Banking and Insurance Service
Banking and Insurance Service
Banking and Insurance Service
Education (VHSE)
Second Year
Reference Book
Government of Kerala
Department of Education
List of Contributors
Participants
Academic Co-ordinator
Smt. Anjana V.R.Chandran
Research Officer, SCERT
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FOREWORD
Dear Learners,
This book is intended to serve as a ready reference for learners of
vocational higher secondary schools. It offers suggested guidelines
for the transaction of the concepts highlighted in the course content.
It is expected that the learners achieve significant learning outcomes
at the end of the course as envisaged in the curriculum if it is
followed properly.
In the context of the Right- based approach, quality education has
to be ensured for all learners. The learner community of Vocational
Higher Secondary Education in Kerala should be empowered by
providing them with the best education that strengthens their
competences to become innovative entrepreneurs who contribute
to the knowledge society. The change of course names, modular
approach adopted for the organisation of course content, work-
based pedagogy and the outcome focused assessment approach
paved the way for achieving the vision of Vocational Higher
Secondary Education in Kerala. The revised curriculum helps to
equip the learners with multiple skills matching technological
advancements and to produce skilled workforce for meeting the
demands of the emerging industries and service sectors with national
and global orientation. The revised curriculum attempts to enhance
knowledge, skills and attitudes by giving higher priority and space
for the learners to make discussions in small groups, and activities
requiring hands-on experience.
The SCERT appreciates the hard work and sincere co-operation of
the contributors of this book that includes subject experts,
industrialists and the teachers of Vocational Higher Secondary
Schools. The development of this reference book has been a joint
venture of the State Council of Educational Research and Training
(SCERT) and the Directorate of Vocational Higher Secondary
Education.
The SCERT welcomes constructive criticism and creative
suggestions for the improvement of the book.
With regards,
Dr. P. A. Fathima
Director
SCERT Kerala
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CONTENTS
1. About the Course ............................................ 5
2. Major skills ..................................................... 6
3. Syllabus ........................................................... 7
4. Overview of Module-3.................................... 9
5. Unit 3.1. Introduction to insuance................... 10
6. Unit 3.2. Underwriting and Insurance
Documents ...................................................... 38
7. Unit 3.3. Insurance Claims......... ...................... 49
8. Unit 3.4. IRDA Regul tions.. ............................. 57
9. Extended activities ......................................... 67
10. Suggested of Practicals ................................... 68
11. Overview of Module 4... ................................. 73
12. Unit 4.1. Meaning and Importance
of service Marketing ...................................... 74
13. Unit 4.2. Marketing of Banking Products ......... 89
14. Unit 4.3. Marketing of Insurance Products ...... 97
15. Unit 4.4. An Introduction to Financial Market 112
16. Extended activities ......................................... 119
17. Suggested Practicals....................................... 120
18. List of reference ............................................. 125
19. Proposal & Claim forms............................... .... 126
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PART A
About the course
Banking system in India has been functioning under regulations since 1949. Before
Independence, the banking system was largely in the hands of Private Banks. The
SBI Act was passed in 1955 and as a result Imperial Bank of India was taken over
by Reserve Bank of India. Following this, Public Sector participation was increased
by taking over by seven associate/subsidiary Bank of SBI by 1959 and Nationalising
of 14 private banks in 1969, and 6 private banks in 1980. Post Nationalisation, the
banks were asked to open more branches in rural areas, huge number of people
were recruited to these newly opened branches, the business of banking moved
from class banking to mass banking. These developments gave raise to the need for
a large work force of bank employees. The banking and finance sector is one of the
fastest growing sector in the country. This growth brought many opportunities in the
banking sector. The nationalised banks select candidates based on selection test
conducted by IBPS. State Bank of India conducts its own selection test for
recruitment. Private Banks, as a number of considerations, which include
qualifications and past experience whatever may be the selection procedure, are
required to provide training to the candidates selected for employment. In order to
reduce the cost of training and also increase the productivity of employees, the
banks prefer candidates who have acquired training in various aspects of banking
and finance before joining the banks. A suitable qualification and acquisition of the
basic skill in Banking and Finance through an appropriate training enhance the
prospect of getting employment in Banking and Finance Sector.
Insurance in its current term has its history dating until 1818 when Oriental Insurance
Company was started by Anita Vishwas, in Kolkota to cater to the needs of the
European community. In 1829 the Madras equitable had transacting Life Insurance
business in the Madras Residency. In 1870, Bombay Mutual Life Assurance Society
became the first Indian insurer. The government of India nationalised life insurance
sector on 19th January 1956. As a result Life Insurance Corporation came into
existence. The General Insurance Business (Nationalisation) Act was passed in 1972
and as a result General Insurance business was nationalised with effect from 1st
January 1973.
Due to the recommendation of "Malhotra Committee" report 1999, the IRDA was
constituted as an autonomous body to regulate and develop the Insurance industry.
The key objective of the authority is to promote market efficiency and ensure
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Importance of Insurance
Types of Insurance
Essentials of valid a contract
Meaning and Types of Contracts
Difference between Insurance Contract and Wagering contract
Legal Principles of Insurances
Unit 3.2: UNDERWRITING AND INSURANCE DOCUMENTS
(90 Periods)
Meaning of Underwriting
Underwriting procedure of Life Insurance
Assignment, Nomination, Revival and Surrender
Underwriting of non-life Insurance
Insurance Premium
Insurance documents
Unit 3.3: INSURANCE CLAIMS (80 Periods)
Meaning , Importance and type of claims
Procedure of settlement of Life Insurance claims
Procedure of settlement of Non-life Insurance claim
Unit 3.4: IRDA REGULATIONS (80 Periods)
IRDA Regulations
Insurance operations
Final accounts of insurance companies and usage of accounting software (Tally)
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PART B
An Overview of Module 3
In India insurance claims had a historical background. Manusmruthi of Manu,
Dharmasastra of Yajnavalkya, and Arthasastra of Kautilya mention about existence
of insurance. The writings speak in terms of pooling of resources and redistribution
in times of calamities such as fire, famine, flood etc. The insurance sector is one of
the fastest growing sector in India. The insurance sector is growing at a speedy rate
of 15-20%. 7% of the GDP is contributed by banking and insurance sectors
together. The sector generates long term funds for infrastructure development. The
job opportunities in this sector are immense and lucrative. One can become an
advisor, surveyor or investigator. The opportunities in the insurance sector at the
levels of assistant and officers are comparable with those in the banking sector. A
basic knowledge in insurance is essential to all, if he is a student, a home maker or a
shopkeeper or a professional. This kind of a knowledge required to have a check
on what your advisor tells you, but also to confirm that the insurance taken is the
right one for you.
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Meaning of risk
The term risk is a psychological and relative term. It has different
meaning in different circumstances. In general, risk refers to the
possibility or chance of meeting danger, suffering loss or injury
or exposure to adversity or danger. In a broader sense risk is
uncertainty. For our insurance purpose, we define risk with
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reference to uncertainty of loss. Thus, risk means the possibility of loss or damage
on the occurrence of an unpredictable or unfortunate event.
Man always has to encounter with risk. All his inventions and researches were to
avoid pain, miseries, difficulties and hazards. Events of the risk cannot be avoided
but it can be minimized.
Assessment Activity
List out the risks you face in your life
List out the risks faced by a motorist
List out the risks faced by a business man
Classification of risk
Risk may be classified as follows:
1. Pure risk and speculative risk
Financial losses caused by bodily injury, theft, fire, loss of profit, legal liabilities, etc
are the pure risks. Pure risk can produce only one outcome, ie, loss. There is no
possibility of a gain. These risks are measurable and insured against. Pure risk may
be Personal risk, Property risk, Liability risk and Other risk.
Speculative risk or Business risk is bilateral. Where uncertainties means the possibility
of either a gain or a loss. Loss due to changes in fashions, taste, price changes, govt.
policies, loss by competition, etc, will cause speculative risk. It cannot be predictable
or measured. So, such risk is uninsurable.
Pure risk vs. Speculative risk
Pure risk Speculative risk
1. In the case of pure risk, always result 1. In the case of speculative risk
in loss. No possibility of gain. either gain or loss
2. The extent of loss can be measured 2. It is not measurable. The extent
in monetary terms. of loss cannot be predicted or
measured.
3. A policy of insurance can be 3. Insurance is not possible as
taken to cover loss speculative risk is unpredictable.
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2. It must be pure risk not a speculative risk: Pure risk arising from perils like
fire, burglary, riot, theft etc. can be insured.
Speculative risk cannot be insured because
that risk cannot be predicted or estimated.
3. It must not be illegal in nature: The
object of contract must be lawful. Illegal
subject matter are not insurable.
4 . Must be capable of being spread: A
risk must be capable of being spread in
large number of persons.
5 . Must be accidental: The event is one, the happening of which must be acci-
dental in nature.
6. Must not be catastrophic in nature: Risk must not be such as would cause
loss or damage to a large number at the same time. Thus war and similar other
risk is not considered for insurance cover.
7. Premium must be economically feasible: Premium should not only be
affordable but also far less than the value of the policy.
Risk Management
Risk management is the managerial technique of controlling the effects of risks. It
consist of identification, assessment, analysis, and
controlling of risk followed by co-ordinated and economical
application of resources to minimize, monitor and control
the unfortunate events. The steps to control pure risk are-
risk avoidance, loss prevention and loss reduction, risk
retention and risk transfer. Thus, risky situations has to be
avoided is the best and simplest way for managing risk.
But, it is not at all possible everywhere and hence loss
prevention and loss reduction techniques can be chosen. For example, fire losses
can be controlled and reduced by using non-combustible materials on building
construction, installing sprinklers etc. At last, insurance can be opted to handle the
consequences of pure risk.
Speculative or business risk can be controlled by adopting better management
methods, conducting market research, diversification of production and proper
forecasting of future trends in government policies.
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Assessment Activity
List out the features of insurable risk, and make a chart/ppt.
Complete the following
Risk prevention/reduction Risk avoidance ................ Risk Transfer
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5. Insurance distributes risk : Insurance help to spread the risk. The loss sus-
tained by few insured person is distributed among many others, so that the
burden of financial loss is minimized .
6. Insurance provide capital: The funds of insurance company is invested in
shares, debentures, government securities. Insurance provide not only protec-
tion but also capital to the society. Usually accumulated funds are invested in
economic development programmes.
7. Insurance increases efficiency: The insurance eliminates worries and un-
certainties of businessman. Such persons can work better for the maximization
of profit. Insurance, by eliminating uncertainty, stimulates the businessman to
work hard.
8.. Insurance promotes foreign trade: Insurance is essential for development
of foreign trade. It relieves the business from uncertainty in the event of loss.
Insurance provides security to the international traders and financial institutions
and thereby promotes foreign trade.
9 . Insurance solves social problems: At present we have insurance against
industrial injuries, road accidents, old age, disability, or death. Thus, insurance
act as a good instrument for solving many social problems.
10. Insurance check inflation: It reduces the pressure of inflation by extracting
money in supply, by collecting premium.
Assessment Activity
Prepare a chart exhibiting functions of insurance
Perils, Hazards - physical hazard and moral hazard
Peril : The term perils may be defined as the cause of loss. Loss caused by various
calamities are called perils. Peril means loss producing
cause.
