore requested that the comments may be forwarded to Mr. V.
The Authority proposes to come out with the Sai Kumar, OSD (Life) or e-mail to vsaikumar@irda.gov in on or before
Guidelines on Distance Marketing and Sale of 20th June, 2010.
Insurance Products to streamline the manner of
Encl: Exposure Draft on Guidelines on Distance Marketing and Sale
sale of insurance products and to address some
Process Verification of Insurance Products
of the issues which are specific to protection of
interests of policyholders buying insurance Sd/-
over distance modes such as telephone and the (A. Giridhar)
internet. ED (Admin)
The exposure draft on the above guideline is
hereby published to elicit opinion of
CIRCULAR
Date: June 10, 2010 Ref: IRDA/F&I/CIR/DATA/091/06/2010
CIRCULAR
June 16, 2010 Ref: Ref:IRDA/F&I/CIR/100/06/2010
To of the Authority.
All the Insurers
4. The relevant documents supporting the
Subject: Guidelines on Issue/Renewal of Licence to Corporate facts of the Checklist shall be maintained at
Agents. the Corporate/Head Office of the Insurer
In order to streamline the system of Issue/Renewal of License to and shall be made available to the Officers
Corporate Agents, the Authority has, in addition to the Regulations of the Authority for Inspection, as and when
and Guidelines already in force, decided to issue the following required by the Authority.
instructions under Section 14 of the IRDA Act, 1999 for compliance 5. On receipt and scrutiny of the Checklist-
by the Insurers while issuing / renewing Licence to Corporate Agents. cum-Certification from the Insurer, the
These guidelines shall for part of Cir.No.017/IRDA Circular/CA Authority shall intimate its decision of
Guidelines/2005, dated 14.07.2005 and further circulars/ Approval or otherwise with in 7 (seven)
clarifications issued from time to time. working days from the date of receipt, to the
The following procedure shall be adopted by all the Insurers for Insurer in respect of the Fresh/Renewal of
seeking prior approval from the Authority, before issuing Fresh Licence to act as Corporate Agent.
Licence / Renewal of Licence to the Corporate Agents: 6. Fresh/Renewal Licence shall be issued by
1. All the Insurers shall send to the Authority, the Checklist-cum- the Corporate Designated Person of the
Certification as per Annexure-1, in respect of all Fresh Licences Insurer from the IRDA portal (as per the
and the Renewals to obtain prior approval of the Authority. existing procedure) only after obtaining
irda journal July 2010
Guidance notes on recent regulatory changes selling, IRDA has identified Distance Marketing as yet another area of
related to unit linked insurance products concern and draft guidelines in this regard have been put up as an
(ULIPs) exposure note for all stakeholders to respond to.
Introduction: Mention must be made of what is perhaps the most important step that
IRDA has, from time to time, taken various the Authority has taken keeping in view the interests of policyholders.
initiatives for protecting the interests of IRDA set up an exclusive Consumer Affairs Department that focuses
policyholders by bringing out Regulations, on consumer related issues and initiatives including grievance
Guidelines, Circulars etc applicable to insurers redressal and consumer education through Insurance Awareness
and intermediaries covering the various stages Campaigns. With a view to creating a central repository of industry-
in the lifecycle of an insurance product, wide insurance grievance data and facilitating monitoring of disposal
commencing from solicitation, sale, policy of grievances by insurers, IRDA is on the verge of implementing the
servicing, to claims servicing and grievance Integrated Grievance Management System (IGMS). IGMS will not
redressal. only help monitor the redress systems of insurers but also create a
gateway for policyholders to register complaints with insurance
With expansion of the insurance sector and
companies first and if need be escalate them to the IRDA Grievance
more and more innovative insurance products,
Cells. The Consumer Affairs department goes beyond facilitation and
in particular the Unit Linked Insurance
works towards taking grievances to their logical end by calling for
Products coming into the life insurance
explanations where required, carrying out enquiries and inspections
market, IRDA has been sensitive to the
etc. It is proposed to make the institution of the Insurance
changing scenario and the challenges that go
Ombudsman handle all types of complaints including those relating
with it. In particular, IRDA has been conscious
to policy sale and servicing rather than just restricting it to claims.
of how these changes have been impacting the
IRDA is also shortly making its Call Centre operational for
policyholder and has taken several steps to
policyholders to lodge their grievances and also seek their status over
bring in changes in the regulatory framework
phone/e-mail.
to address various concerns of the
policyholder. Further, keeping in view the need for efficient functioning of the
insurance sector for protecting the interests of policyholders, it is
IRDA had stipulated that insurers must provide
necessary to have reliable, timely and accurate data relating to
the prospect/policyholder all relevant
insurance. In order to ensure that proper data is collected, processed
information regarding amounts deducted
and disseminated in the manner required, IRDA has set up an
towards various charges for each policy year so
independent body, namely the Insurance Information Bureau (IIB).
that the prospect could take an informed
The IIB has started functioning and has already made good progress.
decision. Insurers were required to provide
Benefit Illustrations giving two scenarios of Recent Regulatory Initiatives
interest rates, 6% and 10% respectively. The More recently, IRDA has taken a holistic view of the features of ULIPs
prospect was required to sign on the and addressed issues impacting the policyholders including the way
illustration while signing the proposal form. such products are sold/bought; how ULIPs can be better financial
This was done to ensure transparency and instruments for providing risk coverage; how sale by unlicensed
proper disclosures by the insurers. personnel and several other malpractices existing in this market may
irda journal July 2010
2. IRDA has amended the IRDA (Licensing of Corporate Agents) less than 105 percent of the total premiums
Regulations to further tighten the Code of Conduct of corporate (including top-ups) paid.
agents to ensure that the prospect does not deal with any
Single Premium (SP) contracts: 110 percent
unlicensed person. The Regulations have also been amended to
of single premium
ensure that there is no scope for any kind of remuneration other
than commission where sale has been effected. This measure will Regular Premium (RP) including limited
reduce the expenses of the insurer, thereby lowering premiums to premium paying (LPP) contracts: 7 times the
be paid by the policyholder. annualized premiums or (0.25 X T X
annualized premium) whichever is higher. At
3. Regulations for referrals: IRDA has also addressed the issue of
no time the death benefit shall be less than 105
Referrals by bringing out separate Regulations leaving no scope for
percent of the total premiums (including top-
misuse of the system. Companies which wish to share their
ups) paid.
database of customers with insurers would need to get approval
from IRDA after having conformed to the requirements as laid (In case of whole life contracts, term (T) shall be
down in the Regulations. Further, there are restrictions on the taken as 70 minus age at entry)
business activities of the referral company to ensure that there is no
(ii)The minimum health cover per annum
misuse of the system. For instance, the referral company shall not
should be as follows:
be in any business of extending loans and advances or accepting
Minimum annual health cover for age at entry
deposits etc though there are exceptions such as for Regional
of below 45 years
Rural Banks, Co-operative banks etc. The Regulations cast
obligations on the referral company as well as the insurer Minimum annual health cover for age at entry
including submission of data as and when called for by the of 45 years and above
Authority. Regular Premium (RP) contracts: 5 times the
II. ULIP Structure Related Changes: annualized premiums or Rs.100,000 per
annum whichever is higher,
(1) Lock in period increased to five years:
IRDA has increased the lock-in period for all Unit Linked Products At no time the annual health cover shall be less
from three years to five years, including top-up premiums, thereby than 105 percent of the total premiums paid.
making them long term financial instruments which basically provide Regular Premium (RP) contracts: 5times the
risk protection. annualized premiums or Rs.75,000 per annum
(2) Level Paying Premiums: whichever is higher.
Further, all regular premium/limited premium ULIPs shall have At no time the annual health cover shall be less
uniform/level paying premiums. Any additional payments shall be than 105 percent of the total premiums paid
treated as single premium for the purpose of insurance cover.
(6). Minimum Guaranteed Return for Pension
(3) Even Distribution of Charges: Products:
Charges on ULIPs are mandated to be evenly distributed during the As regards pension products, all ULIP
lock in period, to ensure that high front ending of expenses is pension/annuity products shall offer a
eliminated. minimum guaranteed return of 4.5% per
(4). Minimum Premium Paying Term Of Five Years: annum or as specified by IRDA from time to
All limited premium unit linked insurance products, other than single time. This will protect the life time savings for
premium products shall have premium paying term of at least five the pensioners, from any adverse fluctuations
at the time of maturity.
irda journal July 2010
years.
(5). Increase In Risk Component: (7). Rationalisation of Cap on Charges:
Further, all unit linked products, other than pension and annuity With a view to smoothening the cap on
products shall provide a mortality cover or a health cover thereby charges, the capping been rationalized to
increasing the risk cover component in such products. ensure that the difference in yield is capped
from the 5th year onwards. This will not only
(i) The minimum mortality cover should be as follows: reduce the overall charges on these products,
Minimum Sum assured for age at entry of below 45 years but also smoothen the charge structure for the
Minimum Sum assured for age at entry of 45 years and above policyholder.
10
CIRCULAR
DATE: 16/06/2010 REF: IRDA/F&I/CIR/AML/99/06/2010
To business falls under clause 3.1.4 and is not covered under AML.
THE CEOs OF ALL INSURERS guidelines). It is emphasized that no distinction be made between
'individuals' and 'other than individual entities' for the purposes of
Anti Money Laundering (AML) Guidelines
clause 3.1.1
A review of AML guidelines has been carried
out to address various issues identified out of b. Guidance on 'Detailed due diligence':
inspections carried out, interactions with FIU- Guidance has been sought on what constitutes detailed due diligence
IND and FATF's Mutual Evaluation and under clause 3.1.1 (ii) of the AML guidelines. Conducting detailed
Assessment process. due diligence would mean having measures and procedures which
are more rigorous and robust than normal KYC. These measures
2. The following amendments to/clarifications should be commensurate to the risk. While it is not intended to be
on the guidelines are issued: exhaustive, the following are some of the reasonable measures in
a. Know Your Customer (KYC): carrying out detailed due diligence:
Various queries have been raised by insurers
l More frequent reviews of the customers activities/
on who can be termed as customer(s) for the
profile/transactions
purposes of AML guidelines. Keeping the
objective of the PMLA and AML guidelines in l Application of additional measures like gathering information
view, it is hereby clarified that details of the from Public available. Sources or otherwise
person who funds/pays for an insurance l Review of the proposal/contract by a senior official of the
contract, either as beneficial owner or insurance company etc.,
otherwise become relevant and important
Stipulations under clause 3.1 of the AML It is further clarified that detailed due diligence should not be limited
guidelines will therefore have to be applied to to merely documenting income proofs. Measures laid down should
such persons. The term customers also refer to be in such a way that it would satisfy competent authorities
the Proposer/policyholder; Beneficiaries and (Regulatory/enforcement authorities), if need be at a future date, that
irda journal July 2010
Assignee for the purposes of AML guidelines. due diligence was in fact observed by the insurer in compliance with
the guidelines and the PML Act based on the assessed risk involved in
At any point in time during the contract period, a transaction/contract.
where an insurance company is no longer
satisfied that it knows the true identity of the c. Reduced Customer Due Diligence (CDD) measures:
customer, an STR should be filed with FIU- It is reiterated that while deciding on the extent of due diligence to be
IND. carried out on any customer, risk profile of the product and the
customer should be taken into consideration as indicated at
There have been queries on whether due dause3.1.3 of the AML guidelines.
diligence requirements under clause 3.1.1 (ii)
11
are to be applied on 'other than individual Notwithstanding the above, detailed due diligence measures should
entities'. It is clarified that reference to be applied in the event where there are suspicions of money
'individual' policies' to be read to mean laundering or terrorist financing, or where there are factors to indicate
'individual' business. (As 'group' insurance a higher risk.
in the air
CIRCULAR
7th June, 2010 IRDA/CAGTS/CIR/LCE/093/06/2010
irda journal July 2010
business, and paid remuneration for procuring the insurance along with a summary of the violations of
business. The Authority has also noticed that some Corporate Agents Insurance Act, 1938, IRDA Act, 1999, IRDA
have resorted to the use of introducers or finders or sub-agents who, in (Licensing of Corporate Agents) Regulations.
fact, sell the insurance contracts and that the Corporate Agents passed 2002 and Guidelines/instructions issued by
on varying levels of commission to them.
the Authority from time to time with regard to a) Another Corporate Agent
each corporate agent. The report may be sent
b) Broker or TPA or
to the corporate agent for placing before their
board. The report shall also be placed before c) Be on the rolls of an insurer as its employees or officer or
the Audit Committee and the Board of Director
Directors of the insurer along with action taken 5. That the specified person on his ceasing to be an employee of the
report. The same shall be made available to corporate agent has surrendered his certificate to the designated
IRDA Inspection team as and when required. A person as required under Regulation 10(6). The said certificate
check list for such inspections is given below. shall not be used by any other person and needs to be destroyed.
This checklist is also relevant for individual
agents with substantial distribution business 6. That every corporate agent has maintained a register which
and may be used by the insurers with contains the name, address, telephone numbers, photographs,
appropriate changes. The insurers may add any date of commencement of employment, date of leaving the
other relevant points to the checklist. service, if any, salary paid to the specified person as required
under Regulation 14.
Checklist for on-site Inspection of Corporate
Agents: 7. That the Group insurance sold through Corporate Agents
complies with the guidelines on group insurance. Circular no.
A. The insurer shall verify and satisfy himself: 015/IRDAlLlFE/Circular/GI Guidelines/2005 dated 14-7-2005.
1. That the policies are being sold by licensed
agents or specified persons only. This is 8. That the commission or brokerage paid within the limits on
critical and compliance shall be in letter payment of commission on general insurance business as set in
and spirit. It is observed that several IRDA Cir 011/IRDA/Brok-comm/Aug 08 dated August 25, 2008.
corporate agents are employing army of 9. That no payment other than the commission allowed as per law
distributors by several names, to carry out including administration or servicing charges or payment by any
actual sales, while the paper work is being other name is paid to the agents in respect of the business for
done by a specified person. This practice is which he is paid agency commission.
against the section 42 (7) of Insurance Act,
1938 and Serial number 2 of guidelines on 10. Where insurance is sold as an ancillary product along with a
licensing of Corporate agents. product being sold (like any banking product) by any of the major
shareholders or their associates, (who may be Agents or
2. The corporate insurance executive and Corporate Agents of the insurer) verify that the shareholder/s or its
Specified Person/s of the Corporate Agent associates has not compelled the buyer of the other product to
i) Possesses the qualifications as specified necessarily buy the insurance product through such Corporate
under Regulation 4; Agent.
ii) Possesses the practical training as 11. The complete set of records of sale process in respect of the
specified under Regulation 5' business solicited by the Corporate Agent, including proposal
forms, copies of policies or certificates of insurance, need
iii) Has passed the examination as specified analysis, benefit illustrations and premium register, etc. are
under Regulation 6; available for the use of insurer as and when required by him and
iv) Has the requisite knowledge to solicit and for any other judicial proceedings.
procure Insurance Business; and 12. That the agent is complying with See 64VB & Payment of advance
v) Is capable of providing the necessary premium or any of the forms specified in IRDA regulations
irda journal July 2010
4. That no director of a company or a partner of 15. That the monthly statistics of business transacted by the
a firm or the chief executive or a corporate Corporate Agent (At least for the preceding two full financial
insurance executive or a specified person years) is in order.
shall hold any position with
in the air
16. Verify the audited accounts along with the schedules of the and Development Authority (Licensing of
Corporate Agent. (At least for the preceding two full financial Corporate Agents) Regulations. 2002;
years). This audit shall, inter alia establish that the commission is
C. Inspect the status of compliance of
not shared down the line and that all the specified persons and
relevant Regulation 3, 4, 6, 8, 12, 13 of
other employees do not get any share of the commission.
