2 comparitive study icici prudential hdfc slic
TRANSCRIPT
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
1/126
Introduction
1 | P a g e
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
2/126
INTRODUCTION
Life Insurance:
Life Insurance could be defined as a policy that will pay a specified sum to beneficiaries
upon the death of the insured. It is an agreement that guarantees the payment of a stated
amount of monetary benefits upon the death of the insured. Life Insurance could be said
as protection against the death of the insured in the form of payment to a designated
beneficiary, typically a family member or business.
It is basically risk insurance intended as protection against the financial
consequences of the death of the insured person which takes the form of payment of a
previously agreed lump sum or pension to a beneficiary, if the insured person dies during
the term of insurance. In the case of pure life insurance, without any endowment
insurance component, no payments are due if the insured person survives the term of
insurance.
In big terms Life Insurance is a contract agreement between the certificate holder
and the insurance company, providing a specified sum to beneficiaries upon the death of
the insured. It is a coverage that pays out a set amount of money to specified beneficiaries
upon the death of the individual who is insured. It is a policy that will pay a specified
2
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
3/126
sum to beneficiaries upon the death of the insured. There are many types of life
insurance, including whole life, term life, universal life, etc. It is an insurance relating to
a risk depending on human life. This includes contracts providing payment on the insured
person's death, endowments providing payment either on survival to a specified date or
on earlier death and annuities which are paid throughout the annuitant's lifetime but cease
on death.
According to an article on site life-line.org Life insurance is the foundation of a
sound financial plan. It provides financial security for your family by protecting your
financial resources, such as your present and future income, against the uncertainties of
life.
More specifically, life insurance provides cash to the family after death. This cash
(the death benefit) replaces the income one would have provided and can meet many
important financial needs. It can help pay the mortgage, run the household, send kids to
college, and ensure that dependents are not burdened with debt. The proceeds from a life
insurance policy could mean that the family won't have to sell assets to pay outstanding
bills or taxes. And also that there is no federal income tax on life insurance benefits.
Most people with dependents need life insurance. While there's no substitute for
evaluating specific situation, one rule of thumb is to buy life insurance equivalent to five
to ten times ones annual gross income. To determine how much, if any, life insurance one
needs, then start by gathering all personal financial information and estimating what the
family will need after one is gone, including ongoing expenses (such as day care, tuition,
or retirement) and immediate expenses at the time of death (like medical bills, burial
costs, and estate taxes). The family also may need funds to help them readjust: perhaps to
finance a move, or pay expenses while job hunting. Choosing a life insurance product is
an important decision, but it can be complicated. As with any major purchase, it is
important that one should understand his or her family's needs.
3
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
4/126
Type of Insurance companies
Insurance companies may be classified into two groups:
Life insurance companies, which sell life insurance, annuities and pensions
products.
Non-life, General, or Property/Casualty insurance companies, which sell other
types of insurance.
General insurance companies can be further divided into these sub categories.
Standard Lines
Excess Lines
In most countries, life and non-life insurers are subject to different regulatory regimes
and different tax and accounting rules. The main reason for the distinction between the
two types of company is that life, annuity, and pension business is very long-term in
nature coverage for life assurance or a pension can cover risks over many decades. By
contrast, non-life insurance cover usually covers a shorter period, such as one year.
In the United States, standard line insurance companies are "mainstream" insurers. These
are the companies that typically insure autos, homes or businesses. They use pattern or"cookie-cutter" policies without variation from one person to the next. They usually have
lower premiums than excess lines and can sell directly to individuals. They are regulated
by state laws that can restrict the amount they can charge for insurance policies.
Excess line insurance companies (also known as Excess and Surplus) typically insure
risks not covered by the standard lines market. They are broadly referred as being all
insurance placed with non-admitted insurers. Non-admitted insurers are not licensed in
the states where the risks are located. These companies have more flexibility and canreact faster than standard insurance companies because they are not required to file rates
and forms as the "admitted" carriers do. However, they still have substantial regulatory
requirements placed upon them. State laws generally require insurance placed with
surplus line agents and brokers not to be available through standard licensed insurers.
4
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
5/126
Insurance companies are generally classified as either mutual or stock companies. Mutual
companies are owned by the policyholders, while stockholders (who may or may not own
policies) own stock insurance companies. Demutualization of mutual insurers to form
stock companies, as well as the formation of a hybrid known as a mutual holding
company, became common in some countries, such as the United States, in the late 20th
century.
Other possible forms for an insurance company include reciprocals, in which
policyholders 'reciprocate' in sharing risks, and Lloyd's organizations.
Insurance companies are rated by various agencies such as A. M. Best. The ratings
include the company's financial strength, which measures its ability to pay claims. It also
rates financial instruments issued by the insurance company, such as bonds, notes, and
securitization products.
Reinsurance companies are insurance companies that sell policies to other insurance
companies, allowing them to reduce their risks and protect themselves from very large
losses. The reinsurance market is dominated by a few very large companies, with huge
reserves. A reinsurer may also be a direct writer of insurance risks as well.
Captive insurance companies may be defined as limited-purpose insurance companies
established with the specific objective of financing risks emanating from their parentgroup or groups. This definition can sometimes be extended to include some of the risks
of the parent company's customers. In short, it is an in-house self-insurance vehicle.
Captives may take the form of a "pure" entity (which is a 100% subsidiary of the self-
insured parent company); of a "mutual" captive (which insures the collective risks of
members of an industry); and of an "association" captive (which self-insures individual
risks of the members of a professional, commercial or industrial association). Captives
represent commercial, economic and tax advantages to their sponsors because of the
reductions in costs they help create and for the ease of insurance risk management and
the flexibility for cash flows they generate. Additionally, they may provide coverage of
risks which is neither available nor offered in the traditional insurance market at
reasonable prices.
5
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
6/126
The types of risk that a captive can underwrite for their parents include property damage,
public and product liability, professional indemnity, employee benefits, employers'
liability, motor and medical aid expenses. The captive's exposure to such risks may be
limited by the use of reinsurance.
Captives are becoming an increasingly important component of the risk management and
risk financing strategy of their parent. This can be understood against the following
background:
Heavy and increasing premium costs in almost every line of coverage;
Difficulties in insuring certain types of fortuitous risk;
Differential coverage standards in various parts of the world;
Rating structures which reflect market trends rather than individual loss
experience;
Insufficient credit for deductibles and/or loss control efforts.
There are also companies known as 'insurance consultants'. Like a mortgage broker, these
companies are paid a fee by the customer to shop around for the best insurance policy
amongst many companies. Similar to an insurance consultant, an 'insurance broker' also
shops around for the best insurance policy amongst many companies. However, with
insurance brokers, the fee is usually paid in the form of commission from the insurer that
is selected rather than directly from the client.
Neither insurance consultants nor insurance brokers are insurance companies and no risks
are transferred to them in insurance transactions. Third party administrators are
companies that perform underwriting and sometimes claim handling services for
insurance companies. These companies often have special expertise that the insurance
companies do not have.
The financial stability and strength of an insurance company should be a major
consideration when buying an insurance contract. An insurance premium paid currently
provides coverage for losses that might arise many years in the future. For that reason,
the viability of the insurance carrier is very important. In recent years, a number of
6
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
7/126
insurance companies have become insolvent, leaving their policyholders with no
coverage (or coverage only from a government-backed insurance pool or other
arrangement with less attractive payouts for losses). A number of independent rating
agencies provide information and rate the financial viability of insurance companies.
Global insurance industry
Global insurance premiums grew by 3.4% in 2010 to reach $4.3 trillion. For the first time
in the past three decades, premium income declined in inflation-adjusted terms, with non-
life premiums falling by 0.8% and life premiums falling by 3.5%. The insurance industry
is exposed to the global economic downturn on the assets side by the decline in returns on
investments and on the liabilities side by a rise in claims. So far the extent of losses on
both sides has been limited although investment returns fell sharply following the
bankruptcy of Lehman Brothers and bailout of AIG in September 2008. The financial
crisis has shown that the insurance sector is sufficiently capitalised. The vast majority of
insurance companies had enough capital to absorb losses and only a small number turned
to government for support.
Advanced economies account for the bulk of global insurance. With premium income of
$1,753bn, Europe was the most important region in 2008, followed by North America
$1,346bn and Asia $933bn. The top four countries generated more than a half of
premiums. The US and Japan alone accounted for 40% of world insurance, much higher
than their 7% share of the global population. Emerging markets accounted for over 85%
of the worlds population but generated only around 10% of premiums. Their markets are
however growing at a quicker pace.
