Report 22.07.19
Report 22.07.19
Report 22.07.19
5. CONCLUSION 53
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1.1.INTRODUCTION TO THE INSURANCE
Definition:
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Purpose:
Assets like building, machinery and stocks and persons are called as risks.
These risks are exposed to perils like dire, lightning, riot, strike. When the perils
operate upon the risk, then the risks are lost/damaged/injured/died. Under such
contingency insurance pays compensation to the insured for the affected
property/person this is the primary function of insurance.
People facing common risks come together and make small contribution
(premium) to a common fund (maintained by insurer). When a few unfortunate
people whose property/life is damaged or lost and injured/died, insurer pays
monetary compensation (claims) to the victims from out of the common fund.
Contract of Insurance
The proposer (insured) pays premium to the insurer who accepts the risk after
scrutinizing all the material facts and issues policy which is the evidence of the
contract. The practice is knows as contract of insurance.
The following are some of the essential conditions for making an insurance
contract a valid one:
a. Payment of premium
b. Promise to indemnify
c. Competency (majors)
d. Sound mind
e. Legal capacity (not against public policy) - eg. Stolen/smuggled goods
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Risk Management
E.g. Gambling/Lotteries which is not insurable risk being certain about the
financial loss.
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FUNDAMENTAL PRINCIPAL GOVERNING GENERAL INSURANCE
1. Utmost Good Faith
It means absence of fraud. Otherwise means disclosure of all material
information and representation of all material facts which enables both the insured
and the insurer to avail the required cover without facing any inconvenience in the
event of claim and charge the appropriate correct premium respectively. If this
principle is not followed either by insured or by the insurer then the contract
becomes void.
2. Insurable Interest
It means the legal right to insure making the insurance contract valid.
Without the insurable interest insurance contract becomes void.
Time when insurable interest should be present is as follows:
a. Full, miscellaneous and hull – both at the time of inception and at the time
of loss
b. Marine cargo – at the time of loss
c. If the property or person is insured without having the legal right to
insure(insurable interest) then the insurance contract becomes void and no
claim is payable.
3. Indemnity
It means to place the insured after a loss in the same financial position, as
far as possible, as he occupied before the loss (i.e. to protect the financial interest
of the insured)
The following are the measures of indemnity with relating to various types of risks:
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Stock - The price at which the goods are replaceable
Motor
1. Total loss – the insured’s estimated
Value of market Value of the Vehicle whichever is less
4. Subrogation
It means transfer of rights and remedies except fire and miscellaneous
where it is expressed. For example negligence of third party, negligence of
carrier, collision by rash driving, defective product and default of the
employee. If loss or damage, injury or death as a result of the said negligence,
then he insured has to subrogate his rights and remedies to the insurer so that
any recovery due from such defaulting party may be proceeded against legally
by the insurer.
5. Contribution
It means the insured does not recover more than the actual loss or the sum
insured in the event of loss or damage. In the case the property is insured with
more than one insurers then the insured recovers only the loss in proportion to the
sum insured from all the concerned insurers who are liable to pay for the loss.
However this is subject to the fact that peril, subject matter and interest are
common and the policy is legally enforceable. In the absence of this principle the
insured may recover for the loss from more than one party and thus make profit out
of misfortune.
6. Proximate cause
It means the most important, effective and powerful cause in bringing
about the loss, damage, injury and death. This is also knows as cause proximate
and non-remoto.
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This principle is very important to ascertain as to which peril brought about
the particular loss of damage.
It is important to know whether the peril which brought about the loss is
insured or uninsured or excluded from the purview of the policy. It may be noted
that the claim is payable only when the loss caused by the insure peril. It the loss is
due to uninsured or excluded peril the insurer need not admit the claim.
COMMON CONDITION:
1. Notice - any information/communication addressed to the policy issuing
office should be in writing.
2. Description – Insurance is a contract based on utmost good faith.
3. Reasonable car – insured should take all care and cautions in proper
maintenance, employment of competent employees, complaints of all
statutory and other regulations with the aim of preventing any accident as if
the property not insured.
4. Cancellation – the condition provides for cancellation of the policy at the
option of either the insured or the insurer. The notice of cancellation by
either of the party should be given in writing.
