micro insurance in india project
TRANSCRIPT
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A PROJ ECT REPORT ON
MICRO INSURANCE IN INDIA
Submitted in partial fulfillment of the requirements
For
BACHELOR OF COMMERCE
(BANKING AND INSURANCE)
(2012-2013)
By
PRATIKSHA S. MHATRE
Under the guidance of
Prof. MRS KANCHANA SATTUR
University of Mumbai
Sheth T.J Education Societys,
SHETH N.K.T.T COLLEGE OF COMMERCE &
SHETH J .T.T COLLEGE OF ARTS, THENE (W)
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Sheth T.J. Education Societys,
SHETH N.K.T.T. COLLEGE OF COMMERCE &
SHETH J .T.T. COLLEGE OF ARTS, THANE (W)
CERTIFICATE OF
PROJ ECT WORK
This is certify that
Mrs. PRATIKSHA S. MHATRE of B&I. Semester V. Roll
No:15 has undertaken & completed the project work
titledMICRO INSURANCE IN INDIAduring the
academic year 2012-13 under the guidance of Prof.Mrs.
KANCHANA SATTURsubmitted on th , 2013 to this
college in fulfillment of the curriculum of BACHELOR
OF BANIKNG & INSURANCE , UNIVERSITY OF
MUMBAI.
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This is bonafide project work & the information
presented is True & original to the best of our knowledge &
beliefPROJECT COURSE EXTERNAL
PRINCIPAL
GUIDE COORDINATOR EXAMINAR
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Declaration
I, MISS .PRATIKSHA S MHATRE hereby declare
that the project report entitled MICRO
INSURANCE IN INDIA. Under guidance of
Prof.MRS KANCHANA SATTUR submitted inpartial fulfillment of the requirements for the award
of the degree of BACHELOR OF COMMERCE (B&I)
TO MUMBAI UNIVERCITY is my original work.
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ACKNOWLWDEGEMENT
I take this Company to express and record
my thanks and gratitude to Sheth N.K.T.T College
of Commerce Thane, and the entire Faculty of
Semester V of B&I Course, in the College. Further,
I also acknowledge my sincere and special thanks
and gratitude to my Project Guide Prof.MRSKANCHANA SATTUR , and Project Co-coordinator,
Voice Principal & Professor Anil Khadse without
whose continuous guidance and encouragement it
would not have been possible for me to complete
this project Work.
I express my thanks to all my colleagues
with whom I have debates and discussions on the
subject, which also helped to have better
understanding and clarity on the subject.
Course name:-B&I (Semester-V)
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College name: - Sheth N.K.T.T College of
Commerce & arts
University: - Mumbai University
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Preface:
Decision-making is a fundamental part of the research process.
Decisions regarding that what you want to do, how you want to do, what
tools and techniques must be used for the successful completion of the
project. In fact it is the researchers efficiency as a decision maker that makes
project fruitful for those who concern to the area of study.
Basically when we are playing with data & computer in every
part of life, I used it in my project not for the ease of my but for the ease of
result explanation to those who will read this project. The project presents the
role of financial system in life of persons.
I had toiled to achieve the goals desired. Being a neophyte in this
highly competitive world of business, I had come across several difficulties
to make the objectives a reality. I am presenting this hand carved efforts in
black and white. If anywhere something is found not in tandem to the theme
then you are welcome with your valuable suggestions.
Executive Summary:
Insurance Industry, which is basically my concern industry around
which my project has to be revolved, is really a very complex industry. And
to work for this was really a complex and hectic task and few times I felt so
frustrated that I thought to left the project and go for any new industry and
new project. Challenges, which I faced while doing this project, werefollowing-
Insurance sector was quite similar in offering and
products and because of that it was very difficult to discriminate
between our product and products of the competitors.
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Target customers and respondents were too busy persons
that to get their time and view for specific questions was very
difficult.
Sensitivity of the industry was also a very frequent factor,
which was very important to measure correctly.
During the research time I was analysis so many product
and scheme of rural insurance with other insurance scheme, which
is located in Thane district.
Area covered for the project was very large and it was
very difficult to correlate two different customers/respondentsviews in a one.
Every financial customer has his/her own need and
according to the requirements of the customer product
customization was not possible.
So above challenges some time forced me to leave the project but
anyhow I did my project in all circumstances.
Objectives of the Project:
Project study, which is being conducted by
me for the last two month, is not only a formality for the
fulfillment of the three year full time bachelors in business
Administration. But being a management student and a good
Researcher I tried my best to extract best of the information
available in the market for the use of society and people. I have
classified the objectives in this project form personal to
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professional, but here I am not disclosing my personal
objectives, which have been achieved by me while doing the
project. Only professional objectives, which are being covered
by me in this project, are as following-
To know about the meaning and objective of rural insurance in
India.
To look into the role of government in implementing various
Rural Insurance Schemes.
To suggest effective rural insurance progrmme in India.
To discuss and explore the problems and prospects of rural
insurance in the country.
To examine the prformance of the existing and earlier national
Rural Insurance Schemes implimented in India.
Scope of the Study:
Each and every project study along with its
certain objectives also has scope for future. And this scope in
future gives new researches a new need to research a new
project with a new scope. Scope of the study not only consist
one or two future business plan but sometime it also gives idea
about a new business which becomes much more profitable for
the researches than the older one.
Scope of the study could give the projected scenario
for a new successful strategy with a proper implementation plan.
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Whatever scope I observed in my project are not exactly having
all the features of the scope, which I described above, but also
not lacking all the features.
1. Research study could give an idea of network
expansion for capturing more market and customer with better
services and lower cost, with out compromising with quality.
2. In future customer requirements could be added
with the product and services for getting an edge over
competitors.
3. Consumer behavior could also be used for the
purpose of launching a new product with extra benefits which
are required by customers for their account (saving or current)
and/or for their investments.
4. Factors which are responsible for the performance
for bank can also be used for the modification of the strategy
and product for being more profitable.
5. Factors which I observed while doing project study
are following-
Competitors
Customer Behavior
Advertisement/promotional activities
Attitude of manpower and
Economic conditions
These all could also be interchanged with each other for
each other in banks strategies for making a final business plan to
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effecton the market with a positive way without disturbing a lot
to market, customers and competitors with disturbance in market
shares.
RESEREACH METHOLOGH
Data Collection:
Data collection has been done from both sources primary as
well as secondary data & also by questionnaire.
Primary data:
Primary data has been collected by visit to the organization
interview.
Secondary Data:
Secondary data was gathered through books, journals,
articles, web sites of banks, finance & various banking web sites of
different insurance sector.
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ABBREVIATION
IRDA: Insurance Regulatory Development Authority
LIC: Life Insurance Corporation of India
NBFC: NonBanking Finance Company
NGOs: Non Governmental Organizations
SHG: Self Help Group
AIG: American International Group
DPLI: DLF Pramerica Life Insurance Company Ltd.
PIIH: Prudential International Insurance Holding Ltd.
IDBI: Industrial Development Bank of India
SBI: State Bank of India
BSLI: Birla Sun Life Insurance Company Ltd.
MFI: Micro Finance Insttitutions
YCO: Youth Charitable Organization
FPA: Financial Planning Advisors
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Chapter No. 1
INTRODUCTION OF INSURANCE
1.1 INTRODUCTION:
Today, only one business, which affects all walks of life,
is insurance business. Thats why insurance industry occupies a
very important place among financial services operative in the
world. Owing to growing complexity of life, trade and commerce,
individuals as well as business firms are turning to insurance to
manage various risks. Therefore a proper knowledge of what
insurance is and what purpose does it serve to individual or an
organization is therefore necessary. Insurance is a mechanism that
ensures an individual to thrive on adverse consequences by
compensating the individual his/her loss financially. Everyindividual in this world is subject to unforeseen and uncalled for
hazards or dangers, which may make him and his family
vulnerable. At this place, only insurance helps him not only to
survive but also recover his loss and continue his life in a normal
manner, which would otherwise be unthinkable.
