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Principles of General Insurance
By - Taha Sanawadwala
General Insurance
• Insurance is classified into Life and General
• Any insurance other than human lives comes
under the scope of General Insurance
• It is preferable to call this as General Insurance
instead of non-life insurance
• There is vast scope and the market is trying to
cope up with the demands of the market
• Insurance penetration is improving in India and
being the second largest developing economy
in the world the scope is huge
Insurance in India
• Marine insurance was being practiced in India from
the beginning of 19th century
• Offices were established in Kolkatta which was the
centre for East India Company
• Fire insurance followed in 1825 at Madras
• Swadeshi movement also had its impact on Insurance
and first Indian Company was formed in 1907 – Indian
Mercantile Insurance Company
• Need to control insurance business was felt by the
British government which introduced the Insurance Act
in 1938 and Insurance Rules in 1939
Insurance councils & Institutes
• Two councils which had been reconstituted – life
insurance council
• Insurance ombudsman had been appointed
• General insurance council
• IIISLA has been formed
• IIBA- Brokers association
• IIRM- Institute of risk management
• Intermediaries now allowed-Agents/ corporate agents/
Brokers
• Institutes for educating the agents/Brokers have been
formed and passing the examination has been made
mandatory for carrying out insurance business
• Surveyor licensing is being controlled by Regulator
General Insurance
• Insurance of property
• Insurance of persons
• Insurance of liability
• Insurance of Interest
Classes of GI Business
• Fire –Property damage and business
interruption insurance
• Marine- Cargo and Hull
• Misc - Motor/ Engineering/Liability/
Aviation/ Space/Energy/ Guarantee/
Bonds/ Rural/ Livestock/ weather/ Crop/
All risks/ accident/ Travel/ Baggage/
Insurers now licensed by IRDA
• LIFE INSURERS
• 1. Bajaj Allianz
• 2. Birla sun life
• 3. HDFC Std life
• 4. ICICI Prduential
• 5. ING Vysya
• 6. LIC
• 7. Max New York Life
• 8. Metlife
• 9. Kotak Mahindra OM
• 10.SBI Life
• 11.TATA-AIG Life
• 12.Reliance Life
• 13.AVIVA life
• 14.Sahara India life
• 15.Shri Ram Life
• 16.Bharti AXA Life
• GENERAL INSURERS
• 1. Bajaj Allianz
• 2. ICICI Lombard
• 3. Iffco-Tokio General Insurance
• 4. National Insurance
• 5. New India Assurance Company
• 6. Oriental Insurance
• 7. Reliance General Insurance
• 8. Royal Sundaram Alliance
• 9. TATA-AIG General
• 10.United India Insurance
• 11. Cholamandalam MS General
• 12. HDFC Chubb General
• 13. Export Credit Guarantee
• 14. Agriculture Insurance Company
• 15. Star Health & Allied
• Sompho/ Shri Ram General/AXA/
Apollo DKV
Terminology used in General
Insurance
• Proposer-Insured-Insurer
• Risk- Peril
• Proposal form
• Sum Insured
• Premium ( Consideration)
• Excess ( Deductible)
• Indemnity
• Cover note
• Policy document
• Endorsement-for effecting changes in the policy
• Warranties/ Clauses
• Conditions
• Underwriting
• Renewal
• Hazard
Basic Principles of General Insce
• Insurance is a legal agreement entered
between Insured and Insurer due to which due
to the consideration, the Insurer agrees to
indemnify the Insured, for the loss or damage or
liability created due an accident which is
covered under the policy subject to the terms
and conditions of the contract
• All insurance policies are subject to the
warranties, conditions and clauses of the policy
contract and claims will be settled accordingly
Basic principles
• UTMOST GOOD FAITH- which is embodied in all
insurance contracts and appears in the conditions of
the policy documents.
• Since only the Insured who is the owner/possessing
the property he/she needs to declare the details which
are to be considered by the Underwriter. To obtain the
requisite details the Insurer arranges all questions in
order in the proposal form so that he/she knows where
to look for the required details. Material fact is the
detail of the risk which will influence the mind of the
Underwriter to accept/reject; and if to accept the rate
/terms at which the risk is to be accepted.