Examples of perils are explosion, flood, fire, death by
accident, sickness, riots, strike etc. Fire is the cause of
loss, while uncertainty about the occurrence of fire is the
risk.
Hazard: The term hazard refers to something that creates
or increases the chance of loss arising from any peril.
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Eg. The negligence of a driver in pressing the accelerator instead of break , may
cause a motor accident.
Hazards are of two types - Physical hazard and
moral hazard.
Physical Hazard: It consists of those physical
conditions that increases the chance of loss from
any perils. Eg. Meterials used for the construction
of building, height of the building, items stored
inside the building etc.
Moral Hazard: Moral hazard depends up on
human beings as physical hazard depends on the property. Eg. Carelessness, willful
act, ignorance of law, economic and social factors.
Practical
List out the various hazards in connection with human life and in the case of motor
accidents. Classify them into physical and moral hazards. Make a power point
presentation on the basis of the above classification.
Steps 1 -
Give an introduction about risk, peril and hazard.
2.Make a brain storming session about the various hazards faced by
human beings and various hazards faced by motor vehicle riders.
3. List out all the hazards raised by the students separately (i.e. hazards
faced by human beings and hazards faced by motor riders).
4. Classify the listed hazards into physical and moral.
5. Prepare a table in Excel format.
6. Make a power point presentation (Minimum 5 slides).
Assessment Activity
List out some hazards
Categorise the hazard into physical and moral
Importance of insurance ( Benefits of insurance)
The following are the beneficiaries of insurance
A. Benefits to an individual
B. Benefits to business
C. Benefits to society
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A. Benefit to an individual
1. Security and safety: In case of life insurance claim payment is made when
death occurs or the term of insurance is expired whichever is earlier. In other
words, insurance as security provides against the loss in a given contingency.
2. Peace of mind : A sense of security removes all tensions and fears. It stimu-
lates more and better work. An insured person get rid of himself from mental
worries about uncertainty.
3. Protects mortgaged property: The insurance provide adequate amount to
the dependents in the event of early death of the property owner to pay off
the unpaid loan.
4 . Eliminates dependency: In the event of death of the bread winner of the
family or destruction of property, the family suffers a lot. The insurance assists
the family and provides adequate compensation.
5. Encourages savings: Systematic savings is possible because regular pre-
mium are required to be compulsorily paid and withdrawal of premium is not
allowed.
6. Provides profitable investment: A life insurance contract provides not
only protection but also provides investment opportunity, as it is not a con-
tract of indemnity.
7. Fulfils the need of a person: Insurance helps for meeting requirement and
needs of a person like family needs, old age needs, special needs like edu-
cation, marriage of children etc.
B. Benefits to business
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Fire
Marine Miscellaneous
eg.Personal Accident, Motor
Insurance, Cattle Insurance,etc
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Modern Classification
Insurance
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No surrender facility
Can be surrendered
Indemnity principle is not applicable Indemnity is strictly followed
Assessment Activity
prepare a chart displaying various types of insurance.
Identify and explain suitable insurance policy in the following situations
a. Mr.Arun owns a motor car
b. Mr.Soman is a trader of cosmetic items
c. Mr.Biju is an owner of an auditorium
Additional Information
Basic terms used in insurance
1. Insurer: The party who undertakes risk is called insurer or
assurer or underwriter
2. Insured: The party for whose benefit the insurance is initiated
is called insured or the person whose risk is insured is called
insured or assured
3. Premium: The consideration for which the insurer undertakes
to indemnify the insured is called premium. The consideration
paid by the insured to the insurer for the risk undertaken by the
latter.
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4. Policy: The word policy has been derived from the Italian
word "polizza" which means "a receipt" The document which
contains the terms and conditions of the insurance contract is
termed as the insurance policy. It must be stamped, signed,
sealed and dated
5. Subject matter: Things or property insured is called subject
matter of insurance.
6. IRDA - 2000 (IRDA, Act-1999) : The Insurance Regula-
tory and Development Authority is the regulator of the Insur-
ance Sector.
7. LIC : Life Insurance Corporation of India. In 1956, the life
insurance business was nationalized bytaking over 245 com-
panies and by forming one single corporation, named as Life
Insurance Corporation of India .
8. GIC : General Insurance Corporation of India Act 1972.
Essential Elements of a Valid Contract.
Law of contract.
The law of contract is the most important part of commercial law because every
commercial transaction starts from an agreement between two or more persons. It
deals with agreements which can be enforced through court of law. The object of
the law of contract is to introduce definiteness in commercial and other transactions.
In India the law relating to contract is the Indian Contract Act,1872 .
A valid contract must possess the following elements :-
1. Agreement through offer and acceptance.
2. Free consent of parties.
3. Competency or capacity of parties.
4. Lawful consideration.
5. Lawful object.
Agreement.
All contracts are made by the process of lawful offer by one party and lawful
acceptance of the offer by the other party. The person making the offer or promise
is called the "offerer" and the person to whom the offer is made as the "offeree". The
offer may be made orally or in writing. An offer together with acceptance lead to a
contract which is enforceable by the court. Acceptance is not effective until it is
communicated to the party who made the offer.
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Free consent.
In order to be enforceable, an agreement must be based on the free consent of all
the parties. Consent means that the parties to an agreement must agree on the same
thing in the same sense. This implies the principle of "consensus ad idem", which
means identity of minds. Both the parties should agree to the same thing in the same
sense. All the parties to the contract must express their intention to enter into a
contract, independently without any fear, favour or force. In other words, a consent
is said to be free when it is not caused by coersion, fraud, undue influence,
misrepresentation and mistake.
Capacity of Parties.
According to the Contract Act, "every person is competent to contract ,who is of
the age of majority, who is of sound mind, and is not disqualified by any law to which
he is subject."The Act provides that minors,lunatics, insolvent etc.,are disqualified to
enter into a contracts.
Lawful consideration.
Consideration is an essential element for the validity of a contract. Consideration is
the price of a contract and it is not enforceable unless each party to the agreement
gets something. This "something" is called consideration. Consideration consists of
some benefit or any return to the other party. It may represent past, present or future
but must be real and lawful.
In contracts of insurance the insured's promise to pay premium is the consideration
for insurer's promise of protection. It may either be a single payment or periodical
payments spread over a specified period of policy.
Lawful Object.
In order to make a valid contract, the object of the agreement should be lawful. An
unlawful object of any contract shall make it unenforceable at law. Thus, the object
of the insurance contract must be lawful. For example, stolen or smuggled goods
cannot be insured. Again, the contract must not tend to be immoral or involve injury
to the person or property of another. The object must not be illegal, immoral or not
against public policy. For instance, insurance for payment of fines for motor traffic
offences would be regarded as opposed to public policy.
The elements mentioned above must all be present. If any of them is absent, the
agreement does not become a valid contract. An agreement which fulfils all the
essential elements is enforceable by law is called a contract. From this it is clear
that, every contract is an agreement but all agreements are not contracts.
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Assessment
Ask the students whether they are eligible to take a life or non life policy, why?
Prepare a chart showing the elements of a valid contract
Types of Contracts
The elements mentioned above must all be present in a contract. If any of them is
absent, the agreement will not become a valid contract. On the basis of the elements
contained, contracts can be classified as:-
Valid contract
Void contract
Voidable contract
Illegal contract.
Valid contract
An agreement which fulfils all the essential elements is enforceable by law and is
called a valid contract or legal contract. From this it follows that, a contract that
possesses all these elements are legally valid.
Void contract
A void contract is not a contract at all. If either or both the parties have no
competency to contract, the contract is void. Thus, a contract with a minor is not
valid. Similarly, where the parties are competent to contract, but the consideration
or object is not lawful, the contract is void. For example, where the proposer for
insurance is a minor, the insurer cannot accept the proposal. Similarly, where the
parties are competent to contract, but the consideration or object is not lawful, the
contract becomes void.
Voidable contract
Where the parties are competent to contract and the consideration and object are
lawful, the contract is voidable if the consent is not free but is obtained by coercion,
undue influence, fraud or misrepresentation. The contract is voidable at the option
of the party whose consent was so obtained.
Illegal contract
A contract which is contrary to law and against the interest of the public is an illegal
contract. It has no legal effect. It cannot be enforced in a court of law and hence be
called unenforceable contract. Granting insurance protection to the cargo of an enemy
country when war is declared is an illegal act. Such an insurance contract will be
considered illegal.
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interest will render the contract void or illegal .The principle of insurable interest
distinguishes insurance from a gambling transaction. Anyone then could insure any
one else's property and be tempted to bring about the loss to collect the claim under
the policy. This is against the public policy.
How Insurable Interest Arises.
An insured obtain insurable interest in the subject matter on account of the following
relationships.
1. Interest in one's own life- A person possesses an insurable interest to an
unlimited extent in his own life. But, in practice,, the sum insured will depend
upon his capacity and willingness to pay the premium.
2. Interest in the Life of another person - Interest in the life of another arises
out of relationship of husband and wife. A husband has insurable interest in the
life of wife and vice versa. Insurable interest cannot be presumed from the
existence of other relationships. Thus a father has no interest in the life of his
son or a sister does not have an interest in the life of her brother and vice versa.
3. Interest from business relationships - Insurable interest may also arises
from certain business relationships. For example:-
(a) A creditor has insurable interest in the life of his debtor to the extend of
the debt.
(b) An employer has an interest in the life of the employee to the extent of
the value of his/her services.
(c) Partners have insurable interest in the life of a co-partner.
(d) A company has an interest in the life of its 'key-men' i.e. valuable em
ployees.
4. Interest arising from absolute ownership - Ownership of a property en-
titles the owner to insure the property. Thus the owner of a house can insure his
house, the owner of a car can insure his car ,etc.
5. Interest arising from law - A bailee is responsible for damage to goods in his
possession due to his negligence. Warehouse keepers, owner of motor garage
etc. are responsible to the goods in this way.
6. Interest arising from contract - A tenant in terms of lease may be respon-
sible for the safety of the property. He can insure the property even though he
is not the owner.
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7. Interest arising from Legal Liability - Employers have legal liability to pay
compensation to employees for employment related accidents, motor vehicle
owners are liable to third parties for the damages caused by accidents involv-
ing their vehicles. These legal liabilities create insurable interest.
8. Interest arising from Mortgage - A mortgagee or one who has advanced
money on the security of property has an insurable interest in the property. But
his interest is only partial,limited to the amount of the loan.
Time when insurable interest must exist
The time when insurable interest must exist depends upon the branch of insurance as
under :
(a) In Life Insurance - insurable interest must be present at the time when
insurance is effected, though interest need not exist at the time of loss. For
example, a creditor can insure the debtor's life to the extent of loan. If the
debtor dies after repayment of the loan, the creditor may recover the amount
of policy because he had an inmsurable intertest in the life of the debtor at
the time of effecting the insurance.
(b) In Fire and Accident Insurance - insurable interest must exist not only at the
time of effecting the policy but also at the time of the loss. For example a
person may have purchased certain property and insured it under a fire
policy. Subsequently he may sell the property to another person. If there is
a loss by fire after the sale, the insured cannot recover under the policy as
he has no insurable interest at the time of loss.