1.2 MEANING OF INSURANCE
Insurance means a promise of compensation for any
potential future losses. It facilates financial protection against by
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reimbursing losses during crisis. There are different insurance
companies that offer wide range of insurance option and an
insurance purchaser can select as per own convenience and
preference.
Insurance is financial service. It is pooling of risks. In a
contract of insurance, the insurer undertakes in consideration of a
sum of money to make good the loss suffered by the insured
against a specified risk or any other contingency. There are two
parties to an insurance contract, insurance company and insured
party.
The document laying down the terms of the contract is
called insurance policy. The property, which is insured, is the
subject matter of insurance. It may be insured against loss arising
from uncertain events in a form of destruction or damage to
property or death or disablement of a person. The interest, which
the insured has in the subject matter of insurance, is known as
insurable interest.
Several insurance provide comprehensive coverage
with affordable premiums. Premiums are periodical payment and
different insurers offer diverse premium options. The periodical
insurance premiums are calculated according to total insurance
amount.
Mainly insurance is used as an effective tool of risk
management as qualified risks of different volumes can be
insured.
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1.3 DEFINITION OF INSURANCE
Insurance is a contract between two parties whereby
one party agrees to undertake the risk of another in exchange for
consideration known as premium and promises to pay a fixed sumof money to the other party on happening of an uncertain event
(death) or after the expiry of a certain period in case of life
insurance or to indemnify the other party on happening of an
uncertain event in case of general insurance.
The party bearing the risk is known as the 'insurer' or
'assurer' and the party whose risk is covered is known as the
'insured' or 'assured'.
In the words of D. S. Hansell Insurance may be
defined as a social device providing financial compensation for
the effects of misfortune, the payment being made from the
accumulated contributions of all parties participating in the
scheme.
In the words of Riegel and Miller, Insurance is a
social device where by the uncertain risks of individuals may be
combined in a group and thus made more certain, small periodic
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contributions by the individuals providing a fund, out of which,
those who suffer losses may be reimbursed.
In the words of Justice Tindall, Insurance is a contract
in which a sum of money is paid to the assured as consideration
of insurers incurring the risk of paying a large sum upon a given
contingency.
In the words of E. W. Patterson, Insurance is a contract
by which one party, for a compensation called the premium,
assumes particularly risks of the other party and promises to pay
him or his nominee a certain or ascertainable sum of money on a
specified contingency.
In the words of Justice Channel, Insurance is a contract
where by one person, called the insurer, undertakes in return for
the agreed insurer, undertakes in return for the agreed
consideration called premium, to pay to another person called
insured, a sum of money or its equivalent on specified event.
1.4 HISTORY OF INSURANCE INDUSTRY:
The origin of practice of insurance is probably lost
forever in the mists of antiquity and till today remains a mystery.
References to practices similar to insurance are found in the
ancient Indian texts of Rig-Veda. Rig-Veda refers to the concept
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of"Yogakshema" - loosely meaning 'prosperity, well being and
security of people'. Insurance has a deep-rooted history in India
since ancient times and has been mentioned in the writings of
Manu (Manusmrithi), Yagnavalkya (Dharmasastra) and
Kautilyas Arthashastra that glorified ancient India. In all these
ancient texts, the writings discuss about pooling of resources that
would be re-distributed in times of calamities or unforeseen
circumstances such as epidemics, earthquakes, fire, floods and
famine. Such writings depict that it was probably a pre-cursor to
modern day insurance. Ancient Indian history has preserved the
earliest traces of insurance in the form of marine trade loans and
carriers contracts. In India, Insurance has evolved with the
passage of time heavily drawing inspiration from other countries,
England in particular.
In 1818 the advent of life insurance business
descended in India with the establishment of the Oriental Life
Insurance Company at Kolkata. However, this company failed in
1834 as it failed to realize its goals and achieve the desired
objectives. In 1829, the Madras Equitable had begun transacting
life insurance business in the Madras Presidency. In 1870 the
British Insurance Act was enacted. Moreover, in the last three
decades of the nineteenth century, the Bombay Mutual (1871),
Oriental (1874) and Empire of India (1897) commenced their
operations in the Bombay Presidency. However, this era, was
dominated and controlled by foreign insurance companies. Such
foreign insurance companies did good business in India such as
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Albert Life Assurance, Liverpool, London Globe Insurance and
Royal Insurance.
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 being transacted in India. In 1938, with a
view to protect the interests of the Indian Insurance companies,
the earlier legislation was amended with the enactment of the
Insurance Act, 1938 consisting of comprehensive provisions for
effective control.
With the enactment of Insurance Amendment Act of
1950, the Principal Agencies were abolished. However, due to the
presence of large number of insurance companies across India,
the intensity level of cut-throat competition amongst such
organizations was pretty high. There were also allegations of
unfair trade practices being prevalent to a great extent. The
Government of India, therefore, decided to standardize and
nationalize the practice of insurance business.
An ordinance was issued on 19th January, 1956 for
nationalization of the Life Insurance sector in India and Life
Insurance Corporation (LIC) came into existence in the same
year. The LIC absorbed 154 Indian, 16 non-Indian insurers as
well as 75 provident societiestotally 245 Indian and foreign
insurers. The LIC had monopoly till the late 90s when the
Insurance sector was reopened to theprivatesector.
The history of general (non-life) insurance dates back
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to the Industrial Revolution uprising in the west and the
consequent growth of sea trade and commerce in the 17th century.
It came to India as a legacy of British occupation. General
Insurance in India has its roots in the establishment of Triton
Insurance Company Ltd. at Kolkata in the year 1850 by the
Britishers. In 1907, the Indian Mercantile Insurance Ltd. was
established and was the first company to transact all classes of
general insurance business. In 1957, General Insurance Council
(GIC), a wing of the Insurance Association of India was
established The General Insurance Council framed a code of
conduct for ensuring fair conduct and sound business practices
across Non-Life or General insurance sector.
In 1968, the Insurance Act was amended to regulate
investments and set minimum solvency margins. The Tariff
Advisory Committee was also established the passing of the
General Insurance Business (Nationalization) Act in 1972,
general insurance business was nationalized which came into
effect from 1st
January, 1973.
107 insurers were amalgamated and grouped into four
companies namely National Insurance Company Ltd. at Kolkata,
the New India Assurance Company Ltd. at Mumbai, and The
Oriental Insurance Company Ltd at New Delhi and the United
India Insurance Company Ltd at Chennai. The General Insurance
Corporation (GIC) of India was incorporated as a company in
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1971 and commenced its operations with effect from 1st
January,
1973.
This century has seen insurance come a full circle in a
journey extending more than 200 years. The process of
liberalization or re-opening of the Insurance sectorhad begun in
the early 1990s and in the last decade, insurance sector has been
substantially opened for participation from financially sound
Indian Private Organizations as well as foreign insurance
companies. The Government set up a committee in 1993 under
the chairmanship of R.N. Malhotra, former Governor of RBI(Reserve Bank of India), to propose recommendations for
initiation and implementation of reforms in the Indian insurance
sector. The objective of setting up this committee was to
complement the pace of reforms initiated in the financial
sector. The aforesaid committee submitted its report in 1994
wherein it was recommended that the private sector be permitted
to enter the Indian insurance sector. It also recommended the
participation of foreign companies by allowing them to enter into
an MOU (Memorandum of Understanding) by floating Indian
companies, preferably a joint venture with Indian partners.
Following the recommendations of the Malhotra
Committee report, the Insurance Regulatory and Development
Authority (IRDA) Act, in 1999 was passed by the Indian
Parliament. IRDA (Insurance Regulatory and Development
Authority) was constituted as an autonomous body to regulate and
develop the Indian Insurance Industry with its headquarters at
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Hyderabad. The IRDA was incorporated as a statutory body in
April, 2000. The key objectives of the IRDA include promotion
of healthy competition amongst the insurance sector players so as
to constantly enhance and exceed customer satisfaction through
mind-boggling varieties in Insurance products and services,
enhancement in consumer choice and lower premiums and at the
same time ensuring the financial stability and security.