IRDA (Insurance Advertisements and
B. The Inspection should verify on the date of Inspection that: disclosure) Regulations, 2000 and
recommend action under regulation 11 of
1. Corporate insurance executive is not a minor.
the said regulations.
2. Corporate insurance executive has not been found to be of
D. Inspect the conduct of agents in respect of
unsound mind by a court of competent jurisdiction;
compliance of IRDA (Protection of
3. Corporate insurance executive has not been found guilty of Policyholders' interests) Regulations,
criminal misappropriation or criminal breach of trust or cheating 2002. In respect of matters pertaining to
or forgery or an abetment of or attempt to commit any such proposal from prospectus; point of sale;
offence by a court of competent jurisdiction; claims servicing & other general
4. Corporate insurance executive has not been found guilty of or to parameters of policy holders servicing
have knowingly participated in or connived at any fraud. including their duties to address the
dishonesty or misrepresentation against an insurer or an insured policyholder's complaints.
in the course of any judicial proceeding relating to any policy of The above list is only illustrative and not
insurance or the winding up of an insurance company or in the exhaustive. The Insurers may add any
course of an investigation of the affairs of an insurer; other relevant item to the above list which
5. Corporate insurance executive has not violated the code of they deem fit in this regard.
conduct specified under Regulation 9 of Insurance Regulatory A. Giridhar
Executive Director
CIRCULAR
June 28, 2010 Cir. No. IRDA/ACT/CIR/ULIP/102/06/2010
Minimum Sum assured for age at entry of below 45 Minimum Sum assured for age at entry of below 45
years years
Single Premium (SP) contracts: 125 percent of single Single Premium (SP) contracts: 110 percent of single
premium. premium
Regular Premium (RP) including limited premium paying Regular Premium (RP) including limited premium paying
(LPP) contracts: 10 times the annualized premiums or (LPP) contracts: 7 times the annualized premiums or
(0.5 X T X annualized premium) whichever is higher. At (0.25 X T X annualized premium) whichever is higher. At
no time the death benefit shall be less than 105 percent of no time the death benefit shall be less than 105 percent of
the total premiums (including top-ups) paid. the total premiums (including top-ups) paid.
(In case of whole life contracts, term (T) shall be taken as 70 minus age at entry)
Minimum annual health cover for age at entry of below Minimum annual health cover for age at entry of below
45 years 45 years
Regular Premium (RP) contracts: 5 times the annualized Regular Premium (RP) contracts: 5times the annualized
premiums or Rs. 100,000 per annum whichever is premiums or Rs. 75,000 per annum whichever is higher.
higher.
At no time the annual health cover shall be less than 105
At no time the annual health cover shall be less than 105 percent of the total premiums paid
percent of the total premiums paid.
insurance cover treating them as single one-third of the surrender value can be commuted after the lock-
premium, as per above table. in period. The remaining amount 2 must be used to purchase an
annuity, subject to the provisions of Section 4 of Insurance Act,
7. The accumulated fund value of unit linked
1938.
pension/annuity products is the fund value
as on the maturity date. All ULIP 9. Vide circular 3rd cited above, caps on charges were fixed on Unit
pension/annuity products shall offer a Linked contracts with a tenor of 10 years or less and for those with
minimum guaranteed return of 4.5 per tenor above 10 years. However, taking into account the
cent per annum or as specified by IRDA discontinuance/lapsation/surrender behavior and with a view to
from time to time, on the maturity date. smoothen the cap on charges, the following limits are prescribed
This guaranteed return is applicable on the starting from the 5th policy anniversary:
maturity date, for policies where all due
Annualized Premiums Paid Maximum reduction in yield
premiums are paid. Mortality and/or
(Difference between Gross and
health cover could be offered along with
Net Yield (% pa))
the pension/annuity products as riders,
irda journal July 2010
with term above 10 years, the net reduction in yield at maturity 13. All insurers are directed to conform to
shall not be more than 2.25%. these features so that they can introduce
the products with due approval from
11.The maximum loan amount that can be sanctioned under any
IRDA. From September 1, 2010 all unit
ULIP policy shall not exceed 40% of the net asset value in those
linked products offered for sale shall
products where equity accounts for more than 60% of the total
conform to this circular,
share and shall not exceed 50% of the net asset value of those
products where debt instruments accounts for more than 60% of R. Kannan
the total share. Member (Actuary)
12. Circular No: 2 cited above will stand superseded by this circular
and circular numbers 1, 3, 4 and 5 will stand modified to the
extent prescribed in this circular.
CIRCULAR
07th June, 2010 IRDA/CAGTS/CIR/LCE/092/06/2010
3. The Officer so designated shall carry out due diligence of the 9. All the insurers are here by directed to
irda journal July 2010
Corporate Agent with whom they are proposing to enter into a notify IRDA, details of designated officer
Corporate Agency Agreement and record the same while taking a so designated for Licensing of Corporate
decision to engage the services of that Corporate Agent. Agents on or before 30.06.2010.
4. The Officer so designated shall obtain and. record, from all the
available sources, the reasons leading to cancellation of A. Giridhar
Corporate Agency Agreement with the earlier Insurer. Executive Director
5. The Officer so designated shall fully satisfy and record that the
provisions of Point No.4 of the Circular Ref: 31/IRDA/CA/
16
'While it is very essential for the insurers to weed out fraudulent claims, they should be
careful in ensuring that genuine claims are not repudiated indiscriminately which
could lead to the detriment of the industry' says U. Jawaharlal.
The debate on claims management is a never-ending one. If not for the a death knell – for an organization, and for the
adverse claims ratios that has become a perennial feature for various society at large; and should be unpardonable.
classes of business, the continuing nature of the controversies
The incidence of additional hazards has to be
associated with insurance claims begs a frequent revisiting. It is not
addressed properly in order that both the
unusual to observe that many of the disputes that lead to a legal
selection and the classification of such risks are
intervention end up against the insurers. Is it that the courts take a
made objectively. While physical hazards call
lenient view of the low awareness levels of the insuring public and
for being compensated properly, the real threat
hence support them; or that insurers are necessarily at the wrong end
comes from the moral hazard which no
of the case; or a combination of both? In any case, if it has become a
amount of additional premium can
trend; there is strong reason to look for avenues to arrest the trend.
compensate. Insurers would however do well
On the part of the insurers, it is necessary to be transparent in laying not to be over-zealous in accepting/rejecting
down the terms of the contract; and where the policyholder is not risks as also in the admission and repudiation
given to understand the terms easily, put in place measures to be of claims. An indiscriminate rejection of a
additionally explicit so that controversies at a later stage are reduced. claim for an inadvertent lapse on the part of an
It has been uttered and written ad nauseum that absolute openness at average policyholder is bound to dent the
the beginning of the contract would certainly lead to a drastic confidence of the policyholder community.
reduction of claims related disputes. We all need to look back and There is need for insurers to be additionally
analyze whether we have achieved any progress in this regard. alert in identifying fraudulent elements from
genuine policyholders. In a nutshell,
The element of fraudulent claims is a bothersome factor affecting the
fraudulent claims as also excessive claims are a
health of claims ratios. Managements should work on keeping in
big drain on the resources of an insurer and
place efficient systems to fight this evil. One thing that stands out in
lead to their bleeding. There must be effective
this regard is the weak punitive action that is meted out to a willful
practices in place to keep a check on such
fraudulent claimant – thereby almost encouraging the average
irda journal July 2010
claims in order that managements can boast of
individual to take a chance. How often does this happen in a more
healthy claims ratios.
advanced society where one is conscious of the deterrent punishment
that is in store for such a fraudulent attempt? Particularly, when it is 'Claims Management' will be the focus of the
observed that there is either a direct or a tacit support of an insider; next issue of the Journal. We will look at some
necessary stringent action should be taken. White collar crime sounds areas that have not been covered earlier.
Claims Management
17
Yegnapriya Bharat emphasizes the need for better policyholder education in order that
the overall levels of policyholder protection take a quantum jump.
The insurance sector is rapidly moving towards a scenario wherein framework. The Insurance Regulatory and
the maxim –'Insurance is sold and not bought' would soon fade away. Development Authority (IRDA) has ensured
The consumer and market dynamics; and the regulatory interventions that such a framework, in the form of
triggered by them would ensure that insurance is bought rather than regulations, guidelines, circulars etc, is in
sold. place. While the basic framework to some
extent could remain static, the dynamic
One of the most important components of a sound and competitive
elements created by the ever changing market
insurance market is effective policyholder protection. Where this is
scenario need periodical review and revisiting.
lacking, prospects and policyholders would be exposed to unfair
IRDA has been carrying this out to meet the
treatment by insurers. They would become an easy prey to abusive
new challenges and concerns that are created
in the market for the policyholder.
Transparency
Consumer protection is deemed to have
The consumer and market dynamics; and the succeeded if certain basic parameters are
regulatory interventions triggered by them would achieved. The primary one is transparency in
transactions. This cannot be truer for
ensure that insurance is bought rather than sold. insurance. A prospect should be provided with
full, plain, adequate and comparable
information about the rates, terms and
conditions, risks involved etc. There should be
irda journal July 2010
asymmetry.
define the obligations of insurers and
The Regulator, therefore, has the duty of not only preventing market
intermediaries regarding matters to be stated in
failure but also ensuring that there is no imbalance or asymmetry in it.
life and general insurance policy and lay down
A pre-requisite for this is a well designed policyholder protection
time-frames for compliance of various
policyholder servicing parameters covering distribution of insurance products) Regulations, 2010 that will ensure
the life cycle of the insurance product, from that sale process is as per the standards prescribed.
sale to servicing - including claims servicing.
Needs Analysis is another initiative identified by IRDA as a step in
The regulations for the intermediaries—agents,
curbing wrong advice and mis-selling. The proposed guidelines to
corporate agents and brokers, among other
deal with issues relating to distance marketing would address new
things, lay down the Code of Conduct
challenges of mis-selling that have cropped up with the advancement
including at the point of sale. The IRDA
of technology. While the benefits of having new and faster channels
(Insurance Advertisement and Disclosure)
need to be reaped, the loopholes created by them need plugging. This
Regulations, 2000 address advertising and
is precisely what the draft guidelines on the subject propose to do.
disclosure requirements at the point of sale.
The File and Use procedure of IRDA is also a
drill from the point of view of product
simplicity and its understanding, apart from
other parameters. One of the recent initiatives
of IRDA, to ensure that clear information
regarding products is given to the prospect or There are several distribution related
policyholder in a way he or she can improvements which ensure that there is no scope
understand, is the proposal to introduce Key for the involvement of unlicensed personnel or
Feature Document (KFD) in simple language.
The test of a KFD is whether or not the target entities in the sale of insurance products.
customer for a particular product understands
its main features and is able to take a decision
as to whether the product is suitable for him or
her. A KFD would also ensure disclosure by Fair Treatment
insurers of other important information such as While liberalization has helped create choice, there is need to ensure
premium details, payment modes, various that in the name of choice, the policyholder is not inundated with
charges, risks involved, what happens in the unwanted product information or ill fitting products. Insurers shall
event of discontinuance etc. offer stable, well designed specific products that are useful to the
consumers, meeting their needs. The terms and conditions of the
Sales and Distribution
product shall ensure fair treatment to the policyholder. The Regulator
Another important element of policyholder
steps in, wherever required, to ensure this. Recently, IRDA has taken
protection is that insurers and intermediaries
several steps with regard to the product structure of ULIPs to clearly
shall be non-coercive while selling. Not only
position them as long term savings cum insurance instruments rather
shall they be non-coercive but more
than as short term speculative products. This kind of product
importantly, they shall not mis-sell. The
differentiation will ensure that the insurers have very little scope to
Policyholder Protection Regulations, and
position them differently than what these products are.
regulations for the various intermediaries,
brought out by IRDA are geared to address Further, all limited premium unit linked insurance products, other
these issues. However, given the complexity of than single premium products shall have premium paying term of at
some of the products, IRDA felt the need for least five years. All unit linked products, other than pension and
more specific solutions for mis-selling. annuity products shall provide a mortality cover or a health cover
thereby increasing the risk cover component in such products. The
IRDA has taken certain initiatives in further
minimum cover to be offered has been specified for these segments.
irda journal July 2010
tightening the policyholder protection norms
With a view to smoothening the cap on charges in ULIP products, the
by amendment of regulation. There are several
capping been rationalized by IRDA to ensure that the difference in
distribution related improvements which th
yield is capped from the 5 year onwards. This will not only reduce
ensure that there is no scope for the
the overall charges on these products, but will also ensure
involvement of unlicensed personnel or
smoothening of the charge structure for the policyholder.
entities in the sale of insurance products. Any
scope for payment of any remuneration other IRDA has also addressed the concerns of policyholders who are
than commission where sale has been effected unable to continue premium payment by drafting IRDA (Treatment of
has been eliminated by amending regulations. Discontinued Linked Insurance Policies) Regulations, 2010. These
These measures will reduce the expenses of regulations ensure that policyholders do not get overcharged when
19
the insurers, thereby lowering the premiums to they wish to discontinue their policies for any emergency cash
be paid by the policyholder. Further, IRDA has requirement. The regulations stipulate that an insurer shall recover
also addressed the issue of referrals with the only the incurred acquisition costs in the event of discontinuance of
proposed IRDA (Sharing of database for policy and that these charges are not excessive. The discontinuance
issue focus
charges have been capped both as percentage of fund value and The disclosures were made effective from the
premium, and also in absolute value. The regulations also clearly period ended 31st March, 2010. Insurers shall
define the grace period for different modes of premium payment. publish the Balance Sheet, Profit & Loss
Upon discontinuance of a policy, a policyholder shall be entitled to Account, Revenue Account and Key Analytical
exercise an option of either reviving the policy or completely Ratios on a half yearly basis in at least one
withdrawing from the policy without any risk cover. Further, the English daily newspaper circulating in the
regulations also enable IRDA to order refund of discontinuance whole or substantially the whole of India; and
charges in case they are found excessive on enquiry. in one newspaper published in the regional
language of the region where the registered
The other significant area where the regulator has recently intervened
office is situated or in Hindi in the stipulated
is the pensions. A pension contract is a form of savings vehicle that
font size and within the time-frame laid down.
caters to the needs of retired or the aged population. The
Insurers shall also host all the forms including
contributions that have been used to fund the pension contracts shall
Revenue Account, Profit & Loss Account,
not only be intact but also increase, to enable the individual to
Balance Sheet, segmental reporting, schedules
purchase an annuity which can at least meet his or her basic needs.
to accounts and other forms on their website as
Unit linked pension contracts without any guarantee of return may
per the periodicity and other parameters
either provide increased benefits or erode the funds accumulated.
stipulated.