(c) In Marine Insurance - insurable interest must be present at the time of loss
and need not be present at the time of effecting the insurance . For ex-
ample, a person who imports goods on C & F (Cost and Freight) terms
has to arrange for their insurance during transit. At the time of effecting
insurance, the interest in the property may still vesting in the exporter and
may not have passed on to the exporter; nevertheless, the importer has a
bonafide expectation of acquiring interest in the goods when they are shipped.
The importer can therefore effect insurance legitimately and if the goods
arrive damaged at destination, he can recover from the insurer as he has an
insurable interest in the goods at the time of loss.
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3. INDEMNITY
The word indemnity means 'security against loss or damage' or 'compensation for
loss'. Insurance contracts promise to make good the loss or damage. This means
that the assured shall be paid only the actual amount of loss, not exceeding the
amount of the policy. For this the loss should be measured in money value. The
amount paid by the insurance can be equal but never more than the value of subject
matter. For example, if a person insure his house (valued Rs.30,000) for Rs. 30,000
against fire and if the house is completely destroyed by fire, insurance company will
pay compensation of Rs.30,000. But if the house damaged valued Rs.25,000, he
will be paid only Rs.25,000. It means that in no case he will be allowed to make a
profit out of his misfortune.
The principle of indemnity can be applied only on general insurance, where actual
loss determination is possible. i.e, indemnity does not apply in life and personal
accident insurance.
Object of Indemnity
The object of indemnity is two fold. First of all, the insured is indemnified for the
loss he has suffered. In other words, the insured after the loss, is placed in the same
financial position, as far as possible, as he occupied immediately before the loss.
Secondly, the principle of indemnity ensures that the insured does not make any
profit or gain any benefit or advantage out of his loss. If a person allows making a
profit in the event of loss or damage to the property, may encourage him to cause
loss or damage to the property again.
Methods of Indemnity
Mode of Indemnity
4. SUBROGATION
The principle of subrogation is an extension and outcome of principle of indemnity.
It is a form of substitution. It means that under certain circumstances, the insurer can
acquire all remedies available to the insured against a third party. Subrogation means
placing the insurer in the place of the insured. To be more precise, subrogation may
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be defined as the "transfer of rights and remedies of the insured to the insurer who
has indemnified the insured in respect of the loss."In other words, subrogation is the
transfer of rights and remedies of the insured in the subject matter to the insurer after
the indemnification. That is, the right of ownership of the affected property passes
on to the insurer.
Object - The object of subrogation is to impose a duty on the insured to pass over
to the insurer may right of recovery that he may have against a third party. Having
paid the claim, the insurer is allowed to step into the shoes of the insured to have the
benefit of any such recovery. For example a person has insured his property against
fire. Through the negligence of a third party a fire arose and the property is damaged.
Insurers pay the claim for this damage and thus become entitled to recover from the
third party through whose negligence the damage was caused.
Subrogation and Indemnity - The principle of subrogation arises from the principle
of indemnity. The principle of indemnity prescribes that in the event of loss or damage
of subject matter, the insured is compensated to the extend of actual loss, whereas
the principle of subrogation prescribes that the scrap or whatever is left of the damaged
subject matter of insurance is to be automatically passed into the hands of the insurer
after the payment of the claim.
Essential Characteristics of Doctrine of Subrogation
1. The doctrine of subrogation applies only to contracts of indemnity, ie, con-
tracts of fire and marine insurance or in general insurance. It does not apply to
contracts of life and personal accident insurance.
2. The law of subrogation is applied to all contracts of indemnity and it arises only
after the payment of the claim is made to the insured by the insurer.
3. The insured is required to provide all the necessary assistance to the insurer
while enforcing the rights of subrogation against the defaulter.
4. The insurer is granted the right to sue the third party (defaulter) in the insured's
name but the expenses of litigation are to be borne by the insurer.
5. The right of recovery of compensation from the third party(defaulter) by the
insurer is limited to the amount of claim paid to the insured.
6. The principle of subrogation is automatically applied even without any express
condition the contracts.
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5. CONTRIBUTION
Principle of contribution is another outcome of the doctrine of indemnity. It applies
to all contracts of indemnity. If a property is insured by several insurers against the
same risk, the insurers must share the burden of payment in proportion to the amount
assured by each. In this case, the total loss suffered by the insured is contributed by
different insurers in the ratio of the value of policies issued by them for the same
subject matter. If any of the insurers pays the whole loss, he is entitled to a contribution
from the other insurers.
Need - This principle is for sharing loss between co-insurers. It prevents the insured
from making profit out of his misfortune. Eg. a property is insured against fire for
Rs.10, 000 with Insurer A and for Rs.20,000 with Insurer B. If the property is
damaged by fire to the extend of Rs. 9,000, the insured cannot claim the amount
both from insurer A and B. Here insurers A and B will proportionately contribute to
the loss. Their respective share can be found out by the following formula.
Sum insured by the insurer/ Total Sum insured x actual loss
Therefore the compensation given by A =10,000/30,000 x 9,000 = 3,000
Compensation given by B = 20,000/30,000 x 9,000 = 6,000
The insured can recover the entire amount of loss from the insurer A. In that case
insurer B should contribute to insurer A a sum of Rs. 6,000.
Conditions:-
(a) The subject matter of insurance must be common to all the policies.
(b) The insured must be the same person.
(c) The perils covered on all policies are of the same.
(d) All the policies must be in force at the time of loss.
(e) The policies must be legally enforceable.
6. PROXIMATE CAUSE
The phrase proximate cause is derived from the Latin phrase,'causa proxima' which
means the nearest or immediate cause. Proximate cause means the direct, most
dominant, most important, and the most effective cause of which the loss is occurred.
It is the most closely and directly connected with the loss. It is the immediate cause
of the loss and not the remote cause. When there is only one cause for a loss, the
claim can be settled easily. But when there are two or more causes for a loss, then
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the doctrine of causa proxima applies. Then it become necessary to choose the
most important, the most effective the most powerful cause which has brought about
the loss. This cause is termed as "proximate cause " and all other causes, are considered
as 'remote cause'.
The object of insurance is to provide indemnity against loss caused by certain specified
perils. The perils insured are clearly stated in the policy and the liability of the insurer
arises only if the loss is caused by the insured perils. In life insurance, the doctrine
of 'causa proxima ' is not applied because the insurer is bound to pay the amount of
insurance, whatever may be the reason of death. It may be natural or unnatural. Let
us consider the following case to illustrate the point.
A person insured under a personal accident policy went out for hunting and met with
an accident. Due to shock and weakness, he was unable to walk. While lying on the
wet ground , he contracted cold which developed into pneumonia which caused his
death. The court held that the proximate cause of death was the original accident
and pneumonia is only a remote cause. Hence the claim was payable.
7. MITIGATION OF LOSS
Mitigation of loss means to minimise or decrease the damage of the loss. It is
prescribed that whenever the event insured against occurs, it shall be the duty of the
insured to take all such steps to minimise the loss as would have been taken by any
person who is not insured. It places a duty on the insured to make every effort and
to take active steps to minimise or reduce the loss at a peril, as would have been
taken by a prudent, uninsured person. An insured cannot be a silent spectator to the
loss. He must do his best to minimise the loss and save whatever is left.
Assessment Activity
Enlist the material facts of motor insurance
Mr.X avail loan from a bank and purchased a TV set. Now he wishes to
insure it. Find the insurable interest in the case.
A building is damaged in an earthquake, for releasing claim which mode of
indemnity is suitable.
Prepare chart showing the major special principles of insurance contract
Practical
Make a short film for giving awareness to general public about the necessity of
reducing road accidents.
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Risk
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b. Medical report
Insurance is given only to a person of sound health and mind. Therefore the insurer
insists for a medical examination of proposer before entering into contract.(Subject
to conditions) Medical report is a confidential report prepared by a qualified allopathic
doctor after examining the present and past health conditions of the proposer.
c. Proof of age
It is important because the rate of premium depends on the age of insured, copy of
birth certificate, school certificate, passport, identity card given by employer, driving
license and PAN card are treated as standard age proofs.
d. Proof of income
Proof of income is insisted by the insurer when the proposed policy sum is too large.
Salary slip, employer's certificate, income tax return are generally accepted proof of
income.
e. Moral hazard report (MHR)
Moral hazard means the risk to the insurer due to the dishonesty of the proposer.
MHR is prepared by the officer of the insurer which contains the details of moral
hazard associated with the proposer. It is needed when it is suspected that the
proposer is likely to be dishonest or proposer intends to make profit out of proposed
insurance.
After analyzing the available data, the proposer is placed in the appropriate risk
group and the underwriter takes the decision on the acceptance of the proposal.
The decision may be any one of the following:
a. Accepts as proposed at Ordinary Rates(OR) which means that the risk is
assessed as standard
b. Accept with extra premium
c. Accept with modified terms
d. Accept with specified clause
e. Postpone for a specified period
f. Decline which means that the risk is too heavy to insure
3. Receiving first premium
If the proposal is accepted, the decision must be conveyed to the proposer within
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15 days. On receiving first premium the insurer will issue First Premium Receipt
(FPR) which is the evidence for the beginning of insurance contract. FPR become
irrelevant up on the issue of policy document.
4. Issue of Policy
Policy is the most important document in life insurance which contains the terms and
conditions of insurance contract. It should be signed by a competent authority and
stamped adequately according to the Indian Stamp Act.
Assessment Activity
Collect a proposal form and fill it
Prepare a list of documents required for insuring life.
Prepare a model of life insurance proposal form.
Assignment and Nomination
A life insurance policy is a property, so it can be sold, mortgaged, charged, and
gifted. One of the methods of transfer is the assignment. An assignment enables
transfer of the rights, title and interest of the assignor to the assignee. Section 38 of
the Insurance Act, 1938 states that
The assignment can be done by an endorsement on the policy or by a separate
deed.
It must be signed by the transferor or his duly authorized agent.
The signature must be attested by a witness
The assignment is effective as soon as it is executed
It must be sent to the insurer along with a notice
The person making the assignment should have the right or title to the property.
The assignor must be major and competent to contract.
NOMINATION
Nomination is a simple way to ensure easy payment of policy money in the case of
death claim. The holder of a policy on his own life, may nominate the person or
persons to whom the money secured by the policy shall be paid in the event of his
death. This can be made at the time of proposal or at any time during the currency of
the policy. A person having a policy on the life of another cannot effect a nomination.
A nomination can be changed by the policy holder by making another endorsement
on the policy.
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A nomination gives the nominee only the right to receive the policy money in the
event of death of the life assured. A nominee does not have any right to the whole or
part of the claim.
When a nominee is a minor, an appointee should be appointed by the policy holder.
The appointee loses his status when the nominee becomes a major.
NOMINATION VS. ASSIGNMENT
Nomination Assignment
1. Can be done before the issue of the 1. Can be done only after issue of
policy or after the issue of policy the policy.
2. The holder of a policy on his own life, 2. The absolute owner of the
i.e. the life assured alone policy can make assignment.
can make nomination.
3. Policy holder retains full control and 3. Policy holder loses control over
can deal with the policy the policy. Assignee is the owner
without the consent of the nominee. of the policy and can deal with
it.
