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The control on general insurance business started with the insurance act 1938, setting
up the government control. In 1968 it was amended to add more provisions to and also Add
Tariff Advisory Committee. This Tariff Advisory Committee now fixes the rates terms and
conditions for many branches of general insurance like Fire, Engineering, Marine, Hull and
Workmen compensation insurance.
In 1972, the General Insurance (Business Nationalisation) Act was passed. It set up
GIC and its subsidiaries. 107 private companies were merged into GIC and its subsidiaries
and these companies included both Indian and foreign companies. General Insurance
Corporation was formed as company under the Companies Act unlike LIC, which was setup
as corporation. The GIC has only one office in Mumbai and is the holding companies for all
the subsidiaries. It formulates general policy guidelines for general insurance industry and
control the investment and reinsurance policy of the companies.
GIC had four subsidiary companies, namely (with effect from Dec'2000, these
subsidiaries have been de-linked from the parent company and made as independent
insurance companies.
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COMPANY PROFILE
United India has been in the forefront of designing and implementing complex covers
to large customers, as in cases of ONGC Ltd, GMR- Hyderabad International Airport Ltd,
and Mumbai International Airport Ltd Tirumala-Tirupati Devasthanam etc. They have been
also the pioneer in taking Insurance to rural masses with large level implementation of
Universal Health Insurance Programme of Government of India & Vijaya Raji Janani Kalyan
Yojana ( covering 45 lakhs women in the state of Madhya Pradesh) , Tsunami Jan Bima
Yojana (in 4 states covering 4.59 lakhs of families) , National Livestock Insurance and many
such schemes.
Having a work force of 17000+ people and an army of 2000 officers committed to the service
of their customers, they are in a position to make light of the fact that they issue more than 1
crore policies in a year and settle more than 8 lakhs claims annually.
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UNITED INDIA IN KERALA
United India’s Kerala Region was formed in the year 1984 and at the time the
Premium was only around 12 crores. There are 204 officers, 801 staff, 128 development
officers and many agents working with them. They have a wide spread of officers in 16
divisional offices and 49 branch offices.
United India in Kerala has the largest number of Corporate clients with them. FACT
Ltd. Hindustan Newsprint Ltd. Cochin Shipyard Ltd. Apollo Tyres Ltd. BPL, ITI,
Instrumentation Ltd. Etc are all their clients
They are the largest insurers of various Kerala Govt Schemes. Last year they launched
the Kambhenu programme which is probably the largest mass insurance scheme launched the
Rural Insurance.
Features Specifications
Network Hospitals 7000+
Waiting Period for Pre-existing Disease 4 years
Incurred Claims Ratio 56.3%
Number of Policies Issued 1230765
Grievances Solved 96.59%
Renewability Lifetime
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PRODUCT PORTFOLIO
Personal Policies
Commercial Policies
Marine
Insurance
House hold
policy
Industrial
Insurance
Personal
accident policy Motor
Insurance
Mediclaim
policy Miscellaneous
Insurance
Uni-medicare
insurance Liability
Insurance
PERSONAL POLICIES
Health insurance policies form an integral part of its product portfolio. These policies couple
coverage with affordability, making them viable insurance products for a large cross-section
of the Indian insurance market.
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6. United India Insurance Super Top-up Policy
7. United India Insurance Top-up Plan
8. United India UNI Criticare Health Insurance
9. United India Insurance Personal Accident Policy
A health insurance policy which aims to cover both the proposer and his/her family. To
enhance the basic chosen sum assured, policyholders under this plan can also choose two
add-on covers to meet ambulance and hospitalisation costs.
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necessary tests etc.: Up to chosen sum
assured
- Organ donor hospitalisation expenses
- Pre/Post-hospitalisation expenses: Up to
30 / 60 days respectively; up to 10% of the
chosen sum assured
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United India Insurance Gold Policy:
- Pre/post-hospitalisation expenses: Up to
30/60 days respectively
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average chosen sum assured over 3 prior
claim-free years
Add-on Covers
2 optional covers payouts made once
during a policy period:
- Ambulance Cover: Additional premium
payable Rs.100 for cover up to Rs.2,500
Basis Individual
Sum Assured Chosen sum assured can be enhanced at
renewal
Premium Payable in advance
Coverage - Inpatient hospitalisation expenses: Room
including nursing costs: Up to 1% of the
chosen sum assured ICU charges: Up to 2%
of the chosen sum assured Following costs:
Treating medical professionals,
consumables, supplies, OT and other
rooms, tests, equipment etc. up to chosen
sum assured
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- Organ donor hospitalisation expenses: Up
to chosen sum assured
- Pre/post-hospitalisation expenses: Up to
30/60 days respectively
This policy targets a younger customer-segment, capping the entry age of proposers at 35
yrs. Key features of this plan are high coverage at affordable rates and the option to cover
one’s dependent children as well.
