1 / 63

SCOPE OF INSURANCE

Chapter 4. SCOPE OF INSURANCE. The Japanese eat very little fat and suffer fewer heart attacks than the British or Americans. On the other hand, the French eat a lot of fat and also suffer fewer heart attacks than the British or Americans.

garvey
Download Presentation

SCOPE OF INSURANCE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 4 SCOPE OF INSURANCE

  2. The Japanese eat very little fat and suffer fewer heart attacks than the British or Americans.On the other hand, the French eat a lot of fat and also suffer fewer heart attacks than the British or Americans. The Chinese drink very little red wine and suffer fewer heart attacks than the British or Americans. The Italians drink excessive amounts of red wine and also suffer fewer heart attacks than the British or Americans. Conclusion: Eat & drink what you like. “ It's English that kills you ”.

  3. I N S U R A N C E

  4. Insurance in broad terms may be described as a method of sharing financial losses of few from a common fund who are equally exposed to the same loss.

  5. Example • Say 1000 motor cars valued @ 300000/- are observed over a period of five years. On an average say per year two are total loss by accident. Then the total annual loss would be Rs.600000. If the loss is to shared by all the thousand owners then they have to contribute Rs.600/- • The loss experience will be established by taking the past experience, geographical area in which the vehicles are used and density of traffic.

  6. PRINCIPLES OF INSURANCE Rate of contribution or premium The degree of hazard it is exposed to. Classification of various types of properties.

  7. IMPORTANT ELEMENTS INVOLVED IN THE CONCEPT OF INSURANCE • Subject matter of insurance. • The PERIL (risk) • The financial loss.

  8. Subject matter is property, human life, machinery, goods etc., • Peril is fire, storm, burglary, earth quake, injury, explosion etc., • Financial loss is normally defined before the contract is signed.

  9. RISK RISK:- can be defined as the unforeseen element which may impede your progress in achieving the objective.

  10. In insurance jargon they term RISK as an uncertainty regarding loss or what is termed as a FORTUITOUS risk. Concept of chance and risk can be expressed in a single mathematical term called “Probability”.

  11. An example of impossibility can be quoted say the 9/11 incident where insurance companies were washed out. Hyderabadis never in their dreams thought of taking cover for flood. When the encroached drains could not contain rains for 2 days, the resultant floods had washed away score of vehicles, property etc., So, Risk is inherent in human existence. Human life and material possessions are constantly exposed to loss or damage due to the mechanizations of fortuitous circumstances

  12. A RISK OF TRADE is a loss due to a specified event say fire, storms burglary etc., These are classified and their frequency in already assessed. A TRADE RISK is a risk of loss inherent in the trade itself. Broadly speaking we can say loss of profit as a result of change due to market collapse, political factors etc., Risk of trade is insurable as it is already assessed, Trade risk is yet to be classified and hence majority of these are not covered.

  13. MATHEMETICAL VALUE OF RISK L / V x 100 where L= total losses reported V=refers to the total values the product of the above analysis is called Law of averages or the doctrine of probability. So premium rates depend upon past loss experience by systematically classifying the risks. Which are homogenous in characters Example:- Motor vehicle.

  14. ITC RICE INSURANCE ATFL EMMSONS

  15. SCOPE OF INSURANCE: General Insurance is divided into three categories: FIRE, MARINE & MISCELLANEOUS

  16. FIRE INSURANCE FIRE INSURANCE BUSINESS: Loss due to FIRE, LIGHTINING, EXPLOSION, IMPLOSION,, RIOTS & STRIKES, IMPACT BY RAIL, AIRCRAFT DAMAGE, EARTH QUAKE, FLOOD, STORM, TEMPEST, TORNADO, TYPHOON, CYCLONES & LAND SLIDE.

  17. MARINE INSURANCE BUSINESS: This is the oldest branch of Insurance comprising HULL & CARGO. Hull Insurance deals the Loss associated with floating crafts, Cargo insurance provides cover in respect of loss or damage to goods during transit by rail, road, sea or air.