1.5 CHARACTRISTICs OF INSURANCE:
Insurance follows important characteristicsThese are follows:
1) SHARING OF RISK
Insurance is a co-operative device to share the burden of
risk, which may fall on happening of some unforeseen events,
such as the death of head of family or on happening of marine
perils or loss of by fire.
2) CO-OPERATIVE DEVICE
Insurance is a co-operative form of distributing a certain
risk over a group of persons who are exposed to it). A large
number of persons share the losses arising from a particular risk.
3) LARGE NUMBER OF INSURED PERSONS
The success of insurance business depends on the large
number of persons insured against similar risk. This will enable
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the insurer to spread the losses of risk among large number of
persons, thus keeping the premium rate at the minimum.
4) EVALUATION OF RISK
For the purpose of ascertaining the insurance premium,
the volume of risk is evaluated, which forms the basis of
insurance contract.
5) AMOUNT OF PAYMENT
The amount of payment in indemnity insurance depends on
the nature of losses occurred, subject to a maximum of the sum
insured. In life insurance, however, a fixed amount is paid on the
happening of some uncertain event or on the maturity of the
policy.
6) PAYMENT OF HAPPENING OF SPECIFIED EVENT
On happening of specified event, the insurance company
is bound to make payment to the insured. Happening of specified
event is certain in life insurance, but in the case of fire, marine of
accidental insurance, it is not necessary. In such cases, the insurer
is not liable for payment of indemnity.
7) TRANSFER OF RISK
Insurance is a plan in which the insured transfers his
risk on the insurer. This may be the reason that may erson
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observes, that insurance is a device to transfer some economic
losses would have been borne by the insured themselves.
8) SPEADING OF RISK
Insurance is a plan which spread the risk & losses of few
people among a large number of people. John Magee writes,
Insurance is a plan by which large number of people associates
themselves and transfers to the shoulders of all, risk attached to
individuals.
9) PROTECTION AGAINST RISKS
Insurance provides protection against risk involved in life,
materials and property. It is a device to avoid or reduce risks.
10) INSURANCE IS NOT CHARITY
Charity pays without consideration but in the case of
insurance, premium is paid by the insured to the insurer in
consideration of future payment.
11) INSURANCE IS NOT A GAMBLING
Insurance is not a gambling. Gambling is illegal, which
gives gain to one party and loss to other. Insurance is a valid
contact to indemnity against losses. Moreover, insurable interest
is present in insurance contracts it has the element of investment
also.
12) A CONTRACT
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Insurance is a legal contract between the insurer and
insured under which the insurer promises to compensate the
insured financially within the scope of insurance policy, the
insured promises to pay a fixed rate of premium to the insurer.
13) SOCIAL DEVICE
Insurance is a plan of social welfare and protection of
interest of the people. Rieged and Miller observe Insurance is of
social nature.
14) BASED UPON CERTAIN PRINCIPLE
Insurance is a contract based upon certain fundamental
principles of insurance, which includes utmost good faith,
insurable interest, contribution, indemnity, cause proxima,
subrogation etc, which are operating in the various fields of
insurance.
15) REGULATION UNDER THE LAW
The government of every country enacts the law governing
insurance business so as to regulate, and control its activities for
the interest of the people. In India General Insurance Act 1972
and the Life Insurance Act 1956 are the major enactment in this
direction.
16) WIDE SCOPE
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The scope insurance is much wider and extensive various
types of policies have been developed in the country against risk
of fire, marine, accident, theft, burglary, life, etc.
17) INSTITUTIONAL SETUP
After nationalization, the insurance business in the
country is operation under statutory organization setup. In India,
the General Insurance Companies and the Life Insurance
Corporation and subsidiary companies of General Insurance
Corporation are operating the various fields of insurance.
18) INSURANCE FOR PURE RISK ONLY
Pure risks give only losses to the insured, and no profits.
Examples of pure risks are accident, misfortune, death, fire,
injury, etc., which are all the sided risks and the ultimate results in
loss. Insurance Companies issue policies against pure risk only,
not against speculative risks. Speculative risk has chances of
profit of losses.
19) BASED ON MUTUAL GOODWILL
Insurance is a contract based on good faith between the
parties. Therefore, both the parties are bound to disclose the
important facts affecting to the contract before each other. Utmost
good faith is one of the important principles of insurance.
1.6 PRINCIPLES OF INSURANCE
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(1) Indemnity
A contract of insurance is a contract of indemnity.
Indemnity means that the insured in case of loss against which the
policy has been insured, shall be paid the actual amount of loss
not exceeding the amount of the policy i.e. he shall be fully
indemnified. The purpose of contract of insurance is to place the
insured in the same financial position, as he was before the loss.
Suppose, a person insured his factory for Rs.20 lacks
against fire, the factory is partially burnt and it is estimated that a
sum of Rs.10lakhs will be required to restore it to the original
condition. The insurer is liable to pay Rs.10 lakhs only. The
exceptions to the rule are found in Personal Accident policies,
Agreed Value policies in marine insurance and Valuables and
reinstatement policies in Engineering insurance. These are also
contracts of indemnity but by a special application of the
principle, the amount of indemnity is decided at the time of
entering into the contract itself.
In certain forms of insurance, the principle of indemnity is
modified to apply. For example, in marine or fire insurance,
sometimes, certain profit margin that would have earned in the
absence of the event, is also included in the loss.
Under life insurance, the insurer is required to pay the
fixed amount in the event of death or on the expiry of the period
of the policy. Thus the contract of life insurance is not insurance
as such but it is an assurance. This is due to the reason that life
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cannot be indemnified i.e. the life of a person cannot be valued in
terms of money and therefore the question of compensation of
actual loss does not arise. Thus a contract of life insurance is a
contract of guarantee.
(2) Utmost good faith
The doctrine of utmost good faith applies to all forms of
insurance. Both parties of the insurance contract must be of the
same mind at the time of contract. There should not be any fraud,
non-disclosure or misrepresentation concerning the material facts.
An insurance contract is a contract of absolute good faith where
both parties of the contract must disclose all the material facts
truly and fully as insurance shifts risk from one party to another.
As in insurance insured knows more about the risks than the
insurer, so there must be utmost good faith and mutual confidence
between insured and insurer.
For instance, if a person suffers from a serious invisible
disease but does not disclose this fact while getting his life
insured, the insurance company can avoid the contract. Similarly
the insurer must exercise the same good faith in disclosing the
scope of the insurance, which he is prepared to grant. Breach of
good faith renders the contract voidable an initio at the discretion
of the aggrieved party. A material fact is a fact which would
influence the mind of an insurer in deciding whether he should
accept the risk, on what terms and what premium he should
charge. The utmost good faith says that all material facts should
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be disclosed in true and full form. It means that the facts should
be disclosed in that form in which they really exist. There should
no false statement and no half-truth nor any silence on the
material facts. What is a material fact depends upon the
circumstances of the particular case.
(3) Insurable interest
For an insurance contract to be valid, the insured must
have an insurable interest in the subject matter of insurance. It
means that the insured must have an actual pecuniary interest.
The insured must be so situated with regard to the thing insured
that he would have benefit by its existence and loss from its
destruction.
For instance, a person has insurable interest in his life or
in the life of the spouse but he has no insurable interest in the life
of a stranger. The owner of a building has absolute insurance
interest. If this building is financed by banks then financiers too
have their interest in the property but is limited to the extent of
their financial commitment only. The insurable interest must exist
both at the time of the proposal and at the time of claims but in
case of life insurance, insurable interest must exist only when the
policy is taken.
The essentials of a valid insurable interest are the
following:
(a) There must be a subject matter to be insured.
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(b) The insured should have monetary relationship with the subject
matter.
(c) The relationship between the insured and the subject matter should
be recognized by law i.e. there should not be any illegal
relationship between the insured and the subject matter.
(d) The financial relationship between the insured and the subject matter
should be such that the insured is financially benefited by its
existence or survival and will suffer economic loss at the
destruction or death of the subject matter.
(4) Proximate cause
The rule of proximate cause says that the cause of the loss
must be proximate or immediate and not remote. If the proximate
cause of the loss is a risk insured against, the insured can recover.
