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Insurance-Introduction
What is Insurance
Insurance is a
protection against
financial loss arising
on the happening of
an unexpected event.
Insurance companies
collect premiums to
provide for this
protection.
A loss is paid out of
the premiums
collected from the
insuring public.
Insurance Companies
act as trustees to the
amount collected
4
Insurance is a
contract between 2
parties.
On party called the
insurer who
undertakes for a fixed
amount called
premium
.
To pay the other
party called the
insured a fixed
amount of money on
the happening of an
certain event
.
Fundamental Principles of Insurance
Utmost good faith Insurable interest Indemnity
Subrogation Contribution Proximate cause
Utmost Good Faith
Insured has a legal duty to
disclose all information about
the proposed contract of
insurance to the insurers
whether such information is
requested or not.
Utmost Good Faith
Insured has a legal duty to disclose all information
about the proposed contract of insurance to the
insurers whether such information is requested or
not.
Fire Insurance –
Construction,
Occupancy,
Stock – nature of
goods
Motor Insurance –
Cubic Capacity ,
year of manufacture,
tonnage, purpose etc.
It constitutes the legal rights to
insure arising out of a financial
relationship, recognized as law
between the insured and the
subject matter of insurance
Ownership of property Ownership of property Our own life
Insurable Interest
Fnancial compensation
sufficient to place the
insured in the same
financial position after a
loss as he enjoyed
Repair Reinstatement Replacement Money Transfer
Indemnity
Subrogation
This is defined as the
transfer of rights and
remedies of the
insured to the insurer
who has indemnified
the insured in respect
of the loss
Letter of subrogation
Ex : Vehicle theft claim
Contribution
 An insured may have several insurances on the same subject matter. If he
recovers his loss under all these insurances, he will obviously make a profit
out of the loss.
 The right of insurers who have paid a loss under a policy to recover a
proportionate amount from other insurers who are liable for the same loss.
 The common law principle allows the insured to recover his full loss within
the sum insured from any insurers he likes.
Proximate Cause
It means the active efficient cause
that sets in motion a train of events
which brings about a result, without
the intervention of any force started
and working actively from a new and
independent source.
A person insured under personal
accident policy went out hunting
and met with an accident. Due to
shock and weakness he was unable
to walk. From the wet ground he
contracted cold which developed
into pneumonia which caused his
death. The proximate cause of death
was the original accident and
pneumonia is only a remote cause
and hence the claim is payable.
Classification
General Insurance
Property Insurance
Fire,Burglary,Engineerin
g,Miscellaneous
accident
Motor Insurance
Two Wheeler/Private
car/Commercial Vehicles
Liability Insurance
Employees Liability,
Public Liability. Products
liability and professional
indemnity
Personal accident &
health insurance
Fire Insurance Cover for
Building
Machinery,
Equipments
Furniture,
Fixtures and
fittings
Finished
Goods, Stock in
transit, Raw
materials
Type of risks covers under
Standard Fire & Special Perils policy
 Fire
 Lightning
 Explosion/Implosion
 Aircraft Damage
 Riot, Strike, Malicious Damage
 Storm, Cyclone, Tornado, Tempest, Hurricane, Flood and Inundation
 Impact Damage
 Subsidence and Land Slide including Rock Slide
 Bursting/or overflowing of water tanks, apparatus and pipes
 Missile testing operations
Burglary Insurance is to indemnify the
Insured against loss or damage to the
property
Burglary Coverage:
Theft of property after actual forcible &
violent entry into the premises by
person/persons
Theft of property by a person and
subsequently breaking out of the
premises by forcible means
Hold up
Burglary Insurance
Engineering sector – Types of policies
Machinery Breakdown Insurance
Contractor’s All Risk Insurance
Contractors Pant & Machinery
Insurance
Boiler & Pressure Plant Insurance
Electronic Equipment Insurance
Machinery Breakdown
Insurance
This policy covers all kinds of
losses due to accidental,
electrical and mechanical
breakdowns as a result of
internal causes. It covered during
the machinery is in operation or
at rest or in the process of being
dismantled, overhauled or during
subsequent re-erection at the
same premises.
