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Salient Features o The Insurance Act
Salient Features o The Insurance Act
The Salient Features of Insurance Act, 1938 have been discussed under the
following subtitles:
The Act applies to all type of insurance business-life, fire, marine etc. done by
companies incorporated in India or elsewhere. It also governs the provident
companies, mutual offices and cooperative societies.
. a) A public company or
under any other law for the time being in force in any state relating to co-operative
societies or,
c) A body corporate incorporated under the law of any country outside India not
being of the nature of a private company.
Provided that the Central Government may, by notification in the official Gazette,
exempt from the operation of this section to such extent, for such period and
subject to such conditions as it may specify, any person or insurer for the purpose
of carrying on the business of granting superannuation allowances and annuities of
the nature specified in sub-clause (c) of clause (11) of Section 2 or for the purpose
of carrying on any general insurance business.
(i) A paid-up equity capital or rupees one hundred crores, in case of a person
carrying on the business of life insurance or general insurance; or
(ii) A paid-up equity capital of rupees two hundred crores, in case of a person
carrying on exclusively the business as a reinsurer:
Provided that in determining the paid-up equity capital specified under clause (i) or
clause (ii) the deposit to be made under section 7 and any preliminary expenses
incurred in the formation and registration of the company shall be excluded:
4.4. Deposits:
a) In the case of the life insurance business, a sum equivalent to one percent of his
total gross premium written in India in any financial year commencing after the
st
31 day of March, 2000 not exceeding rupees ten crores;
b) In the case of
general insurance business, a sum equivalent to three percent of his total gross
st
premium written in India, in any financial year commencement after the 31 day
of March 2000, not exceeding rupees ten crores; c) In the case of Re-insurance
business a sum of rupees twenty crores.
Provided that, where the business done or to be done is marine insurance only and
relates exclusively to country craft or its cargo or both, the amount to be deposited
under this sub-section shall be one hundred thousand rupees only.
4.5. Registration:
Section – 3 states that, no person shall, after the commencement of this Act, begin
to carry on any class of insurance business in India shall after the expiry of three
months from the commencement of this Act, continue of carry on any such
business, unless he has obtained from the authority a certificate of registration for
the particular class of insurance business.
A certified copy the memorandum and articles of association. Names, address and
occupation of directors.
A statement of the class or classes of insurance business
done or to
e)
f)
regulations which shall not exceed fifty thousand rupees for each class of
business as may be specified by the regulations made by the authority.
g) Such
other documents as may be specified by the regulations made by the authority.
If,
on the receipt of an application for registration and after making such inquiry as he
deems fit, the authority is satisfied that:
a) The financial condition and the
general character of management of the applicant are sound;
b) The volume of
business likely to be available to, and the capital structure and earning prospects of,
the applicant will be adequate;
c) The interests of the general public will be
served.
The authority may register the applicant as an insurer and grant him certificate of
registration. The authority shall withhold registration shall, or cancel a registration
already made if any requirement is not satisfied or in so far as it relates to a
particular class of insurance business as the case may be:
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been returned to the insurer under Section – 9 or
e) When clause – 9 of Section –
2 related to insurer’s definition ceased of cancelled or suspended.
The audited accounts and balance sheet and actuarial report and abstract and four
copies there of shall be furnished as returns to the authority in the case of the
accounts and balance sheet and the actuarial report within six months and in the
case of the abstract within nine months from the end of the period to which they
refer. If the principal place is outside India, the period of submission may be
extended by three months.
Of the four copies so furnished one shall be signed in the case of company by the
Chairman and two directors and by the principal officer of the Company and, if the
company has a managing director or managing agent, by the director or managing
agent in the case of a firm by two partners of the firm, and, in the case of an insurer
being an individual, by the insurer himself and one shall be signed by the auditor
who made the audit or the actuary who made the valuation, as the case may be.
The insurer shall, within the time specified in sub-section (1) of Section – 15,
furnish to the authority four certified copies in the English language of every
balance-sheet, account abstract, report and statement supplied to the public
authority and in addition there four certified copies in the English language of each
of the following statement:
No person shall, after the expiry of six months from the commencement of this act,
pay or contract to pay any remuneration or reward whether by way of commission
or otherwise for soliciting or procuring insurance business in India to any person
except an insurance agent or a principal, chief or special agent.
[Section 40 (1)]
Provided that insurers, in respect of life insurance business only, may pay during
the first ten years of their business, to their business, to their insurance agents 55%
of the first year’s premium payable on any policy or policies affected through them
any 6% of the renewal premium payable on such policies. [Section 40 (1)]
c) In any other case, 35% of the first year’s premium, 71⁄2% of the second and
third year’s renewal premium, and thereafter 5% of each renewal premium payable
on the policy:
Provided that in a case referred to in clause (c), an insurer, during
the first 10 years of his business, may pay to an insurance agent, and an insurance
agent may receive from such an insurer, 40% of the first year’s premium payable
on the policy.
2. No person shall pay or contract to pay to a special agent, and no special agent
shall receive or contract to receive, by way of commission or as remuneration in
any form, in respect of any policy of life insurance issued in India by an insurer
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after the 31 day of December, 1950 and effected through a special agent an
amount exceeding:
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a) In a case referred to in clause (a) of sub-section (1) one half percent of the
premium;
b) In a case referred to in clause (b) of sub-section (1) two percent of
the first year’s premium payable on the policies;
c) In a case referred to in clause (c) of sub-section (1) fifteen percent of the first
year’s premium payable on the policies;
Prohibition of Rebates (Section - 41)
1.