4. Need not be supported 4. Must be supported by a
by a consideration. consideration.
5. May be witnessed. 5. Must be witnessed.
6. Nominee has no right to 6. Assignee has the right to sue
sue under the policy. under the policy.
7. It can be altered by the life assured 7. It cannot be cancelled by the
during the currency of the policy. assignor.
8. Where nominee is a minor, an 8. When the assignee is a minor,
appointee should be appointed. guardian is to be appointed.
9. Nominee’s right is only to collect 9. The assignee is entitled to deal
policy money on the death of the with the policy and to receive
assured. the policy moneys.
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3. Premium rating
The most important work in underwriting is the fixing of rate of premium to be
charged for insurance. Value of property, degree of hazard, past experiences
of loss etc. are considered for fixing rate of premium.
4. Issue of cover note
Cover note is issued by insurer on receiving first premium from the proposer.
It is a temporary evidence of insurance protection which will be suspended on
issue of policy.
5. Issue of Policy/ Certificate
Policy is a stamped document which is a permanent evidence of insurance
contract. In motor insurance, a certificate of insurance is required in addition to
policy.
Assessment Activity
List out the elements of a cover note
List out the documents required for insuring non life insurance.
Insurance Premium
Meaning
Insurance is a contract between insurer and insured. To be enforceable at law every
contract must have consideration. Premium is the consideration of an insurance
contract. Without the payment of premium, an insurance contract will not become
valid. Insurance premium is the consideration paid by the insured to the insurer for
his promise. Premium should be paid in advance.
Premium in life insurance
In life insurance premium is determined on the basis of life expectancy of proposer
after considering the following factors:
a. Age- As age increases, the
BMI (Body Mass Index) is the
probability of risk increases.
proportion between body weight and
Thus the amount of premium
height. Its range is 18.5-24.9
varies with age of the insured.
b. Physical conditions- Height,
weight, BMI, measurement of chest, pulse rates, blood pressure etc. are
significant.
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c. Habits- Bad habits like smoking, alcoholism, drugs etc. adversely affect
life expectancy.
d. Family history- Early death of parents, genetic and hereditary illnesses,
diabetes etc. can be determined from family history.
e. Occupational hazard- The nature of job and the place in which the job is
done have effects on health and life span.
f. Moral hazard.
Mode of payment
The premium rate is often calculated annually but for the convenience of the insured,
it can be paid half yearly, quarterly or monthly. Premium must be paid on or before
due date. But an additional period called 'days of grace' is allowed for payment of
premium, 30 days are allowed for yearly, half yearly and quarterly premiums and 15
days for monthly premiums.
Premium in Non- life insurance
Non life insurance is usually for a period of one year. The premium on non life
insurance is ascertained on the basis of value of subject matter, degree of risk involved
etc. Premium is paid once in a year at the commencement of insurance contract. No
notice of renewal of policy is served by general insurance companies.
Practical
Calculate premium payable/month from the following information
Name of Policy Endowment
Period of insurance 25 years
Age of proponent 25 years
Table premium 168.17/Millie
Sum insured 10,00,000
Assessment Activity
Calculate insurance premium. Sum Insured- 5,00,000, rate of premium 216.23/
1000
Prepare chart showing mode of payment of premium in life and non life insur-
ance.
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Insurance Documents
Insurance is a contract between two parties. There may be disputes between insurer
and insured or insurer and beneficiaries in the absence of adequate documentary
evidences in the hands of both the parties. Therefore documentation is very important.
The following are the relevant documents in insurance contracts:
1. Proposal form
2. Cover note/ FPR
3. Insurance policy
4. Certificate of Insurance
5. Renewal Premium Receipt
6. Claim form
Proposal form
Proposal form is the application for all insurances. The printed proposal form is
filled in by the proposer in own handwriting and signed in the presence of witness.
The proposer is expected to furnish true and fair details (principle of utmost good
faith) because any misstatement will lead to make the contract voidable. The contents
of proposal form vary according to the class of insurance. Proposal form always
contains general information such as name, address, occupation and annual income
of proposer.
Life insurance proposal form contains special information such as age and date of
birth, sex, physical conditions, family history, details of nomination, details of earlier
policies, preferred mode of payment of premium etc.
General insurance proposal forms must contain the complete details of the property
to be insured and the information regarding physical and moral hazards.
Every proposal form contains a declaration by the proposer. All the statements
therein are true and correct to the best of his knowledge.
Cover note/ FPR
Cover note is a temporary document issued by the insurer on receiving first premium.
It contains the details of insured, insured property and terms and conditions of
insurance contract. It will become irrelevant on the issue of policy document. Instead
of cover note, First Premium Receipt (FPR) is issued by life insurance companies.
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Insurance Policy
Insurance Policy is the permanent evidence of the contract of insurance. It has to
be stamped according to Indian Stamp Act 1899. Policy document has the following
parts;
1. Heading - Gives the name and address of the insurer.
2. Preamble- introduces the parties to the contract.
3. Operative clause- specifies the perils insured and the circumstances in which
the insurer will become liable to make payment to the insured,
4. Schedule- contains all the typewritten information applicable to the contract
such as date of commencement of risk and maturity, sum assured, amount of
premium, period of insurance, policy number, name and relationship of nomi-
nee, etc.
Insurance Certificate
It is a document issued to motor insurance holders in addition to policy. Driving a
vehicle without an insurance certificate is an offence. The important features are
1. Certificate number
2. Registration mark
3. Date of commencement of insurance cover
4. Date of expiry of insurance
5. Persons entitled to drive the vehicle
6. Limitations as to use.
Renewal Premium Receipt
It is an evidence of payment of subsequent premiums issued by life insurance
companies.
Claim Form
Claim form is a document which elicits full information regarding the circumstances
of loss such as date and time of loss, causes of loss, extent of loss, etc. The contents
of claim form vary with each class of insurance.
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Practical Activity
Prepare a life proposal form to insure the life of Smt. Suja, aged 35 years, working
as teacher, prefers an endowment policy for Rs.2 lakhs.
Hint.: Name , address of insurer, proposer and other personal details..
Assessment Activity
Draft a claim form of motor insurance
Prepare a chart showing all insurance documents.
TE Questions
1. Prepare model of a cover note.
2. Mrs.Aruna filled up a proposal form of 'XYZ life' to insure her life for Rs 2
lakhs. Mention the steps to be followed by 'XYZ life' before issuing a policy to
her.
3. Materials used for construction, usage of building, location etc are the factors
affecting premium in fire insurance. Name such features to be considered in
life insurance.
4. Differentiate the mode of premium payment in life insurance and non-life insur-
ance.
5. How an assignment differs from a nomination.
6. A proposal is received from a house owner to your insurance company for
insuring his house. He estimate a cost of Rs. 15 lakhs towards his house.
What procedure you will follow to underwrite this risk ?
7. Following details are given in the proposal form issued by a life insurance com-
pany while insuring a person.
a. Name b. Age and date of birth c. Sex
d. Qualification
The above details are not complete. Prepare a comprehensive proposal form.
8. It should be noted that renewal of policy is not automatic. It depends upon the
consent of the insurer to renew the policy and payment of premium by the
insured. Comment on the above statement and explain the method of renewal
of life and general insurance policies.
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Standard Claim
These claims are settled strictly in accordance with the terms and conditions of the
policy.
Non-Standard Claims
Under this claim, the insured has committed a breach of condition or warranty. The
settlement of non standard claim is made in accordance with the rules and regulations
formed at particular levels by the insurance company.
Ex-Gratia Claim
These claims are related with doubtful losses. The insurer is not liable to indemnify
the loss. as it is not covered under the policy. But to safeguard the interest of the
insurer and insured a certain percentage of loss is indemnified. In other words an
ex-gratia payment is paid by accepting such claims, and no subrogation right is
applicable.
The settlement of claim is considered as an important function of an insurance company.
Fair and prompt settlement of claim should be made by the company. Delay in
settlement of claim may affect the reputation of the insurer and create doubt in the
minds of the claimant. The insurer should negotiate with clients with courtesy and
patience. If claim is rejected it should be communicated to the insured with convincing
evidence.
Procedure of Settlement of Life Insurance Claims.
There are two situations where Life Insurance claim arises
a) Maturity Claims
b) Death Claims
Procedure of settlement of Maturity Claims
The procedure for settlement of maturity claim is very simple. Immediately after
receiving the signed, stamped, discharge form and original policy certificate from the
insured, the Capital Sum Insured including bonus will be released by account payee
cheque.
The following documents are needed
1. Original policy
2. Age proof
3. Assignement deed, if any
4. Discharge form duly completed and executed.
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Assessment Activity
List out the documents required for settlement of death claim
List out the documents required for settlement of maturity claim.
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3. Warranties
These are certain conditions or promises in the contract which are to be fulfilled by
the insured. If warranties are not followed, the insurer may be discharged of the
liability from the date of breach of warranty. Therefore, before settlement of any
claim, the surveyor's report must disclose whether the warranties have been duly
complied with or not.
4. Conditions of policy
Indemnification of loss is to be in accordance with the terms and conditions of the
policy.
5. Subrogation
The insured must provide all possible assistance to the insurer in recovering any
amount from third parties.
6. Disagreement
If there is any dispute or disagreement regarding the fixation of the amount of loss, it
is to be decided through arbitration. In case the insurer denies the liability for the
claim, the same is to be settled in a court of law.
Settlement of Claim under Fire Insurance
Following procedure is adopted for the settlement of fire insurance claims
1. Notice of Fire
The insured should intimate the loss as soon as it occurs.
On receipt of the intimation of claim insurer verify the following.
a. The policy is in force
b. The loss is occurred due to perils insured
c. Insurable interest exists during the policy period
d. The property mentioned in the policy and location is the same
Claims Register-: This contains the details of the claim number, the date of fire,
policy number, name of insured, sum insured, estimated loss, etc.
2. Claim Form
A claim form will be issued by the company after the claim is registered in the Register
of claims. The claim form contains the following information.
a. name, policy number, and address of the insured.
b. description of loss
c. cause of loss
d. particulars of property lost
e. details of other insurances, if any
f. estimated loss.
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Practical Activities
Explain the procedure of claim settlement and suggest the required claim documents
in the following cases.
a. An accidental damage has occurred to the car owned by Mr. Aji. He esti-
mates a loss of Rs.40,000. The insured value of car is Rs.5 lacs.
b. Mr. Anu died in a motor accident. He had a life insurance policy of Rs.2 lacs.
His wife is alive.
TE Questions
1. Complete the following chart and explain the terms
Type of claims
? Standard claim ?
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2. Mr.Iyer, a life policy holder died in a car accident, write the claim settlement
procedure and also mention the claim documents.
3. MACT stands for ------------
4. A maruti car owned by Mr. Tom hit a compound wall and cause d damage to
the car and compound wall. State the factors to be considered by the insurer
for settling the claim.
5. Draft a model of fire claim form.
6. Saji had a life insurance policy for Rs. 15 lakhs. The name of the nominee
mentioned in the policy is Usha , his wife. To whom the claim will be paid by
the insurer in the following situations (their daughter is studying in 5th standard)
a. Insured is alive at the time of maturity.
b. Insured died before maturity.
c. Both Saji and Usha is not alive at the time of maturity.
d. The policy is assigned to a bank.
