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INTRODUCTION TO INSURANCE
INTRODUCTION : Insurance is a tool by which fatalities of a small number are compensated out of funds (premium payment) collected from plenteous. Insurance companies pay back for financial losses arising out of occurrence of insured events, e.g. in personal accident policy death due to accident, in fire policy the insured events are fire and other allied perils like riot and strike, explosion, etc. Hence, insurance is safeguard against uncertainties. It provides financial recompense for losses suffered due to incident of unanticipated events, insured within policy of insurance. Moreover, through a number of Acts of Parliament, specific types of insurances are legally enforced in our country, e.g. third party insurance under Motor Vehicles Act, public liability insurance for handlers of hazardous substances under Environment Protection Act, etc. Insurance, essentially, is an arrangement where the losses experienced by a few are extended over several who are exposed to similar risks. Insurance is a protection against financial loss arising on the happening of an unexpected event. Insurance companies collect premium to provide security for the purpose. As loss is paid out of the premium collected from the insuring public and the insurance companies act as trustees to the amount so collected. Insurance companies have standard proposal forms, which are to be filed up giving the details of insurance required and presented to insurance company. Depending upon the answers given in proposal form insurance companies
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assess the risk and quote the premium. On payment of premium and acceptance thereof by insurance company the insurance is affected. Nonetheless, there is no Insurance cover if premium is not paid. MEANING OF INSURANCE It is a commonly acknowledged phenomenon that there are countless risks in every sphere of life. For property, there are fire risks; for shipment of goods, there are perils of sea; for human life there are risks of death or disability; and so on. The chances of occurrences of the events causing losses are quite uncertain because these mayors may not take place. Therefore, with this view in mind, people facing common risks come together and make their small/ contributions to the common fund. While it may not be possible to tell in advance, which person will suffer the losses, it is possible to work out how many persons on an average out of the group, may suffer losses. When risk occurs, the loss is made good out of the common fund. In this way, each and. everyone shares the, risk. In fact, they share the loss by payment of premium, which is calculated on the likelihood of loss. In olden time, the contribution by the persons was made at the time of loss. The following examples make clear the above-stated notion of insurance. Example I In a town, there are 2000, persons who are all aged 60 and are healthy. It is expected that of these 20 persons may die during the year. If the economic value of the loss suffered by the family of each dying person were taken to be
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Rs. 50,000, the total loss would work out to Rs. 10,00,000. If each person of the group contributes Rs. 500 a year, the common fund would be Rs. 10,00,000. This would be enough to pay Rs. 50,000 to the family of each of the' 20 dying persons. Thus, the risks in cases of 20 persons are shared by 2000 persons. Example 2 In a village, there are 250 houses, each valued at Rs. 2,00,000. Every year one house gets burnt, resulting into a total loss of 2,00,000. If all the 250 owners come together and contribute Rs. 800 each, the common fund would be Rs. 2,00,000. This is enough to pay Rs. 2,00,000 to the owner whose house got burnt. Thus, the risk of one owner is spread over 250 house-owners of the village. DEFINITION OF INSURANCE Insurance companies bear risk in return for a fee called premium. Thus, insurance companies are risk bearers. They accept or underwrite the risk in return for an insurance premium. Accordingly, the term insurance may be defined as a co-operative mechanism to spread the loss caused by a particular risk over a number of persons who are exposed to it and who agree to ensure themselves against that risk. Risk is, in fact, an uncertainty of a financial loss. Risk must not be confused with loss itself that is the unintentional decline in or disappearance of value arising from a contingency. The functions of insurance include providing certainty, protection, risk sharing, and prevention of loss and capital formation. Wherever there is uncertainty with respect to a probable loss
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there is risk. The insurance is also defined as a social apparatus to accumulate funds to meet the uncertain losses arising through a certain hazard to a person insured for such hazard. Insurance has been defined to be that in which a sum of money as a premium is paid by the insured in consideration of the insurer's bearing the risk of paying a large sum upon a given contingency. The insurance, thus, is a contract whereby: (a) Certain sum, termed as premium, is charged in consideration, (b) Against the said consideration, a large amount is guaranteed to be paid by the insurer, who received the premium, (c) The compensation will be made in a certain definite sum, i.e., the loss or the policy amount whichever may be, and (d) The payment is made only upon a contingency. More specifically, Insurance may be defined as a contract wherein one party (the insurer) agrees to pay to the other party (the insured) or his beneficiary, a certain sum upon a given contingency (the risk) against which insurance is required.
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Life Insurance
In 1818 A British firm called the Oriental Life Insurance Company was formed in Calcutta. This was followed by the establishment of the Bombay Life Assurance Company in 1823 in Bombay, the Madras Equitable Life Insurance Society in 1829 and the Oriental Government Security Life Assurance Company in 1874. It is a telling comment on the British view of Indians that prior to 1871; Indian lives were treated as sub-standard and attracted an extra premium of 15 to20 percent. The Bombay Mutual Life Assurance Society, an Indian insurer formed in 1871, was the first one to charge normal rates for Indian lives. There were no specific regulations for the life insurance business until
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1912, when it came to be formally regulated under the provisions of the Indian Life Assurance Companies Act, 1912. In 1928, the Indian Insurance Companies Act was enacted, inter alia, to enable the government to collect statistical information about both the life and the non-life insurance business, including the provident insurance societies. All the earlier legislations were consolidated and amended by the Insurance Act, 1938 with comprehensive provisions for the detailed and effective control over the insurers (both life and non-life) so as to protect the interest of the insuring public. For administering this legislation, the newly established insurance wing in the Government of India was made administratively responsible for deciding policy matters. The actuarial and operational matters were looked after first by the Actuary to the Government of India, then by the Superintendent of insurance, a finally by the Controller of Insurance. The amended Act of 1950 made far-reaching changes, such as the requirement of equity capital for companies in the life insurance business, ceilings on share holdings in such companies, stricter controls on investments, submission of periodical returns relating to investments and such other information as the Controller may call for. This amended Act even carried provisions for the appointment of administrators for mismanaged companies and ceilings on expenses of management and agency commissions. The Act was further substantially amended in 1999 (effective since April 2000), and today remains the main instrument of regulation of the insurance business in India.
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management had no appreciation of the clear and vital distinction that exists between trust moneys and those which belong to joint stock companies. In the light of these developments, the demand for stricter government control of the industry gathered momentum and called for nationalization of the insurance business-which almost became a foregone conclusion. Again, quoting Dr.CD. Deshmukh, 'Misuse of power, position and privilege that we have reasons to believe occurs under existing 'conditions is one of the most compelling reasons that have influenced us in deciding to nationalize life insurance'. Although that was the immediate cause of nationalization, Dr. CD. Deshmukh argued that the principal point about nationalization was that the state did not have to make out a case that the private sector had failed. Nationalization is justified on many other grounds of ideology, philosophy and the objective of a welfare state. It was necessary in order that the interest of the insuring public and the industry could be safeguarded, the country's economy promoted and more funds provided for economic development. These were the considerations which persuaded the Government of India to opt for nationalization of this industry.