Extensions
Air freight
Express freight
(excluding
airfreight),
overtime and
holiday wages
Insured’s own
surrounding
property
Third Party
Liability
Machinery Breakdown Insurance
covers all kinds of losses
due to accidental, electrical
and mechanical breakdowns
as a result of internal causes
Air freight
Express freight (excluding
airfreight), overtime and
holiday wages
Insured’s own surrounding
property
Third Party Liability
Contractor’s All Risk
 The policy covers the civil engineering projects such as buildings, roads,
airports, flyovers, water tanks, sewage treatment plants etc.
 Unless specifically excluded, this covers the accidental physical loss or
damage to contract works during the execution of a civil engineering project.
 Coverage begins from the commencement of works or after unloading of
the first consignment at the project site, whichever is earlier, and terminates
on handling over of the works to the principal or on expiry of the policy,
whichever is earlier.
Main extensions of CAR Policy
Earthquake Act of terrorism Escalation
Limited
maintenance cover
Extended
maintenance cover
Clearance and
removal of debris
Damage to owner’s
surrounding
property
Third Party Liability Cross liability Express freight
holiday
overtime rates of
wages
Contractor’s Plant
and Machinery
Contractor’s Plant and Machinery
Insurance
It covers the loss or damage to the
Contractor’s construction mobile
equipment such as bulldozers, cranes,
excavators, compressors etc. due to an
accident arising out of external perils. The
cover is operative while the insured
property is at work or at the rest, or being
dismantled for the purpose of cleaning or
overhauling or during subsequent re-
erection.
Extensions
Air freight
Express freight
(excluding
airfreight
overtime and
holiday wages
Insured’s own
surrounding
property
Third Party
Liability
Clearance and
removal of debris
Escalation
Additional custom
duty
Act of terrorism
Boiler and Pressure Plant Insurance
This policy covers boilers
of various kinds,
pressure plants and
vessels under pressure,
including fired and
unfired, against loss
and/or damage due to
explosion or collapse
Additional Coverage
Damage to the owners
existing surrounding
property
Damage to third party
property and/or
personal injury
Express freight
(excluding airfreight),
overtime and holiday
wages
Airfreight Additional custom duty Escalation
Electronic Equipment System
It provides comprehensive
coverage for electronic equipment.
It includes physical loss or damage
to all electronic equipment and
data media, as well as the
increased cost of working resulting
from an accidental and unforeseen
physical loss or damage to the
electronic equipment.
For a nominal additional
premium, the policy can
be extended to cover risk
of terrorism.
Motor Insurance
Liability only policy Package Policy
covers Third party liability
for bodily injury and/or
death and property
damage as specified.
Personal Accident cover
for owner driver included.
covers loss or
damage to the
vehicle insured
plus liability cover
Risk Covered on Package Policy
 Indemnifies the insured against loss or damage to the vehicle
insured and/or its accessories by
 Malicious act
 Terrorist activity
 Whilst in transit by road, rail inland-waterway lift, elevator or air
 By landslide rockslide
Salient Features of Motor Tariff
1. Insured’s Declared Value (IDV)
This is Insured Estimated value
in Motor Insurance. It is deemed
to be the sum insured for the
purpose of Motor Tariff and to be
fixed at the commencement of
each policy period for each
insured vehicle. It is calculated
on the basis of the
manufacturer’s current listed
price of the brand/model and the
age of the vehicle.
Insured Declared Value
Upto 6 months 5%
6 months to 1 year 15%
1 year to 2 years 20%
2 years to 3 years 30%
3 years to 4 years 40%
4 years to 5 years 50%
2. No Claim Bonus
This is a discount in the premium allowed
at the time of renewal if there is “No claim”
during the policy period. The percentage of
discount given per year of renewal is as
follows:-
No Claim Bonus
1st year Nil
2nd year 20%
3rd Year 25%
4th Year 35%
5th year 45%
6th year 50%
AIMS Add On…
Competitive
premium rate-
Discount up to
70%
Instant coverage /
Renewal coverage
Claims
management
services and
follow-up
Cashless settlement
of claim within
15 days after
getting all
relevant claims
papers
Exclusive experts
for claim
analysis
Freedom of
choice to
select the
insurer
Liability Insurance
Employee
Liability – WC
Policy
Public Liability
Product Liability
Professional Liability
Employee Liability Insurance(Workmen’s compensation
Insurance)
 This policy covers the statutory liability of an employer for the death
of or bodily injuries or occupational diseases sustained by workmen
in the insured’s immediate service and arising out of and in the
course of employment.
 Any employer whether as a principal or contractor engaging
“workmen” as defined in the Workmen Compensation Act or any
employee who shares the Employer-Employee relationship.