In the event of cancellation at the option of the insured, short period
premium will be charged for the expired period and the balance will be refunded to
the insured, after retaining the appropriate minimum premium. In case the
cancellation is effected at the option of the insurer, then premium chargeable for
the expired period will be on pro-rata basis subject to retention of minimum
premium.
5. Claim procedure – in the event of claim, the insured must give immediate
notice to the company. Within fourteen days of loss, the insured must give to
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the company all other details including claim documents and evidence and
explanations to substantiate the claim.
6. Fraud – if it found that the insured or anyone on his behalf used fraud
then no benefits shall be payable under the policy.
The IRDA Act lead to amendments of insurance act, 1938, the life insurance
corporation act, 1956 and the general insurance business(Nationalization) Act, 1972”.
Life insurance
General insurance
INSURANCE
LIFE GENERAL
INSURANCE INSURANCE
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Life Insurance:
Insurance against the life of an individual is called life insurance. The life
insurance policy is taken up at any time during the lifetime of the individual and is
valid till his dead or till the maturity of the policy, whichever is earlier. It is a
contract with an insurance company in exchange for premium payments, the
insurance company provides a lump-sum payment, known as death benefit, to
beneficiaries upon the insured’s death.
General Insurance:
Policies that are taken to insure the property and health of an individual
against loss due to fire, water or natural disasters are called general insurance
policy. In modern times, general insurance can be categorized as
Insurance of person
Insurance of property
Insurance of interest
Insurance of liability
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1.2. OBJECTIVES OF THE INSURANCE
To know about the various policies issued in the company and its norms.
To learn the procedure of underwriting and claim practically.
To know the premium structure of the policies.
To learn the working procedure of the insurance company.
To know the accounting procedure of the insurance company
1.3.HISTORY OF A COMPANY
Insurance in this current form has its history dating back to 1818,
when the Oriental Life Insurance company was started by Anita
Bhavsar in Kolkata.
In 1870, Bombay Mutual Life Assurance society became the first
Indian insurer.
The oldest existing insurance company in India is the National
Insurance company,1906 , and still in the business.
The Government of India issued an ordinance on 19th Jan 1956,
Nationalizing the Life Insurance sector and Life Insurance
Corporation(LIC).
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HISTORY OF GENERAL INSURANCE CORPORATION OF INDIA :
United India insurance company is the 2nd largest General insurance Company with
premium of Rs.16000+crore in India. It was incorporated on 18th Feb 1938 and was
nationalized in 1972.
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2.1.PROFILE OF THE COMPANY
Headquarters Chennai
India
Number of 2248
locations
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Operating -300 crores
income
Number of 17,361
employees
After nationalization, United India has 17,361 nos. work force spread across 2248
offices providing insurance cover to more than 10 million policy holders. The
Company has a variety of insurance products to provide insurance cover from
bullock carts to satellites.
The Gross Domestic Premium for the Financial Year 2017-18 is above
Rs.17300 Cr.
United India has been in the forefront of designing and implementing complex
covers to large customers, as in cases of ONGC Ltd, GMR- Hyderabad
International Airport Ltd, Mumbai International Airport Ltd Tirumala-Tirupati
Devasthanam etc. We have been also the pioneer in taking Insurance to rural
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masses with large level implementation of Universal Health Insurance Programme
of Government of India & Vijaya Raji Janani Kalyan Yojana ( covering 45 lakhs
women in the state of Madhya Pradesh) , Tsunami Jan Bima Yojana (in 4 states
covering 4.59 lakhs of families) , National Livestock Insurance and many such
schemes.
HEAD OFFICE
DIVISIONAL
OFFICE
BRANCH MICRO
OFFICE OFFICE
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2.1 ORGANISATIONAL CHART
Head Office 1
Regional Offices 30
Service Hubs 67
Total 2248
EMPLOYEE STRENGH :
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Class I - Administrative officer
Class II - Development officer
Class III - Assistants
o Steno
o Record clerk
Class IV - SS, Full time sweeper
INFORMATION TECHNOLOGY INITIATIVES
a. Moving towards centralized database structure and application software for
greater efficiency and flexibility in operations.
b. Leveraging of WAN connectivity between all offices of the company.
c. Web based policy insurance
d. Implementation of in-house developed policy printing software for unique
business advantage
MAJOR CLIENTS IN UIIC FOLD
Indian, Air India, Air Deccan, GMR Hyderabad International Airport, GVK
Mumbai International Airport
Nuclear Power Corporation (Kudankulam, Kaiga, Rawabatta)
National Hydro Power Corporation (Subabsiri Lower Hydro electric project)
NTPC Power Project, Power Corporations in Karnataka, West Bengal,
Madurai, Pondicherry
IOC, Chennai Petroleum Corporation Limited, HPCL, ASP Gas, Neyveli
Lignite Corporation Nirma, Asian Paints.