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if the history of the first decade after India attained independence is correctly written ,my name may be mentioned as that of the Finance Minister of India who nationalized the life insurance business, when everything else is forgotten.
In the period immediately after nationalization, unfortunately, new business was actually adversely affected and saw some fall in terms of the number of policies and the sum assured. This arose mainly on account of the fact that the process of restructuring the divisional and branch offices had not been completed and there were inadequate technical and experienced staff. Some of the branch offices did not even have the full complement of personnel assigned for them. The agents had not yet become accustomed to the new set up, the procedures and methods of the corporation. In addition to this, there had also been a substantial reduction in premium rates in 1954. A particularly difficult year was 1957, during which the money position in the economy was tight, investors were shy and the common man was affected because of a steady rise in the cost of living. Agriculture was also affected by famine conditions. In these adverse circumstances, LICs performance during that period should be considered as reasonably good. After this initial difficult period, LIC, over the years, made commendable progress. At the time of nationalization, the total new business of the 245 erstwhile insurance companies was around two billion rupees of sum assured. From a 'new' business of Rs 3.2808 billion sum assured under 0.932million policies procured in India during the period of 16months between September I, 1956 to December 31, 1957,LIC progressed to a business of Rs 1,927.8496 billion sum assured under 22,491,304 policies on individual lives, in 20012002. The first year premium received during 2001-2002 reached Rs 99.6554 billion from Rs 130.6 million in the 16-month period ending December 31, 1957. Similarly it has grown from a level of Rs 137.5 million sum assured
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under 5.4 million policies to Rs 8,110.17 billion under 12.5876 million policies as on March 31, 2002.The total premium, written, which represents LIC's annual mobilization of funds and which was Rs 820 million in 1957, now exceeds Rs 424.3344 billion. Group insurance business written in India, which was 50 million rupees sum assured and Rs 2.1 million annuities per annum at the time of nationalization, has, as on March 31, 2002, grown to 93,836 schemes in force, on 24.719 million lives which carry an insurance cover of Rs 1,005.9764 billion. In addition, there are 6109 superannuation schemes in force on 0.980 million lives with annuities payable amounting to Rs 12.7194 billion per annum. The number of new lives covered during 2001-2002 under the 40 approved occupations pertaining to the Social Security Group Insurance Scheme was 663,351 and the total till date was as large as 5,009,741. The total income of LIC during 2002 was a substantial Rs 727.6991 billion, in which income from investments was as large as Rs 226.9542 billion. The life insurance business has thus seen a rising curve of growth. Its growth rate in 2001-2002 was the best in the decade in all respects, such as policy growth rate, sum assured, premium growth rate, and investment income. The total life fund increased from Rs 871.760 billion in 1997, to Rs 2,270.0898 billion, as on March 31, 2002, which translates into a healthy 22.03 per cent growth rate. It thus more than doubled during this period. The 'valuation surplus' and consequently, the bonus to policyholders (95 per cent of the surplus) and the central government's share (being 5 per cent of valuation surplus in terms of Section 28 of the Life Insurance Corporation Act, 1956), have been steadily increasing over the years. The 31st valuation of the
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corporation's business as on March 31, 2001, excluding foreign business, showed a surplus of Rs 75.8529 billion. For the year 2000-2001, the central government's share of the valuation surplus amounted to Rs 3.8066 billion. In recent years, LIC has also acquired a significant presence in the rural sector. For instance, 1,200 out of its 2,048 branches are situated in mofussil areas. The rural new business in 2001-2002 amounted to sum assured of Rs 254.6194 billion under 3,701,444 policies, representing 16.94 per cent of total business in terms of policies and 13.65 per cent in terms of sum assured. These figures are in terms of the definition of the rural! Social sector, as approved by the IRDA. The Rural Group Life Insurance Scheme (RGLIS) was introduced with effect from 15 August 1995. This scheme is for the rural masses and is administered through the Intermediate Level Panchayats (ILP). Any person living in the jurisdiction of the ILPs can become a member of such schemes. Under the subsidized scheme, where 50 per cent of the premium is shared by the central and state governments in equal proportions, only one person belonging to the family living below the poverty line is eligible to join. During 1999-2000, as many as 103,619 new lives were covered. In its effort to include more people under the umbrella of life insurance, LIC has endeavored to provide insurance coverage to a larger number of individuals who have no previous insurance on their lives. During 2001-2002, 16.230 million individuals were insured for the first time for a sum assured of Rs 1,198.5973 billion as against 14.430 million individuals for a sum assured of Rs 843.2079 billion in the previous year. The ratio of first insurance to the total business completed for the year comes to 74.29 per cent in respect of policies
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and 64.23 per cent in terms of sum assured. Through its vast network of 2,048 branches, 100 divisions and seven zonal offices spread over the country; its marketing force of 19,074 development officers and 792,645 full-time and part-time agents (of which 744,003 were active agents); LIC has reached various corners of the country and provides sales and service of life insurance to the Indian public at their doorsteps. LIC has also been able to reach illiterate people, those living in interior rural areas, and even people in the marginal income group or below the poverty line. Side by side, as seen above, group insurance activities have been expanded through an increasing number of pensions and group superannuation units. They not only cover the organized sector under various group schemes but also, through some group insurance schemes, cover the unorganized sector. Although, LIC's reach should be considered in the background of the poverty level, literacy problems, lack of insurance awareness, prevailing social customs and problems of communication to the deep rural areas, the fact remains that a lot of ground is yet to be covered. At this stage, it is worth noting that although LIC has virtually a monopoly over the life insurance business, there are some other very small players viz. Postal Life Insurance, Army Group Insurance Fund and Naval and Air Force Life Insurance Funds. Some of the state governments also have insurance schemes for their employees. A few pension funds are also in operation though reliable data about these small businesses are not easily available. Additionally, 18 new players have entered the market since October 2000, but naturally, they have yet to gather substantial enough business.
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Benefits of Globalization
In this age of global integration, no country can operate in isolation because in every economic, social and political activity, there is considerable interdependence between countries. A greater integration of the market with the rest of the world is accelerated by the breakdown of geographical barriers to the movement of capital across countries. Each country, therefore, operating in the international market, has to follow international norms and behaviour. Essentially, globalization brings benefits to all participating countries. The host country becomes a recipient of large foreign investments and foreign investors secure access to new and developing markets. Several benefits then flow in either direction in terms of expanding markets, improved products and services, new marketing and production technologies, and newer concepts of management. So far, our participation in the global market in virtually all sectors of the financial services sector has been only at the margin and our insurance institutions in particular have been relatively insulated from world markets. Now, due to the advantages of opening up that could accrue to India, business has to operate beyond the national boundaries. In the main, globalization will secure for India larger inflows of foreign capital needed to sustain our GDP growth. In addition, new entrants with a professional approach and state-of-the-art technology will revolutionize the market by bringing about tremendous improvement in service. Moreover, global competitors will help in building expertize with their best global practices.
