Beruflich Dokumente
Kultur Dokumente
Page 1
If I buy a policy and dont make a claim, it is a loss. So, why should I buy insurance?
General insurance is not meant to be for savings or investment returns. It is meant for
protection. What you pay for is the protection against a risk. To approach it as something
from which returns should be obtained is not the correct approach as there is a price to pay
for protecting a property worth lakhs for a few hundred rupees.
In case of problem with the claims, First you should write to the company and give them
sufficient time to respond suitably. If they dont respond, or it is not a response satisfactory to
you, then you can approach the appropriate judicial channel. For complaints relating to
personal insurance covers upto a value of Rs.20 lakh, you may approach the Insurance
Ombudsman in your area.
The Ombudsman has a technical team that will go into the merits of your case and give an
award). If you are unhappy with the outcome with the Ombudsman you still have recourse to
consumer courts.
The IRDA also has a Grievance Cell. You may contact
In indemnity policies, the upper limit of a claim is the sum assured and this usually applies
for the period of the policy. Certain policies, however, allow for reinstatement of the Sum
Insured by payment of proportionate premium for the remaining period of the policy. The
actual claim will be the actual extent of financial loss as validated by documents like bills. If
the property is underinsured, the insured shall bear a ratable proportion of the loss. There can
be more than one claim in the policy period but the sum assured is usually the limit for the
policy period unless reinstated.
Nowadays health insurance policies which cover hospitalization costs have also a
cashless settlement of claims. That is, you dont have to pay for the treatment at the hospital
and then make a claim for reimbursement of the expenses. The insurance company has a
service provider called the third party administrator (TPA) health services, who liaises with
the hospitals and directly makes the payment for your treatment as per the terms of your
policy and coverage.
Page 2
Insurance industry has always been a growth-oriented industry globally. On the Indian scene
too, the insurance industry has always recorded noticeable growth vis--vis other Indian
industries.
Triton Insurance Co. Ltd. was the first general insurance company to be established in India
in 1850, whose shares were mainly held by the British. The first general insurance company
to be set up by an Indian was Indian Mercantile Insurance Co. Ltd., which was established
in 1907. There emerged many a player on the Indian scene thereafter.
The general insurance business was nationalised after the promulgation of General
Insurance Business (Nationalisation) Act, 1972. The post-nationalisation general insurance
business was undertaken by the General Insurance Corporation of India (GIC) and its 4
subsidiaries:
Towards the end of 2000, the relation ceased to exist and the four companies are, at present,
operating as independent companies.
The Life Insurance Corporation (LIC) was established on 01.09.1956 and had been the sole
corporation to write the life insurance business in India.
The Indian insurance industry saw a new sun when the Insurance Regulatory &
MCOM (Accountancy) SEM1
Page 3
Adequate fillip from the Government in the form of tax incentives to the insured, etc.
The industry formations need to keep vigil on these characteristics of the Indian market and
formulate their strategies to entail maximum contribution to the output of the sector.
The Indian life and non-life insurance business accounted for merely 0.42 percent of the
world's life and non-life business in 1997. The figures of the basic parameters of the
industry's performance viz. Insurance Density and Insurance Penetration also are evident of
the hitherto existing low-yield Indian market conditions.
The term "Insurance Penetration" broadly measures the contribution of the insurance
industry in relation to a nation's entire economic productivity. The figure of premium vis-vis the GDP of 1999 stood at 0.54 percent for non-life insurance business and 1.39 percent
for the life insurance business. The term "Insurance Density" reflects the Insurance
purchasing power. The premium per capita in India amounted to US $ 2.40 for non-life
insurance and US $ 6.10 for life insurance in 1999 but with the deregulation of the sector, a
MCOM (Accountancy) SEM1
Page 4
Page 5
The insurer has to identify the element of risk prevalent in the concerned industry or a
particular unit. The perception of risk requires the study of variables through various
methods including the application of scientific and statistical techniques and correlation
thereof with the industry or unit under study in light of their basic environmental and infrastructural characteristics. After the identification and categorisation of the risks perceived,
the probability of happening of the loss-causing events and the severity of the loss has to be
assessed.
