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original CE CE

1.1.1. Historical 1.1.1. Historical Historical


1.1.5.
Background of Life Background of Life Background of Life
Insurance Insurance Insurance
The actual origin of life insurance is Within the mists of antiquity, the The true history of life insurance is
hidden in the mists of antiquity. The true beginning of existence lost in the mists of time. The initial
early development of life insurance coverage is buried. The early emergence of life insurance was
was closely linked with that of development of existence interlinked with the marine
marine insurance. The first insurer insurance. The first life insurer was
insurance became inextricably
of life was the marine insurance a marine insurance underwriter,
linked to the development of who began writing life insurance
underwriter who started issuing life marine insurance. The first life
insurance policies on the life of policies on the master and crew of
insurer was a marine coverage ships as well as merchants
master and crew of the ship and the
merchants, sailing along with the
underwriter who began offering travelling alongside cargo. These
goods. These early contract took the life insurance policies based on early contracts were in the form of
form of temporary assurance the existence of the ship’s master temporary assurance, which only
covering the life assured for a short and crew, as well as merchants covered the life assured for a certain
period only. who were cruising with the time.
goods. These early agreements
The first recorded life policy was took the form of a temporary On the June 18th 1653, the first
issued on 18th June 1653 on the life known life policy was issued for the
assurance that only masked the
of MR. William Gybbons for 12 life of Mr. William Gybbons for a
presence of the confident for a period of 12 months. It was not
months. It was not until early in the short time.
eighteenth century, that societies until the early eighteenth century
In the year 1653, on 18th of that institutions for offering life
began to be formed for issuing life
insurance. The premium rates were
June, the first recorded life insurance began to emerge.
varied in view of reputations and policy covering of MR. William Premium prices were different
health conditions of the insured. Gybbons life was provided for a depending on the insured's
The application of the mortality period of one year. It was not reputation and health. The whole
tables in 1755 by Dodson and the until the early eighteenth century notion of life insurance was
introduction of actuarial science that businesses began to form in transformed with the development
revolutionized the whole concept of order to provide life insurance. of actuarial science and the
life insurance. implementation of Dodson’s
Premiums vary depending on the
mortality tables in 1755.
insured’s popularity and fitness
reputation. Dodson’s acceptance
of the mortality table in 1755, as
well as the development of
actuarial technology,
transformed the entire concept of
life insurance.