Who needs these policies
Public Liability
This policy provides indemnify to
the insured against their legal
liability to pay compensation in
accordance with the Indian Laws
which covers the following
Accidental bodily injury to any
person not being a member of
the insured family or engaged in
the service of the insured.
Accidental loss or damage to
property not being property
belonging to or in the custody of
the insured or any person in the
service of the insured.
Product Liability Insurance
Coverage of a manufacturer’s liability for losses or
injuries to a buyer, user or bystander caused by a
product defect or malfunction
Accidental death/bodily injury or disease to any third
party
Accidental damage to property belonging to a third
party
Professional Indemnity
This policy provides
protection for professional
like Doctors, Solicitors,
Chartered accountants,
Architects et. Against their
legal liability to pay damages
arising out of negligence in
the performance of their
professional duties
Fidelity Guarantee
Covers
Financial loss sustained as a
result of infidelity, which includes
fraud, dishonesty, forgery,
embezzlement, larceny,
misappropriation, default or
fraudulent conversion of money
or stocks committed by salaried
employees in the course of
performance of duties
This policy is issued to the
employers to cover loss the
infidelity of employees occupying
positions of trust involving duties
such as handling cash, stock-
keeping etc.
Money/Cash Insurance
This policy intended to protect
against loss of money. It
covers the risk of loss of
money/cheques/postal
orders/postal stamps by
robbery or theft or any other
cause whilst in transit among
places to be pre-defined. It
also cover cash in safe and
cash in counter
Cash in
Transit
Cash in safe
Cash in
counter
Medi Claim Insurance
Risk Covered:
Reimburse or Cashless facility for diseases and
accidents.
Risk
Covered:
Reimburse or
Cashless facility for
diseases and
accidents
Health Insurance
General Features
 Age Limit: 3 months to 45/65 Years
 Sum Insured: Min. Rs.50000/- to Rs.10 Lakhs
 Nature of treatment: Allopathic/Ayush
 No Claim Bonus - 5% every year
 Family Discount:10% to 15% every claim free year
 Income Tax Benefit: Premium up to Rs.20000/- per year
 Cost of Health check up 1% of the sum Insured after four
consecutive claim free years.
 Group discounts according to group size
Health insurance products
Individual Family floater Group Insurance Students
Critical illness Hospital cash Senior citizen Top up policy
Type of Group
Sum Insured
Age Bracket
1st, 2nd & 4th year exclusion
clause
1st 30 days exclusion clause
Pre-Existing Disease
Room Rent/ICU Charge
Pre & Post Hospitalization
Coverage Day Care Procedures
Features
Cashless treatment/Re-
imbursement
claims Sub Limits
Co Payment
Cumulative Bonus
Emergency Ambulance Charges
Period of Insurance
Approximate number of lives for
coverage
Claims Settlement
Mode of treatment
Existing insurance
policy/insurer/claim ratio
Premium -Sec 80 D IT exemption
Group/Family -Definition
Smart Scholar Insurance
Risk Cover
Students Mediclaim for
diseases and Accidents:
Rs.10000
PA Death cover for
student:
Rs.50000
Permanent Total Disability
to Student: Rs.50000
Fee protector-Accidental
death for Parent:
Rs.100000
Ambulance charges:
Rs.1000
Cont..
