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20
MICROINSURANCE IN
INDIA: AN OVERVIEW
21
2. MICROINSURANCE IN INDIA: AN OVERVIEW
What happens when a poor family’s breadwinner dies, when a child in a disadvantaged household
is hospitalized, or the home of a vulnerable family is destroyed by fire or natural disaster? Every
serious illness, every accident and every natural disaster threatens the very existence of poor people
and usually leads to deeper poverty. That’s where “microinsurance” comes in.
Micro insurance - the protection of low-income people against specific perils in exchange
forregular monetary payments (premiums) proportionate to the likelihood and cost of the risk
involved – seeks to provide a suitable solution for managing these risks.
2.1 HISTORY OF MICROINSURANCE IN INDIA
In India, a few micro-insurance schemes were initiated, either by non-governmental organizations
(NGO) due to the felt need in the communities in which these organizations were involved or by
the trust hospitals. These schemes have now gathered momentum partly due to the development
of micro-finance activity, and partly due to the regulation that makes it mandatory for all formal
insurance companies to extend their activities to rural and well-identified social sector in the
country (IRDA 2000). As a result, Micro-finance institutions (MFIs) and NGOs are negotiating
with the for-profit insurers for the purchase of customized group or standardized individual
insurance schemes for the low-income people. Although the reach of such schemes is still very
limited, their potential is viewed to be considerable. The micro insurance regulation of 2005 was
a pioneering approach by the Insurance Regulatory Development Authority (IRDA). India is
among the few countries to draft and implement specific microinsurance regulations. In 2002
IRDA developed rural and social sector obligation norms that mandated every insurance company
to achieve:
 Percentage of polices to be sold in rural areas; and
 Number of lives to be covered in the social sector.
A consultative group on Microinsurance was set up in 2003 to look into the issues which
highlighted the:
22
 Non-viability of standalone microinsurance programme
 Apathy of insurance companies towards microinsurance
 The potential of alternative channels.
In 2004, RRBs were allowed to sell insurance as “corporate agent”, and in 2005, IRDA came up
with the microinsurance regulation which suggested;
 Stipulation of product boundaries in terms of minimum and maximum sum assured, the
term of product, the allowable age group and the maximum commission to agents.
 SHGs, MFIs and NGOs were allowed to become microinsurance Agents (MIA), a status
that has simple agency clearance process and sustainable long term earning potential.
 Fulfilment of both rural and social sector obligation through microinsurance products.
FIGURE 2.1 POTENTIAL MARKET SIZE OF MICROINSURANCE IN INDIA
ource: potential and Prospects of Microinsurance in India: UNDP Regional Centre of Human Development
Unit 2009, “Pension Reforms for unorganized Sector: ADB, 2006 and IIMS Data Woks Survey 2008.
90% of the population and 88% of the workforce are still excluded from any kind of insurance
cover. Figure 2.1 shows the Potential market size of microinsurance in India. The performance of
microinsurance is increasing year by year (shown in table 2.2).
TABLE 2.1 MICROINSURANCE PERFORMANCE 2009-10 (IN *USD MILLION)
Microinsurance Policies (in millions) Premium
Individuals 2.98 31.644
Group 16.84 48.682
*Conversion rate considered as Rs 50
Source: www.ftkmc.com/newsletter & IRDA
23
2.2 TYPES OF MICROINSURANCE
 Life Insurance- Life insurance pays benefits to designated beneficiaries upon the death of
the insured. There are three broad types of life insurance coverage: term, whole-life, and
endowment. Term life insurance policies provide a set amount of insurance coverage over
a specified period of time, such as one, five, ten, or twenty years. Whole life insurance is a
cash-value policy that provides lifetime protection. This is hardly offered in low-income
markets in the developing countries. Endowment life insurance pays the face value of
insurance if the policyholder dies within a specified period.
 Health Insurance- Health insurance provides coverage against illness and accidents
resulting in physical injuries. MFIs have realized that expenditures related to health
problems have been a significant cause of defaults and people's inability to continue
improving their economic conditions. Several MFIs have therefore, either started their own
health insurance programs or have linked their clients to existing programs.
