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THE ROLE OF IRA

THE ROLE OF IRA. Presentation made to Public Servants in Kapenguria county on 27/11/2013 By Thomas V. Oduor. Contents. Who IRA is Why supervise the Insurance Industry Benefits of Supervision Steps Taken By IRA to ensure stability Policyholders Compensation Fund

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THE ROLE OF IRA

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  1. THE ROLE OF IRA Presentation made to Public Servants in Kapenguria county on 27/11/2013 By Thomas V. Oduor

  2. Contents • Who IRA is • Why supervise the Insurance Industry • Benefits of Supervision • Steps Taken By IRA to ensure stability • Policyholders Compensation Fund • Insurance Fraud Investigation Unit • Effects of Fraud on Insurance • Standardizing Insurance policies • Issuing Claims Guidelines • Why the Church • Conclusion

  3. Who is IRA? • IRA is a semi autonomous Government agency • Formed in 1st May 2006 through the Insurance Amendments Act. • Charged with regulating, supervising and developing the insurance industry in Kenya.

  4. Regulatory Structure

  5. General Functions of IRA • Regulate and supervise the insurance industry; • Formulate and enforce standards; • Licence all players; • Protect the interests of policy holders and beneficiaries; • Promote the development of the insurance industry;

  6. Why supervise the Insurance Industry? • Insurance is a business of trust and can be abused; • Insurance is a promise, a promise which must be kept; • Different Interests which must be managed well: • Policyholders expecting claims to be paid from the insurance fund • Investors/Shareholders expecting dividends from the same fund.

  7. Benefits of Supervision • Stable insurance industry • Better the image of the industry • Increased public confidence • Create competitive industry, reduced premium • Well distributed insurance services to increase access • Increased savings • Create environment for investments Create jobs

  8. General Functions of IRA • Regulate and supervise the insurance industry; • Formulate and enforce standards; • Licence all players; • Protect the interests of policy holders and beneficiaries; • Promote the development of the insurance industry;

  9. Steps Taken By IRA to ensure stability • Policy holders Compensation fund • Insurance Fraud Investigation Unit • Standardizing Insurance policies (all policies standardized by today) • Many guidelines on conduct of insurance business have been issued (Anti-Money Laundering, claims, Intermediaries)

  10. Policyholders Compensation Fund • Established in 2004 under the Insurance Act. • Occasioned by the collapse of a number of insurance companies in the 1970sand 90s • Funded by a levy from insurers • Policyholders contribute 0.25% of premium • Insurers contribute 0.25% of premium

  11. Policyholders Compensation Fund • The Fund pays claims left outstanding by collapsed insurers • Aims at creating confidence among policyholders • Life insurance companies are never wound up even where composite insurers collapse • You are urged to continue paying premiums under the life policies • Pay premiums to statutory managers

  12. Insurance Fraud Investigation Unit • IFIU was established in November 2011. • IFIU is a specialized unit of Directorate of Criminal Investigation • Mandate of investigating insurance related offences. • Established to enhance IRA’s capacity to tackle insurance fraud

  13. Insurance Fraud Investigation Unit (IFIU) • Receive reports of suspected insurance fraud. • Investigate the reports • Prepare for investigation and admin action. • Arrest and prosecute suspects in court.

  14. Effects of Fraud on buyers of Insurance • Increases cost of insurance services • Restricts quality of services offered • Affects insurer’s profitability and stability • Lowers public confidence in insurance • Taints the reputation of the insurance • Leads to collapse of insurers

  15. Standardizing Insurance policies • Current insurance policies very complex • The language used in small prints • IRA has taken steps to standardize policies • All policies currently standardized • Reason is to enable users to read and understand • Make it easy for you to comply with policy requirements

  16. Issuing Claims Guidelines • People fear buying insurance because they don’t know how to claim • IRA has issued claims guidelines to insurance companies to follow when administering claims • Once insurers admit liability and issue you with a Discharge Voucher, they must pay within 90 days. • If they fail to pay then complain to IRA

  17. Why Public Servants • Eye of the Government • The largest single workforce in Kenya • Wield significant influence among citizens. • Foot soldiers - represent the Government everywhere • Highly respected & trusted by public • Shape opinions, make decisions and help others in making decisions

  18. Conclusion • GOK is concerned about risks faced by public servants wherever they are • Loss of life and property worries all • IRA is created to protect your interests • You can direct your insurance complaints to IRA • IRA does not charge for the services it offers • IRA does not sell insurance

  19. Let us not suffer because of lack of knowledge Insurance is real

  20. THANK YOU Qs & As

  21. This presentation is made by: • Thomas Victor Oduor • Consumer Education Officer • Insurance Regulatory Authority

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