Professional Documents
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W10 Insurance Companies
W10 Insurance Companies
BANKING AND
FINANCIAL INSTITUTIONS
Compiled by:
Assoc. Prof. Bernadette M. Panibio
Department of Financial Management
College of Accountancy and Finance
Polytechnic University of the Philippines
FIMA 101 BANKING AND FINANCIAL INSTITUTIONS
By: Assoc. Prof. Bernadette M. Panibio
Lessons:
- Classifications
- Functions
- Products/Services
The “Bayanihan” System where members of a community contribute their time and
resources to assist a member in need of help and the “Paluwagan” System where people
give their contributions (paluwagan), in which the funds will be accumulated, and is to be
used when someone needs help are considered to be the forerunners of modern
insurance in the Philippines. The Äbuloy” System is also a practice in the country whereby
friends and relatives of a deceased member give cash donations to the grieving family for
burial expenses
In its present form, insurance was first introduced in the Philippines in March 1829 when
Lloyd’s of London appointed Stracham, Murray & Co., Inc. as its local representative.
Sometime in 1839, the group of Russell and Sturgis was appointed by the Union
Insurance Society of Canton to act as their insurance agents in Manila. Business was
limited to non-life insurance.
It was only in 1898, that life insurance was introduced in the Philippines when the Sun
Life Assurance of Canada began doing business.
The first domestic non-life insurance company was the Yek Tong Lin Fire and Marine
Insurance Company (now known as the Philippines First Insurance Company) which was
established on June 8, 1906.
In 1910, the first domestic life insurance company, the Insular Life Assurance Company,
Ltd., was organized.
This law is the theoretical basis of the business of insurance, for the impossibility of
predicting the occurrence of a loss in an individual case is replaced by the ability to predict
collective losses when considering a large number of cases. It is the law of large numbers
which insurers use in calculating their probable loss experience in their business.
Insurance
A social device which combines the risks of individuals into a group, using funds
contributed by members of the group to pay for losses.
A device for reducing risk by combining a sufficient number of exposure units to
make their individual losses collectively predictable. The predictable loss is then
shared proportionately by all units in the combination
Insurance is defined as a contract, which is called a policy, in which an individual
or organization receives financial protection and reimbursement of damages from
the insurer or the insurance company. At a very basic level, it is some form of
protection from any possible financial losses.
The basic principle of insurance is that an entity will choose to spend small periodic
amounts of money against a possibility of a huge unexpected loss. Basically, all the
policyholders pool their risks together. Any loss that they suffer will be paid out of their
premiums which they pay.
Insurer
An insurer is the company or person who promises to reimburse
Every corporation, partnership, or association, duly authorized to transact
insurance business as elsewhere provided in Insurance Code
Risk
Uncertainty concerning loss
Peril
The cause of loss; a loss producing agent like fire, lightning, earthquake, collision,
computer breakdown, typhoon, etc.
Hazard
Condition that tends to create or increase the chance of loss from a given peril. Ex.: low
lying areas, storing flammable materials within building, open sided buildings, defective
signal/tail lights
Physical Hazard
Objective characteristics that increase the chance of loss Ex. manufacturer of
combustible goods
Moral Hazard
Subjective characteristics of the Insured. Ex. dishonesty, credit standing, past losses
Morale Hazard
Characterized by carelessness or indifference to loss because of insurance coverage.
Ex. Poor housekeeping, lack of loss prevention
Contract of Insurance
An agreement whereby one undertakes for a consideration to indemnify another against
loss, damage or liability arising from an unknown or contingent event
Policy
The written instrument in which a contract of insurance is set forth
Premium
Is the consideration paid by the insured—usually annually or semiannually—for the
insurer’s promise to reimburse.
Provides Reliability
The main function of insurance is that eliminates the uncertainty of an unexpected and
sudden financial loss. This is one of the biggest worries of a business. Instead of this
uncertainty, it provides the certainty of regular payment i.e. the premium to be paid.
Protection
Insurance does not reduce the risk of loss or damage that a company may suffer. But it
provides a protection against such loss that a company may suffer. So at least the
organization does not suffer financial losses that debilitate their daily functioning.
Pooling of Risk
In insurance, all the policyholders pool their risks together. They all pay their premiums
and if one of them suffers financial losses, then the payout comes from this fund. So, the
risk is shared between all of them.
Legal Requirements
In a lot of cases getting some form of insurance is actually required by the law of the land.
Like for example when goods are in freight, or when you open a public space getting fire
insurance may be a mandatory requirement. So, an insurance company will help us fulfill
these requirements.