Premium per student per
year Rs. 100/ including
service tax
Type of policy: Group
insurance covering all
students
Insurer: United India
Insurance Company
Policy in the name of
Educational Institution
Health card for each
student
Personal Accident
Permanent
Total Disability
Permanent
partial
disability
Temporary
Partial/Total
Disability
Accident
Mediclaim
Weekly
Compensation
Children’s
Education
Fund
Ambulance
Charges
Hospital Cash
Death Due to accident
Personal Accident-other benefits
Cumulative Bonus
5%
Group Discount
according group
size 5%-30%
Family Discount
10%
Universal Risk
Cover
Features
Basic Cover
120 times of the
monthly Income
Wider cover
60 times of the
monthly Income
Age
18-70 yrs
Different Types of Accidents & Disasters
 Vehicle Accident, Road Accident
 Lift /Escalator Accident
 Wildfire; Forest Fire
 Storm, Tempest, Hurricane, Tornado
 Mining Accident, Mine Blast Cyclone,
Hurricane, Typhoon
 Fire Accident
 Rail Accident
 Ship / Boat Accident
 Natural Calamities
 Explosion
 Attack from Wild Animal’s,
 Earthquake/Tremor
 Hooch Tragedy
 Landslip, Rock slide
 Lift Accident
 Gas Tragedy
 Air Accident
 Industrial Accident
 Firework Accident
 Flood, Tsunami
 Snake Bite, Bite from Rabid Dog
 Electric Shock
 Fall from Trees & Building,
Term Life Insurance
 Protection against the unexpected
 Term policy cover makeup for the loss of your income
 Covering financial loss
 Taking care of long term liabilities
 Ultimate security for your beloved family
 Fixing Sum Insured depending upon your age, income and
liabilities
 Save income Tax under sec 80 C
 There are different types of Term policies according to your
needs
Insurance policies for a low income family
Type of Insurance Name of Policy Sum Insured Premium
Home Insurance
House Holders
Package policy Building - 10,00,000 400
Contents - 2,00,000 200
Private Car Package Policy 3,00,000 5500
Personal Accident PA Policy 25,00,000 2550
Health Insurance
Family Floater
Mediclaim 1,00,000 2315
Life Insurance Term Insurance 30,00,000 5000
Total Sum Insured and premium per year 71,00,000 15,965
Per day expenses Rs. 44/
Insurance policies for a middle class family
Type of Insurance Name of Policy Sum Insured Premium
Home Insurance
House Holders
Package policy Building - 20,00,000 800
Contents - 4,00,000 400
Private Car Package Policy 6,00,000 10000
Personal Accident PA Policy 50,00,000 6000
Health Insurance
Family Floater
Mediclaim 4,00,000 6115
Life Insurance Term Insurance 50,00,000 8000
Total Sum Insured and premium per year 1,34,00,000 31,315
Per day expenses Rs.86/
Insurance policies for a upper class family
Type of Insurance Name of Policy Sum Insured Premium
Home Insurance
House Holders Package
policy Building -30,00,000 1200
Contents - 6,00,000 600
Private Car Package Policy 12,00,000 21,000
Personal Accident PA Policy 100,00,000 11000
Health Insurance Family Floater Mediclaim 6,00,000 12500
Life Insurance Term Insurance 100,00,000 13500
Total Sum Insured and premium per year 2,54,00,000 59,800
Per day expenses Rs.163/
Thank You.
AIMS Insurance Broking Pvt. Ltd.
19/458, IInd Floor, Global Plaza
Poothole P.O., Thrissur- 04
Phone: 0487-2386364/2389703
Email:-info@aimsinsurance.in
Web: www. aimsinsurance.in

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insurancebasic-160426054948 (1).pdf

  • 3. Insurance is a protection against financial loss arising on the happening of an unexpected event. Insurance companies collect premiums to provide for this protection. A loss is paid out of the premiums collected from the insuring public. Insurance Companies act as trustees to the amount collected
  • 4. 4 Insurance is a contract between 2 parties. On party called the insurer who undertakes for a fixed amount called premium . To pay the other party called the insured a fixed amount of money on the happening of an certain event .
  • 5. Fundamental Principles of Insurance Utmost good faith Insurable interest Indemnity Subrogation Contribution Proximate cause
  • 6. Utmost Good Faith Insured has a legal duty to disclose all information about the proposed contract of insurance to the insurers whether such information is requested or not.
  • 7. Utmost Good Faith Insured has a legal duty to disclose all information about the proposed contract of insurance to the insurers whether such information is requested or not. Fire Insurance – Construction, Occupancy, Stock – nature of goods Motor Insurance – Cubic Capacity , year of manufacture, tonnage, purpose etc.
  • 8. It constitutes the legal rights to insure arising out of a financial relationship, recognized as law between the insured and the subject matter of insurance Ownership of property Ownership of property Our own life Insurable Interest
  • 9. Fnancial compensation sufficient to place the insured in the same financial position after a loss as he enjoyed Repair Reinstatement Replacement Money Transfer Indemnity
  • 10. Subrogation This is defined as the transfer of rights and remedies of the insured to the insurer who has indemnified the insured in respect of the loss Letter of subrogation Ex : Vehicle theft claim
  • 11. Contribution  An insured may have several insurances on the same subject matter. If he recovers his loss under all these insurances, he will obviously make a profit out of the loss.  The right of insurers who have paid a loss under a policy to recover a proportionate amount from other insurers who are liable for the same loss.  The common law principle allows the insured to recover his full loss within the sum insured from any insurers he likes.