7. A building was insured under a fire policy with three insurers namely A Com-
pany, B Company and C Company for Rs. 5 lakhs, 3 lakhs and 2 lakhs re-
spectively. The loss on account of fire reported to Rs. 75,000/- .
a. Work out the claim payable by each insurer.
b. Also write the claim settlement procedure used here.
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UNIT IV
Unit 4: IRDA Regulations and Final Accounts of
Insurance Companies
Introduction
Insurance Regulatory and Development Authority(IRDA) is an autonomous body
set up under the IRDA Act, 1999.
IRDA's Mission is to protect the interests of policyholders and to regulate and
develop the insurance industry. It regulate the Indian insurance industry to protect
the interests of the policyholders and work for the orderly growth of the industry.
This unit deals with the insurance operations, such as investment of insurance funds
in different securities and the preparation of final accounts of insurance companies.
Learning outcomes
The Learner:
Explains different regulations
implemented by IRDA in this sector
Explains the insurance operations
Identifies and Understant the schedule format of
Revenue account, profit and loss account and
balance sheet
IRDA Regulations
The Government of India set up a regulatory body known as Insurance Regulatory
and Development Authority in 1999 as per the recommendations of Committee of
Reforms in insurance sector under the chairmanship Shri. R.N Malhotra, former
Governor of RBI.The IRDA Act was passed in Dec.1999, provided for the
establishment of an authority to protect the interest of insurance policy holders, to
regulate, promote and ensure orderly growth of the insurance industry. The Act
was also intended to amend the insurance Act 1938, LIC Act 1956, and the General
Insurance Business Nationalosation Act 1972.
The functions of IRDA include registrations, licensing and laying down regulations
for the proper conduct of the business and protection of the interest of policy holders.
It is an authority to protect the policy holders interest, to regulate, promote and
ensure the growth of insurance industry.
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(D) Investment
in other than Not exceeding Nil Not exceeding
approved 15% 25%
investments
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FORM A (RA)
REVENUE ACCOUNT
For the year ended 31st March 20…
Policy holders' account (Technical Account)
Particulars Schedule Current Previous
No year(Rs) year(Rs)
Premiums earned -Net
Income from investment
a) Interest, Dividends and Rent
b) Profit on sale of investments
c) Loss on sale of investments
d) Transfer/gain on revaluation
Other Income (to be specified)
TOTAL(A)
Commission
Operating expenses related to insurance
Other Expenses(to be specified)
Provisions(other than taxation)
a) For devaluation of investments
b) Others(to be specified)
TOTAL(B)
Benefits paid(Net)
Interim Bonuses paid
Change in valuation liability against
policies
a) Gross
b) Amount ceded in reinsurance
c) Amount accepted in reinsurance
TOTAL©
Surplus/deficit(D)=(A)-(B)-(C)
Appropriations
Transfer to shareholders' account
Transfer to other reserves
Transfer for future appropriations
TOTAL(D)
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FORM A (PL)
PROFIT AND LOSS ACCOUNT
For the year ended 31 March 20...
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FORM A (BS)
BALANCE SHEET AS ON 31 MARCH 20…
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FORM B-RA
REVENUE ACCOUNT
For the year ended 31st March...........
(to be prepared separately for Fire, Marine and Miscellaneous
insurances)
Total(B)
Operating Profit/Loss from Fire/Marine/
Miscellaneous business
(A-B)
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FORM B-PL
PROFIT AND LOSS ACCOUNT For the year ended 31st March.............
1. Operating Profit/Loss
a) Fire insurance
b) Marine insurance
c) Miscellaneous insurance
2. Income from Investments
a) Interest, Dividend and Rent
b) Profit from sale or redemption of
investments
c) Loss on sale or redemption of
investments
3. Other Income (to be specified)
TOTAL (A)
4. Provisions (other than taxation)
a) For diminution in the value of
investments
b) Others (to be specified)
5. Other expenses
a) Other than directly related to the
insurance business
b) Others
TOTAL(B)
Profit/(Loss) before tax
Provision for Taxation
Profit/(Loss) after tax
Less: Catastrophic Reserve
Profit available for appropriation
Appropriations:
a) Interim dividend paid during the
year
b) Proposed final dividend
c) Dividend distribution on tax
d) Transfer to Reserve/other
`accounts
Balance carried to Balance Sheet
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FORM B- BS
BALANCE SHEET AS ON 31 MARCH 20..
Sources Of Funds
Share Capitals 5
Reserves and surplus 6
Fair value change account 7
Borrowings 8
Total 9
Investments:
Loans
10
Fixed Assets
Current Assets
Cash and Bank Balances 11
Advance and Other Assets 12
Sub-Total (A)
Current Liabilities 13
Provisions 14
Sub-Total (B)
Net Current assets (C)=(A-B)
Miscellaneous Expenditure (not written
Off)
Debit Balance in Profit & Loss Account
15
Total
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Additional information
Re-insurance
When the risk is considered to be too high, that is difficult for the
insurer to bear the liability, in such case, the insurance company
may arrange with another insurer to insure a portion of the insured
risk. This arrangement is known as reinsurance. It is the insurance
of insurance.
TE QUESTIONS
1. IRDA means----------
2. State and explain the important powers and duties of IRDA
3. Write a short note on
a) Life assurance fund
b) Reserve for unexpired risk
4. Name the securities where the insurance funds are invested
5. Prepare a revenue account of ABC Fire Insurance Company for the year ended
31.3.2015 from the following details
(Rs in 1000)
Premium earned(net) 20000
Net claim incurred 5000
Commission 3000
Interest, dividend and rent 6000
Operating expenses 6500
Reserve for unexpired risk on 1.4.2014 was Rs.8000
Assessment activity
List out the major items in the financial statements of insurance companies
Extended Activity
1. In certain cases there may be chances of liquidation of insurance companies or
the insolvency of insurance companies, the interest of the policy holders will
not be protected. In this circumstance study the role and powers of IRDA in
protecting the interest of the policy holders.
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2. Collect the names of insurance companies functioning in India and then classify
them in to Life, Non-life, government , departmental undertaking and private
companies, including their date of incorporation in India.
3. Make a short film for giving awareness to general public about the necessity of
minimizing road accidents based on the data collected from various sources,
for the last two weeks
Hint- (a) Explore internet and collect incidents of photographs/videos of road
accidents.
(b) Narrate with touching words
(c) Find out innovative and creative steps to reduce road accidents.
(d) Give a good message
Exhibit the above short film in the neighboring Arts and Science/ Engineering
college and prepare a report including the recommendations of the viewers.
4. Write the Underwriting procedure to be adopted in the proposals given
below.
Particulars Case 1 Case 2 Case3 Case 4
Age in years 10 25 32 26
Sex M F M F
Build 30kg/130cm 45/160 70/170 55/160
Status Student pilot Asst. Manager Teacher
Annual income Nil Rs.15 Lacks Rs.6 Lacks Rs.5 Lacks
Health status Good Normal Handicapped 6Months
pregnant
Suggested practicals
In banking and insurance sector, various reports/letters/tables and other documents
are to be prepared in English/Malayalam languages, as a part of their business. For
this, a person who prepare these documents in computer should need a minimum
speed of 30 words per minute in English/Malayalam computing. Hence, the learner
of this course should be trained to acquire this specific speed.
1. List out the various risks in our surroundings and classify them into pure,
speculative, fundamental, particular, financial and non-financial and present them
in a table (IT enabled)
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An overview of Module 4
Marketing of Banking and Insurance Products
The service sector dominates the Indian economy today, contributing more than
half of our national income. It is also the fastest growing sector, with an annual
growth rate of 8% per year. With best job, best income and best talent, service
sector is now the show case of the Indian economy.
The role of financial service in stimulating and sustaining economic growth is well
known. Banking and insurance service sector has major share in the service market.
The significance of bank marketing in Indian banking system is undeniable. Bank
marketing is not just advertising and promotion campaign, but a managerial process
by which services are matched with markets.
The term insurance marketing refers to the marketing of insurance services with the
motto of customer orientation and profit generation. Insurance plays a vital role in
the economic development of our nation. It act as a mobiliser of savings, financial
intermediary, promoter of investment activities, stabilizer of financial market and as
risk managers. India is still an under insured country in the world. It is at the 18th
position among the life insurance market and 28th in non-life insurance market in
the world. This indicate that there is a huge potential, yet to be explored. This
module discuss how marketing relates to banking and insurance and what are the
marketing techniques being used by banks and insurance.
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6.Inseperability
Services delivery requires direct (short) channels of distribution. In some case it is
not possible to use intermediaries, e.g. travel agents, ATM etc.
7. Involvement
One of the most important characteristic of service is the participation of the
customers in the service delivery process. Service should be produced and
consumed simultaneously. This means that consumers must be present in the service
process.
Role of services in an economy
Services lie at the very centre of economic activity in any society. Service activities
are absolutely necessary for the economy to function and to enhance the quality of
life. The role of service sector in shaping the global economy can be presented in
the following chart.
Trade
Social/pers
Business services
onal
services
services
consumer Infrastructu
re services
Public
administrat Extractive
Manufactur
ionon sector
ing sector
The model of economy shows the three principal sectors of economy, extractive,
manufacturing and services, which is divided into the following subgroups
Business services-consulting, finance, banking
Trade services-Retailing, maintenance and repair
Infrastructure service-Communications, transportations
Social/personal services-Restaurant, Health care
Public Administration-Education, government
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Types of Services
Sky is the limit for marketing services. Today we market a number of services
and this has engineered a sound foundation for the development of innovative
marketing strategies. The service generating organization also realize the importance
of quality in managing the development process This makes it essential that
almost all the service generating organizations make sincere efforts to make the
services internationally competitive.
There are a number of services likely to be productive if the policies and strategies
are innovated. The main types of services are-
Banking services
Insurance Services
Transportation Services
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Tourism Services
Hotel Services
Consultancy Services
Information Technology services
Education services
Personal care services
Hospital services
Electricity Services etc.
Banking Services
Among the Service generating industries banking services occupies a place of
outstanding significance, with the increasing level of customer's expectations. It is
essential that the public sector commercial banks innovate strategies and promote
technology driven, user friendly services to increase the market share to project a
positive image. This makes a strong advocacy in favour of bank marketing since its
application in a right fashion would answer to a number of unsolved questions. Different
types of banking services includes, business loan, checking accounts, savings
accounts, debit and credit card, merchant services, credit card processing,
reconciliation and reporting cheque collection.
Insurance services
Wherever there is uncertainty there is risk, wherever there is business, there is risk.
This risk cannot be averted. We do not have any command on uncertainties since
there are a number of uncontrollable factors. Insurance is a cooperative device to
accumulate funds to meet uncertain losses. Among the available insurance services
are contracts to protect properties such as houses, vehicles reimbursement of health
care costs, maturity or death benefit to life insurance policy holders.
Transportation services
Transportation services occupy a place of outstanding significance in national economy.
It solves the problem of place difficulty in business, there is a place gap from the
place of production to the place of consumption. Goods produced in one part of the
country may be required for consumption in other part of the country. Thus transport
services are utilized for bridging the place gap. There are several models of transport
such as road, rail, water and air.