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CHALLENGES
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redesigning strategies and policies appropriate for an open regime. Apparently, changes will not be and cannot be limited to only some areas, but will be comprehensive; covering an aspect, because they are so interrelated. Many of these aspects are common to both the sectors. Thus, in respect of all companies, significant changes will be necessary in respect of their organizational set-up, procedures, marketing, fixation of premium rates, and procedures for claims settlement, accounting practices, consortia arrangements, use of sophisticated technologies, automation/information technology (IT) and submission to regulation of business. In most cases, the starting point was marketing strategy which needs consequential changes in all other areas. Some of these changes will occur on account of government policies or at the government level, while others will be at the initiative of the industry itself. The experience in the banking sector should serve as a guide to them, as also to the policy makers. We first describe the changes that are called for at the industry level, comprising private and public units and then cover public sector-specific areas. Still, a large part of our description would naturally keep on referring to the public sector because for the last so many years, that was the only insurance industry in India.
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Insurance is a business in which the financial stakes of both the consumer and the seller are high and have to be based on mutual trust. The relationship does not end with the conclusion of the transaction, but has to be durable and of a long-term nature.
Adequacy of Capital
Capital adequacy is a matter of special attention in view of the nature of the insurance business, where in case a contingency arises, the insurer should be in a position to meet its long-term contractual obligations and pay up the dues or claims. In that sense, insurance is a capital-intensive business and must be backed by an adequate capital base on the part of the owners and the companies should not be running their business purely on other people's money. So minimum start-up amounts and long-running capital adequacy norms are absolutely essential. In consideration of this, the Malhotra Committee suggested and subsequently the IRDA stipulated, a minimum capital base of Rs.l billion for any entity wanting to enter the Insurance business. In order to spread their operations further, and to be able to face competition, the public sector insurance industry also needed an infusion of additional capital for improving the existing very low capital base. With that in mind, the Malhotra Committee suggested that LIC's capital base be increased from a mere Rs 50 million to 2 billion. This is yet to be done. In the same manner, the Insurance Act requires every reinsurer to have a capital base of Rs 2 billion. After the LIC is able to comply with the new stipulation, another Rs 2 billion will be added to the capital base of the nationalized insurance sector.
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After initial resistance on the ground that the size of capital prescribed was too high and the business of insurance did not require it, all the new entrants have not only complied with the requirement, but have actually contributed larger figures-some even double the amount prescribed. Although the legal stipulation now is for a capital of Rs 1 billion, which can be considered quite adequate for, setting up a new company, the new players find that as their business grows; they actually need much larger capital infusions in order to satisfy solvency margin requirements. The Insurance Institute of India (March 2001), mentions that the minimum capital base stipulated as the starting point: will not be appropriate for measuring capital adequacy of an established insurer. Hence, the current trend is to relate the amount of paid-up share capital to the risks inherent, in an insurer's operations and the insurer would be adequately capitalized to deliver on his promises. The risk factors will include the lines of business underwritten, rate of expansion and quality of investments. The relevant concepts are referred to as Minimum Continuing Capital and Surplus Requirements (MCCSR.) in Canada and Risk-based capitalization (RBC) in the USA. The position that will obtain in India is not yet clear. Normally, the capital market should enable the raising of finance if the performance of the units seeking funds from the capital market is considered satisfactory by the market-but there are difficulties in tapping this source. On the one hand, the capital of domestic insurers will need to be augmented before they approach the capital market; and on the other, it will be increasingly difficult to maintain the required level of return-on-capital to attract additional capital, because under competition, the profit margins will be under pressure.
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India has a strong savings culture with the rate of savings staying around 22 per cent of the GDP, Insurance could be a good investment avenue if it is made attractive enough, Exploiting this opportunity is going to be particularly essential for the public sector since it is not only expected to reduce its dependence on the government, but is expected to contribute to the government treasury by stepping up its savings. As seen above, there is now a greater appreciation of and insistence on adequacy of capital of insurers. However, insurance demands vision, entrepreneurship and dynamism, which is not a function of just massive capital only.
and great care is needed in recruitment training, deployment, and developmental aspects like growth and career opportunities, retention of talent and weeding out deadwood. The insurance business demands personnel of high quality, with a different range of skills and an emphasis on greater professionalism. Of course, although there was some dissatisfaction about the quality of service from the existing entities, the industry does have some personnel with fairly good technical skills and professional talent. However, the crucial stage is the recruitment process and high standards and qualifications have to be set at the stage of induction of new staff. Insurers have to attract, retain and develop people who are open to change, are creative, Value teamwork, and have passion for service and delivering value in their output. In fact, experience in the insurance business by itself now perhaps counts for less than the qualities mentioned above. Many recruits, therefore, especially at the middle and senior levels in the new companies are from other services and often without any background in insurance. At the same time, in a sense, the new players, just because they are recruiting afresh, do not necessarily derive any special advantage in recruitment, because their recruits especially for middle level and senior positions are also drawn from the same stock as that from which the present industry sourced them. They do bring with them the legacy of their public sector culture. A further difficulty is that the otherwise properly qualified potential candidates do not rank the insurance industry very high on such issues as pay (not really a constraint any more) and prestige and are not, therefore, attracted easily to it. So the industry has to take special pains to find the right type of people to work with them and then train them further to suit their needs
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and culture. The ultimate cost of not recruiting persons with proper qualifications, or of not systematically training their own personnel to match expected standards, could be very heavy at a time of rapidly increasing competition and consumer expectations. Looking to the surplus staff already with the public sector, the urgent need is to improve the quality of the existing personnel, rather than new recruitment. The public sector must immediately identify whether and on what scale, at least in respect of certain jobs, it is saddled with under qualified staff unable to respond to the demand on them, and accordingly must undertake a heavy exercise of training, retraining and redeployment. Since training helps the companies upgrade the attitude and skills of their workforce for maintaining standards and quality, it is an inseparable component of any growing business. Insurance is a business where even the lowest operating and sales levels need to be up-to-date on their products. They have to master the nuances of the products, particularly because they are offering a large range of similar products and have to help the customer to make an intelligent choice. The industry has taken steps to empower its staff in terms of job knowledge as well as customer service by organizing relevant training for them. Already, large sums are being spent on this activity in the insurance sector, but Its focus needs to be reoriented to make it more relevant to the needs of the industry. The future demands a different range of skills than what was needed and available until now. Of particular relevance would be training in actuarial Science, management, marketing and technical subjects. For all these reasons,
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training facilities need to be substantially expanded and upgraded. All the companies are not outsourcing training. Many have set up their own training facilities for intensive coaching. In order to meet the demand on a large enough scale, there 18 a need to build a cadre of professional trainers within the organizations as well as to tap the market for expertize and other facilities. However, total dependence on in-house training arrangements may not suffice and hence some outsourcing becomes essential. To combine quantity and quality, companies have their own training modules added on to the IRDA-stipulated minimum 100 hours of training. They are mostly company-specific programmes. Their agents are being trained more as financial advisors. Insurance training in India is at present organized through: (a) the National Insurance Academy, Pune, which caters to the requirements of senior level executives of both LIC and general insurance companies. (b) the Insurance Institute of India and its College of Insurance. (c) LIC's Management Development Centre, its seven Zonal Training Centres and 27 Sales Training Centres and around a 100 Divisional Training Centers and (d) Training centers of each general insurance company. The Corporate Training Centre of individual companies focus on intensive training of direct recruit officers and specialist and functional training programmes, while their Regional Training Centres impart induction training. In a few cases, the LIC arranges for the training of agents through some approved branch offices.