 Property Insurance- Property insurance provides coverage against loss or damage of
assets. Providing such insurance is difficult because of the need to verify the extent of
damage and determine whether loss has actually occurred.
 Disability Insurance- Disability insurance in most cases is tied to life insurance products.
It provides protection to the policy holder and her family, should she or some of her family
suffers from a disability.
 Crop Insurance- Crop insurance typically provides policy holders protection in the event
their crops are destroyed by natural calamities such as floods or droughts. To improve the
ability of rural farmers to repay loans from agricultural development banks (ADBs), many
governments developed crop insurance programs in the 1970s and 1980s.
 Disaster Insurance- Disaster insurance is through a reinsurance arrangement that
broadens the risk pool across countries and regions, and protects insurers against
catastrophic losses.
 Unemployment Insurance- This insurance provides cash relief to individuals who
become unemployed involuntarily and who meet certain government requirements. It also
helps unemployed workers find jobs.
24
 Reinsurance- Reinsurance is the shifting of part or all of the insurance originally written
by one insurer to another. This is a central feature of the operations of all commercial
insurers.
2.3 MICROINSURANCE PLAYERS AND PRODUCTS IN INDIA
There are 23 life insurance companies are present in India but only 14 companies are providing
microinsurance products this clearly give an idea of low attraction of majority of companies
towards these products. Below is the list of micro insurance products along with the name of
companies:
TABLE 2.2 INSURANCE COMPANY ALONG WITH THEIR PRODUCT
S.No. Name of Insurer Name of the product Logo
1 Aviva life ins. Co. India Pvt.
Ltd.
Grameen Suraksha
2 Bajaj Allianz Life Insurance
Co. Ltd
Bajaj Allianz Jana Vikas Yojana.
Bajaj Allianz Saral Suraksha Yojana.
Bajaj Allianz Alp Nivesh Yojana.
3 Birla Sun life ins. Co. LTD Birla Sun Life Insurance Bima
Suraksha
Super.
Birla Sun Life Insurance Bima Dhan
Sanchay.
4 DLF Pramerica Life Insurance
Co. Ltd
DLF Pramerica Sarv-Suraksha.
5 ICICI Prudential Life Insurance
Co. Ltd
ICICI Prud. Sarv Jana Suraksha
6 IDBI Fortis Life Insurance Co.
Ltd.
IDBI Fortis Group Micro insurance
Plan
25
7 ING Vysya Life Insurance Co.
Ltd.
ING Vysya Saral Suraksha
8 Life Insurance Corporation of
India
LIC's Jeevan Madhur.
LIC's Jeevan Mangal.
9 Met Life India Met Vishwas
10 Sahara India Life Insurance Co.
Ltd.
Sahara Sahayog (Micro Endowment
Insurance
without profit plan).
11 SBI Life Insurance Co. Ltd. SBI Life Grameen Shakti.
SBI Life Grameen Super Suraksha.
12 Shriram Life Insurance Co. Ltd. Shri Sahay.
Sri Sahay (AP).
13 Star Union Dai-ichi Life
Insurance Co. Ltd.
SUD Life Paraspar Suraksha Plan.
14 TATA AIG Life Insurance Co.
Ltd.
Ayushman Yojana.
Navkalyan Yojana.
Sampoorn Bima Yojana.
Tata AIG Sumangal Bima Yojana.
2.4 MICRO-INSURANCE DELIVERY MODELS
One of the greatest challenges for micro-insurance is the actual delivery to clients. Methods and
models for doing so vary depending on the organization, institution, and provider involved. In
general, there are four main methods for offering micro-insurance the partner-agent model, the
26
provider-driven model, the full-service model, and the community-based model. Each of these
models has their own advantages and disadvantages.
 Partner agent model: A partnership is formed between the micro-insurance scheme and
an agent (insurance company, microfinance institution, donor, etc.), and in some cases a
third-party healthcare provider. The micro-insurance scheme is responsible for the delivery
and marketing of products to the clients, while the agent retains all responsibility for design
and development. In this model, micro-insurance schemes benefit from limited risk, but
are also disadvantaged in their limited control.