The downside risk is too much to be ignored. If the US example where
the pension funds nose-dived due to the global financial crisis is Grievance Redress
anything to go by, government authorities and regulatory bodies Policyholders must be provided with
would do well to ensure that any major crisis which could involve inexpensive and speedy mechanisms for
unexpected calls for huge infusion of money into the system to complaints disposal. The IRDA (Protection of
safeguard the old age provisions and retain the system confidence, is Policyholders Interests) Regulations, 2002
require insurance companies to have in place,
effective and speedy grievance redress
mechanisms. However, the effectiveness of
the mechanisms needs to be monitored by the
With a view to going beyond facilitation of Regulator. To enable this as well as create a
central repository of industry-wide insurance
complaints resolution, IRDA has begun to drill
grievance data, IRDA is on the verge of
down into details of complaints to identify implementing the Integrated Grievance
instances of violation or non-compliance of Management System (IGMS). IGMS will not
only help monitor the redress systems of
various provisions of the applicable regulations insurers but also create a gateway for
through enquiries and inspections. policyholders to register complaints with
insurance companies first; and if need be,
escalate them to the IRDA Grievance Cells.
IRDA is also shortly introducing the IRDA
Grievance Call Centre (IGCC) which will
provide an additional channel for
policyholders to lodge their grievances and
prevented. Hence IRDA has introduced a prudential regulatory
also seek their status over phone or e-mail.
approach whereby it has stipulated that all ULIP pension or annuity
With a view to going beyond facilitation of
irda journal July 2010
The author is Joint Director, Consumer Affairs Dept., IRDA. The views
a vast majority of respondents indicated that
expressed in the article are her own.
financial illiteracy was a determinant of the
21
issue focus
The Policyholder Protection Act 2002 was formed by the Insurance In a wider context, the protection of policy
Regulatory and Development Authority (IRDA) to safeguard the holders' interests would cover three areas:
interests of the policyholders at large. The act comprises a set of
a) transparency of information
guidelines for insurers including areas of point of sale, proposal
details, grievance redressal, policy details, claims process and policy b) customer centric service and
servicing. These guidelines facilitate transparency and fair business
c) ability to settle genuine claims.
Insurance companies that are investing in
these areas are creating customer trust leading
to loyalty, advocacy and superior lifetime
Legalese is never easily understood and there is value. Furthermore, as competition increases
always potential scope of misunderstanding the giving customers wider choice, differentiation
in these areas would become a source of
contract, on the part of the customer.
competitive advantage.
Transparency
Customers need to have transparency of
information at every stage of the policy
lifecycle. All touch-points can be 'information
practices, thus establishing a healthy business environment. The empowered' - be it website, call centre, branch
guidelines cover the entire policy lifecycle, allowing the insured to or channel. For customers who are net savvy,
make an informed buying decision and avail of the policy benefits. the website is a powerful source of information
The act mandates insurers to provide sufficient information to giving clarity on policy coverage, exclusions,
prospects and customers regarding the aforementioned areas. premiums and claims process. For instance,
some players publish all policy wordings
irda journal July 2010
Insurance is a promise
online in downloadable PDF format which the
The context of policy holder protection becomes clear once customer can peruse even before buying the
insurance is seen as a promise made by the insurance company to pay policy. The insurer's website can also be
the insured at the time of the claim. This promise is governed by the supported with 24x7 support via online chat
policy wordings and insurance is as such a legal contract between the and toll free telephone access which allows the
insurer and the insured. However the policy wordings are drafted by customer direct access to the insurer at any
legal teams while the closure is done on the ground between the time of day or night, weekday or weekend as
advisor and the customer. Legalese is never easily understood and per their convenience. Audit of all interactions
there is always potential scope of misunderstanding the contract, on with the customer is much easier with
the part of the customer. It is incumbent on the insurance company to
22
their insurer. They have a right to ask for information and must ensure
ensure contact details are kept current so that that they provide correct and complete information to the insurer.
service updates and renewal notices are Doing so will also assist them while seeking redressal of grievances if
delivered on time. The insurance product goes any, be it with the insurance company or through the ombudsman.
beyond just the sale transaction and extends to
the post sales service as well as renewal. Keeping in mind the interests of the policy holder is a core tenet of
customer centricity. This philosophy should become a governing
Service processes must be designed by principle of the industry's approach to designing insurance products
stepping into the customer's shoes. For and services. The pay off would be seen over time in the form of
instance, an endorsement request for travel enhanced image of the industry as well as long term growth and
insurance should be executed speedily in time penetration of insurance in the country.
23
Prof. Rajni M. Shah asserts that the world order is changing and there is increasing
emphasis on finding newer methods to ensure that the best service is being rendered.
World class is a journey, not a destination. Jim Collins takes us l its organizing principles
through this journey in his three classics - “Build to last” followed by l its people processes.
another bestseller “From Good to Great”. And as if to reflect upon all,
his next Title “How the mighty fall”. In the process, some truisms It is this passion to compete that has seen great
unfold by themselves. In summary, new focus for value creation rests companies graduating from 'Good to Great'
with customer at the centre stage. This constitutes the main theme for and from Great to 'World-class' status. This
this article. status denotes setting new benchmarking
standards of performance in terms of product
design, delivery, quality, customer satisfaction
and value creation. Striving continuously to
improve its own benchmark standards of
It is this passion to compete that has seen great
performance is the hallmark of world-class
companies graduating from 'Good to Great' and organizations. As for insurance industry
from Great to 'World-class' status. domain, Protection of Policyholders' interests
thus becomes a matter of prime concern.
World-Class in India: win that game. The same goes for business. In
st
the 21 century the nature of doing business
In order to win, companies must win at three very different stages of
has tremendously changed. The new
competition.
upheavals of global financial meltdown since
September, 2008 have transformed the
l competition for markets
financial services sector for ever and proven to
l competition for competencies be an eye opener to economies across the
l competition for dreams. globe.
24
To manage sustainable growth, a company needs to create an For organizations, good is no more good
effective alignment between three key elements: enough, and excellence has lost its meaning to
a new phenomenon called “world class
l its value creation logic organizations”.
World class organization status is a new ideal individual experiences are created. This is more so for 'services'
relentlessly pursued by ambitious and daring rather than products. As a result, the focus of innovation will shift from
organizations worldwide because this status products and services to experience environments that individuals
alone promises maximum rewards and the can interact with to co-construct their own experience. These
victor's stand. World-class organizations do personalized co-creation experiences are the source of unique value
not emerge by chance. People build them by for consumers and companies alike.
design. They are created by vision, nurtured by
ambitions and perfected by actions. They
believe in being 'Best of the Bests'; and seeking
continuous improvement, redefine own
benchmarking standards of performance with
relentless focus on consumer with a high Products are but an artifact around which
passion and commitment. Characterized by
compelling individual experiences are created.
high performance leadership, world-class
organizations strive to raise the bar all through.
can firms autonomously create value in exchange value with consumers does no longer hold good.
isolation. Neither is value embedded in Increasingly, the joint efforts of the consumer and the firm are co-
products and services per se. Products are but creating value through personalized experiences that are unique to
an artifact around which compelling each individual consumer.
issue focus
this tenet is customer orientation. One decade of liberalized aspirations, frustrations and wishes of the
insurance industry in India has seen some turbulent times for most of heterogeneous group of consumers who
the players. Organizations are therefore moving from organization experience their product or service. Instead
orientation to customer orientation and protection of policyholders in they focus on the efficiency of production and
the case of insurance service providers. logistical systems. Misled by company think,
operational managers cluster the marketplace
As is common knowledge, consumer awareness for insurance in India with products that are feature rich but
is far too low, and surprisingly, quite so even for urban populace in experience poor. For the consumers,
26
general. Claims is the defining moment when insurance technology convergence can create
policyholders specially need to be protected – to be treated fairly and experience divergence. These are some new
expeditiously for settlement of claims, with insurers providing learning for Indian insurers and India
facilitation to do so. Incorporated in the domain of product
innovation; more so at this point of time when and implementation plan; distinct from what traditionally applies to
insurance industry in India is poised for 'products' of manufacturers.
charting new growth curve through financial
inclusion and seeking transformation. Strategies for developing world-class organizations - some pointers:
l Global economic awareness
Services Sector: Insurance industry in India The first requirement to venture into this journey is to acquire
Understanding nuances of 'services' knowledge and understanding of global business environment
management and marketing, in contrast to and global market place.
'products', is vital to accelerate growth of
services segment. Service industry of which l Quality Excellence
insurance forms a significant constituent forms Quality is a dynamic state associated with products, service,
the backbone of social and economic people processes, and environments that meet or exceed
development of a nation. It has emerged as the customer's expectations. In today's market place quality is the
largest and fastest growing sector in world- creed for winning.
economy, so also in India. Insurance services
are intangible. Managing a service requires
knowledge and understanding of its four
characteristics: intangibility, inseparability,
variability and perishability. For each one
there are important implications for marketing The greatest challenge is how to achieve accelerated
mix and reaching a 'scale' and volume of
and sustainable growth in the backdrop of huge
operations to sustain accelerated and
profitable growth. untapped market potential, intrinsic strength to seek
inclusive growth.
Growth story of insurance industry in India is
inspiring, never mind some hiccups on the
way. The upswing observed in business
growth curve is robust what with impressive
GDP for the economy with sound l Focus on Performance Management: output oriented organization
fundamentals and business optimism
l Innovation: a gateway to growth
unabated. The greatest challenge is how to
achieve accelerated and sustainable growth in In a dynamic business environment, a reinvention exercise is the
the backdrop of huge untapped market only way to avoid demise and obtain eternal organizational life, as
potential, intrinsic strength to seek inclusive practised by most of the top companies in the world.
growth. To sustain this level of performance
l World Class Leadership
and provide a fillip for inclusive growth, it is
High Performance Leadership is at the centre-stage to strive for
imperative to overhaul traditional 5 Ps of
world-class. And trust is the foundation of leadership. Leaders
marketing-mix and master new
who are fiercely ambitious and driven by passion have their
comprehension for services marketing and
ambitions directed towards their company and industry rather
irda journal July 2010
management per-se.
than themselves.
In today's complicated, differentiated
marketplace, success often means tailoring Summation: Concluding observations
service offerings to the price level and Growth dynamics at the emerging market place provide a context
expectation level of new age customers. Great around which leaders and captains of industry do visioning and
companies know how to discern the difference strategizing. What does fundamentally determine growth and profit
and give specific customers exactly what they potential of business? What does a company do to protect its territory
want at the price they can bear. from another firm seeking to dislodge it and from designs of new
27
Major concerns of organizations are with regard to survival, growth, distribution matrix, new business models,
managing business cycles, corporate governance and corporate customer centricity and possibly mergers and
citizenship with varying degree of emphasis. Emerging market acquisitions. The game is changing.
dynamics shape the color and shade of competition. Also a series of
new initiatives unleashed by the regulator will have far reaching Indian insurance industry is a reservoir of great
implications to foster growth and development, apart from inventive talent and resourcefulness. Over the past ten
genius of insurance companies. years since private sector participation, the
industry has been on the move to create new
pace in the emerging market. Yet the path
ahead needs to be pursued head-on with zeal
and passion to earn world-class status. Hyper
Indian insurance industry is a reservoir of great competition is a key feature of the new
talent and resourcefulness. Over the past ten years economy. Customers want it quicker, cheaper
and want it their way. Hyper competition
since private sector participation, the industry has
ensures a fast changing equilibrium where no
been on the move to create new pace in the organization's competitive advantage lasts for
emerging market. long. Early mover advantage has become
transitory with market forces moving at a
galloping speed. And the best open secret is
that insurance industry constituents and
thought leaders are aware of this proposition.
Interesting, isn't it?
The change in the global canvass has changed the way the world As Asia emerges from the global economic
perceives India surging ahead with robust growth propelled by a crisis faster than the rest of the world, it is
booming economy with sound fundamentals. The need of the hour is increasingly clear that the world's centre of
to rethink and revisit strategy - to review business models, processes gravity is shifting from the Atlantic to the
and products and innovate at every stage to gain and sustain Pacific. This could be Asia's hour. And this
advantage over competitors; and to re-engineer human capital and could be India's hour to build a super economy
human resource through inventive HR policies and practices that bestowed by world-class organizations and
empower 'people' and 'organizations'. Briefly put, HR policies that industries. For insurance industry in India, this
are people oriented and 'Put People First'. is destined to be a long drawn journey. And the
best is yet to come.
Organizations ought to have a re-look at their present strengths and
weaknesses in a market that has been on the move, and go back to Source References :
basics. The changes underway that shape market equilibrium are only l 'First break all the Rules' – Coffman
a tip of an iceberg. Soon the insurance market is expected to witness
new equations of supply, demand, distribution matrix and l 'From Good to Great' – Jim Collins
overwhelming might of customers - a total paradigm shift. l 'The New Age of Innovation' – C K Prahalad
irda journal July 2010
And it is time to get into a state of readiness on all fronts to meet new l 'The Future of Competition: Co-creating
challenges and benefit from vast opportunities. The competitive Unique Value with Customers ' –
landscape of the industry has been changing rapidly. Public sector C K Prahalad, V. Ramaswamy
enterprises are back in saddle with all their might and continue to l IRDA Journals
drive market both life and non-life insurance. So also private insurers,
more so life insurers, who are set to garner market share and achieve a
scalability for break-even and operating surplus. The next decade of
free insurance market in India is expected to witness major re- The author is Sr. Consultant, Asia Insurance Post; and
engineering drive on all fronts including product design and pricing,
28
In every service industry, customer is always industry more knowledgeable and demanding.
the king and customer service is the key to the
The role of the customer is also very important as he / she needs to
success. This is also true in the Indian life
know the rights, privileges and obligations of the customer in a much
insurance industry. In other segments, which
better manner so that it can be exercised more effectively.
are non-service in nature or where there is a
'tangible object' available with the customer, In spite of this, certain aspects which the customer needs to keep in
the question of 'service' does not arise largely, mind and attentively look at in terms of pre sales service are
though it cannot be completely ruled out. enumerated below:
However, in segments like hospitality industry
and insurance (both Life and Non life), this
word 'service' attains great importance.
Especially in life insurance industry, this word
'service' has a different connotation depending
upon the stage at which the sale is and can be The pre sale service, though of a different nature
roughly bifurcated into two categories:
is equally important as the post sale service,
a) Pre Sale Service
unlike other service industry.
b) Post Sale Service
The pre sale service, though of a different
nature is equally important as the post sale
service, unlike other service industry. In case
A) Right product offering:
of life insurance, the post sale service is quite
unique and attains more importance due to its In today's scenario where the nature and type of life insurance
long nature / tenure of the product, as it has to products have undergone a sea change and each one having a varied
run throughout the tenure of the policy. This, structure, it has become imperative for the customer to first fully
irda journal July 2010
as we all know, could range anywhere understand the basic features of the product. A proper “FABing
between 3-5 years to life long i.e. 40 -50 years. exercise” (Features, Advantages and Benefits) with the advisor will be
more beneficial to the customer. Customer should also find out what
In today's jet speed technical environment,
advantages do the features in the product provide him and what
where the customer expects things at the click
benefits can be derived from the same to meet his insurance “needs”.
of the button, this aspect of service has gained
The customer must also understand how the product performs on a
higher prominence. Especially with the private
comparative basis with the similar product lines available in the
sector insurance companies opening shop and
industry, in case of an investment product offered.
bringing in latest technology and newer
methods of providing service, this is being What is the insurance requirement? How much insurance do I need?