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Many countries, -in recognition of the importance of training, require all insurers to spend a prescribed percentage of their income or gross salary cost on training of human resources The insurance industry in India has a system under which each company provides a budgetary allocation of around 1 per cent of the net premium income every year. However, there is no compulsion in this regard and there is no guarantee that the sums provided are actually spent. The UK has adopted a system of Continuous Professional Development which requires a professional to update himself with developments in techniques with the help of programmes such as seminars. The Indian industry too will have to think of such programmes. In view of the constraint of time and in the absence of any formal training courses available in the country, it is difficult for newcomers to build up a large and qualified cadre by creating and augmenting their own in-house facilities. Therefore, in addition to training organized through special training establishments set up by the industry itself, there is a need for introducing formal university education with specialized courses for insurance or insurancerelated matters. Unfortunately, in the country at present, there is no university which offers any insurance-specific course at any level, leading towards a diploma or a degree. Some of the management institutes have recently started offering courses on a limited scale in this area. This puts severe limitations on the availability of candidates with a basic knowledge of insurance. Therefore, their training has to start off with these basic inputs. The introduction of formal courses will widen
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employment opportunities, not just in Indian companies, but also with foreign insurers wanting to operate in this country.
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Training of Specialists
Since the insurance industry has to identify and train people across different professions, the emphasis has now to shift from training only in insurance subjects, to several other disciplines relevant for introducing professionalism in the industry. The disciplines likely to be covered are indicated below. The insurance sector needs a greater involvement of other professionally qualified experts as well, either as employees or as consultants. This' includes doctors, veterinarians, engineers, environmental specialists, accountants, and financial experts. Their expertise is very relevant for drawing up plans for new products, for scrutinizing some claims, for settlement of certain disputes and for some policy decisions. Similarly, insurers draw up policy contracts, which are necessarily quite complex. They need to be drafted carefully and demand special skills, and, therefore, a legal matter is another area in which training will have to be arranged. Simultaneously, some insurance-related training for these experts is also in order because the professionals will need to be given exposure to the working and problems of the insurance industry to enable them to respond to special problems arising therein.
Cost Consciousness
At the stage of entry into the market, the insurance companies may not be ready with totally new products and services. Naturally, initial competition will be more in the form of prices charged, as all companies, public and private,
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fight for gaining or retaining a share of the market already developed. The companies must, therefore, adopt appropriate cost control measures; Cost leadership implies tight control systems, minimization of overhead costs, and pursuit of economies of scale. The two important areas where costs can be reduced or controlled would be administration and claims. Controlling administration and establishment costs is the most difficult and yet an essential task that any organization must undertake. These costs can be kept within limits by exercising care in the initial recruitment and subsequent deployment of staff as also the emoluments made to them. In the case of the public sector, which is known to be over-staffed, costs can be brought down by down-sizing, accompanied by better utilization of the workforce-both extremely difficult in the public sector mould-but there are no options for doing so. Cost reduction cannot be attempted solely by the traditional across the board cost-cutting methods. Efforts have to be made on several fronts simultaneously. Thus, on the operational side, it would pay if non-value-added activities are curtailed to avoid waste of effort and excess cost in the business. Re-engineering to simplify work-flows and automating manual tasks are the other two cost reduction strategies that need to be pursued. Claims costs can be controlled through two methods: claims minimization and fraud control. In the first category, the aim would be to minimize the number of claims lodged with the insurer, of course, not by declining to accept them, but by persuading the customer to take adequate precautionary measures, Claims minimization can be best explained by referring to health insurance. The company can analyze its claims data to determine those medical service providers who provide low-cost treatment. It can then provide financial
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incentives to its customers to make use of their services. Or alternatively, the company can either negotiate lower rates with high-cost service providers, or discourage its customers from using their services. With the discouraging experience of the government companies in the health insurance, cost control needs to be attended to with even greater vigil by the new entrants.
this context. In the context of global competition, it is sometimes argued that the labour-intensive nature of a service like insurance, particularly in respect of distribution, should give India, with its abundance of low-cost labour resources, a competitive edge. However, with the present productivity of this asset, the above premise is questionable. The provision of insurance services requires high technical skill and competence in such areas as risk assessment, risk control, loss assessment, and actuarial science, which can only be acquired by investing in professional education and proper training. Since obviously, such a professional cadre will demand and secure a high level of compensation, it will no longer remain particularly cheaper in relation to the wage levels in other countries. All the same, the industry cannot shy away from professionalizing its staff since it has to be less concerned with absolute figures of wages, and more with lowering of the per unit cost of production.
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Technological Upgradation
Technology has led to dramatic changes in India financial landscape and this wave has also had an impact on the insurance industry though the level of technology currently in use is still quite low. Therefore, it can no longer afford to postpone upgrading its technologies to the levels prevalent in other countries. The trend towards its greater use is just emerging though there are still problems to be overcome, mainly the mind set of the potential users. Fortunately, resort to automation by even one entity exerts a wholesome pressure on others to adopt the same, thereby raising the general level of technology in the
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industry. The insurance industry stands to benefit immensely from technological advance which has an impact on how business is managed and transacted. The main benefit would obviously be in terms of increased efficiency levels, higher customer satisfaction, leaner establishments, cost-effective operations, handling of tremendous volumes of work, cost-effective channels of distribution and on the whole, a modem work culture, which is the need of the hour. Technology is critical not only in day-to-day management of the business, but also in areas such as product development, cost control and marketing. For designing new products and services, a tremendous database comprising demographic data, income level and distribution, regional disparities and peculiarities, products, customer profile, demand pattern, inclinations, and preferences needs to be built up. Demographic data related to age and sex composition, health, birth and death longevity, incidence of disease, etc., has to be carefully documented, stored, retrieved and processed speedily which is just not possible without high powered computers. Computerization does not mean just collection and storing of data, but interpretation and meaningful organization of it to present it in the form of information. Computer networking facilitates the exchange of business information between companies, and access to each other's database and communication via electronic mail systems. This also provides access to information at the international level. These functions call for a more effective use of communication technology. Computers with expert systems could be used increasingly for such tasks as insurance underwriting and claims adjusting, medical reports, and
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Investment performance. Expert systems is a kind of software that collects together a large amount of data on a given subject and organizes it in a way that enables a computer to analyze problems and suggest decisions by a process of elimination, using programmed criteria The IT capabilities of a service sector like insurance need tremendous strengthening because it relies heavily on it. Information technology encompasses computers, telecommunication, multimedia, relational database management systems (RDBMS) and image technology. Some of the important applications of IT are data processing, and Management Information Systems (MIS). Customer Activated Terminal (CAT) also called a Kiosk, is an interactive multimedia display unit-free standing or housed in a small enclosure-in which the customer gets the benefit of one-stop shopping at a convenient location while being able to draw upon the full range of services.