Page 6
risks. While designing an insurance product, an insurer decides its cost to be charged from
the insured in the form of premium, reduction thereof in certain cases like not lodging any
claim during the previous covered period(s), suggesting the implementation of riskmitigating measures, etc. The features of a product should be flexible enough to provide for
the determination of premiums, rebates, additional premiums, etc. depending upon the risk
benchmarks as determined.
The Chartered Accountants can play a valuable role in developing the features of an
insurance product. They possess adequate knowledge of the financial and technical aspects
pertaining to the industry and can apply their skills to yield well-tailored products
incorporating the desired features. They can exploit their financial intuition to quantify the
risk element and correlate it with the earnings of the company to develop a well-defined
premium structure. The Chartered Accountant firms can formulate a model insurance
product grounded on the study of an industry and apprise the insurance companies about the
development of the same to make them aware of the quality of services, which can be
rendered by them to the insurers.
3. Marketing of the Products:
The core function of the marketing force of an insurance company is to generate awareness
about the insurance products among the target market. But in the Indian scenario, where the
insurance penetration is too low as compared to the other nations, the marketing force needs
to perform the pro-active role in developing an insurance culture. It is through the efficiency
of the sales force of an insurance company that the desirability and the success of a product
are determined.
In Indian insurance market, the function is, basically performed by the agents. The persons
desiring to function as insurance agents have to obtain licence to act as such from the IRDA
or an officer authorised by the Authority in this behalf. The agents approach the prospective
buyers and apprise them of the basic features of the products. In order to dispense with the
functions, the agents need to possess adequate knowledge of the insurance industry,
products and the modalities attached therewith. Further, the marketing personnels should be
adequately backed by the back-office setup.
Page 7
In Indian industry, the function is, generally performed by the insurer. In addition, the
insurance companies depute their Direct Selling Representatives to look after the function.
They receive the proposal documents, vet them and issue policies to the proposers.
The Chartered Accountants can engage themselves in the process by entering into agreement
with the insurance companies to function as the Direct Sellers of their products and charge
commission in lieu of the services so rendered from them. The area promises attractive
scope for the constituents of the profession.
5. Servicing:
The functions of an insurer include the provision of the Post-sales services to the insured.
Among the services rendered by the insurer is the service of processing and release of
claims. The insurers need to verify the accuracy of the facts presented in relation to the
insurance claim and the documents produced in support thereof.
The Chartered Accountants have a significant role to play in this area. The services, which
can be provided by the Chartered Accountants include the services as Surveyors and Loss
Assessors, Claim Assurers, Claim Negotiators, etc.
The Chartered Accountants have already been engaged in the surveys and loss assessments.
MCOM (Accountancy) SEM1
Page 8
The Chartered Accountants engaged in the field visit the place of loss and assess the
quantum of loss incurred by the insured.
The section 64 UM(2) of the Insurance Act provides that no claim in respect of a loss which
has occurred in India and requiring to be paid or settled in India for an amount of Rs.
20000/- or more in value on any policy of general insurance, unless otherwise directed by
the Authority, be admitted for payment or settled by an insurer unless he has obtained a
report, on the loss that has occurred from an approved Surveyor and Loss Assessor.
Some general insurance companies allow the authorised third parties to process the claims
and release the payments up to a specified amount on the basis of their assessment. The third
party in turn may forward the case with the insurer and get the amount paid to the insured
reimbursed. The practice allows the insurers to salvage the time involved in the processing
of small claim cases.
The Chartered Accountants may pursue the practice of receiving the claim documents,
verification thereof in light of the facts recorded, releasing the payment as assessed and
receive the amount in-turn from the insurance company. For the service, the insurance
company will allow the service charges as stipulated.
Apart from the above-mentioned services, the Chartered Accountants can engage
themselves as negotiators between the insurer and the insured.