29
used by the industry as a cutting edge over their Is the advisor recommending the right product to me? How will the
competitors. The Regulator is also playing a product look like in its full term? What are the survival and death
very important role in educating the general benefits and how will the same function and fall due? How would the
public of its rights and obligations which has proposed product stand out? These are certain questions that would
also made today's consumer in insurance hit the mind of the customer. Such an intangible product runs for a
issue focus
long tenure and most of the time the benefits are derived by the family Both these documents, i.e. Copy of need
members and not seen by the person who is actually taking the policy. analysis and CBI would then form a part of the
final policy document and will be sent to the
The Regulator has brought in adequate regulation, which now takes
customer for his record.
care of all these questions, exclusively for the benefit of the customer.
This requires the customer to provide the insurance advisor full The customer is expected to and must go
information on his family background, investments, insurance needs, through the policy document and if the same is
etc., and the output generated, based on the information provided not as per the agreed terms and conditions or as
(called need analysis), from such tools are rightly understood by the explained and understood by the Advisor, the
customer in the right way / manner. customer has the option of canceling the
policy under the Free Look Cancellation (FLC)
i) Need Analysis: With effect from July 1, 2010 this is a very important
option. This can be exercised by the customer
tool available to the customer wherein after answering the questions
within the first 15 days of the receipt of the said
and giving relevant information, the customer along with his advisor
policy document.
can fully understand the insurance needs and decide upon how the
recommended product will help the customer to meet his “need”. This is what should be known by the customer
This then becomes the basis for recommendation of the required in the first leg of the transaction which starts
product. from Pre Sale (sourcing of business) to sales
(conversion of proposal into actual policy).
Once the need analysis is done and the desired insurance need has
been identified, the product which meets the need is suggested / Some of the companies have also started the
recommended and accepted, if found suitable, by the customer. This service of 'Welcome calls', which also helps
need analysis has to be signed, both by the customer and the advisor the companies to verify the details mentioned
confirming the data provided for and accepting recommendation in the proposals and ensure proper selling.
given by the advisor. In case the customer does not wish to provide This has reduced the instances of mis-selling to
the data required then the same has to be noted on the same and a large extent.
signed by the customer. Here the onus is on the customer to provide
iii) Policy Bond The policy bond itself is a very
the correct data which will enable the advisor to identify the need and
important document and must contain all the
then recommend the right product to meet the requirement.
relevant information pertaining to the product
in a simple and lucid language. It is also
preferred, if the full or important pages of the
policy bond are printed in local language, so as
to make it easy for the customer to understand.
This need analysis has to be signed, both by the It is also recommended that technical jargons
used, if any, should be clearly defined /
customer and the advisor confirming the data clarified to make proper sense to the customer.
provided for and accepting recommendation given This policy bond is very important as in many
cases; the usage of the document would arise
by the advisor. when the purchaser of the policy (life assured)
is no more. The policy document is actually the
culmination and receipt of the contract as all
life insurance policies are covered under the
Contract Act. The authority has recently issued
instructions for companies to come out with
smaller versions of the bond, which should
ii) Customised Benefit Illustrator (CBI): Once having decided to go in contain all the necessary information that is
for a particular product, which is based on the outcome of the Need useful to the customer.
irda journal July 2010
cell number on the proposal form, (which is the system and customer service is expected to drastically improve
highly recommended) it can be made use of, further.
for sending out various SMS alerts either giving
information or certain reminders, which are Though this seems to be a long list of things available with the
delivered to the customer at the shortest customer to 'demand' better customer service, there is still a large
possible time. Companies are using this scope for improvement. With the help of better technology and spirit,
facility to be in touch with their customers, the company can work/aim towards the change of 'customer
sending birthday/anniversary greetings, details satisfaction' to 'customer delight', which will be the slogan of the
of the additional requirements, if any to help future in customer service.
faster resolution of the policy, policy delivery
31
CP Udayachandran observes that while there are provisions for protecting the
interests of policyholders in the regulations, there is need for stronger methods of
ensuring their implementation.
The ULIP affair has had an interesting fallout. It has brought out into concerning the manner in which a regulated
focus the issue of protection of policyholders. There were large-scale entity is required to operate in its dealings with
complaints about non-ethical selling and lack of transparency in customers, such as:
policy terms that took centre-stage of the debate. The questions that it l Sales (Point of Sale),
raised also were substantial and significant from the viewpoint of the
insurance consumers. l Documentation (Proposal and Policy
document)
There are two pieces of legislation available to the insurance
consumers for protection of their rights and interests. The first one is l Claims procedure
l Response deadline to certain identified
processes.
Other than the general directions contained, it
only mentions that the Regulator shall initiate
The existing legislation has, beyond any action against insurers for breaches and
reasonable doubt, helped create and sustain faith violations. Notwithstanding the clause [Clause
and confidence among the insurance customers. 11(4)] that the Regulator may initiate action
against the insurer, it leaves one guessing as to
how the regulation proposes to locate
digression/s on the part of insurers and initiate
action.
The compliance and the corrective facets
should go hand in hand with exemplary
the institution of Insurance Ombudsman set up under the Redressal of punitive measures whenever and wherever
irda journal July 2010
Public Grievances Rules 1998; and the other one, the Protection of there is a digression; and especially so, if the
Policyholders' Interests Regulation introduced in 2002 under the digression is patent and deliberate. Without a
IRDA Act 1999. While there is no denying the fact that these two aim definite mechanism to collect or examine the
at legally safeguarding and protecting the policyholder's interests, the cases of service deficiency at a regular interval,
essential question that remains is whether the existing legal would it offer definite clues on the breaches?
provisions are contemporary and adequate enough. How would the Regulator get timely and
The existing legislation has, beyond any reasonable doubt, helped proper feedback on the deficiency and assess
create and sustain faith and confidence among the insurance whether the same is a serious breach and also,
customers. However, curiously, these two pieces of legislation (are if there is a steady pattern to the service-
32
and) remain separate and independent of each other. The deficiency cases and initiate class action to
Policyholders' Interests Regulation contains a legally binding set of address the generic deficiency, if noticed?
rules for regulated entities, and does not offer any remedial measures While so, parallelly, the institution of
for the consumers. These include overarching general principles Insurance Ombudsman is aimed at providing
remedial action to individual customers, but in Maybe what happened in ULIP came out into the open as there was a
respect of personal line insurances, and general uproar on account of a mass of digressions falling in the same
confining to defined areas, like: category and a few Public Interest Litigations, thanks to active
l Any partial or total repudiation of claims by individuals and organisations. But, without a system like what is
an insurer. suggested earlier, how would the Regulator get to know of digressions
by insurers, if the breaches are individual in nature, yet grave in effect?
l Any dispute in regard to premium paid or Maybe, the forum and the Ombudsmen may give fair decisions in
payable in terms of the policy. such cases presented to them and they may award damages and
l Any dispute on the legal construction of the compensations, but is there presently any mechanism for these cases
policies in so far as such disputes relate to
claims.
l Delay in settlement of claims.
l Non-issue of any insurance document to Fair treatment of customers must be central to
customers after receipt of premium.
the way in which the industry members regulate
A reading of the lists would reveal that there are
apparent gaps that need to be filled to make the
themselves and their businesses.
protection of consumers wholesome and
comprehensive. Ideally, both can and need to
be brought under a single umbrella and a
single piece of legislation to address the issues
to be compiled and collected by the Regulator, and examined and
in a holistic and comprehensive manner.
analyzed for breaches in terms of the Regulation? In the absence of it,
Instead of having multivarious channels for how can the Regulator honour the commitment of fairness given
remedies like Ombudsman and consumer under the Regulation, to the insuring public?
forum, the remedial action should be kept
Irrespective of the fact that the legal and regulatory aspects are tough
under a single channel, which should be kept
and stringent, growth of the industry would also depend on how
as an extended arm of regulation. All the cases
quickly its members start internalizing and practicing self-regulation
currently falling under the Consumer Forum
for the benefit of creating confidence and trust on the consumers. Fair
and the Ombudsman can be transferred to the
treatment of customers must be central to the way in which the
new arm. The new position attached to the
industry members regulate themselves and their businesses.
Regulator may continue to be called the
Ombudsman or the Registrar of Complaints The core principle driving regulation of the insurance industry
and shall open an easy channel for conclusion together with the enforcement of insurance laws ought to be
of cases swiftly and act as the repository of protection for consumers. For this, the regulatory system and the
cases offering a steady feedback on the cases monitoring that go hand in hand should be compatible with the
coming up against the insurers. This can be common law and offer a well ordered redressal system. Such a system
analyzed for breach of regulatory mandates alone would ensure that all insurance industry members conduct
and action appropriate initiated. their insurance activities in a fair and equitable manner, while being
legally and financially responsible for errors and/or wrongful actions.
Where the Registrar determines that there has
been a breach of the disclosure rules after an
enquiry suo motu or a complaint lodged by a
irda journal July 2010
K.Nagaraja Rao and Dr Y.Raja Ram write that in spite of all the measures taken, the level
of confidence of the rural customer as regards the private players is still very low; and
add that there is need for arresting this trend forthwith.
A Myth or a Reality?
- Rural Policyholder Protection
Customer retention is the upper-most concern for any industry and whole population. Based on 2001 census, the
insurance is not an exception to this general rule. An informed and a villages contiguous from North West to South
satisfied customer is a brand ambassador for the industry. The East covering approximately 20,000
opening up of insurance industry in the last one decade to private population were identified as a cluster. From
players and the establishment of IRDA are the landmark events in the the data of insured population taken from the
insurance sector towards innovations in designing need-based records of the agents, one out of 500
policies and laying down regulatory obligations towards policyholder policyholders is taken out by simple random
protection. An attempt is made in this article to analyze the existing sampling to ensure that all policyholders in the
population have an equal chance of being
selected. The secondary data is taken from
insurance journals, magazines, insurance
websites and books on insurance.
The intangibility of the product is an added
concern and people in general still prefer to keep Introduction:
insurance as a last priority. Policyholders pay for a future promise that is
redeemable at a later date. The intangibility of
the product is an added concern and people in
general still prefer to keep insurance as a last
priority. The low levels of awareness about
insurance and the regulating body tend to keep
irda journal July 2010
policyholder protection mechanism on the basis of secondary data them investing in government companies and
and the rural realities through primary data collected from 500 policy also in government brand companies. The
holders of two rural districts of Karnataka. regulatory mechanisms relating to
policyholder protection are confined to urban
Methodology for collecting primary data:
environments and there is a need to address
For studying the behavior of the rural customers, a study is made by
rural policyholders in this aspect.
contacting 500 customers of Bangalore rural and Kolar rural districts.
Since almost all private life insurance companies have operations in Limitations:
these two districts, it provided an opportunity to study the customer l The results obtained are based on the
34
preferences. For collecting the responses from the customers, 'Cluster information provided by the customers and
Sampling' technique followed by 'Simple Random Sampling' is agents of life insurance at the time of
adopted by the author to ensure the representation of the data for the survey.
l The area covered is representative and not claimant form (Claim form A) and death certificate. (Source: The
exhaustive. Stream by V.V.S. Rama Sharma).
l As it is not possible to cover the entire For any repudiation of claim, the corporation writes a detailed letter to
population of customers, a cluster sampling the claimant stating therein the reason for repudiating the claim. It is
method of population is adopted to select compulsory for the insurer to provide the address of Claims Review
the clusters; and questionnaires are Committee for appeal in case the claimant prefers an appeal. On
collected from 250 Bangalore rural district receiving the appeal, the Review Committee, consisting of Zonal
and 250 Kolar rural district customers, officials and the retired judges of District Court or High Court once
selected by simple random sampling to again go through the claim papers and review the decisions of the
represent the whole population of these lower office. If the claim is still not payable, the claimant is given the
two rural districts. option to appeal to the Chairman. The repudiations are however very
low. All this ensures trust in the minds of the people.
The existing policyholder protection
mechanisms: In order to solve customer grievances, a grievance redressal
Any life insurance company, or for that matter mechanism is also perfected with the formation of various forums at
any financial institution, cannot think of different levels of operation – starting from the branch office right up
keeping its shop open in the market without to the corporate office. A Citizen's Charter also is in place which
the trust of its customers. Trust is reinforced reiterates its commitments to customers and the standards for general
when the pledges are redeemed. The contract procedures, the standards of policy servicing, the standards for easy
of insurance ordains the insurance company to access to information and standards for fairness in dealing with
settle the maturity claims on the due date and customers. All this goes to instill trust in the general public.
all the death claims within a reasonable time
Some of the private players have developed a robust IT department
frame. A hassle free simple claim process
and generate claim intimation letters in advance. To avoid pitfalls and
mechanism with a provision of simple
loopholes, there is an IT backed initiative of generating policy specific
redressing systems in case of delays instills
claim forms with bar codes to be dispatched to the claimants. This
confidence in the minds of the people.
ensures curbing the unethical practice of not registering claims until
The public sector life insurance behemoth has receiving the requirements at the branch level for avoiding delays.
developed and perfected a robust claim
The other different life insurance companies have similar hassle free
intimation procedure. An auto list of claims
claim settlement procedures suiting to their convenience for building
payable for the entire year is generated at the
and sustaining the trust levels.
beginning of the year itself. At least 3 months in
advance one more auto list with additions and The marketing problems:
deletions is generated at the policy servicing a. In order to understand the pattern of life insurance sales in rural
department for sending auto generated letters. areas, a specific question (question no) is asked to the policy
If requirements do not come forth at least a holders and the results are tabulated and discussed in the
month before the due date, a registered letter is following Table 1.
irda journal July 2010
51.20% of Bangalore rural and 40.40% of Kolar rural customers felt some purpose are mis-utilized for getting
that the agents sold the policies by distorting facts of the policies. new policies.