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Tourism services
Tourism sector attributes to the economic growth of India. It provides employment,
contributes to GDP and earns valuable foreign exchange
In tourism marketing we are marketing a destination. Once a destination is sold to a
customer or a customer group, everyone who is providing some service in relation
to tourism gets benefited. The hotels or the carriers or the travel agents, all benefit if
tourist traffic is genernated for a destination from domestic or foreign or both sources.
A destination may be visited because of its natural landscape, or resources, historical
monuments, religious significance, shopping or it may be a man made tourist attraction.
Hotel Services
India is a famous holiday destination in the world and provides ample facilities for
launching and boarding. It has state of art hotels to cater to its ever booming travel
and tourism industry. Many hotels and resorts have copped up in India over the last
few years to cater the accommodation needs of everybody.
Assessment Activity
Collect pictures of the following services
mentioned below and make an album
Health service
IT service
Insurance service
Banking service
Transportation
Communication
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Assessment Activity
Complete the following table
Product marketing Service marketing
It market tangible product
Difficult to explain the product
P's of Service Marketing Mix
The marketing mix is the consideration of element that make up the entire market
process. The strategies for the marketing require some modification when approved
to services due to the special features of services.
The service marketing mix includes 7 elements namely Product, Price, Place,
Promotion, People, Process and Physical evidence.
1. Product (Service Package)
Product is the key element in the marketing mix. It refers to anything that can be
offered to a market to satisfy a want or need. Even though intangible, they are
things. A product decision is concerned with what service will be provided, when
they will be produced, how they will be provided and who will provided them.
2. Price
Pricing refers to the process of setting price for the product. Pricing strategy includes
the price charged and terms associated with the sale, such as list price, discounts,
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allowances, credit terms, payment period, coupons etc. Price is directly associated
with sales and revenue. The main considerations in pricing strategy are competition,
sensitivity of the customers, etc.
3. Promotion
Promotion includes communicating with key markets and facilitating the exchange
process. It is a vital element in the service marketing mix as it forms a bridge between
the seller and customer. Various elements on promotion mix are advertising, personal
selling, public relation, sales promotion, telemarketing, word of mouth etc.
4. Place
Place element of the marketing mix refers to different channels of distribution and
effective management of these channels. It includes physical location, distribution
points and management of an array of process needed to provide products or services
to customers. So place covers two items namely geographical coverage (location)
and how it will be distributed (channels). Service marketer just like the product
marketers are bound to face distribution and channel problems.
5. People
People here symbolize and refer to the employees, customers and stakeholders
who take part in the service delivery. People play an important role in the service
marketing mix. It is only the skills of the people that can alter the behaviour and
perception of potential customers.
People mix in an organization constitute all the human actors who are concerned
with the process such as employees serving the organization, customers/users who
are directly concerned with the services of organization and other customers in the
service environment, who sooner or later may affect the process.
6. Process
The Process refers to the actual procedures, mechanism and flow of activities by
which the service is delivered; the service delivery and operating systems. The process
elements of marketing mix involves developing objectives and policies for the
processes, procedures, mechanisms and routines used to create and deliver services.
It also involves the behavior of people providing the services and how customers
are experiencing the service offer as each stage of service marketing gives some
value to customers.
The effectiveness of the process is determined by whether the marketing objectives
are met or not. Banks have altered the process of banking by introducing ATMs and
now experiencing efficiency in operation.
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7. Physical evidence.
Services are the act, performances and efforts of service providers.
There is absence of physical attribute in the service performance. Customers seek
some physical element in the services so as to evaluate it against the quality and
satisfaction. For this they analyze the physical surroundings of the services like
building, stationary, furnishing, brochures etc.
Assessment Activity
List out the P's of product and service marketing
Product marketing Service marketing
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b) Social Factor
The consumer behavior is also influenced by social factors such as consumer
reference groups, family etc, Family is an influencing component in the deci-
sion making of the customer. Research shows that husbands dominate in deci-
sion regarding financial investment where as wives dominate in decision re-
garding packaged holidays.
c) Personal factors
Personal characteristics like buyer's age,life cycle,occupation, economic cir-
cumstances, life style, etc. influence the buyer's decision.
d) Psychological factors
The psychological determinants-motivation, perception, learning, beliefs and
attitude have significant influence in understanding consumers buying behavior.
2. Buyer's decision making process
The buyer behavior is a process involving a series of related and sequential stages or
activities. The intangible nature of service and the general inability of the consumer
to check the quality of the service until it is used/consumed, adds to the importance
of understanding the decision and evaluation process.
Chart showing Buyer decision making process
Information search
Evaluation of alternatives
Purchase of services
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Assessment Activity
Prepare a chart showing buyer decision making process
Role of Service marketing in India
The service sector plays an important role in Indian economy. It contributes to GDP,
provides employment, generates foreign exchange by exports etc.
1. Contribution to GDP- The service sector contributes significantly to the GDP
of India. In 2013-14, contribution of the service sector to Indias' GDP was
60%. The increase in the share of GDP of service due to the following rea-
sons.
a. Professionalism in the service sector
b. Increase in urbanization, which gives boost to services
c. Liberalization of the service sector since 1991
2. Employment - The service sector provides employment to large segment of
the upcoming youth. The over all employment in the service sector is about
30% of the total work force in India in 2013-14.
3. Contribution to export- India ranks among the top service exporting nations.
Currently India is the sixth largest exporter of services in the world. The service
sector has contributed significantly to the foreign exchange earnings in India.
The top service export item is software services, which accounts for about
46% of the total service export of India.
4. Capital formation- Service sector contributes towards capital formation in
the country. This is because, the service sector facilitate savings on the part of
employees and service providers. The savings facilitate investment.
5. Support the primary and secondary sector- The proper functioning of the
economy depends upon to a good extent on the service sector. Without the
support of the service sector, the primary and secondary sector would find it
very difficult to function
6. Revenue to government- The service sector provides revenue to the
government by way of service tax. In 2013-14 the service tax revenue of
central government exceeds Rs. 1.5 lakhs crore, ie, 13.6% of total gross tax
revenue.
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TE Questions
1. Define services and state few service sectors.
2. Product, place are the first 2 P's of service marketing.State and explain the
other P's of service marketing
3. " Product marketing is easier than service marketing" State your opinion.
4. Briefly explain the impact of service marketing in the development of an
economy.
5. "Services lie the very centre of economic activity in any society" Explain its role
in economy.
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UNIT 2
Marketing of Banking Products
Introduction
Marketing is emerging as an important element in banks activities. Indian banking
sector historically passed through five stages-pre independence, post independence,
pre nationalization, nationalization, and post liberalization stages. Today marketing
is considered to be an integral management function in the banking sector. This unit
discusses how marketing techniques are being used by Indian banks. This unit covers
the concept of bank product marketing, selling strategies of banking products and
marketing of important banking products.
Learning out comes
The Learner:
Describes the concept of marketing of banking products
Describes and categorize different users of banking
products
Describes the different selling strategies of banking
products.
Describes the strategies required for marketing various
banking products
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or the interest charged for the service made available and the promotional strategies
depends substantially upon the nature and type of users utilizing the services of an
organization. Today, the users of banking services expect fast and efficient
services.The types of customers using the services of banks are general users and
industrial users.
General users
Persons having an account in the bank and using the banking facilities at the terms
and conditions fixed by a bank are known as general users of the banking services.
Generally they are small sized customers.
Industrial users
The industrialists or entrepreneurs having an account in the bank and using the credit
facilities and other services for the establishment and expansion of their business are
known as industrial users. Generally they are large-sized customers having huge
volume of transanctions.
Marketing strategies for Banking Products
Strategy is a major comprehensive plan of action. In banks, managers need to think
creatively and the key to creative thinking lies in strategic planning. Strategic planning
is the managerial process of developing and maintaining a viable fit between the
organization objectives and resources and its changing market opportunities.While
planning strategies the following points are to be considered:-
a. Strength and weaknesses of the organization.
b. Banks with clientele from various segments could think of market penetration
by offering the existing range of services to existing customers.
c. Banks which are not facing acute competition could think of market develop-
ment by offering the existing services to new customers.
d. Design new product range for their customers of various segments .
The evolution of bank marketing in India can be classified in three phases.
A.Traditional external B. Internal C. Interactive
marketing marketing marketing .
A. Traditional External Marketing
Consists of 4 Ps viz; of Product, Price, Place and Promotion.
a. Product - The products offered are the services which includes various
types of bank accounts, different types of loans, investment services, credit
cards, online banking , mobile banking and many more.
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Consumer Loan
If you want a loan for buying consumer durables, such as refrigerator, televi-
sion, washing machine, etc. the loan is called consumer loan.
The maximum repayment period is usually three to five years.
The margin requirement is around 10 to 25 percent of the article purchased.
Personal Loan
Based solely on the credit rating and ability to repay the loan
Loan for short duration
Interest rate is generally high
Repayment through EMI
Post dated cheques (PDCs) to be remitted
Credit card
Free use of credit for a specific period
Credit limit
Monthly bill is to be settled before the due date
Minimum balance to be remitted, the balance can be carried forward.
Interest rate is generally high.
Overdraft against House property
The OD limit up to 50% of the market value of the property
Security being mortgage of the HP
Interest on loan amount to be remitted then and there
Client can operate the loan account like a current account, withdrawals sub
ject to the maximum OD limit
Loan documents to be signed by the party.
Practical
Divide the students into groups and assign the targets of deposit mobilsation from
the following categories of society.
Group I-Visit a few agriculturists
Group II-Visit NRI 's
Group III Visit businessmen
Group IV Visit a few housewives
Group V-Visit government employees.
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Conduct a role play showing the strategies adopted for deposit canvassing from the
above categories.
Assessment Activity
1. Prepare a notice for marketing an agricultural loan of ABC Bank Ltd.
2. Categorise the major banking products in the following heads
3 Prepare a questionnaire for collecting information regarding financial needs of
the following class of people
Agriculturist
Businessman
House wife
Guardian of a student
Unemployed youth
TE Questions
1. State the meaning of bank marketing concept.
2. Explain the role of marketing in banking products.
3. Prepare a brochure to canvass vehicle loan as a part of 'Loan Mela"
4. Briefly explain the strategies used for selling banking products.
5. Explain the three phases of bank marketing.
6. Explain the bank marketing mix of 'Place' .
7. Complete the flow chart
Traditional
External
Marketing
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Unit 3
MARKETING OF INSURANCE PRODUCTS
Introduction
India has about three hundred million people who can afford to buy life, health and
pension plan products. Out of this only 20% have insurance and that too covers
only 25% of their needs and financial security. The remaining 80% have no
insurance cover. The life and non-life insurance market of India, therefore, has
tremendous growth potential. The IRDA bill cleared the way for private entry into
insurance as government is keen to invite private sector participation into insurance.
This unit covers the concept of insurance marketing, segments of insurance market,
strategies for insurance marketing and marketing of various life and non-life insurance
products.
Learning out comes
The Learner:
Describes the meaning of marketing of Insurance
products
Explains various segments of insurance market
Identifies and Describe strategies for Insurance
Marketing.
Recognizes the qualities of an Insurance Salesman
Explain the marketing process of various Life
insurance products
Describes the marketing of Major non-life products.