  • 12. Proximate Cause It means the active efficient cause that sets in motion a train of events which brings about a result, without the intervention of any force started and working actively from a new and independent source. A person insured under personal accident policy went out hunting and met with an accident. Due to shock and weakness he was unable to walk. From the wet ground he contracted cold which developed into pneumonia which caused his death. The proximate cause of death was the original accident and pneumonia is only a remote cause and hence the claim is payable.
  • 13. Classification General Insurance Property Insurance Fire,Burglary,Engineerin g,Miscellaneous accident Motor Insurance Two Wheeler/Private car/Commercial Vehicles Liability Insurance Employees Liability, Public Liability. Products liability and professional indemnity Personal accident & health insurance
  • 14. Fire Insurance Cover for Building Machinery, Equipments Furniture, Fixtures and fittings Finished Goods, Stock in transit, Raw materials
  • 15. Type of risks covers under Standard Fire & Special Perils policy  Fire  Lightning  Explosion/Implosion  Aircraft Damage  Riot, Strike, Malicious Damage  Storm, Cyclone, Tornado, Tempest, Hurricane, Flood and Inundation  Impact Damage  Subsidence and Land Slide including Rock Slide  Bursting/or overflowing of water tanks, apparatus and pipes  Missile testing operations
  • 16. Burglary Insurance is to indemnify the Insured against loss or damage to the property Burglary Coverage: Theft of property after actual forcible & violent entry into the premises by person/persons Theft of property by a person and subsequently breaking out of the premises by forcible means Hold up Burglary Insurance
  • 17. Engineering sector – Types of policies Machinery Breakdown Insurance Contractor’s All Risk Insurance Contractors Pant & Machinery Insurance Boiler & Pressure Plant Insurance Electronic Equipment Insurance
  • 18. Machinery Breakdown Insurance This policy covers all kinds of losses due to accidental, electrical and mechanical breakdowns as a result of internal causes. It covered during the machinery is in operation or at rest or in the process of being dismantled, overhauled or during subsequent re-erection at the same premises.
  • 19. Extensions Air freight Express freight (excluding airfreight), overtime and holiday wages Insured’s own surrounding property Third Party Liability
  • 20. Machinery Breakdown Insurance covers all kinds of losses due to accidental, electrical and mechanical breakdowns as a result of internal causes Air freight Express freight (excluding airfreight), overtime and holiday wages Insured’s own surrounding property Third Party Liability
  • 21. Contractor’s All Risk  The policy covers the civil engineering projects such as buildings, roads, airports, flyovers, water tanks, sewage treatment plants etc.  Unless specifically excluded, this covers the accidental physical loss or damage to contract works during the execution of a civil engineering project.  Coverage begins from the commencement of works or after unloading of the first consignment at the project site, whichever is earlier, and terminates on handling over of the works to the principal or on expiry of the policy, whichever is earlier.
  • 22. Main extensions of CAR Policy Earthquake Act of terrorism Escalation Limited maintenance cover Extended maintenance cover Clearance and removal of debris Damage to owner’s surrounding property Third Party Liability Cross liability Express freight holiday overtime rates of wages Contractor’s Plant and Machinery
  • 23. Contractor’s Plant and Machinery Insurance It covers the loss or damage to the Contractor’s construction mobile equipment such as bulldozers, cranes, excavators, compressors etc. due to an accident arising out of external perils. The cover is operative while the insured property is at work or at the rest, or being dismantled for the purpose of cleaning or overhauling or during subsequent re- erection.
  • 24. Extensions Air freight Express freight (excluding airfreight overtime and holiday wages Insured’s own surrounding property Third Party Liability Clearance and removal of debris Escalation Additional custom duty Act of terrorism
  • 25. Boiler and Pressure Plant Insurance This policy covers boilers of various kinds, pressure plants and vessels under pressure, including fired and unfired, against loss and/or damage due to explosion or collapse
  • 26. Additional Coverage Damage to the owners existing surrounding property Damage to third party property and/or personal injury Express freight (excluding airfreight), overtime and holiday wages Airfreight Additional custom duty Escalation
  • 27. Electronic Equipment System It provides comprehensive coverage for electronic equipment. It includes physical loss or damage to all electronic equipment and data media, as well as the increased cost of working resulting from an accidental and unforeseen physical loss or damage to the electronic equipment. For a nominal additional premium, the policy can be extended to cover risk of terrorism.
