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   Life Insurance can be termed as an agreement between
        the policy owner and the insurer, where the insurer for
        a consideration agrees to pay a sum of money upon
        the occurrence of the insured individual's or
        individuals' death or other event, such as terminal
        illness, critical illness or maturity of the policy.




3/31/2012                Tolani Institute of Management Studies   2
   Insurance in India can be traced back to the Vedas. For
      instance, yogakshema, the name of Life Insurance Corporation
      of India's corporate headquarters, is derived from the Rig Veda.

     Bombay Mutual Assurance Society, the first Indian life assurance
      society, was formed in 1870.

     Other companies like Oriental, Bharat
      and Empire of India were also set up
      in the 1870-90s.



3/31/2012                 Tolani Institute of Management Studies         3
   It was during the swadeshi movement in the early 20th century that
       insurance witnessed a big boom in India with several more companies
       being set up.

      By the mid-1950s, there were around 170 insurance companies and 80
       provident fund societies in the country's life insurance scene. However, in
       the absence of regulatory systems, scams and irregularities were
       prevalent in most of these companies.

      As a result, the government decided to nationalize the life assurance
       business in India. The Life Insurance Corporation of India was set up in
       1956 to take over around 250 life insurance companies.




3/31/2012                     Tolani Institute of Management Studies                 4
   For years thereafter, insurance remained a monopoly of the
        public sector. The sector was finally opened up to private
        players in 2001.

       The Insurance Regulatory & Development Authority, an
        autonomous insurance regulator set up in 2000, has extensive
        powers to oversee the insurance business and regulate in a
        manner that will safeguard the interests of the insured.




3/31/2012                 Tolani Institute of Management Studies       5
   Protection
        Liquidity
        Tax Relief
        Money when you need it




3/31/2012              Tolani Institute of Management Studies   6
3/31/2012   Tolani Institute of Management Studies   7
   Sum assured is payable only in the event of death during
         the term.

        In case of survival, the contract comes to an end at the end
         of term.

        Term Life Insurance can be for period as long as 40 years
         and as short as 1 year.

        No refund of premium

        Non-participating policies

        Low premium as only death risk is
         covered.

3/31/2012                  Tolani Institute of Management Studies       8
Increasing Term Insurance
         Life insurance cover under
        this plan goes on increasing
        periodically over the term in
        a predetermined rate. (Riders)


     Decreasing Term Insurance
         The sum assured decreases with the
        term of the policy. Normally decreasing
         term assurance plan is taken out for
        mortgaged protection, under which
        outstanding loan amount decreases
         as time passes as also the sum assured.

3/31/2012                  Tolani Institute of Management Studies   9
Convertible term assurance policy
        Under this plan a policyholder
         is entitled to exchange the term
         policy for an endowment
         insurance or a whole life policy.

        Conversion can be done at any
         time during the term except last
         2 years.

     Level Term Life Insurance
        The sum assured throughout the term of the policy does not
         change.


3/31/2012                   Tolani Institute of Management Studies    10
Renewable Term Life Insurance
      With  renewable term insurance, the insurance
        company automatically allows you to renew
        your coverage after the term of the policy is
        over (generally 5 to 20 years)




3/31/2012            Tolani Institute of Management Studies   11
   Endowment insurance plans is an investment oriented plan
         which not only pays in the event of death but also in the event
         of survival at the end of the term.

        Is a contract underwritten by a life insurance company to pay a
         Fixed term plus Accumulated profits that are declared
         annually.

        Premium includes 2 elements
         -mortality element & investment element

        Minimum age at entry : 12years
        Maximum age at entry: 65years
        Maximum age at maturity : 75years

3/31/2012                  Tolani Institute of Management Studies      12
Joint Life Endowment Plan:

      Under   this plan, two lives can be insured under one
        contract.

      The  sum assured is payable at the end of the endowment
        term or death of either of the two.

     Money Back Endowment Plan:

      In this plan, there is an additional advantage of receiving a
        certain amount of money at periodic intervals during the
        policy term.

3/31/2012                 Tolani Institute of Management Studies       13
Marriage Endowment Plan:

      This plan has the specific condition that the sum assured is
       payable only after the expiry of the term even if death of
       the life assured takes place earlier.