7
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
8/126
PRINCIPALSOFINSURANCE
Insurance involves pooling funds from many insured entities (known as exposures) in
order to pay for relatively uncommon but severely devastating losses which can occur to
these entities. The insured entities are therefore protected from risk for a fee, with the fee
being dependent upon the frequency and severity of the event occurring. In order to be
insurable, the risk insured against must meet certain characteristics in order to be
an insurable risk. Insurance is a commercial enterprise and a major part of the financial
services industry, but individual entities can also self-insure through saving money for
possible future losses.
Insurability
Risks which can be insured by private companies typically share seven common
characteristics.
1. Large number of similar exposure units. Since insurance operates through
pooling resources, the majority of insurance policies are provided for individual
members of large classes, allowing insurers to benefit from the law of large
numbers in which predicted losses are similar to the actual losses. Exceptions
include Lloyd's of London, which is famous for insuring the life or health of
actors, actresses and sports figures. However, all exposures will have particular
differences, which may lead to different rates.
2. Definite Loss. The loss takes place at a known time, in a known place, and from a
known cause. The classic example is death of an insured person on a life
insurance policy. Fire, automobile accidents, and worker injuries may all easily
meet this criterion. Other types of losses may only be definite in theory.
Occupational disease, for instance, may involve prolonged exposure to injurious
conditions where no specific time, place or cause is identifiable. Ideally, the time,
place and cause of a loss should be clear enough that a reasonable person, with
sufficient information, could objectively verify all three elements.
3. Accidental Loss. The event that constitutes the trigger of a claim should be
fortuitous, or at least outside the control of the beneficiary of the insurance. The
8
http://en.wikipedia.org/wiki/Pooling_(resource_management)http://en.wikipedia.org/wiki/Insurable_riskhttp://en.wikipedia.org/wiki/Self_insurancehttp://en.wikipedia.org/wiki/Law_of_large_numbershttp://en.wikipedia.org/wiki/Law_of_large_numbershttp://en.wikipedia.org/wiki/Lloyd's_of_Londonhttp://en.wikipedia.org/wiki/Pooling_(resource_management)http://en.wikipedia.org/wiki/Insurable_riskhttp://en.wikipedia.org/wiki/Self_insurancehttp://en.wikipedia.org/wiki/Law_of_large_numbershttp://en.wikipedia.org/wiki/Law_of_large_numbershttp://en.wikipedia.org/wiki/Lloyd's_of_London -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
9/126
loss should be pure, in the sense that it results from an event for which there is
only the opportunity for cost. Events that contain speculative elements, such as
ordinary business risks, are generally not considered insurable.
4. Large Loss. The size of the loss must be meaningful from the perspective of the
insured. Insurance premiums need to cover both the expected cost of losses, plus
the cost of issuing and administering the policy, adjusting losses, and supplying
the capital needed to reasonably assure that the insurer will be able to pay claims.
For small losses these latter costs may be several times the size of the expected
cost of losses. There is little point in paying such costs unless the protection
offered has real value to a buyer.
5. Affordable Premium. If the likelihood of an insured event is so high, or the cost
of the event so large, that the resulting premium is large relative to the amount of
protection offered, it is not likely that anyone will buy insurance, even if on offer.
Further, as the accounting profession formally recognizes in financial accounting
standards, the premium cannot be so large that there is not a reasonable chance of
a significant loss to the insurer. If there is no such chance of loss, the transaction
may have the form of insurance, but not the substance. (See the U.S. Financial
Accounting Standards Boardstandard number 113)
6. Calculable Loss. There are two elements that must be at least estimable, if not
formally calculable: the probability of loss, and the attendant cost. Probability of
loss is generally an empirical exercise, while cost has more to do with the ability
of a reasonable person in possession of a copy of the insurance policy and a proof
of loss associated with a claim presented under that policy to make a reasonably
definite and objective evaluation of the amount of the loss recoverable as a result
of the claim.
7. Limited risk of catastrophically large losses. Insurable losses are
ideally independent and non-catastrophic, meaning that the one losses do not
happen all at once and individual losses are not severe enough to bankrupt the
insurer; insurers may prefer to limit their exposure to a loss from a single event to
some small portion of their capital base, on the order of 5 percent. Capital
constrains insurers' ability to sell earthquake insurance as well as wind insurance
9
http://en.wikipedia.org/wiki/Financial_Accounting_Standards_Boardhttp://en.wikipedia.org/wiki/Financial_Accounting_Standards_Boardhttp://en.wikipedia.org/wiki/List_of_FASB_Pronouncementshttp://en.wikipedia.org/wiki/Independence_(probability_theory)http://en.wikipedia.org/wiki/Catastrophichttp://en.wikipedia.org/wiki/Percentagehttp://en.wikipedia.org/wiki/Earthquake_insurancehttp://en.wikipedia.org/wiki/Financial_Accounting_Standards_Boardhttp://en.wikipedia.org/wiki/Financial_Accounting_Standards_Boardhttp://en.wikipedia.org/wiki/List_of_FASB_Pronouncementshttp://en.wikipedia.org/wiki/Independence_(probability_theory)http://en.wikipedia.org/wiki/Catastrophichttp://en.wikipedia.org/wiki/Percentagehttp://en.wikipedia.org/wiki/Earthquake_insurance -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
10/126
in hurricane zones. In the U.S., flood riskis insured by the federal government. In
commercial fire insurance it is possible to find single properties whose total
exposed value is well in excess of any individual insurers capital constraint.
Such properties are generally shared among several insurers, or are insured by a
single insurer who syndicates the risk into the reinsurance market.
Legal
When a company insures an individual entity, there are basic legal requirements. Several
commonly cited legal principles of insurance include: [3]
1. Indemnity the insurance company indemnifies, or compensates the insured in
the case of certain losses only up to the insured's interest
2. Insurable interest the insured typically must directly suffer from the loss
3. Utmost good faith the insured and the insurer are bound by a good faith bond
of honesty and fairness
4. Contribution insurers which have similar obligations to the insured contribute
in the indemnification, according to some method
5. Subrogation the insurance company acquires legal rights to pursue recoveries
on behalf of the insured; for example, the insurer may sue those liable for
insured's loss
6. Causa Proxima or Proximate Cause the cause of loss (the "peril") must be
covered under the insuring agreement of the policy, and dominant cause must not
be excluded
Indemnification
To "indemnify" means to make whole again, or to be put in the position that one was in,
to the extent possible, prior to the happening of a specified event or peril. Accordingly,life insurance is generally not considered to be indemnity insurance, but rather
"contingent" insurance (i.e., a claim arises on the occurrence of a specified event). There
are generally two types of insurance contracts that seek to indemnify an insured:
1. An "indemnity" policy and
10
http://en.wikipedia.org/wiki/Flood_insurancehttp://en.wikipedia.org/wiki/Reinsurancehttp://en.wikipedia.org/wiki/Insurance#cite_note-2http://en.wikipedia.org/wiki/Indemnityhttp://en.wikipedia.org/wiki/Insurable_interesthttp://en.wikipedia.org/wiki/Insurance_bad_faithhttp://en.wikipedia.org/wiki/Good_faithhttp://en.wikipedia.org/wiki/Exclusion_clausehttp://en.wikipedia.org/wiki/Flood_insurancehttp://en.wikipedia.org/wiki/Reinsurancehttp://en.wikipedia.org/wiki/Insurance#cite_note-2http://en.wikipedia.org/wiki/Indemnityhttp://en.wikipedia.org/wiki/Insurable_interesthttp://en.wikipedia.org/wiki/Insurance_bad_faithhttp://en.wikipedia.org/wiki/Good_faithhttp://en.wikipedia.org/wiki/Exclusion_clause -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
11/126
2. A "pay on behalf" or "on behalf of"[4] policy.
The difference is significant on paper, but rarely material in practice.
An "indemnity" policy will never pay claims until the insured has paid out of pocket to
some third party; for example, a visitor to your home slips on a floor that you left wet and
sues you for $10,000 and wins. Under an "indemnity" policy the homeowner would have
to come up with the $10,000 to pay for the visitor's fall and then would be "indemnified"
by the insurance carrier for the out of pocket costs (the $10,000)[4][5]
Under the same situation, a "pay on behalf" policy, the insurance carrier would pay the
claim and the insured (the homeowner) would not be out of pocket for anything. Most
modern liability insurance is written on the basis of "pay on behalf" language .
An entity seeking to transfer risk (an individual, corporation, or association of any type,
etc.) becomes the 'insured' party once risk is assumed by an 'insurer', the insuring party,
by means of a contract, called an insurance 'policy'. Generally, an insurance contract
includes, at a minimum, the following elements: the parties (the insurer, the insured, the
beneficiaries), the premium, the period of coverage, the particular loss event covered, the
amount of coverage (i.e., the amount to be paid to the insured or beneficiary in the event
of a loss), and exclusions (events not covered). An insured is thus said to be
"indemnified" against the loss covered in the policy.
