National Insurance Company Overview
National Insurance Company Overview
ACKNOWLEDGEMENT
This project report is written in accordance with the PGDM course prescribes by Shanti business school for partial requirement of study. While writing this project every effort has been made to keep in view the objectives of the study set out in research. We have tried our best to maintain simple and lucid style in presenting the subject matter of this research. We express our deep sense of gratitude to Prof. Subhasis Dasgupta according to us an opportunity to undergo Service marketing research. And also all the respondents and the faculty members of Shanti Business School who are directly or indirectly involved in the research. We would have failed in our duty if we had not got response, inspiration and cooperation from Prof. Bala Bhaskeran (Director of Shanti Business School) we heartily thank him for all the support. We have tried our best to prepare this report as per the requirement of PGDM. Still, it is quite possible that there may be some error of omission in this attempt. We sincerely welcome any suggestions for the improvement of the contest of this project. Our overriding debt continues to our lovely parents and our friends who provided us with time, support and inspiration to making this research.
EXECUTIVE SUMMARY
Health care is a vital service that daily touches the lives of millions of Indian at s ignificant and vulnerable times, birth, illness, and death. In recent decades, technology, pharmaceuticals, and know-how have substantially improved how care is delivered and the prospects for recovery. This Report examines the role of competition in health insurance and various bunch of policies offered by the company. The proper role of competition in health care markets has long been debated. In this report we have made primary research to know the needs and wants of the customer which will help to develop new health insurance policy to maximize the benefits of our customers. In our primary research we have use mail as a data collection tool and targeted to Ahmedabad customers.
Contents
Introduction of Insurance Industry:................................................................................................ 5 History: .................................................................................................................................... 5 Industry structure: .................................................................................................................... 6 Specialization: .......................................................................................................................... 6 Acts:......................................................................................................................................... 7 Authorities: .............................................................................................................................. 7 Insurance Education:................................................................................................................. 8 Company Profile:.......................................................................................................................... 9 Competitors Knowledge:............................................................................................................. 10 Different Policies they offered like ..................................................................................... 11 Services offered by National Insurance: ....................................................................................... 17 Characteristics and future of Health Insurance: ............................................................................ 19 Why purchase Health Insurance??? ......................................................................................... 19 Which plan is right for me?...................................................................................................... 19 When applying for Health Insurance: ....................................................................................... 20 Insurance companies target market segments:............................................................................. 22 Procedure for taking a Policy:...................................................................................................... 23 PROMOTION POLICY AND OBJECTIVES ......................................................................................... 24 Research methodology ............................................................................................................... 25 Finding:...................................................................................................................................... 29
History:
In India, insurance has a deep-rooted history. Insurance in various forms has been mentioned in the writings of Manu (Manusmrithi), Yagnavalkya (Dharmashastra) and Kautilya (Arthashastra). The fundamental basis of the historical reference to insurance in these ancient Indian texts is the same i.e. pooling of resources that could be re-distributed in times of calamities such as fire, floods, epidemics and famine. The early references to Insurance in these texts have reference to marine trade loans and carriers' contracts. Insurance in its current form has its history dating back until 1818, when Oriental Life Insurance Company was started by Anita Bhavsar in Kolkata to cater to the needs of European community. The pre-independence era in India saw discrimination between the lives of foreigners (English) and Indians with higher premiums being charged for the latter. In 1870, Bombay Mutual Life Assurance Society became the first Indian insurer. At the dawn of the twentieth century, many insurance companies were founded. In the year 1912, the Life Insurance Companies Act and the Provident Fund Act were passed to regulate the insurance business. The Life Insurance Companies Act, 1912 made it necessary that the premium-rate tables and periodical valuations of companies should be certified by an actuary. However, the disparity still existed as discrimination between Indian and foreign companies. The oldest existing insurance company in India is the National Insurance Company Ltd., which was founded in 1906. It is in business. The Government of India issued an Ordinance on 19th January, 1956 nationalising the Life Insurance sector and Life Insurance Corporation came into existence in the same year. The Life Insurance Corporation (LIC) absorbed 154 Indian, 16 non-Indian insurers as also 75 provident societies245 Indian and foreign insurers in all. In 1972 with the General
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Insurance Business (Nationalisation) Act was passed by the Indian Parliament, and consequently, General Insurance business was nationalized with effect from 1st January, 1973. 107 insurers were amalgamated and grouped into four companies, namely National Insurance Company Ltd., the New India Assurance Company Ltd., the Oriental Insurance Company Ltd and the United India Insurance Company Ltd. The General Insurance Corporation of India was incorporated as a company in 1971 and it commence business on January 1sst 1973. The LIC had monopoly till the late 90s when the Insurance sector was reopened to the private sector. Before that, the industry consisted of only two state insurers: Life Insurers (Life Insurance Corporation of India, LIC) and General Insurers (General Insurance Corporation of India, GIC). GIC had four subsidiary companies. With effect from December 2000, these subsidiaries have been de- linked from the parent company and were set up as independent insurance companies: Oriental Insurance Company Limited, New India Assurance Company Limited, National Insurance Company Limited and United India Insurance Company Limited.
