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The Great Fire of London. Consumed 13,200 houses, 87 churches, most of the City authority buildings gutted the medieval City of London inside the old.

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Presentation on theme: "The Great Fire of London. Consumed 13,200 houses, 87 churches, most of the City authority buildings gutted the medieval City of London inside the old."— Presentation transcript:

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3 The Great Fire of London. Consumed 13,200 houses, 87 churches, most of the City authority buildings gutted the medieval City of London inside the old Roman City Wall Destroyed the homes of 70,000 out of 80,000 of the city’s inhabitants Sunday, 2 nd Sept. to Wednesday, 5 th Sept 1666

4 PGDBM - INSURANCE “The business of effecting, otherwise than incidentally to some other class of business, contracts of insurance against loss by or incidental to fire, or other occurrence customarily included among risks insured against the fire insurance policies.” – Insurance Act, “The business of effecting, otherwise than incidentally to some other class of business, contracts of insurance against loss by or incidental to fire, or other occurrence customarily included among risks insured against the fire insurance policies.” – Insurance Act, A fire insurance is a contract under which the insurer in return for a consideration (premium) agrees to indemnify the insured for the financial loss which the latter may suffer due to destruction of or damage to property or goods, caused by fire, during a specified period. A fire insurance is a contract under which the insurer in return for a consideration (premium) agrees to indemnify the insured for the financial loss which the latter may suffer due to destruction of or damage to property or goods, caused by fire, during a specified period. The insurer is liable to make good the actual amount of loss not exceeding the maximum amount fixed under the policy. The insurer is liable to make good the actual amount of loss not exceeding the maximum amount fixed under the policy. 3

5 PGDBM - INSURANCE 'Fire' means the production of light and heat by combustion or burning. 'Fire' means the production of light and heat by combustion or burning. There is said to be a fire within the meaning of fire insurance when: There is said to be a fire within the meaning of fire insurance when:  There is actual ignition.  The fire is purely accidental or fortuitous in origin so far as the insured is concerned.  There must be something on fire which ought not to be on fire. 4

6 PGDBM - INSURANCE No Claim without a Flame. No Claim without a Flame. The fire must result from actual ignition and the resulting loss must be proximately caused by such ignition. The fire must result from actual ignition and the resulting loss must be proximately caused by such ignition. The damage should be occasioned by fire. The damage should be occasioned by fire. Loss or damage caused by excessive fire heat cannot be included in ‘loss or damage fire’. Loss or damage caused by excessive fire heat cannot be included in ‘loss or damage fire’. Loss or damage must be either by ignition of article or property or premises or part thereof. Loss or damage must be either by ignition of article or property or premises or part thereof. If lightning causes ignition, there is actual ignition. If lightning causes ignition, there is actual ignition. If water causes damage when used to put out fire, Fire, and not water is the villain. If water causes damage when used to put out fire, Fire, and not water is the villain. 5

7 PGDBM - INSURANCE Fire must be accidental Fire must be accidental or magnitude of the fire must be accidental – eg. Cooking stove. or magnitude of the fire must be accidental – eg. Cooking stove. The cause of fire is immaterial unless it as the deliberate act of the insured. The cause of fire is immaterial unless it as the deliberate act of the insured. It is immaterial whether the fire comes to the insured property or the insured property comes to the fire. It is immaterial whether the fire comes to the insured property or the insured property comes to the fire. 6

8 PGDBM - INSURANCE 7

9 Specific Policy Specific Policy Valued Policy Valued Policy Average Policy Average Policy Floating policy Floating policy Reinstatement Policy Reinstatement Policy Consequential loss Policy Consequential loss Policy Comprehensive policy Comprehensive policy A Blanket policy A Blanket policy 8

10 PGDBM - INSURANCE The insurer undertakes to make good the loss to the insured up to the amount specified in the policy. The insurer undertakes to make good the loss to the insured up to the amount specified in the policy. The value of property is not relevant in determining the amount of indemnity in case of a specific policy. The value of property is not relevant in determining the amount of indemnity in case of a specific policy. Example: Example:  A building worth Rs.2,00,000 is insured against fire for Rs. 1,00,000.  If the damage to the property is Rs.75,000 the insurer will get the full compensation.  If damage is Rs.2,00,000, Rs. 1,00,000 is payable. 9

11 PGDBM - INSURANCE The value declared in the policy is payable by the insured in the event of a total loss irrespective of the actual value of loss. The value declared in the policy is payable by the insured in the event of a total loss irrespective of the actual value of loss. The policy violates the principle of indemnity. The policy violates the principle of indemnity. The insurer has to pay a specified amount quite independent of the market or actual value of the property at the time of loss. The insurer has to pay a specified amount quite independent of the market or actual value of the property at the time of loss. So such a policy is very rarely issued. So such a policy is very rarely issued. It may be issued only on artistic work, antiques and similar rare articles whose value cannot be determined easily. It may be issued only on artistic work, antiques and similar rare articles whose value cannot be determined easily. 10

12 PGDBM - INSURANCE Under a fire insurance policy containing the ‘average clause’ the insured is liable for such proportion of the loss as the value of the uncovered property bears to the whole property. Under a fire insurance policy containing the ‘average clause’ the insured is liable for such proportion of the loss as the value of the uncovered property bears to the whole property. This principle applies if the property is underinsured. This principle applies if the property is underinsured. Example: Example:  House insured for Rs. 4,00,000 though its actual value is Rs. 6,00,000.  Part of the house is damaged in fire and the insured suffers a loss of Rs. 3,00,000  The amount of compensation to be paid by the insurer is Rs. 2,00,  Claim Payable = Sum Insured * Actual Loss = * = Value of the Property6000

13 PGDBM - INSURANCE Used for covering fluctuating stocks of goods held in different locations. Used for covering fluctuating stocks of goods held in different locations. With every transaction of sale or purchase, the quantities of goods kept at different places fluctuate. With every transaction of sale or purchase, the quantities of goods kept at different places fluctuate. It is difficult for the owner to take a policy for a specific amount. It is difficult for the owner to take a policy for a specific amount. The best way is to take out a floating policy for all the stocks of goods. The best way is to take out a floating policy for all the stocks of goods. 12

14 PGDBM - INSURANCE Also called ‘New for Old’ Policy Also called ‘New for Old’ Policy Such policies avoid conflict of indemnity. Such policies avoid conflict of indemnity. The insurer has the right to reinstate or replenish the property destroyed instead of paying compensation to the insured in cash. The insurer has the right to reinstate or replenish the property destroyed instead of paying compensation to the insured in cash. It may be granted on building, machinery, furniture, fixture and fittings only. It may be granted on building, machinery, furniture, fixture and fittings only. Restoration of damaged portion of the property to a condition substantially the same, but not better or more extensive than its condition, at the time of its renovation Restoration of damaged portion of the property to a condition substantially the same, but not better or more extensive than its condition, at the time of its renovation 13

15 PGDBM - INSURANCE Provides for loss of tangible and intangible properties. Provides for loss of tangible and intangible properties. The insured may suffer a greater financial loss on account of dislocation of business caused by fire The insured may suffer a greater financial loss on account of dislocation of business caused by fire.e.g. close down business after fire for repair, to meet fixed expenses such as rent, salaries, taxes and other expenses as usual..e.g. close down business after fire for repair, to meet fixed expenses such as rent, salaries, taxes and other expenses as usual. Such considerable loss to the insured is not covered by the ordinary fire policy. Such considerable loss to the insured is not covered by the ordinary fire policy. In order to cover such loss by fire, the ‘Consequential Loss Policy’ has been introduced. In order to cover such loss by fire, the ‘Consequential Loss Policy’ has been introduced. The loss so suffered is separately calculated from the loss actually suffered. The loss so suffered is separately calculated from the loss actually suffered. 14