Capital Formation
The pooled premiums of the policy holders help create a capital for the insurance
company. This capital can then be invested in productive purposes that generate income
for the company.
Insurance is regulated by various laws and regulations. The Insurance Code (the Code)
is the main piece of legislation governing the insurance business. It grants the Insurance
Commissioner “the duty to see that all laws relating to insurance, insurance companies
and other insurance matters, mutual benefit associations, and trusts for charitable uses
are faithfully executed and to perform the duties imposed upon him by the Code,”
including the “sole and exclusive authority to regulate variable contracts as defined by
law and to provide for the licensing of persons selling such contracts, and to issue
reasonable rules and regulations governing the same. The Insurance Commissioner is
empowered to issue such rulings, instructions, circulars, orders and decisions as may be
deemed necessary to secure the enforcement of the provisions of the Insurance Code,”
and such issuances of the Insurance Commissioner are part of the regulatory scheme
governing the insurance industry in the Philippine jurisdiction. Decisions by the Insurance
Commissioner are appealable to the Secretary of Finance.
Other government agencies involved in the regulation of insurance and reinsurance in the
Philippines include the Securities and Exchange Commission of the Philippines (SEC)
and the Bangko Sentral ng Pilipinas (BSP, the Central Bank of the Philippines). The Anti-
Money Laundering Council (AMLC) and the Philippine Competition Commission (PCC)
also have regulations that are applicable to or affect the insurance industry.
The PIC exercises primary authority over insurance companies which are deemed special
corporations under the Revised Corporation Code which governs corporations,
partnerships and associations.
The BSP is the central monetary authority of the Philippines and supervises the
operations and activities of banks and certain non-bank financial institutions. Certain
issuances of the Monetary Board of the BSP affect the insurance industry because of, for
instance, the inclusion of bancassurance in the Insurance Code.
The PCC, created under the Philippine Competition Act, is tasked with the implementation
of that Act, including the review of proposed mergers and acquisitions to the extent that
the relevant transaction exceeds certain thresholds set out by law and regulations. This
means that proposed mergers and acquisitions involving companies engaged in
insurance and reinsurance may have to be submitted to the PCC for review and
clearance.
Principles of Insurance
Insurable Interest
This means that the insurer must have some pecuniary interest in the subject matter of
the insurance. This means that the insurer need not necessarily be the owner of the
insured property but he must have some vested interest in it. If the property is damaged
the insurer must suffer from some financial losses.
Indemnity
Insurances like fire and marine insurance are contracts of indemnity. Here the insurer
undertakes the responsibility of compensating the insured against any possible damage
or loss that he may or may not suffer. Life insurance is not a contract of indemnity.
Subrogation
This principle says that once the compensation has been paid, the right of ownership of
the property will shift from the insured to the insurer. So the insured will not be able to
make a profit from the damaged property or sell it.
Contribution
This principle applies if there is more than one insurer. In such a case, the insurer can
ask the other insurers to contribute their share of the compensation. If the insured claims
full insurance from one insurer, he loses his right to claim any amount from the other
insurers.
Proximate Cause
This principle states that the property is insured only against the incidents that are
mentioned in the policy. In case the loss is due to more than one such peril, the one that
is most effective in causing the damage is the cause to be considered.
Types of Insurance
Sometimes a distinction is made between public and private insurance. Public (or social)
insurance includes Social Security, Medicare, temporary disability insurance, and the like,
funded through government plans. Private insurance plans, by contrast, are all types of
coverage offered by private corporations or organizations.
Life Insurance
Life insurance provides for your family or some other named beneficiaries on your death.
Two general types are available: term insurance provides coverage only during the term
of the policy and pays off only on the insured’s death; whole-life insurance provides
savings as well as insurance and can let the insured collect before death.
Health Insurance
Health insurance covers the cost of hospitalization, visits to the doctor’s office, and
prescription medicines. Usually, the policy will contain a deductible amount; the insurer
will not make payments until after the deductible amount has been reached.
Disability Insurance
A disability policy pays a certain percentage of an employee’s wages (or a fixed sum)
weekly or monthly if the employee becomes unable to work through illness or an accident.
Homeowner’s Insurance
A homeowner’s policy provides insurance for damages or losses due to fire, theft, and
other named perils. No policy routinely covers all perils. The homeowner must assess his
needs by looking to the likely risks in his area—earthquake, flooding, and so on.
Automobile Insurance
Automobile insurance is perhaps the most commonly held type of insurance. The typical
automobile policy covers liability for bodily injury and property damage, medical
payments, damage to or loss of the car itself, and attorneys’ fees in case of a lawsuit.