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be thoroughly acquainted with technology used in this sector. In order, therefore, not to remain behind in the race, technological know-how is being acquired from foreign insurers with whom they have collaborated. For those who have no joint venture arrangements, the latest technology would still have to be imported, possibly through technology tie-ups. Whether this should be in the form of a joint venture or whether it should just be bought is a decision that will vary from unit to unit.
certainly mean unemployment for some. Yet, in the long-term, it will open up new opportunities thereby augmenting employment. Technological advance in other sectors can also produce an indirect benefit for insurance. For instance, the strengthening of materials used in construction and the extension of life resulting from medical advances may mean lower losses for insurers in the long run. On the darker side, computerization also implies a certain risk in terms of security and integrity of data. The confidentiality of information, prevention of data corruption and prevention of fraud are matters of concern and need to kept in mind while deciding upon the area in which it is to be put to use. Computers support competent people to perform their functions more effectively and efficiently. Initial efforts, therefore, will have to be to improve the skill level so as to assimilate these technologies. For achieving this, the industry will have to arrange computer-related training on a large scale. Fortunately, all the public sector insurance outfits have already undertaken such programmes on a fairly large scale.However, with the increased and effective use of information technology, the personalized touch in insurance services will diminish because technology, cannot replace the personal touch in providing professional service. This is of particular relevance in a country like India where the consumer would feel more comfortable in a face-to-face interaction.
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ACCOUNTING PRACTICES:
The necessity of transparency in the accounts of insurance companies cannot be overstated. The regulations laid down by the IRDA insist on sound accounting standards and disclosure practices, so that the true financial position of the insurance companies is reflected in the accounts, The likely reliance of the insurers on financial institutions and the capital market for raising funds in the future will further enforce such transparency and discipline in operations, thereby putting the customer in a better position to choose between one insurer and another. Fortunately, the accounts in the public sector insurance industry in India are considered to be much more transparent than in many other countries and hence there should not be any difficulty in meeting the transparency and disclosure standards.
Scale of Operations
Being a game of big numbers, the insurance business requires a very large capital base and substantial financial resources. Its profitability is heavily influenced by its size and in advanced countries; efforts are often made to create as large units as possible. In this context, the United Nations Conference on Trade and Development (UNCTAD) observed two trends, not necessarily contradictory to each other, in different parts of the world. On the one hand, monopolistic and oligopolistic market structures are being broken up in view of
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their unwieldy size. On the other, a view is gaining ground that fragmented markets, in which a multitude of small companies operate, often under conditions of cut-throat competition, cannot provide the high quality and reliable services required by a modem economy. A higher degree of concentration may, therefore increase their efficiency, It may thus be in the interest of the customers to have fewer but stronger companies, not least because the latter would have a better longer term financial viability, Other factors inducing mergers and acquisitions include the following-a desire to capture an increased market share; acquire improved width and depth of product range; expand distribution channels; increase cross-selling Opportunities, and diversify from product lines and geographical markets with limited growth potential; achieve spread of development risk; obtain access to new markets; reach economies of scale; and achieve reduced expense ratio. Alliances can take different forms. Some experts believe that alliances related to distribution rather than to products or technology will prove most valuable in the long run.
Global Integration
Dramatic changes are taking place in international markets owing to the internationalization of activities, the appearance of new risks, new types of covers to match with new risk situations, and unconventional ideas on customer
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service. In differing ways, depending upon their history, culture, and structure of their economy, countries are contending with increasing globalization of the world economy. India's participation in the global market so far has been only at the margin and its financial institutions have been relatively insulated from the international markets. Their greater integration with the rest of the world as a logical step has already started and is accelerated by the breakdown of geographical barriers to the movement of capital across countries. The industry is sure to benefit immensely from this interaction and exposure. Such integration will call for some changes in the structure and policies of the Indian companies especially because of the need for compliance with international standards and practices.1t also has to prepare itself to face competition in the global arena by making its operations efficient and cost effective. Therefore, while welcoming global integration, one has also to be aware of the danger to the stability of the system, for which preventive measures will be needed.
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ISSUES
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In India at present about 89% of population, that is, the informal sector workers have been kept out of the pension schemes so far. The Social Security measures till now are state controlled by and large in this country and Insurance has very less role to play bearing a few schemes. THE BRITISH GOVERNMENT, states that the State takes care of its citizen from cradle to the grave. They have the National Health Scheme which underwrites the health of the members of the public and they have also got Pension scheme which takes care of the widows, orphans and the old. In India, there is no such system of social security exists. India has the highest number of people above 60 years of age among the 14 countries in the World. The main reason being the coverage of pension plan in India covers only 8% of the working population. The Scheme's basic purpose is to bring this class under the purview of pensions. There are four areas under the present system: (a) Contribution collection; (b) Record-keeping; (c) Assets Management; and (d) Annuity Payment. There has been a pressing need for a funded retirement plan defined contribution to be implemented in India. It will address the long pending need for a strong pension system for the country. The private sector players in the insurance sector are now in the process of studying the potential of the pension market. The scope of pension funds if enlarged by the Government will
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Present Position
The Insurance Regulatory Development Authority in its pension report has projected an exponential growth in the post-reforms pension sector with the aggregate market size estimated to touch Rs. 4,06,500 crore in year 2025. The market, currently, stands at Rs. 56,100 crore. The IRDA had said that the aggregate pension market would grow to Rs. 1,16,600 crore in 2005, Rs. 1,56,900 crore (2010), Rs. 2,15,400 crore (2015) and Rs. 2,98,600 crore (2020). The pension market includes the Employees' Provident Fund (EPF), Employees' Pension Scheme (EPS), Government Provident Fund (GPF), Public Provident Fund (PPF) and the Voluntary Contributions through the future schemes in the individual and group pension categories. The regulator also suggested setting up a single integrated domestic pension system by October 2001. While suggesting stripping of regulatory powers of the existing Employees' Provident Fund Office, it recommended that IRDA monitor this sector as well. The report had also not laid any restrictions on the number of players and said that foreign equity should be allowed in the sector. It had also suggested that minimum returns must be linked in the bank rate initially and payouts should be exclusive preserve of Life Insurance Companies.
