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Insurance & Risk MGT - Bba
Insurance & Risk MGT - Bba
“Risk is the condition in which there is a possibility of an adverse deviation from a desired
- Emmett J. Vaughan.
“at its most general level, risk is used to describe any situation where there is uncertain
Perils refers to the CAUSE of loss or contingency that may cause a loss.
It refers to the immediate causes of losses
It means serious and immediate danger
Eg. Fire, Collusion etc.,
Hazards are the CONDITIONS that the severity of losses or the conditions affecting the
perils.
These are conditions that create or increase the severity of losses.
Physical Hazards – Consist of those physical properties that increase the chances
of losses from the various perils. Eg. Stocking the crackers in the complex will
increase the peril of fire.
Intangible Hazards:
1. Moral Hazards- These refers to the increase in the possibility or severity of loss
emanating from the intention to deceive or cheat. Eg. Firing the factory running
the loss.
2. Morale Hazards- it is the attitude of indifference , so it is carelessness or
indifference .. Eg. Smoking in the oil refinery , careless driving, etc.,
3. Societal Hazards: It refers to cause a huge societal impacts. Eg. Heavy bore
wells., unauthorized buildings etc.,
Financial &
Non-
Financial
Quantifiable
Static &
& Non-
Dynamic
quantifiable
TYPES
OF
RISKS
Fundamental
Pure & & Particular
Speculative (Group/
Individual)
Financial Risk:
If any risk is leads to incur any monetary losses are called as financial losses.
Three important elements to affect the financial losses :
1. Some one adversely affected by the happening of an event.
2. The assets or income is likely to exposed to financial losses
3. Peril cause the losses.
Individual / Particular risk are confined to the individuals. Thefts, robbery, fire etc
Group Risk:
whole. They most affect the whole social segment or the entire population.
Dynamic risk:
Dynamic risk on other hand creates economic or environmental changes .
Eg. Inflation, Prices Level changes,. Technology changes etc.,
1. Dynamic losses are not predictable where as static losses can be predictable
2. Dynamic results in economic/ environmental changes were as it will not
affect
3. For dynamic no cover for insurance but static has cover of insurance
4. Dynamic risk benefit to society but static will not.
RISK MANAGEMNT
LOSS INTERNAL
LOSS CONTROL
FINANCING RISK CONTROL
Non-Insurance
risk transfers
Defining the
objective of the
risk
management
exercise
PROCESS OF
RISK
MANAGEMENT
Critical analysis
of risk Evaluate the
management & risk exposures
its alternatives
Risk
Control
Risk Risk
Analysis Financing
RISK
MANAGEMENT
ELEMENTS
RISK
MANAGEMENT
RISK
RISK ANALYSIS RISK CONTROL
FINANCING
Internal
Evaluation Risk transfer
Diversification
External
Diversification
Checklist
Method
Financial
Statistical
Statement
Tools
Method
RISK
IDENTIFI
CATION
Interactio Flow
n with Chart
others Method
On-site
inspectio
n
RISK EVALUATION
The
probability
of loss
occurring
Its Severity
RISK CONTROL
• Risk of premature
death
• Risk of poor health
PERSONAL
• Risk of insufficient
income after retirement
• Risk of unemployment
• Direct loss
PROPERTY • Indirect or
consequential loss
LIABILITY
PERSONAL RISK
Risk of premature death: It is defined as the death of household head with unfulfilled
financial obligations. If the surviving family members receives an insufficient amount of
replacement income from other sources or have insufficient financial asset to replace the
income, they may be financial insecure
Risk of insufficient income : it refers to the risk of not having sufficient income at the age
of retirement or the age becoming so the there is a possibility that individual may not be able
to earn the livelihood.
Risk of poor health: it refers to the risk of poor health or disability of a person to earn the
means of survival.
Risk of unemployment: Unemployment is the result of business cycle, unless there is
adequate savings or replacement of income ,then will be at financial insecure.
PROPERTY RISK
it refers to the risk of having property damaged or lost because of fire earthquake or any other
reason.