  18. MISCELLENOUS INSURANCE BUSINESS: Mainly includes the motor business, accident, aviation , engineering and guarantee insurances.

  19. CONTRACT OF INSURANCE In between the insured and insurer INSURED:- Party effecting insurance, (Individual, Company, Firm, Corporate body etc., with legal status) INSURER:- Party granting the protection under an insurance policy. Policy:- Is the evidence of contract

  20. Insurance contracts are governed by Indian contract act 1872 which states that to be legally valid following elements should be in order. • Offer and acceptance • Consideration • Agreement between the parties • Capacity of the parties • Legality of the contract

  21. UTMOST GOOD FAITH: The greatest degree of good faith by law, is expected from the proposer, that is the main reason why good faith in case of Insurance contracts becomes UTMOST good faith. It is the duty of the proposer to disclose all material facts not only already known but also extends to material facts which he ought to know.

  22. Examples of material facts: FIRE: Construction of building, type of occupancy, nature of good stored etc. MARINE: method of packing, inherent vice etc.

  23. INSURABLE INTREST In nutshell if property is the subject matter of insurance then the subject matter of insurance contract is the insured’s pecuniary interest in that property. LEGAL RIGHT TO INSURE IS THE INSURABLE INTEREST. Insurable Interest is required to support the contract of Insurance in order to make it legal, other wise the contract is null and void.

  24. HOW INSURABLE INTEREST ARISES: By ownership By Law By Contract By Legal liability Interest of a Person in Life

  25. When insurable interest must exist: For Fire or Miscellaneous policy the insurable interest must exist at the time of taking the policy and at the time of the loss. For Marine policy an insurable interest need not exist at the time of policy taking.

  26. WARRANTY: means an assurance by the assured, that he will not do some particular things or will fulfill any conditions that are laid in advance. WARRANTIES are further classified as express or implied

  27. ASSIGNMENT Assignment means transfer of rights and liabilities of an insured to another person who had acquired insurable interest in the property insured. Fire policies have to be assigned with the consent of the insurers, where as Marine cargo policies can be freely assigned without the knowledge or consent of the insurer. This is because the ultimate buyer is not known at the time of taking the cover. Marine hull policies cannot be assigned.

  28. INDEMINITY: Can be defined as “ compensation for loss or injury sustained” or “ to make good the loss or damage” .

  29. Methods of indemnification: Cash payment Repair Replacement Reinstatement.

  30. Mode of indemnity: Buildings: the cost of reinstating or repairing the damaged portion, is assessed, and from that an appropriate allowance is made towards depreciation, depending on the age and condition of the building. Allowances are made for improvement due to repairs.

  31. Machinery: Here the method of indemnity is supposed to be the market value for a similar machine of same age and model as determined on the date of loss. In practice this is difficult so the measure of indemnity becomes the replacement value less depreciation. In case of repairs the cost of repairing is borne by the insured. However replacement of parts is subject to an allowance towards depreciation.

  32. Household goods: Consideration similar to those applicable for machines.   Stocks: In case of wholesalers or retailers, the measure of indemnity is the price at which he will be able to replace his goods. The element of profit will not be taken care of.

  33. Fire insurance Fire insurance policies may be issued on REINSTATEMENT value basis. Although the insured gets new property which is in similar condition and of same kind, to protect the basic of idea of indemnity the property will not be of superior nature.

  34. Motor: If the vehicle is a total loss, the sum insured or the value of the vehicle, which ever is less is paid. If the vehicle is damaged the cost of repairs or paid, if parts are replaced the cost of new part will be subjected to depreciation. In all the cases age and general maintenance of the vehicle are considered.

  35. MARINE INSURANCE In this branch what is provided as indemnity becomes commercial indemnity because, Almost all the policies issued are agreed value policies. To be precise the insured and the insurer agree that the sum insured is the value of the property insured. The agreed amount is then payable in case of total loss, with no attachments what so ever.