STRATEGIC ALLIANCES
United India has business alliances with leading banks such as Andhra Bank,
South Indian Bank, Indian Bank, Federal Bank, State bank of Patiala, State bank of
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Indore, State bank of Travancore, State Bank of Hyderabad, Syndicate Bank,
Canara Bank, Indian Overseas bank and bank of Maharashtra
Tie ups with M/s TVS Motors, M/s Hyundai Motors and M/s Tata motors as
preferred insurance partners for automobiles business.
Working hours:
Monday to Thursday - 10.00 a.m to 5.45 p.m
Friday - 10.00 a.m.to 6.00 p.m.
Saturday and Sunday - Holiday
Location
:- United India Insurance (Regional Office) is located at the heart of the city of
Coimbatore
178, Dr. Nanjappa road,
Coimbatore-641 018.
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ORGANISATION STRUCTURE:-
The regional office at Coimbatore has control over the Divisional offices,
branch offices and micro offices.
Coimbatore
DO I DO II DO III DO IV DO V
B.O M.O
M.O Avinashi M.O
Mettupalayam Peelamedu P.N Palayam
This structure includes the officer present in the in skirts of the city.
13-DIVISIONAL OFFICE
16-BRANCH OFICE
15-MICRO OFFICE
Totally in Coimbatore, Ooty, Erode, Salem , Namakkal, Hosur, Tirupur and
Udumalpet.
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3.1 POLICIES ISSUED IN THE COMPANY
■ MARINE POLICY
■ MOTOR POLICY
■ HEALTH POLICY
■ FIRE POLICY
■ PERSONAL ACCIDENT
■ LAIBILITY POLICY
■ ENGINEERING POLICY
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MARINE POLICY:
Marine Insurance is the contract between insurer and insured against marine
losses. Any insurance is designed to manage risks in the event of unfortunate
incidents like accidents, damage to the property and environment or loss of life.
When it comes to ships, the stakes are higher as all factors are involved in the
operation, i.e. risk of losing valuable cargo or expansive ships, the risk of damage
to the environment due to oil pollution and risk of losing precious lives of sea
farers due to accidents.
Cargo insurance:
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insurance. If the cargo is ruined, the owner gets the indemnity from the insurance
company.
Hull insurance:
MOTOR POLICY:
Motor insurance is a coverage which is bought for cars, trucks and other
vehicles that ply on roads. Its main objective is to give complete protection against
physical damage or loss from natural and man-made calamities. In India, motor
insurance is mandatory to ply a vehicle on road. Motor vehicle act has been passed
in 1939 and amendment in 1988.
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Section 64 VB of insurance act states that no risk to be assumed unless
premium is received assume any risk in India in respect of any insurance business
on which premium is not ordinarily payable outside India.
The long term two wheeler policy covers you against damages that your bike
or scooter may incur due to any unforeseen events. The exceptionally high cost
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that may arise due to damages caused to your bike by the occurrence of an
accident, natural disaster and so on. This insurance policy is convenient and, at the
same time, lets you enjoy additional benefits.
This is the fastest growing segment in the insurance sector as car insurance
is mandatory while buying a new car. Car insurance covers loss or damage by
accident, fire, lightning, riots, earthquake, hurricane, terrorist attacks, explosion,
theft, third party’s claims and damages. On payment of appropriate additional
premium it covers loss or damage to electrical or electronic accessories and other
significant items.
This type of insurance covers all those vehicles which are not used for personal
purpose. Trucks, buses, heavy and light commercial vehicles, multi utility vehicles,
agricultural vehicles, ambulances etc are covered under this insurance. The
premium is calculated on the basis of the make and model of the commercial
vehicle, place of registration, year of manufacture, current showroom price and
whether the insurer is individual or corporate.