Direct Loss: A direct loss is defined as a financial loss that result from the physical damages
destruction , or theft of the property.
Indirect / Consequential loss: it is also an financial loss that results indirectly from the
occurrences of a direct physical damage or theft loss
Eg. Rebuilt the fired factory.
LIABILITY RISK
These are the risk arising out of the intentional or unintentional injury to the persons or
damage to their properties through negligence or carelessness.
Liability risk generally arise from law. Eg. Liability of the employer under the workmen’s
compensation law or other laws in India.
TYPES OF LOSSES FROM PURE RISK
Damages to assets
Direct
Losses Injury/Illness to Employees
1. Avoidance of risk
2. Loss of control
(b)Loss reduction
3. Risk retention
4. Non-insurance Transfers
5. Insurance
AVOIDANCE OF RISK:
Avoiding the risk or circumstance which may lead to losses.
It is not possible to find the formula for avoiding the risk completely but to the extend risk
can be reduced.
LOSS PREVENTION
Loss prrevention aims at reducing the probability of loss so that the frequency minimized
FINANCIAL RISK MANAGEMENT
➢ Risk arising from organization’s exposer to change in market prices viz. interest
rates, exchange rates, commodity prices.,
➢ Risk arising from actions of and transactions with other organizations such as
vendors, customers, and counter parties in derivative transactions
➢ Risk arising from the internal actions or failures of the organizations, particularly
people, and systems.
Market Operational
Credit Others
CLASSIFICATIONS
OF
FINANCIAL RISKS
Defining
Objectives
Implementat
Identifying
ion &
risk exposers
Review FINANCIA
L RISK
MANAGEM
ENT
PROCESS
Analyzing Evaluating
the solutions the risk
RMIS RISK MANAGEMENT INFORMATION SYSTEMS
“It is a computer applications that are customized to meet their(Risk Manager) unique needs,
and they are seeking true Web-based system facilitate the sharing of loss information and
reports with managers in remote locations.”
➢ RMIS are software tools designed to assist risk manager in their functions.
➢ In the current market risk managers are demanding the ability to pluck credible data from
their information system.
➢ RMIS can help managers with a wide array of functions.
➢ RMIS gathers information from all these various systems into one database.
➢ There the data can be analyzed from various angles to get the different perspectives on the
task organization faces.
With this rich database and analysis tool, various custom reports can be produced not just for
the risk manager, but also for managers throughout the organization, giving them a detailed
look at their exposures.
Reporting
USES
OF
Review of
claims
Adjustment
RMIS Examination
of
Accidents
process
Data impurity
Lack of
Bugs
services
PROBLEMS
FACED BY
THE RISK
MANAGER
Software
Obsolescence
Incompatibility
Poor
documentation
DIRECTOR
RISK
MANAGEMENT
MANAGER
SAFTEY
MANAGER MANAGER MANAGER
ANALYST RM HEALTH &
INSURANCE CLAIMS SECURITY
LOSS
PRVENTION
ELEMENTS OF AN
INSURABLE RISK
loss
Determine probability
Distribution
Random Loss
Non- Castastropic
Loss
Premium should be
economically feasible
LARGE NUMBER OF EXPOSURE UNITS:
➢ The theory of insurance is based on large numbers.
➢ There must be sufficiently large number of homogenous exposure in order to
predict the reasonable losses.
➢ The probabilistic estimates used by logic , assume large number of units in a
distribution and insurance products are priced accordingly.
RANDOM LOSS:
➢ The adverse event may or may not occur in future and once which the insurance
company has not control.
➢ Naturally if the event is non- random , there is no question of insurance.
➢ If any losses occurred in past , there is no question of insurance.
➢ It is important that randomness is ensured by the underwriters who guard against
adverse selection- the tendency of the poorer than average insured to seek or
continue insurance coverage.
NON – CATASTROPHIC LOSSES:
The losses should not be non – catastrophic losses.
