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Insurance
Protection related prodcuts and services. Need, importance and
fundamental principles of insurance.
5
Insurance is one of those things
we all should have, but hope we
will never need!
Need for Insurance
◉ To protect against loss of income due to accidental death
or disability.
◉ To pay for your medical expenses in case of critical illness
or unexpected health issues.
◉ To pay for the cost of replacement or repair of your vehicle
if you meet with an accident.
◉ To pay for the cost of repair following damage or
destruction of your home in fire or flood like incidents.
◉ Financial coverage when you are legally liable to pay for
third party injury or damage due to accident.
Concept of Insurance
◉ Group of same risk individuals,
agree to share the loss.
◉ Risk is spread in bearable small
losses.
◉ Occurrence is random or
accidental and not deliberate.
How insurance works?
You take an insurance for
your assets or yourself.
Insurer is the company
which provides insurance
services.
You become a member of
the group of same policy.
Insurer compensates you
by providing for the loss.
You suffer a loss on
something you have
insured.
You pay a fee (premium)
to your insurer to remain
a member of the group.
Insurance company earned as not everyone in the group (there may be lakhs) suffered a loss.
Insurance is a
Risk Management tool.
Fundamental Principles of Insurance
Nature of Contract
Contract between both
insurer and insured, entered
with free consent.
Insurable Interest
The insured must have an
insurable interest in the
subject.
Utmost Faith
Both parties should have
faith over each other and
disclose all information.
Indemnity
Insured would be
compensated for the actual
loss, not more.
Subrogation
It enables the insurer to
claim from third party
responsible for loss.
Proximate Cause
When the loss is result of
two or more causes, most
dominant is considered.
Common Types of Isurance
Insurance
Life General
Health Motor Home Disability Travel
Video: Life Insurance
19
Types of Life Insurance Policies
Term Insurance Plan
◉ Term plans are the most basic form of life
insurance.
◉ Provide life cover with no savings / profits
component.
◉ Most affordable form of life insurance as
premiums are cheaper.
◉ The sum assured is paid if the policyholder
expires over the policy term.
◉ If the policyholder survives, there is no pay out.
Whole Life Policy
◉ Validity of the policy is not defined.
◉ Individual enjoys the life cover throughout
his/her life.
◉ Policyholder pays regular premiums until death.
◉ Sum assured is paid out to the beneficiaries.
◉ The policy expires only in case of an eventuality.
◉ Premiums paid under the whole life policies are
tax exempt.
Endowment Policy
◉ Endowment plans combine risk cover with
financial savings.
◉ Pay out the sum assured and profits under
both scenarios; death and survival.
◉ Charge higher premiums.
◉ The profits are an outcome of premiums being
invested in asset markets; equities and debt.
◉ Premiums paid under the pure endowment
policies are tax exempt.
Video: ULIP
110
ULIP
◉ ULIPs are market-linked life insurance products.
◉ Provide a combination of life cover and wealth
creation options.
◉ Part of the premium goes toward providing life
cover, while the rest is invested in equity and
debt instruments.
◉ Individuals can choose the allocation for
investments in stock/debt markets.
◉ Useful for achieving various long-term financial
goals.
Money Back Policy
◉ It gives periodic payments over the policy term.
◉ A portion of the sum assured is paid out at
regular intervals.
◉ If the policy holder survives the term, he/she
gets the balance sum assured.
◉ In case of death over the policy term, the
beneficiary gets the full sum assured.
◉ The premiums paid and the returns accumulated
are tax exempt.
Annuity/ Pension Plans
◉ Financial stability during your old age.
◉ Protect against financial risks as well as provide
money in the form of pension at periodic
intervals.
◉ Most suited for senior citizens and those
planning a secure future.
◉ Premium is to be paid in a lump sum.
Other Important Aspects
◉ Death due to accidents can be covered for additional sum assured.
◉ Policies available exclusively for women & children.
◉ Premium payment options: monthly, quarterly, half yearly, yearly.
◉ Loans available on certain policies, subject to terms and conditions.
◉ Lapsed policies can be revived and also policies can be surrendered
before maturity.
◉ The younger you are when you buy, the more cost effective it will
likely be.
Video: Motor Insurance
111
Motor Insurance
◉ Two types: Liability only and packaged policy.
◉ Packaged policy includes Owners damage along with third party
liability.
◉ Third Party Insurance is a statutory requirement.
◉ Compulsory Personal accident cover for owner-driver is also included.
◉ Vehicle owner is legally liable for any injury or damage to third party
life or property.
◉ Driving a motor vehicle without insurance in a public place is a
punishable offence.
Health Insurance
Critical Illness vs Health Insurance
Particulars Critical Illness Insurance Health Insurance
Meaning
It is a policy to cover life threatening diseases like
tumor, permanent paralysis, etc.
It is a comprehensive cover that includes
hospitalization expenses.
Benefits
Hospitalization is not required because diagnosis is
enough to get critical illness benefits. The insured
receives the entire amount at once.
The insured can reimburse hospitalization expenses
by submitting bills. He can also opt for cashless
facility at network hospitals.
Coverage
It has restricted coverage because it covers only 6-
12 diseases.
It offers an extensive coverage, including
hospitalization expenses.
Tenure It is taken for a long duration, usually 15-20 years.
