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INSURANCE ACT 1938
Soumendra Roy
INTRODUCTION
 Insurance is the key to good financial planning. On one hand, it
safeguards your money and on the other, ensures its growth,
thus providing you with complete financial well being.
 Dictionary of business and Finance defines “Insurance as a
form of contract agreement under which one party agrees in
return for a consideration to pay an agreed amount of money to
another party to make good a loss, damage or injury to
something of value in which the insured has a interest as a
result of some uncertain event. It is a device by which loss likely
to be caused by an uncertain event is spread over a number of
persons who are exposed to it and who propose to insure
themselves against such an event”.
DEFINITIONS
Definition of life Insurance:-
As per section 2(ii) of the Insurance Act 1938, “life
insurance business is the business of effecting contract
upon human life”.
Definition of General Insurance:-
General Insurance Corporation of India was formed in
pursuance of section 9 (1) of GIBNA. It was incorporated on
22 November 1972 under the Companies Act 1956 as a
private company limited by shares. GIC was formed for the
purpose of superintending , controlling and carrying on the
business of general insurance.
IMPORTANCE OF INSURANCE
Provides protection against occurrence of uncertain
events.
Device for eliminating risks and sharing losses.
Co-operative method of spreading risks.
Facilitates international trade.
Serves as an agency of capital formation.
Financial support.
Medical support.
Source of employment.
TYPES OF INSURANCE
PRINCIPLES OF INSURANCE
Principle of Insurable interest.
Principle of Utmost Good Faith.
Principle of Indemnity.
Principle of Subrogation.
 Principle of Contribution.
Principle of Causa Proxima.
Principle of Mitigation of Loss.
LIFE INSURANCE PLANS
Term Insurance.
Endowment Insurance Plan.
Money Back Policy.
Group Life Insurance.
REGULATIONS OF INSURANCE BY IRDA
 Deposits.
 Investments.
 Valuation Of Assets.
 Submission of Returns.
 Insurance Advertisements.
 Foreign Exchange laws.
ACTS GOVERNING INSURANCE
The insurance Act, 1938 to govern all form of insurance
and to provide strict control over insurance business.
 Insurance Regulatory and authority act, 1999 (to
provide) for the establishment of an authority to
protect the interest of the holder of insurance policy, to
regulate, promote and ensure orderly growth of
insurance industry and for matter connected therewith
or incidental thereto and future to amend the
Insurance Act, 1938, the Life Insurance Corporation Act,
1956 and the general insurance business
(Nationalization) act, 1972.
The Actuaries Act, 2006 (An Act to provide for
regulating and developing the profession of Actuaries
and for matters connected therewith or incidental
thereto).
INSURANCE LAW REGULATIONS
Insurance law regulations in India manage all the
matters related to various insurance companies in
the country. The concept of insurance in India dates
back to the ancient period.
 Entry of Private Companies.
Regulatory Authorities.
Insurance Regulatory and Development Authority.
INSURANCE REGULATORY & DEVELOPMENT
AUTHORITY
Insurance Regulatory & Development Authority is
regulatory and development authority under
Government of India in order to protect the
interests of the policyholders and to regulate,
promote and ensure orderly growth of the
insurance industry.
Powers and Functions of IRDA.
Impact Of IRDA On Indian Insurance Sector.
• According to section 2C of the act, only certain business
entities may conduct insurance business in India.
• An insurance business must be a society registered under the
Co-operative Societies Act or be registered according to the
laws of any other state that relate to co-operative societies.
• A public company -- a company with shares that can be
owned by members of the public -- can be an insurance
company, and any business entity other than a private
company that is registered according to the appropriate laws
of another state can conduct insurance business in India.
• Since the Insurance Regulatory and Development Authority
Act of 1999, only Indian companies can conduct insurance
business in India.
GUIDELINES FOR INSURANCE COMPANIES
• Registration
 Insurance companies in India must register as insurance
businesses to conduct insurance business.
 The Insurance Regulatory and Development Authority (IRDA)
is responsible for administering insurance business
registration.
 The IRDA issues a certificate of authorization to each
registered insurance business, and this certificate of
registration must be renewed annually on March 31.
 Insurance businesses must apply for their renewal certificates
before Dec. 31 of the year prior to the renewal.
 According to section 3A of the act, the renewal fee varies, as
it is based on the amount of insurance premium business that
the company wrote in the year before the renewal
application.