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including nursing costs: Up to 1% of the
chosen sum assured ICU charges: Up to 2%
of the chosen sum assured Following costs:
Treating medical professionals,
consumables, supplies, OT and other
rooms, tests, equipment etc. up to chosen
sum assured
- Organ donor hospitalisation expenses: Up
to chosen sum assured
- Pre/post-hospitalisation expenses: Up to
30/60 days respectively
This is a health insurance policy meant to extend insurance coverage to older members of
society viz. senior citizens. The needs of this group, considered a high-risk category, are
often ignored. However, this plan makes health care a viable option for people post-
retirement
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package
Discounts 5% of total premium for at least one
additional member
Coverage - Inpatient hospitalisation expenses: Room
including nursing costs: Up to 1% of the
chosen sum assured ICU charges: Up to 2%
of the chosen sum assured Following costs:
Treating medical professionals,
consumables, supplies
- Organ donor hospitalisation expenses: Up
to chosen sum assured
- Pre/post-hospitalisation expenses: Up to
30/60 days respectively up to 10% of the
chosen sum assured
2 types of health insurance claims can be filed with United India Insurance:
Cashless Claim: Get admitted at a network hospital of the insurer to avail cashless
hospitalisation. Intimate the insurer prior to admission in the case of planned
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hospitalisation or within 24 hours of admission in the case of emergency hospitalisation.
Show your health card at the hospital helpdesk. The hospital will submit a pre-
authorisation request form to the insurer or Third-Party Administrator. Upon approval, the
hospital will provide cashless treatment to the insured member. The medical bills will be
settled directly with the hospital by the insurer.
Reimbursement Claim: A written intimation has to be sent to the insurer or TPA within
24 hours of hospitalisation. Collect all the original medical documents at the time of
discharge. Pay the bills upfront and later file a reimbursement claim with the insurer within
7 days from the date of discharge. The claim will be approved or rejected as per the policy
terms and conditions.
Incurred Claims Ratio of United India Insurance Health Insurance for the Year
2017-18
Net Earned Premium (in Net Claims Paid (in Crore) Incurred Claims Ratio (in
Crore) %)
Rs.4638.13 crore Rs.5146.18 crore 110.95%
COMMERCIAL POLICIES
1. MARINE INSURANCE
Cover- Any loss or damage to goods in transit by rail, sea, road, air or post.
Owners or bankers of goods in transit/shipment can be insure. And the following can be
insured:
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Goods in transit by rail, sea, road, air or post
Goods carried by coastal vessels plying between the various ports within the country
Cargo transported by small vessels or country craft over inland waters
Goods moved from place to place by river transport
Premium Rating
The normal basis of valuation for ocean/air consignment will be CIF + incidentals up
to a percentage which is agreed upon at the inception of the policy (normally this is 10 %)
Cover- Any loss or damage to ships, tankers, bulk carriers, smaller vessels, fishing boats and
sailing vessels.
The various vessels that are covered under this policy are:
Fishing Vessels
Ocean Going Vessels
Sailing Vessels
Other Vessels
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Collision
General average sacrifice, salvage charges
1. INDUSTRIAL INSURANCE
a) Industrial All Risk Policy
Cover- All the risks other than petro chemical risks having a minimum sum insured of 100
crores are covered here.
Perils Covered-
Section I
Section II
Section II
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In case of any financier’s interest eg. Bank, IDBI etc. machinery can be insured in the
joint names.
2. MOTOR INSURANCE
Cover-Motor vehicle which includes private cars, Motorised Two wheelers and Commercial
vehicles excluding vehicles running on rails.
Owners of the vehicle, Financiers or Lessee, who have insurable interest in a motor vehicle
can be insure.
(a) In case of vehicle not exceeding 5 years of age, the IDV has to be arrived at by applying
the percentage of depreciation specified in the tariff on the showroom price of the particular
make and model of the vehicle.
(b) In case of vehicles exceeding 5 years of age and Obsolete models (manufacture of those
vehicles which have been stopped by the manufacturers), they have to be insured for the
prevailing market value of the same as agreed to between the insurer and the insured.
Section I of package policy covers loss or damage to the vehicle and / or accessories due to
4. MISCELLANEOUS INSURANCE
a) SOCIAL INSURANCE
i) Bhagyashree Child Welfare Policy
Cover- Cover is applicable to girl child in the age group of 0 to 18 years whose neither
parents' age should be greater than 60 years.
Cover is to provide relief to insured girl in the case of death of either/both of the parents
arising out of accident.
In the event of death of the parent(s), Rs.25,000/- will be deposited in the name of the child in
any of the nationalised banks and the benefits will be provided as under.
All sections of women in the age group 10 to 75 years irrespective of their income,
occupation or vocation can be covered under the policy.
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b) RURAL INSURANCE
i) Agricultural Pumpset Insurance
All kinds of pumpsets like centrifugal, jet and submercible (both electrical and diesel) upto
30 HP of approved makes.
Owners of pumpset or financing banks and manufacturers of pumpset can insure under
Pumpset Package Policy.
Risk covered-
A Layer birds and hatchery birds in a poultry farm in the age group of 1 day old to 72
weeks and broilers in the age group of 1 day to 8 weeks.