Life Insurance in India Life Insurance in India


Life Insurance in India With the introduction of a With the creation of a British
Life insurance in its present form British company Oriental Life business Oriental Life Insurance
came to India from the United Co. in Calcutta in 1818, life
Insurance Co. in Calcutta in
Kingdom with the establishment insurance in its current form
1818 among civilians, life
of a British firm Oriental Life introduced to India from the United
insurance to India from the Kingdom. British firms began their
Insurance Co. in Calcutta in 1818. United Kingdom. They life insurance business in India by
The British companies started life
occasionally imposed standards specialising on coverage for
insurance business in India by
issuing policies exclusively on the for Native American living by European soldiers and citizens.
lives of European soldiers and levying additional taxes. They occasionally created policies
civilians. They sometimes issued Bombay Mutual Life Assurance that imposed additional fees on the
policies on the lives of Indian by Society Ltd., India's first life of Indians. The Bombay
charging extra charges. The first company, was founded in Mutual Life Assurance Society
Indian company named as the Bombay in December 1870 and Ltd., the first Indian firm, was
Bombay Mutual Life Assurance founded in Bombay in December
was the first to cover Native
Society Ltd. was formed in 1870 and was the first to insure
American life at standard rates.
Bombay in December 1870, was Indian lives at standard rates.
the first to cover Indian lives at
normal rates.
Objectives of Life 1.1.6.
1.1.2. Objectives of Life
1.1.2. Objectives of Life Insurance Insurance
Insurance Following are some objectives of Following are the objectives of life
1) Life insurance is one way to life insurance: insurance:
provide security if part or all of the 1) If a family’s income is 1) To provide security in case a
family's income is cut off because interrupted due to the death part or all of the income of the
of death. family is cut off due to death.
of the earner, life insurance
2) Financial assistance is provided to 2) To provide financial assistance
the family of the insured on his may be a solution to protect
the family. to the family of the
death.
policyholder on his death.
3) Life insurance provides a mode of 2) On the death of the insured
investment. It develops a habit of 3) To act as an investment mode
person, financial assistance is
saving money by paying premium. and encourages savings as is
offered to his family. develops habit of saving by
The insured get the lump sum
amount at the maturity of the 3) It offers a form of paying premiums. At the
contract. Thus life insurance investment. It encourages maturity of the contract, the
encourages savings. people to save money by insured get lump sum amount.
4) Life insurance goes beyond charging a premium. At the 4) To provide protection as well as
providing only protection as it conclusion of the the effective medium to attain
can also act as an important tool arrangement, the assured financial goals in a person’s
to achieve financial objectives in life.
one’s life. receives a single amount
total. In this way, life 5) To provide financial aid
5) Life insurance is not only a alongwith the tax savings as the
financial aid but also helps you insurance allows you to build
life insurance premium is
save taxes. The premium of life up your emergency money. exempted under Section 80C of
insurance is exempted under 4) Life insurance can be used IT Act, 1961.
Section 80C of the Income Tax for more than just assurance;
Act, 1961. 6) To provide ease to the
it can also be used to achieve policyholder that his family
6) A life insurance policy provides
peace of mind to the policyholder
financial goals in one’s daily would not have to face financial
that his family won’t bear any life. struggle after his death.
financial hardships in his 5) Life insurance is not only a 7) To assists in regular investment
absence. financial advisor, but it also and provide great returns with
7) You may desire to send your kid helps you save money. loyalty benefits as it ensures the
to the best university abroad, buy Section 80C of the Income guaranteed maturity amount
a home for your family or depending on the potential risk
Tax Act of 1961 exempts the
secure retirement for your and need.
spouse. Sudden loss of your
cost of life insurance.
income might jeopardize the 6) It provides the policyholder
continuity of investments and peace of mind that his family
savings towards such goals, will not face financial
depriving your family of things hardships in his
they deserve. As a result, you nonexistence.
must prioritize your family’s 7) One may like to send his
investment goals and provide
protection for them by including
child to the top university in
the target amount in the policy the world, purchase a
coverage. property for family, or
8) Life Insurance is an excellent provide a comfortable
savings option to meet your retirement to spouse and
requirement. The regular other family members. A
investments fetch you great
returns along with loyalty
sudden loss of income could
benefits. It assures a guaranteed damage one’s family ability
maturity amount based on your to save and invest for such
risk appetite and need. goals, depriving them of
Generally, in your absence, your items they deserve. As a Normally, a person’s family will be
family or estate becomes liable for result, one must put their liable for any debts or loans he
any debt you owe. All of your loans, family’s investing goals first owes like motor vehicle loans,
which may include motor vehicle home mortgage, personal loans, and
loans, home mortgage, credit cards
and ensure that they are
so on. Thus, it is critical for a
and personal loans, must be settled in protected by putting the
person to include his obligations to
full. Therefore, it is necessary to target amount in the his policy so that his beneficiaries
include your obligations in your insurance coverage. can continue to pay-off debts. In
policy so that your beneficiaries can 8) Life insurance is a great way case, if a person’s loans are secured
continue paying off loans. This step to save money and suit ones by collateral that his family needs to
becomes even more important if your needs. Regular investments continue using such as home or the
loans are secured by collateral that
yield excellent profits as well family car, this set becomes even
your family needs to continue using,
like your home or the family car. as loyalty rewards. It more critical.
guarantees a specific
maturity amount based on
one’s risk tolerance and
requirements.

