This document discusses the liberalization of the Indian insurance industry following the opening up to foreign players in 2000. It summarizes the growth seen in the last decade as private players gained market share through rapid expansion. However, the focus on growth has come at the cost of profitability as costs rose. The industry is now shifting focus to improving efficiency and profitability. Going forward, foreign players can help further develop the industry through innovative products, technology initiatives, and customer service tools drawing on their global expertise. Areas like health insurance, motor insurance, micro-insurance, and e-distribution platforms provide opportunities.