If the risk insured is the outcome of a remote cause, which is not
insured against, then the insurer is not bound to pay
compensation. Proximate cause means the active efficient cause
that sets in motion a chain of events, which brings about a result,
without intervention of any force started and working actively
from a new and independent source. That means proximate cause
is the cause which in a natural and unbroken series of events is
responsible for a loss or damage.
If there is a single cause of the loss, the cause will be
proximate cause and if the cause of loss was insured, insurer will
have to indemnify the loss. When a loss has been brought about
by two or more causes, the question arise as to which is the
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proximate cause. If the causes occurred in form of chain, they
have to be observed seriously. For the policy to cover the loss
must have an insured peril must occur in the chain of causation
that links the proximate cause with the loss. The proximate cause
is not necessarily, the cause that was nearest to the damage either
in time or in place, but is rather the cause that was actually
responsible for loss.
(5) Subrogation
The doctrine of subrogation is a corollary to the principle
of indemnity and applies only to fire and marine insurance.
According to it, when an insured has received full indemnity in
respect of his loss, all rights and remedies which he has against
third person will pass on to the insurer. The insurers right of
subrogation arises only when he has paid for the loss and this
right extends only to the rights and remedies available to the
insured in respect of the thing to which the contract of insurance
relates.
If the insured is in a position to recover the loss in full or
in part from a third party due to whose negligence the loss may
have been occurred, his right of recovery is subrogated
(substituted) to the insurer on settlement of the claim. The
insurers, thereafter, can recover the claim from the third party or
in case the lost property is recovered or the damaged property
fetches any value, the insurer will be its owner.
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Suppose, a house is insured for Rs.2 lakhs against fire,
the house is damaged by fire and the insurer pays the full value of
Rs.2 lakhs to the insured. Later on the damaged house is sold for
Rs.20, 000. The insurer is entitled to receive the sum of Rs.20,
000.
(6) Contribution
When an insured obtains more than one policy on one
risk, the principle of contribution comes into play. The aim of
contribution is to distribute the actual amount of loss among the
different insurers who are liable for the same risk under different
policies in respect of the same subject matter. That means the
insured may affect more than policy to cover the same risk, he/she
cannot recover in total more than a full indemnity (sum insured).
In other words, the right of contribution arises when
(a) There are different policies which relate to the same subject matter
(b) The policies cover the same peril which caused the loss
(c) All the policies are in force at the time of the loss and
(d) One of the insurers has paid to the insured more than his share of the
loss.
However, the principle of contribution does not apply to lifeinsurance.
(7) Mitigation of loss
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In the event of a mishap, the insured must take all
possible steps to mitigate or minimize the loss to the subject
matter of insurance. He should act in the same manner in which
he would have acted in the absence of the insurance cover. This
means that it is the duty of the insured to make a reasonable effort
and take all available precautions to save the insured property.
(8) Warranties
There are certain conditions and promises in the insurance
contract which are called warranties. Warranties which are
mentioned in the policy are called express warranties. There are
certain warranties which are not mentioned in the policy. These
warranties are called implied warranties. Warranties, which are
answers to the question, are called affirmative warranties. The
warranties fulfilling certain conditions or promises are called
promissory warranties.
Warranty is the very important condition in the
insurance contract which is to be fulfilled by the insured. On
breach of warranty the insurer becomes free from his liability.
Therefore insured must have to fulfill the condition and promises
during the insurance contract whether it is important or not in
connection with the risk. If warranties are not followed, the other
party may cancel the contract whether risk has occurred or not.
However, when the warranty is declared illegal and there is no
reverse effect on the contract, the warranty can be waived.
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Chapter No. 2
INSURANCE STRUCTURE OF INDIA
2.1 Concept of Insurance/ How Insurance Works:
The concept behind insurance is that a group of people
exposed to similar risk come together and make contributions
towards formation of a pool of funds. In case a person actually
suffers a loss on account of such risk, he is compensated out of
the same pool of funds. Contribution to the pool is made by a
group of people sharing common risks and collected by the
insurance companies in the form of premiums.
Lets take some examples to understand how insurance
actually works:
Example 1 Example 2
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SUPPOSE
-
2,00,000/-
Rs. 300/-
SUPPOSE
Physical condition =
50 years & Healthy
a yr = 50
suffered by family of each
dying person = Rs.
1,00,000/-
deaths = Rs. 50,00,000/-
Rs. 1,200/-
UNDERLYING ASSUMPTION
All 1000 house owners are
exposed to a common risk, i.e.
fire
UNDERLYING
ASSUMPTION
All 5000 persons are
exposed to common risk,
i.e. death
PROCEDURE
All owners contribute Rs. 300/- each as
PROCEDURE
Everybody contributes Rs.
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premium to the pool of funds
Total value of the fund = Rs. 3,00,000 (i.e.
1000 houses * Rs. 300)
5 houses get burnt during the year
Insurance company pays Rs. 40,000/- out of
the pool to all 5 house owners whose
house got burnt
1200/- each as premium
to the pool of funds
Total value of the fund = Rs.
60,00,000 (i.e. 5000
persons * Rs. 1,200)
50 persons die in a year on an
average
Insurance company pays Rs.
1,00,000/- out of the
pool to the family
members of all 50
persons dying in a year
EFFECT OF INSURANCE
Risk of 5 house owners is spread over
1000 house owners in the village, thus
reducing the burden on any one of the
owners.
EFFECT OF INSURANCE
Risk of 50 persons is
spread over 5000
people, thus reducing
the burden on any one
person.
2.2FUNCTION OF INSURANCE:
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Insurance becomes very useful in todays life. It plays
significant role in this competitive era. One should know the
functions of insurance According to Sir William Beveridge the
functions of insurance can be divided into three categories.
1) Primary Functions
2) Secondary Functions
3) Indirect Functions
1. PRIMARY FUNCTIONS
(A) TO PROVIDE PROTECTIONS
The most important function of insurance is to provideprotection against risk of loss. It is one cheak the reality of the
misfortune happening, and pays the cost of damages of losses.
(B) TO PROVIDE CERTANITY
PRIMARY
FUNCTION
To provide protection
To provide certainity
Distribution of risk
SECONDARY
FUNCTION
Helps in economic growth
It prevent losses
INDIRECRT
FUNCTION
A forced saving
Promote foreign trade
Others
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We know future is totally uncertain. Any misfortune
happening may occur at any stage of life. The amount of loss and
time of losses both are uncertain. No doubt better planning and
administration can reduce the chances of happening these types of
accidents but it requires lots of attention towards strengths and
weaknesses, special knowledge of the field after all these
precautions, the uncertainty remains steady. Insurance provides
certainly towards the losses. The policy holders pay the premium
to by certainty.
(C) DISTRIBUTION OF RISK
It is a co-operative effort where the risk is distributed among
the group of people. Thus, no one have to bear the losses occurred
due to uncertainty.
2. SECONDARY FUNCTIONS
(A) HELPS IN ECONOMIC PROGRESS
Insurance plays an important role in economic progress.
It gives fully certainty to the industrialists towards the risks. The
entrepreneurs can more concentrate on innovative and profitable
techniques of the production. They should not require thinking
over the risks. The industrialists can establish new industries in
environment. Thus, industries have got development in economic
and commerce of the nation.
(B) IT PREVENTS LOSSES
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Insurance plays vital role in preventing the losses. The
amount of premium is minimized by using such appliances like
the fire extinguisher. If one uses interior machinery which may be
caused for misfortune, the amount of premium will be high. Thus,
indirectly, insurance provides help to minimize the chances of
risks. It will be useful for the agencies which are directly related
with the same function like,
a) Loss prevention association of India.
b) The salvage crops of loss prevention association of India.
c) Survey and inspection of risks, etc.
3. INDIRECT FUNCTIONS
(A) A FORCED SAVINGS
Life Insurance is also a method of savings in India.
Income Tax Act gives relief in payment of income tax because
government wants to habituate general public to save money. It
encourages the habit of thrift and savings among the people.