Insurance
1.1.3.
1.1.3. Insurance
Proposal/Application for 1.1.7. Insurance
Proposal/Application for
Life Insurance Policy Proposal/Application for
Life Insurance Policy The agreement for disaster Life Insurance Policy
The contract for the life insurance protection begins with the
starts with the proposal made by the The life insurance contract begins
proposer’s proposal in a standard
proposer in standard application with the proposer’s proposal on a
application format available from
form available with insurance standard application form provided
the insurance agency, and then
company and then various other by the insurance company, followed
several reports are prepared. A
documents are prepared. The by the preparation of several
normalised structure is the
proposal form is a standardized supplementary papers. A uniform
proposition structure. The
form. The proposal form is a type proposal form is used. The proposal
proposition structure is a type of
of an application form, which a form is a sort of application form in
application structure in which a
proposer has to fill all the relevant which the proposer must fill out all
proposer must fill in all relevant
details about the life to be assured. pertinent information regarding the
details about the life to be assured.
The agent has the proposal form life to be ensured. The insurer has
The backup plan has provided the
with him provided by the insurer. issued the agent with a proposal
specialist with the proposal
There are different types of policies form. There are several sorts of
structure. There are many different
and so the different types of policies, as well as various types of
kinds of strategies, and thus many
proposal forms are there. It has the proposal formats. It contains all
different forms of proposition
entire details regarding the duration pertinent information, such as the
structures. It contains all
of the policy, type of plan, mode of policy’s duration, plan type, and
information on the term of the
payment, etc. A proposal form is to payment method. The proposer
agreement, the type of plan, the
be completed by the proposer in his must fill out a proposal form in his
mode of payment, and so on. A
own handwriting and signed in the own handwriting and sign it in front
proposal structure must be
presence of the agent. The proposal of the agent. A declaration is
completed in the proposer’s own
form contains a declaration at the included at the conclusion of the
handwriting and endorsed in front
end, to ensure the authenticity of proposal form to confirm the
of the specialist. It must include:
the information given. Usually the 1) Name of life assured, accuracy of the information
proposal form contains the 2) Address, provided. The proposal form
following information to be filled 3) Date of Birth, usually asks the potential insured to
by the prospective insured: 4) Occupation, fill out the following information:
1) Name of life assured, 5) Age, 1) Name of the life assured,
2) Address, 6) Name of the employer (if any),2) Address,
3) Date of Birth, 7) Sum assured of the proposed 3) Date of Birth,
4) Occupation, policy, 4) Occupation,
5) Age, 8) Number and age of the family 5) Age,
6) Name of the employer (if any), members, 6) Employer Name (if any),
7) Sum assured of the proposed 9) Family medical history, and 7) Sum assured of the proposed
policy, 10) Proposer’s medical history. policy,
8) Number and age of the family There are also linked systems for 8) Number and age of family
members, health, employment, the members,
9) Family medical history, and specialist’s secret report, and a 9) Medical history of the family,
10) Proposer’s medical history. variety of other things. There is and
10) Medical history of the proposer.
also an assent letter, which
Besides these there are other related
demonstrates the life guaranteed
forms regarding health, occupation, Other forms pertaining to health,
the agent’s confidential report and consent to the annoyance of occupation, the confidential report
many others. In addition there is a some provision or further of the agent, and many others are
consent letter which shows the exceptional, as necessary. available. There is also a permission
consent of the life assured to the letter, signed by the life assured that
imposition of some clause or extra A proposal for awarding a cover, demonstrates the life assured’s
premium, duly signed by the life whether for life business or approval to the imposition of some
assured. general business, should always provision or extra premium.
be backed up by a written
In all cases, a proposal for grant of a record. In around 30 days Whether for life or general
cover, either for life business or for business, a written document must
following the acknowledgement
general business, must be evidenced be used to support a proposal for
of a proposition, a backup plan
by a written document. An insurer the grant of a cover. Within 30 days
should furnish a copy of the proposal should outfit a duplicate of the of a proposal’s acceptance, an
form to the insured free of charge, proposal structure to the insurer shall provide a free copy of
within 30 days of the acceptance of a guaranteed for nothing. The the proposal form to the insured.
proposal. The forms and documents structures and reports used in the Depending on the circumstances of
used in the grant of cover may, award of cover may be made each case, the forms and
depending upon the circumstances available in languages documentation used in the provision
of each case, be made available in recognised under the Indian of cover may be made accessible in
languages recognized under the Constitution, depending on the languages recognised by the Indian
Constitution of India. In filing the circumstances of each case. The Constitution. The prospect must
form of proposal, the prospect is to follow the provisions of Section 45
possibility is to be directed by
be guided by the provisions of of the Insurance Act when filing the
the provisions of Section 45 of
Section 45 of the Insurance Act. Any form of proposal. The requirements
proposal form seeking information the Insurance Act when of Section 45 of the Insurance Act
for grant of life cover may documenting the type of offer. must be stated by the proposal form
prominently state the requirements Any proposal structure asking required information for the grant
of Section 45 of the Insurance Act. for information to award life of life cover. The insurer must
Where a proposal form is not used, insurance may clearly state the record the information obtained,
the insurer should record the requirements of Section 45 of either in written or in oral form, and
information obtained orally or in the Insurance Act. Where a must confirm it with the 15 days
writing, and confirm it within 15 proposal structure is not used, with the proposer and include the
days with the proposer and the backup plan should collect information in its cover note or
incorporate the information in its policy, in case, where a proposal is
data obtained verbally or on
cover note or policy. The onus of not used. In the event that the
paper, confirm it within 15 days
proof would rest with the insurer in insurer argues that the proposer
respect of any information not so with the proposer, and integrate concealed any material information
recorded, where the insurer claims the information in its cover note or supplied misleading or inaccurate
that the proposer suppressed any or strategy. In the case of any information on any topic material to
material information or provided data not properly recorded, the the grant of a cover, the onus of
misleading or false information on proof would be on the insurer.
onus of proof would fall on the
any matter material to the grant of a
backup plan, where the
cover.
guarantor ensures that the
Wherever the benefit of nomination proposer withheld any material The issuer shall inform the proposer
is available to the proposer, in terms data or provided deceptive or about the benefit of nomination to
of the Insurance Act or the misleading data on any topic the proposer, whenever available
conditions of policy, the issuer relevant to the award of a cover. under the Insurance Act or policy
should draw the attention of the conditions, and encourage the
proposer to it and encourage the The backer should attract the prospect to take use of it. The
prospect to avail the facility. The proposer's attention to any place insurer should process the proposals
proposals should be processed by where the benefit of designation quickly and efficiently, and it shall
the insurer with speed and is available to the proposer, such communicate any choices in writing
efficiency and all decisions should within a reasonable time frame of
as the Insurance Act or the states not more than 15 days after
be communicated by it in writing
within a reasonable period not of strategy, and urge the receiving the proposals.
exceeding 15 days from receipt of proposer to take advantage of it.
proposals by the insurer. The backup plan should handle
the recommendations quickly
and effectively, and all decisions
should be delivered as a hard
copy within a reasonable length
of time, not exceeding 15 days
from the receipt of the proposal
by the guarantor.