     Educational Endowment Plan:

      These  plans are specially designed to meet educational
       expense of children at a future date. If the insured parent
       dies before the date of maturity the installment is paid in
       lump sum with immediate effect which helps to meet the
       educational expenses.



3/31/2012                Tolani Institute of Management Studies       14
   Whole life plans are another type of endowment plan,
          which cover death for an indefinite period.

         When the policy holder dies, the face value of the policy,
          known as a death benefit, is paid to the person or persons
          named in the life insurance policy (the beneficiary or
          beneficiaries).

         It can be with or without profits.

         If you cancel the policy after a certain amount of time has
          passed, the insurance company will surrender the cash
          value to you.
3/31/2012                   Tolani Institute of Management Studies      15
1.  Ordinary Whole Life Plan:
      This is a continuous premium payment plan. The
       insured pays premium throughout his life. It provides
       dual facility of protection plus savings.

     2.  Limited Payment Whole Life Plan:
      It provides the same benefit as above but premiums
       are paid for a limited period. Premiums are sufficiently
       higher to cover the risk.


3/31/2012              Tolani Institute of Management Studies     16
   Since last few years insurance companies have started
         offering risk cover plans like limited payment whole life, and
         endowment assurance plan from the age of 12years and
         money back plan from age of 13 years(completed).

        New plans have been specifically designed for children
         where the risk of the child starts much earlier say 7 years.




3/31/2012                  Tolani Institute of Management Studies     18
   Policies on the lives of children are taken
        out by other elders. After some time when
        the child becomes major and is competent
        to contract, the child may assume the
        ownership of the policy. The policy is then
        said to ‘vest’ in child.

       The date on which this happens is called the
        ‘testing date’.

       The risk begins when the child attains 18
        years of age. This is called the ‘deferred
        date’ and the period between the deferred
        date and the date of commencement of
        policy is called the ‘deferred period’.


3/31/2012                   Tolani Institute of Management Studies   19
   It has emerged as one of the fastest
         growing insurance products.

        It is a combination of an investment
         fund( such as mutual fund) and an
         insurance policy.

        The premium amount is invested in
         the stock market and returns better
         income on the maturity period.

3/31/2012                Tolani Institute of Management Studies   20
   Better for long-term investment option.

       ULIPs generally provide higher returns as large
        portion of the funds are invested in equities.

       There is also flexibility and the assured can choose
        levels and extent of cover needed.

       There is also option of switching over from one fund
        to another if it does not seem to be profitable.

       ULIPs can be classified as
        ◦ Unit linked – equities, bonds, real estate & money market
          instruments
        ◦ Equity linked – only in equities
        ◦ Index linked – equity, bonds or money market instruments.

3/31/2012                      Tolani Institute of Management Studies   21
Life insurance claim can arise either:

        On the maturity of the policy – Maturity Claim
        On death of the policy holder – Death Claim
        Survival up to specified period during the term –
         Survival benefits




3/31/2012                Tolani Institute of Management Studies   22
   In case of Endowment type of Policies, amount is payable at the
         end of the policy period.

        Discharge Form & Policy Document

        On receipt of these two documents post dated cheque is sent by
         post so as to reach the policyholder before the due date

        The gross amount consists of Basic sum assured and bonus if
         any.




3/31/2012                   Tolani Institute of Management Studies         23
   Same as maturity claims, sum assured becomes
         payable on expiry of full term but on survival of the
         insured.

        In policies like, money back plan for 15 years term,
         1/4th of the sum assured becomes payable on the life
         assured on surviving 5 year, further 1/4th becomes
         payable after additional 5 years and rest balance at
         the end of 15 years.


3/31/2012                Tolani Institute of Management Studies   24
2 Types:
      Premature death claim – within 3 years
      Other claim – after 3 years


         Intimation of death is to be given by a proper person in
          writing.
         1. Original Policy Bond
         2. Death Certificate
         3. Proof of relationship with the deceased person
          In case of Accidental Death
          Postmortern Report, FIR Copy , Final Police Report is also
          required



3/31/2012                   Tolani Institute of Management Studies     25
   Suicide or attempted suicide or intentional
       self-inflicted injury
      Under        influence     of     drugs     or
       alcohol, narcotics or psychotropic substance
       not prescribed by a Medical Professional.
      War, Invasion, Civil War, Riots, Revolution or
       any war like operation.
      Criminal or unlawful act
      Service in the military or police
      Flying activity other than as a paying
       passenger.
      Racing vehicle.