Selling Products across the counter that saw an increasing reach into the rural areas. Many new players were hesitant of such possibilities, stating that the rural India reflected huge numbers in terms of lives to be insured, business volumes would be negligible. It was not until some insurers decided to tap Micro-Insurance possibilities and came out with special products for the rural masses that insurance penetration to rural India actually took. Bancassurance is equally a major factor and plus point for spreading insurance to rural areas. Even state or public sector entities, which till then had depended solely on the tied agents, capitalised on the branch network of public sector banks. Insurance spread across the country as banks offered to cross sell products. The concept of Universal Banking is now taking a shape in Indian Financial Sector and the very scope of Insurance business will be widened. For example, SBI Life Insurance Company Ltd. and other Banks with their Joint Venturers have started making a dent into rural business. This was not much possible earlier and is the result of entry of private players into the Insurance Sector.
Bancassurance:
Public Sector banks in India can emerge as leading players in the distribution of Insurance products across all parts of the country. With their net work of 60000 branches two-thirds of which are in rural areas and their 117 million customer accounts, insurance companies would be well advised to use them as a channel for their products,
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Bancassurance in India has a great future. Funds generated through the Bancassurance model will play a pivotal role in mobilising savings particularly in rural areas and short and long-term funds mobilised could, in turn, be used for developmental activities. PSU banks will however, have to gear themselves adequately to undertake this task as it would entail adequate training in well designed products. With the emergence of Private Banks, PSU banks have realized that customers' expectations have risen dramatically in the past few years.
the employees.
(c) Deduction of employer's contribution to gratuity and super annuation Policies. Many companies in the Private Sector such as Prudential ICICI Life, HDFC Standard Life, SBI Life, Om Kotak Life, Tata AIR, Birla Sun Life, Bajaj Allianz Life, and Ing-Vysya Life have already started Life Insurance business in a big way. These companies are awaiting the necessary changes in the Income Tax Act and Rules that grants certain benefits to LIC. They are now referring to the Budget statement of Finance Minister for ensuring "Level Playing field for Private Companies." A tax concession on uniform basis in the Insurance Sector has become a very important issue. Unless it is settled and made uniform, the private sector companies cannot compete for a longer period with the Life Insurance Corporation of India. This issue therefore, requires urgent action on the part of the Government of India so that the insured may take the maximum benefit of various Insurance Products being offered by the Insurers.
Different Companies follow a different system of calculating the bonus. There are other special deals offered by several companies. For example, some companies offer a special premium in cases of accidental deaths. Some others also offer a waiver of premium if a person is unemployed. There is a different set of documentation which is followed by these companies. The claim settlement period also differs with all these different rules of their administration cost of life covers also differs. A comparative Table showing cost of Life Cover to various Insurers is given here below
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Cost of Life Cover Policy Company Age of Assured (P.A.) 1. Endowment Policy (20 yrs.) LIC TATA-AIG HDFC-Standard Life ICICI Prudential Life Max New York Life 2. Endowment Policy (30 yrs.) LlC. TATA AIG HDFC Standard Life ICICI Prudential Life Max New York Life 27 27 27 27 27 39 39 39 39 39 Premiu m (Rs.) 4852 7144 4805 4450 N.A. 3702 4973 3586 3079 N.A. Total slim at maturity (Rs.) 2,75,000 3,16,663 N.A. 2,41,171 N.A. 3,51,000 5,25,243 N.A. 3,74,531 N.A.
From the above table, it is clear that there are different costs for different Insurance Providers, which has a bearing on their profitability. The cost factor is equally important for creating competition in between the various insurers. More people would be looking to the insurer who provides Insurance at fewer
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premiums. This cost and competition factor will ultimately affect the quantum of business of different Insurers besides increasing the total Insurance business in the country. The rate of premium, service and incentives also has a bearing on the non-life business in the country. Therefore, various components of cost of Public Sector Insurance providers and those of the Private Sector would be different, making it one of the major issues, which have to be kept in view always. This provides an insight into the opportunities which will now be available to the new Insurers vis--vis the old one.
It also said that the efforts of each company while making the reinsurance programme should be to maximise retention of premium earned within the country.
A. Insurance Business without Risk Participation: 1. FI having net owned fund of Rs. 2 crore would be permitted to undertake Insurance Business agent of Insurance Companies of fee basis, without any risk participation. B. Insurance Business with Risk Participation: 2. The FIs which satisfy the eligibility criteria given below will be permitted to set-up a joint venture company for undertaking insurance business
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with risk participation, subject to safeguards. The maximum equity contribution that the FI can hold in the joint venture company will normally be 50 per cent of the paid-up capital of the Insurance Company. On a selective basis, the Reserve Bank of India may permit a higher equity contribution by a promoter FI initially, pending divestment of equity within the prescribed period. The eligibility criteria for joint venture participant will be as under, as per the latest available audited balance sheet. (i) The owned fund of the FI should not be less than Rs. 500 crore. The owned fund for the purpose should be computed as per the definition of 'net owned fund' under section 45-1A of the RBI Act, 1934. (ii) The CRAR of the PI should be not less than 15%; (iii) The level of net non-performing assets should be not more than 55 of the total outstanding loans and advances; (iv) The FI should have earned net profit for the last three continuous years; (v) The track record of the performance of the subsidiaries, if any, of the concerned PI should be satisfactory; and (vi) Regulatory compliance with the RBI guidelines for raising of resources by the Fls should be demonstrated. 3. In case where a foreign partner contributes 26 per cent of the equity with the approval of Insurance Regulatory Development Authority /Foreign Investment Promotion Board, more than one FI may be allowed to participate in the equity of the insurance joint venture. Since such participants will also assume insurance risk, only those FIs which satisfy the criteria given in paragraph 2 above would be eligible.