16 PGDBM - INSURANCE It is also known as ‘all insurance policy’. It is also known as ‘all insurance policy’. Covers the risks of the fire arising out of any cause that is civil commotion, lightening, riots, thefts, labor disturbances and strikes etc. Covers the risks of the fire arising out of any cause that is civil commotion, lightening, riots, thefts, labor disturbances and strikes etc. ‘Comprehensive’ does not mean that every type of risk is covered. ‘Comprehensive’ does not mean that every type of risk is covered. There may be exclusions and limitations. There may be exclusions and limitations. 15

17 PGDBM - INSURANCE Blanket policy : Blanket policy :  to cover all the fixed and current assets of an enterprise by one insurance. Declaration policy: Declaration policy:  Trader takes out a policy for the maximum value of stock which may be expected to hold during the year.  At a fixed date each month, the insured has to make a declaration  regarding the actual value of stock at risk on that date.  On the basis of such declaration, the average amount of stock at risk in the year is calculated and this amount becomes the sum assured. Sprinklers leakage policy. Sprinklers leakage policy.  It covers the loss arising out of water  leakage from sprinklers which are setup to extinguish fire. 16

18 PGDBM - INSURANCE Forest Fire Forest Fire Spontaneous combustion Spontaneous combustion Deterioration of Stocks in cold storage Deterioration of Stocks in cold storage Earthquake (Fire & Shock) Earthquake (Fire & Shock) Terrorism Terrorism Impact damage due to Insured’s own Rail/ Road Vehicles, fork Lifts, Cranes, stackers and the like and articles dropped there from Impact damage due to Insured’s own Rail/ Road Vehicles, fork Lifts, Cranes, stackers and the like and articles dropped there from

19 PGDBM - INSURANCE Right to avoid the policy- in case of willful act and misrepresentation. Right to avoid the policy- in case of willful act and misrepresentation. Right of entry control over the property- on the happening of the event to take the possession of the property. Right of entry control over the property- on the happening of the event to take the possession of the property. Right of reinstatement- replace the asset Right of reinstatement- replace the asset Right of subrogation - entitled to all rights and remedies available to the insured after indemnifying Right of subrogation - entitled to all rights and remedies available to the insured after indemnifying Right to contribution- when more than one policies are taken by the insured, loss will be shared with other insurers. Right to contribution- when more than one policies are taken by the insured, loss will be shared with other insurers. Right to salvage - assured to hand over the salvage to the insurance company in case of loss to the property insured. Right to salvage - assured to hand over the salvage to the insurance company in case of loss to the property insured. 18

20 PGDBM - INSURANCE Existence of Property when policy is effected Existence of Property when policy is effected Insured Property must be property damaged Insured Property must be property damaged Insurable interest from the time of commencement of risk and up to the completion of the contract. Insurable interest from the time of commencement of risk and up to the completion of the contract. Observe good faith in disclosure, efforts to prevent and extinguish the fire with reasonable care. Observe good faith in disclosure, efforts to prevent and extinguish the fire with reasonable care. The subject matter of insurance should be described in the policy as to identify it clearly. The subject matter of insurance should be described in the policy as to identify it clearly. Express conditions are described in the policy. 19

21 PGDBM - INSURANCE Notice in writing to the insurer. Notice in writing to the insurer. Evidence regarding loss by fire. Evidence regarding loss by fire. Filing the prescribed form with all details Filing the prescribed form with all details Inspection of loss by Insurer Inspection of loss by Insurer Double insurance – contribution Double insurance – contribution More than one fire, total pay out will not exceed the insured amount. More than one fire, total pay out will not exceed the insured amount. Waiver is the voluntary relinquishment of a known right. Insurer my pay as a waiver. Waiver is the voluntary relinquishment of a known right. Insurer my pay as a waiver. 20

22 PGDBM - INSURANCE Rate calculation is made in following manner; i)Base rate for the class of property. ii)Reduction in rates based on exclusion and add on covers. iii)Extra tariff for hazardous assets. iv)Discount is allowed for claim experience. v)Further discount is allowed for betterment of risk. Followings are to be considered on fixation of premium i)Type of insured ii)Location of property iii)Storage facility and other infrastructure iv)Additional premium on ‘add-on covers’ and discount on ‘exclusion’.

23 PGDBM - INSURANCE Three steps: Three steps:  Classification  Discrimination  Fixing or schedule rating. 22

24 PGDBM - INSURANCE The risks are classified into various classes according to factors affecting fire risk. The risks are classified into various classes according to factors affecting fire risk.  Construction of Structure  Occupancy  Nature of flooring  Height  Floor and Wall Opening  Exposure  Lighting heating and power  Place or situation  Protection  Time of loss 23

25 PGDBM - INSURANCE The differentiation of the rates for individual risks in a particular class. The differentiation of the rates for individual risks in a particular class. Risks are differentiated from each other according to the merits and demerits of the individual risk. Risks are differentiated from each other according to the merits and demerits of the individual risk. Equitable basis of ratting. Equitable basis of ratting.

26 PGDBM - INSURANCE An empirical standard for the measurement of relative quantity of fire hazard. An empirical standard for the measurement of relative quantity of fire hazard. It is based on the theory that the aggregate fire hazard of any risk is capable of ultimate analysis into its component factors to each of which could be assigned an appropriate charge It is based on the theory that the aggregate fire hazard of any risk is capable of ultimate analysis into its component factors to each of which could be assigned an appropriate charge A standard or average premium is determined as a base for calculating the premium. A standard or average premium is determined as a base for calculating the premium. The rate arrived at the is the net premium, which is just sufficient to meet all the losses in that particular risk. The rate arrived at the is the net premium, which is just sufficient to meet all the losses in that particular risk. This is loaded with expenses to arrive at the gross premium or office premium This is loaded with expenses to arrive at the gross premium or office premium Average Fire Rate R =*100

27 PGDBM - INSURANCE Fire insurance business is governed by the tariffs formulated by the Tariff Advisory committee Fire insurance business is governed by the tariffs formulated by the Tariff Advisory committee TAC is a statutory body established under the provisions of The Insurance (Amendment ) Act TAC is a statutory body established under the provisions of The Insurance (Amendment ) Act TAC control and regulate the rates, advantages, terms and conditions offered in respect of general insurance TAC control and regulate the rates, advantages, terms and conditions offered in respect of general insurance Tariffs provide rates for almost all classes of risk Tariffs provide rates for almost all classes of risk also provide rules and regulations for the business and standard form of wordings for the contract. also provide rules and regulations for the business and standard form of wordings for the contract. Regional committees at Delhi, Calcutta Chennai, Mumbai. Regional committees at Delhi, Calcutta Chennai, Mumbai. Each region has its own Tarff applicable to risks in in its territorial jurisdiction. Each region has its own Tarff applicable to risks in in its territorial jurisdiction. Tariffs are determined based on principles of rate fixation. Tariffs are determined based on principles of rate fixation. 26

28 PGDBM - INSURANCE Proposal Form- contains details of proposer, type of coverage, details of subject matter, sum insured, insured declaration/authentication, risk inspection report. Proposal Form- contains details of proposer, type of coverage, details of subject matter, sum insured, insured declaration/authentication, risk inspection report. Cover note- is issued pending issue of policy covers proposer’s detail, sum insured, details of risk covered, premium detail, date of issue and validity, date of commencement and expiry of cover, authentication, warranties and clauses. Cover note- is issued pending issue of policy covers proposer’s detail, sum insured, details of risk covered, premium detail, date of issue and validity, date of commencement and expiry of cover, authentication, warranties and clauses. Policy document- must follow the format prescribed by the tariff. Must contain all the information as contained in the cover note, and endorsement and alteration made to the policy. Policy document- must follow the format prescribed by the tariff. Must contain all the information as contained in the cover note, and endorsement and alteration made to the policy.