1.1.4. Policy
1.1.4. Policy A contract among a life
Life insurance is a contract between insurance firm and the individual 1.1.8. Policy
a life insurance company (the is known as life insurance (the A contract between a life insurance
insurer) and the entity buying the safeguarded or policy holder). In company (known as the insurer)
policy (the insured or policy exchange for a fee, the insurance and the entity purchasing the policy
holder). An insurance policy where, company pays a predetermined (known as the insured or policy
in exchange for a premium, the payout to the policyholder’s holder) is known as life insurance.
insurance company pays a certain survivors. The funeral, the An insurance policy in which the
benefit to the survivors of the home’s responsibilities, and the insurance company provides a
policyholder upon his/her death. specified benefit to the
survivor’s eventual fate can all
Life insurance can help defray costs policyholder’s survivors in return
be covered by life insurance
of the funeral, pay off the estate’s for a premium. Life insurance can
debts, and may provide for the (especially a widow or single assist pay for the burial, the estate’s
survivors’ (notably a widow or man). debts, and the future of the
widower) future. The life insurance policy survivors (particularly a widow or
document serves as proof of the widower).
The life insurance policy document contract between the insurer and
is evidence of the contract between the insured. Its three pillars are The contract between the insurer
the insurer and the insured. Its three the risk definition, the premium, and the insured is documented in
cornerstones are the definition of and the amount of insurance. the life insurance policy document.
the risk, the premium and the The paper does not require a The definition of the risk, the
amount of insurance. The document premium, and the quantity of
conventional or uniform format.
need not have a standard or uniform The example can vary from one insurance are its three pillars. A
format. The pattern may vary from organisation to another and even standard or consistent format is not
company to company and even vary for different types of required for the paper. The pattern
differ for various types of policies. arrangements. However, a safety may differ from one firm to the
An insurer may, however, use the next, and even between different
net provider may use similar
same format for all contracts of the sorts of policies. However, an
organisations for any agreement
same type. insurer may use the same structure
of a similar nature. for all such contracts.