  • 28. Motor Insurance Liability only policy Package Policy covers Third party liability for bodily injury and/or death and property damage as specified. Personal Accident cover for owner driver included. covers loss or damage to the vehicle insured plus liability cover
  • 29. Risk Covered on Package Policy  Indemnifies the insured against loss or damage to the vehicle insured and/or its accessories by  Malicious act  Terrorist activity  Whilst in transit by road, rail inland-waterway lift, elevator or air  By landslide rockslide
  • 30. Salient Features of Motor Tariff 1. Insured’s Declared Value (IDV) This is Insured Estimated value in Motor Insurance. It is deemed to be the sum insured for the purpose of Motor Tariff and to be fixed at the commencement of each policy period for each insured vehicle. It is calculated on the basis of the manufacturer’s current listed price of the brand/model and the age of the vehicle.
  • 31. Insured Declared Value Upto 6 months 5% 6 months to 1 year 15% 1 year to 2 years 20% 2 years to 3 years 30% 3 years to 4 years 40% 4 years to 5 years 50%
  • 32. 2. No Claim Bonus This is a discount in the premium allowed at the time of renewal if there is “No claim” during the policy period. The percentage of discount given per year of renewal is as follows:-
  • 33. No Claim Bonus 1st year Nil 2nd year 20% 3rd Year 25% 4th Year 35% 5th year 45% 6th year 50%
  • 34. AIMS Add On… Competitive premium rate- Discount up to 70% Instant coverage / Renewal coverage Claims management services and follow-up
  • 35. Cashless settlement of claim within 15 days after getting all relevant claims papers Exclusive experts for claim analysis Freedom of choice to select the insurer
  • 36. Liability Insurance Employee Liability – WC Policy Public Liability Product Liability Professional Liability
  • 37. Employee Liability Insurance(Workmen’s compensation Insurance)  This policy covers the statutory liability of an employer for the death of or bodily injuries or occupational diseases sustained by workmen in the insured’s immediate service and arising out of and in the course of employment.  Any employer whether as a principal or contractor engaging “workmen” as defined in the Workmen Compensation Act or any employee who shares the Employer-Employee relationship. Who needs these policies
  • 38. Public Liability This policy provides indemnify to the insured against their legal liability to pay compensation in accordance with the Indian Laws which covers the following Accidental bodily injury to any person not being a member of the insured family or engaged in the service of the insured. Accidental loss or damage to property not being property belonging to or in the custody of the insured or any person in the service of the insured.
  • 39. Product Liability Insurance Coverage of a manufacturer’s liability for losses or injuries to a buyer, user or bystander caused by a product defect or malfunction Accidental death/bodily injury or disease to any third party Accidental damage to property belonging to a third party
  • 40. Professional Indemnity This policy provides protection for professional like Doctors, Solicitors, Chartered accountants, Architects et. Against their legal liability to pay damages arising out of negligence in the performance of their professional duties
  • 41. Fidelity Guarantee Covers Financial loss sustained as a result of infidelity, which includes fraud, dishonesty, forgery, embezzlement, larceny, misappropriation, default or fraudulent conversion of money or stocks committed by salaried employees in the course of performance of duties This policy is issued to the employers to cover loss the infidelity of employees occupying positions of trust involving duties such as handling cash, stock- keeping etc.
  • 42. Money/Cash Insurance This policy intended to protect against loss of money. It covers the risk of loss of money/cheques/postal orders/postal stamps by robbery or theft or any other cause whilst in transit among places to be pre-defined. It also cover cash in safe and cash in counter Cash in Transit Cash in safe Cash in counter
  • 43. Medi Claim Insurance Risk Covered: Reimburse or Cashless facility for diseases and accidents.