Though there is a provision in the policy terms and conditions that the
l Presenting a healthy customer before
policyholders can take full refund of the premiums within the cooling
medical examiner in place of the real
period of fifteen days from the date of receipt of the policy bond
customer who has medical history of major
which is also called as free look cancellation, this is rarely done in
diseases to ensure issuing of policy.
rural areas, thanks to low levels of insurance awareness. Most of the
people do not read the terms and conditions in full. Some normal b. Insurance Regulatory and Development
deceptive sales practices are as follows: Authority (IRDA) was established by an act
of Parliament (IRDA Act, 1999) to protect
l Canvassing single premium policies and while presenting the
the interests of the policyholders and bring
proposal, the mode of premium is mentioned as regular.
about speedy and orderly growth of the
Policyholder will generally know the deceptive sale when he
insurance industry in India. People can
receives renewal notice. Since the commission for single
look for justice if the insurance companies
premium is less (only 2%) when compared regular mode (ranging
violate the prescribed norms and rules or
15% to 35%), agents some times resort to this deceptive selling.
commit frauds or commit other
l Canvassing one product and taking signature of the customer for malpractices. A question is asked to all
another product. respondents whether they think that their
investments in life insurance companies
l Forging customer signature in benefit illustrations presented to the
shall be protected by the regulatory body,
companies.
i.e., IRDA. It revealed that 131 out of 250
l Unofficial benefit illustrations with rate of yields showing 18% to respondents constituting 52.4% from
24% which are normally not attainable. Bangalore rural district and 129 out of 250
respondents constituting 51.6% from Kolar
l Canvassing high sum assured for low premiums to attract
rural district do not believe in the efficacy
customers, who in the process, would not know that more
of IRDA in safe guarding their investments.
mortality charges would be deducted for higher sum assureds.
It can be referred from Table 2.
l In Bancassurance, the documents provided by the customers for
It can be assumed that customers in rural areas l Five year lock in period for ULIPs.
still go by brand name before investing. An
analysis of the marketing problem from the
primary data indicate that the insurance
awareness levels are still low and customers by
and large go by brand image and tend to invest The initiatives of the regulatory body are laudable
in government companies. The role of IRDA is from the perspective of the policyholder. They have
still not well appreciated. In this back ground it
certainly minimized the deceptive selling and
is doubtful whether regulatory protections
have their impact on the rural customers.
helped in better yields to the customers.
l The disclosure norms with regard to l A disciplinary mechanism should be introduced in the system to
company profile, which, inter alia seek the check wrong selling of policies and each company has to provide
companies to disclose company financials, the statistics related to free look cancellation of policies related to
shareholding pattern, the management deceptive selling and the action taken report thereon.
37
structure to the IRDA. l The IRDA can think of networking with the systems of insurance
l The disclosure norms with regard to companies and personally supervise the grey areas viz, free looks,
issue focus
claims repudiations, customer complaints and certain other areas is still low and the efficacy of IRDA in
things. guaranteeing the returns is yet to be
appreciated by the majority. The deceptive
l In order to educate the rural customers, a consortium of all selling is still practised and very little has been
insurance companies may be encouraged and the object of the done on this front. The regulations on
consortium would be to educate the customers with pure policyholder protection, though laudable, are
professionalism. still urban-centric in the absence of low
insurance literacy. The IRDA needs to take pro-
l Encourage the companies to print the policy bonds both in English
active steps in insurance education and
and the regional languages for better understanding by the
monitor the grey areas of the insurance
customers. companies with an eagle eye to ensure that the
l The training to agents may be re oriented in rural marketing, rural regulations are not a myth but a reality.
product need analysis, the rural aspirations etc. The consortium of
life insurance companies can think of establishing a Rural
Insurance Academy on the lines of NIA, Pune exclusively for the
training needs of rural agents.
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ekudksa ds nk;js esa vk tk;saA miHkksDrk fgr lEo/kZu
dh n`f"V ls ,sls mik; 'kh?kz gh fd;s tkus visf{kr xzkgd lEcU/k izcU/ku fo"k; nksuksa i{kdkjksa ds fy;s leku
gSaA xzkgd lEcU/k izcU/ku fo"k; nksuksa i{kdkjksa ds :i ls fgrdkjh gSA ,d rjQ] O;kikj lEo/kZu dk
fy;s leku :i ls fgrdkjh gSA ,d rjQ] O;kikj dkjxj mik; gS] nwljh vksj xzkgd fgr laj{k.k ds fy,
lEo/kZu dk dkjxj mik; gS] nwljh vksj xzkgd fgr
laj{k.k ds fy, ltx izgjh gSA miHkksDrk fgr
ltx izgjh gSA
laj{k.k dh n`f"V ls lsok xq.koRrk lEcU/kh v/;;u
irda journal July 2010
ekeys
izLrqr fd;k] ftls chek dEiuh us bl vk/kkj ij fujLr dj fn;k fd
l vk;q dk izek.ku ¼vYio;½ lEcU/kh
vkSj cheknkj nksuksa ds fgrksa dh j{kk djrk gS vkSj Hkfo"; esa chek lafonk esa mudh xokgh vLohdkj dj nh x;hA Qksje us
lEHkkfor fooknksa dk U;wuhdj.k djrk gSA lkFk gh bl fu;e ls foØsrk o fuxe dks nkok Lohdkj djus dk vkns'k fn;kA
Øsrk ds e/; xzkgd lEcU/kksa esa ikjnf'kZrk dk iks"k.k lqfuf'pr gksrk gSA jkT; vk;ksx us Qksje ds fu.kZ; esa dksbZ gLr{ksi ugha
xzkgd lEcU/k izcU/ku ds Øe esa *VªhVhax dLVej Qsvjyh* vo/kkj.kk ds fd;k vkSj fuxe dh vihy dks [kkfjt dj fn;kA
vUrxZr ikjnf'kZrk dks izeq[k vo;o ekuk x;k gSA thou chek esa vk;q dk Hkkjrh; thou chek fuxe cuke Jh jktsUnz flag
izek.ku vfuok;Z gS] ftlds fy, ekud vkSj miekud izek.kdksa dh lwph gSA ¼2005 ;w,Mh 173½
Ldwy }kjk fuxZr tUefrfFk izek.k i= dks ekud izek.kd ekuk x;k gSA
thou chek lafonk ds ckjs esa xzkgd f'k{kk esa ;g vfuok;Z :Ik ls lfEefyr vihy esa ftyk miHkksDrk Qksje gfj}kj ds fu.kZ;
42
fd;k tkuk pkfg, fd xzkgd dks izLrko i= vkSj tUefrfFk izek.kd ds egRo dks pqukSrh nh xbZ ftlesa nkosnkj dh f'kdk;r dks
vkSj nwjxkeh izHkko ls voxr djk fn;k tk,A chek vf/kfu;e 1938] /kkjk 45 Lohdkj djrs gq, Hkkjrh; thou chek fuxe dks
ds vuqlkj chekdrkZ cheki= tkjh djus ds nks o"kZ ckn] vKkuo'k nkos dk Hkqxrku djus dk vkns'k fn;k x;kA Jh
feF;ko.kZu vFkok egRoiw.kZ rF;ksa ds izdV u djus ds vk/kkj ij chek i= ds Qwy flag us thou chek djk;k Fkk] ftudh ckn esa
e`R;q gks x;hA f'kdk;rdrkZ] chfer ds nRrd iq= lko/kkuh cjrs] rc chek lsok esa fooknksa dh la[;k esa mYys[kuh; deh gks
vkSj ukekafdrh us nkok izLrqr fd;kA Hkkjrh; thou ldrh gSA thou chek esa vk;q vkSj LokLF; nks egRoiw.kZ rF; gSaA chek ,tsaV
chek fuxe us nkosnkj ds nRrd iq= gksus dk izek.k ds izeq[k drZO;kas esa lfEefyr gS fd og ;g ns[ks fd chek izLrko fu/kkZfjr
i= ek¡xk tks fd nkosnkj ds ikl ugha FkkA Qksje us vk;q dh vof/k lhek esa fd;k x;k gksA ;gk¡] ;g lq>ko fn;k tk ldrk gS fd
nRrd iq= gksus lEcU/kh rF; dks bl izlax esa vk;q ds izek.ku ds lEcU/k esa cheknkrk dk ;g vf/kdkj lhfer gksuk pkfg,
fujFkZd ekuk vkSj fu.kZ; fn;k fd nkosnkj dk fd og tUefrfFk izek.kd dks dc rd pqukSrh ns ldrk gSA chek vf/kfu;e
ukekafdrh gksuk i;kZIr gSA lkFk gh] ukekafdrh dksbZ
Hkh O;fDr gks ldrk gSA nkok fujkd`r djrs le;
cheknkrk dh nwljh vkifRr Fkh fd chfer us izLrko
ds le; izLrko i= esa viuh vk;q 64 o"kZ fy[kh
tcfd mldh vk;q 73 o"kZ Fkh vkSj bl vk;q esa vxj cheknkj us izLrko i= esa dksbZ feF;k o.kZu fd;k gS]
mldk chek ugha gks ldrk FkkA fuxe us Qwy flag rc chek dEiuh vius nkf;Ro ls eqDr gks tkrh gS vkSj
dh vk;q ds izek.ku ds fy, oksVj fyLV izLrqr dhA tek izhfe;e dh jkf'k Hkh tCr dj ysrh gSA
nkosnkj us chfer ds vk;q izek.ku ds fy, iapk;r
}kjk fuxZr ifjokj jftLVj dh izfof"V izLrqr dhA
cheknkrk }kjk Jh fot;iky flag dks vk;q ds fo"k; dh /kkjk 45 ds vUrxZr fufoZokfnrk [k.M esa lfEefyr fd;k tkuk pkfg, fd
esa xokg cuk;k x;kA Qksje us vk;q izek.ku ds fy, chek dEiuh ,d le; vof/k ds ckn tUefrfFk izek.kd dks pqukSrh ugha ns
oksVj fyLV dks Lohdkj ugha fd;kA iapk;r }kjk ldsxhA izdj.k esa izLrkod dh vk;q 63 o"kZ gSA fookn esa mldh vk;q 73 o"kZ
fuxZr ifjokj jftLVj dh izfof"V dks vk;q dk gksuk crk;k x;kA vk;q esa ukS o"kZ ds vUrj dks] laHkor% ,tsaV }kjk vklkuh ls
i;kZIr lcwr ekuk x;kA lEifRr lEcU/kh eqdneksa idM+k tk ldrk FkkA thou chek O;olk; esa ;g mYys[kuh; gS fd ,tsaV
ds dkj.k xokg] fot; iky flag dh nkosnkj ls vius fj'rsnkjksa ds e/; chek mRiknksa dk foi.ku djrs gSaA ,slh fLFkfr esa
nq'euh FkhA blfy, fot;iky flag dh xokgh vius fudV lEcU/kh ds izfr mudh vfrfjDr mnkjrk chek lafonk esa fookn
Lohdkj ugha dh x;hA ds tUe dks izsfjr dj ldrh gSA 'kk[kk dk;kZy; esa izLrko i= ds fujh{k.k ds
lEcU/k esa Li"V fu;e gS fd ogk¡ tUefrfFk dh tk¡p dh tkrh gSA 19 o"kZ ls
jkT; vk;skx esa ekeys dh lquokbZ gqbZ vkSj lk{;ksa
de rFkk 50 o"kZ ls vf/kd vk;q ds izLrkoksa dh vk;q ds lEcU/k esa izLrqr
dk ijh{k.k gqvkA jkT; vk;ksx us Qksje ds fu.kZ;
izek.k i=ksa dh fo'ks"k lko/kkuh ls tk¡p dh tkrh gSA bl izdkj izLrko ds
dks nqjLr ik;k vkSj fuxe dh vihy dks [kkfjt
le; chek vfHkdrkZ dh FkksM+h lko/kkuh vkSj chek dEiuh dh FkksM+h ltxrk
dj fn;kA vk;q izek.ku ds fy, iapk;r ds ifjokj
chek lsok esa gksus okys fooknksa dh la[;k de djus esa cgqr lgk;d gks ldrh gSA
jftLVj dks mi;qDr ekuk] oksVj fyLV dks vk;q
izek.ku ds fy, mi;qDr ugha ekukA fufoZokfnrk [k.M lEcU/kh
miHkksDrk laj{k.k vf/kfu;e] 1986] /kkjk 2¼th½] ¼0½ ds vUrxZr lsok esa
foe'kZ
U;wurk ds fy,] Hkkjrh; thou chek fuxe }kjk chek nkok fujkd``r fd;s
chek lafonk esa ije ln~Hkko dk fl)kUr ykxw gksrk
tkus vkSj Qksje ls jkgr u feyus ij] Qksje ds fu.kZ; ds fo:) vihy dh
gS] ftldk izHkko ;g gksrk gS fd vxj dksbZ i{kdkj
x;hA fuxe us cheknkj }kjk lafonk ls lEcfU/kr egRoiw.kZ rF;ksa dks
lafonk ls lEcfU/kr egRoiw.kZ rF; dks ugha crkrk
tku&cw>dj fNikus ds dkj.k nkok [kkfjt fd;kA lk{;ksa ds vk/kkj ij
gS] xyr crkrk gS] vFkok fNikrk gS] rc lafonk
irda journal July 2010
Qksje us fuxe }kjk nkok fujkd`r fd;k tkuk mfpr Bgjk;k vkSj lsok esa