Ducks and Quails are also insured under the policy.
Own Poultry farmers / financing bank can insure the birds. All the birds in the
farm should be insured without selection.
Risk covered-
Policy pay-
80% of the value of the bird at the time of loss as per stage wise valuation
table attached to the policy subject to deduction of a specified policy excess.
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c) TRAVAL INSURANCE
i) Baggage Policy
Baggage Insurance Policy covers all accompanied baggage during a journey like suitcases,
trunks etc., containing the baggage and additions during the journey.
5. LIABILITY INSURANCE
The various terms like “Accident”, “Hazardous substances” as defined in the Act are given
below.
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exposure to death of, or injury to any person or damage to any property but does not include
an accident by reason only of war or radioactivity.
Schedule of Compensation
1. Reimbursement of medical expenses incurred upto a maximum of Rs.12,500/- in each
case.
2. For a fatal accident the relief will be Rs.25,000/- per person in addition to
reimbursement of medical expenses, if any incurred on the victim upto a maximum of
Rs.12,500/-.
3. For permanent total or permanent partial disability or other injury or sickness, the
relief will be :
a. Reimbursement of medical expenses incurred, if any, upto a maximum of
Rs.12,500/- in each case and,
b. Cash relief on the basis of percentage of disablement as certified by an
authorized physician. The relief for total permanent disability will be
Rs.25,000/-.
4. For loss of wages due to temporary partial disability which reduce the earning
capacity of the victim, there will be a fixed monthly relief not exceeding Rs.1,000/-
per month upto a maximum of 3 months provided the victim has been hospitalized for
a period exceeding 3 days and above 16 years of age.
5. In respect of damage to private property, upto Rs.6,000/- per claim.
Liability of an employer for employment injury (including death) of any of his employees
who is a ‘workman’ as defined under Workmen Compensation Act.
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Any employer whether as a Principal or contractor engaging "workmen" as defined in WC
Act to cover his liability to them under statute and at common law. Employer can cover
Employees who do not qualify as "Workmen" under separate table
Liability in respect of diseases mentioned in Part C / schedule III of WC Act, on
additional premium; which arise out of and in the course of employment
Where employment injury results in death, then we pay 40% of the monthly wages
of the deceased multiplied by the relevant factor or Rs. 20,000/- which ever is more.
Permanent Total Disablement 50% of the monthly wages of the injured disabled
(PTD) workman multiplied by relevant factor or Rs. 24,000/- which ever is more.
INVESTMENTS
The initial plan, announced in the FY19 budget, had been to merge Oriental Insurance
Company, National Insurance Company and United India Insurance Company – all unlisted
entities – into one entity, keeping New India Assurance Company separate.
The combined market share of the three state-run insurers in terms of gross direct premium
was about 25%. New India Assurance had a market share of 16.8%
Increased emphasis on retail segment along with focus on containing underwriting losses will
be the key driver for profitable growth going ahead for the public sector general insurer
United India Insurance.
1. Bajaj Allianz
2. Birla Sun Life
3. HDFC Life
4. ICICI Prudential
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5. Exide Life
6. LIC
7. Kotak Life
8. SBI Life
9. Tata AIA
10. Reliance Life
11. Future Generali
12. IDBI Federal
13. Canara HSBC OBC
IRDA
IRDA - Insurance Regulatory Development and Authority is the statutory, independent and
apex body that governs and supervise the Insurance Industry in India.
It was constituted by the Insurance Regulatory and Development Authority Act, 1999 an
Act of Parliament passed by the Government of India. The agency's headquarters are
in Hyderabad, Telangana, where it moved from Delhi in 2001.
The IRDAI officials during the inspection found three violations, of which two
attracted fine.
On examining the sample policy files of UIIC, it was noted that the insurer had not
recorded justification for the "extent of discount" given to different clients.
The discount given is derived from market forces, as the insurer relies on quotes given
by other competitors.
"Thus the insurer presented a false picture, as if it is offering a huge discount on the
base premium and charging premium separately for AOG (Act of God) perils," the
regulator said on one of the violations of UIIC.
During the examination of the sample documents pertaining to the insurer, IRDAI
officials found there were numerous circumstances where the surveyor has been
appointed beyond 72 hours.
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CURRENT TRENDS IN INSURANCE SECTOR:
Investments and Recent Developments
The following are some of the major investments and developments in the Indian insurance
sector.
Government Initiatives
The Government of India has taken a number of initiatives to boost the insurance industry.
Some of them are as follows:
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CONCLUSION
The secondary data from various sources is used for this study. As a leading private
sector insurance company they have their own foot prints in the industry. The company
providing variety of products to the peoples which start from insurance cover for pedal
cycle to satellites. Their social welfare policies are really a protecting hand to backward and
typical middleclass peoples. Peoples in India receiving a lot of advantage from those
policies which offering tie-ups with Govt of India. The company is much interested national
development that we can understand by analysing their social and rural insurance policies.
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