WHAT IS LIFE INSURANCE
The History of
Insurance in Ancient India: Lord Krishna says in the ‘The Geeta’ – the
Celestial Song that one should not grieve for what is inevitable and
unavoidable. That means there are events that may or may not occur paying the
way for uncertanity in life. Whenever there is uncertainity, there is an
involvement of Risk. The instinct for security is universal. As a sequel to
this quest for security, the concept of insurance has been born. The urge to
provide a protection against the loss of life. The term “Yogakshema” implies the idea of a welfare state that care for the
welfare of its subject that include the wellbeing, prosperity and happiness of
masses. The LIC of India has also derived the words “YOGAKSHEMA VAHAMAYAHAM”
in its logo means: “YOUR SECURITY, MY RESPONSIBILITY”.
What is insurance:
Insurance means
a contract between an insurance company and the person insured that a specified
amount will be paid in case of happening of a specified contingency, in
consideration of an amount, named as premium. Thus premium paid by the insured
person in the consideration amount for the contract. The assured amount paid to
the nominee as the indemnification of the loss of human life is impossible.
Why need for Insurance:
Every person has
two estates in his life time. One is an Acquired Estate and the other is a
Potential Estate. Potential Estate is developed by a person himself by
education, training, job and experience, if the person mis-happening, the 100%
loss of the potential estate occurs.
How does insurance work:
Through Risk
Avoidance, Risk Control, Risk Avoidance, Risk Control, Risk Retention &
Risk Transfer. Insurable Risks: A. Financial Risks, Pure Risks, Particular
Risk. Compensate the Human Life Value.
Life Insurance Based Upon Age:
(i) Childhood (0-18),
Young Unmarried (19-25), Young Married (25-28), Young Married with Kids
(29-35), Married with Children (35-45), Married with Older Children (45-55),
Pre-Retirement (55-60), Retired Life (60->).
Why Life Insurance Needs:
A. Protection of
the Potential Estate, B. Medical Needs, C. Protection of Physical Assets, D.
Children Education, E. Children Marriages, F. Old Age Provisions.
Life Insurance Products:
A. Term
Insurance, B. Return of Premium (ROP) , C. Pure Endowment Plan, D. Endowment
Insurance Plans, E. Whole Life Plans, F. Convertible Insurance Plans, G. Joint
Life Insurance Plans, H. Annuities, H. Health Plan & Cancer Plan, I. Group
Insurance Plans. J. Micro Insurance, K. Unit Linked Insurance Plans, L.
Children Plans, M. Money Back Policies.
Documentation – Proposal Stage:
1. Prospectus, 2. Proposal Form, 3. Agent’s Confidential Report (ACR), 4. Medical Examiner’s Report, 5. Mortal Hazard Report (MHR), 6. Anti-Money Laundering, 7. Know Your Customers (KYC) Required documents :
· Age
Proof (any one): School Leaving Certificate, Passport, Pan Card, Driving
License, Birth Certificate, Aadhar card.
·Address
Proof(any one): Passport, Voter's/Election Card, Aadhar card, Utility Bills
(like Mobile, Electricity, Water, Gas, Credit
Card Bill, Ration Card Bill), Rental Agreement, Bank passbook, Driving License
(Self Attested)
· Photo
Identity Proof (anyone): Passport, Pan Card, Driving License, Voter's/Election/Aadhar
Card, etc. (Self Attested)
· Income
Proof: Form 16, Income Tax Returns, Salary Slip (If Total Premium exceeds Rs.
One Lakh)
· Highest
Qualification Certificate.
· One
payment & cancelled cheque (name printed) for ECS Mode, otherwise Passbook
Copy of First & Last Page.
· For Child Policy(age 5 to 17)(any one): School
I card, Current Year School fee Receipt, Progress card, Birth Certificate
Two Passports sized Photographs, in child insurance Parents & Child both Photos required.
Documentation – Policy Conditions–I :
1. First Premium
Receipts (FPR), 2. Renewals, 3. Free Look-In Period, 4. The Policy Document/Bond,
5. Endorsements, 6. Notices- Premium Reminder, Bonus, Revive, Lapsation,
Survive Benefit, Maturity Benefit, Statement in respect of ULIP etc.
Documentation – Policy Conditions–II :
1. Grace Period,
2. Revival, 3. Non-Forfeiture Provisions, 4. Paid-Up Value, 5. Surrender Value,
6. Policy Loans, 7. Automatic Premium Advance Loan, 8. Nomination, 9.
Assignment, 10. Foreclosure, 11. Duplicate Policy, 12. Alteration:- Change
Policy Term, Reduction in the sum assured, Change the Mode of Premium, Change
the date of commencement of policy, Splitting up two or more policies, Removal
of extra premium or restrictive clause, change from without profits to with
profits plan, Correction in name.
The Process of Life Insurance Underwriting:
A. Obtaining the Required Information:
1. Proposal Form, 2. Medical Reports, 3. Agent’s Confidential Report (ACR), 4. Mortal Hazard Report (MHR), 5. Additional Questionnaire, 6. Income Tax Assessments: Salaary Slip, Form-16, Income Tax Return (In Term Insurance 3 year ITR or Form-16 must).
B. Assessments of Risk to be undertaken:
I. Hazards:
Physical & Moral Hazards,
II. Medical Underwriting: a. Family History:
Heredity, Average Longevity of the family, Family environment, b. Personal History: i. Cardiovascular Diseases, Excessive production and reproduction of cells, Ailments of the renal system, Impairments of the endocrine system, Digestive system disease,
C. Personal Characteristics :
i. Build, ii. Blood Pressure, Urine.
Payments under a Life Insurance Policy:
Death Claims
on Riders: Accidental Death Benefit Rider (ADB), Critical Illness Rider (CI),
Payor’s Benefit Rider, Premium Waiver Benefit Rider (PWB), Term Rider, Double
Term Rider.
The Process of Settlement of Death Claims:
1. Claim Intimation, 2, Claim Booking, 3. Claim Process:- 1. Non early Death Claims, 2. Early Death Claims
Maturity Benefits Claim:
Survival Benefits, Paid-up Value, Discounted Value, Payment of Annuity, Commutation of Installments, Reduced Sum Assured, Settlement Options.
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