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Learning Outcome Statements
                                                                      to accompany

 Risk Analysis & Insurance Planning


Copyright © ACE School for Professional Studies.
All rights reserved. Requests for permission to make
copies of any part of the work should be mailed to:
           Permissions Department,
           ACE School for Professional Studies,
           26/32, Pal Mohan Sadan,
           East Patel Nagar, New Delhi-110008.
           Email: adminmanager@asps.edu.in
           Visit us at www.asps.edu.in


                             © ACE School for Professional Studies.                  1
Chapter 1
RISK ANALYSIS-INTRODUCTION
                                                              Page No.
   Introduction                                                   1
   Risk                                                           2
   Perils, Loss & Hazard                                          2
   Classification of Risk                                         3
   Types of Pure Risks                                            4
   Personal Risks                                                 4
   Property Risk                                                  5
   Liability Risk                                                 5
   Methods of Handling Risk                                       9

                     © ACE School for Professional Studies.              2
Chapter 2
INSURANCE AND RISK
                                                               Page No.
   Insurance-Introduction                                          19
   Characteristics of Insurance                                    19
   Requirements of Insurable Risks                                 21
   Adverse Selection                                               22
   Insurance Vs Gambling/Hedging                                   22
   Advantages of Insurance                                         23
   Disadvantages of Insurance                                      24
   Limitations of Insurance                                        25
   Reinsurance                                                     26

                      © ACE School for Professional Studies.              3
Chapter 3
RISK ANALYSIS PROCESS
                                                            Page No.

   Risk Management                                              39
   Planning for Risk Management                                 40
   Steps in Personal Risk Analysis                              41
   Risk Control and Risk Financing                              44
   Insurance Market Dynamics and
    Underwriting Cycle                                           46
   Loss Forecasting                                             47
                   © ACE School for Professional Studies.              4
Chapter 4
PRINCIPLES OF INSURANCE
                                                                Page No.
   Law of Contract                                                   57
   Indemnity                                                         59
   Insurable Interest                                                60
   Subrogation                                                       62
   Utmost Good Faith                                                 64
   Warranty                                                          68
   Waiver & Estoppel                                                 69
   Other legal characteristics of a contract
    of insurance                                                      70

                       © ACE School for Professional Studies.              5
Chapter 5
THE INSURANCE CONTRACT
   Contract of Insurance                                              79
   General Requirements for a Valid Contract                          79
   Basic Principles of Law of Insurance                               80
   Other Legal Characteristics of a Contract of Insurance             81
   Proposal Forms                                                     81
   Policy Forms                                                       82
   Meaning of Insured                                                 84
   Cover Notes                                                        85
   Certificates of Insurance                                          86
   Endorsements                                                       86
   Riders                                                             87
   Warranties                                                         89
   Common Types of Deductibles                                        90
   Co-Insurance                                                       91
   Other-Insurance Provisions                                         92
                              © ACE School for Professional Studies.        6
Chapter 6
LEGAL LIABILITY
   Meaning of Liability                                          103
   Types of Legal Liability                                      103
   Law of Torts                                                  104
   Differences between Tort and Crime                            104
   Difference between Tort and Contract                          105
   Intentional Torts                                             105
   Absolute Liability                                            107
   Vicarious Liability                                           108
   Tort of Negligence                                            108
   Special Tort Liability Problems                               111
   Indian Justice System                                         112
   Other Methods of Dealing with Disputes                        113
   The Ombudsman Scheme                                          115
                         © ACE School for Professional Studies.         7
Chapter 7
IDENTIFICATION OF RISK EXPOSURES

   Data Gathering on Current Insurances                    123
   Financial Needs                                         124
   Insurance Needs                                         126
   Existing Arrangements                                   128