Not all the units in the homogenous group will be subject to an adverse event.
Recall that if all the units meet losses, the company will be ruined only few out of
large group will be exposed.
LIFE NON-LIFE
Endowment Property
Pension Health
LIFE INSURANCE:
“The term life insurance implies the type of insurance, that covers the
specified sum, either on the death of the insured or after the specified
period.”
In life insurance, the amount is payable on the happening of the uncertain event. Moreover,
there are certain plans, wherein the payment of the policy amount is made at the maturity.
These are long term contracts which require the payment of premium throughout its life till
it matures and the sum assured is paid on maturity. It can be surrendered, after some years,
wherein the policyholder will get a proportion of premiums paid, called as surrender value.
• As the name suggests, life insurance covers your life. In case of policyholder’s
premature demise within the policy term, the insurance company pays the sum assured
to the nominee.
• One of the most essential financial instruments, life insurance helps your family to stay
financially independent, square off liabilities taken in the form of loans, maintain the
lifestyle provided, and keep essential goals on track.
• The insurance plan which covers the life-risk of the insured is called life insurance.
• Life insurance is also known as assurance, whereby the sum assured is paid to the
insured.
There are three types of life insurance, discussed as under
Whole life assurance: In whole life assurance, the amount of the policy is paid
only on the death of the insured, to the nominee or the legal heir of the insured.
As the name suggests, a whole life insurance offers you coverage for your entire
life. The policy term for whole life insurance plans extend up to 100 years and as
long as the premiums are paid, the benefits of the policy are kept intact.
If you, the policyholder, survive the policy term, you get maturity benefits. If you
want to remain insured throughout your life, whole life insurance plans are a good
choice to make.
Term life assurance: In term life assurance, the policy amount is paid to the
nominee, if the insured passes away before the expiry of the specified term, or to
the insured himself, on the maturity of the term.
Annuity: When the term of the policy expires, the payment of the policy amount
is paid to the holder periodically, as long as the insured is alive.
Term
Life
Insurance
Money Endowments
Back
LIFE
INSURANCE
Pension ULIP’s
Types of life insurance
TERM LIFE INSURANCE:
Term insurance is the simplest form of life insurance available in the market. A pure
protection plan, a term insurance offers a large coverage at an affordable premium. A 30-year-
old non-smoking male can opt for a term plan offering a cover of Rs.1 crore for a policy term
of 30 years by paying a nominal premium of a little over Rs.8,000 per annum. Term plan gives
you the flexibility to choose a sum assured 15-20 times of your annual income.
It pays your nominee the sum assured in case of your demise within the policy term. The
insurance proceeds received help your family to meet daily expenses and pay off debts.
Note: that pure term plans have no maturity benefits. It means, in case you survive the
policy term, you don’t get these benefits.
However, of late insurers have come up with the return of premium term insurance plans
which return all the premiums paid in case you survive the policy term. But these plans are
slightly more expensive than pure term plans.
ENDOWMENT PLANS:
Weaving insurance and investment in a single product, endowment plans offer life cover as
well as build a corpus for essential life goals. A certain portion of the premium goes towards
the sum assured, while the other portion is invested in low-risk avenues. In case of your
demise during the policy term, your nominee gets the sum assured.
In case you survive the policy term, you get the sum assured as maturity amount along
with the accumulated bonuses. Thus, endowment plans fulfill the dual needs of
insurance and investment.
Endowment plans are life insurance policies that not only cover the individuals life
in case of an unfortunate events. But also offers a maturity benefits at the end of the term.
After a specific period of time called “maturity”- they are designed to pay a lump sum
amount. The insurance company will pay this assured sum to the endowment policy
holders nominees in case of death or to the holder himself on a fixed date in the future.
MONEY BACK :
In a money back plan the insured person gets a percentage of sum assured at
regular intervals. Instead of getting the lump sum amount at the end of the term.
It is an endowment plan with the benefit of liquidity.