6. Management of Portfolio:
The management of the portfolio includes the assessment of requirement of funds,
identification of various sources of finance, the evaluation of the sources in the light of their
cost, availability, timing, etc., reconciling the features of various sources with the needs of
the company and the selection of appropriate conjunction of sources. The Chartered
Accountants are well equipped with the techniques required to weigh the various sources
and thus can provide efficient services to the insurance companies as an outside advisory
agency. There is invariably a large scope for the disposal of the services of Chartered
Page 9
The insurer possesses huge amount of funds, which need proper management. The
management of the portfolio of an insurance company requires the identification of
investment avenues, evaluation thereof and the selection of the most appropriate mix of
alternatives where the funds of the company can be invested. The selection requires the
knowledge of finance-related functions and techniques apart from the in-depth knowledge
of the patterns of requirement of funds in the company as well as in the industry as a whole
and the regulations of the IRDA in this behalf. The Chartered Accountants are well versed
with the methods and techniques pertaining to the finance related decision-making including
the application of scientific and statistical techniques for the same.
The decision with regard to the reinsurance of risks also falls in the domain of the activity of
management of portfolio. The insurer has to assess the risk involved in a single or multiple
insured units and reach at the retention or transfer of the excess risks. In case the insurer
reckons the degree of risk involved to be too high, it passes the risk on through reinsurance
or shares the same in consortium with the other insurers. The decision requires the deep
knowledge of the intricacies of the risk assessment and proper and timely application
thereof. The Chartered Accountants can deliver the goods in their capacity as specialist
agencies to the insurers as they have the sound intellectual knowledge of assessment
techniques that are required to perform the job effectively.
Page 10
Page 11
Page 12
While preparing Receipts and Payments Account, Profit and Loss Account and the Balance
Sheet of the Insurance companies, the recommendations of Indian Accounting Standards (A3)
framed by the ICAI should strictly be followed as far as practicable, to the General Insurance
Company with the exception of
(i) AS 3 (Cash Flow Statement) to be prepared under Direct Method only.
(ii) AS 13 (Accounting for Investment)not to be taken into consideration.
(iii) AS 17 (Segment Reporting)to be applied in general without considering the class of
Security.
Page 13
It has already been stated above that general insurance policies are issued for a short period,
say, for a year. As a result, many of them may be unexpired at the end of the year. Therefore,
the entire premium so received cannot be treated as an income for the current year only. A
portion of that amount should be carried forward to the next year in order to cover the
unexpired risks. This is what is known as Reserve for Unexpired Risks.
As per Schedule IIB of the IRDA the Reserve for Unexpired Risks should be provided
for out of net premium so received as:
(a) 50% for Fire Insurance business;
(b) 50% for Miscellaneous Insurance business;
(c) 50% for Marine Insurance business other than Marine Hull business, and
(d) 100% for Marine Hull business.
In addition to the above, if any company wants to maintain more than this level, it can do so.
The same is known as Additional Reserve.
Illustration 1:
Indian Insurance Co. Ltd. furnishes you with the following information:
(i) On 31.12.1996 it had reserve for unexpired risk to the tune of Rs. 40 crores. It comprised
of Rs. 15 crores in respect of marine insurance business: Rs. 20 crores in respect of the fire
insurance business, and Rs. 5 crores in respect of miscellaneous insurance business.
(ii) It is the practice of Indian Insurance Co. Ltd. to create reserves at 100% of net premium
income in respect of marine insurance policies and at 50% of net premium income in respect
of fire and miscellaneous income policies.
(iii) During 1997, the following business was conducted:
Page 14
Page 15
Page 16
Page 17
Illustration 2:
From the following figures appearing in the books of Fire Insurance division of a
General Insurance Company, show the amount of claim as it would appear in the
Revenue Account for the year ended 31st March 1999:
Page 18
Commissions:
Insurance Regulatory and Development Authority Act, 1999, regulates the amount of
commission which is payable on policies to the agents.
Commission expenses is to be charged to Revenue Account of the General Insurance
Company which is computed as:
Page 19
Illustration 3:
Compute the amount of Commission to be charged to Revenue Account from the
following particulars presented by a General Insurance Company as on 31st March
2009:
Operating Expenses:
Operating expenses will come under Schedule 4 of the Act. All revenue expensesother than
the commission and claimswill appear under this head.