Industry structure:
Currently, a US$41 billion industry, India is the world's fifth largest life insurance market and growing at a rapid pace of 32-34% annually as per Life Insurance Council studies. Currently, in India only two million people (0.2 % of the total population of 1 billion) are covered under Mediclaim, whereas in developed nations like USA abo ut 75 % of the total population are covered under some insurance scheme. With more and more private companies in the sector, the situation may change soon.
Specialization:
ECGC, ESIC and AIC provide insurance services for niche markets. So, their scope is limited by legislation but enjoy special powers.
Acts:
The insurance sector went through a full circle of phases from being unregulated to completely regulate and then currently being partly deregulated. It is governed by a number of acts. The Insurance Act of 1938 was the first legislation governing all forms of insurance to provide strict state control over insurance business. Life insurance in India was completely nationalized on January 19, 1956, through the Life Insurance Corporation Act. All 245 insurance companies operating then in the country were merged into one entity, the Life Insurance Corporation of India. The General Insurance Business Act of 1972 was enacted to nationalize the about 100 general insurance companies then and subsequently merging them into four companies. All the companies were amalgamated into National Insurance, New India Assurance, Oriental Insurance and United India Insurance, which were headquartered in each of the four metropolitan cities. Until 1999, there were not any private insurance companies in India. The government then introduced the Insurance Regulatory and Development Authority Act in 1999, thereby deregulating the insurance sector and allowing private companies. Furthermore, foreign investment was also allowed and capped at 26% holding in the Indian insurance companies. In 2006, the Actuaries Act was passed by parliament to give the profession statutory status on par with Chartered Accountants, Notaries, Cost & Works Accountants, Advocates, Architects and Company Secretaries. A minimum capital of US$20 million (Rs.100 Crore) is required by legislation to set up an insurance business.
Authorities:
The industry recognizes examinations conducted by IAI (for actuaries), III (for agents, brokers and third-party administrators) and IIISLA (for surveyors and loss assessors). TAC is
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the sole data repository for the non-life industry. IBAI gives voice for brokers while GI Council and LI Council are platforms for insurers. AIGIEA, AIIEA, AIIEF, AILICEF, AILIEA, FLICOA, GIEAIA, GIEU and NFIFWI cater to the employees of the insurers. In addition, there are a dozen Ombudsman offices to address client grievances.
Insurance Education:
National Insurance Academy, Pune is apex education and capacity builder institute in India and only one in Africa & Asia. NIA was founded as Ministry of Finance initiative wit h capital support from the public insurance companies, both Life (LIC) and Non-Life (GIC, National, Oriental, and United & New India). NIA has 32 acre campus & 30+ faculty member imparting training, conducting research and providing consulting services in insurance sector. NIA run 2 year PGDM (Insurance) to mould youth in insurance specialization. National Insurance Company India has ties with commercial banks, Non Banking Financial Institutions, Automobile Manufacturers, NGOs and State Governments for marketing of its Insurance services.