Thus, it becomes compulsory savings to people of nation.
(B) POMOTE FOREIGN TRADE
It is compulsory to take marine insurance policy in foreign
trade in India. Foreigners cant issue the foreign trade bill unless
the cargo is fully insured. Thus foreign trade is totally depends
upon the insurance sector of the nation. It gives relief to
entrepreneurs from the uncertainty of foreign trade.
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(C) OTHERS
Insurance provides certainties towards risks in
entrepreneurship. It gives confidence in general public. It is one
of the important source of investment which develops the trade
and commerce of the nation. 26
2.3 Types of Insurance
The insurance can be divided from two angles: from
business point of view and from the risk point of view. Business
Point of View The insurance from business point of view can be
categorized into:
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.
(1) Life Insurance
Life Insurance is different from other insurance in the
sense that the subject matter of insurance is life of human being.The insurer will pay the fixed amount of insurance at the death or
at the expiry of certain period. At present, life insurance enjoys
maximum scope because each and every person requires the
insurance. This insurance provides protection to the family at the
premature death or gives adequate amount at the old age when
earning capacities are reduced.
Types of insurance plans offered in our country:
- Term assurance plans
- Whole life plans
LIFEINSURANCE
SOCIALINSURANCE
GENERALINSURANCE
OTHER
OTHER
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- Endowment assurance plans
- Assurances for children
- Family income policy
- Life annuity Joint life assurance
- Pension plans
- Unit linked plan
- Policy for maintenance of handicapped dependent
- Endowment policies with health insurance benefits
(2) General Insurance
The general insurance includes property insurance, liability
insurance and other forms of insurance. Fire and marine insurance
comes under property insurance. Liability insurance includes
motor, theft, fidelity and machine insurances to a certain extent.
The strictest form of liability insurance is fidelity insurance
whereby the insurer compensates the loss to the insured when he
is under the liability of payment to the third party.
Types of insurance policies available are:
- Health insurance
- Medi-claim policy
- Personal accident policy
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- Group insurance policy
- Automobile insurance
- Workers compensation
- Liability insurance
- Aviation insurance
- Business insurance
- Fire insurance policy
- Travel insurance policy
(3) Social Insurance
The social insurance is to provide protection to the weaker
sections of the society who is unable to pay the premium for
adequate insurance. Pension plan, disability benefits,
unemployment benefits, sickness insurance and industrial
insurance are the various forms of social insurance.
(4)OTHERS
Risk point of view Insurance can be divided into property,
liability and other forms of insurance.
Property Insurance
Under the property insurance property of a person is insured
against a certain specified risks. The risk may be fire or marine
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perils, theft of property or goods, damage to property at accident.
Examples of this are:
- Home insurance
- Business insurance
- Commercial insurance
Marine Insurance
Marine insurance provides protection against loss of marine
perils. The marine perils are collision with rock, or ship attacks by
enemies, fire and capture by pirates etc. These perils cause
damage, destruction or disappearance of the ship and cargo and
non-payment of freight. So, marine insurance insures ship (Hull),
cargo and freight. Types of policies are:
- Voyage policies
- Time policies
- Valued policies
- Hull insurance
- Cargo insurance
- Freight insurance
Fire Insurance
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Fire insurance covers risks of fire. In the absence of fire
insurance, the fire waste will increase not only to the individual
but to the society as well. With the help of fire insurance, the
losses, arising due to fire are compensated and the society is not
losing much. The individual is protected from such losses and his
property or business or industry will remain in the same position
in which it was before the loss. The fire insurance does not
protect only losses but it provides certain consequential losses
also. Policies available in this insurance are:
- Consequential loss policy
- Comprehensive policy
- Valued policy
- Valuable policy
- Floating policy
- Average policy
Miscellaneous Insurance
The property, goods, machine, furniture, automobile,
valuable goods etc., can be insured against the damage ordestruction due to accident or disappearance due to theft. There
are different forms of insurances for each type of the said
property whereby not only property insurance exists but liability
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insurance and personal injuries are also insured. Miscellaneous
insurance covers:
- Motor
- Disability
- Engineering and aviation risks
- Credit insurance
- Construction risks
- Money insurance
- Burglary and theft insurance
- All risks insurance
Liability Insurance
The general insurance also includes liability insurance
whereby the insurer is liable to pay the damage of property or to
compensate the loss of personal injury or death. The examples of
this type of insurance are fidelity insurance, automobile insurance
and machine insurance. Examples are:
- Third party insurance
- Employees insurance
- Reinsurance
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Other Forms
Besides the property and liability insurances, there arecertain other insurances, which are included under general
insurance. The examples of such insures are export credit
insurances, state employees insurance, etc. whereby the insurer
guarantees to pay certain amount at the happening of certain
events. Examples are:
- Fiduciary insurance
- Credit insurance
- Privilege insurance
2.4 NEW INSURANCE PRODUCTS
Some of the new policies are:
(1) Policies under LIC Mutual FundLIC launched its Mutual Fund with promise to the investors
to provide high returns along with safety and security of
investments. LIC Mutual Fund came up with 5 schemes which
provide distinct benefits to various cross sections of investors.The names of scheme are:
- Dhanashree 1989
- Dhan 80 cc(1)
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- Dhanavarsha
- Dhanaraksha 1989
- Dhanavridhi 1989
(2) Jeevan Akshay
In return for purchase price paid by the purchaser a
monthly pension will be paid during the lifetime of the purchaser
of the pension. On the death of the pensioner, the original amountinvested by the employee along with an additional bonus will be
returned to the nominee or his legal heirs.
(3)Jeevan Dhara
The payment of annuities in respect of policies under Jeevan
Dhara has to start one month after the completion of the
deferment period.
(4) Jeevan Kishor
Children between the ages of 1(last birthday) and 12(last
birthday) are eligible to be proposed for insurance under this plan.
(5) Jeevan Chhaya
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Couples having a child of age less than one year can avail
of this plan, in order to ensure that an adequate financial provision
is made for the higher education of the child. The child should not
have completed one year of age on the date of the registration.
Either father or mother or each one of them individually can take
policies under this plan.
(6) Jeevan Suraksha
This policy enables individuals to provide for retirement
income from a chosen date. The policy is with life cover but can
be taken without life cover under certain conditions.
(7)Rural insurance
The policies offered under this scheme are:
Personal Insurance
(a) Janta Personal Accident (Individual)
(b) Janta Personal Accident (Group)
(c)Gramin Personal Accident
Property Insurance
(a) Agricultural Pumpset
(b) Animal Driven Carts Insurance
(c) Hut Insurance
(d) Gober Gas Insurance
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(e) New Well Insurance
Cattle and Livestock Insurance
(a) Cattle Insurance
(b) Sheep and Goat Insurance
(c) Camel Insurance
(d) Horse Insurance
Poultry Insurance
(a) Duck Insurance
(b) Poultry Insurance Master Policy
(8) Insurance of Species
(9) Package Insurance
(10) Crop Insurance
(11) Medi-claim Hospitalisation and Domiciliary Hospitalisation
Insurance
(12) Overseas Medi-claim Policy
(13) Students Safety Insurance
(14) Unborn Child Welfare Insurance
(15) Cancer Medical Expenses Policy
(16) Boiler and Pressure Plant Insurance
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(17) Machinery Insurance
(18) Cold Storage Insurance
(19) Baggage Insurance
(20) Shopkeepers Insurance
(21) All Risks Cover Insurance
(22) Social Security Scheme
(23) Wedding Insurance
(24) Kidnap and ransom Insurance
(25) Travel Insurance
2.5 ADVANTAGES OF INSURANCE:
1. INVESTMENT OF FUNDS
In the cource of their business, insurance by the way of
premiums collect vast sums. Especially in life business much of it
can be invested profitably over long periods. This benefits the
nation as a whole because insurers are required by law to invest
the major portion in government securities and other approved
investment, out of which nation-building activities are
undertaken.
2. REDUCTION OF COST INSURANCE
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Income earned by investment of accumulated funds
further increases the fund and goes to reduce the cost of insurance
for otherwise the premiums would have to be higher to next
extent.