3/31/2012                     Tolani Institute of Management Studies   26
   An additional sum equal to the sum assured
         will be paid in monthly installments spread
         over10 years.

        Future premiums are waived

        Max. limit of additional benefit is 5,00,000 or
         10,00,000 depending upon the insurer.



3/31/2012              Tolani Institute of Management Studies   27
   Pre-condition for granting such benefit are:

         ◦ Disability should be solely and directly as a result of accidental
           injury.

         ◦ Disability must be permanent

         ◦ Injury and disability must occur before the insured attains 60
           years of age.




3/31/2012                    Tolani Institute of Management Studies             28
Tax benefit from Life Insurance
                           Policies
 The Indian Income Tax Act, make buying insurance “cheaper” as well as an
efficient investment for long term savings.

 On Premiums:
     Section 80D of the Insurance Act is an effective way for the salaried person
    to reduce tax liability through life insurance policy.

     Investments in Life Insurance premium is subject to rebate.

     Premium:
       Paid by an individual in respect of:
                himself/herself,
                his/her spouse, and
                any of his/her children.
                 Premium amount paid should not exceed 20% of the sum
                                assured.
                                         Tolani Institute of Management
                                                                           31 March 2012   29
                                                                 Studies
 Premiums paid for Health Related Riders:
• Some of the critical illness, hospitalization cash and other health related
riders attached to a Life Insurance policy may also be eligible for rebate
under section 80D of the Insurance Act.


• This deduction is available to both Individuals & HUF.


• Rs.15,000 is the maximum amount deductible during the year for an
individual as well as a senior citizen.


• Condition for applicability of deduction is that the premium must be
paid by cheque in the previous year out of the income chargeable to tax.
                                          Tolani Institue of Management
                                                                 Studies   31 March 2012   30
Death Claims and Maturity Benefits:
•Life Insurance Policies are under an EEE (Exempt-Exempt-Exempt)
regime i.e. that the Premiums Paid, Income earned by the Investments,
and payment of Maturity proceeds or claim are all exempt “E” from tax
under section 10(10)(D) of the Income Tax Act.


•The only policies that are not eligible for exemption on payment on
maturity or claim are Single Premium Policies or Policies where the sum
assured was less than 5 times the Premium paid.




                                     Tolani Institute of Management
                                                                       31 March 2012   31
                                                             Studies
Ratings Of Insurance Companies In
           India - Top 5
      Companies           Market Share (2009)                 Market Share (2008)

          LIC                    64%                                         74%

 ICICI Prudential Life
   Insurance Co Ltd             11.8%                                      8.93%

 SBI Life Insurance Co
           Ltd                   15%                                       6.99%

   Bajaj Allianz Life
   Insurance Co Ltd             13.1%                                      7.36%

Reliance Life Insurance
        Co Ltd                   9.8%                                      2.96%


                           (Source: Insurance review)
                                       Tolani Institue of Management
                                                              Studies   31 March 2012   32
How Much Life Insurance Coverage
      Should Be Purchased?
 The Rule of Thumb is-
       Coverage should equal to 6 to 10 times annual income.


 The other Rule is-
       Coverage to cover his family consumption need.




                                 Tolani Institue of Management
                                                        Studies   31 March 2012   33
Functions of an Actuary in Life
           Insurance Business
 Main function of an actuary in life insurance is to do assessment and
valuation of mortality risk.


 Due to medical advancement now the life span of an individual can be
determined which reduce the uncertainty of death.


 Due to which medical selection by the insurer is necessary and
desirable both on the grounds of “actuarial fairness” i.e. charging
premiums to different lives on the basis of their different levels of risk
and for financial viability of the insurance company.
                                       Tolani Institue of Management
                                                              Studies   31 March 2012   34
Current News in Life Insurance
            Sector
 Life insurance premium collection down by 22%
    -LIC premium collection down by 20.5% and 22 private life
    insurance premium down by 25%.


 AUM of life insurer cross Rs. 15 lakh crore, due to rise in renewal
premium which means that increasing number of policy holder are
renewing their policies.