Company Profile:
National Insurance Company Ltd India, one of the leading public sector insurance company dealing with general insurance business. Their new and customized policies ensures the catering of even specialized insurance requirements of almost every sector or industry in the Indian Economy. National Insurance Company Limited India with its headquarters in Kolkata, was incorporated in 1906. After the passing of the General Insurance Business Nationalization Act in 1972, over 30 companies, both Indian and foreign were included with it. National Insurance Company India became a subsidiary of General Insurance Corporation of India (GIC) and after the General Insurance Business (Nationalization) Amendment Act, 7th August 2002, it was delinked from GIC and henceforth it is operating as a Government of India undertaking. National Insurance Company India with its nearly 1000 offices offers easy insurance services to every part of the country from remote rural areas to townships and metropolitan cities. The company's foreign operational bases are in Nepal and Hong Kong. Presently, National Insurance Company India with its more than 180 policies caters the diverse insurance requirements of their customers. The gross direct premium income of the company has grown to 3523.67 crores rupees in the financial year 2005-2006.
Competitors Knowledge:
1. Max Bupa Health Insurance: Here are a few reasons why you should choose Max Bupa as your preferred health insurance partner for your family.
Talk to us directly without going through 3rd parties for settlement of your claims We cover pregnancy expenses and first year vaccination for new born baby. The baby is covered from birth.
Access cashless hospitalization at our .network of quality hospitals There are no minimum or maximum age for buying Max Bupa policy. Access health advice whenever you need We cover all operations of less than 24 hours duration You will save tax under Section 80D of The Income Tax Act when you buy a Max Bupa Health Insurance Policy
2. Tata AIG Health Insurance: Presenting, Individual Accident & Sickness Hospital Cash Plan, a complete health cover for you and your family, by Tata AIG Tax Exe mption on premium under Section 80D# Receive up to Rs. 5,000 per day in case of Sickness Hospitalisation Up to 180 days Hospitalisation Cash Benefit Receive up to Rs. 25,000 for Accidental Medical Expenses Reimbursement, even without Hospitalisation Receive up to Rs. 10,000 per day in case of Accidental Hospitalisation Flexibility to choose plans for yourself and your family
3. Apollo Munich Health Insurance: 7.5% discount on new 2 year Easy Health Plan Cashless transaction at network hospitals 100% lifelong renewal Higher entry age limit - 65 years
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Flexibility for child coverage Over 10,000 trusted doctors Faster claim payments 5 star rated plans Tax deduction under section 80D
4. ICICI Lombard Health Insurance: A comprehensive Health Insurance policy that ensures... Poorey pariah ki poori suraksha. Secure your family against financial emergencies during sudden illness, surgery and accidents as well as against terrorist activities. Family Floater Health Insurance plan lets you share the entire sum insured among the family members covered under the policy, without any individual upper limits. Key Benefits Comprehensive coverage for your family with floater benefit No sub- limits on room rent, doctor fees, and hospital charges or for Any disease (except Cataract where 20,000 per eye is applicable). No co-payments for any disease or any hospitalization expenses Now get a Free health check- up coupon for any one insured family member, valid for the policy period Cashless claims facility at over 4,000+ network hospitals across India Continue to enjoy quality service even during claim settlements with - ICICI Lombard Health Care - our own in- house health claim processing and wellness team 5. United India Health Insurance: Different Policies they offered like
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6. New India Health Insurance: The policy provides reimbursement of hospitalization expenses up to Rs.30,000/- to an individual /family subject to the following sublimit: A. (i) Room, Boarding expenses upto Rs.150/- per day (ii) If admitted in ICU upto Rs.300/- per day B. Surgeon, Anesthetist, Consultant, specialists fees, Nursing upto expenses Rs.4,500/-
C. Anesthesia, Blood, Oxygen, OT charges, Medicines, Diagnostic upto Rs. 4,500/material & X-Ray, Dialysis, Radiotherapy, Chemotherapy, Cost of per illness/ injury pacemaker, Artificial limb, etc D. Total expenses incurred for any one illness Personal Accident Cover Coverage for Death of the Earning Head of the family (as named in the schedule) due to accident: Rs. 25,000/-. Disability Cove r If the earning head of the family is hospitalized due to an accident / illness a compensation of Rs.50/- per day will be paid per day of hospitalization up to a maximum of 15 days after a waiting period of 3 days. For purpose of this policy HOSPITAL means:
Any Hospital/ Nursing home registered with the local authorities and under the supervision of a registered and qualified Medical practitioner.