When insured parties experience a loss for a specified peril, the coverage entitles the
policyholder to make a 'claim' against the insurer for the covered amount of loss as
specified by the policy. The fee paid by the insured to the insurer for assuming the risk is
called the 'premium'. Insurance premiums from many insurers are used to fund accounts
reserved for later payment of claimsin theory for a relatively few claimantsand
foroverhead costs. So long as an insurer maintains adequate funds set aside for
anticipated losses (i.e., reserves), the remaining margin is an insurer'sprofit.
11
http://en.wikipedia.org/wiki/Insurance#cite_note-KulpHall-3http://en.wikipedia.org/wiki/Insurance#cite_note-KulpHall-3http://en.wikipedia.org/wiki/Insurance#cite_note-KulpHall-3http://en.wikipedia.org/wiki/Insurance#cite_note-4http://en.wikipedia.org/wiki/Contracthttp://en.wikipedia.org/wiki/Indemnityhttp://en.wikipedia.org/wiki/Overhead_(business)http://en.wikipedia.org/wiki/Profit_(accounting)http://en.wikipedia.org/wiki/Insurance#cite_note-KulpHall-3http://en.wikipedia.org/wiki/Insurance#cite_note-KulpHall-3http://en.wikipedia.org/wiki/Insurance#cite_note-4http://en.wikipedia.org/wiki/Contracthttp://en.wikipedia.org/wiki/Indemnityhttp://en.wikipedia.org/wiki/Overhead_(business)http://en.wikipedia.org/wiki/Profit_(accounting) -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
12/126
Insurers business model
Underwriting and investing
The business model can be reduced to a simple equation: Profit = earned premium +
investment income - incurred loss - underwriting expenses
Insurers make money in two ways:
1. Through underwriting, the process by which insurers select the risks to insure and
decide how much in premiums to charge for accepting those risks;
2. By investing the premiums they collect from insured parties.
The most complicated aspect of the insurance business is the underwriting of policies.
Using a wide assortment of data, insurers predict the likelihood that a claim will be made
against their policies and price products accordingly. To this end, insurers use actuarial
science to quantify the risks they are willing to assume and the premium they will charge
to assume them. Data is analyzed to fairly accurately project the rate of future claims
based on a given risk. Actuarial science uses statistics and probability to analyze the risksassociated with the range of perils covered, and these scientific principles are used to
determine an insurer's overall exposure. Upon termination of a given policy, the amount
of premium collected and the investment gains thereon minus the amount paid out in
claims is the insurer's underwriting profit on that policy. Of course, from the insurer's
perspective, some policies are "winners" (i.e., the insurer pays out less in claims and
expenses than it receives in premiums and investment income) and some are "losers"
(i.e., the insurer pays out more in claims and expenses than it receives in premiums and
investment income); insurance companies essentially use actuarial science to attempt to
underwrite enough "winning" policies to pay out on the "losers" while still maintaining
profitability.
An insurer's underwriting performance is measured in its combined ratio which is the
ratio of losses and expenses to premiums. A combined ratio of less than 100 percent
12
http://en.wikipedia.org/wiki/Earned_premiumhttp://en.wikipedia.org/wiki/Underwritinghttp://en.wikipedia.org/wiki/Investinghttp://en.wikipedia.org/wiki/Underwritinghttp://en.wikipedia.org/wiki/Actuarial_sciencehttp://en.wikipedia.org/wiki/Actuarial_sciencehttp://en.wikipedia.org/wiki/Statisticshttp://en.wikipedia.org/wiki/Probabilityhttp://en.wikipedia.org/wiki/Underwriting_profithttp://en.wikipedia.org/wiki/Earned_premiumhttp://en.wikipedia.org/wiki/Underwritinghttp://en.wikipedia.org/wiki/Investinghttp://en.wikipedia.org/wiki/Underwritinghttp://en.wikipedia.org/wiki/Actuarial_sciencehttp://en.wikipedia.org/wiki/Actuarial_sciencehttp://en.wikipedia.org/wiki/Statisticshttp://en.wikipedia.org/wiki/Probabilityhttp://en.wikipedia.org/wiki/Underwriting_profit -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
13/126
indicates underwriting profitability, while anything over 100 indicates an underwriting
loss. A company with a combined ratio over 100% may nevertheless remain profitable
due to investment earnings.
Insurance companies earn investmentprofits on float. Float or available reserve isthe amount of money, at hand at any given moment that an insurer has collected in
insurance premiums but has not paid out in claims. Insurers start investing insurance
premiums as soon as they are collected and continue to earn interest or other income on
them until claims are paid out. TheAssociation of British Insurers (gathering 400
insurance companies and 94% of UK insurance services) has almost 20% of the
investments in the London Stock Exchange.
In the United States, the underwriting loss ofproperty and casualty insurance companies
was $142.3 billion in the five years ending 2003. But overall profit for the same period
was $68.4 billion, as the result of float. Some insurance industry insiders, most
notably Hank Greenberg, do not believe that it is forever possible to sustain a profit from
float without an underwriting profit as well, but this opinion is not universally held.
Naturally, the float method is difficult to carry out in an economically depressed
period. Bear markets do cause insurers to shift away from investments and to toughen up
their underwriting standards. So a poor economy generally means high insurance
premiums. This tendency to swing between profitable and unprofitable periods over time
is commonly known as the "underwriting" orinsurance cycle.
Property and casualty insurers currently make the most money from their auto insurance
line of business. Generally better statistics are available on auto losses and underwriting
on this line of business has benefited greatly from advances in computing. Additionally,
property losses in the United States, due to unpredictable natural catastrophes, have
exacerbated this trend.
Claims
Claims and loss handling is the materialized utility of insurance; it is the actual "product"
paid for, though one hopes it will never need to be used. Claims may be filed by insureds
directly with the insurer or through brokers or agents. The insurer may require that the
13
http://en.wikipedia.org/wiki/Investmenthttp://en.wikipedia.org/wiki/Association_of_British_Insurershttp://en.wikipedia.org/wiki/Association_of_British_Insurershttp://en.wikipedia.org/wiki/London_Stock_Exchangehttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Propertyhttp://en.wikipedia.org/wiki/Casualty_insurancehttp://en.wikipedia.org/wiki/Maurice_R._Greenberghttp://en.wikipedia.org/wiki/Bear_market#Bear_markethttp://en.wikipedia.org/wiki/Insurance_cyclehttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Investmenthttp://en.wikipedia.org/wiki/Association_of_British_Insurershttp://en.wikipedia.org/wiki/London_Stock_Exchangehttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Propertyhttp://en.wikipedia.org/wiki/Casualty_insurancehttp://en.wikipedia.org/wiki/Maurice_R._Greenberghttp://en.wikipedia.org/wiki/Bear_market#Bear_markethttp://en.wikipedia.org/wiki/Insurance_cyclehttp://en.wikipedia.org/wiki/United_States -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
14/126
claim be filed on its own proprietary forms, or may accept claims on a standard industry
form such as those produced by ACORD.
Insurance company claims departments employ a large number ofclaims
adjusters supported by a staff ofrecords management and data entry clerks. Incomingclaims are classified based on severity and are assigned to adjusters whose settlement
authority varies with their knowledge and experience. The adjuster undertakes a thorough
investigation of each claim, usually in close cooperation with the insured, determines if
coverage is available under the terms of the insurance contract, and if so, the reasonable
monetary value of the claim, and authorizes payment. Adjusting liability insurance claims
is particularly difficult because there is a third party involved, the plaintiff, who is under
no contractual obligation to cooperate with the insurer and may in fact regard the insurer
as a deep pocket. The adjuster must obtain legal counsel for the insured (either inside
"house" counsel or outside "panel" counsel), monitor litigation that may take years to
complete, and appear in person or over the telephone with settlement authority at a
mandatory settlement conference when requested by the judge.
If a claims adjuster suspects underinsurance, the condition of average may come into play
to limit the insurance company's exposure.
In managing the claims handling function, insurers seek to balance the elements of
customer satisfaction, administrative handling expenses, and claims overpayment
leakages. As part of this balancing act, fraudulent insurance practices are a major
business risk that must be managed and overcome. Disputes between insurers and
insureds over the validity of claims or claims handling practices occasionally escalate
into litigation; see insurance bad faith.