Page 20
Page 21
Page 22
Page 23
Notes:
To Forms B-RA and B-PL:
(a) Premium income received from business concluded in and outside India shall be
separately disclosed.
(b) Re-insurance premiumswhether on business ceded or acceptedare to be brought into
account gross (i.e. before deducting commissions) under the head reinsurance premiums.
Page 24
(c) Claims incurred shall comprise claims paid, specific claims settlement costs where
applicable and change in the outstanding provision for claims at the year-end.
(d) Items of expenses and incomes in excess of one per cent of the total premiums (less Reinsurance) or Rs. 5, 00,000, whichever is higher, shall be shown as separate line items.
(e) Fees and expenses connected with claims shall be included in claims.
(f) Under the sub-head Others shall be included items like foreign exchange gains or losses
and other items.
(g) Interest dividends and rentals receivable in connection with an investment should be
stated as gross amount, the amount of income tax deducted at source being included under
advance taxes paid and taxes deducted at sources.
(h) Interest from rent shall include only the realized rent. It shall not include any notional
rent.
Page 25
Notes:
Page 26
(a) Incurred but Not Reported (IBNR), Incurred but Not Enough Reported (IBNER) claims
should be included in the amount for outstanding claims.
(b) Claims include specific claims settlement cost but not expenses of management.
(c) The surveyor fees, legal and other expenses shall also form part of claims cost.
(d) Claims cost should be adjusted for estimated salvage value if there is a sufficient certainty
of its realization.
Page 27
Page 28
Notes:
(a) The extent to which the borrowings are secured shall be separately disclosed stating the
nature of the security under each sub-head.
(b) Amounts due within 12 months from the date of Balance Sheet should be shown
separately.
Page 29
Notes:
(a) Investments in subsidiary/holding companies, joint ventures and associates shall be
separately disclosed; at cost.
(i) Holding company and subsidiary shall be construed as defined in the Companies Act,
1956.
(ii) Joint Venture is a contractual arrangement whereby two or more parties undertake an
economic activity.
(iii) Joint control is the contractually agreed sharing of power to govern the financial and
operating policies of an economic activity to obtain has benefits from it.
(iv) Associate is an enterprise in which the company has significant influence and which is
neither a subsidiary nor a joint venture of the company.
MCOM (Accountancy) SEM1
Page 30
(v) Significant influence (for the purpose of this Schedule) means participation in the
financial and operating policy, decisions of a company, but not control of those policies.
Significant influence may be exercised in several ways; for example, by representation on the
board of directors, participation in the policymaking process, material inter-company
transactions, interchange of managerial personnel or dependence on technical information.
Significant influence may be gained by share ownership, statute or agreement.
As regards share ownership, if an investor holds, directly or indirectly through subsidiaries,
20 per cent or more of the voting power of the investee, it is presumed that the investor does
have significant influence, unless it can be clearly demonstrated that this is not the case.
Conversely, if the investor holds, directly or indirectly through subsidiaries, 20 per cent or
more of the voting power of the investee, it is presumed that the investor does have
significant influence, unless it can be clearly demonstrated that this is not the case.
Conversely, if the investor holds, directly or indirectly through subsidiaries, less than 20 per
cent of the voting power of the investee, it is presumed that the investor does not have
significant influence, unless such influence is clearly demonstrated. A substantial or majority
ownership by another investor does not necessarily preclude an investor from having
significant influence.
(b) Aggregate amount of Companys Investments other than listed equity securities and
derivative Instruments and also the market value thereof shall be disclosed.
(c) Investments made out of Catastrophe Reserve should be shown separately.
(d) Debt securities will be considered as held to maturity securities and will be measured at
historical cost subject to amortisation.
(e) Investment property means a property (land or building or part of a building or both) held
to earn rental income or for capital appreciation or for both, rather than for use in services or
for administrative purpose.
(f) Investments maturing within twelve months from balance sheet date and investments
made with the specific intention to dispose of within twelve months from balance sheet date
shall be classified as short-term investments.