  36. MISCELLANEOUS Miscellaneous Insurance: the insurances of property, liability and insurance are contracts of strict indemnity. Normally books of accounts are referred when settling claims in this branch. ( ex. fidelity guarantee insurance)

  37. Under insurance: Property insurances are generally subject to the condition of average, and if there has been under insurance, only that portion of the loss is payable. Ex.value of property : Rs.20000 Sum insured : Rs.15000 Loss assessed : Rs.10000 Amount payable will then be: 15000 x 10000 = 7500 20000 The insured is then considered as his own insurer for the difference of the liability.

  38. EXCESS OR FRANCHISE In some policies an EXCESS or FRACHISE is incorporated, which means that a certain circumstances a part of the loss may have to be borne by the insured.

  39. SALVAGE Property which is saved from loss or damage and still has some commercial value is called salvage.

  40. SUBROGATION may be defined as the transfer of rights and remedies of the insured to the insurer who has indemnified the insured in respect of the loss.

  41. CONTRIBUTION: An insured may have taken many policies on the same subject matter. The principal of contribution would lead to a situation in which the insured would be able to recover his loss from any one insurer, who then will have to effect proportionate recoveries from other insurers concerned. Normally the insurers seek to control additional insurances at the proposal stage itself. Remember at no cost an infringement to the principle of indemnity is accepted. The principal of contribution does not apply to personal accident policies.

  42. PROXIMATE CAUSE Means the DIRECT, DOMINANT or effective cause of which the loss is the natural consequence. It is the cause which is most closely connected with the loss, not necessarily in time but in efficiency. Although the doctrine is clear in theory, it is difficult to determine the proximate cause, as a clear demarcation should be maintained between insured peril, excepted peril and un insured peril.

  43. Example: An insured sustained an accident while hunting. Due to shock and weakness, he was unable to walk and whilst lying on wet ground, he contracted cold which developed into pneumonia causing death ultimately. The proximate cause was considered to be the accident and not the pneumonia, the disease, which was only a remote cause. The claim was payable under personal accident policy.

  44. MARINE INSURANCE  A. cargo insurance  B. hull insurance Cargo insurance provides insurance cover in respect of loss of or damage to goods during transit by RAIL, ROAD, SEA, AIR OR REGISTERED POST.

  45. TYPE OF CONTRACT RESPONSIBILITY FREE ON BOARD SELLER IS RESPONSIBLE TILL THE (F.O.B) GOODS ARE PLACED ONBOARD. COST & FREIGHT THE BUYERS RESPONSIBILITY STARTS (C & F) FROM THE TIME THE GOODS ARE PLACED ONBOARD COST INSURANCE THE SELLER IS RESPONSIBLE FOR & FREIGHT (C.I.F) ARRANGING INSURANCE WHICH IS INCLUDED IN THE COST OF THE GOODS.

  46. A further security in the form of insurance policy is also required by the bank to protect its interest in case of goods suffering loss or damage while in transit, in which case the importer may not make the payment. The terms and conditions of the insurance are specified in the letter of CREDIT.

  47. The RISKS covered in a marine policy falls under three categories • MARINE PERILS • EXTRANEOUS PERILS • WAR & STIRKES, RIOTS & CIVIL • COMMOTION RISKS (S.R.C.C)

  48. MARINE PERILS : are the perils associated with rivers, seas. EXTRANEOUS PERILS: means not relevant. Ex: theft, pilferage non delivery are some of the extraneous perils. Loss due to WAR, STRIKES and CIVIL COMMOTIONS (SRCC) can also be covered under a Marine policy. The consequences of these perils may result in total loss.

  49. TOTAL LOSS IS DIVIDED INTO • ACTUAL • OR • CONSTRUCTIVE .

  50. PARTIAL LOSS This is once again divided into PARTICULAR AVERAGE OR GENERAL AVERAGE In marine insurance the word average is synonymous with LOSS.

More Related