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1. Pre-sale preparation
The sales persons must be properly selected, trained and motivated for the
job. They must be well acquainted with the product, the market and the tech-
nique of selling.
2. Locating the potential buyers
Sales persons must locate the potential buyers and collect information regard-
ing their character, health, income, need and approachability. The sales per-
sons should have the knowledge about the behavior of the people to whom
they are going to sell their products. Sales person can examine the records of
the past and the present customers to
determine the characteristics of prospective buyers. He must make a need
analysis whenever it is possible from the prospects.
3. Approaching stage
Before approaching the prospective buyer, the sales person should prepare a
powerful script which consists of open ended questions. He should be very
polite while approaching the prospects and approach the customer properly to
gain his attention. He should ensure the customer that he will get undivided
attention from the sales person.
4. Presentation
The presentation should be such that the prospect takes continuous interest in
the product during presentation. The sales person should describe the features
and price of the product briefly and also suggest the producer's benefits and
need of customer which will be fulfilled by the particular product. The success
of a sales person will depend upon the degree to which he is able to match his
approach with the attitude of the customer.
5. Handling objections
After explaining the product, the salesmen should entertain objections from the
prospect. A good salesmen should realize that it is a golden opportunity to
convince and persuade the prospect and to give additional information about
the product over the competitive products in the market.
6. Closing stage
A salesman has to act with patience and intelligence to close the sales. He may
periodically venture a trial close in order to sense the prospect's willingness to
buy. He may ask some 'either-or' questions from the prospect. The trial closes
at various stages of the presentations will give the salesman an indication of
how near the prospect is to a decision. After he is convinced that the customer
has made up his mind to buy the product, he should close the sale in a cordial
manner and the customer should be made to feel that he has made the right
choice.
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The fee for a license is Rs250 for individual as well as corporate agents. A license is
granted for 3 years. It may be renewed after 3 years..
Qualities of a Good salesman
Basically a good salesman is one who likes to sell. He makes sales, brings in business,
and builds satisfied customers. He is an ambassador of goodwill for the insurance
company. Some of the common qualities which are often found among the effective
salesmen are described below.
1. Charming personality: A good appearance is an asset for a salesman as it
creates good impression on the customers. It also gives self-confidence to the
salesman. Besides physical appearance, other physical attributes which matter
a lot are: voice, way of speaking, posture health, habits, etc.
2. Cheerfulness: A cheerful salesman will win more customers.
3. Enthusiasm: Enthusiasm is a combination of interest and belief, of energy and
activity. He should have enthusiasm. Otherwise, he will not be able to do his
duties efficiently.
4. Initiative: He should have posses the quality of taking initiative. Then only he
will be able to think and act for himself and will be busy in his work.
5. Good memory: He should be able to remember faces and facts. Remember-
ing the likes and dislikes of a customer will aid in better serving the customer.
6. Communication ability: communication skill is an asset for the salesman. He
should be able to speak freely, clearly and in a well-pitched voice. He must be
a person who has a natural ability for conversation.
7. Patience: The salesman should not get provoked even under worst circum-
stances. He should have sufficient patience to listen to customers and clear
their doubts.
8. Self confidence : He must have abundant self confidene, i.e, his ability to
convince the customers and win them over.
9. Foresightedness : He should have keen imagination and foresightedness, so
that he can develop new methods of approach to the sales problems.
10. Shrewdness: He should be able to read the minds of the customers quickly.
In otherwords, he should be able to understand their needs, without asking too
many questions.
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11. Loyalty: He must be loyal to his firm. He must not damage the reputation of
his firm.
12. Knowledge about the product : He should have a thorough knowledge of
the products in which he deals.
MARKETING OF VARIOUS LIFE INSURANCE PRODUCTS.
In India the life insurance business was started by private companies in the early
19th century and the government took many steps to regulate the business of life
insurance. In 1956, the life insurance business was nationalized and the LIC of
India was formed on 1st September, 1956. The IRDA Act was passed in 1999 , to
ensure proper regulation and administration of insurance affairs in the country. By
the Act, foreign companies were also allowed to enter the Indian Insurance Business
and now many multinational companies have insurance business in India. The
following are some of the prominent companies presently doing life insurance business,
other than LIC of India .
a. SBI Life
b. ING Vysya c. Bajaj Alliance d. Met Life e. Birla Sun Life
f. Reliance Life, etc.
The following are the important insurance products in the life insurance sector :
1. Whole Life and Endowment policy : Under Whole life policy, the insured is
required to pay premium up to death and claim will be paid on the death of the
insured. In the case of Endowment policies, the claim will be payable at the
time of death or maturity whichever is earlier.
The whole life policy is suitable for a class of persons who think about the financial
security of the family after his death. The specialty of the policy is -
Protection of the family
Less premium than other life policies.
High bonus rate.
Suitable to both the high and lower income groups.
The features of Endowment policy -
Financial protection and investment.
Maturity benefit along with risk cover.
Loan facility.
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Motor vehicle owners took term insurance for their vehicles. If there is no claim, the
remitted premium will be lost and if claim arises, compensation will be paid. (Generally
people refuse to take a term assurance to cover his own life, though his life is more
valuable than a motor vehicle. Interact about this case with experts and various
groups of the community, and make a conclusion to overcome this negative attitude
of people towards their own life.)
Marketing of major non - life insurance product
All types of insurances other than life insurance come under the category of general/
non-life insurance. The General Insurance Corporation of India was formed with
effect from 1st January 1973 under the GIC of India Act, 1972 and all the general
insurance companies were amalgamated and grouped into 4 companies under GIC
ie.
1. The National Insurance Company Ltd.
2. The New India Assurance Company Ltd.
3. The Oriental Insurance Company Ltd.
4. The United India Insurance Company Ltd.
As in the case of life insurance private companies are now permitted to do general
insurance business. Some of such companies are :-
1. Reliance General Insurance Company Ltd.
2. IFFCO Tokyo General Insurance Company Ltd.
3. Bajaj Allianz
4. ICICI Lombard
5. Royal Sundaram Allianz Insurance Co. Ltd.
Motor Insurance
In India MVA1939 was enacted with the objective of safeguarding the financial
interest of the persons who were injured or suffered
damage due to the negligence of the motorists and such
other risks associated with the use of motor vehicles.
The Act was amended in 1988, making it mandatory for
the motorist to insure against the risk of liability to third
parties. It must clearly be understood that it is the
insurance of third party liability arising out of the use of
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motor vehicles in public places, which is compulsory and not the insurance of motor
vehicles against risk.
The Motor Vehicles Act contain the following provisions in this connection
1. Mandatory Insurance against third party risk
Sec. 146 provides that no person shall use a motor vehicle in a public place
unless effecting a third party policy .
2. Consequences of driving uninsured vehicle
Any person, who drives a motor vehicle or causes or allows a motor vehicle to
be driven in violation of the provisions, shall be punishable with imprisonment
or with fine or with both.
3. Provisions for vehicles carrying hazardous goods.
A motor vehicle carrying dangerous or hazardous goods shall have adequate and
appropriate insurance cover as per the provision of public liability Act, 1991.
Kinds of motor policies
Act only (Third party policy ) (Form A)
The motor vehicles Act provides for compulsory insurance of motor vehicles in
relation to liabilities arising out of the use of motor vehicles in a public place. No
vehicle can be used without the minimum insurance cover which provides insurance
against the liabilities towards third parties. Insurance of motor vehicle for third party
liability is made compulsory, to cover the liabilities for-
a. Bodily injury or death of any person and of any passenger of a public service
vehicle (without limit).
b. Damage to property of third party (Rs.6,000).
c. Liabilities under Workmens' Compensation Act to cover paid drivers/conduc-
tors/ticket checkers(public service vehicles) and workers carried in a goods
vehicle.
Package/Comprehensive policy (Form B)
Package policies are comprehensive, optional and provide insurance protection
against own damages losses and also against Act liabilities. It covers almost all the
risks in connection with the vehicles.
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a. In respect of the death of any person resulting from a hit and run
motor accident, a fixed sum of Rs.25,000/-
b. In respect of grievous hurt to any person resulting from a hit and
run motor accident, a fixed sum of Rs.12,500/-
Compensation known as Solatium is payable out of a "Solatium
Fund" established by the Central Government.
No Claim Bonus
With a view to encourage safe driving and improve claims experience,
it is the universal practice to grant 'No claim Bonus' at the time of
renewal of the policy. A discount in 'Own Damage Premium' is granted
which may range from 20% after one year of claim free insurance to
50% after five years of claim free insurance .
The entitlement of NCB shall follow the fortune of the original insured
and not the vehicle under the policy.
Health Insurance
The term 'Health Insurance is commonly used to describe an insurance that pays for
medical expenses. A health insurance policy is a contract between an insurer and an
individual or a group, in which the insurer undertakes to provide specified health
insurance benefit to the insured in consideration of a fixed price called premium.
Proposal form is the basis of the contract
Proposal forms are duly filled and signed by the proposer
Correct postal address and contract number of the proposer.
Individual photograph of each person to be obtained.
Collection of age proof documents wherever necessary(new applicants after a
specified age)
Sign/symbols like -, " / should not be entertained.
Answer should be clear "Yes" or "No" inform.
Proper assessment of PED risk (Pre existing disease)
All PED mentioned in the proposal form to be referred to the concerned medi-
cal officer.
Obtain a self declaration letter/medical report.
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1. Collect and record the NCB rates on private car for the different claim free
years.
2. Complete the following benefit chart of personal accident policy.
Contingencies % of benefits
On death 100 % of CSI.
Loss of two limbs
TE Questions
1. Give proper awareness on the qualities of a successful insurance salesman to
Mr.Ajay, your friend, who is proposed to join in ABC life as a insurance
advisor.
2. Mr.Sunny is working as an accountant in a private firm. He wants to get a
regular income after his retirement from service. As an Insurance advisor sug-
gest and explain a suitable plan.
3. State various health insurance plans offered by general insurance company.
4. On 01.04.2013, Tom insured his car for Rs.4,50,000/- and paid 15,000/- as
premium. On renewing the policy in 2014, he was asked to pay only
Rs10, 000/- as premium. State the reason for decrease in premium.(He has
not claimed any amount from the insurer during the last year.)
5. State the selling strategies followed for marketing life insurance products.
6. "Insurance selling is mainly through agents". Explain the qualifications required
to become an agent.
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Unit 4
An introduction to financial market
Introduction
Both banks and insurance companies balances their risk return equations by making
timely investments in capital market. Capital market provides different products
which can absorb varying risk appetites of these industries. Surplus funds available
from these entities will be parked with various investment alternatives provided by
capital market. This help these businesses to generate the required return to service
the respective customers/stakeholders of both banking and insurance industries.
Hence, one is expected to know in detail about how the capital market is functioning
in this country.
The available fund of banking or insurance companies are preferably invested in
different securities such as shares, debentures, government securities and bonds.
The liquidity of the investments are considered before investment.This unit covers
investment opportunities of banking and insurance companies , financial securities,
procedure of trading in secondary market and role of SEBI in securities market.
Learning outcomes
The Learner:
Describes the investment opportunities in financial market.
Describes and categorise different types of financial securities.