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Enlisted hospitals run by NGOS / Trusts / selected private hospitals with fixed schedule of charges.
It should have minimum 15 beds (10 in case of class 'C' cities having a population lest than 5 lakhs) with fully equipped OT, fully qualified nursing staff round the clock and fully qualified doctor should be in charge round the clock.
Hospitalization should be for a minimum period of 24 hrs. However this time limit is not applied to some specific treatments and also where due to technological advancement hospitalization for 24 hrs may not be required.
Reliance Med claim Insurance Policy covers you and your family for hospitalization and related expenses.
The policy also provides health insurance for children between the ages of 3 months and 5 years if one of the Eligibility The policy can be issued to:
Persons between 5 years and 80 years of age Children between 3 months and 5 years if one or both parents are covered concurrently.
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Covers Hospital Cash, Health Guard, Critical Illness, Personal accident, Education Grant, Householders contents, Traveling Baggage & Public liability.
Family floater can be opted by paying 50% & 25% of self premium for spouse & children respectively.
Add-on covers can be opted under Health Guard. 12 Dreaded diseases are covered under Critical illness. The policy can be taken for maximum 3 years to avoid yearly renewal. 10-15% section discount can be availed if 4 or more sections are opted. 10-15% Long term discount can be availed if the policy is taken for 2 or more years.
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10. Oriental Health Insurance: Brief Description Mediclaim Insurance is a cover which takes care of medical expenses following Hospitalization/Domiciliary Hospitalization of the Insured in respect of the following situations: (A) In case of a sudden illness (B) In case of an accident (C) In case of any surgery which is required in respect of any disease which has arisen during the policy period. Covered Risks This cover is a hospitalization cover and reimburse the medical expenses incurred in respect of covered disease /surgery while the insured was admitted in the hospital as an in patient. The cover also extends to pre- hospitalsation and posthospitalization for periods of 30 days and 60 days respectively Major Exclusions Any preexisting disease, any expense incurred during first 30 days of cover except injury due to accident, all expenses incurred in respect of any treatment relating to pregnancy and child birth. Treatment for Cataracts, Benign prostatic hypertrophy, Hysterectomy, Menorrhagia or Fibromyoma, Hernia, Fitula of anus, Piles, Sinusitis, Asthma, Bronchitis, All Psychiatric or Psychosomatic disorders are excluded from the scope of the cover. 11. Royal Sundaram Health Insurance: Royal Sundaram health insurance plans protect you and your family by offering complete health & medical insurance coverage. Royal Sundaram is one of the leading health insurance companies in India with affordable health plans that cover you during sudden illness, surgeries, and accidents and against acts of terrorism. With our insurance policy you a lso get tax benefits under section 80D. We offer two types of Health Insurance policies for our customers in India: Family Health Insurance and Individual Health Insurance Family Health Ins urance : Protect your family's health with a Family Health Insurance Policy. Cover your whole family under a single premium with a common Sum Insured. Buy online in less than five minutes.
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Benefits - Royal Sundaram Family Health Insurance Policy : - Instant Health Care Insurance & Coverage - No Medical Examination require- Cashless medical insurance in more than 3000 hospitals across India Choose A Health Plan For Your Family: Comprehensive health plans specially designed to offer medical cover and Health Insurance coverage to the insured and his family you, your spouse, children (above 90 days) and dependent parents (up to 50 years). Our medical insurance policies offer multiple plans with affordable premium Find out more about our Family Health Ins urance and Individual Health Insurance : Our individual health insurance plan offers health coverage for your spouse, children (above 90 days) and parents (up to 50 years). Health Shield Online is an personal Health Insurance plan with which you can buy health & medical cover for cover you and your family, most importantly; you can choose the Sum Insured for each member of your family. 12. IFFCO Tokio Health Insurance: Individual Medishield Swasthya Kavach (Family Health) Policy Group Personal Accident Critical Illness Policy
2. Rural Line Insurance: Since nationalization of the company is moving ahead with the task of taking General Insurance business to the rural segments, keeping in view the social objective of serving the needs of the economy in the best interest of the weaker sections of the community. To provide financial protection against loss of their small income generating assets due to the occurrence of fortuitous events, our company has devised a number of insurance policies specially designed for the rural people and weaker section of urban society.