No person shall allow or offer to allow either directly or indirectly as an
inducement to any person to take out or renew or continue an insurance in respect
of any kind of risk, relating to lives or property in India, any rebate of the whole or
part of the commission payable or any rebate of the premium shown on the policy,
nor shall any person taking out or renewing or continuing a policy accept any
rebate, except such rebate as may be allowed in accordance with the published
prospectuses or tables of the insurer:
2. Any person making default in complying with the provisions of this section shall
be punishable with fine, which may extend to Rs. 5000/-.
Provided that, where at least five years have elapsed since the completion of
sentence imposed on any person in respect of any such offence, the authority shall
ordinarily declare in respect of such person that his conviction shall cease to
operate as a disqualification under this clause:
(iv) That in the course of any Judicial proceeding relating to any policy of
insurance or the winding up of an Insurance Co. or in the course of an investigation
of the affairs of an insurer it has been found that he has been guilty of or has
knowingly participated in or connived at any fraud, dishonestly or
misrepresentation against an insurer or an insured.
(v) That he does not posses the requisite qualifications and practical training for a
period not exceeding twelve months, as may be specified by the regulations made
by the authority in this behalf.
(vi) That he had not passed such examination as
may be specified by the regulations made by the authority in this behalf:
Provided that a person who had been issued a license under sub-section (1) of this
section or sub-section (1) or section 64UM shall not be required to possess the
examination as required by clauses (e) and (f):
(vii) That he violates the code of
conduct as may be specified by the regulations made by the authority.
b) In the case of a company or firm, any of its directors or partners does not suffer
from any of the said disqualifications:
Provided further that any license issued immediately before the commencement of
the Insurance Regulatory and Development Authority Act, 1999 shall be deemed
to have been issued in accordance with regulations, which provide for such license.
2. A license issued under this section shall entitle the holder to act at an insurance
agent for any insurer.
3. License issued under this section, after the commencement of the Insurance
Regulatory and Development Authority Act, 1999, shall remain in force for a
period of three years only from the date of issue, but shall, if he applicant, does not
suffer from any of the disqualification mentioned above and the application for
renewal of the license reaches the issuing authority at last thirty days before the
date on which the license ceases to remain in force, be renewed for a period of
three years at any one time on payment of the prescribed fee which shall not be
more than two hundred and fifty rupees, and an additional fee of a prescribed
amount, not exceeding one hundred rupees by way of penalty if the application for
renewal of the license does not reach the issuing authority at least thirty days
before the date on which the license ceases to remain in force.
Provided that the Authority may, if satisfied that undue hardship would be caused
otherwise, accept may application in contravention of this sub- section on payment
by the applicant of a penalty of seven hundred and fifty rupees.
4.9. Investments:
Every insurer shall invent and at all times keep invested assets equivalent to not
less than the sum of:
(i) The amount of premiums which have fallen due to the insurer on such policies
but have not been paid and the days of grace for payment of which have not
expired, and
(ii) Any amount due to the insurer for loans granted on and within
the surrender values of policies of life insurance maturing for payment in India
issued by him or by an insurer which business he has acquired and in respect of
which he has assumed liability.
Section 27-A:
1. No insurer shall invest or keep invested any part of his controlled fund otherwise
than in any of the following approved investment namely:
. a) Approved securities;
. b) Securities of, or guaranteed by Government of U.K.;
company;
. m) Life interests;
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Provided that nothing contained in this sub-section shall apply to a loans made by
an insurer to a banking company.
Provided further that nothing in this section shall prohibit a company from granting
such loans or advances to subsidiary company or to any other company of which
the company granting the loan or advance is a subsidiary company and where any
such loan or advance is made out of any life insurance fund the matter shall be
reported within thirty days of the making of such loan or advance to the authority.
Investigation: The authority may, at any time, by order in writing, direct any
person (Investing Authority) specified in the order to investigate the affairs of any
insurer and to report to the authority on any investigation made by him provided
that the investigating authority may, whenever necessary employ any auditor or
actuary or both for the purpose of assisting him in any investigating under this
section. [Section - 33]
The Investing Authority (IA) may, at any time, and shall, on being directed to do
so by the Authority, cause an inspection to be made by on e or more of his officers
of any insurer and his books of account; and the IA shall supply to the insurer a
copy of his report on such inspection.
On receipt of any report under sub-section (1) or sub-section (5), the Authority
may, after giving such opportunity to the insurer to make a representation in
connection with the report as, in the opinion of the Authority, seems reasonable, by
order in writing.
The Authority may, after giving reasonable notice to the insurer, publish the report
submitted by the investigating Authority under sub-section (5) or such portion
thereof may appear it to be necessary. No order made under this section other than
an order made under clause (b) of sub-section (6) shall be capable of being called
in question in any court.
All expenses of, and incidental to, any investigation made under this section shall
be defrayed by the Insurer, shall have priority over that debts due from the insurer
and shall be recoverable as an arrear of land revenue.