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Claim Settlement Ratio In 
Life Insurance Companies 
Submitted to: 
Dr. Sarang Narula 
Submitted by: 
Arshdeep Singh 
6805
 A protection against the loss of income that would 
result if the insured passed away. The named 
beneficiary receives the proceeds and is thereby 
safeguarded from the financial impact of the death of 
the insured. 
 The goal of life insurance is to provide a measure of 
financial security for your family after you die. So, 
before purchasing a life insurance policy, you should 
consider your financial situation and the standard of 
living you want to maintain for your dependents or 
survivors.
 Cheaper: Term life insurance is generally cheaper than other 
forms of insurance, thus allowing you to get the protection you 
need at a price you can afford. This is because of the simplicity of 
coverage and the possibility of the death benefit not being paid 
out. 
 Flexibility of period: You can get term life insurance protection 
for a period of time of your choosing. Most life insurance 
companies offer term life insurance coverage for a period of time 
ranging from 1 year to 30 years. 
 Multiple coverage options: Though term life insurance is 
thought of as the simplest of life insurance policies, it still offers 
many different options in order to better suit the needs of 
customers.
Claims Ratio (or claims settlement ratio) is the 
total number of claims approved by an 
insurance company, divided by the total no. of 
claims received by the insurance company.
 the overall quality of customer portfolio of the 
insurance company and 
 also indicates the chances that your claim will be 
settled. 
Higher the claims ratio, better will be your 
comfort level on claim settlement when applying 
for a term insurance plan.
INSURER CSR 
For 11- 
12 
CSR For 
10-11 
CSR For 
09-10 
Policy Name Premium 
LIC 97.42 97.03 96.54 Amulya Jeevan 15169 
ICICI Prudential 96.53 94.61 90.17 I Care 7303 
HDFC Life 96.17 95.41 91.14 Click 2 Protect 6067 
SBI Life 95.48 82.24 83.27 Smart Shield 8539 
Kotak Life 92.1 89.3 86.97 E Preferred 
Term 
5843 
Birla Sunlife 90.94 94.66 89.09 Protector Plus 8202 
Bajaj Allianz 90.61 88.69 88.19 I Secure 6505 
Max Life 89.84 77.96 65.51 Platinum 
Protect 
10281 
Aviva 89.55 84.15 87.11 I Life 4707 
ING Vysya 88.82 90.49 89.3 
Bharti AXA 87.7 87.17 77.8 E Protect 4607 
Star Union 86.16 80.69 58.33
Continued…. 
Insurer CSR For 11- 
12 
CSR For 10- 
11 
CSR For 09- 
10 
Policy 
Name 
Premium 
Reliance 
Life 
84.58 81.36 89.07 
TATA AIA 83.94 81.93 78.17 
India First 82.23 82.01 53.85 
Metlife 81.37 85.43 82.54 
Canara 
80.58 71.02 38.71 
HSBC 
Sahara 77.97 53.23 63.06 
Future 
68.06 50.52 38.85 
Generali 
IDBI Federal 67.46 64.92 49.52 
Aegon 
Religare 
66.06 52.31 48 I Term 4607 
Shriram 64.93 55.69 39.54
 ICICI Prudential, HDFC Life, SBI Life, Kotak Life 
and Birla Sunlife 
These 5 companies offer a good combination of higher 
claim settlement ratio with lower premiums. There is 
less to differentiate at the CSR level and the premium 
level, but the features of the product / plan offered can 
be a key differentiator.
 Public sector Life Insurance Corporation of India (LIC) has 
continued to outperform its private peers when it comes to 
claim settlement. According to the IRDA annual report FY 
2011-2012, the claim settlement ratio of LIC for individual 
death claims stood at 97.42 per cent during FY 2011-12, 
slightly better than 97.03 per cent during the previous year. 
Following LIC was the largest private life insurance 
company ICICI Prudential Life Insurance with a claim 
settlement ratio of 96.53 per cent, HDFC Life 96.17 per 
cent, SBI Life at 95 per cent and Kotak Life Insurance at 92 
per cent.
 In case of Death Claims 
 In case of Maturity Claims
 The death claim amount is payable in both conditions, 
when policy’s premiums is paid up-to-date and where 
the death occurs within the days of grace.
 Amount is payable at the end of the policy period 
when it is Endowment type of Policies, At least two 
months before the due date of payment the Branch 
which provide services to the policy intimate the 
policyholder by sending a letter informing the date on 
which the policy amount is payable. Discharged form 
duly filled is requested in return from the policyholder 
along with the all policy document. After receiving 
documents postdated cheque is sent by post so as to 
reach the policyholder before the due date.
 The intense competition brought about by deregulation 
has encouraged the industry to innovate in all areas; from 
underwriting, marketing, policy holder servicing to record-keeping 
 Aggressive marketing strategies by private sector insurers 
will buy consumer awareness of risk and expand the 
markets for products 
 Competition in a deregulated environment will allow 
market forces to set premiums that are appropriate for 
exposures and push insurers to differentiate their products 
and services 
 Innovations in distribution and improvements in market 
penetration will follow as public and private insurers 
compete to market their products
 Allowing insurers to issue their own policy wordings and set 
their own rates will enable underwriters to tailor products to 
meet client needs 
 The existence of stringent licensing requirements ensure that 
only adequately capitalized and professionally managed 
companies are eligible to carry out insurance and reinsurance 
 The Insurance Regulatory Development Authority of India’s 
(IRDA) emphasis on quarterly reporting/monitoring of insurer 
solvency will enhance capital adequacy and transparency 
 Licensed brokers are very much part of the intermediary 
structure and only those with adequate capital, professional 
experience and expertise will be licensed by IRDA
Life insurance

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Life insurance

  • 1. Claim Settlement Ratio In Life Insurance Companies Submitted to: Dr. Sarang Narula Submitted by: Arshdeep Singh 6805
  • 2.  A protection against the loss of income that would result if the insured passed away. The named beneficiary receives the proceeds and is thereby safeguarded from the financial impact of the death of the insured.  The goal of life insurance is to provide a measure of financial security for your family after you die. So, before purchasing a life insurance policy, you should consider your financial situation and the standard of living you want to maintain for your dependents or survivors.