3. EFFECT ON PRICES
Manufacturers pass on the consumer, the cost of insurance
along with other production cost. Still it is beneficial to the
consumers because without insurance the cost would have been
much more.
4. INVISIBLE EXPORT
Providing insurance service overseas is our invisible
export, like export of material goods and the profit brought in is
contribution to the favorable balance of trade.
5. REDUCING COST OF SOCIAL SERVICES
No victim or heirs of a deceased victim of motor accidents
now a days goes without compensation from insurance funds
built out of compulsory insurance of motor vehicles and this is no
small benefit social relief.
2.6 LIMITATIONS OF INSURANCE:
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In spite of number of advantages of insurance, it has
certain limitations. On account of such limitations, the benefits of
insurance could not be availed in full. These limitations are:
1) All the risks cannot be insured. Only pure risks can be insured
and speculative risks are not insurable.
2) Insurable interest (financial interest) en the subject matter of
insurance either at the time of insurance or at the time of loss, or
at both the times must be present, in the absence of which the
contract of insurance becomes void.
3) In case the loss arises from the happening of the event cannot be
valued in terms of money, such risks are not insurable.
4) Insurance against the risk of a single individual or a small group
of persons are not advisable, since it is not practicable due to
higher cost involved.
5) Another important limitation is that the premium rates are higher
in our country & as such, certain category of people cannot avail
the advantage of insurance. The main reason for the higher rate of
premiums is the higher operating cost.
6) It becomes difficult to control moral hazards in insurance. There
are certain people who my stifies the insurance plans for their
self-interest by claiming false claims from insurance companies.
43
7) Insurance is not a profitable investment. Its main object is to
provide security against risks; insurance business cannot be a
source to acquire profits.
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Certain specified risks can be insured with co-operation of the
government only; such as, unemployment insurance, insolvency
of banks, food insurance, etc.
Chapter no. 3
MICRO INSURANCE IN INDIA
3.1 Introduction
India is enjoying rapid growth and benefits from a
young population. Its middle class is growing rapidly but 70
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percent of the population is still rural, often very poor, and
handicapped by poor health and health services, and low literacy
rates. Although the type of risks faced by the poor such as that of
death, illness, injury and accident, are no different from those
faced by others, they are more vulnerable to such risks because of
their economic circumstance. According to World Bank study
(Peters et al. 2002), reports that about one-fourth of hospitalized
Indians fall below the poverty line as a result of their stay in
hospitals. The same study reports that more than 40 percent of
hospitalized patients take loans or sell assets to pay for
hospitalization.
When a poors familys income generator dies, when a
child of a poor family is hospitalized, or home of a poor family is
destroys by flood, earthquake or fire. Every illness every accident
or every natural disaster leads to deeper poverty to a poor family.
Thats where micro insurance comes in. Microinsurance is the
protection of low income households against specific perils in
exchange for premium payments proportionate to the likelihood
and cost of the risk involved. It is specifically designed for the
protection of low income people with affordable insurance
products to help them cope with and recover from common risk.
A key strategy for enhancing economic development and
alleviating poverty is to make financial systems more inclusive,
for example by improving access to savings and credit services
for under-served markets. In part, Poverty stems from the fact that
low-income households and markets do not have the same
opportunities to finance, investments, accumulate capital or
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protect assets (including human assets). The poors heavy reliance
on informal financial services such as moneylenders, under-the-
mattress savings and mutual assistance societies can be
inefficient and expensive, and may even exacerbate poverty. An
inclusive financial system makes insurance available to low-
income persons.
However, many commercial insurers and
policymakers believe that providing insurance to the poor is the
responsibility of the state. Although many governments have
social protection programmes, the targeting of these schemes is
often ineffective. The poorest segments do not always benefit
from the subsidy, while people who can afford insurance often
find ways to access these benefits. In general, governments have
made little effort to shift the burden of risk-pooling to market-led
schemes; and the private sector (commercial insurers) seems to
have little incentive to seek out this market segment. In principle,
micro-insurance works like any typicaly insurance business. But
there are several things that differentiate it from normal insurance.
First, it is group insurance that can cover thousands of customers
under one contract. Second, micro-insurance requires an
intermediary between the customer and the insurance company.
Preferably, this intermediary is a non governmental organization
(NGO) or microfinance institution, for example a rural bank that
can handle the whole distribution and most of the administration
process.
3.2 Meaning of Micro Insurance
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On a daily basis, the poor around the world face a multitude
of risks that threaten to derail any progress they have made to
work their way out of poverty. The death of a family member,
lossof property and livestock, illness, and natural disasters each
pose unique dangers. Protecting peopleagainst these losses is an
important step to alleviating global poverty.
Micro insurance - the protection of low-income people
against specific perils in exchange for regular monetary payments
(premiums) proportionate to the likelihood and cost of the risk
involvedseeks to provide a suitable solution for managing these
risks.
3.3 Definitions of micro-insurance
Micro-insurance, the term used to refer to insurance to the
low-income people, is different from insurance in general as it is a
low value product (involving modest premium and benefit
package) which requires different design and distribution
strategies such as premium based on community risk rating (as
opposed to individual risk rating), active involvement of an
intermediate agency representing the target community and so
forth. Insurance is fast emerging as an important strategy even for
the low-income people engaged in wide variety of income
generation activities, and who remain exposed to variety of risks
mainly because of absence of costeffective risk hedging
instruments.
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Although the type of risks faced by the poor such as
that of death, illness, injury and accident, are no different from
those faced by others, they are more vulnerable to such risks
because of their economic circumstance. In the context of health
contingency, for example, a World Bank study (Peters et al.2002),
reports that about one-fourth of hospitalized Indians fall below
the poverty line as a result of their stay in hospitals. The same
study reports that more than 40 percent of hospitalized patients
take loans or sell assets to pay for hospitalization. Indeed,
enhancing the ability of the poor to deal with various risks is
increasingly being considered integral to any poverty reduction
strategy (Holzmann and Jorgensen 2000, Siegel et al. 2001).
Of the different risk management strategies,
insurance that spreads the loss of the (few) affected members
among all the members who join insurance scheme and also
separates time of payment of premium from time of claims, is
particularly beneficial to the poor who have limited ability to
mitigate risk on account of imperfect labour and credit markets.
In the past insurance as a prepaid risk managing
instrument was never considered as an option for the poor. The
poor were considered too poor to be able to afford insurance
premiums. Often they were considered uninsurable, given the
wide variety of risks they face. However, recent developments in
India, as elsewhere, have shown that not only can the poor make
small periodic contributions that can go towards insuring them
against risks but also that the risks they face (such as those of
illness, accident and injury, life, loss of property etc.) are
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eminently insurable as these risks are mostly independent
,idiosyncratic. Moreover, there are cost-effective ways of
extending insurance to them. Thus, insurance is fast emerging as a
prepaid financing option for the risks facing the poor.
3.4 History and Vision
The Micro Insurance Agency has its roots within
Opportunity International, a large microfinance network
motivated by Jesus Christs call to serve the poor. With a networkof 47 microfinance institutions, Opportunity International has
been serving the entrepreneurial poor since 1971. In partnership
with Opportunitys microfinance institutions, we began working
in 2002 on the development of a range of life, property, livestock,
crop derivative, disability, unemployment and health insurance
products to cover the risks faced by Opportunitys loan clients.
Micro Insurance Agency staff observed that the risks the poor
face can often set them back months and years behind where their
loans and savings products offered by Opportunity had taken
them. For instance, a death of a family member from HIV/AIDS
a pre-condition most insurance companies would not cover
would often mean expensive funeral costs and the loss of a
breadwinner, resulting in increased economic hardship for the
family. In response, Micro Insurance Agency staff developed an
affordable funeralbenefit product that did not exclude any pre-
conditions, including HIV/AIDS. This transformed the mindset of
retail insurance providers in the country, who later developed
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similar non-exclusive products in light of the competing
environment.
