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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