Workers’ Compensation
Almost every business must insure against injury to workers on the job. Some may do
this through self-insurance—that is, by setting aside certain reserves for this contingency.
Other businesses purchase workers’ compensation policies, available through
commercial insurers.
Automobile Insurance
Any business that uses motor vehicles should maintain at least a minimum automobile
insurance policy on the vehicles, covering personal injury, property damage, and general
liability.
Property Insurance
No business should take a chance of leaving unprotected its buildings, permanent
fixtures, machinery, inventory, and the like. Various property policies cover damage or
loss to a company’s own property or to property of others stored on the premises.
Malpractice Insurance
Professionals such as doctors, lawyers, and accountants will often purchase malpractice
insurance to protect against claims made by disgruntled patients or clients.
Liability Insurance
Businesses face a host of risks that could result in substantial liabilities. Many types of
policies are available, including policies for owners, landlords, and tenants (covering
liability incurred on the premises); for manufacturers and contractors (for liability incurred
on all premises); for a company’s products and completed operations (for liability that
results from warranties on products or injuries caused by products); for owners and
contractors (protective liability for damages caused by independent contractors engaged
by the insured); and for contractual liability (for failure to abide by performances required
by specific contracts).
Family Protection
Life insurance solves the problems that would arise out a man’s early death by providing
a definite sum of money to replace his lost income for the benefit of his family. The family
is then protected from the financial difficulties immediately following the breadwinner’s
premature death.
Savings
Through the help of life insurance, one is able to regularly set aside an amount for the
premium which accumulates through the years to build up a fund guaranteed to be
completed whether the insured lives or dies. It gives him a secure and profitable method
of accumulating funds for illness, injuries or emergencies.
Retirement Income
Life insurance solves a man’s financial problems that come with old age by enabling him
to create a guaranteed source of fund when he grows old.
According to Nature
(Policies are differentiated based on the nature of benefits offered)
Temporary Policies
These policies offer only protection or death benefit over a limited period of time.
Permanent Policies
These policies offer death and living benefits within the insured’s lifetime. Living benefits
may be in the form of dividends, anticipated endowments, universal life policies, and cash
values.
According to Coverage
(Policies are differentiated based on the number of persons enjoying protection under a
specific policy)
Individual Policies
A policy which provides insurance protection to one person only
Joint Life
A policy which covers the lives of two or more persons. Under this policy the first death
which occurs among the lives covered effectively terminates the policy.
Group
Life insurance policy which covers the life of a group of people.
Participating
A policy which entitles policyowners to receive dividends. Dividends are sourced from the
surplus earnings of the insurance company which the board of directors could decide to
share with policy owners with participating policies.
Non-participating
Does not share in the dividends
Ordinary
A policy which caters to the middle and upper income-earners. Premiums of this policy
are payable on an annual, semi-annual, or quarterly basis.
Industrial
A policy which caters to low income-earners. Premiums of this policy are payable on a
monthly, weekly, or daily basis.
Group
A policy which caters to the insurance needs of employee groups, unions, and the like,
the premiums of which are generally deducted from the salaries of employees
Term Insurance
A term policy is one that pays the face amount only in the event of death within a stated
number of years. As the name suggests, this type of insurance policy gives you coverage
for a specific “term” or specified number of years (usually 20 to 30 years). Like most
policies, a death benefit will be paid if the policyholder passes during the time period of
the active policy.
Term insurance is typically less expensive and has one of the lowest upfront costs
compared to other types of insurance. This is because it is bound by a specific time. It
also gives you the biggest bang for your buck if your focus is family protection in case of
untimely passing during the term. This is because you’re basically getting a pure life
coverage without all the additional charges for features involving investments. However,
the features that make it advantageous can easily become disadvantageous for you,
depending on your need.
When you get term insurance, you have limited coverage based on your specific term.
Term insurance premiums also escalate as you age due to greater sickness and mortality
risks that come with it. And because term insurance is typically pure life coverage, you
don’t get to build up capital like you would with other types of insurance. This means when
your policy expires, so does the money you put up to keep it active.
Endowment
An endowment plan is one of the more traditional types of life insurance plans that offer
protection and savings. It works by helping you save regularly over a specific period of
time, after which you will receive an amount upon maturity in a lump sum or in monthly
payouts. Endowment plans are in place to give the policyholder insurance coverage, as
well as a living benefit should they survive the policy. Should something happen to the
policyholder, the appointed beneficiary shall receive the returns as a death benefit.
Variable Universal Life Insurance. also known as Variable Unit-Linked Insurance or VUL,
is a permanent life insurance and investment rolled into one product. It provides living,
death, and disability benefits plus an investment component. In the Philippines, the usual
practice is that 5% of the VUL insurance premium goes to the cost of insurance, while
95% goes to investments.