3. Industrial Line Insurance: Industrial Insurance is another branch of non- life insurance which covers various risks faced by the industry and serves to sustain the growth of the industrial activity. These insurances can be sub-divided into broadly two heads as Project Insurance and Operational Insurance. The two basic forms of Project Insurance are Erection All Risk Insurance and Contractor's All Risk Insurance. Commonly chosen Operational Insurance policies are Fire policy, Machine ry Insurance policy, Electronic Equipment Insurance policy and Consequential Loss (Fire) policy.
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4. Commercial Line Insurance: The mainstay of our economy is commercial activity of various kinds, covering trades, transport, banking etc. These organizations are exposed to risks, which can be categorized as loss of or damage to property / assets and liability arising out of an actio n /inaction in the course of the commercial activity. National Insurance offers different options, which enable a commercial organization to protect itself against losses arising from various perils. These options can be classified as package policies, specific policies to protect against property loss and specific policies to cover liability arising due to errors and omissions in the course of transaction of commercial activity.
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In exchange for your monthly premium, your health insurer negotiates better rates for tests and services from select providers and facilities. Without a health insurance negotiated rate, an individual may pay 150-500% higher for the same service. There is also a component of the premium that will go toward standard medical expenses that the average American incurs throughout the year. Last there is the insurance component where we all chip in a little extra to help pay for anyone who incurs a large medical expense that they would not be able to otherwise afford. Premiums have been rising, and we will not get into why due to the many political views on this topic. However, it is worthy to note that the uninsured population is on the rise, about 50% of bankruptcies in the US are due to medical expenses, major medical expenses are on the rise, and annual insurance premiums are facing a constant battle of being increased each year. More than 45 million Americans are uninsured and yet 80% of these people are employed and over 16 million of these families have a household income of over $40,000. This does not look good for the insurance concept of everyone chipping in a little to help cover the rare expenses that hit all of us from time to time.
medical coverage for rare circumstances. For this age category, often a high deductible health plan is a good choice. It offers a low cost, and only coverage for major medical issues once a certain dollar amount of medical expenses is reached.
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4. Age until Renewals allowed: Most of us will certainly fall ill at some point of our lives - and the chances are that we will fall ill when we are older. Entering into a new Health Insurance plan is significantly cheaper and easier when one is young & healthy. The chances of having any major pre-existing disease is lower so most plans are available and also the insurance company must disclose today the premiums applicable today as well as the premiums applicable at an older age Ensure that your health insurance plan is renewable after 65 - because at that age, you don't want to discover that health insurance is difficult to get when you need it the most. 5. Co-pay & sub-limits: One of the fears insurance companies nurse is that the customer might opt for unusually expensive hospital rooms or procedures than are warranted. To overcome this, some insurance companies introduce co-pay or sub- limits. In a co-pay you are required to share some of the expenses incurred - regardless of the amount covered. E.g. say you have a 3 lac cover and the bill you want to be re- imbursed amounts to Rs. 2 lacs. With a plan that has a 20% co-pay, you will only get 80% of the bill re- imbursed by the insurer - i.e. Rs. 1.6 lacs and you will have to bear the rest). For the same coverage amount, a plan with a co-pay should come with a much lower premium than one without a co-pay. Sub- limits simply restrict the amount of re- imbursement for individual bill items - e.g. even a Rs 1 lac bill may not be fully re- imbursed for a Rs 3 lacs coverage amount, if say the sub- limits set on room rentals/ doctors fees/ OT charges - or even a specific procedure (e.g. cataract/ knee replacement) is exceeded. Again a plan with sublimits should have a lower premium for it to be worth considering. 6. Temporary and Permanent exclusions Normally most policies provide coverage for pre-existing diseases only after a waiting period. Remember pre-existing disease is not just the disease you are suffering from at the time you took the first policy but also any other disease that is caused due to such preexisting disease. A common example is that heart illness will also be treated as pre-existing (even though at the time you took the first policy you had no heart disease) if you had diabetes when you took the first policy since the heart illnesses is caused by Diabetes. This
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single item is responsible for most of the disputes between insurance companies and consumers. So make sure you disclose everything that is required in the form. Please do not sign a blank form and leave it to the agent to fill the form later. This will ensure that at least at the end of the waiting period you will get the disease covered. If you do not disclose the disease then you run the risk of your policy being cancelled or a renewal being denied if this fact is discovered later. Apart from the above illness contracted during the first 30-90 days of the first policy is normally not covered. Some specific diseases/treatment such as cataract , knee replacement, etc. may also be covered only after a waiting period. There are permanent exclusions as well such as beauty treatment, sexually contracted diseases, non allopathic hospitalization expenses , etc. Always read the policy brochure carefully and also look at the section dealing with permanent exclusions in the policy document. Keep a copy of all documents submitted to the insurance company for your future reference. Any promise made by the agent or even an official of the insurance company has no value unless it is in writing or at least on email. So if you are basing your decision on any such promise make sure you get it in record in some form.