O;FkZ gks tkrh gSA bl fu;e ds vk/kkj ij chek
U;wurk ugha ekuh xbZA jkT; vk;ksx us Hkh Qksje ds fu.kZ; dk leFkZu fd;k
dEiuh dk ;g vf/kdkj lnSo lqjf{kr jgrk gS fd
vkSj nkosnkj dh vihy [kkfjt dj nhA
vxj cheknkj us izLrko i= esa dksbZ feF;k o.kZu
fd;k gS] rc chek dEiuh vius nkf;Ro ls eqDr gks chek vf/kfu;e] 1938] /kkjk 45 ds vuqlkj tc vfHkys[k ls iw.kZr% fl) gks
tkrh gS vkSj tek izhfe;e dh jkf'k Hkh tCr dj tk;s fd chek djkrs le; /kks[ks ls chekfj;ksa ds rF;ksa dks tku&cw>dj
ysrh gSA ije ln~Hkko ds fl)kUr ds dkj.k thou fNik;k x;k] rc nks lky dh vof/k chr tkus ds Ik'pkr~ Hkh ikWfylh dks
chek esa ,slh fLFkfr vk tkrh gS fd cheknkj yEcs pqukSrh nh tk ldrh gSA Jherh yfyrk peksyh cuke Hkkjrh; thou chek
43
le; rd izhfe;e dk Hkqxrku djrk jgrk gS vkSj fuxe ¼2006 ;w,Mh 854½
nkos ds le; fookn mRiUu gks tkrk gSA thou chek
esa fooknksa ij n`f"V Mkyus ls ,d ladsr feyrk gS f'kdk;rdrkZ us miHkksDrk laj{k.k vf/kfu;e 1986 dh /kkjk 15 ds vUrxZr
fd vxj thou chek djrs le; ,tsaV FkksM+h ftyk miHkksDrk Qksje ds fu.kZ; ds fo:) vihy dh ftlesa nkosnkj dks
J«mhH {hV
chek jkf'k dk Hkqxrku djkus dh izkFkZuk vLohdkj dj nh xbZA fookn bl Hkkjrh; thou chek fuxe ,oa vU; cuke Jherh
fo"k; ij Fkk fd e/kqesg jksx gksus dh ckr u crkuk nkok fujkd`r djus ds 'kf'kckyk( ¼IV½ lhihts 91 ¼,ulh½ ekeys esa fuxe
fy, Ik;kZIr dkj.k gS vFkok ughaA ikWfylh ysrs le; izLrko i= esa cheknkj us bl vk/kkj ij nkok fujkd`r fd;k fd ikWfylh
us e/kqesg u gksus dk Li"V mYys[k fd;kA chek dEiuh }kjk miyC/k djk;s ysrs le; izLrkod us e/kqesg ls ihfM+r gksus dh ckr
x;s] fnoaxr ds fpfdRlk vfHkys[k ls fl) gksrk gS fd og chek djkus ls fNik;hA chfer dh e`R;q ân;k?kkr ls gqbZA jk"Vªh;
rhu lky igys ls e/kqesg jksxh jgk FkkA ihthvkbZ p.Mhx<+ ds fpfdRld] vk;ksx us ekuk fd MkbZfcVht+ eSyhVl vkSj
,lksfl,V izksQslj us HkrhZ djrs le; fy[kh x;h dsl fgLVªh esa Li"V fy[kk ân;k?kkr ijLij vR;f/kd vkfJr jksx gSaA e/kqesg
fd og fiNys ik¡p o"kkZsa ls e/kqesg jksxh gS vkSj rhu o"kZ iwoZ risfnd dh jksx gksus lEcU/kh rF;ksa dks izdV u djuk] lafonk esa
fpfdRlk Hkh ys pqdk gSA ckn esa ijh{k.k mijkUr mls ân; vkSj xqnkZ jksx Hkh egRoiw.kZ rF;ksa dk fNiko ekuk x;kA jk"Vªh; v;ksx
ik;s x;sA e`R;q izek.k i= esa mYys[k fd;k x;k Fkk fd chfer dk nsgkUr us jkT; vk;ksx ds nkok Hkqxrku djus ds fu.kZ; dks
ân; vkSj 'olu lEcU/kh dfBukbZ ls gqvk vkSj mls rhoz xqnkZ jksx Hkh FkkA iyV fn;k vkSj fuxe dh vihy Lohdkj dhA
chek dEiuh us cheknkj ds esfMdy vodk'k ij jgus dk fooj.k miyC/k Hkkjrh; thou chek fuxe cuke eUlk nsoh ( f}rh;
djk;k] ftlds vuqlkj og chek djkus ls rhu o"kZ iwoZ dh vof/k esa ik¡p ckj ¼2003½ lhihts 135 ¼,ulh½ ekeys esa cheknkj dh
,d lIrkg ls vf/kd jksxh izek.k i= ds vk/kkj ij NqV~Vh ij jgkA izLrko nks o"kZ ckn e`R;q gks x;hA chek dEiuh us bl vk/kkj
i= esa iz'u Fkk fd fiNys ik¡p o"kkZsa esa vkius fdlh jksx dh fpfdRlk ds ij nkok fujkd`r fd;k fd chfer us tku&cw>dj
lEcU/k esa ,d lIrkg ls vf/kd ds fy, fdlh MkWDVj ls ijke'kZ fy;k gSA /kks[kk nsus ds mn~ns'; ls MkbZfcVht+ eSyhVl gksus
bl iz'u ds mRrj esa chfer us *ugha* fy[kkA e/kqesg jksx vkSj fpfdRlk vkSj rRlEcU/kh mipkj bfrgkl o`Rr dks fNik;kA
bfrgkl dks fNikuk] lafonk ls lEcfU/kr egRoiw.kZ rF;ksa dks tku&cw>dj og vkB o"kZ ls e/kqesg dh fpfdRlk djk jgk FkkA
fNikuk ekuk x;k D;kasfd budh tkudkjh ls chek dEiuh dk fu.kZ; izHkkfor dk¡Vk pqHkus ds dkj.k iSj dkVuk iM+k vkSj xqnsZ Qsy
gksus ds dkj.k e`R;q gqbZA ekeys esa egRoiw.kZ rF;ksa
dk Nqiko ekuk x;kA fuxe }kjk nkok fujkd`r
djuk mfpr Bgjk;k x;kA jkT; vk;ksx ds vihy
lHkh chek vuqcU/k ije ln~Hkko ds fl)kUr ij vk/kkfjr Lohdkj djus ds fu.kZ; dks fujLr dj ftyk Qksje
gksrs gSaA ds fu.kZ; dh iqf"V dh x;h] ftlesa nkosnkj dh vthZ
[kkfjt dh xbZ FkhA ekeys ds rF;ksa vkSj iwoZ fuf.kZr
oknksa ds vkyksd esa nkok fujkd`r fd;k tkuk] chek
lsok esa U;wurk ugha ekuh x;h vkSj ftyk Qksje }kjk
f'kdk;r dks [kkfjt djuk mfpr ekuk x;kA vr%
gks ldrk FkkA Qksje dk ;g fu"d"kZ nqjLr ekuk x;k fd izLrkod us vihy [kkfjt dj nh x;hA ¼2006 ;w,Mh 854½
tku&cw>dj /kks[kk nsus ds mn~ns'; ls feF;k o.kZu djds egRoiw.kZ rF;ksa dks
foe'kZ
fNik;kA chek dEiuh us *fl) djus ds Hkkj dks* c[kwch vatke fn;kA
chek vf/kfu;e] 1938 dh /kkjk 45 ds vuqlkj
vihydrkZ ds vf/koDrk dk rdZ Fkk fd chek vf/kfu;e dh 1938 dh /kkjk 45 chekdrkZ dks ;g 'krZ tksM+uh iM+rh gS fd cheki=
ds vuqlkj chek lafonk ds nks o"kZ ckn ikWfylh fufoZokn gks tkrh gS vkSj tkjh djus ds nks o"kZ ckn vKkuo'k feF;ko.kZu
cheknkrk feF;ko.kZu ds vk/kkj ij ikWfylh ds fo"k; esa fookn ugha dj vFkok egRoiw.kZ rF;ksa ds izdV u djus ds dkj.k
irda journal July 2010
ldrk] fdUrq bl /kkjk esa Li"V gS fd vKkurko'k fd;s x;s feF;ko.kZu dh cheki= ds lEcU/k esa dksbZ okn izLrqr ugha fd;k tk
n'kk esa nks o"kZ ckn ikWfylh fufoZokn gks tk,xh vkSj tku&cw>dj /kks[kk nsus ldrk gSA diV }kjk rF;ksa dks fNikus ij chek
ds mn~ns'; ls fd;s x;s nqO;Zins'ku vFkok fNiko dh n'kk esa ikWfylh vof/k ds nkSjku lafonk dHkh Hkh jn~n fd;k tk
fufoZokn ugha gksxhA vr% diV dh n'kk esa chek dEiuh dk fookn djus dk ldrk gSA lHkh chek vuqcU/k ije ln~Hkko ds
vf/kdkj lnSo lqjf{kr jgsxkA fuxe us cheknkj }kjk fd;s x;s diV dks fl)kUr ij vk/kkfjr gksrs gSaA *iw.kZ izdVu dk
izek.kksa }kjk fl) Hkh dj fn;k fd chek djkrs le; tku&cw>dj e/kqesg fu;e* nksuksa i{kdkjksa ij ykxw gksrk gS] fdUrq fQj
vkSj fpfdRlk bfrgkl dks fNik;k x;kA e/kqesg ds dkj.k gh chfer dks Hkh nks dkj.kksa ls chfer dk nkf;Ro izeq[k ekuk
ân;] 'olu vkSj xqnkZ lEcU/kh jksx Hkh gq, vkSj e`R;q Hkh gqbZA fpfdRlk tkrk gS & izFke] chfer dks chek fo"k;&oLrq ds ckjs
44
lkfgR; esa LFkkfir rF; gS fd e/kqesg ds dkj.k 'kjhj ds izeq[k thouh vo;o esa vf/kd tkudkjh gksrh gS( f}rh;] chekdrkZ rks
jksxxzLr gks tkrs gSaA vr% fNik;h x;h chekjh dk e`R;q dk dkj.k cuuk fl) tksf[ke mBkus okyk i{kdkj gksrk gSA thou chek
gksrk gSA dEiuh vuqcU/k ds le; izLrkod ds fiNys ik¡p
lky dk fpfdRlk bfrgkl iwNrh gSA bl vof/k dks Qksje ds fu.kZ; dh iqf"V dj nh] ftlesa C;kt lfgr nq?kZVuk fgrykHk
nks vFkok rhu o"kZ rd lhfer fd;k tkuk pkfg,A Hkqxrku djus dk vkns'k FkkA Hkkjrh; thou chek fuxe cuke Jherh ehuk
ik¡p o"kZ dh vof/k bruh yEch gS fd lk/kkj.kr;k iUr ¼2005 ;w,Mh 768½
fdlh O;fDr dh Le`fr ifjf/k esa lekfo"V u gks
ik;sA nwljh vksj] blls chek dEiuh dk vf/kdkj ftyk miHkksDrk Qksje mRrjdk'kh ds fu.kZ; ds fo:) jkT; vk;ksx esa vihy
vf/kd foLr`r gks tkrk gSA rhljh ckr ;g gS fd dh x;hA Qksje esa nkosnkj us f'kdk;r dh] fd mlds ifr 'kkjhfjd o
yEch vof/k xzkgd dks feF;ko.kZu ds fy, izsfjr ekufld :i ls LoLFk O;fDr Fks vkSj mUgksaus vkRegR;k ugha dh] mudh e`R;q
djrh gSA vis{kkd`r de vof/k ds lVhd fooj.k nq?kZVuk ds dkj.k gqbZ] blfy, nkosnkj dks nksgjk nq?kZVuk fgrykHk feyuk
dh izLrkod ls vis{kk dh tk ldrh gSA
vk/kkj ij nq?kZVuk fgrykHk nsus ls budkj dj nq?kZVuk fgrykHk lqfo/kk dk lgh vFkZ ekywe ugha FkkA izdj.k esa nkosnkj dks
fn;kA cheknkj dk ikxy gksuk vkSj vkRegR;k bl lqfo/kk dk vFkZ ekywe FkkA blfy, mUgksaus chek dEiuh ds fo:)
djuk fl) ugha gqvkA nkosnkj dks nq?kZVuk fgrykHk f'kdk;r ntZ dh vkSj mipkj Hkh gkfly fd;k] vU;Fkk og lk/kkj.k ,dy
dk gdnkj ?kksf"kr fd;k x;kA jkT; vk;skx us chek jkf'k ysdj larq"V gks tkrsA losZ{k.k esa ;g Hkh ekywe gqvk fd xzkgd dbZ
J«mhH {hV
ckj nq?kZVuk fgrykHk dk cgqr HkzkfUriw.kZ vkSj xyr vFkZ dj ysrs gSaA dqN vfHkys[k esa ,slk dksbZ lk{; ugha Fkk] ftlls
xzkgdksa us nq?kZVuk fgrykHk ls viuk vk'k; O;Dr fd;k fd nq?kZVuk ls e`R;q fuf'pr gksrk gks fd e`R;q dk dkj.k vfrlkj FkkA
dh n'kk esa chek dEiuh dqN Hkh Hkqxrku ugha djsxh] tcfd lgh vFkZ ;g gS cheknkj ds mipkj djkus] vLirky esa HkrhZ jgus
fd lk/kkj.kr;k e`R;q gksus ij chek dEiuh lk/kkj.k ,dy jkf'k dk Hkqxrku vFkok fu;ksDrk ls dksbZ fpfdRlk O;; ysus dk
djsxh vkSj nq?kZVuk ls e`R;q gksus ij nksxquh chek jkf'k dk Hkqxrku fd;k izek.k miyC/k ugha FkkA jkT; vk;ksx us Qksje ds
tk;sxkA vr% ;g vuq'kalk dh tk ldrh gS fd chek esa xzkgd f'k{kk dh fu.kZ; ls lgefr O;Dr dhA vk;ksx ds laKku esa
fo"k;oLrq esa ikWfylh lEcU/kh 'krksZa ds vUrxZr nksgjk nq?kZVuk fgrykHk dks ;g Hkh yk;k x;k fd tYnh&tYnh yxkrkj ik¡p
vfuok;Z :i ls lfEefyr fd;k tk;A ikWfyfl;k¡ ysuk lansg dks LFkku nsrk gSA izhfe;e dk
Hkqxrku fu;ksDrk ds ek/;e ls gksrk FkkA vr%
^iw.kZ izdVu fu;e* lEcU/kh cheknkj dHkh fMQkWYVj ugha jgk vkSj ;g dguk fd
miHkksDrk laj{k.k vf/kfu;e] 1986] /kkjk 15 ds vUrxZr Hkkjrh; thou chek chek mldh {kerk ls vf/kd Fkk] ;g mfpr ugha gSA
fuxe us jkT; vk;ksx ds lEeq[k vihy dh ftlesa ftyk miHkksDrk Qksje ds ,d gh ,ts.V] ,d gh 'kk[kk dk;kZy; vkSj ,d gh
fu.kZ; dks pqukSrh nh x;hA Qksje us chfer thou dh ik¡p ikWfyfl;ksa dh dqy chek dEiuh }kjk vYi vof/k esa fcuk fdlh
/kujkf'k :i;s 3]55]000 nkosnkj dks Hkqxrku djus dk vkns'k fn;kA fuxe us iwNrkN vFkok LokLF; ijh{k.k ds yxkrkj
bl vk/kkj ij chek nkok fujkd`r fd;k fd chek/kkjd us izLrko i= esa vius ikWfyfl;k¡ csph xb±A vr% ,slh fLFkfr esa ckn esa chek
th.kZ jDr vfrlkj jksx dk mYys[k ugha fd;kA vk;ksx us ekuk fd vfrlkj dEiuh dk ;g iz'u djuk fd izLrkod jksxxzLr
,slk jksx ugha gS] ftlesa lkekUr;k jksxh dh e`R;q gksrh gks] lkFk gh vfHkys[k Fkk] mfpr ugha gSA
esa ,slk dksbZ lk{; ugha gS fd chfer dh e`R;q dk dkj.k vfrlkj jgk gksA
Qksje ds fu.kZ; dks mfpr Bgjkrs gq, vihy [kkfjt dh xbZA Hkkjrh; thou foe'kZ
chek fuxe cuke Jherh es?korh ¼2005 ;w,Mh 81½ thou chek esa tksf[ke dk p;u djrs le; izLrko
esa fufgr HkkSfrd vkSj uSfrd nksuksa izdkj ds ladVksa
dk ewY;kadu fd;k tkrk gS] ;|fi thou chek esa
uSfrd ladV rqyukRed :Ik ls de gksrk gS] rFkkfi
thou chek esa tksf[ke dk p;u djrs le; izLrko esa pkj voljksa ij thou chek esa uSfrd ladV dh
fufgr HkkSfrd vkSj uSfrd nksuksa izdkj ds ladVksa dk lEHkkouk jgrh gS& vf/kd jkf'k dk thou chek(
vf/kd vk;q esa thou chek( nwljs O;fDr dk thou
ewY;kadu fd;k tkrk gS] chek( efgyk chekA uSfrd ladV ds ijh{k.k esa chek
,ts.V vkSj chek dk;kZy; dh Hkwfedk vge~ gSA ubZ
ikWfylh djrs le; izLrkod dh iqjkuh ikWfyfl;ksa
dk lanHkZ fy;k tkrk gSA ;gk¡ ,ts.V vkSj chek
dEiuh nksuksa dks ;g ns[k ysuk pkfg, fd bl
ftyk miHkksDrk Qksje us f'kdk;rdrkZ ds vkosnu dks Lohdkj djrs gq, ikWfylh ds ckn /kkjd ds thou esa dqy chek jkf'k
Hkkjrh; thou chek fuxe dks chek jkf'k ds Hkqxrku dk vkns'k fn;kA fuxe fdruh gks tk,xh vkSj ;g mldh foRrh; fLFkfr
}kjk jkT; vk;ksx esa Qksje ds vkns'k dks pqukSrh nh x;hA Jh ekaxsjke us nks vkSj {kerk ds vuq:Ik gS vFkok ughaA izLrko ds
o"kZ dh vof/k esa fofo/k frfFk;ksa ij fuxe ls ik¡p ikWfyfl;k¡ yh] ftuesa dqy le; gh cheknkrk }kjk HkkSfrd vkSj uSfrd ladVksa
chek jkf'k :i;s 3]55]000 FkhA nkosnkj dh iRuh us chek nkok izLrqr fd;k]
irda journal July 2010
Premium underwritten by non-life insurers Note: 1. Total for 2009-10 is for 12 month period.