14
http://en.wikipedia.org/wiki/ACORDhttp://en.wikipedia.org/wiki/Claims_adjusterhttp://en.wikipedia.org/wiki/Claims_adjusterhttp://en.wikipedia.org/wiki/Records_managementhttp://en.wikipedia.org/wiki/Data_entry_clerkhttp://en.wikipedia.org/wiki/Deep_pockethttp://en.wikipedia.org/wiki/Condition_of_averagehttp://en.wikipedia.org/wiki/Insurance_fraudhttp://en.wikipedia.org/wiki/Insurance_bad_faithhttp://en.wikipedia.org/wiki/ACORDhttp://en.wikipedia.org/wiki/Claims_adjusterhttp://en.wikipedia.org/wiki/Claims_adjusterhttp://en.wikipedia.org/wiki/Records_managementhttp://en.wikipedia.org/wiki/Data_entry_clerkhttp://en.wikipedia.org/wiki/Deep_pockethttp://en.wikipedia.org/wiki/Condition_of_averagehttp://en.wikipedia.org/wiki/Insurance_fraudhttp://en.wikipedia.org/wiki/Insurance_bad_faith -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
15/126
Types of Life Insurance
Generally fall into two categories:
1. Term Insurance
2. Permanent Insurance
Term Life Insurance
Term Life Insurance is a type of insurance policy whereby the insured pays a fixed sum
for a period of time. This sum remains constant. The premium charged is very nominal.
The Policy holders normally survive even after its expiry unless they are affected by fataldisease or injured in an accident. This policy does not cost much. Once the policy expires
the insured is also at liberty to renew the same but he will have to pay the revised rates of
premium. Such a change could sometimes be too high. This is one of the drawbacks of
this policy. But for this factor, it is economical and highly recommended for the salaried
youth and middle men. Whole term insurance policy is another classification in term life
insurance. In a whole term insurance the insured pays the fixed amount throughout his
life.
The different categories of term life insurance policy are as follows:-
Group Term Life Insurance
This type of insurance is taken by the employer for his employees. The employer either
pays the premiums from his kitty or by deducting the appropriate amount from the salary
of individual employees. This policy provides lot of benefits but it cannot be relied solely
to meet your insurance needs. This type of insurance is gaining significance in the
developing countries.
Level term Life Insurance
This type of insurance requires you to select a particular period and pay premiums for the
selected period. The policy automatically matures on the attainment of the selected
15
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
16/126
period. Once you select the term say 5 10 or 15 years you cannot revoke it. This type of
insurance is ideal for those people who are not able to make long term financial plans.
Permanent insurance
Permanent Life Insurance is an expensive Policy. This Policy cannot be stopped on any
occasion as long as the premiums are paid regularly and you don't want to end the policy.
In a permanent Life Insurance policy you pay premiums for an indefinite period
irrespective of the fact they exceed the amount to be distributed to your dependents in
case of death.
Such surplus will be deposited by the company in a separate account. They will yield
higher returns if the company performs well. A share of the profits is periodically
dispatched to you. You have the option of raising loans out of those funds or accumulate
them back in the account. In case you decide to end the policy you will paid back with
the surrender value .If the insurer decides to retain the profits made from your investment
with him then you are not required to pay income tax for that amount. There is a
possibility like, when you withdraw certain amount of money within the given limit you
need not pay income tax for that amount. But when you deposit money in the bank you
have to pay income tax irrespective of the fact you utilize it or not.
If the insurer decides to retain the profits made from your investment with him then you
are not required to pay income tax for that amount. There is a possibility like, when you
withdraw certain amount of money within the given limit you need not pay income tax
for that amount. But when you deposit money in the bank you have to pay income tax
irrespective of the fact you utilize it or not.
It is however advised not to choose permanent insurance if your motive is solely
investments and tax exemptions. In that case it is advised to invest in some form of cheap
16
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
17/126
investments and make use of other financial instruments for saving tax because the basic
objective of insurance is neither investment nor tax exemption.
Important features of Insurance:
State insurance departments regulate the type of investments companies are
permitted to make;
Investment profiles of companies differ depending on what type of insurance
they underwrite;
Each state enforces laws to protect consumers against unfair discrimination in
the provision of insurance;
Consumers who do not qualify for property insurance in the private marketmay obtain it through insurance industry operated plans;
The insurance industry does not benefit from federal deposit insurance. Insurance
companies pay for insolvencies in the industry through a system of state Guaranty
Funds.
Advantages & Disadvantages of Life Insurance
Life insurance, too many, is a necessary evil. Many policyholders swear by it to protect
their families from loss of income and hefty debt obligations in the event of their
untimely death. With several types of life insurance on the market, generally speaking,
two varieties still remain the most popular: term and whole life, or "cash value" life
insurance. Both varieties have pros and cons.
Identification
Cash value life insurance are policies where in which premiums are used to pay for the
cost of insurance, while a portion is placed into attached investment vehicles that grow
over time. Some popular cash value life insurance products include variable life, whole
life, universal life and paid-up insurance. Despite minor differences, these insurance
17
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
18/126
plans are essentially the same. All cash value life insurance policies contain a death
benefit and a cash account that's added to when a client makes a premium payment.
Term life insurance is significantly different than its cash value counterpart. Term life
insurance does not contain a cash value account. Premiums are used solely to pay for the
cost of coverage. These premiums maintain the level of coverage for a specific "term." At
the end of a policy's term, a new policy must be purchased.
Benefits
Both cash value life and term life insurance have their benefits. The most significant
benefit of cash value life insurance is its ability to offer coverage for the entire life of the
policyholder. Many people take advantage of buying this type of insurance when they are
young when they need it most. Cash value accounts may also be borrowed against or
drawn from during the life of the policy. Policyholders are also not required to pay taxes
on any interest or earnings attached to cash value accounts.
Individuals and corporations also benefit from term life insurance. The biggest advantage
of term life is the often very cheap premiums, especially when a person is young and
healthy. It is possible, in many situations, to purchase significantly large face value
amounts for monthly costs of $20 to $30. Term life is good for covering obligations that
will eventually end, such as mortgages, automobile loans and educational needs.
Warning
With the benefits of both cash value and term life insurance come a few disadvantages.
The most significant disadvantage of cash value life insurance is the often inconsistency
in premiums. Most cash value policies contain required premiums that can increase over
time. This can make the policy quite expensive for someone on a budget who wishes to
purchase enough coverage to benefit his family in the event of his death.
Although many policies contain riders in which dividends from cash accounts can be
used to pay premiums, such an instance almost always results in taking funds away from
18
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
19/126
the cash value or investment account. There is also never a guarantee that sufficient funds
will be available to cover missed premiums in the event a policyholder falls short.
There are also several disadvantages of term insurance, the first being that it is not
permanent. Although a policyholder may enjoy extremely cheap premiums when she isyoung, term products expire after a certain number of years, or when the insured reaches
a certain age. When a policy expires, a new one must be purchased. This means that a
person must qualify for a new program based on her current age and health in order for
coverage to continue. This almost always results in much higher premiums or
Uninsurability. Some term insurance does, however, contain "re-up" or "renewal" options
that may not require proof of that the customer is insurable to continue coverage.
Misconceptions
When we think of life insurance, we think of a death benefit being paid to a beneficiary
upon the death of a policyholder. Although this is true, it is important to know that with
some insurance, especially many cash value policies, it's often not that simple.
With many cash value life policies, only a single payout is made upon a policyholder's
death, regardless of what the cash value account is worth when he dies. For example, if
an individual owns a whole life policy with a death benefit of $100,000 and a cash value
account worth $25,000, it is common for beneficiaries to expect a payout of $125,000.
This is commonly not the case. In this example, a beneficiary would commonly only
receive a total of $100,000. Because the cash value account is worth $25,000, the
insurance company would only pay $75,000 as a death benefit, with the other $25,000
coming from the cash value account. With some products, however, beneficiaries are, in
fact, entitled to receive death benefits in addition to cash value accounts when their loved
one dies. However, usually an amount equal to the policy's face value is paid upon death.It is important to know this information before purchasing cash value life insurance.
Considerations
It is recommended that you consult with an experienced insurance agent before buying
life insurance. It is important to find a life product that is tailored to the specific needs of
19
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
20/126
the individual policyholder and his family. For example, an individual may only need to
protect his family from large mortgage obligations for 10 or 15 years. If an individual
wishes to be covered by a policy for the remainder of his life, then a cash value policy
may be in order.
Research also shows that using life insurance policies as investment vehicles is not a wise
move. Long term, it is much more profitable to buy term insurance and take advantage of
low premiums and invest in mutual funds or stocks that are not attached to insurance
policies.
Effects on Society
Insurance can have various effects on society through the way that it changes who bears
the cost of losses and damage. It can increase fraud. On the other hand, it can help
societies and individuals prepare for catastrophes and mitigate the effects of catastrophes
on both households and societies.