Money back policies are similar to endowment plans, except that they pay a
certain amount at pre-defined intervals during the policy term. For instance, a
money-back policy for a term of 15 years, may pay a certain amount at the end
of 5th and 10th year of the policy term. On policy maturity, it pays the maturity
benefits along with the accumulated bonuses.
PENSION :
A pension plan is the retirement amount, which an individual gets from their insurance
company on a regular basis or in form of lump sum.
Pension plans or retirement plans offer you the dual benefits of investment and insurance
cover. You just have to invest a certain amount regularly to accumulate over a specific
tenure in a phase-by-phase manner. This will ensure a steady flow of monthly pension once
you retire.
These are the contract of indemnity, wherein the insurer promises to make good, the loss
occurred to the insured. So, irrespective of the amount of policy, the insurance company
will reimburse the loss suffered by the insured.
General insurance covers non-life assets - such as your home, vehicle, health, travel –
from floods, fire, thefts, accidents and man-made disasters.
BASIS FOR COMPARISON LIFE INSURANCE GENERAL INSURANCE
Meaning Life insurance can be understood General insurance refers to the
as the insurance contract, in which insurance, which are not covered
the life risk of an individual is under life insurance and includes
covered. various types of insurance, i.e. fire,
marine, motor, etc.
Premium Premium has to be paid over the Premium should be paid in lump
years. sum.
Insurable interest Must be present at the time of Must be present, both at the time
contract. of contract and at the time of loss.
Policy value It can be done for any value based The amount payable under non-life
on the premium the policy holder insurance is confined to the actual
willing to pay. loss suffered or liability uncured,
irrespective of the policy amount.
Principles
of Principle
Double Insurance of
insurance Insurable
interest
Principle
Principal of
subrogation of
indemnity
Nature of contract
Double insurance:
Double insurance denotes insurance of same subject matter with two different companies or
with the same company under two different policies. Insurance is possible in case of indemnity
contract like fire, marine and property insurance.
Double insurance policy is adopted where the financial position of the insurer is doubtful. The
insured cannot recover more than the actual loss and cannot claim the whole amount from
both the insurers.
Principle of proximate cause:
Proximate cause literally means the ‘nearest cause’ or ‘direct cause’. This principle is
applicable when the loss is the result of two or more causes. The proximate cause
means; the most dominant and most effective cause of loss is considered. This principle
is applicable when there are series of causes of damage or loss.
REGULATION OF INSURANCE BUSINESS IN INDIA
Insurance contracts are agreements between insurance companies and insured for the
purpose of transferring from insured to the insurer a part of the risk of loss arising out of
contingent event.
Therefore all the provisions of Indian contract act 1872, in general are applicable to
insurance contracts.
Under section 10 of the Indian contract act, the following conditions are necessary to form
a valid contract.
▪ Agreement between two parties
▪ Lawful object
▪ Capacity to contract
▪ Consideration
▪ Possibility of performance.
OFFER AND ACCEPTANCE:
The offer for entering into insurance contract generally come from the insured (Proposer). The
insurance company may also propose to make the contracts.
In order to constitute a valid acceptance, offer and acceptance must fulfill the requirements as
prescribed by the Indian contract act 1872. moot point is acceptance.
On acceptance of the proposal by the insurer , a valid and binding contract comes to existence.
In case of life insurance a valid and binding contract comes to the existence upon the payment
of first premium.
LEGAL OBJECT:
For a valid contract, the object of the agreement should be lawful and must not be prohibited
by any law.
Any subject matter of the contract that is (i) not forbidden by law, (ii) is not immoral or, (iii)
opposed to the public policy, (iv) which dose not defeat the provision of any law.
The subject matter of insurance in the proposal form and also the consideration should be
legal.
CAPICITY TO CONTRACT:
The rules laid down under the contract act 1872, defining the contratual capacity of the
parties apply generally to insurance contract in same manner as they apply to other types of
contracts.
Every person is competent to contract
(i) Who is the age of majority according to the law
(ii) Who is sound mind
(iii) Who is not disqualified from contracting by any law to which he is subject.