 Full service model: The micro-insurance scheme is in charge of everything; both the
design and delivery of products to the clients, working with external healthcare providers
to provide the services. This model has the advantage of offering micro-insurance schemes
full control, yet the disadvantage of higher risks.
 Provider-driven model: The healthcare provider is the micro-insurance scheme, and
similar to the full-service model, is responsible for all operations, delivery, design, and
service. There is an advantage once more in the amount of control retained, yet
disadvantage in the limitations on products and services
 Community-based/mutual model: The policyholders or clients are in charge, managing
and owning the operations, and working with external healthcare providers to offer
services. This model is advantageous for its ability to design and market products more
easily and effectively, yet is disadvantaged by its small size and scope of operations.
2.5 IRDA - WIDEN MICRO-INSURANCE PRODUCTS AND ITS DISTRIBUTION
NETWORK
In a bid to boost the micro-insurance sector, Insurance Regulatory and Development Authority
(IRDA) have proposed to widen the product portfolio and distribution network of micro-insurance.
To widen the distribution network of micro-insurance, IRDA has proposed to allow cooperative
banks, regional rural banks, primary agricultural co-operative societies and individuals such as
shopkeepers, medical store owners, petrol pump owners and public telephone operators to act as
micro-insurance agents. IRDA has noted that most of the products offered under this segment are
basic ones, and mostly term assurance. Hence, IRDA has asked insurers to consider diversifying
27
the micro-insurance portfolio by including saving-linked and health cover features. IRDA also said
that non-life retail segment of the micro-insurance business might not be attractive line of business
at present, since it mainly covers individual risks such as dwelling, livestock, and tools which are
yet to be considered insurable by these segments. To cater to this segment IRDA has proposed an
option of appointing micro-insurance agents either to any one sector of micro enterprises, small
enterprises and medium enterprises, or to all three or any combination of two.
Similarly non-life insurers will also be allowed to appoint microinsurance agents in these
combinations either in the manufacturing sector or the service sector or in both. The maximum
premium under non-life micro-insurance policies is proposed to be pegged at Rs 25,000. To
encourage micro-insurance agents to maintain reasonable persistency, IRDA has proposed to link
the agent’s persistency rate to remuneration allowed. IRDA has proposed renewal commission of
20% to those agents maintaining persistency rate of 50% at the end of preceding last two financial
years. And other will get only 10% renewal commission.


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  • 2. 21 2. MICROINSURANCE IN INDIA: AN OVERVIEW What happens when a poor family’s breadwinner dies, when a child in a disadvantaged household is hospitalized, or the home of a vulnerable family is destroyed by fire or natural disaster? Every serious illness, every accident and every natural disaster threatens the very existence of poor people and usually leads to deeper poverty. That’s where “microinsurance” comes in. Micro insurance - the protection of low-income people against specific perils in exchange forregular monetary payments (premiums) proportionate to the likelihood and cost of the risk involved – seeks to provide a suitable solution for managing these risks. 2.1 HISTORY OF MICROINSURANCE IN INDIA In India, a few micro-insurance schemes were initiated, either by non-governmental organizations (NGO) due to the felt need in the communities in which these organizations were involved or by the trust hospitals. These schemes have now gathered momentum partly due to the development of micro-finance activity, and partly due to the regulation that makes it mandatory for all formal insurance companies to extend their activities to rural and well-identified social sector in the country (IRDA 2000). As a result, Micro-finance institutions (MFIs) and NGOs are negotiating with the for-profit insurers for the purchase of customized group or standardized individual insurance schemes for