It’s crucial to highlight the meaning of the terms, “variable” and “permanent” in VUL:
Variable means the investment returns vary depending on the rise and fall of the markets
where the premium is invested.
As a permanent insurance policy, VUL won’t expire and you’re insured for as long as you
keep paying your premiums. This makes it different from term life insurance which lasts
certain period, typically from 20 to 30 years.
For the past few years, VUL has been a popular financial product in the Philippines
because it offers financial protection for when the policyholder either dies too soon or
lives too long. This means your beneficiaries will receive the proceeds if you pass away
early. Or if you live beyond your 60s, you can use the investment returns from your VUL
plan to fund your retirement.
Health Insurance
There are two types of private health insurance in the Philippines: Health Maintenance
Organizations (HMO) and health insurance policies. While they both have the same end
goal, they deliver their services contrastingly. Each has their own share of benefits, but
they work differently depending on your situation.
PhilHealth
PhilHealth is the health insurance provider run by the government. It is an affordable and
progressive insurance program that extends financial assistance to all citizens seeking
medical help, whether employed or unemployed. Membership is compulsory for all
employees and half of the monthly contribution is covered by the employer while the other
half is deducted from the employees’ salary. The amount of financial assistance it extends
to its members will vary according to the disease.
Non-life insurance is a type of insurance covering people, property, or legal liability. Also
known as general insurance, it is a policy that can provide you with compensation for
losses caused by certain financial events. Your insurance company will pay to cover some
or all of your losses based on your coverage.
The coverage period for this type of policy is usually one year, with the premiums paid on
a one-time basis. How much you have to pay for non-life insurance depends on your
policy coverage and the insurance company’s premium rates.
Motor Insurance
Any kind of insurance pertaining to the ownership, maintenance, or use of motor vehicle.
Contract of insurance against passenger and third-party liability for death or bodily injuries
arising from motor vehicle accident.
Liability Insurance
Refers to the injuries which the insured vehicle may do to people in other vehicles or to
members of the public in general, and to the damaging of real personal property of such
Fire Insurance
Fire insurance is a type of insurance that protects against financial loss due to a structure
destroyed by a fire. In simpler terms, fire insurance helps cover some or all expenses for
rebuilding your home, office, or any insured property that’s burned down.
Fire Insurance shall include insurance against loss by fire, lightning, windstorm, tornado
or earthquake and other allied risks, when such risks are covered by extension to fire
insurance policies or under separate policies (Insurance Code)
Marine Insurance
Marine Insurance includes:
Insurance against loss of or damage to:
- Vessels, craft, aircraft, vehicles, goods, freights, cargoes, merchandise,
effects, disbursements, profits, moneys, securities, choses in action,
instruments of debts, valuable papers, bottomry, and respondentia interests
and all other kinds of property and interests therein, in respect to, appertaining
to or in connection with any and all risks or perils of navigation, transit or
transportation, or while being assembled, packed, crated, baled, compressed
or similarly prepared for shipment or while awaiting shipment, or during any
delays, storage, transhipment, or reshipment incident thereto, including war
risks, marine builder’s risks, and all personal property floater risks;
Engineering Insurance
Engineering Insurance is an insurance policy that covers a wide range of engineering
related risks. It is a comprehensive insurance that provides complete protection against
risks associated with erection, resting and working of any machinery, plant or equipment.
Casualty Insurance
Casualty insurance is insurance covering loss or liability arising from accident or mishap,
excluding certain types of loss which by law or custom are considered as falling
exclusively within the scope of other types of insurance such as fire or marine. It includes,
but is not limited to, employer’s liability insurance, motor vehicle liability insurance, plate
glass insurance, burglary and theft insurance, personal accident and health insurance as
written by non-life insurance companies, and other substantially similar kinds of insurance
Benefits of Maturity
Life insurance can be seen as an investment apart from insurance as it offers maturity
benefits after specific tenures. Non-life insurance, mostly, doesn’t give any maturity
benefits but just promises a payout amount in case of any loss due to unavoidable
circumstances.
Premium Payments
In case of life insurance, generally a fixed amount is to be paid annually, for a specific
tenure like 10 or 20 years. For non-life insurance, mostly the entire premium is paid in
one go when you are buying the policy.
Policy Duration
The duration of life insurance policy is generally long-term, whereas that of non-life
insurance is short term.
Both, life insurance and non-life insurance have different applicability and benefits. Life
insurance helps you to protect your loved ones in your absence, whereas non-life
insurance protects your assets.