  • 44. Risk Covered: Reimburse or Cashless facility for diseases and accidents Health Insurance
  • 45. General Features  Age Limit: 3 months to 45/65 Years  Sum Insured: Min. Rs.50000/- to Rs.10 Lakhs  Nature of treatment: Allopathic/Ayush  No Claim Bonus - 5% every year  Family Discount:10% to 15% every claim free year  Income Tax Benefit: Premium up to Rs.20000/- per year  Cost of Health check up 1% of the sum Insured after four consecutive claim free years.  Group discounts according to group size
  • 46. Health insurance products Individual Family floater Group Insurance Students Critical illness Hospital cash Senior citizen Top up policy
  • 47. Type of Group Sum Insured Age Bracket 1st, 2nd & 4th year exclusion clause 1st 30 days exclusion clause Pre-Existing Disease Room Rent/ICU Charge Pre & Post Hospitalization Coverage Day Care Procedures Features
  • 48. Cashless treatment/Re- imbursement claims Sub Limits Co Payment Cumulative Bonus Emergency Ambulance Charges Period of Insurance Approximate number of lives for coverage Claims Settlement Mode of treatment Existing insurance policy/insurer/claim ratio Premium -Sec 80 D IT exemption Group/Family -Definition
  • 49. Smart Scholar Insurance Risk Cover Students Mediclaim for diseases and Accidents: Rs.10000 PA Death cover for student: Rs.50000 Permanent Total Disability to Student: Rs.50000 Fee protector-Accidental death for Parent: Rs.100000 Ambulance charges: Rs.1000
  • 50. Cont.. Premium per student per year Rs. 100/ including service tax Type of policy: Group insurance covering all students Insurer: United India Insurance Company Policy in the name of Educational Institution Health card for each student
  • 52. Personal Accident-other benefits Cumulative Bonus 5% Group Discount according group size 5%-30% Family Discount 10% Universal Risk Cover
  • 53. Features Basic Cover 120 times of the monthly Income Wider cover 60 times of the monthly Income Age 18-70 yrs
  • 54. Different Types of Accidents & Disasters  Vehicle Accident, Road Accident  Lift /Escalator Accident  Wildfire; Forest Fire  Storm, Tempest, Hurricane, Tornado  Mining Accident, Mine Blast Cyclone, Hurricane, Typhoon  Fire Accident  Rail Accident  Ship / Boat Accident  Natural Calamities  Explosion  Attack from Wild Animal’s,  Earthquake/Tremor  Hooch Tragedy  Landslip, Rock slide  Lift Accident  Gas Tragedy  Air Accident  Industrial Accident  Firework Accident  Flood, Tsunami  Snake Bite, Bite from Rabid Dog  Electric Shock  Fall from Trees & Building,
  • 55. Term Life Insurance  Protection against the unexpected  Term policy cover makeup for the loss of your income  Covering financial loss  Taking care of long term liabilities  Ultimate security for your beloved family  Fixing Sum Insured depending upon your age, income and liabilities  Save income Tax under sec 80 C  There are different types of Term policies according to your needs
  • 56. Insurance policies for a low income family Type of Insurance Name of Policy Sum Insured Premium Home Insurance House Holders Package policy Building - 10,00,000 400 Contents - 2,00,000 200 Private Car Package Policy 3,00,000 5500 Personal Accident PA Policy 25,00,000 2550 Health Insurance Family Floater Mediclaim 1,00,000 2315 Life Insurance Term Insurance 30,00,000 5000 Total Sum Insured and premium per year 71,00,000 15,965 Per day expenses Rs. 44/
  • 57. Insurance policies for a middle class family Type of Insurance Name of Policy Sum Insured Premium Home Insurance House Holders Package policy Building - 20,00,000 800 Contents - 4,00,000 400 Private Car Package Policy 6,00,000 10000 Personal Accident PA Policy 50,00,000 6000 Health Insurance Family Floater Mediclaim 4,00,000 6115 Life Insurance Term Insurance 50,00,000 8000 Total Sum Insured and premium per year 1,34,00,000 31,315 Per day expenses Rs.86/
  • 58. Insurance policies for a upper class family Type of Insurance Name of Policy Sum Insured Premium Home Insurance House Holders Package policy Building -30,00,000 1200 Contents - 6,00,000 600 Private Car Package Policy 12,00,000 21,000 Personal Accident PA Policy 100,00,000 11000 Health Insurance Family Floater Mediclaim 6,00,000 12500 Life Insurance Term Insurance 100,00,000 13500 Total Sum Insured and premium per year 2,54,00,000 59,800 Per day expenses Rs.163/
  • 59. Thank You. AIMS Insurance Broking Pvt. Ltd. 19/458, IInd Floor, Global Plaza Poothole P.O., Thrissur- 04 Phone: 0487-2386364/2389703 Email:-info@aimsinsurance.in Web: www. aimsinsurance.in