Insurance can influence the probability of losses through moral hazard,insurance fraud,
and preventive steps by the insurance company. Insurance scholars have typically
used morale hazard to refer to the increased loss due to unintentional carelessness and
moral hazard to refer to increased risk due to intentional carelessness or indifference.
[6] Insurers attempt to address carelessness through inspections, policy provisions
requiring certain types of maintenance, and possible discounts for loss mitigation efforts.
While in theory insurers could encourage investment in loss reduction, some
commentators have argued that in practice insurers had historically not aggressively
pursued loss control measures - particularly to prevent disaster losses such as hurricanes -
because of concerns over rate reductions and legal battles. However, beginning around
1996 insurers began to take a more active role in loss mitigation throughbuilding codes.
Insurance and its Benefit to Society
A benefit society or mutual aid society is an organization or voluntary association formed
to provide mutual aid, benefit or insurance for relief from sundry difficulties. Such
20
http://en.wikipedia.org/wiki/Moral_hazardhttp://en.wikipedia.org/wiki/Insurance_fraudhttp://en.wikipedia.org/wiki/Morale_hazardhttp://en.wikipedia.org/wiki/Insurance#cite_note-5http://en.wikipedia.org/wiki/Building_codehttp://en.wikipedia.org/wiki/Moral_hazardhttp://en.wikipedia.org/wiki/Insurance_fraudhttp://en.wikipedia.org/wiki/Morale_hazardhttp://en.wikipedia.org/wiki/Insurance#cite_note-5http://en.wikipedia.org/wiki/Building_code -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
21/126
organizations may be formally organized with charters and established customs, or may
arise ad hoc to meet unique needs of a particular time and place.
Benefit societies can be organized around a shared ethnic background, religion,
occupation, geographical region or other basis. Benefits may include money or assistancefor sickness, retirement, education, birth of a baby, funeral and medical expenses,
unemployment. Often benefit societies provide a social or educational framework for
members and their families to support each other and contribute to the wider community.
Examples of benefit societies include trade unions, friendly societies, credit unions, self-
help groups, landsmanshaftn, immigrant hometown societies, Fraternal organizations
such as Freemasons and Oddfellows and many others. Peter Kropotkin posited early in
the 20th century that mutual aid affiliations predate human culture and are as much a
factor in evolution as is survival of the fittest.
A benefit society can be characterized by-
Members having equivalent opportunity for a say in the organization
Members having potentially equivalent benefits.
Aid would go to those in need (strong helping the weak)
Collection fund for payment of benefits
Educating others about a group's interest
Preserving cultural traditions
Mutual defense
Many of the features of benefit organizations today have been assimilated into
organizations that rely on the corporate and political structures of our time. Insurance
companies, religious charities, credit unions and democratic governments now performmany of the same functions that were once the purview of ethnic or culturally affiliated
mutual benefit associations.
But new technologies have provided yet more new opportunities for humanity to support
itself through mutual aid. Recent authors have described the networked affiliations that
21
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
22/126
produce collaborative projects such as Wikipedia as mutual aid societies. In
modern Asia rotating credit associations organized within communities or workplaces
were widespread through the early 20th century and continue in our time. [1]Habitat for
Humanity in the United States is a leading example of shared credit and labor pooled to
help low-income people afford adequate housing.
In post-disaster reactions, formal benefit societies of our time often lend aid to others
outside their immediate membership, while ad hoc benefit associations form among
neighbours or refugees. Ad hoc mutual aid associations have been seen organized among
strangers facing shared challenges at such disparate settings as the Woodstock Music and
Arts Festival in New York in 1969, during the Beijing Tiananmen square protests of
1989,for neighbourhood defence during the Los Angeles Riots of 1992,and work of the
organization Common Ground Collective which formed in New Orleans afterHurricane
Katrina in 2005. The Rainbow Family organizes gatherings in National Forests of
the United States each year around age old models of ad hoc mutual aid.
Controversies
Religious concerns
Muslim scholars have varying opinions about insurance. Insurance policies that earn
interest are generally considered to be a form ofriba (usury) and some consider even
policies that do not earn interest to be a form ofgharar(speculation). Some argue
thatghararis not present due to the actuarial science behind the underwriting.
Jewish rabbinical scholars also have expressed reservations regarding insurance as an
avoidance of God's will but most find it acceptable in moderation.
Some Christians believe insurance represents a lack of faith and there is a long history of
resistance to commercial insurance in Anabaptist communities (Mennonites,Amish, Hutt
rites, Brethren in Christ) but many participate in community-based self-insurance
programs that spread risk within their communities.
22
http://en.wikipedia.org/wiki/Open_sourcehttp://en.wikipedia.org/wiki/Wikipediahttp://en.wikipedia.org/wiki/Asiahttp://www.hartford-hwp.com/archives/55/587.htmlhttp://en.wikipedia.org/wiki/Habitat_for_Humanityhttp://en.wikipedia.org/wiki/Habitat_for_Humanityhttp://en.wikipedia.org/wiki/Woodstock_Festivalhttp://en.wikipedia.org/wiki/Woodstock_Festivalhttp://en.wikipedia.org/wiki/Tiananmen_square_protests_of_1989http://en.wikipedia.org/wiki/1992_Los_Angeles_riotshttp://en.wikipedia.org/wiki/Common_Ground_Collectivehttp://en.wikipedia.org/wiki/New_Orleanshttp://en.wikipedia.org/wiki/Hurricane_Katrinahttp://en.wikipedia.org/wiki/Hurricane_Katrinahttp://en.wikipedia.org/wiki/Rainbow_Familyhttp://en.wikipedia.org/wiki/United_States_National_Foresthttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Ribahttp://en.wikipedia.org/wiki/Usuryhttp://en.wikipedia.org/wiki/Speculationhttp://en.wikipedia.org/wiki/Mennoniteshttp://en.wikipedia.org/wiki/Amishhttp://en.wikipedia.org/wiki/Brethren_in_Christhttp://en.wikipedia.org/wiki/Open_sourcehttp://en.wikipedia.org/wiki/Wikipediahttp://en.wikipedia.org/wiki/Asiahttp://www.hartford-hwp.com/archives/55/587.htmlhttp://en.wikipedia.org/wiki/Habitat_for_Humanityhttp://en.wikipedia.org/wiki/Habitat_for_Humanityhttp://en.wikipedia.org/wiki/Woodstock_Festivalhttp://en.wikipedia.org/wiki/Woodstock_Festivalhttp://en.wikipedia.org/wiki/Tiananmen_square_protests_of_1989http://en.wikipedia.org/wiki/1992_Los_Angeles_riotshttp://en.wikipedia.org/wiki/Common_Ground_Collectivehttp://en.wikipedia.org/wiki/New_Orleanshttp://en.wikipedia.org/wiki/Hurricane_Katrinahttp://en.wikipedia.org/wiki/Hurricane_Katrinahttp://en.wikipedia.org/wiki/Rainbow_Familyhttp://en.wikipedia.org/wiki/United_States_National_Foresthttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Ribahttp://en.wikipedia.org/wiki/Usuryhttp://en.wikipedia.org/wiki/Speculationhttp://en.wikipedia.org/wiki/Mennoniteshttp://en.wikipedia.org/wiki/Amishhttp://en.wikipedia.org/wiki/Brethren_in_Christ -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
23/126
Insurance insulates too much
By creating a "security blanket" for its insureds, an insurance company may
inadvertently find that its insureds may not be as risk-averse as they might otherwise be
(since, by definition, the insured has transferred the risk to the insurer), a concept known
as moral hazard. To reduce their own financial exposure, insurance companies have
contractual clauses that mitigate their obligation to provide coverage if the insured
engages in behavior that grossly magnifies their risk of loss or liability.
For example, life insurance companies may require higher premiums or deny coverage
altogether to people who work in hazardous occupations or engage in dangerous sports.
Liability insurance providers do not provide coverage for liability arising from intentional
torts committed by or at the direction of the insured. Even if a provider were so irrational
as to want to provide such coverage, it is against the public policy of most countries to
allow such insurance to exist, and thus it is usually illegal.
Complexity of insurance policy contracts
Insurance policies can be complex and some policyholders may not understand all the
fees and coverages included in a policy. As a result, people may buy policies on
unfavorable terms. In response to these issues, many countries have enacted detailed
statutory and regulatory regimes governing every aspect of the insurance business,including minimum standards for policies and the ways in which they may be
advertised and sold.
For example, most insurance policies in the English language today have been carefully
drafted inplain English; the industry learned the hard way that many courts will not
enforce policies against insureds when the judges themselves cannot understand what
the policies are saying.