GUIDELINES FOR INSURANCE COMPANIES
• Separation of Accounts
 Some insurance businesses may conduct several types of
insurance business, such as life insurance, marine insurance
and fire insurance.
 Section 10 of the act states that when an insurance
business conducts multiple types of insurance business, the
insurer must keep a separate account for each type of
insurance business.
 If the insurer conducts life insurance business, the insurer
must not only keep separate accounts for the life insurance
business but also must keep these receipts separate from
receipts relating to other insurance business.
 The insurer must keep life insurance receipts in a fund
called the life insurance fund.
GUIDELINES FOR INSURANCE COMPANIES
• Winding Up
 The courts may order the winding up of an insurance business
under certain circumstances set out in section 53 of the act.
 Winding up means the disposal of the assets of the business
and using the proceeds to pay off outstanding debts.
 The courts may order the winding up of an insurance business
if the business has not maintained a certain level of funds
with the Reserve Bank of India.
 These funds differ from company to company and are
designed to ensure the solvency of an insurance business.
 The courts may also order the winding up of an insurance
business that has failed to comply with any provision
contained in the act and still fails to comply three months
after notification of the failure by the IRDA.
GUIDELINES FOR INSURANCE COMPANIES
GUIDELINES
Business Obligation
Rural Sector
Life insurance 5% in 1st financial year
General Insurance 2% in 1st financial year
Social Sector :- In respect of all insurer
1st year – 5000 lives
2nd year – 7500 lives
3rd year - 10000 lives
OTHER IMPORTANT SECTION
• Section 50- An insurer must, within three months of
the lapsing of a life policy, give notice to the
policyholder in forming him of the options available
to him.
• Section 113-if premiums have been paid for three
Years under a policy where a definite number of
premiums is payable, the policy shall acquire a
surrender value and shall not lapse not with
standing any contract to the contrary, but shall be
kept in Force to the extent of its paid-up value
OMBUDSMEN
• Appointed in accordance with the redressal of
public grievances rules 1998, to resolve all
complaints relating to settlement of claims in a
cost effective and efficient manner .
SECTION 27 :- INVESTMENT OF ASSETS
• Sec 27c :- According to this no insurer can invest
the fund of policyholders outside of India
• Sec 27D :- Manner and condition of investment
Sector Life Insurance general Insurance
Govt. Securities 25% Not less than20 %
Other approved Securities Not less then 25% More than 10 %
Infrastructure Not less than 15% Not less than 10 %
Housing and loan to govt - More than 5%
Prudential norms Maximum 20 % Maximum 30 %
AMENDMENT OF 1950
• Large Number of Insurance companies
• High level of Competition
• Unfair trade practices
• 19th January, 1956 Nationalizing the life insurance
sector and LIC came in to existence
• LIC absorbed 154 Indian, 16 non Indian insurers
and 75 provident societies
• LIC had monopoly till the late 90 when the
insurance sector was reopened to the private sector
Major Amendments in Insurance act
1972
• The General Insurance Business (Nationalization) Act, 1972 nationalized the
general insurance business in India with effect from 1 January 1973
• The General Insurance Business Act of 1972 was enacted to nationalize the
about 100 general insurance companies then and subsequently merging
them into four companies..(Source:-
http://en.wikipedia.org/wiki/Insurance_in_India)
1999
• The Insurance Regulatory and Development Authority Act, 1999
• The government then introduced the Insurance Regulatory and
Development Authority Act in 1999, thereby de-regulating the
insurance sector and allowing private companies.(Source:-
http://en.wikipedia.org/wiki/Insurance_in_India)
Section 45
• This section deals with the right of the insurer to
repudiate policy on the life of the insured-
“Policy not to be called in question on ground of
misstatement after 3 years”
Insurance act 1938 iibs

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Insurance act 1938 iibs

  • 2. INTRODUCTION  Insurance is the key to good financial planning. On one hand, it safeguards your money and on the other, ensures its growth, thus providing you with complete financial well being.  Dictionary of business and Finance defines “Insurance as a form of contract agreement under which one party agrees in return for a consideration to pay an agreed amount of money to another party to make good a loss, damage or injury to something of value in which the insured has a interest as a result of some uncertain event. It is a device by which loss likely to be caused by an uncertain event is spread over a number of persons who are exposed to it and who propose to insure themselves against such an event”.