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4. No FI would be allowed to conduct insurance business with risk participation, departmentally. A subsidiary or a company in the same group of the FI or of another FI engaged in non-banking or banking business will not normally be allowed to join the insurance company on risk participation basis. 5. FIs, falling within the regulatory and supervisory domain of RBI, which is not eligible as joint venture participant, as per the foregoing criteria, can make investments upto 10 per cent of the owned fund of the FI or Rs. 50 crore, whichever is lower, in the insurance company. Such participation shall be treated as an investment and should be without any contingent liability for the FI. The eligibility criteria for these FIs will be as under: (i) The CRAR of the FI should not be less than 15 per cent; (ii) The level of net NPA should be not more than 5 per cent of total outstanding loans and advances; and (iii) The FI should have earned net profit for the last three continuous years. 6. All FIs entering into insurance business as agents or investors or on risk participation basis will be required to obtain prior approval of the Reserve Bank. The Reserve Bank will give permission to the FIs on a case to case basis keeping in view all relevant factors. It should be ensured that risks involved in Insurance Business do not get transferred to the FI and that is business does not get contaminated by any risk which may arise from insurance business.
regulations apply equally to all the entities and the private firms are also obliged to invest their funds in the social and physical infrastructure. There could be some reservations in the minds of the shareholders of the private companies on this account because to that extent, there will be limitations on the profitability of the companies. It is inevitable to ensure a level playing field that the same set of rules should to apply to both for private and public entities alike. For the same reason government companies alone should not be burdened with social and other similar obligations if the private entities are not going to be under an obligation to do the same. While there cannot be any quarrel with the IRDA regulations, the practical problems posed cannot be overlooked. For example, they mandate an investment of not less than 15 per cent of the controlled fund in the infrastructure and rural social sectors. Considering the size of the Life Fund of the LIC, this means an investment of around 300 billion; the difficulty is that in the current recessionary situation in the country, enough avenues for such investment are not available even if the LIC is willing to invest. They can, at best, find worthwhile projects which will absorb barely Rs 40 to 50 billion. The difficulty is compounded by the fact that only the bonds issued by the government or otherwise rated as AA by an independent rating agency would qualify as approved investment. Most of the infrastructure projects are implemented by new companies which obviously cannot have a proven track record. They would not have AA rating, which means they would not qualify for investment. In such a situation, these bonds will not be useful as instruments of investment. The IRDA requires a balance to be struck between infrastructure and
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social sectors. Its implication is that for social structure alone, the investment will have to be of the order of Rs 10 billion or thereabouts which is impossible. Many infrastructure projects with foreign collaboration are implemented through private limited companies. But the law restricts investment in private limited companies, which means investments in such infrastructure would not qualify for being included in the statutory category and hence there may be a hesitation on the part of the insurance companies to consider such investments. In other words, a part of the investible funds cannot flow to infrastructure projects even when projects are available. As far as the social sector is concerned also, there is a practical problem in meeting the legal requirements. The beneficiaries under this category are mostly individuals to whom, obviously, the insurance companies cannot lend. In these circumstances, e companies would find it extremely difficult to comply with requirements even when they are keen, and hence would get branded as defaulters on this count. At the same time, it cannot be overlooked that the value of Indian currency has depreciated by about 60 percent against the pound sterling or dollar. Thus the overseas investment by an Indian institutional investor having a liability in rupees would have grown six times in about eight years in terms of Indian rupees. Of course the Government of India has its own logic for not permitting overseas investment. For instance, just as certain investments would have brought benefits, any investment in a market like the East Asian Equity Market in the boom time would have provided disastrous results. In a sense, regulation of investments makes both the regulator and the
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investment manager responsible for the proper management of the investment portfolio. For this, the regulator has to work closely with the industry. The point is whether both would be able to act in concert with each other.
SWOT
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of the prevailing public opinion about the strengths and weaknesses in the working of the two organizations (the LIC and the GlC) and drew some conclusions, the main among which are described below.
STRENGTHS:
After Nationalization, the Government of India did bring about or at least attempted some qualitative improvements in the working of the industry. This was in terms of improved delivery systems, a larger number of products on offer, geographical spread, reach and presence in remote areas served by a wide network of intermediaries, systems to manage very large funds collected almost on a daily basis, substantial funding of infrastructure creation, fulfillment of social obligations, and recently, better service through a fair amount of computerization. As a result, over the years, the nationalized industry built up a sound financial base, and improvements in the areas mentioned above. It is served by a large and qualified staff, some of it with experienced professional talent. There have been some more initiatives from the public sector units to further improve their work culture, but being of recent origin, they are still to bear full fruit and so the quality of work still leaves tremendous scope for improvement. Even in a difficult field like reinsurance, the general insurance sector under government control has acquired a good standing in the international market. All these strengths have put the public sector units in a position to successfully compete with other companies if they are freed from unnecessary government controls and are allowed to take timely, forceful and well-directed
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action.
WEAKNESSES:
It was to be expected that an entity with a longstanding monopoly position would develop certain weaknesses too. Certain weaknesses as noted by the Malhotra Committee that did surface in the nationalized insurance industry are briefly discussed here. The weak areas of the industry were perceived to be the following: poor customer service; vast marketing and services network inadequately responsive to customer needs. The technical knowledge of most agents and development officers was also inadequate and they did not provide sufficient information about the scope of available covers. Insurance covers were expensive. The awareness level of various plans of insurance was quite limited even amongst the policyholders, particularly in the rural areas. In addition to excessive staff, there was need for improvement in the work culture, productivity and discipline among the employees. Similarly, the spread of rural- and welfare-oriented insurance was very limited. Technology was also not very well developed. Governmental interference affected the functioning of the industry in the public sector mould. There was excessive government-directed investment of funds, which resulted in poor investment skills. Insurance executives felt inhibited in exercising discretion and taking timely and fair decisions because of apprehensions with regard to external agencies like the Central Vigilance Commission (CVC) and the Comptroller and Auditor General (C&AG).
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However, these checks and balances cannot be done away with in a public sector, where large public funds are involved. Further, the phenomenon of corruption has also reared its ugly head, which is exacerbated because of the lags in computerization which had seriously affected operational efficiency and customer service.
OPPORTUNITIES:
The variety of constraints put on it by its owner, viz. the government, was both a reason as well as an alibi for the under-performance of the nationalized insurance sector. Now that restrictive government policies are being given up (almost reluctantly) and public sector units are being; empowered to make independent decisions, they should be more free to decide their own growth path. It should also be possible for them to prove their potential strength by exploiting the tremendous opportunities such as the following substantial potential for growth (with the existing products and set up); exploring untapped niche areas; and forming limited joint ventures with suitable partners. Easy access to developments in the more advanced markets provides further
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opportunities to upgrade their working. Technological, financial or specific area-based avenues of absorbing improved systems are also now more easily available. The expectation that private sector entrants would necessarily take time to secure a foothold in the market was in itself an opportunity. In practice, though, the new entrants have made inroads faster than expected and are now all set to expand their presence in the market. It is therefore, upto the public sector companies to move quickly and at least prevent further incursion into their territory. If they do not move fast enough, a valuable opportunity will have been lost.