• Duty of disclosure is on the proposer/Insured and if
wilful concealment/ non-disclosure of facts could be
established the claim if any could be denied
Insurable interest
• Only the person who has insurable interest can
arrange insurance and seek indemnity due to
loss or damage
• Insurable interest is defined as legal interest in
another person’s life or in the protection of
property from injury,loss,destruction or
pecuniary damage
• By virtue of ownership
• Tenant who had leased property
• Employer’s interest on employees lives
Proximate cause
• Insurer is liable for any loss proximately caused
by a peril insured against, but he is not liable for
any loss which is not proximately caused by a
peril insured against-Judge Lumb
• Proximate cause 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
Indemnity
• Insurance contracts are mostly contracts of indemnity
• Insured is entitled to obtain the loss amount suffered
from the insurances he had effected on the property
• He is not to be benefited due the loss/damage
• If sum insured is on agreed value basis the loss will be
settled on that basis
• Extent of indemnity will be based on the market value
of the property at the time of occurrence of the event
which caused the loss/damage or destruction
• Subrogation and contribution are the corollaries of
indemnity to ensure that the claim settlement follows
the normal indemnity
Underwriting and claims
• Offer and acceptance- Proposal is studied by the Underwriter
who then quotes the premium terms, warranties and conditions
• Once accepted by the proposer and premium is paid, the cover
note is issued. Later on policy document is issued.
• Alterations/ changes are effected by endorsements
• Claim is being processed to take into account the salvage,
under-insurance and excess under the policy and many times
to deduct the additional premium for restoring the sum insured
to the original level by charging the additional premium on the
claim amount paid from the date of loss till the date of expiry.
• Claim will be subject to getting the subrogation rights preserved
against the third parties responsible for making good the loss
and transferring the same to Insurers
Changes
• Fire insurance; Reinstatement value
(other than stocks) Market value
• Marine insurance : Agreed value
• Marine hull insurance: Agreed value
• Motor insurance: Insured declared value
• Engineering insurance: Present day
replacement value
• Misc insurance: Market value
Insurances which need to become
popular
• Business Interruption insurance
• Engineering insurance
• Liability insurance- CGL Public /Product
• E & O ( PI) liability insurance
• D & O liability insurance
• PI for Lawyers/CAs/Doctors/
Brokers/Architects/ structural engineers
• Overseas travel insurance
• Employees benefit policies ( GPA/GMC)
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  • 1. Principles of General Insurance By - Taha Sanawadwala
  • 2. General Insurance • Insurance is classified into Life and General • Any insurance other than human lives comes under the scope of General Insurance • It is preferable to call this as General Insurance instead of non-life insurance • There is vast scope and the market is trying to cope up with the demands of the market • Insurance penetration is improving in India and being the second largest developing economy in the world the scope is huge
  • 3. Insurance in India • Marine insurance was being practiced in India from the beginning of 19th century • Offices were established in Kolkatta which was the centre for East India Company • Fire insurance followed in 1825 at Madras • Swadeshi movement also had its impact on Insurance and first Indian Company was formed in 1907 – Indian Mercantile Insurance Company • Need to control insurance business was felt by the British government which introduced the Insurance Act in 1938 and Insurance Rules in 1939
  • 4. Insurance councils & Institutes • Two councils which had been reconstituted – life insurance council • Insurance ombudsman had been appointed • General insurance council • IIISLA has been formed • IIBA- Brokers association • IIRM- Institute of risk management • Intermediaries now allowed-Agents/ corporate agents/ Brokers • Institutes for educating the agents/Brokers have been formed and passing the examination has been made mandatory for carrying out insurance business • Surveyor licensing is being controlled by Regulator
  • 5. General Insurance • Insurance of property • Insurance of persons • Insurance of liability • Insurance of Interest
  • 6. Classes of GI Business • Fire –Property damage and business interruption insurance • Marine- Cargo and Hull • Misc - Motor/ Engineering/Liability/ Aviation/ Space/Energy/ Guarantee/ Bonds/ Rural/ Livestock/ weather/ Crop/ All risks/ accident/ Travel/ Baggage/