29 MARINE INSURANCE

30 PGDBM - INSURANCE A contract of Marine insurance is a contract whereby the Insurer undertakes to indemnify the assured, in manner and to the extent thereby agreed, against marine losses, that is to say, the losses incident to marine adventure. A contract of Marine insurance is a contract whereby the Insurer undertakes to indemnify the assured, in manner and to the extent thereby agreed, against marine losses, that is to say, the losses incident to marine adventure. Section 2(13)A of The Insurance Act 1938: Section 2(13)A of The Insurance Act 1938: “Marine Insurance business” means the business of effecting contracts of insurance upon vessels of any description including cargoes freights and other interest which may be legally insured in or in relation to such vessels, cargoes and freights, goods, wares, merchandise and property of whatever description insured for any transit by land or water or both and whether or not including warehouse risks or similar risks in addition or as incidental to such transit and includes any other risks customarily included among the risks insured against in marine insurance polices. “Marine Insurance business” means the business of effecting contracts of insurance upon vessels of any description including cargoes freights and other interest which may be legally insured in or in relation to such vessels, cargoes and freights, goods, wares, merchandise and property of whatever description insured for any transit by land or water or both and whether or not including warehouse risks or similar risks in addition or as incidental to such transit and includes any other risks customarily included among the risks insured against in marine insurance polices.

31 PGDBM - INSURANCE 30

32 PGDBM - INSURANCE Two broad categories - ocean marine insurance and Inland marine insurance. Two broad categories - ocean marine insurance and Inland marine insurance. Ocean marine insurance is a form of transportation insurance. It is classified into 4 categories: Ocean marine insurance is a form of transportation insurance. It is classified into 4 categories:  Hull insurance covers physical damage to the ship or vessel covers physical damage to the ship or vessel  Cargo insurance covers the shipper of the goods if the goods are damaged or lost. Open cargo policy can be used for regular shipment. The open cargo policy has no expiration date and remains in force until it is cancelled. covers the shipper of the goods if the goods are damaged or lost. Open cargo policy can be used for regular shipment. The open cargo policy has no expiration date and remains in force until it is cancelled.  Protection and Indemnity (P&I) Insurance provides comprehensive liability insurance for property damage or bodily injury to third parties. provides comprehensive liability insurance for property damage or bodily injury to third parties.  Freight Insurance indemnifies the ship owner for the loss of earnings if the goods are damaged or lost and are not delivered. indemnifies the ship owner for the loss of earnings if the goods are damaged or lost and are not delivered. 31

33 PGDBM - INSURANCE Seaworthiness of Ship. Seaworthiness of Ship.  At the commencement of the voyage or at each stage of voyage.  Seaworthiness is relative term - suitability for the season, sea, etc.  suitability and adequacy of her equipment, adequacy and experience of the officers and crew.  Include cargo - worthiness Legality of Venture Legality of Venture  Eg. Trading with enemy, violating national laws, smuggling, ventures prohibited by law. Non- deviation Non- deviation  No deviation and delay of voyage 32

34 PGDBM - INSURANCE 1. Voyage Policy insured against risk in respect of a particular voyage from a port of departure to the port of destination insured against risk in respect of a particular voyage from a port of departure to the port of destination covers the subject matter irrespective of the time factor. covers the subject matter irrespective of the time factor. not suitable for hull insurance as a ship usually does not operate over a particular route only. not suitable for hull insurance as a ship usually does not operate over a particular route only. The policy is used mostly in case of cargo insurance. The policy is used mostly in case of cargo insurance. 2. Time Policy for specified period of time, usually not exceeding 12 months. for specified period of time, usually not exceeding 12 months. generally used in connection with the insurance of ship. generally used in connection with the insurance of ship. 3. Mixed Policies It is a mixture of voyage and time policies. It is a mixture of voyage and time policies. for a certain time period and for a certain voyage or voyages, for a certain time period and for a certain voyage or voyages, e.g., Kolkata to New York, for a period of one year. e.g., Kolkata to New York, for a period of one year. generally issued to ships operating on particular routes. generally issued to ships operating on particular routes. 33

35 PGDBM - INSURANCE 4. Valued Policies 4. Valued Policies The value of the subject matter is agreed between the insurer and the insured at the time of taking the insurance. It includes The value of the subject matter is agreed between the insurer and the insured at the time of taking the insurance. It includes  invoice price of goods  freight, insurance and other charges  ten to fifteen percent margin to cover expected profits. 5. Unvalued policy the value of subject matter insured has to be ascertained wherever the subject matter is lost or damaged. the value of subject matter insured has to be ascertained wherever the subject matter is lost or damaged. 6. PPI Policies Policy Proof of Interest Policy Proof of Interest Honored by the insurer even in absence of insurable interest. Honored by the insurer even in absence of insurable interest. Issued on mutual understanding and is called honored polices. Issued on mutual understanding and is called honored polices. Since this is not legally enforceable, it is called wagering policies. Since this is not legally enforceable, it is called wagering policies. 34

36 PGDBM - INSURANCE 7. Floating Policy A merchant who is a regular shipper of goods can take out a ‘floating policy’ to avoid botheration and waste of time involved in taking a new policy for every shipment.. A merchant who is a regular shipper of goods can take out a ‘floating policy’ to avoid botheration and waste of time involved in taking a new policy for every shipment.. It does not include the name of the ship and other details. It does not include the name of the ship and other details. the insured takes a policy for a huge amount the insured takes a policy for a huge amount The other details are required to be furnished through subsequent declarations. The other details are required to be furnished through subsequent declarations. The underwriter goes on recording the entries in the policy. The underwriter goes on recording the entries in the policy. When the sum assured is exhausted, the policy is said to be “fully declared” or “run off”. When the sum assured is exhausted, the policy is said to be “fully declared” or “run off”. 8. Block Policy This policy covers other risks also in addition to marine risks. This policy covers other risks also in addition to marine risks. A single policy known as block policy may be taken to cover all risks. E.g. when the goods are dispatched by rail or road transport for shipment, a single policy may cover all the risks from the point of origin to the point of destination. A single policy known as block policy may be taken to cover all risks. E.g. when the goods are dispatched by rail or road transport for shipment, a single policy may cover all the risks from the point of origin to the point of destination. 35

37 PGDBM - INSURANCE A marine insurance policy may be transferred by assignment unless the terms of the policy expressly prohibit the same. A marine insurance policy may be transferred by assignment unless the terms of the policy expressly prohibit the same. The assignment may be made either by endorsement on the policy itself or on a separate document. The assignment may be made either by endorsement on the policy itself or on a separate document. The insured need not give a notice or information to the insurer or underwriter about assignment. The insured need not give a notice or information to the insurer or underwriter about assignment. In case of death of the insured, a marine policy is automatically assigned to his heirs. In case of death of the insured, a marine policy is automatically assigned to his heirs. At the time of assignment, the assignor must possess an insurable interest in the subject matter insured. At the time of assignment, the assignor must possess an insurable interest in the subject matter insured. An insured who has parted with or lost interest in the subject matter insured can not make a valid assignment. An insured who has parted with or lost interest in the subject matter insured can not make a valid assignment. After the occurrence of the loss also, the policy can be assigned freely to any person. The assignor merely transfers his own right to claim to the assignee. After the occurrence of the loss also, the policy can be assigned freely to any person. The assignor merely transfers his own right to claim to the assignee. 36