the low-income people. Although the reach of such schemes is still very limited, their potential is viewed to be considerable. The micro insurance regulation of 2005 was a pioneering approach by the Insurance Regulatory Development Authority (IRDA). India is among the few countries to draft and implement specific microinsurance regulations. In 2002 IRDA developed rural and social sector obligation norms that mandated every insurance company to achieve:  Percentage of polices to be sold in rural areas; and  Number of lives to be covered in the social sector. A consultative group on Microinsurance was set up in 2003 to look into the issues which highlighted the:
  • 3. 22  Non-viability of standalone microinsurance programme  Apathy of insurance companies towards microinsurance  The potential of alternative channels. In 2004, RRBs were allowed to sell insurance as “corporate agent”, and in 2005, IRDA came up with the microinsurance regulation which suggested;  Stipulation of product boundaries in terms of minimum and maximum sum assured, the term of product, the allowable age group and the maximum commission to agents.  SHGs, MFIs and NGOs were allowed to become microinsurance Agents (MIA), a status that has simple agency clearance process and sustainable long term earning potential.  Fulfilment of both rural and social sector obligation through microinsurance products. FIGURE 2.1 POTENTIAL MARKET SIZE OF MICROINSURANCE IN INDIA ource: potential and Prospects of Microinsurance in India: UNDP Regional Centre of Human Development Unit 2009, “Pension Reforms for unorganized Sector: ADB, 2006 and IIMS Data Woks Survey 2008. 90% of the population and 88% of the workforce are still excluded from any kind of insurance cover. Figure 2.1 shows the Potential market size of microinsurance in India. The performance of microinsurance is increasing year by year (shown in table 2.2). TABLE 2.1 MICROINSURANCE PERFORMANCE 2009-10 (IN *USD MILLION) Microinsurance Policies (in millions) Premium Individuals 2.98 31.644 Group 16.84 48.682 *Conversion rate considered as Rs 50 Source: www.ftkmc.com/newsletter & IRDA
  • 4. 23 2.2 TYPES OF MICROINSURANCE  Life Insurance- Life insurance pays benefits to designated beneficiaries upon the death of the insured. There are three broad types of life insurance coverage: term, whole-life, and endowment. Term life insurance policies provide a set amount of insurance coverage over a specified period of time, such as one, five, ten, or twenty years. Whole life insurance is a cash-value policy that provides lifetime protection. This is hardly offered in low-income markets in the developing countries. Endowment life insurance pays the face value of insurance if the policyholder dies within a specified period.  Health Insurance- Health insurance provides coverage against illness and accidents resulting in physical injuries. MFIs have realized that expenditures related to health problems have been a significant cause of defaults and people's inability to continue improving their economic conditions. Several MFIs have therefore, either started their own health insurance programs or have linked their clients to existing programs.  Property Insurance- Property insurance provides coverage against loss or damage of assets. Providing such insurance is difficult because of the need to verify the extent of damage and determine whether loss has actually occurred.  Disability Insurance- Disability insurance in most cases is tied to life insurance products. It provides protection to the policy holder and her family, should she or some of her family suffers from a disability.  Crop Insurance- Crop insurance typically provides policy holders protection in the event their crops are destroyed by natural calamities such as floods or droughts. To improve the ability of rural farmers to repay loans from agricultural development banks (ADBs), many governments developed crop insurance programs in the 1970s and 1980s.  Disaster Insurance- Disaster insurance is through a reinsurance arrangement that broadens the risk pool across countries and regions, and protects insurers against catastrophic losses.  Unemployment Insurance- This insurance provides cash relief to individuals who become unemployed involuntarily and who meet certain government requirements. It also helps unemployed workers find jobs.