It is an annual contract, wherein the policy must be
renewed after 1 year.

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FETP Session 5 - Insurance

  • 1. Insurance Protection related prodcuts and services. Need, importance and fundamental principles of insurance. 5
  • 2. Insurance is one of those things we all should have, but hope we will never need!
  • 3. Need for Insurance ◉ To protect against loss of income due to accidental death or disability. ◉ To pay for your medical expenses in case of critical illness or unexpected health issues. ◉ To pay for the cost of replacement or repair of your vehicle if you meet with an accident. ◉ To pay for the cost of repair following damage or destruction of your home in fire or flood like incidents. ◉ Financial coverage when you are legally liable to pay for third party injury or damage due to accident.
  • 4. Concept of Insurance ◉ Group of same risk individuals, agree to share the loss. ◉ Risk is spread in bearable small losses. ◉ Occurrence is random or accidental and not deliberate.
  • 5. How insurance works? You take an insurance for your assets or yourself. Insurer is the company which provides insurance services. You become a member of the group of same policy. Insurer compensates you by providing for the loss. You suffer a loss on something you have insured. You pay a fee (premium) to your insurer to remain a member of the group. Insurance company earned as not everyone in the group (there may be lakhs) suffered a loss.
  • 6. Insurance is a Risk Management tool.
  • 7. Fundamental Principles of Insurance Nature of Contract Contract between both insurer and insured, entered with free consent. Insurable Interest The insured must have an insurable interest in the subject. Utmost Faith Both parties should have faith over each other and disclose all information. Indemnity Insured would be compensated for the actual loss, not more. Subrogation It enables the insurer to claim from third party responsible for loss. Proximate Cause When the loss is result of two or more causes, most dominant is considered.
  • 8. Common Types of Isurance Insurance Life General Health Motor Home Disability Travel
  • 10. Types of Life Insurance Policies
  • 11. Term Insurance Plan ◉ Term plans are the most basic form of life insurance. ◉ Provide life cover with no savings / profits component. ◉ Most affordable form of life insurance as premiums are cheaper. ◉ The sum assured is paid if the policyholder expires over the policy term. ◉ If the policyholder survives, there is no pay out.
  • 12. Whole Life Policy ◉ Validity of the policy is not defined. ◉ Individual enjoys the life cover throughout his/her life. ◉ Policyholder pays regular premiums until death. ◉ Sum assured is paid out to the beneficiaries. ◉ The policy expires only in case of an eventuality. ◉ Premiums paid under the whole life policies are tax exempt.
  • 13. Endowment Policy ◉ Endowment plans combine risk cover with financial savings. ◉ Pay out the sum assured and profits under both scenarios; death and survival. ◉ Charge higher premiums. ◉ The profits are an outcome of premiums being invested in asset markets; equities and debt. ◉ Premiums paid under the pure endowment policies are tax exempt.
  • 15. ULIP ◉ ULIPs are market-linked life insurance products. ◉ Provide a combination of life cover and wealth creation options. ◉ Part of the premium goes toward providing life cover, while the rest is invested in equity and debt instruments. ◉ Individuals can choose the allocation for investments in stock/debt markets. ◉ Useful for achieving various long-term financial goals.
  • 16. Money Back Policy ◉ It gives periodic payments over the policy term. ◉ A portion of the sum assured is paid out at regular intervals. ◉ If the policy holder survives the term, he/she gets the balance sum assured. ◉ In case of death over the policy term, the beneficiary gets the full sum assured. ◉ The premiums paid and the returns accumulated are tax exempt.
  • 17. Annuity/ Pension Plans ◉ Financial stability during your old age. ◉ Protect against financial risks as well as provide money in the form of pension at periodic intervals. ◉ Most suited for senior citizens and those planning a secure future. ◉ Premium is to be paid in a lump sum.
  • 18. Other Important Aspects ◉ Death due to accidents can be covered for additional sum assured. ◉ Policies available exclusively for women & children. ◉ Premium payment options: monthly, quarterly, half yearly, yearly. ◉ Loans available on certain policies, subject to terms and conditions. ◉ Lapsed policies can be revived and also policies can be surrendered before maturity. ◉ The younger you are when you buy, the more cost effective it will likely be.
  • 20. Motor Insurance ◉ Two types: Liability only and packaged policy. ◉ Packaged policy includes Owners damage along with third party liability. ◉ Third Party Insurance is a statutory requirement. ◉ Compulsory Personal accident cover for owner-driver is also included. ◉ Vehicle owner is legally liable for any injury or damage to third party life or property. ◉ Driving a motor vehicle without insurance in a public place is a punishable offence.
  • 22. Critical Illness vs Health Insurance Particulars Critical Illness Insurance Health Insurance Meaning It is a policy to cover life threatening diseases like tumor, permanent paralysis, etc. It is a comprehensive cover that includes hospitalization expenses. Benefits Hospitalization is not required because diagnosis is enough to get critical illness benefits. The insured receives the entire amount at once. The insured can reimburse hospitalization expenses by submitting bills. He can also opt for cashless facility at network hospitals. Coverage It has restricted coverage because it covers only 6- 12 diseases. It offers an extensive coverage, including hospitalization expenses. Tenure It is taken for a long duration, usually 15-20 years. It is an annual contract, wherein the policy must be renewed after 1 year.