38 PGDBM - INSURANCE A loss arising in a marine adventure due to perils of the sea is a marine loss. Marine loss are classified into - Total loss and Partial Loss. A loss arising in a marine adventure due to perils of the sea is a marine loss. Marine loss are classified into - Total loss and Partial Loss. Total Loss: implies that the subject matter insured is fully destroyed and is totally lost to its owner. It can be Actual total loss or Constructive total loss. It can be Actual total loss or Constructive total loss.  Actual total loss subject matter is completely destroyed or so damaged that it ceases to be a thing of the kind insured. subject matter is completely destroyed or so damaged that it ceases to be a thing of the kind insured. e.g. sinking of ship, complete destruction of cargo by fire, etc. e.g. sinking of ship, complete destruction of cargo by fire, etc.  Constructive total loss The ship or cargo insured is not completely destroyed but is so badly damaged that the cost of repair or recovery would be greater than the value of the property saved. The ship or cargo insured is not completely destroyed but is so badly damaged that the cost of repair or recovery would be greater than the value of the property saved. 37

39 PGDBM - INSURANCE A partial loss occurs when the subject matter is partially destroyed or damaged. Partial loss can be general average or particular average. A partial loss occurs when the subject matter is partially destroyed or damaged. Partial loss can be general average or particular average.  General average refers to the sacrifice made during extreme circumstances for the safety of the ship and the cargo. This loss has to be borne by all the parties who have an interest in the marine adventure. refers to the sacrifice made during extreme circumstances for the safety of the ship and the cargo. This loss has to be borne by all the parties who have an interest in the marine adventure. e.g. A loss caused by Jettison must be shared by various parties. e.g. A loss caused by Jettison must be shared by various parties.  Particular average loss arising from damage accidentally caused by the perils insured against. Such a loss is borne by the underwriter who insured the object damaged. e.g. If a ship is damaged due to bad weather the loss incurred is a particular average loss loss arising from damage accidentally caused by the perils insured against. Such a loss is borne by the underwriter who insured the object damaged. e.g. If a ship is damaged due to bad weather the loss incurred is a particular average loss 38

40 PGDBM - INSURANCE Insurable interest in the subject-matter insured must exist at the time of the loss. It need not exist when the insurance policy is taken. Insurable interest in the subject-matter insured must exist at the time of the loss. It need not exist when the insurance policy is taken. Under marine insurance, the following persons are deemed to have insurable interest: Under marine insurance, the following persons are deemed to have insurable interest: a) The owner of the ship. b) The owner of the cargo. c) A creditor who has the security of the ship or cargo. d) The master and crew of the ship have insurable interest in respect of their wages. e) In case of advance freight, the person advancing the freight has an insurable interest if such freight is not repayable in case of loss. 39

41 PGDBM - INSURANCE Conditions are inserted into policy in the form of clauses: Hull clauses: Hull clauses:  Institute time Clauses  Incorporated in Hull Policies  losses resulting from collision, standing, general average etc.  All risks policy may be issued or certain risks may be excluded from the policy by inserting suitable clauses Cargo Clauses: Cargo Clauses:  Institute Cargo clauses  Insurance of goods, nature, extent, and scope of the insurance  Additional marine perils are inserted through special clauses. Freight Clauses Freight Clauses  Institute Freight clauses  Loss of freight due to maritime perils which may be insured for a period or for a voyage. 40

42 PGDBM - INSURANCE 1.Assignment Clause  freely assignable and no notice is to be given to the underwriter.  But for hull insurance, consent of underwriter is essential 2.Lost or not lost  The merchant gets information of the shipment of his cargo very late after the sailing of the steamer and therefore, it is not known whether the subject matter was lost or not lost.  The insurer undertakes to indemnify the insured whether subject matter was lost or not before the issue of the policy. 3.At and from clause  Applicable for voyage policies insuring hull and freight.  Determines the time when the actual risk commences  Cover available while it is lying at the port of departure.  If the policy contains ‘from’ only instead of ‘at and from’, the risk commences from the time of departure of the ship and not earlier. 4.Warehouse to warehouse clause  Risk commences form the specified place and continues to the specified place of destination named in the policy.  The risk of land, craft transport and transshipment are covered under a single marine policy. 41

43 PGDBM - INSURANCE 5.Deviation, touch and stay cause  Any departure form the specified course of the voyage or a customary course (if not specified in the policy) amounts to deviation.  A deviation is different form the change of voyage. In change of voyage, the agreed upon destination is changed – intention to change the voyage is sufficient to end the liability of the underwriter. In change of voyage, the agreed upon destination is changed – intention to change the voyage is sufficient to end the liability of the underwriter. In deviation, there should be actual deviation. Once deviation has taken place, the risk ceases to attach for the rest of the voyage. In deviation, there should be actual deviation. Once deviation has taken place, the risk ceases to attach for the rest of the voyage.  Deviating is excused if it is caused by: It is caused by circumstances beyond the control of the master and his employer. It is caused by circumstances beyond the control of the master and his employer. It is necessary to comply with an express or implied warranty. It is necessary to comply with an express or implied warranty. It is necessary for the safety of the ship or subject matter insured. It is necessary for the safety of the ship or subject matter insured. For the purpose of saving human life or aiding a ship in distress where human life may be in danger. For the purpose of saving human life or aiding a ship in distress where human life may be in danger. Deviation caused by barratrous conduct of the master of the crew, if barratry be one of the perils insured against. Deviation caused by barratrous conduct of the master of the crew, if barratry be one of the perils insured against. 42

44 PGDBM - INSURANCE 6.Inchmaree Clause  Named after a steamer called “Inchmaree’, in 1887, where claim was denied since the donkey pump of the steamer was damaged.  This clause provide indemnity to the insured for damage to the hull or machinery resulting from the negligence of the master or crew or from explosion or latent defects.  This clause is also inserted in cargo polices. 7. Running Down Clauses  Also called collision clause and is included in hull polices.  The amount of damage extends to include damage done by the vessel to other ship, her cargo and compensation for loss of employment in consequence of collision.  Only three fourth of the liability is met by the insurer and rest is to be borne by the owner of the ship. 43

45 PGDBM - INSURANCE 8.Sue and Labour Clause  Underwriters pay expenses in addition to the loss.  Limitations of Expenses in the above clause: must be incurred for the benefit of the subject mater insured. must be incurred for the benefit of the subject mater insured. Must be reasonable Must be reasonable Must be incurred by the assured, his factors, his servants or assigns. Must be incurred by the assured, his factors, his servants or assigns. incurred to avert or minimise a loss form a peril covered by the policy. incurred to avert or minimise a loss form a peril covered by the policy. 9.Reinsurance clause  Reinsurer is liable only for claims for which the insurer is legally liable  Alteration in the original policy to be with consent of the reinsurer. 10.Memorandum Clause  Provide minimum limit to the underwriters liability regarding claims for particular average by exempting him from such claims. 11.Continuation clause  The vessel continue to be covered even after completion of voyage under the policy at a pro rata premium to her port of destination. 44

46 PGDBM - INSURANCE Marine policy generally subject to: Marine policy generally subject to:  ICC – A, ICC B, ICC C( For sea transits)  Inland Transit ( Rail/ Road)Clauses – A  Institute Cargo Clauses( Air Cargo) Extensions are: Extensions are:  SRCC  Institute War clause,  FOB

47 PGDBM - INSURANCE Covers the following : Loss or damage to the subject- matter insured reasonably attributable to: Loss or damage to the subject- matter insured reasonably attributable to:  Fire or explosion  Vessel or craft being stranded, grounded, sunk or capsized  Overturning or derailment of land conveyance  Collision or contact of vessel / craft or conveyance with any external object other than water  Discharge of cargo at the port of distress ii. Loss / damage to the subject –matter insured caused by:  General Average sacrifice  Jettison General Average contribution and Salvage charges incurred to avoid loss from any cause (s) except those excluded General Average contribution and Salvage charges incurred to avoid loss from any cause (s) except those excluded Liability under “Both to Blame Collision” clause of contract of Affreightment Liability under “Both to Blame Collision” clause of contract of Affreightment 46