  • 5. 24  Reinsurance- Reinsurance is the shifting of part or all of the insurance originally written by one insurer to another. This is a central feature of the operations of all commercial insurers. 2.3 MICROINSURANCE PLAYERS AND PRODUCTS IN INDIA There are 23 life insurance companies are present in India but only 14 companies are providing microinsurance products this clearly give an idea of low attraction of majority of companies towards these products. Below is the list of micro insurance products along with the name of companies: TABLE 2.2 INSURANCE COMPANY ALONG WITH THEIR PRODUCT S.No. Name of Insurer Name of the product Logo 1 Aviva life ins. Co. India Pvt. Ltd. Grameen Suraksha 2 Bajaj Allianz Life Insurance Co. Ltd Bajaj Allianz Jana Vikas Yojana. Bajaj Allianz Saral Suraksha Yojana. Bajaj Allianz Alp Nivesh Yojana. 3 Birla Sun life ins. Co. LTD Birla Sun Life Insurance Bima Suraksha Super. Birla Sun Life Insurance Bima Dhan Sanchay. 4 DLF Pramerica Life Insurance Co. Ltd DLF Pramerica Sarv-Suraksha. 5 ICICI Prudential Life Insurance Co. Ltd ICICI Prud. Sarv Jana Suraksha 6 IDBI Fortis Life Insurance Co. Ltd. IDBI Fortis Group Micro insurance Plan
  • 6. 25 7 ING Vysya Life Insurance Co. Ltd. ING Vysya Saral Suraksha 8 Life Insurance Corporation of India LIC's Jeevan Madhur. LIC's Jeevan Mangal. 9 Met Life India Met Vishwas 10 Sahara India Life Insurance Co. Ltd. Sahara Sahayog (Micro Endowment Insurance without profit plan). 11 SBI Life Insurance Co. Ltd. SBI Life Grameen Shakti. SBI Life Grameen Super Suraksha. 12 Shriram Life Insurance Co. Ltd. Shri Sahay. Sri Sahay (AP). 13 Star Union Dai-ichi Life Insurance Co. Ltd. SUD Life Paraspar Suraksha Plan. 14 TATA AIG Life Insurance Co. Ltd. Ayushman Yojana. Navkalyan Yojana. Sampoorn Bima Yojana. Tata AIG Sumangal Bima Yojana. 2.4 MICRO-INSURANCE DELIVERY MODELS One of the greatest challenges for micro-insurance is the actual delivery to clients. Methods and models for doing so vary depending on the organization, institution, and provider involved. In general, there are four main methods for offering micro-insurance the partner-agent model, the
  • 7. 26 provider-driven model, the full-service model, and the community-based model. Each of these models has their own advantages and disadvantages.  Partner agent model: A partnership is formed between the micro-insurance scheme and an agent (insurance company, microfinance institution, donor, etc.), and in some cases a third-party healthcare provider. The micro-insurance scheme is responsible for the delivery and marketing of products to the clients, while the agent retains all responsibility for design and development. In this model, micro-insurance schemes benefit from limited risk, but are also disadvantaged in their limited control.  Full service model: The micro-insurance scheme is in charge of everything; both the design and delivery of products to the clients, working with external healthcare providers to provide the services. This model has the advantage of offering micro-insurance schemes full control, yet the disadvantage of higher risks.  Provider-driven model: The healthcare provider is the micro-insurance scheme, and similar to the full-service model, is responsible for all operations, delivery, design, and service. There is an advantage once more in the amount of control retained, yet disadvantage in the limitations on products and services  Community-based/mutual model: The policyholders or clients are in charge, managing and owning the operations, and working with external healthcare providers to offer services. This model is advantageous for its ability to design and market products more easily and effectively, yet is disadvantaged by its small size and scope of operations. 2.5 IRDA - WIDEN MICRO-INSURANCE PRODUCTS AND ITS DISTRIBUTION NETWORK In a bid to boost the micro-insurance sector, Insurance Regulatory and Development Authority (IRDA) have proposed to widen the product portfolio and distribution network of micro-insurance. To widen the distribution network of micro-insurance, IRDA has proposed to allow cooperative banks, regional rural banks, primary agricultural co-operative societies and individuals such as shopkeepers, medical store owners, petrol pump owners and public telephone operators to act as micro-insurance agents. IRDA has noted that most of the products offered under this segment are basic ones, and mostly term assurance. Hence, IRDA has asked insurers to consider diversifying
  • 8. 27 the micro-insurance portfolio by including saving-linked and health cover features. IRDA also said that non-life retail segment of the micro-insurance business might not be attractive line of business at present, since it mainly covers individual risks such as dwelling, livestock, and tools which are yet to be considered insurable by these segments. To cater to this segment IRDA has proposed an option of appointing micro-insurance agents either to any one sector of micro enterprises, small enterprises and medium enterprises, or to all three or any combination of two. Similarly non-life insurers will also be allowed to appoint microinsurance agents in these combinations either in the manufacturing sector or the service sector or in both. The maximum premium under non-life micro-insurance policies is proposed to be pegged at Rs 25,000. To encourage micro-insurance agents to maintain reasonable persistency, IRDA has proposed to link the agent’s persistency rate to remuneration allowed. IRDA has proposed renewal commission of 20% to those agents maintaining persistency rate of 50% at the end of preceding last two financial years. And other will get only 10% renewal commission. 