Motor Trade Road Risks is designed for full or part time motor traders
operating their own business from home or from business premises, who require
road risks cover for their own vehicles or vehicles in their custody or control for
motor trade purposes. It doesn’t cover a driver for anything other than business use.
Motor traders involved with higher risk cars, such as sports cars, commercial
vehicle and classic cars, may find it more difficult to obtain insurance, due to the
increased cost involved in the event of an accident or incident.
Vehicle owners and drivers have the choice of buying a standalone personal
accidents cover, or purchase. It acts as a bundled product along with their third
party motor insurance. This means a person with two or more cars and two
wheelers can purchase a single compulsory personal accident (CPA) cover. The
cover will extend to all the vehicle driven by the policyholder and have a validity
of one year.
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HEALTH INSURANCE:
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Individual health insurance covers all pre and post hospitalization expenses
incurred around 30-60 days prior to and 90 days post hospitalization. It provides
cashless facility when you get your treatment done in a network hospital. Even
during the non-cashless treatment, the amount is refunded but after a formal
approval process. It also covers charges for ambulance and diagnostic tests up to a
predefined limit.
Family medicare covers all the members of the family under a single sum
insured. The term of the policy is 1 year. You get a no claim discount if you have
made no claims for 3 continuous years. Payment made towards this health policy is
eligible for deduction from taxable income under section 80D of the income tax
act. Hospital expenses, day care treatment, Ayush treatment and under this plan.
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FIRE INSURANCE:
Fire insurance is a property insurance that covers damages and losses caused
by fire. The purchase of fire insurance in addition to homeowner’s or property
insurance helps to cover the cost of replacement, repair, or reconstruction of
property, above the limit set by the property insurance policy. Fire insurance
policies typically contain general exclusions, such as war, nuclear risks and similar
perils.
Standard Fire and Special Perils Insurance is a traditional cover that offers cover
against fire and allied perils which are named in the policy. The policy can cover
building (including plinth and foundation), plant and machinery, stocks, furniture,
fixtures and fittings and other contents.
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ADD ON COVER:
I Fire
II Lightning
III Explosion/Implosion
IV Aircraft Damage
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PERSONAL ACCIDENT INSURANCE
Student safety:
Student safety insurance policies are offered to students and can be availed
by educational institutions such as schools, colleges, etc. for the benefit of their
students. This policy is issued under the name of the educational institution and the
claim is paid out to the guardian or parent of an affected student. Once the
institution purchase a student safety insurance, all the students in the institution
will be covered.
Temporary Total Disablement 1 % of Capital Sum Insured per week , Subject to a maximum
of Rs 3000 per week, for a maximum period of 100 weeks
LIABILITY INSURANCE:
Liability insurance provides the insured party with protection against claim
resulting from injuries and damage to people and or property. It covers both legal
costs and any payouts for which the insured party would be responsible if found
legally liable. Intentional damage and contractual liability are generally not
covered in these types of policies.
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PRODUCTS IN LIABILITY:
Product liability
Public liability
Professional liability
Workmen compensation liability
Product liability:
Public Liability:
Professional Liability:
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Workmen compensation policy:
This policy provide for legal liability coverage for compensation to your
employees for bodily injury or death caused due to accident or occupational
deceases arising out of and in course of employment.
ENGINEERING POLICY:
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Boiler pressure and plant
This policy covers the sudden and unforeseen damage to the insured
machinery, plant or equipment whilst either at work or at rest and during the
cleaning, maintenance overhauling inspection or removal to another position
within the premises. It will exclude gradual damage and loss from any cause which
is foreseeable.
Contractor all risk (CAR) insurance is a non standard insurance policy that
provides coverage for property damage and third-party injury or damage claims,
the two primary types of risk on construction project. Damage to property can
include improper construction of structure, damage that happen during a
renovation, and damage to temporary work erected on-site.
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Marine cum erection all risk (EAR) insurance offers protection to principal and
contractors and also to the manufacturers and suppliers erecting plant & machinery
etc.
This policy is designed to cover various types of boiler and pressure plants
against the risk of any loss or damage due to explosion or collapse. This policy
covers boiler and other pressure plant against the following contingencies: damage
to the boiler and or pressure plant due to explosion or collapse.