upto May, 2010 2. Total for 2010-11 is upto May, 2010.
irda journal July 2010
40000
35000
30000
Premium (Rs. In Crores)
25000
20000
15000
10000
47
5000
0
April May Total
Month 2009-10
* Excluding ECGC, AIC & Standalone Health Insurers 2010-11
round up
BUSINESS FIGURES:
Medical Insurance 2377.18 2377.18 57470 57470 -65.77 -65.77 2488167.00 2488167.00
Previous year 2442.95 2442.95 139509 139509 475.65 475.65 3060993.00 3060993.00
Overseas Medical Insurance 669.27 669.27 55717 55717 225.16 225.16 70541.00 70541.00
Previous year 444.11 444.11 37961 37961 -406.81 -406.81 11180.00 11180.00
Health (Total) 3046.45 3046.45 113187 113187 159.39 159.39 2558708.00 2558708.00
Previous year (Total) 2887.06 2887.06 177470 177470 68.84 68.84 3072173.00 3072173.00
Crop Insurance 0 0.00 0 0 0.00 0.00 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Credit Guarantee 128.70 128.70 20 20 87.77 87.77 297763.00 297763.00
Previous year 40.94 40.94 36 36 9.52 9.52 510422.00 510422.00
50
All Other Miscellaneous 2362.75 2362.75 32925 32925 296.38 296.38 46502824.00 46502824.00
Previous year 2066.37 2066.37 48546 48546 4.64 4.64 43097392.00 43097392.00
Grand Total 26525.92 26525.92 533276 533276 3301.05 3301.05 136143806.00 136143806.00
Previous year (Total) 23224.87 23224.87 579438 579438 -4388.98 -4388.98 99532540.00 99532540.00
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
207.95 207.95 3858 3858 0.00 0.00 0.00 0.00
225.00 225.00 2594 2594 0.00 0.00 0.00 0.00
43.83 43.83 768 768 0.00 0.00 0.00 0.00
50.00 50.00 355 355 0.00 0.00 0.00 0.00
BUSINESS FIGURES:
Medical Insurance 679.88 679.88 807 807 679.88 679.88 4069.30 4069.30
Previous year 80.03 80.03 271 271 80.03 80.03 1096.98 1096.98
Overseas Medical Insurance 0.00 0.00
Previous year
Health (Total) 679.88 679.88 807 807 679.88 679.88 4069.30 4069.30
Previous year (Total) 80.03 80.03 271 271 80.03 80.03 1096.98 1096.98
Crop Insurance 0.00 0.00
Previous year
Credit Guarantee 0.00 0.00
Previous year
52
All Other Miscellaneous 24.12 24.12 326 326 24.12 24.12 54023.57 54023.57
Previous year 17.14 17.14 191 191 17.14 17.14 92930.60 92930.60
Grand Total 5265.80 5265.80 30585 30585 5265.80 5265.80 6033095.78 6033095.78
Previous year (Total) 1592.84 1592.84 7034 7034 1592.84 1592.84 1687497.54 1687497.54
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0.08 0.08 1 1
11.64 11.64
0.40 0.40 9 9
BUSINESS FIGURES:
Medical Insurance 1,736.95 1,736.95 2,207 2,207 (1,407.35) (1,407.35) 73,063 73,063
Previous year 3,144.30 3,144.30 1,986 1,986 19.11 19.11 106,554 106,554
Overseas Medical Insurance - - - - - - - -
Previous year - - - - - - - -
Health (Total) 1,736.95 1,736.95 2,207 2,207 (1,407.35) (1,407.35) 73,063 73,063
Previous year (Total) 3,144.30 3,144.30 1,986 1,986 19.11 19.11 106,554 106,554
Crop Insurance - - - - - - - -
Previous year - - - - - - - -
Credit Guarantee - - - - - - - -
Previous year - - - - - - - -
54
All Other Miscellaneous 276.52 276.52 12,057 12,057 (435.34) (435.34) 641,352 641,352
Previous year 711.86 711.86 6,394 6,394 114.47 114.47 554,501 554,501
Grand Total 9,158.73 9,158.73 79,901 79,901 (1,312.28) (1,312.28) 7,934,388 7,934,388
Previous year (Total) 10,471.01 10,471.01 53,812 53,812 966.91 966.91 7,884,460 7,884,460
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
- - -
0.21 0.21 1 1 459.40 459.40 - -
- - - - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - -
- - 54.92 54.92 - -
162.99 162.99 2407 2407 - - - -
129.79 129.79 1917 1917 - - - -
- - - - - -
- - - - - -
162.99 162.99 2407 2407 - - - -
129.79 129.79 1917 1917 - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - - - irda journal July 2010
782.97 782.97 - 547,470 547,470
129.00 129.00 1 1 - -
- - - - - -
- - - - - -
782.97 782.97 - - 547,470 547,470 - -
129.00 129.00 1 1 - - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
55
- - -
0.40 0.40 2 2 169.96 169.96 - -
945.97 945.97 2,407 2,407 - - 547,470 547,470 - -
259.40 259.40 1,921 1,921 684.28 684.28 - - - -
non-life insurance
Name of the Insurer: Future General India Insurance Co. Ltd.
BUSINESS FIGURES:
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
109.90 109.90 130 130
5.62 5.62 39 39
60.07 60.07 120 120
11.31 11.31 86 86
23.03 23.03 24 24
0.55 0.55 7 7
120.58 120.58 4067 4067
51.68 51.68 -
112.09 112.09 2783 2783
172.26 172.26 4067 4067 0.00 0.00 0 0
112.09 112.09 2783 2783 0.00 0.00 0 0
5.27 5.27 22 22
1.94 1.94 15 15
BUSINESS FIGURES:
Medical Insurance 4,254.39 4,254.39 20,330 20,330 2,132.65 2,132.65 106,471 106,471
Previous year 2,121.74 2,121.74 399 399 2,094.78 2,094.78 100,038 100,038
Overseas Medical Insurance 69.86 69.86 531 531 16.56 16.56 811,251 811,251
Previous year 53.30 53.30 299 299 (17.34) (17.34) 795,825 795,825
Health (Total) 4,324.25 4,324.25 20,861 20,861 2,149.21 2,149.21 917,723 917,723
Previous year (Total) 2,175.04 2,175.04 698 698 2,077.44 2,077.44 895,863 895,863
Crop Insurance - - - -
Previous year - - - - - - - -
Credit Guarantee - - - -
Previous year - - - - - - - -
58
All Other Miscellaneous 50.89 50.89 994 994 (767.91) (767.91) 20,412 20,412
Previous year 818.80 818.80 623 623 754.70 754.70 1,061,268 1,061,268
Grand Total 16,045.37 16,045.37 110,647 110,647 7,103.93 7,103.93 26,183,406 26,183,406
Previous year (Total) 8,941.44 8,941.44 29,382 29,382 7,480.10 7,480.10 8,991,559 8,991,559
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
364.25 364.25 129 129 -
- - - - - - - -
42.23 42.23 11 11 -
- - - - - - - -
- - - - - -
- - - - - - - -
42.23 42.23 11 11 - - - - - -
- - - - - - - - - -
- - - - -
- - - - - - - -
28.30 28.30 26 26 -
- - - - - - - -
123.50 123.50 2,056 2,056 -
88.37 88.37 2,697 2,697 - - - -
85.09 85.09 4,395 4,395 -
- - - - - - - -
208.59 208.59 4,395 4,395 - - - - - -
88.37 88.37 2,697 2,697 - - - - - -
3.94 3.94 2 2 -
- - - - - - - -
- - - - -
- - - - - - - -
- - - - -
- - - - - - - -
8.13 8.13 2 2 -
- - - - - - - -
12.06 12.06 4 4 - - - - - -
- - - - - - - - - -
32.73 32.73 2,283 2,283 - -
- - - - - - - - irda journal July 2010
1,110.71 1,110.71 388 388 4.78 4.78 5,262 5,262 119,533 119,533
- - - - - - - - 94,723 94,723
0.87 0.87 20 20 - 7,697 7,697
- - - - - - - - 6,735 6,735
1,111.58 1,111.58 408 408 4.78 4.78 5,262 5,262 127,230 127,230
- - - - - - - - 101,458 101,458
- - - - -
- - - - - - - -
- - - - -
- - - - - - - -
59
BUSINESS FIGURES:
Medical Insurance 16,217.53 16,217.53 22,519 22,519 6,772.81 6,772.81 1,277,642 1,277,642
Previous year 9,444.72 9,444.72 29,906 29,906 (9,332.68) (9,332.68) 741,675 741,675
Overseas Medical Insurance 531.58 531.58 40,377 40,377 55.28 55.28 895,691 895,691
Previous year 476.31 476.31 24,893 24,893 (9.40) (9.40) 1,027,533.91 1,027,534
Health (Total) 16749.11 16749.11 62896 62896 6828.08 6828.08 2173333.16 2173333.16
Previous year (Total) 9921.03 9921.03 54799 54799 -9342.08 -9342.08 1769208.73 1769208.73
Crop Insurance - 0.00 - - - 0.00 - -
Previous year 0.00 0.00 - - 0.00 0.00 - -
Credit Guarantee 275.88 275.88 5 5 44.93 44.93 4,368 4,368
Previous year 230.95 230.95 6 6 (9.60) (9.60) 2,369 2,369
60
All Other Miscellaneous 1,660.71 1,660.71 11,278 11,278 555.80 555.80 1,290,379 1,290,379
Previous year 1,104.91 1,104.91 7,521 7,521 (702.86) (702.86) 1,325,221 1,325,221
Grand Total 48795.94 48795.94 357563 357563 6329.72 6329.72 41572092.18 41572092.18
Previous year (Total) 42466.22 42466.22 326074 326074 -11861.71 -11861.71 33046176.93 33046176.93
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
- 0.00 - - - 0.00 - -
3.69 3.69 3 3 0.00 0.00 - -
- 0.00 - - - 0.00 - -
0.00 0.00 - - 0.00 0.00 - -
- 0.00 - - - 0.00 - -
0.00 0.00 - - 0.00 0.00 - -
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
- 0.00 - - - 0.00 - -
0.00 0.00 - - 0.00 0.00 - -
2.61 2.61 17 17 - 0.00 - -
6.12 6.12 43 43 0.00 0.00 - -
863.89 863.89 - - - 0.00 - -
655.87 655.87 14,720 14,720 0.00 0.00 - -
575.01 575.01 27,843 27,843 - 0.00 - -
486.81 486.81 19,334 19,334 0.00 0.00 - -
1438.90 1438.90 27843 27843 0.00 0.00 0 0 0 0
1142.69 1142.69 19334 19334 0.00 0.00 0 0 0 0
4 4 86 86 - - - -
149 149 132 132 - - - -
3906.44 3906.44 29297 29297 0.00 0.00 0 0 2819078 2819078
4080.84 4080.84 21661 21661 31.52 31.52 25971 25971 1370544 1370544
non-life insurance
Name of the Insurer: Iffco Tokio General Insurance Co Ltd
BUSINESS FIGURES:
Medical Insurance 1180.70 1180.70 2246 2246 1180.70 1180.70 49821.47 49821.47
Previous year 1443.52 1443.52 3144 3144 1443.52 1443.52 60911.60 60911.60
Overseas Medical Insurance 19.18 19.18 1573 1573 19.18 19.18 3190.87 3190.87
Previous year 23.93 23.93 1559 1559 23.93 23.93 4384.21 4384.21
Health (Total) 1199.88 1199.88 3819 3819 1199.88 1199.88 53012.34 53012.34
Previous year (Total) 1467.45 1467.45 4703 4703 1467.45 1467.45 65295.81 65295.81
Crop Insurance
Previous year
Credit Guarantee
Previous year
62
All Other Miscellaneous 896.15 896.15 7150 7150 896.15 896.15 665333.23 665333.23
Previous year 541.73 541.73 13731 13731 541.73 541.73 402199.68 402199.68
Grand Total 20901.38 20901.38 292842 292842 20901.38 20901.38 62746281.84 62746281.84
Previous year (Total) 16958.91 16958.91 253841 253841 16958.91 16958.91 49267358.38 49267358.38
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
25.59 25.59 659 659
48.44 48.44 1038 1038
2.94 2.94 9 9
298.57 298.57 0 0
1 1 23 23
0 0 1 1
0 0 11 11
BUSINESS FIGURES:
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
314.03 314.03 7129 7129 168.29 168.29
285.16 285.16 6057 6057 175.07 175.07
27.86 27.86 497 497 12.43 12.43
28.09 28.09 586 586 24.31 24.31
BUSINESS FIGURES:
Medical Insurance
Previous year
Overseas Medical Insurance
Previous year
Health (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Crop Insurance
Previous year
Credit Guarantee
Previous year
66
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0 0 0 0 0 0 0 0
BUSINESS FIGURES:
Medical Insurance 2920.04 2920.04 76896 76896 550.21 550.21 68949.07 68949.07
Previous year 2369.83 2369.83 32573 32573 -4468.25 -4468.25 75266.11 75266.11
Overseas Medical Insurance 324.31 324.31 47905 47905 6.29 6.29 2218753.12 2218753.12
Previous year 318.02 318.02 49474 49474 21.77 21.77 436795.11 436795.11
Health (Total) 3244.35 3244.35 124801 124801 556.50 556.50 2287702.20 2287702.20
Previous year (Total) 2687.85 2687.85 82047 82047 -4446.48 -4446.48 512061.22 512061.22
Crop Insurance 0 0 0 0 0.00 0.00 0.00 0.00
Previous year 0 0 0 0 0.00 0.00 0.00 0.00
Credit Guarantee 0 0 0 0 0.00 0.00 0 0
Previous year 0 0 0 0 0.00 0.00 0 0
68
All Other Miscellaneous 445.14 445.14 4511 4511 -76.60 -76.60 785336.77 785336.77
Previous year 521.75 521.75 5360 5360 -882.72 -882.72 1415899.02 1415899.02
Grand Total 13863.46 13863.46 255928 255928 -7774.82 -7774.82 10258712.85 10258712.85
Previous year (Total) 21638.28 21638.28 285911 285911 -5756.05 -5756.05 17101595.69 17101595.69
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
175.52 175.52 72 72
436.78 436.78 105 105
2.83 2.83 14 14
0.00 0.00 0 0
0.00 0.00 0 0
0.00 0.00 0 0
2.83 2.83 14 14 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0
0.00 0.00 0 0
51.43 51.43 23 23
7.66 7.66 26 26
372.46 372.46 8822 8822
862.78 862.78 16153 16153
203.98 203.98 392 392
436.62 436.62 739 739
576.45 576.45 8822 8822 0.00 0.00 0 0 0 0
1299.40 1299.40 16153 16153 0.00 0.00 0 0 0 0
1.36 1.36 10 10
0.00 0.00 0 0
0.24 0.24 1 1
0.00 0.00 0 0
0.00 0.00 0 0
0.00 0.00 0 0
0.07 0.07 8 8
0.00 0.00 0 0
1.67 1.67 19 19 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
13.91 13.91 979 979 21.98 21.98 183141.00 183141.00
77.52 77.52 196 196 75.92 75.92 647.00 647.00 irda journal July 2010
1058.19 1058.19 924 924
31.32 31.32 852 852
13.51 13.51 3417 3417
0.00 0.00 0 0
1071.70 1071.70 4341 4341 0.00 0.00 0 0 0 0
31.32 31.32 852 852 0.00 0.00 0 0 0 0
0.00 0.00 0 0
0.00 0.00 0 0
0 0 0 0
0 0 0 0
69
BUSINESS FIGURES:
Medical Insurance 1723.88 1723.88 20586 20586 520.80 520.80 148113.06 148113.06
Previous year 1203.09 1203.09 19362 19362 75.86 75.86 373684.77 373684.77