• Albiruin and Marcopolo mentioned in their tour memories that the practices of
• The names and the positions of the insurers are not stated. We guess the
• The position remained unchanged till the arrival of British insurers in India.
• British traders set up agencies houses in many port town and marine insurance was
followed.
• Most of the Indian insurance companies were established after 1797, out of which 7
were there in Kolkata, 5 were at Chennai and Mumbai.
There was no rules to govern the general insurance, the joint stock companies act 1860
regulates the operations.
PERIOD
1901-1918
• While nationalization of life insurance there was demand for nationalization of general
insurance also.
• Government assured the public they would watch its working carefully and consider
• During April 2015 to Feb 2016 , the LIC insurance industry recorded a new premium income
of 1.072 trillion (US $ 15.75 billion), indicating the growth of 18.3%.
• The general insurance company recorded a 14.1% growth in gross direct premium in the FY
2016 at Rs.864.2 billion (US$ 12.7 billion).
• India’s life insurance sector is the biggest in the world with about 360 million policies ,
which are expected to increase Compound Annual Growth Rate(CAGR) of 12-15 percent
over next five years.
• Insurance industry plans to hike penetration levels to 5% by 2020.
• The country’s insurance market is quadruple in size over next 10 years from its current size
of US$60 billion.
• During the period the life insurance market is worth crossing US$ 160 billion.
• The general insurance business in india is currently at rs.78,000 crore(US$ 11.44 billion)
premium per annum industry and is growing at healthy rate of 17%.
• The Indian insurance market is a huge business opportunity waiting to tie
together.
• The country is the fifteenth largest insurance market in the world in terms of
premium volumes, and it has the potential to grow exponentially in the coming
years.
• India currently accounts for less than 1.5% of the world’s total insurance
premiums and abut 2% of the world’s life insurance premiums despite being the
second most populous nation.
INVESTMENT
VENUES
• The insurance sector in India is expected to attract over Rs.12,000 crores (US$ 1.76
billion) in 2016 as many foreign companies are expected to raise the stake in private
sectors.
• FDI in the investment in insurance sector stood at US$341 million in March-
September 2015 showing that of 152% compared the same period last year.
• GIC Re and 11 other non-life insurers have jointly formed the indian Nuclear
Insurance pool with capacity of Rs1500 crores (US$ 220.8 Million), and will be
provided risk mechanism.
• Nippon Life Insurance , Japan’s second largest life insurance company, has signed
definitive agreements to invest Rs.2,265 crores (US$332.32 Million)
GOVERNMENT
INITIATIVES
• Foreign investment will be allowed to 49% subject to the guidelines of Indian Management
and Control.
• Services tax on single premium annuity policies has been reduced from 3.5% to 1.4% pf
premium paid.
• Government insurance companies to be listed on the exchanges.
• IRDA has been formed two committees to regulate and suggest ways to promote e-
commerce in order to increase insurance penetrations.
• The government of india has launched two insurance schemes:
I. Pradhan Mantri Suraksha Bima Yojana (PMSBY)
II. Pradan Mandri Jeevan Jothi Bima Yojana (PMJJBY)
• These are government life insurance schemes offers basic insurance at minimum rates.and
easily availed through the government agencies.
• UP government has launched a first of its kind banking and insurance services helpline for
farmers where individuals can complain on a toll free number.
FUTURE ANTICIPATION
• As the central government’s plans, it is targeted that life insurance will reach up
to 50% , health insurance to 30% and general insurance around 20% in the
population by 2020.
• The ASSOCHAM( The Associated Chambers of Commerce and Industry in India)
reports mentions that there will be a need of 20lakhs manpower in the industry
by the year 2020.
• This creates a strong need for LIC agency professionals to enter the industry and
help it grow.
• India is fast moving towards becoming an insurance hub for the world.
• A number of global insurance companies outsourcing their core insurance functions to
India.
• Due to low cost the insurance giants are focusing to invest in India, which will help to the
growth of economy as well.