                   © ACE School for Professional Studies.         8
Chapter 8: PERSONAL PROPERTY &
LIABILITY INSURANCE
   Importance of General Insurance                         137
   Claim service and its Importance                        138
   Limitations set for claim                               138
   Householder's Insurance                                 139
   Motor Vehicle Insurance                                 140
   Liability Insurance                                     141
   Personal Umbrella Policy                                143
   Overseas Medi claim Policy                              144
                   © ACE School for Professional Studies.         9
Chapter 9
LIFE INSURANCE AND NEED ANALYSIS

   Human Life Value                                        153
   Needs Approach                                          156
   Capital Needs Analysis                                  157
   Earnings Multiple Approach                              158




                   © ACE School for Professional Studies.         10
Chapter 10
LIFE INSURANCE POLICY ANALYSIS
   Basic Plans of Life Insurance                            165
   Term insurance policies                                  165
   Types of Term Insurance plans                            166
   Whole Life Policy                                        167
   Endowment Plan                                           168
   Joint Life Policy                                        170
   Children Plan                                            170
   Unit Linked Insurance Plans                              170
   Riders                                                   171
   Classification of Riders                                 171
                    © ACE School for Professional Studies.         11
Chapter 11
LIFE INSURANCE POLICY SELECTION
   Introduction                                              179
   Factors to be considered by planner before
    recommending a policy                                     179
   Important factors in Insurance Policy before
    Recommendation                                            180
   Determining the Cost of Life Insurance                    181
   Methods to Calculate cost of Insurance                    181
   Traditional Net Cost Method                               181
   Taxation of Insurance Policies                            184
   Important Insurance Provisions                            185
                     © ACE School for Professional Studies.         12
Chapter 12
ANNUITIES
   Introduction                                            195
   Types of Annuities                                      196
   Annuities Vs Insurance                                  197
   Working of an Annuity                                   197
   Annuity - Taxation                                      198
   Annuities and Pension                                   198
   Individual Retirement                                   198

                   © ACE School for Professional Studies.         13
Chapter 13
MEDICAL INSURANCE
   Introduction                                                     207
   Scope of Health Insurance Coverage                               208
   Other medical expense coverage                                   208
   Policies Available in India                                      209
   Third Party Administrators (TPA)                                 209
   Mediclaim Policy                                                 210
   Group Medi Claim Policy                                          211
   Overseas Medi Claim Policy                                       211
   Corporate Frequent Travelers Policy                              212
   Personal Accident Insurance                                      212
   Group Personal Accident Policy                                   214
   Fidelity Guarantee Policy                                        214
   Baggage Insurance                                                214
   Liability Policies                                               214
   Average Clause                                                   215
                            © ACE School for Professional Studies.         14
Chapter 14
BUSINESS RISK INSURANCE
   Introduction                                              221
   Key person insurance                                      222
   Business Continuation Insurance                           223
   Directors & Officers Liability Policy                     224
   Professional Indemnity Insurance                          226
   Employers Liability Insurance                             226
   Bankers Blanket Policy                                    228
   Public Liability Insurance                                228
   Policy for
    Office/Shopkeeper/ Commercial Policy                      229
                     © ACE School for Professional Studies.         15
Chapter 15
IMPLEMENTING AND REVIEWING CLIENT'S
INSURANCE

   The Advisors Role in Underwriting     235
   Proposal Form                         236
   Reviewing Financial Plans             237
   Establishing and Implementing Changes 238
   Handling Claims and Complaints        239
   Ongoing Review                        245


                  © ACE School for Professional Studies.   16
Chapter 16
GOVERNMENT REGULATION OF INSURANCE

   Introduction                             247
   The Insurance Regulatory and Development
    Authority (IRDA)                         247
   Insurance Ombudsmen                      249
   Insurance Act, 1938                      249
   Agents & Brokers                         251
   Brokers                                  253
   Code of Conduct                          255
   Insurance Advertisements                 257
   Insurance Ombudsman                      258
                    © ACE School for Professional Studies.   17
Chapter 17
INSURANCE PRICING
   Objectives of Rate Making                               241
   Calculation of Premium and Claim                        242
   Premium                                                 244
   Other Important Definitions                             246