48 PGDBM - INSURANCE covers the aforesaid risks of ICC (C) and covers the aforesaid risks of ICC (C) and Loss / damage reasonably attributable to earthquake, volcanic eruption or lightning; Loss / damage reasonably attributable to earthquake, volcanic eruption or lightning; Loss or damage caused by Loss or damage caused by  Entry of sea, lake, or river water into vessel, craft, lift van or place of storage  total loss of any package lost overboard or dropped whilst loading into or unloading from vessel or craft General Average contribution and Salvage charges incurred to avoid loss from any cause (s) except those excluded General Average contribution and Salvage charges incurred to avoid loss from any cause (s) except those excluded Liability under “Both to Blame Collision” clause of contract of Affreightment Liability under “Both to Blame Collision” clause of contract of Affreightment 47

49 PGDBM - INSURANCE Covers the following risks All Risks of loss / damage to the cargo insured except those specifically excluded. All Risks of loss / damage to the cargo insured except those specifically excluded. General average and salvage charges incurred to avoid loss form any cause covered under the insurance. Liability under “Both to Blame Collision” clause of contract Liability under “Both to Blame Collision” clause of contract

50 PGDBM - INSURANCE Willful Misconduct of the Assured Willful Misconduct of the Assured Ordinary Leakage, wear & tear Ordinary Leakage, wear & tear Insufficiency of packing Insufficiency of packing Inherent vice Inherent vice Delay - even if delay is caused by a peril insured Delay - even if delay is caused by a peril insured Insolvency or financial default of owner manager charterer etc Insolvency or financial default of owner manager charterer etc Arising from use of nuclear weapons Arising from use of nuclear weapons Malicious damage-only in ICC-B&C Malicious damage-only in ICC-B&C Un-seaworthiness of vessel Un-seaworthiness of vessel This may be waived unless the assured or their servant is privy to such Un-seaworthiness or un cargo worthiness This may be waived unless the assured or their servant is privy to such Un-seaworthiness or un cargo worthiness War/capture seizure arrest/derelict mines War/capture seizure arrest/derelict mines Caused by strikers/resulting from strikes/terrorist. Caused by strikers/resulting from strikes/terrorist.

51 PGDBM - INSURANCE The premium is refundable under the following circumstances: The premium is refundable under the following circumstances: By agreement in the policy By agreement in the policy  Improvement of the character of insurance eg. Change of ship to safer routes, first class liner, good packing etc  If claim does not arise.  Cancellation of policy due to change of ownership of the hull.  Mutual cancellation of the policy. For reasons of equity For reasons of equity  Non attachment of risk.  Undeclared balance in an open policy  Total failure of an apportionable part of the consideration  When assured had no insurable interest throughout the life of policy.  Insurer can cancel when there is unreasonable delay in commencing the voyage.  Over insurance. 50

52 PGDBM - INSURANCE Loss minimisation steps to be undertaken. Loss minimisation steps to be undertaken. A Prompt Notice of Claim A Prompt Notice of Claim If ship owner is also liable for any loss or damage, he or his agent is also entitle d to a written notice. If ship owner is also liable for any loss or damage, he or his agent is also entitle d to a written notice. Following documents are required at the time of claim: Following documents are required at the time of claim:  Policy or certificate of insurance.  Bill of Lading  Invoice of bill  Copy of Protest – certified before a counsel or notary public.  Certificate of survey  Account sale or bill of sale.  Letter of subrogation.  In case of total loss, notice of abandonment

53 EXPORT CREDIT INSURANCE

54 PGDBM - INSURANCE Exports Exports  Goods  Services Credit Credit  Extending supplier credit: DP, DA, OA Risk Risk  Possibility of non-payment of accounts receivables

55 Export Credit Risk

56 PGDBM - INSURANCE Some countries may experience major political instability Some countries may experience major political instability  defaults on payments  exchange transfer blockages  nationalization confiscation of property leading to…

57 PGDBM - INSURANCE The risk of The risk of  Insolvency  Default  Fraud  Unwillingness to accept the goods on the part of the buyer Credit risk All resulting in…..

58 PGDBM - INSURANCE Exchange or trade controls introduced in Buyer's country Weakness in economy of Buyer's country, viz. low reserves, BOP problems Failure of Buyer's Bank affecting payment of outstandings …arising from all/any of the above

59 PGDBM - INSURANCE Weakness in economy of Buyer's country, viz. low reserves, BOP problems Weakness in economy of Buyer's country, viz. low reserves, BOP problems Failure of Buyer's Bank affecting payment of outstandings Failure of Buyer's Bank affecting payment of outstandings Exchange or trade controls introduced in Buyer's country Exchange or trade controls introduced in Buyer's country 58

60 PGDBM - INSURANCE Differences in law can be expected in overseas countries Differences in law can be expected in overseas countries These may have an impact in such areas as: These may have an impact in such areas as:  import procedures  taxation  employment practices  currency dealings  property rights  the protection of intellectual property  agency/distributorship arrangements

61 PGDBM - INSURANCE Risks covered by export credit insurers: Commercial Risk Commercial Risk  Insolvency/ Bankruptcy  Breach of Contract  Payment Default  Refuse to take delivery of goods Political Risk. Political Risk.

62 PGDBM - INSURANCE Providing credit insurance covers to exporters against loss in export of goods & services Providing credit insurance covers to exporters against loss in export of goods & services Providing export credit guarantees to banks & FI’s to enable exporters obtain better facilities from them Providing export credit guarantees to banks & FI’s to enable exporters obtain better facilities from them Providing Overseas Investment Insurance to Exporters - Indian Entrepreneurs in Overseas Ventures (Equity/Loans) Providing Overseas Investment Insurance to Exporters - Indian Entrepreneurs in Overseas Ventures (Equity/Loans) Maturity Factoring Maturity Factoring 61

63 PGDBM - INSURANCE COMMERCIAL RISKS COMMERCIAL RISKS  Insolvency of buyer/LC opening bank  Default of buyer  Repudiation by buyer POLITICAL RISKS War/civil war/revolutions War/civil war/revolutions Import restrictions Import restrictions Exchange transfer delay/embargo Exchange transfer delay/embargo Diversion of Voyage Risk Diversion of Voyage Risk 62

64 PGDBM - INSURANCE Assessment and evaluation of political risks associated with countries for the purpose of premium calculation, determining types of cover and terms of cover Country reviews are taken up on a regular basis for up/down grading Country Underwriting involves assessment of a country’s ability and likelihood to honour its commitments undertaken both, as part of trade as well as sovereign debt Country Underwriting involves assessment of a country’s ability and likelihood to honour its commitments undertaken both, as part of trade as well as sovereign debt The country risk is evaluated on the basis of the politico-economic situation prevailing in a country The country risk is evaluated on the basis of the politico-economic situation prevailing in a country 63

65 PGDBM - INSURANCE ECGC classifies the countries with the help of an objective scoring methodology ECGC classifies the countries with the help of an objective scoring methodology Under the rating system followed, the weighted averages of scores on economic risk rating, political risk rating, past experience of ECGC, trade relations with India and experience with other credit insurers are calculated to arrive at the Country Risk Indicator Under the rating system followed, the weighted averages of scores on economic risk rating, political risk rating, past experience of ECGC, trade relations with India and experience with other credit insurers are calculated to arrive at the Country Risk Indicator While underwriting the country risk, ECGC places the country either in While underwriting the country risk, ECGC places the country either in  Open Cover of  Restricted cover The basis for deciding on the type of cover and terms of cover is a host of economic and political factors The basis for deciding on the type of cover and terms of cover is a host of economic and political factors 64

66 PGDBM - INSURANCE Cover with No Restrictions Cover with No Restrictions Cover is offered usually on normal terms and conditions i.e. 90% cover, 4 months waiting period for ascertainment of loss and settlement of claims, etc. Cover is offered usually on normal terms and conditions i.e. 90% cover, 4 months waiting period for ascertainment of loss and settlement of claims, etc. Currently ECGC places 195 countries under Open Cover Currently ECGC places 195 countries under Open Cover