  • 3.  Cheaper: Term life insurance is generally cheaper than other forms of insurance, thus allowing you to get the protection you need at a price you can afford. This is because of the simplicity of coverage and the possibility of the death benefit not being paid out.  Flexibility of period: You can get term life insurance protection for a period of time of your choosing. Most life insurance companies offer term life insurance coverage for a period of time ranging from 1 year to 30 years.  Multiple coverage options: Though term life insurance is thought of as the simplest of life insurance policies, it still offers many different options in order to better suit the needs of customers.
  • 4. Claims Ratio (or claims settlement ratio) is the total number of claims approved by an insurance company, divided by the total no. of claims received by the insurance company.
  • 5.  the overall quality of customer portfolio of the insurance company and  also indicates the chances that your claim will be settled. Higher the claims ratio, better will be your comfort level on claim settlement when applying for a term insurance plan.
  • 6.
  • 7. INSURER CSR For 11- 12 CSR For 10-11 CSR For 09-10 Policy Name Premium LIC 97.42 97.03 96.54 Amulya Jeevan 15169 ICICI Prudential 96.53 94.61 90.17 I Care 7303 HDFC Life 96.17 95.41 91.14 Click 2 Protect 6067 SBI Life 95.48 82.24 83.27 Smart Shield 8539 Kotak Life 92.1 89.3 86.97 E Preferred Term 5843 Birla Sunlife 90.94 94.66 89.09 Protector Plus 8202 Bajaj Allianz 90.61 88.69 88.19 I Secure 6505 Max Life 89.84 77.96 65.51 Platinum Protect 10281 Aviva 89.55 84.15 87.11 I Life 4707 ING Vysya 88.82 90.49 89.3 Bharti AXA 87.7 87.17 77.8 E Protect 4607 Star Union 86.16 80.69 58.33
  • 8. Continued…. Insurer CSR For 11- 12 CSR For 10- 11 CSR For 09- 10 Policy Name Premium Reliance Life 84.58 81.36 89.07 TATA AIA 83.94 81.93 78.17 India First 82.23 82.01 53.85 Metlife 81.37 85.43 82.54 Canara 80.58 71.02 38.71 HSBC Sahara 77.97 53.23 63.06 Future 68.06 50.52 38.85 Generali IDBI Federal 67.46 64.92 49.52 Aegon Religare 66.06 52.31 48 I Term 4607 Shriram 64.93 55.69 39.54
  • 9.  ICICI Prudential, HDFC Life, SBI Life, Kotak Life and Birla Sunlife These 5 companies offer a good combination of higher claim settlement ratio with lower premiums. There is less to differentiate at the CSR level and the premium level, but the features of the product / plan offered can be a key differentiator.
  • 10.  Public sector Life Insurance Corporation of India (LIC) has continued to outperform its private peers when it comes to claim settlement. According to the IRDA annual report FY 2011-2012, the claim settlement ratio of LIC for individual death claims stood at 97.42 per cent during FY 2011-12, slightly better than 97.03 per cent during the previous year. Following LIC was the largest private life insurance company ICICI Prudential Life Insurance with a claim settlement ratio of 96.53 per cent, HDFC Life 96.17 per cent, SBI Life at 95 per cent and Kotak Life Insurance at 92 per cent.
  • 11.  In case of Death Claims  In case of Maturity Claims
  • 12.  The death claim amount is payable in both conditions, when policy’s premiums is paid up-to-date and where the death occurs within the days of grace.
  • 13.  Amount is payable at the end of the policy period when it is Endowment type of Policies, At least two months before the due date of payment the Branch which provide services to the policy intimate the policyholder by sending a letter informing the date on which the policy amount is payable. Discharged form duly filled is requested in return from the policyholder along with the all policy document. After receiving documents postdated cheque is sent by post so as to reach the policyholder before the due date.
  • 14.  The intense competition brought about by deregulation has encouraged the industry to innovate in all areas; from underwriting, marketing, policy holder servicing to record-keeping  Aggressive marketing strategies by private sector insurers will buy consumer awareness of risk and expand the markets for products  Competition in a deregulated environment will allow market forces to set premiums that are appropriate for exposures and push insurers to differentiate their products and services  Innovations in distribution and improvements in market penetration will follow as public and private insurers compete to market their products
  • 15.  Allowing insurers to issue their own policy wordings and set their own rates will enable underwriters to tailor products to meet client needs  The existence of stringent licensing requirements ensure that only adequately capitalized and professionally managed companies are eligible to carry out insurance and reinsurance  The Insurance Regulatory Development Authority of India’s (IRDA) emphasis on quarterly reporting/monitoring of insurer solvency will enhance capital adequacy and transparency  Licensed brokers are very much part of the intermediary structure and only those with adequate capital, professional experience and expertise will be licensed by IRDA