Through the experience of serving Opportunitys
microfinance institutions and their clients, Micro Insurance
Agency staff observed that the products most demanded by the
poor are not always the ones available. Health insurance, for
example, is a critical need of the poor but the most limited in
terms of supply. In addition, policies that are available are often
based on first world practices and are too complex for the simple
coverage demanded. Further, when offered on an individual, one-
off basis, high premium requirements and a need to pay in a
single lump sum preclude a huge sector of the market from
access. New distribution models and channels were needed to
increase access and reduce the effective price charged to clients.
In 2005, the Micro Insurance Agency was founded by
Opportunity.
Our mission is to empower the materially poor to
transform their lives by insuring them against financial risk and
its consequences. Specifically, we seek to serve the economically
active poor who live on $4 per day or less indeveloping countries
and provide a safety net to reduce economic setbacks.
3.5Characteristics/ Features of Micro Insurance
1) USAGE:
Though no figures are available on the exact size of the
microinsurance market in India, a rough estimate would place it at
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around 14m individuals, or approximately 2% of the adult
population. The low take-up can be ascribed to a general lack of
awareness of insurance as a financial product, even in the high to
middle-income market (a factor that emerged strongly from the
focus group findings). In addition a lack of rural financial services
infrastructure for distribution purposes, as well as a lack of
actuarial data, inhibit the development of the microinsurance
market.
2) PLAYERS:
Though the state-owned insurers still have the largest
market share, there are now a total of 32 licensed insurers. A
feature that sets India apart from other countries is the fact that
microinsurance is mostly provided by large, corporate insurers.
This is due to a cautious regulatory approach in response to the
fact that small and cooperative financial institutions have not
performed well historically that limits the players in the non-
bank field to large cap institutions.The cooperative/mutual sector
therefore does not feature as a provider of microinsurance, though
corporate insurers use it as a distribution channel. Informal
insurance is virtually exclusively the domain of formal entities
such as health insurance schemes not registered for insurance
purposes, rather than community risk-pooling groups, and is
estimated to only comprise 20% of the market.
3) PRODUCTS:
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Microinsurance in India is for the most part driven by
compulsory credit life insurance on the back of microfinance. Due
to the limited reach of the public health system, there is also a
high natural demand for health insurance. Many MFIs therefore
provide a package of compulsory insurance cover to their clients
that are credit-linked this includes life, asset as well as health
insurance. The cover is for the term of credit (usually 1 year).
Health cover provided in such packages is not comprehensive and
it covers only certain listed diseases for which hospitalization is
required. Accident cover is a rider on life insurance and is a fixed
payout. India is therefore fairly unique in that compulsory
insurance cover extends beyond life cover. It is estimated that
only 10% of microinsurance policies are sold on a voluntary
basis. Of these, up to 90% are endowment products rather than
pure risk products, indicating a preference among the lowincome
population for financial products that provide some payout
regardless of whether a risk event has occurred.
4) DISTRIBUTION:
Distribution is an important part of the microinsurance
landscape in India. Regulations were issued in 2005 to create a
microinsurance agent category for the dedicated distribution of
microinsurance. Currently such agents however only distribute
about 20% of all microinsurance. Instead, distribution mainly
takes place through MFIs who either do not qualify as
microinsurance agents under the regulations or who find the
regulations too restrictive, as partners or agents of formal
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insurers. We can distinguish four institutional models for
providing microinsurance which help us to understand how
corporate insurers, government bodies as well as other
institutions, such as microfinance institutions (MFIs) can play a
role:
i) PartnerAgent Model:Commercial or public insurers together with MFIs or
nongovernmental organizations (NGOs) collaboratively develop
the product. The insurer absorbs the risk, and the MFI/NGO
markets the product through its established distribution network.
This lowers the cost of distribution and thus promotes
affordability. This model of collaboration has become the
dominant approach to microinsurance in India and has
encouraged many microfinance institutions to switch from a full-
service model to the partner-agent model.
Examples of this scheme are AIDMI's Afat Vimoas well as
SEWA, a microinsurance pioneer, who offers its life, health and
asset coverage in partnership with various insurers.
ii) Community based Model:A group of people or local communities, MFIs, NGOs
and/ or cooperatives develop and distribute their own product,
manage the risk pool and absorb the risk. The Swayamkrushi
Youth Charitable Organisation (YCO) in Andhra Pradesh is an
example of a community-based model. It is primarily a savings
and credit association with added insurance features. The
cooperative's 8,100 members pay a yearly premium of Rs. 100
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into a pool managed by the cooperative and receive cover for
death and property loss. The life insurance benefit is Rs. 15,000
for a natural death, and Rs. 30,000 in the event of an accidental
death.
iii) In the in-house or full-service model:A MFI or NGO runs its own insurance scheme for its
clients and any profit or loss is absorbed by the MFI. The system
is not very common anymore but it still exists in some
organizations such as SPANDANA, located in Guntur, Andhra
Pradesh. This scheme started in urban areas and then moved to
rural ones and has expanded enormously in recent years.
iv) Provider model:Banks and other providers of microfinance can directly
offer or require insurance contracts. These are usually coupled
with credit, for example, to insure against default risk. This model
is used widely in the general insurance market but high
transaction costs and low ability to pay premiums inhibit its
extensive use in the field of disaster insurance for the poor.
3.6 Micro Insurance Products in India
Bajaj Allianz Alp Nivesh Yojana
An endowment plan with Life cover and Maturity benefit equal to
sum assured +vested bonus.
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Life cover and Maturity benefit equal to sum assured + vested
bonus
Guaranteed Surrender Value.
Avail additional benefits including Accidental Death Benefit &
Accidental Permanent Total / Partial Disability Benefit.
Bajaj Allianz Jana Vikas Yojana
A single premium plan with maturity benefit of 125% of the
single premium payable on survival till the end of the policy term.
Life Cover.
Maturity Benefit of 125%of the single premium payable on
survival till the end of the policy term.
Guaranteed Surrender Value.
Bajaj Allianz Saral Suraksha Yojana
The Most economical term insurance policy with return of
premium on maturity.
Return of premium on maturity.
Guaranteed Surrender Value.
Avail additional benefits including Accidental Death Benefit &
Accidental Permanent Total / Partial Disability Benefit.
AVIVA Lifes Grameen Suraksha
A micro-insurance rural term insurance plan for BASIX
customers. This traditional term plan has been developed with the
objective of giving the rural policyholder maximum benefits.
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The policyholder pays premium for a period of just two years and
then avails the term benefit for 5 or 10 years
The minimum sum assured is Rs 5,000 and the maximum is Rs
50,000.
In addition, tax benefits can be availed as per Section 80C of the
Income Tax Act, 1961.
BSLI Bima Dhan Sanchay
A Win-Win Situation Security plus Guarantee. The refund of
premiums paid by you is guaranteed with 3 maturity options.
Sum Assured Rs.5,000/- to Rs.50,000/-
Maximum Maturity age 65 years.
A grace period of 180 days from the premium due date will be
available to you.
An option for additional Sum Assured is available provided the
base sum assured is minimum Rs 10,000/- and the sum assured
under the rider should not exceed the sum assured under the base
product if the death occurs due to accident.
BSLI Bima Suraksha Super
BSLI Bima Suraksha Super provides you life insurance cover for
which you have to pay regular premium. The nominee gets the
sum assured in the unfortunate event of death.
BSLI Bima Suraksha Super provides you life insurance cover for
which you have to pay regular premium. The nominee gets the
sum assured in the unfortunate event of death.
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Your premium depends on your age, gender, Sum Assured and
benefit period chosen.
At maturity, there is no benefit payable.
An option for additional Sum Assured is available provided the
base sum assured is greater than or equal to 10,000/- if the death
occurs due to accident.
ICICI Pru Sarv Jana Suraksha
ICICI Prudential Life Insurance presents its first Micro Insurance
Plan - Sarv Jana Suraksha especially designed for rural
population which provides total security to you and your family,
at very affordable cost.
Min / Max entry age-18 years - 55 years.
Min/Max Sum Assured- Rs. 5,000 -Rs. 50,000.