  • 7. Insurers now licensed by IRDA • LIFE INSURERS • 1. Bajaj Allianz • 2. Birla sun life • 3. HDFC Std life • 4. ICICI Prduential • 5. ING Vysya • 6. LIC • 7. Max New York Life • 8. Metlife • 9. Kotak Mahindra OM • 10.SBI Life • 11.TATA-AIG Life • 12.Reliance Life • 13.AVIVA life • 14.Sahara India life • 15.Shri Ram Life • 16.Bharti AXA Life • GENERAL INSURERS • 1. Bajaj Allianz • 2. ICICI Lombard • 3. Iffco-Tokio General Insurance • 4. National Insurance • 5. New India Assurance Company • 6. Oriental Insurance • 7. Reliance General Insurance • 8. Royal Sundaram Alliance • 9. TATA-AIG General • 10.United India Insurance • 11. Cholamandalam MS General • 12. HDFC Chubb General • 13. Export Credit Guarantee • 14. Agriculture Insurance Company • 15. Star Health & Allied • Sompho/ Shri Ram General/AXA/ Apollo DKV
  • 8. Terminology used in General Insurance • Proposer-Insured-Insurer • Risk- Peril • Proposal form • Sum Insured • Premium ( Consideration) • Excess ( Deductible) • Indemnity • Cover note • Policy document • Endorsement-for effecting changes in the policy • Warranties/ Clauses • Conditions • Underwriting • Renewal • Hazard
  • 9. Basic Principles of General Insce • Insurance is a legal agreement entered between Insured and Insurer due to which due to the consideration, the Insurer agrees to indemnify the Insured, for the loss or damage or liability created due an accident which is covered under the policy subject to the terms and conditions of the contract • All insurance policies are subject to the warranties, conditions and clauses of the policy contract and claims will be settled accordingly
  • 10. Basic principles • UTMOST GOOD FAITH- which is embodied in all insurance contracts and appears in the conditions of the policy documents. • Since only the Insured who is the owner/possessing the property he/she needs to declare the details which are to be considered by the Underwriter. To obtain the requisite details the Insurer arranges all questions in order in the proposal form so that he/she knows where to look for the required details. Material fact is the detail of the risk which will influence the mind of the Underwriter to accept/reject; and if to accept the rate /terms at which the risk is to be accepted. • Duty of disclosure is on the proposer/Insured and if wilful concealment/ non-disclosure of facts could be established the claim if any could be denied
  • 11. Insurable interest • Only the person who has insurable interest can arrange insurance and seek indemnity due to loss or damage • Insurable interest is defined as legal interest in another person’s life or in the protection of property from injury,loss,destruction or pecuniary damage • By virtue of ownership • Tenant who had leased property • Employer’s interest on employees lives
  • 12. Proximate cause • Insurer is liable for any loss proximately caused by a peril insured against, but he is not liable for any loss which is not proximately caused by a peril insured against-Judge Lumb • Proximate cause 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
  • 13. Indemnity • Insurance contracts are mostly contracts of indemnity • Insured is entitled to obtain the loss amount suffered from the insurances he had effected on the property • He is not to be benefited due the loss/damage • If sum insured is on agreed value basis the loss will be settled on that basis • Extent of indemnity will be based on the market value of the property at the time of occurrence of the event which caused the loss/damage or destruction • Subrogation and contribution are the corollaries of indemnity to ensure that the claim settlement follows the normal indemnity
  • 14. Underwriting and claims • Offer and acceptance- Proposal is studied by the Underwriter who then quotes the premium terms, warranties and conditions • Once accepted by the proposer and premium is paid, the cover note is issued. Later on policy document is issued. • Alterations/ changes are effected by endorsements • Claim is being processed to take into account the salvage, under-insurance and excess under the policy and many times to deduct the additional premium for restoring the sum insured to the original level by charging the additional premium on the claim amount paid from the date of loss till the date of expiry. • Claim will be subject to getting the subrogation rights preserved against the third parties responsible for making good the loss and transferring the same to Insurers
  • 15. Changes • Fire insurance; Reinstatement value (other than stocks) Market value • Marine insurance : Agreed value • Marine hull insurance: Agreed value • Motor insurance: Insured declared value • Engineering insurance: Present day replacement value • Misc insurance: Market value
  • 16. Insurances which need to become popular • Business Interruption insurance • Engineering insurance • Liability insurance- CGL Public /Product • E & O ( PI) liability insurance • D & O liability insurance • PI for Lawyers/CAs/Doctors/ Brokers/Architects/ structural engineers • Overseas travel insurance • Employees benefit policies ( GPA/GMC)