67 PGDBM - INSURANCE Political and/or economic conditions are relatively deteriorating or have deteriorated Political and/or economic conditions are relatively deteriorating or have deteriorated likelihood of payment delays or non-payment. likelihood of payment delays or non-payment.  Category 1: Countries for which revolving limits are approved cove valid 12 month) cove valid 12 month) ILCs opened or confirmed by banks listed in Banker’s almanac or by local banks whose reports are satisfactory. Cover will be 90% ILCs opened or confirmed by banks listed in Banker’s almanac or by local banks whose reports are satisfactory. Cover will be 90% Normal cover of 90% on DP/DA terms subject to satisfactory report on the buyer Normal cover of 90% on DP/DA terms subject to satisfactory report on the buyer 20 countries under this category 20 countries under this category  Category 2: Countries where Specific Approval will be given on case to case basis on merits Valid for six months Valid for six months Normal waiting Period of 4 months Normal waiting Period of 4 months Only 7 countries - Afghanistan, Argentina, Cuba, East Timor, Iraq, North Korea, Somalia Only 7 countries - Afghanistan, Argentina, Cuba, East Timor, Iraq, North Korea, Somalia

68 PGDBM - INSURANCE Options exercised to control risk in Restricted Cover countries: Options exercised to control risk in Restricted Cover countries:  Reduce percentage of cover  Increase waiting period for the settlement of claim  Provide cover against availability of government guarantee/confirmed ILCs  Payment in convertible currency  Fix country exposure limit  Fix transaction limit per exporter per buyer  Fix bank exposure limit

69 PGDBM - INSURANCE Short Term Cover: Payment within 180 days SCR or Standard Policy: SCR or Standard Policy:  cover risks in respect of all shipments on short term credit by exporters with anticipated annual turnover of > Rs.50 lacs Turnover Policy: Turnover Policy:  variation of SCR policy with additional discounts and incentives to exporters who pay a premium of not less than Rs. 10 lacs per year. Small Exporters Policy Small Exporters Policy  Similar to SCR Policy, but for exporters with anticipated annual turnover of Rs.50 lacs or less Specific Shipment Policy (Short term) Specific Shipment Policy (Short term)  To cover risks in respect of a specific shipment or shipments against a specific contract Commercial & Political Commercial & Political Political Only Political Only LC Commercial and Political LC Commercial and Political

70 PGDBM - INSURANCE Exports (Specific Buyer Policy) Exports (Specific Buyer Policy)  To cover risks in respect of all shipment to one or a few buyers  Commercial & Political  Political Only  LC Commercial & Political Exports of Services Policy Exports of Services Policy  To cover the risks of insolvency and default and political risks for services rendered Without Recourse Export maturity Factoring Without Recourse Export maturity Factoring  Undertaking to pay the amount due for a shipment on the maturity of the credit period.

71 PGDBM - INSURANCE Total Expenditure on health in India is nearly 6% of the entire GDP Total Expenditure on health in India is nearly 6% of the entire GDP Government spending is less than 25% against the average spending of % in other developing countries. Government spending is less than 25% against the average spending of % in other developing countries. Indian health insurance industry stands at INR 5,125 Crores with only a small Section of the total population (around 2%) being covered so far. Indian health insurance industry stands at INR 5,125 Crores with only a small Section of the total population (around 2%) being covered so far. CAGR of around 35 % (FY ) CAGR of around 35 % (FY ) Health Insurance industry in India is one of the fastest growing segments. Health Insurance - potential to become a Rs crores industry by Health Insurance industry in India is one of the fastest growing segments. Health Insurance - potential to become a Rs crores industry by No. of Elderly People in the Developing World will TRIPLE in 25yrs. (WHO) No. of Elderly People in the Developing World will TRIPLE in 25yrs. (WHO) In India, the no. of people above 60 yrs is about 8% today. The t no. expected to hit 21% by (Asia Insurance Review) In India, the no. of people above 60 yrs is about 8% today. The t no. expected to hit 21% by (Asia Insurance Review) 70

72 PGDBM - INSURANCE 71

73 Health Insurance Plans PrivateSocial Community Based / Micro Insurance offered by Commercial Organization Government initiated managed by Community / Groups

74 PGDBM - INSURANCE Increase in health care costs Increase in health care costs High financial burden on the poor High financial burden on the poor Need for long term and nursing care for senior citizens Need for long term and nursing care for senior citizens Increasing burden of new diseases and health risks Increasing burden of new diseases and health risks Due to under funding, preventive and primary care and public health functions are yet to meet their objectives. Due to under funding, preventive and primary care and public health functions are yet to meet their objectives. 73

75 PGDBM - INSURANCE CGHS Schemes for Government Employees CGHS Schemes for Government Employees ESIS Schemes ESIS Schemes Rashtriya Swasthya Bima Yojana (RSBY) Rashtriya Swasthya Bima Yojana (RSBY)  With participation of health insurer  Implemented in 11 states  Extended to other section of populace other than BPL State Governments have also initiated several schemes where there is participation of Insurers to run the Scheme State Governments have also initiated several schemes where there is participation of Insurers to run the Scheme

76 PGDBM - INSURANCE launched by Ministry of Labour and Employment, GOI. launched by Ministry of Labour and Employment, GOI. to provide health insurance for BPL families. to provide health insurance for BPL families. Beneficiaries entitled to hospitalization coverage for most of the diseases up to Rs. 30,000/- Beneficiaries entitled to hospitalization coverage for most of the diseases up to Rs. 30,000/- Pre-existing conditions are covered. No age limit. Pre-existing conditions are covered. No age limit. Coverage extends to five members of the family - the head of household, spouse and up to three dependents. Coverage extends to five members of the family - the head of household, spouse and up to three dependents. Beneficiaries need to pay only Rs. 30/- as registration fee Beneficiaries need to pay only Rs. 30/- as registration fee Central and State Government pays the premium. Central and State Government pays the premium. Insurer selected on the basis of a competitive bidding. Insurer selected on the basis of a competitive bidding. Biometric smart card with fingerprints and photographs. Biometric smart card with fingerprints and photographs. Card can be used in any RSBY empanelled hospital in India. Card can be used in any RSBY empanelled hospital in India. Can be split for individual members of migrant family. Can be split for individual members of migrant family. Cashless benefit in hospitals Cashless benefit in hospitals 75

77 PGDBM - INSURANCE The Individual Medishield Policy covers Hospitalisation Expenses & Domiciliary Hospitalisation (treatment at home in case patient is not in condition to be moved to hospital) incurred for treatment of disease / injury sustained during policy period Hospitalisation Expenses & Domiciliary Hospitalisation (treatment at home in case patient is not in condition to be moved to hospital) incurred for treatment of disease / injury sustained during policy period

78 PGDBM - INSURANCE Hospitalization expenses including Room, Board, Nursing, Doctor’s fees, Cost of Medicines, Pathological Tests, etc. Hospitalization expenses including Room, Board, Nursing, Doctor’s fees, Cost of Medicines, Pathological Tests, etc. Pre-existing disease after 3 continuous claim free Policy years with the same insurer. Pre-existing disease after 3 continuous claim free Policy years with the same insurer. Prosthetic Devices like Pacemaker, Artificial Limbs etc. Prosthetic Devices like Pacemaker, Artificial Limbs etc. Transplants including Donor’s treatment and cost of organs Transplants including Donor’s treatment and cost of organs

79 PGDBM - INSURANCE Daily Allowance for defraying miscellaneous expenses for the duration of Hospitalization Daily Allowance for defraying miscellaneous expenses for the duration of Hospitalization Dental surgery and treatment following an accident Dental surgery and treatment following an accident Pre-Hospitalization and Post Hospitalization expenses including authorized home nursing for 60 days each. Pre-Hospitalization and Post Hospitalization expenses including authorized home nursing for 60 days each. Health check up after every block of 4 claim free years. Health check up after every block of 4 claim free years. Ambulance service expenses Ambulance service expenses

80 PGDBM - INSURANCE Hospitalization should be for a minimum period of 24 hours except for specific treatments such as eye surgery, lithotripsy, tonsillectomy etc. Hospitalization should be for a minimum period of 24 hours except for specific treatments such as eye surgery, lithotripsy, tonsillectomy etc. There is provision for Cumulative Bonus whereby Basic Sum Insured gets enhanced by 5% each year on renewal (maximum 50%) subject to no claims being lodged under the Policy. There is provision for Cumulative Bonus whereby Basic Sum Insured gets enhanced by 5% each year on renewal (maximum 50%) subject to no claims being lodged under the Policy. Family Discount is available for insuring two or more family members under the Policy. Family Discount is available for insuring two or more family members under the Policy.