B. POLICY FORMS
The policy is a document which provides evidence of the contract of
insurance. This document has to be stamped in accordance with the provisions
of the Indian stamps act,
1899. Where the insurance is governed by a tariff or a market Agreement, the
policy wording is prescribed for insurer to use these wording.
In fire and miscellaneous insurance, the policy form used is scheduled basic i.e.,
all individuals details relating to a particular insurance are grouped together in a
schedule. The schedule type of policy may be divided into certain distinct
section viz
(a) The heading: Giving the insurers name and address of registered office.
(b) The permeable or recital clause: It introduces or recites the parties to the
contract.
(c) Operative or insuring clause: This clause sets out the essence of the
contract. It specifies the perils insured under the policy and the
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circumference in which the insurer will become liable to make payment to
the insured.
(d) Schedule: This section contains all the typewritten information applicable
to the particular contract.
(e) Conditions: All fire and miscellaneous policies are printed in the policy.
These are called express condition.
C.WARRANTIES
There are express warranties incorporated in policy. These are attached to
the policy in separate warranty forms. Having accepted a risk for a certain rate
of premium and subject to certain terms and conditions, the insurer would like
to ensure that the risk remains, throughout the duration of the policy, the same
as it existed at the time of the proposal.
D. CERTIFICATE OF INSURANCE
Motor
In motor insurance certificate of insurance is issued to the motor vehicle.
This certificate provide evidence of insurance to the police and registration
authorities.
Marine:
The certificate of insurance issued to provide evidence of cover on
shipments insured under cargo open cover or floating policies.
E.ENDORSEMENTS
It is the practice of insurer to issue policies in a standard form, covering
certain perils and excluding certain others. If it is intended, at the time of
issuing the policy to modify the terms and conditions of the policy, it is done by
setting out the alteration in a memorandum which is attached to the policy and
forms part of it. This memorandum is called an endorsement.
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F. RENEWAL NOTICE
The preamble of the fire and miscellaneous insurances policies usually
provides that the indemnity there under applies, “during the period of insurance
named in the Schedule or of any subsequent period of insurance named in the
Schedule or of any subsequent period in respect of which the insured shall have
paid and the insurers shall have accepted the premium required for renewal of
this policy”.
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4.1DEPARTMENTS IN UNITED INDIA COMPANY
UNDERWRITING
DEPARTMENT
ADMINISTRATIVE MISCELLANEOUS
DEPARTMENT DEPARTMENT
DEPARTMENT
IN UNITED
INDIA
INSURANCE
CLAIMS AGENCY&
DEPARTMENT MARKETING
DEPARTMENT
ACCOUNTING
DEPARTMENT
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UNDERWRITING DEPARTMENT:
Underwriting is the process of selecting certain types of risks and rejecting others
so that as a whole the policies issued by the insurance company will produce the
company’s desired results. The underwriting department is usually made up of
many individual underwriters who make the decisions about whether to accept or
reject the applications sent in by agents based on the company’s standards and their
own judgment. They can also be called on to review loss experience, provide
judgment rates and specified the particular policy forms that are required to
provided the coverage that applicants have requested.
UNDER WRITING
If endorsement is passed
Provision not provisional policy
cannot be finalized.
applicable when
Details cannot be
coinsurance incoming
entered against that
policy is being
particular provisional
underwritten policy
Proposal entry
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Note reference number
And Date
Update
ProposalModif
NO OK
ication
Collection
OK
Underwriters use the following three financial ratios to help them accomplish their
task :
Loss ratio
Expense ratio
Combined ratio
The loss ratio is used to compare the company’s operations from year to year. It
shows the percentage of losses the company incurred for every dollar of earned
premium. It Is calculated by dividing the amount of incurred losses by the amount
of earned premium.
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The combined ratio is simply the sum of the loss ratio and the expense ratio.
Traditionally, 100% is considered to be the break- even point. A combined ratio of
less than 100% indicates that the company had an underwriting profit; a ratio
greater than 100% indicates a loss.
ADMINISTRATIVE DEPARTMENT :
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CLAIMS DEPARTMENT:
CLAIMS
Claim Modification
NO
NO
OK
Survey fee payment
Claim Processing
`
Claim intimation
voucher
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Claim payment through claim
disbursement module
The claims department sees that the company’s insured are adequately indemnified
for their losses. Claim adjusters or representatives are used to inspect a loss,
determine whether there is coverage for the loss, estimate indemnification, and in
some cases, pay for the loss immediately. Large companies have their own claim
adjusters, where as smaller companies might use the services of independent
adjusters.
