Life and General Insurance Overview
Life and General Insurance Overview
Structure
2.0 Objectives
2.1 Introduction
2.2 Life Insurance Contracts
2.2.1 Endowment Assurance
2.2.2 Whole Life Assurance
2.2.3 Term Insurance
2.2.4 Annuity
2.2.5 Unit-Linked
2.3 General Insurance
2.3.1 Liability Insurance
2.3.2 Property Insurance
2.3.3 Financial Loss Insurance
2.4 Let Us Sum Up
2.5 Key Words
2.6 Suggested Books for Further Reading
2.7 Answers/Hints to Check Your Progress Exercises
2.0 OBJECTIVES
After reading this unit, you will be able to:
2.1 INTRODUCTION
Life insurance is a contract between an insured (insurance policy holder) and
an insurer (or assurer). In this, the ‘insurer’ promises to pay the ‘beneficiary’
(policy holder) a sum of money (called ‘benefits’) in exchange for a
24 premium. The benefit is payable upon the maturity of the contract or the
death of the insured person, whichever is earlier. Depending on the contract, Life and General
Insurance
other events such as terminal illness or critical illness can also be covered for
payment. The policy holder pays a premium, either periodically or in one
lump sum. Expenses like funeral expenses can also be included in the
benefits. Life insurance policies are legal contracts. The terms of the contract
describe the limitations of the insured events. Specific exclusions are written
into the contract to limit the liability of the insurer. Common examples of
such exclusions relate to suicide, fraud, war, riot and civil commotion. Life-
based contracts fall into two major categories: protection policies and
investment policies. The former is designed to provide a benefit, typically a
lump sum payment, in the event of a specified event. A common form of a
‘protection policy design’ is ‘term insurance’. Investment policies are
designed with the main objective of facilitating the growth of capital by
regular premiums. Common forms of ‘investment policy’ are whole life,
endowment insurance, etc. Insurance contracts that do not come under the
ambit of life insurance are called ‘general insurance’. They go by the names
of property insurance, casualty insurance (in U.S. and Canada) and non-life
insurance (in Europe and India). The products of ‘general insurance’ are
divided in two groups: personal and commercial.
The ‘basic sum assured’ in ‘with profit contracts’ is the ‘minimum amount of
life assurance payable on death’ or the ‘minimum lump sum payable at
maturity’. A ‘reversionary bonus’ is awarded during the term of the insurance
contract and guaranteed to be paid at maturity. It cannot be taken away after
declaration. Besides this, the annual bonus consists of two parts. One is a
‘guaranteed bonus’. This is an amount expressed as ‘per Rs. 1,000 sum
assured’. This is set at the outset of the policy and is not altered. The second
is a ‘terminal bonus’ paid at maturity. This is sometimes paid even to a
surrendered policy. The quantum of ‘terminal bonus’ depends on the
‘investment return achieved’ by the fund. The basic sum assured may earn
‘reversionary bonuses’ which are based on profits earned. These are usually
applied in unit-linked contracts (discussed later in sub-section 2.2.5) in which
the premiums paid by the policy holders is lumped into a ‘pooled investment
fund’. Here, the benefit payable at maturity depends on the performance of
the underlying assets and the level of ‘charges’ levied by the insurance
company.
The ‘level term decreasing policies’ are useful to provide income to children
until such time as they become independent. The ‘level term increasing term
assurance’ policies are also referred to as ‘index-linked life insurance’. This
is because the sum assured increases each year in line with the ‘retail price
index’ (RPI). The main advantage of ‘increasing term assurance’ policies are
that a policy will not be affected by inflation. The renewal term insurance
contracts allow the policyholder to renew or extend their policy for additional
terms without medical examination. This is useful when a policy holder
wishes to continue their insurance as they get older or find themselves in
poorer health. A convertible term assurance allows the policyholder to
convert one type of contract into another type of contract. At what point
conversion is allowed depends on the policy conditions. This ‘hybrid’ nature
of conversion proves useful in situations of ill health when a policyholder has
difficulty in making payments to secure the coverage.
2.2.4 Annuity
An ‘annuity’ is a contract which pays out amounts at regular time intervals
(e.g. monthly). The policyholder can buy annuity either by paying a single
premium or buy an endowment policy which provides a lump sum at
maturity. The main purpose of this type of contract is to convert capital into
lifetime income. It removes the uncertainty of how carefully the capital
should be spent to provide income over the annuitant’s remaining life time.
Annuity can be of two types: immediate and deferred. An ‘immediate
annuity’ pays out regular amounts of benefit during the life time of the
insured. The word ‘immediate’ indicates that the contract starts payments
immediately without a deferred period. Such contracts are purchased in
advance by a single premium. Such a premium may itself be the proceeds of
another regular periodic premium contract. Immediate annuities may be
purchased on single or joint life basis. In case of joint life policies, it can be
on ‘first death or last survivor’ basis. A last survivor annuity is used to
provide income for dependents following the death of the main life. On the
other hand, a deferred annuity is a contract to pay out regular amounts of 27
Introduction to benefit at the end of the deferred period (called the ‘vesting date’). Such
Insurance Theory
payments are made when the insured is alive ‘from the beginning to the end
point of the policy period’. Due to the ‘deferred period’, regular or single
premiums can be paid up to the ‘vesting date’. Under individual contracts, a
single premium is payable at the beginning of the contract. An insurer may
also prefer the flexibility of buying a ‘new single premium policy’ each year
(until a chosen age like the retirement age) rather than be committed to
paying a fixed level of premium each year (as would be required under a
regular premium contract). Deferred annuities may be without-profits or
with-profits. A with-profit deferred annuity provides a guaranteed level of
regular income with bonus as additions. The additional benefit of bonus
income may also be made while the policy is in deferment.