Many institutional insurance purchasers buy insurance through an insurance broker.
While on the surface it appears the broker represents the buyer (not the insurance
company), and typically counsels the buyer on appropriate coverage and policy
limitations, it should be noted that in the vast majority of cases a broker's compensation
comes in the form of a commission as a percentage of the insurance premium, creating a
conflict of interest in that the broker's financial interest is tilted towards encouraging an
23
http://en.wikipedia.org/wiki/Moral_hazardhttp://en.wikipedia.org/wiki/Intentional_torthttp://en.wikipedia.org/wiki/Intentional_torthttp://en.wikipedia.org/wiki/Plain_Englishhttp://en.wikipedia.org/wiki/Moral_hazardhttp://en.wikipedia.org/wiki/Intentional_torthttp://en.wikipedia.org/wiki/Intentional_torthttp://en.wikipedia.org/wiki/Plain_English -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
24/126
insured to purchase more insurance than might be necessary at a higher price. A broker
generally holds contracts with many insurers, thereby allowing the broker to "shop"
the market for the best rates and coverage possible.
Insurance may also be purchased through an agent. Unlike a broker, who represents thepolicyholder, an agent represents the insurance company from whom the policyholder
buys. An agent can represent more than one company.
An independent insurance consultant advises insureds on a fee-for-service retainer,
similar to an attorney, and thus offers completely independent advice, free of the
financial conflict of interest of brokers and/or agents. However, such a consultant must
still work through brokers and/or agents in order to secure coverage for their clients.
Redlining
Redlining is the practice of denying insurance coverage in specific geographic areas,
supposedly because of a high likelihood of loss, while the alleged motivation is unlawful
discrimination. Racial profiling orredlining has a long history in the property insurance
industry in the United States. From a review of industry underwriting and marketing
materials, court documents, and research by government agencies, industry and
community groups, and academics, it is clear that race has long affected and continues to
affect the policies and practices of the insurance industry.
In July, 2007, The Federal Trade Commission released a report presenting the results of a
study concerning credit-based insurance scores and automobile insurance. The study
found that these scores are effective predictors of the claims that consumers will file.
All states have provisions in their rate regulation laws or in their fair trade practice acts
that prohibit unfair discrimination, often called redlining, in setting rates and making
insurance available.
In determining premiums and premium rate structures, insurers consider quantifiable
factors, including location, credit scores, gender, occupation, marital status,
and education level. However, the use of such factors is often considered to be unfair or
unlawfully discriminatory, and the reaction against this practice has in some instances led
24
http://en.wikipedia.org/wiki/Markethttp://en.wikipedia.org/wiki/Redlininghttp://en.wikipedia.org/wiki/Racial_profilinghttp://en.wikipedia.org/wiki/Redlininghttp://en.wikipedia.org/wiki/Credit_scorehttp://en.wikipedia.org/wiki/Marital_statushttp://en.wikipedia.org/wiki/Educationhttp://en.wikipedia.org/wiki/Discriminatoryhttp://en.wikipedia.org/wiki/Markethttp://en.wikipedia.org/wiki/Redlininghttp://en.wikipedia.org/wiki/Racial_profilinghttp://en.wikipedia.org/wiki/Redlininghttp://en.wikipedia.org/wiki/Credit_scorehttp://en.wikipedia.org/wiki/Marital_statushttp://en.wikipedia.org/wiki/Educationhttp://en.wikipedia.org/wiki/Discriminatory -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
25/126
to political disputes about the ways in which insurers determine premiums and regulatory
intervention to limit the factors used.
An insurance underwriter's job is to evaluate a given risk as to the likelihood that a loss
will occur. Any factor that causes a greater likelihood of loss should theoretically becharged a higher rate. This basic principle of insurance must be followed if insurance
companies are to remain solvent. Thus, "discrimination" against (i.e., negative differential
treatment of) potential insureds in the risk evaluation and premium-setting process is a
necessary by-product of the fundamentals of insurance underwriting. For instance,
insurers charge older people significantly higher premiums than they charge younger
people for term life insurance. Older people are thus treated differently than younger
people (i.e., a distinction is made, discrimination occurs). The rationale for the
differential treatment goes to the heart of the risk a life insurer takes: Old people are
likely to die sooner than young people, so the risk of loss (the insured's death) is greater
in any given period of time and therefore the risk premium must be higher to cover the
greater risk. However, treating insureds differently when there is no actuarially sound
reason for doing so is unlawful discrimination.
What is often missing from the debate is that prohibiting the use of legitimate, actuarially
sound factors means that an insufficient amount is being charged for a given risk, and
there is thus a deficit in the system. The failure to address the deficit may mean
insolvency and hardship for all of a company's insureds. The options for addressing the
deficit seem to be the following: Charge the deficit to the other policyholders or charge it
to the government (i.e., externalize outside of the company to society at large).
Insurance patents
New assurance products can now be protected from copying with a business method
patent in the United States.
A recent example of a new insurance product that is patented is Usage Based auto
insurance. Early versions were independently invented and patented by a major U.S. auto
insurance company, Progressive Auto Insurance (U.S. Patent 5,797,134) and a Spanish
independent inventor, Salvador Minguijon Perez (EP patent 0700009).
25
http://en.wikipedia.org/wiki/Business_method_patenthttp://en.wikipedia.org/wiki/Business_method_patenthttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Usage_based_insurancehttp://en.wikipedia.org/wiki/Auto_insurancehttp://en.wikipedia.org/wiki/Auto_insurancehttp://en.wikipedia.org/wiki/Progressive_Corporationhttp://www.google.com/patents?q=5797134http://v3.espacenet.com/textdoc?DB=EPODOC&IDX=EP0700009http://en.wikipedia.org/wiki/Business_method_patenthttp://en.wikipedia.org/wiki/Business_method_patenthttp://en.wikipedia.org/wiki/United_Stateshttp://en.wikipedia.org/wiki/Usage_based_insurancehttp://en.wikipedia.org/wiki/Auto_insurancehttp://en.wikipedia.org/wiki/Auto_insurancehttp://en.wikipedia.org/wiki/Progressive_Corporationhttp://www.google.com/patents?q=5797134http://v3.espacenet.com/textdoc?DB=EPODOC&IDX=EP0700009 -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
26/126
Many independent inventors are in favor of patenting new insurance products since it
gives them protection from big companies when they bring their new insurance products
to market. Independent inventors account for 70% of the new U.S. patent applications in
this area.
Many insurance executives are opposed to patenting insurance products because it creates
a new risk for them. The Hartford insurance company, for example, recently had to pay
$80 million to an independent inventor, Bancorp Services, in order to settle a patent
infringement and theft of trade secret lawsuit for a type of corporate owned life insurance
product invented and patented by Bancorp.
There are currently about 150 new patent applications on insurance inventions filed per
year in the United States. The rate at which patents have issued has steadily risen from 15
in 2002 to 44 in 2010.
Inventors can now have their insurance U.S. patent applications reviewed by the public in
the Peer to Patentprogram. The first insurance patent application to be posted
was US2009005522 Risk Assessment Company. It was posted on March 6, 2009. This
patent application describes a method for increasing the ease of changing insurance
companies.
The insurance industry and rent seeking
Certain insurance products and practices have been described as rent seekingby
critics. That is, some insurance products or practices are useful primarily because of legal
benefits, such as reducing taxes, as opposed to providing protection against risks of
adverse events. Under United States tax law, for example, most owners ofvariable
annuities and variable life insurance can invest their premium payments in the stock
market and defer or eliminate paying any taxes on their investments until withdrawals are
made. Sometimes this tax deferral is the only reason people use these products. Anotherexample is the legal infrastructure which allows life insurance to be held in an irrevocable
trust which is used to pay an estate tax while the proceeds themselves are immune from
the estate tax.
BENEFITS OF LIFE INSURANCE
26
http://en.wikipedia.org/wiki/The_Hartfordhttp://en.wikipedia.org/wiki/Peer_to_Patenthttp://www.peertopatent.org/patent/20090055227/activityhttp://en.wikipedia.org/wiki/Rent_seekinghttp://en.wikipedia.org/wiki/Annuity_(US_financial_products)http://en.wikipedia.org/wiki/Annuity_(US_financial_products)http://en.wikipedia.org/wiki/Variable_universal_life_insurancehttp://en.wikipedia.org/wiki/Estate_taxhttp://en.wikipedia.org/wiki/The_Hartfordhttp://en.wikipedia.org/wiki/Peer_to_Patenthttp://www.peertopatent.org/patent/20090055227/activityhttp://en.wikipedia.org/wiki/Rent_seekinghttp://en.wikipedia.org/wiki/Annuity_(US_financial_products)http://en.wikipedia.org/wiki/Annuity_(US_financial_products)http://en.wikipedia.org/wiki/Variable_universal_life_insurancehttp://en.wikipedia.org/wiki/Estate_tax -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
27/126
Life insurance, especially tailored to meet the financial needs of customers.