                   © ACE School for Professional Studies.         18
Chapter 18
INSURANCE COMPANIES
   Insurance as a Business                                 275
   Rate Making                                             276
   Underwriting                                            280
   Claims                                                  294
   Investment Policies                                     306
   Financial Reserves                                      306
   Selecting Life Insurance Company                        307

                   © ACE School for Professional Studies.         19
For free ONLINE Mock Test, email us at
adminmanager@asps.co.in




              © ACE School for Professional Studies.   20

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Module 2_Learning Outcomes

  • 1. Learning Outcome Statements to accompany Risk Analysis & Insurance Planning Copyright © ACE School for Professional Studies. All rights reserved. Requests for permission to make copies of any part of the work should be mailed to: Permissions Department, ACE School for Professional Studies, 26/32, Pal Mohan Sadan, East Patel Nagar, New Delhi-110008. Email: adminmanager@asps.edu.in Visit us at www.asps.edu.in © ACE School for Professional Studies. 1
  • 2. Chapter 1 RISK ANALYSIS-INTRODUCTION Page No.  Introduction 1  Risk 2  Perils, Loss & Hazard 2  Classification of Risk 3  Types of Pure Risks 4  Personal Risks 4  Property Risk 5  Liability Risk 5  Methods of Handling Risk 9 © ACE School for Professional Studies. 2
  • 3. Chapter 2 INSURANCE AND RISK Page No.  Insurance-Introduction 19  Characteristics of Insurance 19  Requirements of Insurable Risks 21  Adverse Selection 22  Insurance Vs Gambling/Hedging 22  Advantages of Insurance 23  Disadvantages of Insurance 24  Limitations of Insurance 25  Reinsurance 26 © ACE School for Professional Studies. 3
  • 4. Chapter 3 RISK ANALYSIS PROCESS Page No.  Risk Management 39  Planning for Risk Management 40  Steps in Personal Risk Analysis 41  Risk Control and Risk Financing 44  Insurance Market Dynamics and Underwriting Cycle 46  Loss Forecasting 47 © ACE School for Professional Studies. 4
  • 5. Chapter 4 PRINCIPLES OF INSURANCE Page No.  Law of Contract 57  Indemnity 59  Insurable Interest 60  Subrogation 62  Utmost Good Faith 64  Warranty 68  Waiver & Estoppel 69  Other legal characteristics of a contract of insurance 70 © ACE School for Professional Studies. 5
  • 6. Chapter 5 THE INSURANCE CONTRACT  Contract of Insurance 79  General Requirements for a Valid Contract 79  Basic Principles of Law of Insurance 80  Other Legal Characteristics of a Contract of Insurance 81  Proposal Forms 81  Policy Forms 82  Meaning of Insured 84  Cover Notes 85  Certificates of Insurance 86  Endorsements 86  Riders 87  Warranties 89  Common Types of Deductibles 90  Co-Insurance 91  Other-Insurance Provisions 92 © ACE School for Professional Studies. 6
  • 7. Chapter 6 LEGAL LIABILITY  Meaning of Liability 103  Types of Legal Liability 103  Law of Torts 104  Differences between Tort and Crime 104  Difference between Tort and Contract 105  Intentional Torts 105  Absolute Liability 107  Vicarious Liability 108  Tort of Negligence 108  Special Tort Liability Problems 111  Indian Justice System 112  Other Methods of Dealing with Disputes 113  The Ombudsman Scheme 115 © ACE School for Professional Studies. 7
  • 8. Chapter 7 IDENTIFICATION OF RISK EXPOSURES  Data Gathering on Current Insurances 123  Financial Needs 124  Insurance Needs 126  Existing Arrangements 128 © ACE School for Professional Studies. 8