81 PGDBM - INSURANCE Section 80 D benefit under Income Tax Act is available on Medishield premium paid by cheque for self and/or family (consisting of self, spouse, dependent children and dependent parents) Section 80 D benefit under Income Tax Act is available on Medishield premium paid by cheque for self and/or family (consisting of self, spouse, dependent children and dependent parents) There is a sub-limit under the Policy for Domiciliary Hospitalization where expenses of treatment at home are reimbursed under specified conditions. There is a sub-limit under the Policy for Domiciliary Hospitalization where expenses of treatment at home are reimbursed under specified conditions. Limits are also specified under the Policy for daily Room/ICU/ITU rents, Ambulance Charges and Daily Allowance during Hospitalization Limits are also specified under the Policy for daily Room/ICU/ITU rents, Ambulance Charges and Daily Allowance during Hospitalization

82 PGDBM - INSURANCE THE COVER IS SAME AS IN INDIVIDUAL MEDICLAIM POLICY. CUMULATIVE BONUS IS NOT AVAILABLE AND MATERNITY COVER CAN BE GRANTED AT EXTRA PREMIUM. THE COVER IS SAME AS IN INDIVIDUAL MEDICLAIM POLICY. CUMULATIVE BONUS IS NOT AVAILABLE AND MATERNITY COVER CAN BE GRANTED AT EXTRA PREMIUM.

83 PGDBM - INSURANCE CANCER POLICY (CPAA): CAN BE GRANTED TO THE MEMBERS OF CANCER PATIENTS AID ASSOCIATION CANCER POLICY (CPAA): CAN BE GRANTED TO THE MEMBERS OF CANCER PATIENTS AID ASSOCIATION CRITICAL ILLNESS INSURANCE POLICY IS ALSO AVAILABEL WHICH PAY ONLY IF SOME CRITICAL ILLNESS IS FOUND. CRITICAL ILLNESS INSURANCE POLICY IS ALSO AVAILABEL WHICH PAY ONLY IF SOME CRITICAL ILLNESS IS FOUND. OVERSEAS MEDICLAIM INSURANCE: PAYS MEDICAL EXPENSES IN RESPECT OF ILLNESS AND INJURY BY INDIAN RESIDENTS DURING THERE OVERSEAS TRIPS. OVERSEAS MEDICLAIM INSURANCE: PAYS MEDICAL EXPENSES IN RESPECT OF ILLNESS AND INJURY BY INDIAN RESIDENTS DURING THERE OVERSEAS TRIPS. EMPLOYMENT AND STUDY POLICIES HAS BEEN DESIGNED FOR INDIAN CITIZEN TEMPORARILY POSTED ABROAD AS STUDENT FOR PERSUING STUDIES. EMPLOYMENT AND STUDY POLICIES HAS BEEN DESIGNED FOR INDIAN CITIZEN TEMPORARILY POSTED ABROAD AS STUDENT FOR PERSUING STUDIES.

84 PERSONAL ACCIDENT INSURANCE

85 PGDBM - INSURANCE What is covered Injuries caused by an accident Permanent partial/total disability due to accident Temporary total disablement

86 PGDBM - INSURANCE Death – 100%of Capital Sum Insured (CSI) Loss of Sight of both eyes Two limbs 100% of CSI One limb and one eye Loss of Sight of one eye/ one limb Hearing in both ears/speech Permanent total disablement – 100% of CSI Other permanent disablement – as assessed by a Doctor Temporary total disablement – 1% of CSI per week subject to a maximum of Rs. 6000/-

87 PGDBM - INSURANCE THE SUM INSURED WILL INCREASE BY 5% ON EVERY RENEWAL PROVIDED THE POLICY IS RENEWED WITHIN 30 DAYS OF EXPIRY. MAX ACCUMULATION IS 50 % THE SUM INSURED WILL INCREASE BY 5% ON EVERY RENEWAL PROVIDED THE POLICY IS RENEWED WITHIN 30 DAYS OF EXPIRY. MAX ACCUMULATION IS 50 %

88 PGDBM - INSURANCE COVER IS ON WORLDWIDE BASIS COVER IS ON WORLDWIDE BASIS PREMIUM IS BASED ON THE OCCUPATION OF THE PERSON. PREMIUM IS BASED ON THE OCCUPATION OF THE PERSON. AGE LIMIT IS 5YEARS TO 70 YEARS AGE LIMIT IS 5YEARS TO 70 YEARS FAMILY PACKAGE IS ALSO AVAILABLE WITH DISCOUNTED RATES FAMILY PACKAGE IS ALSO AVAILABLE WITH DISCOUNTED RATES GROUP POLICY CAN ALSO BE ISSUED FOR AN EXISTING GROUP. GROUP POLICY CAN ALSO BE ISSUED FOR AN EXISTING GROUP.

89 PGDBM - INSURANCE RATING IS BASED ON OCCUPATION OF THE PERSON. SO THE OCCUPATIONS ARE CLASSIFIED IN THREE RISK GROUP ACCORDING TO DEGREE OF HAZARD RISK GROUP-I: DOCTORS, LAWYERS, ARCHITECTS,TEACHERS,BANKERS ETC. RISK GROUP-I: DOCTORS, LAWYERS, ARCHITECTS,TEACHERS,BANKERS ETC. RISK GROUP-II: BUILDERS, CONTRACTORS, ENGINEERS ETC RISK GROUP-II: BUILDERS, CONTRACTORS, ENGINEERS ETC RISK GROUP-III: WORKERS EMPLOYED IN UNDERGROUND MINES, EXPLOSIVE INDUSTRY JOKKIES, CIRCUS EMPLOYEES ETC. RISK GROUP-III: WORKERS EMPLOYED IN UNDERGROUND MINES, EXPLOSIVE INDUSTRY JOKKIES, CIRCUS EMPLOYEES ETC.

90 LIABILITY INSURANCE

91 PGDBM - INSURANCE The Liability Policies cover Insured’s legal liability to pay compensation to third parties for   death, injury or property damage claims arising out of accidents in connection with insured’s business   financial loss claims arising out of errors and omissions caused in Insured’s professional or official activities

92 PGDBM - INSURANCE COMPULSORY PUBLIC LIABILITY: An Act Policy providing immediate relief to persons affected by accidents occurring at applicable units. An Act Policy providing immediate relief to persons affected by accidents occurring at applicable units. No fault Liability Cover No fault Liability Cover Compulsory for all units handling hazardous substances with threshold limits defined in the act. Compulsory for all units handling hazardous substances with threshold limits defined in the act.