Need for Life Insurance
Today, there is no shortage of investment options for a person to choose from. Modernday investments include gold, property, fixed income instruments, mutual funds and of
course, life insurance. Given the plethora of choices, it becomes imperative to make the
right choice when investing your hard-earned money. Life insurance is a unique
investment that helps you to meet your dual needs - saving for life's important goals, and
protecting your assets.
Let us look at these unique benefits of life insurance in detail:-
Asset Protection
From an investor's point of view, an investment can play two roles - asset appreciation or
asset protection. While most financial instruments have the underlying benefit of asset
appreciation, life insurance is unique in that it gives the customer the reassurance of asset
protection, along with a strong element of asset appreciation.
The core benefit oflife insurance is that the financial interests of ones family remain
protected from circumstances such as loss of income due to critical illness or death of the
policyholder. Simultaneously, insurance products also have a strong inbuilt wealth
creation proposition. The customer therefore benefits on two counts and life insurance
occupies a unique space in the landscape of investment options available to a customer.
Goal based savings
Each of us has some goals in life for which we need to save. For a young, newly married
couple, it could be buying a house. Once, they decide to start a family, the goal changes
to planning for the education or marriage of their children. As one grows older, planning
for one's retirement will begin to take precedence.
27
http://www.iciciprulife.com/public/Life-plans/Plan-Life-need.htmhttp://www.iciciprulife.com/public/Life-plans/Plan-Life-need.htmhttp://www.iciciprulife.com/public/Life-plans/Plan-Life-need.htmhttp://www.iciciprulife.com/public/Life-plans/Plan-Life-need.htm -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
28/126
Clearly, as your life stage and therefore your financial goals change, the instrument in
which you invest should offer corresponding benefits pertinent to the new life stage.
Life insurance is the only investment option that offers specific products tailor made for
different life stages. It thus ensures that the benefits offered to the customer reflect the
needs of the customer at that particular life stage, and hence ensures that the financial
goals of that life stage are met.
Life Stage
Primary Need Life Insurance Product
Young & Single Asset creation Wealth creation plans
Young & Justmarried
Asset creation & protectionWealth creation and mortgageprotection plans
Married with kidsChildren's education, Assetcreation and protection
Education insurance, mortgageprotection & wealth creation plans
Middle aged withgrown up kids
Planning for retirement &asset protection
Retirement solutions & mortgageprotection
Across all life-
stagesHealth plans Health Insurance
1. Superior to Any Other Savings Plan:
Unlike any other saving plan, a life insurance policy affords full protection
against risk of death. In the event of death of a policyholder, the insurance company
makes available the full sum assured to the policyholders near and dear ones. In
comparison, any other saving plan would amount to the total saving accumulated till date.
If the death occurs prematurely, such savings can be much lesser than the sum assured.
Evidently, the potential financial loss to the family of the policyholder is sizable.
2. Encourages and Forces Thrift:
A savings deposit can be easily withdrawn. The payment of life insurance
premiums, however, is considered sacrosanct and is viewed with the same seriousness as
28
http://www.iciciprulife.com/public/Life-plans/Wealth-Creation-Plans.htmhttp://www.iciciprulife.com/public/Life-plans/Wealth-Creation-Plans.htmhttp://www.iciciprulife.com/public/Life-plans/Education-Insurance-Plans.htmhttp://www.iciciprulife.com/public/Retirement-Plans/Retirement-Plans-Need.htmhttp://www.iciciprulife.com/public/Health-plans/Health-Insurance-Products.htmhttp://www.iciciprulife.com/public/Health-plans/About-health-insurance.htmhttp://www.iciciprulife.com/public/Life-plans/Wealth-Creation-Plans.htmhttp://www.iciciprulife.com/public/Life-plans/Wealth-Creation-Plans.htmhttp://www.iciciprulife.com/public/Life-plans/Education-Insurance-Plans.htmhttp://www.iciciprulife.com/public/Retirement-Plans/Retirement-Plans-Need.htmhttp://www.iciciprulife.com/public/Health-plans/Health-Insurance-Products.htmhttp://www.iciciprulife.com/public/Health-plans/About-health-insurance.htm -
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
29/126
the payment of interest on a mortgage. Thus, a life insurance policy in effect brings about
compulsory savings.
3. Easy Settlement and Protection against Creditors:
A life insurance policy is the only financial instrument the proceeds of which can
be protected against the claims of a creditor of the assured by effecting a valid
assignment of the policy.
4. Administering the Legacy for Beneficiaries:
Speculative or unwise expenses quickly cause the proceeds to be squandered.
Several policies have foreseen this possibility and provide for payments over a period of
years or in a combination of installments and lump sum amounts.
5. Ready Marketability and Suitability for Quick Borrowing:
A life insurance policy can, after a certain time period (generally three years), be
surrender for a cash value. The policy is also acceptable as a security for a commercial
loan, for example, a student loan. It is particularly advisable for housing loans when an
acceptable LIC policy may also cause the lending institution to give loan at lower interest
rates.
6. Disability Benefits:
Death is only the hazard that is insured; many policies also include disability
benefits. Typically, these provide for waiver of future premiums and payments of
monthly installments spread over certain time period.
7. Accidental Death Benefits:
Many policies can also provide for an extra sum to be paid (typically equal to the
sum assured) if death occurs as a result of accident.
8. Tax Relief:
Under the Indian Income Tax Act, the following tax relief is available:
29
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
30/126
(a) 20% of the premium paid can be deducted from your total income tax liability.
(b) 100% of the premium paid is deductible from your total taxable income. When
these benefits are factored in, it is found that most policies offer returns that are
comparable/or even better than other saving modes such as PPF, NSC etc. Moreover, the
cost of insurance is a very negligible.
Working of Insurance Business
Insurance companies receive premium from a large number of people buying
insurance. The more customers an insurer has, the lower the premiums can be, and theless likely that insurer is to take a loss that wipes everyone out.
Insurance is fundamental to every aspect of modern life and commerce.
INSURANCE AS AN INVESTMENT TOOL:
Insurance invests in the economy. Insurance provides funds to help businesses
grow and create jobs. Premium funds that are not immediately needed are lent to
government and businesses. Lending to municipalities, in the form of bonds, provides
local governments across the United States with the means to build, maintain and repair
municipal infrastructure schools, roads, bridges, sewers, airports.. Funds are also lent
to businesses, providing them with the means to purchase buildings, equipment and
supplies. Along with housing interests, the insurance industry is probably the most active
voluntary investor in low- and moderate-income communities, particularly those located
in urban areas. Compared to less-developed countries, the developed countries enjoy a
higher standard of living, partly because these funds are available from insurance
companies.
Support the provision of credit
30
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
31/126
Insurance provides support for credit. Even though mortgage lenders approve an
applicant for a home loan based on the applicants credit worthiness, most lenders also
require that the dwelling be covered by homeowners insurance. Likewise, a business
applying for a loan to purchase inventory might be required to show that the inventory is
insured before the loan is granted.
Reduces anxiety
Insurance also reduces anxiety because the insured knows insurance will provide
indemnification if a covered loss occurs. By shouldering the burden of unexpected or
catastrophic losses, insurance helps businesses avoid bankruptcy and keeps workers
employed and local economies healthy. It also contributes to a stable society where
people can plan for the future without an undue fear of catastrophic loss.
Insurance and Risk Management Planning
Insurance and Risk Management Planning is the process of identifying the source
and extent of an individuals risk of financial, physical, and personal loss, and developing
strategies to manage exposure to risk and minimize the probability and amount of
potential loss.
Insurance and Risk Management Planning in the Context of Personal Financial
Planning
In personal financial planning (PFP), risk management and insurance planning
results in clients who are aware of the range of significant risks to their financial well-
being and who are adequately and properly protected from the loss that could result fromthose risks. Periodic reviews help clients understand that life changes, such as a job
change or divorce, affect risk management and insurance coverage.
Risk Management Strategies
31
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
32/126
Risk Management is much broader than the purchase of insurance policies, involving
strategies such as:
Riskavoidanceis just that, avoiding the risk associated with a specific task, activityor project. Often, following the review of a contract, it is determined that a project is
just too risky. The client may decide not to bid the work at all, or remove that element
of the work from their bid, sometimes using an alternate deduct to delineate the
exclusion. Risk avoidance is strictly a business decision, and sometimes a very good
strategy if construction documents are unclear, ambiguous or incomplete.