Claim processing:
The claim processing internally makes sure that in policy claim in made with
honest and no fraudulent activities are being carried out by the insured.
Surveys of class A / B / C are appointed to estimate the amount of claims.
For eg: - If a two wheeler gets to claim due to accident, the following
information is ascertained
place of damage
Reason for accident
FIR report
Salvage analysis
Surveyors are usually appointed by the D.O / B.O of claims department or
A.O or B.M or D.M The Surveyor report contains the detail of his study on
the above grounds .
If the insurer is not satisfied with the surveyor report he asks for an
investigators report
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The claims shall be paid only after the analysis
Period of insurance
Servicing office
Insurance person
Perils covered
Add on cover /Rider
Exclusions
Endorsements
Clauses
Warranties
Supportive documents
i) Surveyor’s report
ii) Investigator’s report
iii) Legal opinion
iv) Doctor opinion (mediclaim or PA policies)
:34:
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Duly filled Claim Form.
Hospital Discharge Report / Medical Treatment Report
Medical recovery report.
Original Test Reports (X-Rays / Sonography / ECG etc.).
Details of medical expenses original bills / cash memos along with
prescriptions.
Leave certificate from employer.
Hospital / Nursing Home Registration No. If not registered then treating
doctor’s certificate about no of beds, availability of qualified doctors,
qualified nurses / staff round the clock and fully equipped Operation Theater
in the hospital / Nursing home.
Police Panchanama / first information report about accident.
Damage claim to private vehicle (car/2wheeler) due to accident:
Copy of Claim intimation given to Company together with Xerox of policy
& premium receipt.
Name, Address, Phone / Fax No. of Spot Surveyor who visited the site.
Duly filled Claim Form.
Driving License (DL) Original with Xerox copy.
Registration Certificate of Vehicle (RC) (Original with Xerox copy).
Estimate of repairs from repairer & stamped receipt.
Bills & cash memo of repairs & stamped receipt.
Police Panchanama / First Information Report.
Verification of Road Tax
Thirty Party (T.P.) Claim due to accident:
Copy if Claim Intimation given to Company together with Xerox of policy
& premium receipt.
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Copy of FIR Charge Sheet.
Copy of driving license & certificate.
A statement of driver as to how accident occurred
Name & address of person injured & killed in accident.
Address of Police Station where accident reported.
Address of Hospital where injured/ dead bodies shifted by police from site
of accident.
Certified copies of injury/post mortem report.
Vakalatnama duly signed by owner of vehicle & driver.
Details of Loss to TP Vehicle or other property.
Comment of owner/driver on FIR/Charge Sheet.
Who are the people traveling in the vehicle?
Whether you had prior knowledge of all occupant’s of vehicle.
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ACCOUNTS DEPARTMENTS:
COLLECTION
Collection
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MONTHLY CLOSING OF ACCOUNTS
Even month Trial balance should be drawn after passing journal entries for policy
stamp, revenue stamp postage stamp affixed during the month. Funds transferred from
local bank and through FCS to RO.
Accounts department & UIIC have a computerized accounting system.
Genisys is the software used in branch office and fact is the software used in
divisional & regional office tom the accounting system
NOTE
1. All transactions effected during a day is updated with respect to accounting
date only and not the system date.
2. System date should not be altered under any circumstances.
3. If any message regarding date mismatch pops up, check the server date and
correct the mismatch suitably in the client.
4. Accounting date can be closed only after 4.30 P.M. if closed new date cannot
be open until 00.00 hours of next day
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AGENCY&MARKETING DEPARTMENT:
This department works very closely with, and the directs the operations of,
the agents who represents the company. Its responsibilities include recruiting,
appointing, and training, especially if an agent will be an exclusive agent. The
department must monitor the sales and marketing efforts of these agents and make
sure that the number and quality of agents are closely turned to the market
company serves.
MISCELLANEOUS DEPARTMENTS:
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5.CONCLUSION:
This training program at United India insurance Company Ltd. has helped
me gain more knowledge and greater insights in insurance business. It has helped
me gain hands on experience in insurance business. I would like to thank all those
Insurance is sold
not because
but because
-Winston Churchill
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