Page 31
Notes:
(a) Short-term loans shall include those which are repayable within 12 months from the date
of balance sheet. Long-term loans shall be the loans other than short-term loans.
(b) Provisions against non-performing loans shall be shown separately.
(c) The nature of the security in case of all long-term secured loans snail be specified in each
case. Secured loans, for the purposes of this Schedule, means loans secured wholly or partly
against an asset of the company.
(d) Loans considered doubtful and the amount of provision created against such loans shall be
disclosed.
Page 32
Page 33
Notes:
(a) The items under the above heads shall not be shown net of provisions for doubtful
amounts. The amount of provision against each head should be shown separately.
(b) The term officer should conform to the definition of that term as given under the
Companies Act, 1956.
MCOM (Accountancy) SEM1
Page 34
Notes:
(a) No item shall be included under the head Miscellaneous Expenditure and carried
forward unless:
1. Some benefit from the expenditure can reasonably be expected to be received in future,
and
2. The amount of such benefit is reasonably determinable.
(b) The amount to be carried forward in respect of any item included under the head
Miscellaneous Expenditure shall not exceed the expected future revenue/other benefits
related to the expenditure
Page 35
Illustration 4:
The following balances as at 31st Dec. 2009 have been extracted from the books of
accounts of the General Insurance Co. Ltd.:
It is proposed that out of the profit Rs. 1, 00,000 be transferred to General Reserve and that a
dividend @ Rs. 12% be provided for after making a provision of Rs. 2, 00,000 for Income
Tax.
Page 36
Page 37
Page 38
Page 39
Page 40
Scope
1. This Standard should be applied in accounting for borrowing costs.
2. This Standard does not deal with the actual or imputed cost of owners equity, including
preference share capital not classified as a liability.
Definitions
The following terms are used in this Standard with the meanings specified:
Borrowing costs are interest and other costs incurred by an enterprise in connection with the
borrowing of funds.
A qualifying asset is an asset that necessarily takes a substantial period of time to get ready
for its intended use or sale.
Explanation:
What constitutes a substantial period of time primarily depends on the facts and
circumstances of each case. However, ordinarily, a period of twelve months is considered as
substantial period of time unless a shorter or longer period can be justified on the basis of
facts and circumstances of the case. In estimating the period, time which an asset takes,
technologically and commercially, to get it ready for its intended use or sale is considered.
Page 41
Explanation:
Exchange differences arising from foreign currency borrowings and considered as borrowing
costs are those exchange differences which arise on the amount of principal of the foreign
currency borrowings to the extent of the difference between interest on local currency
borrowings and interest on foreign currency borrowings. Thus, the amount of exchange
difference not exceeding the difference between interest on local currency borrowings and
interest on foreign currency borrowings is considered as borrowings costs to be accounted for
under this Standard and the remaining exchange difference, if any, is accounted for under AS
11, The Effects of Changes in Foreign Exchange Rates. For this purpose, the interest rate for
the local currency borrowings is considered as that rate at which the enterprise would have
raised the borrowings locally had the enterprise not decided to raise the foreign currency
borrowings.
The application of this explanation is illustrated in the Illustration attached to the Standard.
Examples of qualifying assets are manufacturing plants, power generation facilities,
inventories that require a substantial period of time to bring them to a saleable condition, and
investment properties. Other investments, and those inventories that are routinely
manufactured or otherwise produced in large quantities on a repetitive basis over a short
period of time, are not qualifying assets. Assets that are ready for their intended use or sale
when acquired also are not qualifying assets.
Recognition
Borrowing costs that are directly attributable to the acquisition, construction or production of
a qualifying asset should be capitalised as part of the cost of that asset. The amount of
MCOM (Accountancy) SEM1
Page 42
borrowing costs eligible for capitalisation should be determined in accordance with this
Standard. Other borrowing costs should be recognised as an expense in the period in which
they are incurred.
Borrowing costs are capitalised as part of the cost of a qualifying asset when it is probable
that they will result in future economic benefits to the enterprise and the costs can be
measured reliably. Other borrowing costs are recognised as an expense in the period in
which they are incurred.