1.1.5. Policy Document


The standard policy document 1.1.9. Policy Document
typically has three parts: Following three parts are included
1) Policy Schedule: It forms the in the standard policy document:
first part. It is usually found on 1) Policy Schedule: The first part
the face page of the policy. The is the policy schedule. It is
schedules of life insurance generally incorporated in the
contracts would be generally first page of the policy. Usually,
similar. They would normally all the life insurance contracts
contain the following would have similar schedules.
information: Following information are
i) Name of the insurance generally included in it:
company, i) Insurance company name,
ii) Some specific details for ii) Some certain information
the particular policy such for specific policy like:
as: a) Name and address of
a) Policy owner’s name the policyholder,
and address. b) Date of Birth and age
b) Date of birth and age last birthday,
last birthday. c) Policy contract’s plan
c) Plan and term of policy and term,
contract. d) Sum assured,
d) Sum assured. e) Premium amount,
e) Amount of premium. f) Term of paying
f) Premium paying term. premium,
g) Date of g) Date of
commencement, date of commencement,
maturity and due date maturity and due date
of last premium. of last premium,
h) Whether policy is with h) Whether policy is with
or without profits. or without profit,
i) Name of nominee. i) Name of the Nominee,
j) Mode of premium j) Mode of paying
payment – yearly; half premium, i.e., yearly;
yearly; quarterly; half yearly; quarterly;
monthly; via deduction monthly; via deduction
from salary. from salary.
k) The policy number – k) Policy number, which
which is the unique is the unique identity
identity number of the number of the policy
policy contract. contract.
iii) The insurer’s promise to iii) The promise to pay by the
pay. This forms the heart of insurer. It is one of the most
the insurance contract, and critical elements of the
iv) The signature of the contract act, and
authorized signatory iv) Sign of authorised
alongwith policy stamp. signatory with stamp.
2) Standard Provisions: The
second component of the policy 2) Standard Provisions: Unless
document is made of standard specifically excluded, standard
policy provisions, which are policy provisions are included
normally present in all life all the policy contracts and is
insurance contracts, unless the most important element of
specifically excluded. Some of the policy document. In some
these provisions may not be specific types of contracts like
applicable in the case of certain term, premium or non-
kinds of contracts, such as term, participating policies, many of
single premium or non- these provisions are not
participating (in profits) policies. applicable. These provisions
These provisions define the represent the privileges, rights
rights, privileges, and other and other conditions which are
conditions, which are applicable valid under the contract.
under the contract.
3) Specific Policy Provisions:
The third part of the policy
document consists of specific 3) Specific Policy Provisions:
policy provisions that are Specific policy provisions
specific to the individual policy specific to the individual policy
contract. These may be printed contract comprises the third
on the face of the document or part of the policy document.
inserted separately in the form These can either be printed on
of an attachment. While the front of the paper or placed
standard policy provisions, like as an attachment. Standard
days of grace or non-forfeiture policy features, such as days of
in the case of lapse, are often grace or non-forfeiture in the
statutorily provided under the event of lapse, are frequently
contract, specific provisions spelled out in the contract, but
generally are linked to the specific clauses are usually tied
particular contract between the to the insurer-insured
insurer and the insured. For relationship. For example, a
example, a clause precluding clause prohibiting death due to
death due to pregnancy for a pregnancy for a woman who is
lady who is expecting, at the pregnant at the time the contract
time of writing the contract. is written.