THREATS:
These opportunities will of course be accompanied by threats in the competitive market, and may be of the following nature. Private entrants are naturally targeting the profitable and more lucrative segments, by providing better service, new products and flexibility. They are targeting the bigger corporates and other clients in the well-established metropolitan centers. These new entrants have succeeded in eating into share of the existing entities. This share will increase substantially, if not in the immediate future, but in the long run, if the existing incumbents do not radically alter their marketing structure and practices. No doubt complaints have been voiced that the means followed by at least some of them have been less than fair. Some of these may well be true, but such practices can produce only short term gains.
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Ultimately, the service provided will decide whether the threat of losing the market share will come true, and in a competitive market, mere complaining does not help. One very serious danger that the government-owned units are likely to face is that even if at some point of time, the government does decide to disinvest a portion of its equity; they may not be fully free from government interference. They could face a peculiar problem that although on paper and in terms of a legal definition, they would not be public sector units. In effect, their working could be no different from what it was before their ownership pattern changed. This could be a genuine threat since they would be competing with units which are free from such artificial and unnecessary restrictions. The new units, equipped with state-of-the-art equipment and innovative procedures would have an in-built edge over the erstwhile public sector units, which until recently had no such opportunity and incentive. Due to the possible negative impact on employment, there was no serious effort at updating technology or equipment. The resultant inadequate investment in infrastructure could lead to their lagging behind in the race. This analysis suggests that the industry has to carefully chart out its strategy on the basis of an appreciation of the strengths and weaknesses as also the possible threats and opportunities. It lends further support to the argument favouring opening up and restructuring of the Insurance sector.
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CASE-STUDY
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supervisors were dependent on spreadsheets to collate data. Productivity could not be calculated correctly; and decision-making for optimum resource deployment was impaired.
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The Solution:
Compress the Cycle Times:
The challenge before Max New York Life Insurance was to reduce and maintain the cycle times at lower levels in servicing all types of customer requests and claims settlement. To accomplish this, they required a system that would allow close monitoring of the time frames for each activity performed, given the substantial growth in the number of customers and rapid growth in the number and complexity of customer requests. They needed the ability to track and monitor various applications that come under the perspective of turnaround time management and faster service. This required automation of the workflow and management of the business process efficiently through a robust system, a system capable of increasing productivity, customer satisfaction and delivering measurable business benefits. The company considered various vendors offering BPM solutions and compared each of the available options against the stipulated evaluation criteria. The selection criteria were designed taking into account various aspects such as functional, technical, supplier profile and cost. The company also had specific criteria for each of the four areas of concern. After a detailed analysis, it finally decided to use the BPM solution offered by Newgen. The solution from Newgen comprised its BPM tools, Omni Flow, OmniDocs and Omni Capture. The workflow solution was implemented, stating around May 2003. It was initially deployed at the head office at Gurgaon, in just two months and the roll out was later extended to the 37 general offices spread across the country. The
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Solution Design
The solution was designed to handle the complexities of multiple requests with ease and enable efficient handling of claims processing. The workflow system was designed to cater to each specific work type, providing user-friendly desktop. It was also integrated with the company's core insurance application to provide documents and relevant information displayed side-by-side on a splitscreen, while maintaining security and data integrity. Since all the communication with the customer is scanned, it gives, in one shot, an overview of the correspondence with the customer, the time taken, who responded, what was the last correspondence, etc. With approximately 70 work steps and several hundred rules defined for routing, the BPM solution has been designed to be able to handle the complexities of multiple requests. All the rules, roles and exceptions, as laid down by MNYLs processes have been implemented in the system.
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streamlined in the solution. Further, the entire claims process became more stable and consistent. The solution helped the claims department to ensure adherence to IRDA regulations through multilevel escalations, alerts and reminders. Also the new solution ensured better tracking of cases referred to other departments, while controlling fraud and avoiding costs incurred in legal disputes by settling claims on time. The duplication of data entry was reduced by more than 50% by bringing relevant data from the core application to the user desktop. Further, sending scanned documents to the investigators through e-mails saved time and cost for the company. It also helped in better management and tracking of ex-gratia cases, claims under legal scrutiny, and cases sent for investigation to third party agencies. The efficient handling of claims processing has reduced error rates and speeded up claims settlement, all of which have enhanced customer satisfaction. In addition, the long-term benefits such as lowering operational costs and reduced claims payouts were envisaged for the company.
CONCLUSION
In addition to processing clients' requests and claims, a workflow system also provides the facility to centrally process and route specific document types, such as new business applications, rewrite applications, endorsement
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applications, notices of cancellations, inspection report forms and more, through the company's business processes. The documents are directed to the appropriate department for further processing or go to a "queue" where system work is performed. Workflow performs varied system work including setting timers, collaborative documentation checks, etc. All these in turn help MNYL improve the quality of customer interaction and service, target offerings and utilize cross selling opportunities in the insurance business. It can thus be seen that insurance in India has had a long history. It had its roots in the British regime and continued with the practices developed then. As any other industry, this industry has its own Strengths, weaknesses, opportunities and threats. Keeping pace with the changing times is a major challenge for the industry. On the one hand, the industry grew enormously, but on the other, its spread was limited to certain areas and to certain sections, with the result that a large mass of people remains bereft of insurance cover. In the absence of effective control, certain malpractices crept into the business, which was, therefore, nationalized. Finally, it is seen that the industry has a massive growth opportunity in both Indian context as well as worldwide. Hence it is important for the market players of the insurance industry to outright its issues and to understand and overcome the challenges that may come in the way and also to spread its wings through the market.
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RECOMMENDATION
Since the actual opening of the insurance sector in India was preceded by a keen and heated debate about the positive and negative aspects of liberalization, although opening of insurance sector has pushed it into a boom phase with international players collaborating with Indian Insurers. The Insurance Sector is facing a new set of issues and challenges. If these issues and challenges are not dealt with in time it would bring about a catastrophic loss for the Insurance Sector. These issues and challenges are covered up in this project and in relation with these issues and challenges; I would like to make the following recommendation:
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Under the present pension scheme the funds are not enough to provide the elderly with complete social security. The IRDA should formulate a pension scheme that offers independence and security to the elderly. With the banks entering in the business of selling insurance products, the insurance company is facing a major threat of loosing its client base to the bank hence it is recommended that either the insurance companies market their products fiercely or enter a MOU with banks. The new channels of distribution of insurance product i.e. through internet, television etc. the customers are experiencing lack of personal touch, because of which they do not completely understand the product itself. So it is recommended that the insurance companies while distributing products through these channels make an extra effort to explain each and every detail regarding the plan.
Insurance companies are coming out with various new products because
of increase in competition, they have a varied cost structure and some of them could be expensive for a common man e.g. ULIP, in order to tap in more customers it is recommended that the insurance companies formulate a uniform cost structure on the basis of risk covered.
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BIBLIOGRAPHY
BOOKS:
-K.P. Singh Insurance Chronicle- The ICFAI University Press (September, 2004)
WEBLIOGRAPHY
WEBSITES: www.irdaindia.com www.google.com
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