                                    Tolani Institue of Management
                                                           Studies   31 March 2012   35
life Insurance -Intro

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life Insurance -Intro

  • 1. Presented By: Ria John (10090) Rini Thomas(10091)
  • 2. Life Insurance can be termed as an agreement between the policy owner and the insurer, where the insurer for a consideration agrees to pay a sum of money upon the occurrence of the insured individual's or individuals' death or other event, such as terminal illness, critical illness or maturity of the policy. 3/31/2012 Tolani Institute of Management Studies 2
  • 3. Insurance in India can be traced back to the Vedas. For instance, yogakshema, the name of Life Insurance Corporation of India's corporate headquarters, is derived from the Rig Veda.  Bombay Mutual Assurance Society, the first Indian life assurance society, was formed in 1870.  Other companies like Oriental, Bharat and Empire of India were also set up in the 1870-90s. 3/31/2012 Tolani Institute of Management Studies 3
  • 4. It was during the swadeshi movement in the early 20th century that insurance witnessed a big boom in India with several more companies being set up.  By the mid-1950s, there were around 170 insurance companies and 80 provident fund societies in the country's life insurance scene. However, in the absence of regulatory systems, scams and irregularities were prevalent in most of these companies.  As a result, the government decided to nationalize the life assurance business in India. The Life Insurance Corporation of India was set up in 1956 to take over around 250 life insurance companies. 3/31/2012 Tolani Institute of Management Studies 4
  • 5. For years thereafter, insurance remained a monopoly of the public sector. The sector was finally opened up to private players in 2001.  The Insurance Regulatory & Development Authority, an autonomous insurance regulator set up in 2000, has extensive powers to oversee the insurance business and regulate in a manner that will safeguard the interests of the insured. 3/31/2012 Tolani Institute of Management Studies 5
  • 6. Protection  Liquidity  Tax Relief  Money when you need it 3/31/2012 Tolani Institute of Management Studies 6
  • 7. 3/31/2012 Tolani Institute of Management Studies 7
  • 8. Sum assured is payable only in the event of death during the term.  In case of survival, the contract comes to an end at the end of term.  Term Life Insurance can be for period as long as 40 years and as short as 1 year.  No refund of premium  Non-participating policies  Low premium as only death risk is covered. 3/31/2012 Tolani Institute of Management Studies 8
  • 9. Increasing Term Insurance  Life insurance cover under this plan goes on increasing periodically over the term in a predetermined rate. (Riders) Decreasing Term Insurance  The sum assured decreases with the term of the policy. Normally decreasing term assurance plan is taken out for mortgaged protection, under which outstanding loan amount decreases as time passes as also the sum assured. 3/31/2012 Tolani Institute of Management Studies 9
  • 10. Convertible term assurance policy  Under this plan a policyholder is entitled to exchange the term policy for an endowment insurance or a whole life policy.  Conversion can be done at any time during the term except last 2 years. Level Term Life Insurance  The sum assured throughout the term of the policy does not change. 3/31/2012 Tolani Institute of Management Studies 10
  • 11. Renewable Term Life Insurance  With renewable term insurance, the insurance company automatically allows you to renew your coverage after the term of the policy is over (generally 5 to 20 years) 3/31/2012 Tolani Institute of Management Studies 11
  • 12. Endowment insurance plans is an investment oriented plan which not only pays in the event of death but also in the event of survival at the end of the term.  Is a contract underwritten by a life insurance company to pay a Fixed term plus Accumulated profits that are declared annually.  Premium includes 2 elements -mortality element & investment element  Minimum age at entry : 12years  Maximum age at entry: 65years  Maximum age at maturity : 75years 3/31/2012 Tolani Institute of Management Studies 12
  • 13. Joint Life Endowment Plan:  Under this plan, two lives can be insured under one contract.  The sum assured is payable at the end of the endowment term or death of either of the two. Money Back Endowment Plan:  In this plan, there is an additional advantage of receiving a certain amount of money at periodic intervals during the policy term. 3/31/2012 Tolani Institute of Management Studies 13
  • 14. Marriage Endowment Plan:  This plan has the specific condition that the sum assured is payable only after the expiry of the term even if death of the life assured takes place earlier. Educational Endowment Plan:  These plans are specially designed to meet educational expense of children at a future date. If the insured parent dies before the date of maturity the installment is paid in lump sum with immediate effect which helps to meet the educational expenses. 3/31/2012 Tolani Institute of Management Studies 14