Overseas Medical Insurance
Previous year
Health (Total) 1723.88 1723.88 20586 20586 520.80 520.80 148113.06 148113.06
Previous year (Total) 1203.09 1203.09 19362 19362 75.86 75.86 373684.77 373684.77
Crop Insurance
Previous year
Credit Guarantee
Previous year
70
All Other Miscellaneous 203.10 203.10 25155 25155 30.26 30.26 1538930.61 1538930.61
Previous year 172.84 172.84 2648 2648 74.20 74.20 824484.65 824484.65
Grand Total 9006.29 9006.29 119831 119831 1190.30 1190.30 5368843.39 5368843.39
Previous year (Total) 7816.00 7816.00 107910 107910 401.43 401.43 4377518.42 4377518.42
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
2.60 2.60 174 174
5.29 5.29 521 521
0.00 0.00 0 0
0.00 0.00 0 0
0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0
0.00 0.00 0 0
101.76 101.76 1415 1415
125.05 125.05 1881 1881
0 0
101.76 101.76 1415 1415 0.00 0.00 0 0
125.05 125.05 1881 1881 0.00 0.00 0 0
440.09 440.09 13051 13051 0.11 0.11 126 126 62558 62558
135.15 135.15 842 842 0.13 0.13 146 146 66594 66594
71
BUSINESS FIGURES:
All Other Miscellaneous 4.28 4.28 139 139 1.03 1.03 8202.58 8202.58
Previous year 3.25 3.25 265 265 3.25 3.25 924.45 924.45
Grand Total 4252.90 4252.90 66428 66428 1536.26 1536.26 273641.06 273641.06
Previous year (Total) 2716.64 2716.64 38185 38185 2716.64 2716.64 119263.50 119263.50
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
BUSINESS FIGURES:
Medical Insurance - - - - - - -
Previous year - - - - - - - -
Overseas Medical Insurance 959 959 23,582 23,582 - 2,480,842 2,480,842
Previous year 518 518 25,703 25,703 - - 2,525,867 2,525,867
Health (Total) 959 959 23,582 23,582 - - 2,480,842 2,480,842
Previous year (Total) 518 518 25,703 25,703 - - 2,525,867 2,525,867
Crop Insurance - - - - - - -
Previous year - - - - - - - -
Credit Guarantee - - - - - - -
Previous year - - - - - - - -
74
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
72 72 80 80 - -
106 106 57 57 - - - -
68 68 45 45 - -
44 44 30 30 - - - -
- - - - - -
- - - - - - - -
68 68 45 45 - - - - - -
44 44 30 30 - - - - - -
- - - - - -
- - - - - - - -
1 1 - - - -
4 4 4 4 - - - -
135 135 3,683 3,683 - -
79 79 1,621 1,621 - - - -
- - - - - -
- - - - - - - -
135 135 3,683 3,683 - - - - - -
79 79 1,621 1,621 - - - - - -
- - - - - -
1 1 1 1 - - - -
23 23 14 14 - -
16 16 20 20 - - - -
- - - - - -
- - - - - - - -
- - - - - -
- - - - - - - -
23 23 14 14 - - - - - -
17 17 21 21 - - - - - -
26 26 653 653 1 1 6,498 6,498
11 11 234 234 - - - - irda journal July 2010
- - - - - -
- - - - - - - -
264 264 144 144 - -
2 2 46 46 - - - -
264 264 144 144 - - - - - -
2 2 46 46 - - - - - -
- - - - - -
- - - - - - - -
- - - - - -
- - - - - - - -
75
68 68 640 640 - -
0 0 284 284 - - - -
656 656 5,259 5,259 1 1 6,498 6,498 - -
263 263 2,297 2,297 - - - - - -
non-life insurance
Name of the Insurer: The New India Assurance Co. Ltd
BUSINESS FIGURES:
Medical Insurance 33012.61 33012.61 108685 108685 8386.35 8386.35 8405266.15 8405266.15
Previous year 24626.26 24626.26 126563 126563 5279569.59 5279569.59
Overseas Medical Insurance 188.99 188.99 7388 7388 -30.38 -30.38 218219.02 218219.02
Previous year 219.37 219.37 9036 9036 25827.67 25827.67
Health (Total) 33201.60 33201.60 116073 116073 8355.97 8355.97 8623485.17 8623485.17
Previous year (Total) 24845.63 24845.63 135599 135599 0.00 0.00 5305397.26 5305397.26
Crop Insurance 0 0 0 0 0.00 0.00 0 0
Previous year 0 0 0 0 0 0
Credit Guarantee 1 1 10 10 -4.17 -4.17 3 3
Previous year 5 5 24 24 157279 157279
76
All Other Miscellaneous 5386.06 5386.06 128542 128542 696.48 696.48 22695101.35 22695101.35
Previous year 4689.58 4689.58 138207 138207 15229505.76 15229505.76
Grand Total 89126.05 89126.05 914938 914938 13423.09 13423.09 219407476.54 219407476.54
Previous year (Total) 75702.96 75702.96 941690 941690 0.00 0.00 91824478.91 91824478.91
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
590.94 590.94 9981 9981 449.92 449.92
823.69 823.69 10010 10010 263.01 263.01
118.04 118.04 953 953 99.22 99.22
52.09 52.09 997 997 66.87 66.87
BUSINESS FIGURES:
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
417.42 417.42 7396 7396 208.71 208.71 0.00 0.00
437.24 437.24 3976 3976 37.51 37.51 0.00 0.00
112.93 112.93 730 730 56.47 56.47 0.00 0.00
51.78 51.78 706 706 8.96 8.96 0.00 0.00
BUSINESS FIGURES:
Medical Insurance 14512.00 14512.00 103603 103603 2936.95 2936.95 2004620 2004620
Previous year 11575.05 11575.05 96676 96676 3607.88 3607.88 1865685 1865685
Overseas Medical Insurance 764.00 764.00 8128 8128 256.05 256.05 224838 224838
Previous year 507.95 507.95 6528 6528 5.12 5.12 150060 150060
Health (Total) 15276.00 15276.00 111731 111731 3193.00 3193.00 2229458 2229458
Previous year (Total) 12083.00 12083.00 103204 103204 3613.00 3613.00 2015745 2015745
Crop Insurance 0.00 0.00 0 0 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00
Credit Guarantee 0.00 0.00 0 0 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00
80
All Other Miscellaneous 6588.02 6588.02 165407 165407 93.06 93.06 1269955 1269955
Previous year 6494.96 6494.96 156740 156740 382.84 382.84 1210803 1210803
Grand Total 59792.00 59792.00 1100094 1100094 10451.00 10451.00 36198712 36198712
Previous year (Total) 49341.00 49341.00 993404 993404 5539.00 5539.00 28209092 28209092
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
615.82 615.82 11005 11005 0.00 0.00 0 0
443.14 443.14 9825 9825 195.19 195.19 245 245
94.20 94.20 1806 1806 0.00 0.00 0 0
60.29 60.29 1393 1393 45.14 45.14 95 95
BUSINESS FIGURES:
Medical Insurance 500.16 500.16 2259 2259 71.51 71.51 41802.05 41802.05
Previous year 428.65 428.65 1006 1006 428.65 428.65 41665.25 41665.25
Overseas Medical Insurance 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Health (Total) 500.16 500.16 2259 2259 71.51 71.51 41802.05 41802.05
Previous year (Total) 428.65 428.65 1006 1006 428.65 428.65 41665.25 41665.25
Crop Insurance 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Credit Guarantee 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year 0.00 0.00 0 0 0.00 0.00 0.00 0.00
82
All Other Miscellaneous 212.09 212.09 9123 9123 -25.85 -25.85 120305.64 120305.64
Previous year 237.94 237.94 7997 7997 237.94 237.94 115204.93 115204.93
Grand Total 2800.54 2800.54 54508 54508 937.07 937.07 1828471.52 1828471.52
Previous year (Total) 1863.47 1863.47 15851 15851 1850.52 1850.52 7803103.16 7803103.16
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0.00 0.00 0 0 0.00 0.00 0.00 0.00
0 0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0
0.00 0.00 0 0 0.00 0.00 0 0 irda journal July 2010
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0.00 0.00 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
0.00 0.00 0 0 0 0 0 0
83
BUSINESS FIGURES:
Previous year
Public Liability
Previous year
Product Liability
Previous year
Other Liability Covers
Previous year
Liability (Total)
Previous year (Total)
Personal Accident
Previous year
irda journal July 2010
Medical Insurance
Previous year
Overseas Medical Insurance
Previous year
Health (Total)
Previous year (Total)
Crop Insurance 4585.32 4581.77
Previous year 7149.32 81502.02
Credit Guarantee
Previous year
84
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
BUSINESS FIGURES:
Previous year
Public Liability
Previous year
Product Liability
Previous year
Other Liability Covers
Previous year
Liability (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Personal Accident 32.25 32.25 1072 1072 32.25 32.25 11908.63 11908.63
Previous year 0.53 0.53 107 107 0.53 0.53 12030.08 12030.08
irda journal July 2010
Medical Insurance 1687.68 1687.68 24352 24352 1687.68 1687.68 22119.71 22119.71
Previous year 432.53 432.53 1726 1726 432.53 432.53 29594.88 29594.88
Overseas Medical Insurance 62.54 62.54 2160 2160 62.54 62.54 163029.75 163029.75
Previous year 50.91 50.91 2496 2496 50.91 50.91 161062.50 161062.50
Health (Total) 1750.22 1750.22 26512 26512 1750.22 1750.22 185149.46 185149.46
Previous year (Total) 483.44 483.44 4222 4222 483.44 483.44 190657.38 190657.38
Crop Insurance
Previous year
Credit Guarantee
Previous year
86
All Other Miscellaneous 68.30 68.30 41405 41405 68.30 68.30 207025.00 207025.00
Previous year 30.20 30.20 30044 30044 30.20 30.20 149960.00 149960.00
Grand Total 1850.77 1850.77 68989 68989 1850.77 1850.77 404083.09 404083.09
Previous year (Total) 514.17 514.17 34373 34373 514.17 514.17 352647.46 352647.46
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0.10 0.10 810 810 0.25 0.25 926 956 74104 74104
0.00 0.00 0 0 0.00 0.00 0 0 12010 12010
non-life insurance
Name of the Insurer: Export Credit Guarantee Corporation of India Ltd
BUSINESS FIGURES:
Previous year
Public Liability
Previous year
Product Liability
Previous year
Other Liability Covers
Previous year
Liability (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Personal Accident
Previous year
irda journal July 2010
Medical Insurance
Previous year
Overseas Medical Insurance
Previous year
Health (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Crop Insurance
Previous year
Credit Guarantee 6854 6854 814 814 1147 1147 238200 238200
Previous year 5707 5707 925 925 1001 1001 257360 257360
88
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
89
BUSINESS FIGURES:
Previous year
Public Liability
Previous year
Product Liability
Previous year
Other Liability Covers
Previous year
Liability (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Previous year (Total) 0.00 0.00 0 0 0.00 0.00 0.00 0.00
Personal Accident 95.91 95.91 9074 9074 66.64 66.64 180089.16 180089.16
Previous year 29.27 29.27 5542 5542 2.20 2.20 33482.19 33482.19
irda journal July 2010
Medical Insurance 20157.20 20157.20 46328 46328 6173.71 6173.71 10177704.40 10177704.40
Previous year 13983.49 13983.49 25794 25794 8228.52 8228.52 10121657.95 10121657.95
Overseas Medical Insurance 122.98 122.98 3886 3886 52.74 52.74 373117.46 373117.46
Previous year 70.24 70.24 2066 2066 32.40 32.40 172027.54 172027.54
Health (Total) 20280.18 20280.18 50214 50214 6226.45 6226.45 10550821.86 10550821.86
Previous year (Total) 14053.73 14053.73 27860 27860 8260.92 8260.92 10293685.49 10293685.49
Crop Insurance
Previous year
Credit Guarantee
Previous year
90
All Other Miscellaneous 27.62 27.62 9899 9899 -8.01 -8.01 98990 98990.00
Previous year 35.63 35.63 12756 12756 34.41 34.41 127560.00 127560.00
Grand Total 20403.71 20403.71 69187 69187 6285.08 6285.08 10829901.02 10829901.02
Previous year (Total) 14118.63 14118.63 46158 46158 8297.53 8297.53 10454727.68 10454727.68
* Wherever applicable
(Premium in Rs Lakhs)
Amount of Premium No. of Policies Amount of Premium No. of Lives covered No. of
u/w in Rural Areas in Rural Areas u/w in Social Sector in Social Sector Lives covered *
For the Up to For the Up to For the Up to For the Up to For the Up to
month the month month the month month the month month the month month the month
view point
The failure of systems and processes featured strongly in the recent financial crisis. Failure
by Boards and senior management to exercise effective risk management oversight led to
serious consequences for some financial institutions.
Mr Andrew Khoo
Assistant Managing Director, Monetary Authority of Singapore
We want to ensure the legislation ultimately enacted addresses issues, gaps or weaknesses
exposed by actual events; and avoids unnecessary or counterproductive changes to
healthy and functioning elements of the financial system.
We noted that uncertainties continued to cloud the global economic outlook, and global
financial markets remained vulnerable to aftershocks.
Though global conditions have improved, recent developments in Europe have once
again unsettled financial markets as doubts have arisen over the fiscal sustainability of
several countries in the Euro zone.
This (the Ordinance on ULIPs) is a positive development for insurance companies and
would also boost policyholders' confidence in ULIPs.