The borrowing costs that are directly attributable to the acquisition, construction
or production of a qualifying asset are those borrowing costs that would have been
avoided if the expenditure on the qualifying asset had not been made. When an
enterprise borrows funds specifically for the purpose of obtaining a particular
qualifying asset, the borrowing costs that directly relate to that qualifying asset
Page 43
Commencement of Capitalisation
The capitalisation of borrowing costs as part of the cost of a qualifying asset should
commence when all the following conditions are satisfied.
(a) expenditure for the acquisition, construction or production of a qualifying asset
is being incurred;
(b) borrowing costs are being incurred; and
(c) activities that are necessary to prepare the asset for its intended use or sale are
in progress.
Expenditure on a qualifying asset includes only such expenditure that has resulted in
payments of cash, transfers of other assets or the assumption of interest-bearing
liabilities. Expenditure is reduced by any progress payments received and grants
received in connection with the asset (see Accounting Standard 12, Accounting for
Government Grants). The average carrying amount of the asset during a period,
including borrowing costs previously capitalised, is normally a reasonable
Page 44
Suspension of Capitalisation
Capitalisation of borrowing costs should be suspended during extended periods in which
active development is interrupted.
Borrowing costs may be incurred during an extended period in which the activities necessary
to prepare an asset for its intended use or sale are interrupted. Such costs are costs of holding
partially completed assets and do not qualify for capitalisation. However, capitalisation of
borrowing costs is not normally suspended during a period when substantial technical and
administrative work is being carried out. Capitalisation of borrowing costs is also not
suspended when a temporary delay is a necessary part of the process of getting an asset ready
for its intended use or sale. For example, capitalisation continues during the extended period
needed for inventories to mature or the extended period during which high water levels delay
construction of a bridge, if such high water levels are common during the construction period
in the geographic region involved.
Cessation of Capitalisation
Capitalisation of borrowing costs should cease when substantially all the activities necessary
to prepare the qualifying asset for its intended use or sale are complete.
An asset is normally ready for its intended use or sale when its physical construction or
production is complete even though routine administrative work might still continue. If minor
Page 45
modifications, such as the decoration of a property to the users specification, are all that are
outstanding, this indicates that substantially all the activities are complete.
When the construction of a qualifying asset is completed in parts and a completed part is
capable of being used while construction continues for the other parts, capitalisation of
borrowing costs in relation to a part should cease when substantially all the activities
necessary to prepare that part for its intended use or sale are complete.
A business park comprising several buildings, each of which can be used individually, is an
example of a qualifying asset for which each part is capable of being used while construction
continues for the other parts. An example of a qualifying asset that needs to be complete
before any part can be used is an industrial plant involving several processes which are
carried out in sequence at different parts of the plant within the same site, such as a steel mill.
Disclosure
The financial statements should disclose: (a) the accounting policy adopted for borrowing
costs; and (b) the amount of borrowing costs capitalised during the period.
Illustration:
Note: This illustration does not form part of the Accounting Standard. Its purpose is to assist
in clarifying the meaning of paragraph 4(e) of the Standard.
Facts:
XYZ Ltd. has taken a loan of USD 10,000 on April 1, 20X3, for a specific project at an
interest rate of 5% p.a., payable annually. On April 1, 20X3, the exchange rate between the
currencies was Rs. 45 per USD. The exchange rate, as at March 31, 20X4, is Rs. 48 per USD.
The corresponding amount could have been borrowed by XYZ Ltd. in local currency at an
interest rate of 11 per cent per annum as on April 1, 20X3.
The following computation would be made to determine the amount of borrowing costs for
the purposes of paragraph 4(e) of AS 16:
(i)
(ii)
Interest for the period = USD 10,000 5%x Rs. 48/USD = Rs. 24,000/(ii) Increase in the liability towards the principal amount = USD 10,000 (48-45) =
(iii)
Rs. 30,000/(iii) Interest that would have resulted if the loan was taken in Indian currency = USD
10000 x 45 x 11% = Rs. 49,500
Page 46
(iv)
(iv) Difference between interest on local currency borrowing and foreign currency
(v)
Page 47