Policy Term -5 years.
Cover ceasing age -60 years.
SBI Life insuances Grameen Super Suraksha and Grameen Shakti
SBI Life insuances Grameen Super Suraksha and Grameen
Shakti products have been designed to meet the requirements of
the weaker sections of the rural population. Grameen Super
Suraksha is a micro insurance pure term product and Grameen
Shakti is micro insurance product with ROP.Grameen Shakti is a
dual benefit life insurance product to safe guard the group
member which provides Protection with maturity benefit at
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affordable rates. It offers to the Family of the group member
Protection & it offers to the Group member survival Benefit.
Duration of plan: 5 years or 10 years as per the Group Master
policyholders choice.
Age at entry: Minimum 18 years age last birthday. Maximum 50
years age last birthday.
Sum assured: Rs.5, 000/- to Rs.50, 000/- (in multiples of 5,000)
as per choice of Master Policyholder.
Premium frequency: Yearly.
Requirement from the Group member: Automatic acceptance
linked to signature of Membership form that includes Good health
declaration and nomination clause.
Death Benefits: First 45 days after the cover start date or after the
revival date No death claim will be accepted (inclusive of
accidental death)
Form 46th day from cover start date / revival date Sum assured
is payable
Tata AIG Life Sumangal Bima Yojana
In this plan you have to pay premium for 10 years and you
get insurance protection for 15 years. Enjoy total guaranteed
returns of 120% of the total policy premium at specified intervals
during term of the policy.
Policy Term : 15 years
Premium Paying term : 10 years
Coverage Limits : Minimum Death Benefit (Sum Assured):
Rs.5,000/-
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Maximum Death Benefit (Sum Assured): Rs.30,000/-
Premium payment frequency : Monthly, quarterly, half yearly &
yearly
Survival Benefit: We shall pay you the survival benefits as below,
if you have paid all due premiums.
Tata AIG Life Sampoorn Bima Yojana
A low cost insurance plan where the policyholder receives all
the premiums paid during the policy term upon survival until the
term of the policy. Premiums are payable for only 10 years, while
the coverage is up to 15 years.
Policy Term : 15 years
Coverage Limits : Minimum Death Benefit (Sum Assured):
Rs.5,000/-
Maximum Death Benefit (Sum Assured): Rs.50,000/-
Premium payment frequency : Monthly, quarterly, half yearly &
yearly
Death Benifit : Sum assured is paid to the policyholders nominee
Maturity benefit: At the end of the 15 years, all the premiums
paid will be returned to the policyholder.
Tata AIG Life Sampoorn Bima Yojana
A low cost insurance plan where the policyholder receives
all the premiums paid during the policy term upon survival until
the term of the policy. Premiums are payable for only 10 years,
while the coverage is up to 15 years.
Policy Term: 15 years
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Coverage Limits : Minimum Death Benefit (Sum Assured):
Rs.5,000/-
Maximum Death Benefit (Sum Assured): Rs.50,000/-
Premium payment frequency : Monthly, quarterly, half yearly &
yearly
Death Benifit : Sum assured is paid to the policyholders nominee
Maturity benefit: At the end of the 15 years, all the premiums
paid will be returned to the policyholder.
Tata AIG Life Navkalyan Yojana
A regular premium payment, low cost term plan for the rural
adults who seek life insurance protection without any maturity
benefit.
Policy Term : 5 years
Coverage Limits : Minimum Death Benefit (Sum Assured):
Rs.5,000/- Maximum Death Benefit (Sum Assured): Rs.50,000/-
Premium payment frequency : Monthly, quarterly, half yearly &
yearly
Death Benifit : Sum assured to the policyholders nominee
Maturity benefit : None
Rider: Option to attach Accident Death Benefit Rider for issue
ages 18 to 55 years at a nominal extra charge.
IDBI Fortis Group Microsurance Plan
The first of its kind group that will be benefited by this
unique plan is Samhita Community Development Services,
announced officially by IDBI Fortis Life Insurance Co Ltd at a
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press conference held at Bhopal today. This tie-up will insure
13,356 poor members for a Sum Assured of over Rs. 7cr. in the
rural and urban areas of Madhya Pradesh.
The plan provides affordable life insurance cover to groups
offering great value to Micro Finance Institutions, Self-Help
Groups and NGOs. Not only does the plan insure the lives of their
group members and thus provide security to the group members
families, it can also be used for providing protection from loan
liabilities in the unfortunate event of the death of the main bread-
winner.
Aviva Grameen Suraksha
Grameen Suraksha is a life insurance plan that helps you
protect your family's future. While there can be no compensation
for the loss of life, Grameen Suraksha ensures that their financial
needs are met when something unfortunate happen to you.
Entry Age: 18 to 45 years
Policy Term: 5 and 10 years
Premium Paying Term: 2 years (payable in yearly mode only)
Sum Assured: Rs. 5,000 to Rs.50,000 (in multiples of Rs. 5,000
only). A grace period of one month is allowed for payment of
premium.
LIC's Jeevan Madhur
Jeevan Madhur, is available to both male & female
without any medical examination and is a simple saving related
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life insurance plan covering individuals in the age group of 18 to
60 years. Minimum sum assured under the plan is Rs. 5000 and
maximum sum assured is Rs. 30000. Mode of payment of
premium can be even weekly/fortnightly in addition to other
regular modes to suit the needs of people with low income.
Minimum premium is Rs. 25/- per week, Rs. 50/- per fortnight,
Rs. 100/- per month which is expected to be well within reach of
the targeted group. The term of policy ranges between 5 to 15
years. The policy, if kept in full force, is entitled to the simple
reversionary bonuses depending upon Corporations experience.
Accident benefit is also applicable as per terms and conditions of
the policy. After premiums are paid for 2 years, Auto Cover
facility i.e., continuance of cover even in case of inability to pay
premium up to 2 years from the date of First Unpaid premium is
available to take care of contingencies and uncertainties of
income.
LIC's Jeevan Mangal
Aterm assurance plan with return of premiums paid on
maturity. The Micro Insurance Plan Jeevan Mangal launched
today is a term assurance plan with return of premium on maturity
providing for a sum assured (risk cover) ranging from minimum
of Rs.10, 000/- to maximum of Rs.50, 000/- with an optional
accident benefit rider, together providing for total death benefit
equal to double the sum assured, on death due to accident
Met Vishwas
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It is a life insurance plan that protects you in case of death
at a nominal cost when you survive the term of the policy you get
back up to 125% of premium(in case of coverage term 10 years).
Maturity benefit: 110% of the single premium paid for a 5 year
coverage term 125% of the single premium paid for a 5 year
coverage term
Entry Age: 18 to 60years
Policy Term: 5 or 10 years
Premium Paying Term: 2 years (payable in yearly mode only)
Sum Assured: Rs. 5,000 to Rs.50,000 (in multiples of Rs. 5,000
only). A grace period of one month is allowed for payment of
premium.
SUD Life Paraspar Suraksha Plan
The scheme has been specifically designed for the weaker
sections of the society and those from the rural areas. The scheme
covers the groups of 200 and or members. The scheme is to
provide life cover at low cost to groups of persons engaged in a
common economic activity like those financed by an NGO, MFI
or Banks in rural or urban areas.
Entry Age: 18 to 50years
Group size : minimum-100, maximumno limit
Premium Paying Term:
Minimum premium- single premium-162.50, annual premium-33.50
Maximum premium- single premium-1625.0, annual premium-335.0
Sum Assured: Rs. 5,000 to Rs.50,000 (in multiples of Rs. 5,000
only)
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3.7 Development of Micro-insurance in IndiaHistorically in India, a few micro-insurance schemes were
initiated, either by non-governmental organizations (NGO) due to
the felt need in the communities in which these organizations
were involved or by the trust hospitals. These schemes have now
gathered momentum partly due to the development of micro-
finance activity, and partly due to the regulation that makes it
mandatory for all formal insurance companies to extend their
activities to rural and well-identified social sector in the country
(IRDA 2000).
As a result, increasingly, micro-finan