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MODULE 2: PRINCIPLES
AND PRACTICES OF
INSURANCE
CONTRACT OF
INSURANCE
Life insurance:
Scope
Scope of business
Principal
Agent
Insurer
Narrow
Insurer
Broker
Policyholder
Unit only
Broader
Policyholder
Subject matters
Life insurance contracts: lifespan and human body
Property insurance: property and relevant benefits
Marine insurance:
(1) vessel
(2) cargo
(3) income from operation of vessel
(4) expected profit on goods
(5) mariners wages and other remuneration
(6) liability to third party
(7) other property which may sustain loss from marine peril and
liabilities and expenses
Formation and
form
Formation
Form
11 minimal terms:
(1) name and domicile of the insurer
(2) name and domicile of the insured and policyholder, and
name and domicile of the beneficiary in life insurance
(3) subject matter
(4) insurance coverage and their exemptions
(5) insurance period and commencement of insurance
liability
(6) insurable value
(7) insured value
(8) premium and its method of payment
(9) insurance indemnity and its payment
(10) liabilities for breach of contract and dispute settlement
(11) time of contract execution
Modification and
assignment
Modification
By separate agreement
Endorsement or placement of rider on the original policy
Life insurance:
the insured or policyholder may change beneficiary and notify
the insurer in writing
Property insurance:
degree of risk increases, or remarkably reduces or insurable
value decreases, the party concerned may request the other to
change rate of premium
Assignme
Only effective upon consent of the insurer
nt
Illustration:
If A sells his house to B, there is an un-expired insurance on the house. It is not
possible simply to impose the new owner of the house on the insurer, since the
new owner may have habits affecting the house that alter the risk of insuring
it. B must re-negotiate with the insurer, if consented by the insurer, the
contract is assigned upon consent. If not, B has to enter into new insurance
contract possibly at different premium rate.
Contracts for marine insurance of cargo: it may be assigned by the insured by
endorsement or otherwise, and the rights and obligations are assigned
accordingly. If insurance premium remain unpaid up to the time of
assignment, the insured and the assignee are jointly liable for such payment.
Insurers consent required, if insurance contract is assigned as a consequence
of transfer of ownership of vessel insured. It should be terminated upon the
transfer of its ownership without such consent.
Performa
Policyholders obligations
nce
Payment of premium
Mitigation of
damages
Abandonment
Property insurance:
if insurer has paid indemnity in full
insured value is equivalent to the insurable value
remaining value of the damaged subject matter belong to insurer
if insured value is lower than insurable value, insurer is entitled to
subject matter proportionate to ratio of the insured value to
insurable value
Marine insurance:
subject matter has become a constructive total loss
the insured requests indemnification from insurer for value in full
subject matter shall be abandoned to the insurer
Assignment of right of
recourse
Property insurance:
Insurers
obligations
Payment of insurance indemnity after occurrence of insurance
contingence
Discharge of
contract
Policyholder: may discharge the insurance contract after its conclusion.
Insurer: cannot discharge the contract after conclusion of such contract
unless otherwise provided by the law or the contract.
Contracts for insurance of cargo and transportation vehicles:
neither party may do so, if tahe insurance liability has commenced.
IRDA
20
21
22
23
24
25
26
NATURE AND
SIGNIFICANCE OF LIFE
INSURANCE
29
Causes of Death
32
Causes of Death
33
your goals.
ESSENTIALS OF LIFE
INSURANCE
CONTRACTS
40
legal provisions
your application (which identifies
who you are and your medical
declarations)
and a policy specifications page that
describes
the
policy
you
have
selected, including any options and
riders that you have purchased in
return for an additional premium.
Provisions
describe
the
conditions,
rights, and obligations of the parties
to
the
contract
(e.g.,
the
grace
period
for
payment
of
premiums,
suicide and incontestability clauses).
(continued)
TYPES OF LIFE
INSURANCE POLICIES
& PRODUCTS.
conversion option
can change your policy from term to a
whole life policy without a physical
decreasing term insurance
your premium stays the same, but the
amount of coverage decreases as you
age
12-8
You
may
be
term
without
higher rate.
able
to
renew
the
policy
regard
to
your
health,
for
but
a
new
at
a
Your
premium
goes
toward
administrative
expenses,
company
profit,
and
a
reserve
account
that
pays
claims
to
those
who
die
during the term period.
As you get older, the chance that you will die increases. To cover this
increasing risk, premiums will rise at regular intervals.
Most term insurance also has a conversion feature that allows you to
switch your coverage to some type of permanent insurance without
answering health questions.
Nonforfeiture clause
if you stop paying premiums you can
use the cash value in a variety of ways.
Limited payment policy
pay higher premiums during your
earning years only, keeping lifetime
coverage
Variable life policy
minimum death benefit guaranteed, but
can be more depending on how your
premium dollars are invested
(continued)
Adjustable
you can change your premium
amount and thus your coverage
Universal life
lets you pay premiums in almost
any amount
combines term insurance and
investment elements
Permanent
insurance
policies
provide
protection for your entire life, provided
you pay the premium to keep the policy
in force.
Premium payments are greater than necessary to
provide a life insurance benefit in the beginning
of the policy, so that a cash reserve can be
accumulated to make up the shortfall in
premiums necessary to provide the insurance in
the later years.
Should you discontinue the policy, this reserve,
known as the cash value, is returned to you.
Pure Term
Term Plans
Pure Endowment
Endowment
Whole Life
Money back
Pure Term
57
Payout
to family
Year 1
2
3
4
5
6
7
8
9
Insured person survives till end of policy term =No payout
10
Pure Endowment
58
No Payout
to family
Year 1
7
8
death
Pay out only if Insured person survives till end of policy term
10
Traditional Products
59
Term Plan
death
Year 1
Payout
to family
10
60
Payout
To
family
Endowment would cover the risk of Early Death also the risk of Living too Long
Year 1
10
Insured person survives till end of policy term =Payout to policy holder
61
death
6
20
10
14
Pure Endowment
Plan from year
16 to year 20
payout
12
payout
Pure Endowment
Plan from year
6 to year 10
payout
Yr 0
15
payout
Term policies provide life insurance protection for a specific period of time.
If you die during the coverage period, your beneficiary receives the policy death benefit.
If you live to the end of the term, the policy simply terminates, unless you renew for a new
period.
Slide 65
66
67
NATURE AND
SIGNIFICANCE OF
GENERAL INSURANCE
69
Concept of General
Insurance
General insurance includes insurance
policies that protect your property and
your financialrisk, including motor
vehicle, home building and contents and
travel insurance. It excludes life insurance
and health insurance products.
Defining General
Insurance
Classification
72
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