93 PGDBM - INSURANCE Fatal accident Rs 25,000/- per person. Fatal accident Rs 25,000/- per person. Permanent disability Rs 25,000/- per person Permanent disability Rs 25,000/- per person Permanent partial disability on basis of percentage of disability Permanent partial disability on basis of percentage of disability Temporary partial disability fixed monthly relief of Rs 1000 per month upto max of 3 months Temporary partial disability fixed monthly relief of Rs 1000 per month upto max of 3 months

94 PGDBM - INSURANCE Actual medical expense up to Rs 12,500/- Actual medical expense up to Rs 12,500/- Damage to property Rs 6000/- Damage to property Rs 6000/- Rate of premium is based on limit of indemnity and turnover. Rate of premium is based on limit of indemnity and turnover. Every insurer has to pay the environment relief fund an amount equivalent the premium received by the insurer. Every insurer has to pay the environment relief fund an amount equivalent the premium received by the insurer.

95 PGDBM - INSURANCE Definition: Any tangible property (after it has left the custody or control of the Insured) which has been designed, manufactured, sold, supplied or serviced by the insured.

96 PGDBM - INSURANCE Policies shall cover all sums which the insured shall become legally liable to pay as damages in consequence of  accidental death/ bodily injury or disease to Third parties  Loss of or damage to Third Party property arising out of any defect in the products manufactured and covered under the policy after such products have left the Insured’s premises

97 PGDBM - INSURANCE The rates of premium depends on the risk group, limit of indemnity and ratio of indemnity AOA to AOY. Exports can be covered as extension of the policy or a separate policy can also be issued The rates of premium depends on the risk group, limit of indemnity and ratio of indemnity AOA to AOY. Exports can be covered as extension of the policy or a separate policy can also be issued

98 PGDBM - INSURANCE Policies are designed to provide insurance protection to the professionals against the legal liability to pay damages arising out of negligence in the performance of their professional duties. E.g. doctors, lawyers, architects Policies are designed to provide insurance protection to the professionals against the legal liability to pay damages arising out of negligence in the performance of their professional duties. E.g. doctors, lawyers, architects

99 PGDBM - INSURANCE Policy is designed for directors & officers who hold position of trust and responsibility and may become liable to pay damages to shareholders, employees and creditors etc. for wrongful acts committed by them. The policy provides protection against the civil liability. Policy is designed for directors & officers who hold position of trust and responsibility and may become liable to pay damages to shareholders, employees and creditors etc. for wrongful acts committed by them. The policy provides protection against the civil liability.

100 ENGINEERING INSURANCE

101 PGDBM - INSURANCE Contractors all risk Contractors all risk Erection all risk Erection all risk Marine cum erection Marine cum erection Machinery breakdown Machinery breakdown Boilers & pressure plant Boilers & pressure plant Machinery loss of profits Machinery loss of profits Advance loss of profits Advance loss of profits Electronic equipment policy Electronic equipment policy Deterioration of stocks policy Deterioration of stocks policy

102 PGDBM - INSURANCE THE POLICY IS DESIGNED TO PROTECT THE INTEREST OF CONTRACTOS AND PRONCIPLES IN RESPECT OF CIVIL ENGINEERING PRODUCTS. E.G BUILDING, BRIDGES, TUNNELS ETC THE POLICY IS DESIGNED TO PROTECT THE INTEREST OF CONTRACTOS AND PRONCIPLES IN RESPECT OF CIVIL ENGINEERING PRODUCTS. E.G BUILDING, BRIDGES, TUNNELS ETC

103 PGDBM - INSURANCE POLICY IS DESIGNED TO COVER RISKS INVOLVED WITH ERECTION OF ELECTRICAL PLANT AND MACHINERY OR EQUIPMENT INVOLVING NO OR VERY LESS CIVIL WORK. POLICY IS DESIGNED TO COVER RISKS INVOLVED WITH ERECTION OF ELECTRICAL PLANT AND MACHINERY OR EQUIPMENT INVOLVING NO OR VERY LESS CIVIL WORK.

104 PGDBM - INSURANCE MARINE CUM ERECTION COVER POLICY STARTS FROM THE MOVEMENT THE EQUIPMENT LEAVES THE MANUFACTURERS WAREHOUSE WITHIN THE COUNTRY OR OVERSEAS AND CONTINUES DURING THE VOYAGE AND THERE AFTER DURING ERECTION, TESTING AND COMMISSIONING. MARINE CUM ERECTION COVER POLICY STARTS FROM THE MOVEMENT THE EQUIPMENT LEAVES THE MANUFACTURERS WAREHOUSE WITHIN THE COUNTRY OR OVERSEAS AND CONTINUES DURING THE VOYAGE AND THERE AFTER DURING ERECTION, TESTING AND COMMISSIONING.

105 PGDBM - INSURANCE POLICY COVERS ELECTRICALS AND MACHANICAL EQUIPMENTS AGAINST UNFORSEEN AND SUDDEN PHYSICAL DAMAGES BY ANY CAUSE POLICY COVERS ELECTRICALS AND MACHANICAL EQUIPMENTS AGAINST UNFORSEEN AND SUDDEN PHYSICAL DAMAGES BY ANY CAUSE

106 PGDBM - INSURANCE POLICY COVERS THE BOILERS AND PRESSURE VESSELS AGAINST DAMAGE TO THE BOILER AND SURROUNDING POLICY OF THE ASSURED INCL THIRD PARTY LIABILITY. FIRE RISK IS EXCLUDED POLICY COVERS THE BOILERS AND PRESSURE VESSELS AGAINST DAMAGE TO THE BOILER AND SURROUNDING POLICY OF THE ASSURED INCL THIRD PARTY LIABILITY. FIRE RISK IS EXCLUDED

107 PGDBM - INSURANCE POLICY IS DESIGNED TO REDUCE THE LOSSES OF THE INSURED INCURRED BECAUSE OF INERRUPTION OF BUSINESSES DUE TO MACHINERY BREAKDOWN. POLICY CAN ONLY BE ISSUED IN CONJUCTION WITH MACHINERY BREAKDOWN. POLICY IS DESIGNED TO REDUCE THE LOSSES OF THE INSURED INCURRED BECAUSE OF INERRUPTION OF BUSINESSES DUE TO MACHINERY BREAKDOWN. POLICY CAN ONLY BE ISSUED IN CONJUCTION WITH MACHINERY BREAKDOWN.

108 PGDBM - INSURANCE ALSO KNOWN AS DELAY IN START UP POLICY AND COVERS FINANCIAL CONSEQUENCES OF A PROJECT BEING DELAYED BECAUSE OF ACCIDENTAL DAMAGE TO THE PROJECT MATERIAL. ALSO KNOWN AS DELAY IN START UP POLICY AND COVERS FINANCIAL CONSEQUENCES OF A PROJECT BEING DELAYED BECAUSE OF ACCIDENTAL DAMAGE TO THE PROJECT MATERIAL.

109 PGDBM - INSURANCE COVERS THE RISK OF DETERIORATION OF STOCK FOLLOWING OF BREAKDOWN OF REFRIGERATION PLANT AND MACHINERY. COVERS THE RISK OF DETERIORATION OF STOCK FOLLOWING OF BREAKDOWN OF REFRIGERATION PLANT AND MACHINERY.

110 PGDBM - INSURANCE THE POLICY COVERS 3 SECTIONS: THE POLICY COVERS 3 SECTIONS: SECTION-I: COVER APPLIES TO UNFORSEEN AND SUDDEN PHYSICAL LOSS RESULTING IN REPAIR OR REPLACEMENT OF EQUIPMENT SECTION-I: COVER APPLIES TO UNFORSEEN AND SUDDEN PHYSICAL LOSS RESULTING IN REPAIR OR REPLACEMENT OF EQUIPMENT SECTION-II: EXTERNAL DATA MEDIA COVER SECTION-II: EXTERNAL DATA MEDIA COVER SECTION-III: INCREASED COST OF WORKING SECTION-III: INCREASED COST OF WORKING


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