2.2.5 Unit-Linked
A unit-linked contract enables consumers either to obtain a ‘higher expected
level of benefit’ for a given premium or pay a ‘lower expected level of
premium’ for a given level of benefit. The key features of a unit-linked
contract are the following.
b) The insurance company will deduct its charges from the policyholder’s
fund. These are generally deducted from the premiums before they are
invested. This could take various forms like: (i) allocation of units worth
less than 100 percent of premium paid, (ii) application of a bid-offer
spread i.e. a difference between the price at which the insurance
company sells the units (i.e. the ‘offer price’) and that at which it will
buy them back (i.e. the ‘bid price’), (iii) a fixed amount may be deducted
from each premium paid [which may be in the form of a percentage of
the fund value taken on a regular basis, called as the ‘regular fund
charge’ (or a fund management charge)].
Check Your Progress 1 [answer within the space given in about 50-100
words]
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Introduction to 4) What are the types of bonuses paid in an ‘endowment assurance’ life
Insurance Theory
insurance contract? Under which category of life insurance policy is this
paid?
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Employers are liable if they are negligent in providing their employees with
safe working conditions. The liability covers accidents and perils like
exposure to harmful substances and working conditions. ‘Employers liability’
indemnifies the insured from compensating an employee (for bodily injury,
disease or death suffered), owing to the negligence of the employer in the
course of employment. Loss of or damage to employees’ property is also
usually covered. The benefit can be in the form of regular payments to
compensate for disabilities that reduce the employee’s ability to work. It can
be a lump sum payment to compensate for permanent injuries to the
employee. ‘Motor third party liability’ indemnifies the owner of a motor
vehicle against compensation payable to third parties for personal injury or
damage to their property. Such benefits include compensation for loss of
earnings, hospital costs and damage to property costs. In most countries, such
a cover is compulsory. In the ‘marine and aviation liability’, the insured is
indemnified against paying compensation to a third party for damages arising
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Introduction to out of operation of the vessel or aircraft. The third parties include passengers
Insurance Theory
and crew. In ‘public liability’, the insured is indemnified against paying
compensation to a third party for damage to property or person. Likewise, in
a ‘product liability’, indemnity is provided to the insured against paying
compensation to a third party resulting from a product’s fault. Here, the perils
depend on the nature of the product like faulty design, faulty manufacture,
faulty packaging, incorrect or misleading instructions, etc. ‘Professional
indemnity’ covers the insured for the losses resulting from negligence in the
provision of a service (i.e. unsatisfactory medical treatment or incorrect
advice from an actuary or solicitor). Likewise, ‘directors and officers
liability’ indemnifies the insured against payment of compensation to third
parties owing to any wrongful act of the insured (in their capacity as a
director or officer of a company). The insurance is personal to the director or
officer but is usually bought by the company. Deliberate fraud by directors
and officers will not be covered by such insurance. Environmental liability
indemnifies payment of compensation to third parties to property by
unintentional pollution for which the insured is deemed responsible. The
costs of cleaning up the pollution and regulatory fines are also covered in
such policies. Gradual and sudden environmental pollution are both covered.
Insurance contracts may combine more than one of the above. For instance, a
combined household policy may cover both building and its contents. The
benefit is an amount up to which the insured is compensated for the value of
the loss or damage. In respect of household and commercial buildings, fire is
the principal peril against which it is insured. But policies can cover many
other perils such as explosion, lightning, theft, storm and flood. A policy on
‘moveable property’ will be defined precisely to identify which moveable
property is covered by the insurance. For instance, under a household
contents policy, the definition may include the insured’s household goods
and personal possessions plus visitors’ personal effects. Theft is the major
peril for moveable property. The amount paid on a claim can be: (i) the
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replacement value, which is the cost of a new item reduced to allow for the Life and General
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depreciation on the lost item, or (ii) on a ‘new for old’ basis. Under the latter
the cost of an equivalent brand new item is provided. For ‘motor vehicles’,
the perils include accidental or malicious damage to the insured vehicle, fire
and theft. In many countries, including India, this cover is typically provided
together with ‘third party cover’ within a single policy. For ‘marine
property’, the perils covered relate to marine hull cover, marine cargo and
marine freight. Damages through perils of the seas (or other navigable
waters), fire, explosion, jettison, piracy etc. are also covered. ‘Goods in
Transit’ is a commercial insurance cover against loss or damage to goods
while being transported in vehicles specified in the policy (e.g. the
company’s vehicles or by a carrier). The periods of loading and unloading are
also covered in addition to the journey. The sum insured is closer to the value
of the goods. Construction and engineering projects can take several years
and hence the associated policies will last until the end of the project. There
can be an ‘extended warranty’ to cover losses arising from the need to replace
or repair faulty parts in a product (e.g. electrical goods, furniture or motor
vehicles). Such coverage is usually beyond the manufacturer’s normal
warranty period. Policies may have a term of several years.
Check Your Progress 2 [answer within space given in about 50-100 words]
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5) What is meant by ‘credit insurance’? What are its two principal types? Life and General
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3) Term insurance and annuity are examples of protection policies. Life and General
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Endowment assurance, whole life assurance and unit-linked policies are
examples of investment policies.
5) It covers a creditor against the risk that the debtors will not pay their due
obligations. Its two principal types are: (i) trade credit and (ii) mortgage
indemnity. Trade credit covers uncollectible debts e.g. an aircraft ordered
but not collected later. Mortgage indemnity covers the lender in a
mortgage loan against the risk of the borrower’s default.
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