  • 15. Whole life plans are another type of endowment plan, which cover death for an indefinite period.  When the policy holder dies, the face value of the policy, known as a death benefit, is paid to the person or persons named in the life insurance policy (the beneficiary or beneficiaries).  It can be with or without profits.  If you cancel the policy after a certain amount of time has passed, the insurance company will surrender the cash value to you. 3/31/2012 Tolani Institute of Management Studies 15
  • 16. 1. Ordinary Whole Life Plan:  This is a continuous premium payment plan. The insured pays premium throughout his life. It provides dual facility of protection plus savings. 2. Limited Payment Whole Life Plan:  It provides the same benefit as above but premiums are paid for a limited period. Premiums are sufficiently higher to cover the risk. 3/31/2012 Tolani Institute of Management Studies 16
  • 17. Since last few years insurance companies have started offering risk cover plans like limited payment whole life, and endowment assurance plan from the age of 12years and money back plan from age of 13 years(completed).  New plans have been specifically designed for children where the risk of the child starts much earlier say 7 years. 3/31/2012 Tolani Institute of Management Studies 18
  • 18. Policies on the lives of children are taken out by other elders. After some time when the child becomes major and is competent to contract, the child may assume the ownership of the policy. The policy is then said to ‘vest’ in child.  The date on which this happens is called the ‘testing date’.  The risk begins when the child attains 18 years of age. This is called the ‘deferred date’ and the period between the deferred date and the date of commencement of policy is called the ‘deferred period’. 3/31/2012 Tolani Institute of Management Studies 19
  • 19. It has emerged as one of the fastest growing insurance products.  It is a combination of an investment fund( such as mutual fund) and an insurance policy.  The premium amount is invested in the stock market and returns better income on the maturity period. 3/31/2012 Tolani Institute of Management Studies 20
  • 20. Better for long-term investment option.  ULIPs generally provide higher returns as large portion of the funds are invested in equities.  There is also flexibility and the assured can choose levels and extent of cover needed.  There is also option of switching over from one fund to another if it does not seem to be profitable.  ULIPs can be classified as ◦ Unit linked – equities, bonds, real estate & money market instruments ◦ Equity linked – only in equities ◦ Index linked – equity, bonds or money market instruments. 3/31/2012 Tolani Institute of Management Studies 21
  • 21. Life insurance claim can arise either:  On the maturity of the policy – Maturity Claim  On death of the policy holder – Death Claim  Survival up to specified period during the term – Survival benefits 3/31/2012 Tolani Institute of Management Studies 22
  • 22. In case of Endowment type of Policies, amount is payable at the end of the policy period.  Discharge Form & Policy Document  On receipt of these two documents post dated cheque is sent by post so as to reach the policyholder before the due date  The gross amount consists of Basic sum assured and bonus if any. 3/31/2012 Tolani Institute of Management Studies 23
  • 23. Same as maturity claims, sum assured becomes payable on expiry of full term but on survival of the insured.  In policies like, money back plan for 15 years term, 1/4th of the sum assured becomes payable on the life assured on surviving 5 year, further 1/4th becomes payable after additional 5 years and rest balance at the end of 15 years. 3/31/2012 Tolani Institute of Management Studies 24
  • 24. 2 Types:  Premature death claim – within 3 years  Other claim – after 3 years  Intimation of death is to be given by a proper person in writing. 1. Original Policy Bond 2. Death Certificate 3. Proof of relationship with the deceased person In case of Accidental Death Postmortern Report, FIR Copy , Final Police Report is also required 3/31/2012 Tolani Institute of Management Studies 25
  • 25. Suicide or attempted suicide or intentional self-inflicted injury  Under influence of drugs or alcohol, narcotics or psychotropic substance not prescribed by a Medical Professional.  War, Invasion, Civil War, Riots, Revolution or any war like operation.  Criminal or unlawful act  Service in the military or police  Flying activity other than as a paying passenger.  Racing vehicle. 3/31/2012 Tolani Institute of Management Studies 26
  • 26. An additional sum equal to the sum assured will be paid in monthly installments spread over10 years.  Future premiums are waived  Max. limit of additional benefit is 5,00,000 or 10,00,000 depending upon the insurer. 3/31/2012 Tolani Institute of Management Studies 27