  • 3. DEFINITIONS Definition of life Insurance:- As per section 2(ii) of the Insurance Act 1938, “life insurance business is the business of effecting contract upon human life”. Definition of General Insurance:- General Insurance Corporation of India was formed in pursuance of section 9 (1) of GIBNA. It was incorporated on 22 November 1972 under the Companies Act 1956 as a private company limited by shares. GIC was formed for the purpose of superintending , controlling and carrying on the business of general insurance.
  • 4. IMPORTANCE OF INSURANCE Provides protection against occurrence of uncertain events. Device for eliminating risks and sharing losses. Co-operative method of spreading risks. Facilitates international trade. Serves as an agency of capital formation. Financial support. Medical support. Source of employment.
  • 6. PRINCIPLES OF INSURANCE Principle of Insurable interest. Principle of Utmost Good Faith. Principle of Indemnity. Principle of Subrogation.  Principle of Contribution. Principle of Causa Proxima. Principle of Mitigation of Loss.
  • 7. LIFE INSURANCE PLANS Term Insurance. Endowment Insurance Plan. Money Back Policy. Group Life Insurance.
  • 8. REGULATIONS OF INSURANCE BY IRDA  Deposits.  Investments.  Valuation Of Assets.  Submission of Returns.  Insurance Advertisements.  Foreign Exchange laws.
  • 9. ACTS GOVERNING INSURANCE The insurance Act, 1938 to govern all form of insurance and to provide strict control over insurance business.  Insurance Regulatory and authority act, 1999 (to provide) for the establishment of an authority to protect the interest of the holder of insurance policy, to regulate, promote and ensure orderly growth of insurance industry and for matter connected therewith or incidental thereto and future to amend the Insurance Act, 1938, the Life Insurance Corporation Act, 1956 and the general insurance business (Nationalization) act, 1972. The Actuaries Act, 2006 (An Act to provide for regulating and developing the profession of Actuaries and for matters connected therewith or incidental thereto).
  • 10. INSURANCE LAW REGULATIONS Insurance law regulations in India manage all the matters related to various insurance companies in the country. The concept of insurance in India dates back to the ancient period.  Entry of Private Companies. Regulatory Authorities. Insurance Regulatory and Development Authority.
  • 11. INSURANCE REGULATORY & DEVELOPMENT AUTHORITY Insurance Regulatory & Development Authority is regulatory and development authority under Government of India in order to protect the interests of the policyholders and to regulate, promote and ensure orderly growth of the insurance industry. Powers and Functions of IRDA. Impact Of IRDA On Indian Insurance Sector.
  • 12. • According to section 2C of the act, only certain business entities may conduct insurance business in India. • An insurance business must be a society registered under the Co-operative Societies Act or be registered according to the laws of any other state that relate to co-operative societies. • A public company -- a company with shares that can be owned by members of the public -- can be an insurance company, and any business entity other than a private company that is registered according to the appropriate laws of another state can conduct insurance business in India. • Since the Insurance Regulatory and Development Authority Act of 1999, only Indian companies can conduct insurance business in India. GUIDELINES FOR INSURANCE COMPANIES
  • 13. • Registration  Insurance companies in India must register as insurance businesses to conduct insurance business.  The Insurance Regulatory and Development Authority (IRDA) is responsible for administering insurance business registration.  The IRDA issues a certificate of authorization to each registered insurance business, and this certificate of registration must be renewed annually on March 31.  Insurance businesses must apply for their renewal certificates before Dec. 31 of the year prior to the renewal.  According to section 3A of the act, the renewal fee varies, as it is based on the amount of insurance premium business that the company wrote in the year before the renewal application. GUIDELINES FOR INSURANCE COMPANIES
  • 14. • Separation of Accounts  Some insurance businesses may conduct several types of insurance business, such as life insurance, marine insurance and fire insurance.  Section 10 of the act states that when an insurance business conducts multiple types of insurance business, the insurer must keep a separate account for each type of insurance business.  If the insurer conducts life insurance business, the insurer must not only keep separate accounts for the life insurance business but also must keep these receipts separate from receipts relating to other insurance business.  The insurer must keep life insurance receipts in a fund called the life insurance fund. GUIDELINES FOR INSURANCE COMPANIES
  • 15. • Winding Up  The courts may order the winding up of an insurance business under certain circumstances set out in section 53 of the act.  Winding up means the disposal of the assets of the business and using the proceeds to pay off outstanding debts.  The courts may order the winding up of an insurance business if the business has not maintained a certain level of funds with the Reserve Bank of India.  These funds differ from company to company and are designed to ensure the solvency of an insurance business.  The courts may also order the winding up of an insurance business that has failed to comply with any provision contained in the act and still fails to comply three months after notification of the failure by the IRDA. GUIDELINES FOR INSURANCE COMPANIES
  • 16. GUIDELINES Business Obligation Rural Sector Life insurance 5% in 1st financial year General Insurance 2% in 1st financial year Social Sector :- In respect of all insurer 1st year – 5000 lives 2nd year – 7500 lives 3rd year - 10000 lives
  • 17. OTHER IMPORTANT SECTION • Section 50- An insurer must, within three months of the lapsing of a life policy, give notice to the policyholder in forming him of the options available to him. • Section 113-if premiums have been paid for three Years under a policy where a definite number of premiums is payable, the policy shall acquire a surrender value and shall not lapse not with standing any contract to the contrary, but shall be kept in Force to the extent of its paid-up value
  • 18. OMBUDSMEN • Appointed in accordance with the redressal of public grievances rules 1998, to resolve all complaints relating to settlement of claims in a cost effective and efficient manner .