  • 9. Chapter 8: PERSONAL PROPERTY & LIABILITY INSURANCE  Importance of General Insurance 137  Claim service and its Importance 138  Limitations set for claim 138  Householder's Insurance 139  Motor Vehicle Insurance 140  Liability Insurance 141  Personal Umbrella Policy 143  Overseas Medi claim Policy 144 © ACE School for Professional Studies. 9
  • 10. Chapter 9 LIFE INSURANCE AND NEED ANALYSIS  Human Life Value 153  Needs Approach 156  Capital Needs Analysis 157  Earnings Multiple Approach 158 © ACE School for Professional Studies. 10
  • 11. Chapter 10 LIFE INSURANCE POLICY ANALYSIS  Basic Plans of Life Insurance 165  Term insurance policies 165  Types of Term Insurance plans 166  Whole Life Policy 167  Endowment Plan 168  Joint Life Policy 170  Children Plan 170  Unit Linked Insurance Plans 170  Riders 171  Classification of Riders 171 © ACE School for Professional Studies. 11
  • 12. Chapter 11 LIFE INSURANCE POLICY SELECTION  Introduction 179  Factors to be considered by planner before recommending a policy 179  Important factors in Insurance Policy before Recommendation 180  Determining the Cost of Life Insurance 181  Methods to Calculate cost of Insurance 181  Traditional Net Cost Method 181  Taxation of Insurance Policies 184  Important Insurance Provisions 185 © ACE School for Professional Studies. 12
  • 13. Chapter 12 ANNUITIES  Introduction 195  Types of Annuities 196  Annuities Vs Insurance 197  Working of an Annuity 197  Annuity - Taxation 198  Annuities and Pension 198  Individual Retirement 198 © ACE School for Professional Studies. 13
  • 14. Chapter 13 MEDICAL INSURANCE  Introduction 207  Scope of Health Insurance Coverage 208  Other medical expense coverage 208  Policies Available in India 209  Third Party Administrators (TPA) 209  Mediclaim Policy 210  Group Medi Claim Policy 211  Overseas Medi Claim Policy 211  Corporate Frequent Travelers Policy 212  Personal Accident Insurance 212  Group Personal Accident Policy 214  Fidelity Guarantee Policy 214  Baggage Insurance 214  Liability Policies 214  Average Clause 215 © ACE School for Professional Studies. 14
  • 15. Chapter 14 BUSINESS RISK INSURANCE  Introduction 221  Key person insurance 222  Business Continuation Insurance 223  Directors & Officers Liability Policy 224  Professional Indemnity Insurance 226  Employers Liability Insurance 226  Bankers Blanket Policy 228  Public Liability Insurance 228  Policy for Office/Shopkeeper/ Commercial Policy 229 © ACE School for Professional Studies. 15
  • 16. Chapter 15 IMPLEMENTING AND REVIEWING CLIENT'S INSURANCE  The Advisors Role in Underwriting 235  Proposal Form 236  Reviewing Financial Plans 237  Establishing and Implementing Changes 238  Handling Claims and Complaints 239  Ongoing Review 245 © ACE School for Professional Studies. 16
  • 17. Chapter 16 GOVERNMENT REGULATION OF INSURANCE  Introduction 247  The Insurance Regulatory and Development Authority (IRDA) 247  Insurance Ombudsmen 249  Insurance Act, 1938 249  Agents & Brokers 251  Brokers 253  Code of Conduct 255  Insurance Advertisements 257  Insurance Ombudsman 258 © ACE School for Professional Studies. 17
  • 18. Chapter 17 INSURANCE PRICING  Objectives of Rate Making 241  Calculation of Premium and Claim 242  Premium 244  Other Important Definitions 246 © ACE School for Professional Studies. 18
  • 19. Chapter 18 INSURANCE COMPANIES  Insurance as a Business 275  Rate Making 276  Underwriting 280  Claims 294  Investment Policies 306  Financial Reserves 306  Selecting Life Insurance Company 307 © ACE School for Professional Studies. 19
  • 20. For free ONLINE Mock Test, email us at adminmanager@asps.co.in © ACE School for Professional Studies. 20