  • 27. Pre-condition for granting such benefit are: ◦ Disability should be solely and directly as a result of accidental injury. ◦ Disability must be permanent ◦ Injury and disability must occur before the insured attains 60 years of age. 3/31/2012 Tolani Institute of Management Studies 28
  • 28. Tax benefit from Life Insurance Policies  The Indian Income Tax Act, make buying insurance “cheaper” as well as an efficient investment for long term savings.  On Premiums:  Section 80D of the Insurance Act is an effective way for the salaried person to reduce tax liability through life insurance policy.  Investments in Life Insurance premium is subject to rebate.  Premium: Paid by an individual in respect of: himself/herself, his/her spouse, and any of his/her children. Premium amount paid should not exceed 20% of the sum assured. Tolani Institute of Management 31 March 2012 29 Studies
  • 29.  Premiums paid for Health Related Riders: • Some of the critical illness, hospitalization cash and other health related riders attached to a Life Insurance policy may also be eligible for rebate under section 80D of the Insurance Act. • This deduction is available to both Individuals & HUF. • Rs.15,000 is the maximum amount deductible during the year for an individual as well as a senior citizen. • Condition for applicability of deduction is that the premium must be paid by cheque in the previous year out of the income chargeable to tax. Tolani Institue of Management Studies 31 March 2012 30
  • 30. Death Claims and Maturity Benefits: •Life Insurance Policies are under an EEE (Exempt-Exempt-Exempt) regime i.e. that the Premiums Paid, Income earned by the Investments, and payment of Maturity proceeds or claim are all exempt “E” from tax under section 10(10)(D) of the Income Tax Act. •The only policies that are not eligible for exemption on payment on maturity or claim are Single Premium Policies or Policies where the sum assured was less than 5 times the Premium paid. Tolani Institute of Management 31 March 2012 31 Studies
  • 31. Ratings Of Insurance Companies In India - Top 5 Companies Market Share (2009) Market Share (2008) LIC 64% 74% ICICI Prudential Life Insurance Co Ltd 11.8% 8.93% SBI Life Insurance Co Ltd 15% 6.99% Bajaj Allianz Life Insurance Co Ltd 13.1% 7.36% Reliance Life Insurance Co Ltd 9.8% 2.96% (Source: Insurance review) Tolani Institue of Management Studies 31 March 2012 32
  • 32. How Much Life Insurance Coverage Should Be Purchased?  The Rule of Thumb is- Coverage should equal to 6 to 10 times annual income.  The other Rule is- Coverage to cover his family consumption need. Tolani Institue of Management Studies 31 March 2012 33
  • 33. Functions of an Actuary in Life Insurance Business  Main function of an actuary in life insurance is to do assessment and valuation of mortality risk.  Due to medical advancement now the life span of an individual can be determined which reduce the uncertainty of death.  Due to which medical selection by the insurer is necessary and desirable both on the grounds of “actuarial fairness” i.e. charging premiums to different lives on the basis of their different levels of risk and for financial viability of the insurance company. Tolani Institue of Management Studies 31 March 2012 34
  • 34. Current News in Life Insurance Sector  Life insurance premium collection down by 22% -LIC premium collection down by 20.5% and 22 private life insurance premium down by 25%.  AUM of life insurer cross Rs. 15 lakh crore, due to rise in renewal premium which means that increasing number of policy holder are renewing their policies. Tolani Institue of Management Studies 31 March 2012 35

Editor's Notes

  1. Since only death risk is covered, the premium is low and the contract is simple. However some companies do offer participating policies under term life insurance plans.
  2. renewable term insurance involves a greater financial risk for the insurance company, therefore renewable term coverage generally costs a bit more
  3. M E: The term is fixed corresponding to the likely period when the daughter may get married.
  4. The amount available for rebate is Rs. 100,000 which can be invested in Life Insurance Premiums. Such amount invested in the instrument is eligible for rebate through deduction of the amount from gross taxable income.Pension superannuation fund, Employee provident fund, Equity linked mutual fund schemes (ELSS), National Savings Certificates Public provident fund (maximum Rs 70,000).
  5. Lic: has dropped from 74% a year before, mainly owing to entry of private players with innovative products and better sales force. ICICI Prudential Life Insurance Co Ltd : It experienced growth of 58% SBI Life Insurance Co Ltd :
  6. People will be more likely to take out contracts when they believe their risk is higher than the insurance company has allowed for in its premiums. This is known as anti-selection.