  • 19. SECTION 27 :- INVESTMENT OF ASSETS • Sec 27c :- According to this no insurer can invest the fund of policyholders outside of India • Sec 27D :- Manner and condition of investment Sector Life Insurance general Insurance Govt. Securities 25% Not less than20 % Other approved Securities Not less then 25% More than 10 % Infrastructure Not less than 15% Not less than 10 % Housing and loan to govt - More than 5% Prudential norms Maximum 20 % Maximum 30 %
  • 20. AMENDMENT OF 1950 • Large Number of Insurance companies • High level of Competition • Unfair trade practices • 19th January, 1956 Nationalizing the life insurance sector and LIC came in to existence • LIC absorbed 154 Indian, 16 non Indian insurers and 75 provident societies • LIC had monopoly till the late 90 when the insurance sector was reopened to the private sector
  • 21. Major Amendments in Insurance act 1972 • The General Insurance Business (Nationalization) Act, 1972 nationalized the general insurance business in India with effect from 1 January 1973 • The General Insurance Business Act of 1972 was enacted to nationalize the about 100 general insurance companies then and subsequently merging them into four companies..(Source:- http://en.wikipedia.org/wiki/Insurance_in_India) 1999 • The Insurance Regulatory and Development Authority Act, 1999 • The government then introduced the Insurance Regulatory and Development Authority Act in 1999, thereby de-regulating the insurance sector and allowing private companies.(Source:- http://en.wikipedia.org/wiki/Insurance_in_India)
  • 22. Section 45 • This section deals with the right of the insurer to repudiate policy on the life of the insured- “Policy not to be called in question on ground of misstatement after 3 years”

Editor's Notes

  1. All the companies were amalgamated into National Insurance, New India Assurance, Oriental Insurance and United India Insurance, which were headquartered in each of the four metropolitan cities 1972: The General Insurance Business (Nationalization) Act, 1972 nationalized the general insurance business in India with effect from 1 January 1973.(Source:- http://www.ccsindia.org/ccsindia/interns2003/chap32.pdf) “An act to provide for the acquisition and transfer of shares of Indian insurance companies and undertakings of other existing insurers in order to serve better the need of the economy by securing the development of general insurance business in the best interests of the community and to ensure that the operation of the economic system does not result in the concentration of wealth to the common detriment, for the regulation and control of such business and for matters connected therewith or incidental “(Source:- http://www.gicofindia.com/Downloads/001GICRE0GIBNA1972.pdf) The General Insurance Business Act of 1972 was enacted to nationalise the about 100 general insurance companies then and subsequently merging them into four companies. All the companies were amalgamated into National Insurance, New India Assurance, Oriental Insurance and United India Insurance, which were headquartered in each of the four metropolitan cities.(Source:- http://en.wikipedia.org/wiki/Insurance_in_India) 1999: The Insurance Regulatory and Development Authority Act, 1999 “An act to provide for the establishment of an authority to protect the interest of holders of insurance policies, to regulate ,promote and ensure orderly growth of the insurance industry and for the matters connected therewith”(Source:- http://www.gujhealth.gov.in/images/pdf/legis/development-authority-act.pdf) Until 1999, there were not any private insurance companies in India. The government then introduced the Insurance Regulatory and Development Authority Act in 1999, thereby de-regulating the insurance sector and allowing private companies.(Source:- http://en.wikipedia.org/wiki/Insurance_in_India)