Describes the securities market and classify them as primary and
secondary.
Describes the requisite for investing in financial securities.
Describes the trading procedure on secondary market.
Identifies and describe the security market regulations.
Various Investment opportunities in financial market
Financial market is the market where financial securities are exchanged at efficient
market prices. Financial market in India are divided into capital market and money
market. Capital market is one which supports long term capital and money market
is one which supports short term debt instrument.
Financial investment means those assets and securities dealt in by capital market
and money market. Financial securities are financial investments and include investment
such as shares, bonds, debentures of companies or body corporates or a govern-
ments, mutual fund units, etc. A security defines the right of the investor and obligation
of the issuer.
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but an intermediary. The intermediary at first buys over the entire lot of secu-
rities at a fixed price. Then it resells to public at a higher price.
c. Private placement : Private placement of shares implies the sale of an entire
issue of securities by a company directly to a selected group of investors. They
include financial institutions, investment trust companies, insurance companies,
pension and provident fund, etc.
d. Right issue: Right issue is an offer with pre-emptive rights to the existing share-
holders of the company to further contribute towards its share capital. The
rights are offered in a particular ratio to the number of securities held on the
record date.
e. Preferential issue: Preferential issue is one that is made at a predetermined
price to the pre-identified people like promoters, venture capitalists, financial
institutions, buyers of company's products or its suppliers. The issue price is
unrelated to the prevailing market price.
2. Secondary market : It is the market where the existing securities of compa-
nies are traded. It is the stock market where the shares, bonds and other
securities are bought and sold. Stock exchange is the nick name of the second-
ary market. The securities are traded, cleared, and settled through intermedi-
aries. It provides liquidity and marketability to the securities which are issued
in the primary market. In the secondary market, the main intermediaries are
the brokers and sub-brokers. The stock exchange facilitate the trading of
securities.
A ‘stock exchange’ is an organization constituted for the purpose of assisting
and carrying out buying, selling or otherwise dealing in securities. The oldest
stock market in Asia, BSE stands for Bombay Stock Exchange and the largest
stock exchange in India and the third largest in the world in terms of volume of
transaction, NSE stands for National stock Exchange which is largest in India
by daily turnover and number of traders. All of them are Mumbai-based stock
exchanges. A number of other regional exchanges also exist. Thus, a stock
exchange provides trading platform, where buyers and sellers can meet to trans-
act in securities.
Pre-requisites of investing in financial securities.
An investor must have the fol lowing before investing in securities market. :-
Bank Account
PAN
Demat Account
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Trading Account
KYC requirements
PAN card : PAN is the abbreviation for Permanent Account Number. PAN is
issued by Income Tax Department. Without a PAN, an investor cannot open a
Demat Account. A PAN application form should be obtained, filled up and
submitted along with necessary supporting documents at the designated PAN
centre. The Income Tax Department send the PAN card within a few days, which
has the PAN Number.
Demat Account : In order to invest in shares, it is necessary to understand the
term dematerialisation of share, as almost all shares are now in Demat form.
Earlier there used to be physical share certificate issued, which are now converted
in to electronic form. The next step is to open a Demat Account with a Depository
Participants. As we open a Bank Account with a branch of a bank, a Demat
Account with a Depository is opened with the Depository Participant. A Demat
Account is an account of securities maintained by an investor with a depository
participant. It is also called Depository Account or Beneficial Owner Account. It
is now compulsory to open a Demat Account to trade in the stock exchange or to
apply for public issue.
Trading Account
In order to transact with a Broker, the investor must open a Broking or Trading
account with the broker. Once this is done, the transactions can be made through
the broker. Nowadays, brokers offer online account, where orders can be placed
online through the internet. These are subject to verification of password and other
details.
KYC
The broker must ensure that the clients fill up the KYC form and submit it to them.
This entails verification of identity and address, financial status, occupation and
such other personal information as may be prescribed by the guidelines, rules and
regulations.
Trading procedure in secondary market.
The investor should identify and deal with SEBI registered Broker or sub-broker
with due diligence. The list of registered brokers can be obtained from the website
of the exchanges. After this, a broker-client agreement should be entered into and
a client registration form should be filled with the broker /sub-broker. This agreement
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is mandatory for all investors for registering as a client of broker registered with any
exchange. The agreement is executed on a valid stamp paper of the requisite value.
The agreement is to be signed on all pages by the client and the broker. Once this
formality is completed, the trading process can begin.
Once the investor communicates his order to the broker,( must indicate script name,
whether order is for buy or sell, the quantity, rate, etc.) the broker enters the order
on his terminal. The broker’s computer terminal is connected to the main computer
of the stock exchange. The orders are electronically matched by the exchange’s
main computer, using “price- time” priority protocol. The best priced order is matched
based on time priority. Time priority means ‘first come first served’. The system tries
first to match with the passive orders and if such orders are not present, then it wait
for the active order. The matched order is then electronically communicated to the
respective broker’s terminal. When an order is not matched, it is displayed on the
system till a fresh order comes in or it is modified, or cancelled. Once the order
execution is communicated, the broker gives a confirmation to his client. The settlement
takes place on’T+2’ basis, ie. the second day after the trade take place. Within 24
hours of trade execution, a contract note is issued.
The Contract Note or the purchase/sale note is an important document. The broker/
sub-broker is obliged to give a statement of all transactions every quarter to his
clients. Once the contract note is issued, the investor should verify the Bank account
and Depository Participant account for pay-in and pay-out of funds and securities
respectively.
Role of SEBI
Securitises and Exchange Board of India (SEBI) is a statutory authority to deal with
all matters relating to the securities market. It is the only regulatory authority to
regulate the securities market. SEBI was set up in 1988 and given a statutory status
in 1992 by an Act of Parliament. SEBI was set up to protect the interest of investors,
promote the development of stock market and regulate it. Its headquarters is at
Mumbai, the regional offices at Delhi, Kolkata, Chennai and Ahammedabad.
Objectives of SEBI
The SEBI Act 1992, provides for the establishment of SEBI for the following
purposes:
To protect the interest of investors in securities.
To promote the development of the securities market.
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Practical
Find the price variation of 10 shares of BSE and make a chart. Make a comparative
study on the basis of safety, liquidity and profitability of investing money in shares
and in bank deposit.
Assessment Activity
1. In which category would you put the following services. Give reason also.
a. Chartered bus service
b. Tele-shopping
c. Treatment of a doctor
2. Find the odd one out and state the reason
A. Share B. Debenture C. Bond D. Unit of a Mutual fund
3. List out the requirements for investing in financial market
4. Collect and list the major powers of SEBI
TE Questions
1. SEBI stands for——
2. Give a short note on
a. Scrip b. Bid c. Bull d .Contract note
e. SENSEX & NIFTY
3. Explain pre -requisites of investing in financial securities
4 . Write the powers of SEBI in securities market.
5. Distinguish between primary market and secondary market.
6. List out the different types of financial securities
7. Mr. Vijay approaches you to invest his savings in securities market. As a bro-
ker, help him by explaining the procedure for investment.
Extended Activity
1. Conduct a study among fifty families about the usage of internet facility and
group them on the basis of demographic factors like age, sex, occupation,
education, etc.
2. Collect the details of different types of health plans available in the market and
show them in a table explaining the features of each.
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11. Divide the students into groups and assign the targets of deposit mobilsation
from the following categories of society.
Group I-Visit a few agriculturists
Group II-Visit a few NRIs
Group III Visit some selected businessmen
Group IV Visit a few households
Group V-Visit some government employees.
Conduct a role play showing the strategies adopted for deposit canvasing from
the above categories.
12. You are the sales manager of XYZ bank. The zonal office gave you a target of
100 car loans for the coming year. Enlist the strategies or techniques to be
adopted for achieving the target.
Hint1 Select target group (may be active depositors, financially sound persons,
members of general public etc.)
Hint 2 Draft a notice specifying the features of the product.
Hint 3 Intimating the target group by sms, email or direct contact.
Hint 4 Analyze their responses
Hint 5 Direct contact with interested parties and to turn their desire into sales.
Hint 6 Making follow up.
13. Make a video album/photo album about various products of banks(deposits
and loans)to be presented in VHSE regional expo(15 Minutes)
14. Make a presentation for marketing of life/non-life insurance products
Hints- Use any of the presentation techniques such as videos/PPT’s etc.
Targets groups, features, product details etc.
15. Find the price variation of 10 shares of BSE and make a chart for 20 trading
days. Make a comparative study on the basis of safety, liquidity and profit-
ability of investing money in share market and in bank deposit.
16. Visit the nearby share broking firm and find the trading activities, and also
analyse and find out the ratio of savings and investment by individuals in share
market.
17. Prepare a chart showing the prerequisites of investing in financial securities.
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18. Draft a questionnaire (with open ended questions) before approaching a pro-
spective buyer for a life insurance product as part of need analysis
19 . Draft a telephonic script to fix an appointment with a businessman, as part of
marketing an insurance product.
20. Exploring the internet, collect data of market share of the following sectors and
prepare a bar diagram (using spread sheet)
1. Insurance Sector
2. Banking Sector
3. Hospitality
4. Information technology
5. Health care service
21. Exploring the internet, show sectorial distribution of GDP for 2015 of 10
developing countries as in the given format and prepare a note on importance
of Service Sector in GDP of our country
Sectorial Distribution of GDP for 2015
Nation Service sector Industry Agriculture
India
Pakistan
Srilanka
Malasia
22. Prepare pie diagrams by exploring data from internet about India’s GDP with
the share of Agriculture sector, Industry sector and Service sector in 2013,
2014 and 2015 and make a comparative study.
23. Conduct a survey and collect data on the topic on the prices of some products
and services in your locality and prepare a table. Make a study of pricing of
product and services. Example, price of soap and price of IT service provided
by local firm and a reputed international firm.
24. Conduct a survey and collect data of different products and services in your
locality and caegorise them on the basis of common features and prepare a
table.
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25. Make a collection of popular types of life policies marketed by LIC of India
and prepare an album.
Step 1.Collect the details from Insurance advisors/office/leaflets/news
paper/internet.
Step 2.Set an album containing the types of life policies.
Step 3.Present it in the class room.
26. Conduct a tele-calling show between a prospective customer and an insurance
salesman
Step 1:Select 2 students to conduct the show.
Step 2: Give them roles and ideas on the discussion between the two.
Step 3: The players enact their assigned roles.
Step 4: Students record the activities in the activity log.
27. Design and prepare an advertisement copy for a new life policy issued by
XYZ Co.
Steps- create advertisement copy including name and address of the
company, Logo, features of the product, etc.
29. Write a story board for a television advertisement for a new product issued by
LIC and present it in the class.
Step 1: Divide the students into four different group
Step 2. The groups makes a story board on the product.
Step 3. Present the advertisement in the class room
Step 4: Record the story board in the record book
30. Interview with a sales manager or sales executive/salesman to collect informa-
tion on various skills and qualities needed by an insurance marketing salesman.
Step1. Teacher helps the students to prepare a questionnaire/interview
sched ule.
Step2. The programme start with a welcome note by a student. The student
introduces the sales manager.
Step3. The sales manager talks about the skills and qualities required by a
salesman.
Step 4.Interaction between students and the sales manager.
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