Risk Abatement is the process of combining loss prevention or loss control to
minimize a risk. This risk management strategy serves to reduce the loss potential anddecrease the frequency or severity of the loss. Risk abatement is preferably used in
conjunction with other risk management strategies, since using this risk management
method alone will not totally eliminate the risk.
Risk Retention is a good strategy only when it is impossible to transfer the risk. Or,
based on an evaluation of the economic loss exposure, it is determined that the
diminutive value placed on the risk can be safely absorbed. Another consideration in
retaining a risk is when the probability of loss is so high that to transfer the risk, it
would cost almost as much as the cost of the worst loss that could ever occur, i.e., if
there is a high probability of loss, it may be best to retain the risk in lieu of
transferring it.
Risk Transfer is the shifting of the risk burden from one party to another. This can
be done several ways, but is usually done through conventional insurance as a risk
transfer mechanism, and through the use of contract indemnification provisions.
Risk Allocation is the sharing of the risk burden with other parties. This is usually
based on a business decision when a client realizes that the cost of doing a project is
too large and needs to spread the economic risk with another firm. Also, when a client
32
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
33/126
lacks a specific competency that is a requirement of the contract, e.g., design
capability for a design-build project. A typical example of using a risk allocation
strategy is in the formation of a joint venture.
Insurance as a Risk Management Strategy
Insurance is just one aspectbut a very critical aspectof risk management
planning. A key aspect of insurance planning understands what is available from
insurance companies to assist in offsetting the economic losses associated with a
particular risk. From this point you can assist your clients to inventory what risks are to
be protected, identify gaps in coverage, evaluate alternative insurance policies, and select
and acquire the appropriate policies.
How Insurance Companies Work
33
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
34/126
Unlike banks, insurance companies are chartered to provide insurance. They
generally do not extend credit and are often precluded from doing so by law and
regulation. Because property/casualty policies are short-term usually one-year state insurance laws require most property/casualty investments to be short-term and
highly liquid. Legally permissible investments include cash, mutual funds, Treasury
bills and notes, mortgage-backed securities, specified types of debt securities, and
preferred stock. Generally, property and casualty insurers cannot invest in real estate,
other than their own buildings and property.
To illustrate the short-term nature of property/casualty investments, consider
that in an average year, out of $100 paid in homeowners premiums, the industrypays out $74 in claims. 3 The remainder goes to agent commissions, administrative
expenses, operating costs, and, in good years, policyholder protection funds 4 which
protect against future catastrophic loss. When catastrophes strike, such as fires,
hurricanes, or earthquakes a greater percentage of premiums will be paid out in
claims. Over time, customers receive back the vast majority of premiums in claims
34
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
35/126
payments. The billions of dollars paid by the industry in claims is itself
"reinvestment" in the local community when disaster strikes. This reinvestment not
only benefits policyholders, it benefits the people who rebuild the structure after the
tornado, fix the car damaged by hail or sell the appliances and cabinets needed to
repair the kitchen damaged by fire. Life insurance companies primarily issue life
insurance policies and annuities. Policyholder premiums are invested in compliance
with state insurance laws for the benefit of policyholders to ensure that the company
can meet its obligations under the terms of the policies. As they do for
property/casualty companies, state insurance laws establish the types and amounts of
permissible investments for life companies.
Legally permissible investments include cash, mutual funds, Treasury bills
and notes, mortgage-backed securities, corporate stock and other types of equity and
debt securities, loans, and real estate. Reflecting the long-term nature of a life
insurance policy, life insurance companies generally are permitted longer-term
investments than those permitted for property/casualty companies.
How Insurance is regulated
Insurance regulation is conducted by each state through its department of
insurance, run by a commissioner or director who may be elected, or appointed by
the governor. Insurance departments are charged with regulating the safety and
soundness of insurance companies and consumer protection. Primarily the home
state regulator, who leads safety and soundness examinations and reviews
investments and the adequacy of policy reserves, conducts safety and soundness
regulation. Each state regulator must license any company that wants to do business
in his or her state, and review and approve rates and policy forms to be used by any
licensed company. Unlike banks and thrifts, most insurance companies have no
geographic community. Insurance companies must be "domiciled" in a single state
and are primarily regulated by the home state regulator. They must be licensed in
every state in which they do business. However, there may be no connection between
a companys physical location and its home state or other states in which it is
35
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
36/126
licensed. For example, an insurance company may be domiciled in Illinois, have its
headquarters in California, and be licensed for business in 40 states. In the case of
automobile insurance, the company likely would have claims offices and perhaps
agents in each of the states in which it is licensed. In the case of more specialized
coverage such as directors and officers liability insurance, a company may not have
a physical presence in any of its licensed states.
In a competitive environment, some insurance company failures will
inevitably occur. However, unlike banks, thrifts and credit unions, the insurance
industry does not have a government-backed fund to handle insolvency. Instead,
each state has a life insurance guaranty fund and a property/casualty insurance
company guaranty fund. The guaranty funds ensure that the insolvent company is
retired from the market in an orderly manner that gives maximum protection to the
public.
Development of Insurance in India
A thriving insurance sector is of vital importance to every modern economy. Firstbecause it encourages the savings habit, second because it provides a safety net to rural
and urban enterprises and productive individuals. And perhaps most importantly it
generates long-term investible funds for infrastructure building. The nature of the
insurance business is such that the cash inflow of insurance companies is constant while
the payout is deferred and contingency related.
36
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
37/126
This characteristic of their business makes insurance companies the biggest
investors in long-gestation infrastructure development projects in all developed and
aspiring nations. This is the most compelling reason why private sector (and foreign)
companies which will spread the insurance habit in the societal and consumer interest are
urgently required in this vital sector of the economy.
With the nation's infrastructure in a state of imminent collapse, India couldn't have
afforded to be lumbered with sub-optimally performing monopoly insurance companies
and therefore the passage of the Insurance Regulatory & Development Authority Bill on
December 2, 1999 heralds an era of cautious optimism where stakes are high for all
parties concerned. For the Govt. of India, Foreign Direct Investment (FDI) must pour in
as anticipated; for foreign insurers, investments must start yielding returns and for the
domestic insurance industry - their market penetration should remain intact. On the
fringe, the customer is pondering whether all the hype created on liberalization will
actually benefit him.
The IRDA Bill provides for the establishment of an authority to protect the
interests of the holders of insurance policies, to regulate, promote and insure orderly
growth of the insurance industry and amend the Insurance Act, 1938, the Life Insurance
Act, 1956 and the General Insurance Business (Nationalization) Act, 1972. The bill
allows foreign equity stake in domestic private insurance companies to a maximum of 26
per cent of the total paid-up capital and seeks to provide statutory status to the insurance
regulator. Before privatization, insurance business in India was pegged at $ 6.6 Billion
whereas industry leaders expected at that time that privatization will increase it to $ 40
Billion within next 3-5 years.
HISTORYOFTHE INSURANCESECTOR
In India, insurance has a deep-rooted history. It finds mention in the writings of Manu
(Manusmrithi ), Yagnavalkya (Dharmasastra ) and Kautilya ( Arthasastra ). The
writings talk in terms of pooling of resources that could be re-distributed in times of
calamities such as fire, floods, epidemics and famine. This was probably a pre-cursor to
modern day insurance. Ancient Indian history has preserved the earliest traces of
37
-
7/28/2019 2 Comparitive Study ICICI Prudential HDFC Slic
38/126
insurance in the form of marine trade loans and carriers contracts. Insurance in India has
evolved over time heavily drawing from other countries, England in particular.
1818 saw the advent of life insurance business in India with the establishment of the
Oriental Life Insurance Company in Calcutta. This Company however failed in 1834. In
1829, the Madras Equitable had begun transacting life insurance business in the Madras
Presidency. 1870 saw the enactment of the British Insurance Act and in the last three
decades of the nineteenth century, the Bombay Mutual (1871), Oriental (1874) and
Empire of India (1897) were started in the Bombay Residency. This era, however, was
dominated by foreign insurance offices which did good business in India, namely Albert
Life Assurance, Royal Insurance, Liverpool and London Globe Insurance and the Indian
offices were up for hard competition from the foreign companies.
In 1914, the Government of India started publishing returns of Insurance Companies
in India. The Indian Life Assurance Companies Act, 1912 was the first statutory measure
to regulate life business. In 1928, the Indian Insurance Companies Act was enacted to
enable the Government to collect statistical information about both life and non-life
business transacted in India by Indian and foreign insurers including provident insurance
societies. In 1938, with a view to protecting th