Insurance companies everywhere


are generally allowed to select the Insurance firms are typically free to
actual wording their policy choose the exact wording of their
documents, but these may need to policy paperwork, albeit they may
be submitted to the regulator for need to be submitted to the
approval. regulator for approval.

1.1.6. Rights Under Life


Insurance Policies
A life insurance contract is an 1.1.10.Rights Under Life
actionable claim, in which the Insurance Policies
policyholder has a right of title to In life insurance contract,
the claim. In the large majority of
cases, the policyholder and the life policyholder has the right of title to
assured are one and the same the claim as it is an actionable
person. Indian law gives the latter claim. In most of the cases,
the right to transfer or confer the policyholder and life assured is the
benefits which are payable under same person. According to Indian
the contract to another person or law, the latter has the authority to
entity. The two basic methods by transfer or confer the contract’s
which the right to make a claim is advantages to another person or
passed on are assignment, entity. Assignment, nomination,
nomination and title and claim. title and claim are four commonly
used methods through which right
Title: The word “title” is a legal to make a claim is passed on.
term that means one has legal
ownership of property. When any Title: The term “title” is a legal
people buy a home, there is a need term that denotes legal property
to ensure that the people selling it ownership of a person. When
actually have legal title. With someone buys a house, they must
increasing demand for residential make certain that the persons
and industrial properties across selling it have legal title. With
India, there is scope for frauds in rising demand for residential and
the realty transactions. industrial properties across India,
Title insurance is a cover that real estate fraud is becoming more
protects a potential owner of a common.
property against loss from defects
in title. The policy is a retrospective A title insurance policy protects a
one, where the insured is protected future property owner against loss
against losses arising from the due to title flaws. The insurance is
events that occurred prior to the retroactive, meaning that the
date of issuing the policy. Globally, insured is covered for damages
the policy is bought by investors, caused by events that occurred
occupiers and financiers. before the policy was issued.
Investors, occupiers, and financiers
A title insurance policy is a contract all across the world purchase the
of indemnity that promises to pay policy.
for a loss upto the face amount of
the policy if the state of the title is A title insurance policy is an
different than it is set-out in the indemnity contract that offers to
policy and if the insured suffers a pay for a loss up to the policy’s face
loss as a result of the difference. A amount if the status of the title
title insurance policy will cover differs from the policy’s description
both claims arising out of title and the insured suffers a loss as a
problems that could have been result of the discrepancy. A title
discovered in the public records and insurance policy will cover both
those so-called non-record defects claims emerging from title
that could not be discovered in the difficulties that may have been
record even with the most complete detected in public records as well as
search. A title insurance policy will claims arising from so-called non-
not only protect the insured for as record faults that could not be found
long as they have an interest in the in the record even after a thorough
property, but it will also protect search. This insurance policy will
their heirs and devisees for as long cover the insured as long as they
as they hold title to the property. have an interest in the property and
as long as their heirs and devisees
have title to it.

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