Motor Insurance Policies, Issues
and Claims
Public System Management
Presented by:
Uday Doyal
Motor Insurance
• Originated in UK in England in 1864
• It originally covers third party damages later in
1899 it was extended to cover accidental
damage
• In India, after passing of Motor Vehicles Act,
third party insurance was introduced
compulsorily in 1946.
• All India Motor Tariff governs motor insurance
business in India.
Loss exposure arising from the
automobile accidents
• Legal liability for harm caused to others as a
result of negligence
• Bodily injury
• Property damage and/or theft of vehicles.
Premium Rating :Factors
• Driver’s Class
• Territorial Rating
• Vehicle Classification
• Technical Classification
• Value of the Vehicle
• Use of vehicle
• Geographical area of operation
• Claims exprience
Types of Motor Insurance Policies
• According to AIMT, all classes of vehicles use
two types of Policy - Form A & Form B.
• Form A is known as Act Policy covers Act
Liability
• Form B is known as Comprehensive Policy
covers additional losses or damages.
Form A Policy
• As per Motor Vehicles Act, all vehicle plying in
India must posses Act policy all the time.
• Violation is a punishable offence with fine
• The Policy Covers:
– Third Party Property Damages/Bodily injury
– Insured Legal liability as per MV Act
• The period of the policy is generally 12
months from the date of inception.
Form B Policy
• It is an optional cover and varies with different
classes of vehicles.
• For private cars and motorcycles there are two
Sections whereas for Commercial vehicles there
is an additional Section.
• Section I of the Comprehensive Policy covers
– Loss due to fire, explosion or lightning
– Earthquake, flood, storm etc
– Theft & Burglary
• It also covers “Protection and Removal Cost” &
“Authorization Cost”
• Section II of the Form B Policy covers liabilities
towards third Parties.
• Section III of the Form B Policy is applicable
only to vehicles used for commercial purposes
• Exclusion of Form B Policy
– Driver being under intoxication
– Absence of valid license by the driver
– Damage to tyre
– Wear and tear, mechanical breakdown
Motor Insurance Claims
• Own Damage Claims
• Theft Claims
• Third Party Bodily injury Claims : Fatal and
Non-Fatal
Own Damage Claims
• Documents Required
– Claim form
– Registration certificate & Driving license
– FIR copy
– Fitness certificate
– Trip Sheet
– Survey Report
Procedure for Claiming Own Damages
• Informing the insurer
• Policy document verification and appointment
of Surveyor
• Photograph of the vehicle should be taken in
case of major accident.
• Examination and Settlement based on
Surveyor report.
Theft Claims
• Partial and Total loss “due to theft” claims
• Procedure:
– Submission of necessary documents to the insurer in
addition to certified FIR copy
– Surrender of the registration book and tax book. RTO
should be informed.
– Letter of indemnity and subrogation
– Ignition keys of the vehicle
– Certificate of insurance and original insurance policy
– Specially worded discharged voucher
Third Party Bodily Injury Claims
• Intimation of Claims: Sources
– Insured directly
– Claimant
– MACT/Court notice
• Investigation
• Appointment of advocate
• Policy Copy
• Driver’s license
• Compliance Policy Conditions

Motor insurance psm

  • 1.
    Motor Insurance Policies,Issues and Claims Public System Management Presented by: Uday Doyal
  • 2.
    Motor Insurance • Originatedin UK in England in 1864 • It originally covers third party damages later in 1899 it was extended to cover accidental damage • In India, after passing of Motor Vehicles Act, third party insurance was introduced compulsorily in 1946. • All India Motor Tariff governs motor insurance business in India.
  • 3.
    Loss exposure arisingfrom the automobile accidents • Legal liability for harm caused to others as a result of negligence • Bodily injury • Property damage and/or theft of vehicles.
  • 4.
    Premium Rating :Factors •Driver’s Class • Territorial Rating • Vehicle Classification • Technical Classification • Value of the Vehicle • Use of vehicle • Geographical area of operation • Claims exprience
  • 5.
    Types of MotorInsurance Policies • According to AIMT, all classes of vehicles use two types of Policy - Form A & Form B. • Form A is known as Act Policy covers Act Liability • Form B is known as Comprehensive Policy covers additional losses or damages.
  • 6.
    Form A Policy •As per Motor Vehicles Act, all vehicle plying in India must posses Act policy all the time. • Violation is a punishable offence with fine • The Policy Covers: – Third Party Property Damages/Bodily injury – Insured Legal liability as per MV Act • The period of the policy is generally 12 months from the date of inception.
  • 7.
    Form B Policy •It is an optional cover and varies with different classes of vehicles. • For private cars and motorcycles there are two Sections whereas for Commercial vehicles there is an additional Section. • Section I of the Comprehensive Policy covers – Loss due to fire, explosion or lightning – Earthquake, flood, storm etc – Theft & Burglary • It also covers “Protection and Removal Cost” & “Authorization Cost”
  • 8.
    • Section IIof the Form B Policy covers liabilities towards third Parties. • Section III of the Form B Policy is applicable only to vehicles used for commercial purposes • Exclusion of Form B Policy – Driver being under intoxication – Absence of valid license by the driver – Damage to tyre – Wear and tear, mechanical breakdown
  • 9.
    Motor Insurance Claims •Own Damage Claims • Theft Claims • Third Party Bodily injury Claims : Fatal and Non-Fatal
  • 10.
    Own Damage Claims •Documents Required – Claim form – Registration certificate & Driving license – FIR copy – Fitness certificate – Trip Sheet – Survey Report
  • 11.
    Procedure for ClaimingOwn Damages • Informing the insurer • Policy document verification and appointment of Surveyor • Photograph of the vehicle should be taken in case of major accident. • Examination and Settlement based on Surveyor report.
  • 12.
    Theft Claims • Partialand Total loss “due to theft” claims • Procedure: – Submission of necessary documents to the insurer in addition to certified FIR copy – Surrender of the registration book and tax book. RTO should be informed. – Letter of indemnity and subrogation – Ignition keys of the vehicle – Certificate of insurance and original insurance policy – Specially worded discharged voucher
  • 13.
    Third Party BodilyInjury Claims • Intimation of Claims: Sources – Insured directly – Claimant – MACT/Court notice • Investigation • Appointment of advocate • Policy Copy • Driver’s license • Compliance Policy Conditions