which legal or parental name. Even better, if you are in the fine State of Missouri, send me an email and I will be happy to talk to you about your insurance needs.
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The 5 key action areas for health promotion are: Building healthy public policies; Creating supportive environments for health; Strengthen community actions; Developing personal skills; and Reorient health services.
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Research methodology Problem definition: The first step in any research is to define the problem. This
is very big issue for successful completing the research. So firstly I try to understand the problem of the consumer on health insurance.
Research approach: By collecting and analyzing the data from primary and
secondary sources, we developed a research approach which includes objective frame work, research questions, specification of information needed .
Data collection: For doing research on this project we have used the following sources for collecting the data.
Primary data collected: For primary data collection a market survey has
been conducted with the help of online survey for accomplishing this project objective. Especially the Ahmedabad region has been targeted for data collection.
Survey method: Email survey Data collection tool: Questionnaire Secondary data collected from: Secondary data has been collected with the
help of company websites.
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Analysis:
Form this analysis we can say that 5 out 35 respondents were female and 30 were male. The majority of this question of this questionnaire based on direct respond question that indicates that respondent can give direct answer to that question. 6 out of 35 respondents were self employed and 29 ware unemployed that indicate majority of respondent are not self employed in his particular meter. Only 8 respondent having childence who knows English. And 27 respondent having the child who do not have English knowledge. When we ask the question does any applicant have any adoption pending then we got conclusion that 7 respondent answer positively and rest of 28 answer negative. it was amazed that 22 respondent has not taken any medicine or advice form the health expert in the last 6 month. Only 2 respondents had dieses like liver and pancreas. Only 1 respondent had kidney problem and rest of 34 having no kidney problem. When we ask the question like do you have any eyes, ears or nose problem then we got that only 12 people were having this problem and rest of the 23 were free from problem. Only 5 respondents were having the problem of mouth, throat and jaw. 7 people were having the chest pain but when we ask the question about headache then 16 were said yes. Just, 3 respondents were having paralysis. But if we talk about kidney problem then only 1 respondent having kidney problem.
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Charts:
17%
83%
Gender
M
14%
86%
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In the last 6 months, has any applicant taken, or been advised to take, medication or received medical advice or treatment of any kind?
37%
No
Yes
63%
20%
80%
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Finding:
On the basis of this research project, we can have some findings that can be decribe as follows: The majority of family wants advice regarding health and related problem. At the time, when we were collecting the primary data from the target respondents we have found that people is very much conscious about their help and they were ready to answer health related problem. There are different classes of people who have not visited the health experts since last three to six months that indicates, people may conscious about their health but some how they are lethargic. Majority of disease that found with respondents because of food what they are taking. We have found that generally people do not take care about their small health related problem and it becomes the serious disease for them that is the negative side of the coin. We have found that people are still not aware about the health insurance sc hemes and institutions. So, there should be some general awareness programme in the society to spread the knowledge and information about the health insurance. Majority of male were having health related problem as compare to female respondents in this particular research project only.
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