Professional Documents
Culture Documents
POLICY
Policy can be for one year It can be incorporated as
or more than one year part of package policy or
(Maxm -10 years) other policies
FEATURES… Clause A- Insurance Contract.
Changes to Cover
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If it is a two-storey house. Insured and his family reside in the building and run a
grocery shop in two rooms of the ground floor and personally attend to the grocery
business. They can purchase this policy.
Insured own and reside in a three-storey house. Insured is a partner in a firm that
runs an electronic shop on the ground floor. Five employees attend the shop.
Insured can purchase this policy only for the two floors of the building where he
resides. And can purchase other policies meant for commercial premises to cover
the shop on the ground floor.
CLAUSE B-INSURED EVENTS - COVERS
Sl No Cover What is not covered
1 Fire Burning - by order of Public Authority
2 Explosion or Implosion …
3 Lightning ….
Earthquake,Volcanic eruptions, or other
4 convulsions of Nature …
Storm,Cyclone,Typhoon,
Tempest,Hurricane,Tornado,Tsunami,
5 Flood and Inundation …
a. normal cracking, settlement or bedding down of new structures
b. the settlement or movement of made up ground
Subsidence of the land on which Your
c. coastal or river erosion,
6 Home Building stands, Landslide,
Rockslide d. defective design or workmanship or use of defective materials, or
e. demolition, construction, structural alterations or repair of any
property, or groundworks or excavations.
Sl No Cover What is not covered
7 Bush fire, Forest Fire, Jungle Fire
Theft within 7 days from the occurrence Excludes if it is a. any article or thing outside Your Home,
14 of and proximately caused by any of the
above Insured Events or b. any article or thing attached from the outside of the outer walls or the roof of Your
Home, unless securely mounted.
CLAUSE C – COVER FOR HOME BUILDING
4. WHAT DO WE PAY
3. FIXING THE SUM
INSURED AND OTHER Cost of repairing
FEATURE
2.ONLY USE FOR to previous
1.WHAT DOES IT Prevailing cost of condition .. Based
RESIDENCE construction of the building
INCLUDE on the commencement on insureds
Can be covered only
date declared by insured declaration
and accepted by insurer
Residential Unit , if the residence is for Building and Actual
cost of repairs for
Having enclosed used for the purpose
Additional structures
of residence - self
Structure and a roof,
,spouse family, tenant
Basement and used ,employees
only as residential
place+ Additional
Structures..(specific
SI)
Home Building does not include Contents of the Home.
03 ONLY
BUILDING .
following ‘additional structures’ (same site) a) garage, domestic out-houses used for
02 ADDITIONAL
STRUCTURES
residence, parking spaces or areas, b) compound walls, fences, gates, retaining walls and
internal roads, c) verandah or porch and the like, d) septic tanks, bio-gas plants, fixed
water storage units or tanks, e) solar panels, wind turbines and air conditioning systems,
central heating systems and the like, if not included in Home Contents Cover, and all
structure which is part of home building- giving separate sum insured. & details…
01 BUILDING
+ FITTINGS
Building structure along with fixtures and fittings permanently attached to the
floor, walls or roof, like fixed sanitary fittings, electrical wiring and other
permanent fittings.
CLAUSE C – COVER FOR HOME BUILDING
4. WHAT DO WE PAY
3. FIXING THE SUM
INSURED AND OTHER Cost of repairing
FEATURE
2.ONLY USE FOR to previous
1.WHAT DOES IT Prevailing cost of condition .. Based
RESIDENCE construction of the building
INCLUDE on the commencement on insureds
Can be covered only
date declared by insured declaration
and accepted by insurer
Residential Unit , if the residence is for Building and Actual
cost of repairs for
Having enclosed used for the purpose
Additional structures
of residence - self
Structure and a roof,
,spouse family, tenant
Basement and used ,employees
only as residential
place+ Additional
Structures..(specific
SI)
USE FOR RESIDENCE
C
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• Carpet area of the structure in square metres X Rate of Cost of Construction at the policy
Commencement Date.
• The Rate of Cost of Construction is the prevailing rate of cost of construction of the Home
Building at the policy Commencement Date.
B) For additional structures: the amount that is based on the prevailing rate of cost
of construction at the Policy Commencement Date.)
Additional Structure Sum insured in Rs
• Specify the carpet area & Specify the rate of contruction per square metre at the
policy commencement date
❖Any addition, extension, or alteration to any structure of the Home Building that
increases its Carpet Area upto 10% of the Carpet Area existing at the
Commencement Date or on the date of renewal of this Policy, is automatically
covered
What is carpet area
• Carpet Area
• For the main building unit of the Home, it is the net usable floor
area, excluding the area covered by the external walls, areas under
services shafts, exclusive balcony or verandah area and exclusive
open terrace area, but including the area covered by the internal
partition walls of the residential unit;
• For any enclosed structure on the same site, it is the net usable floor
area of such structure; and
• for any balcony, verandah area, terrace area, parking area, or any
enclosed structure that is part of the Home, it is 25% of its net usable
floor area.
SUM INSURED …Example
NO UNDERINSURANCE
BUILT IN COVER
SUM INSURED
C
WHAT IS COVERED
A
A. What is covered under Home contents ?
• 1) Articles or things of personal : of non-commercial use which are located inside the home.
• 2) General Contents that are usual in any home i.e., furniture and fittings, television sets,
telephones, electronic items, antennas, water storage equipment, air conditioners, kitchen
equipment and other household items.
• Inbuild Cover for General Contents of the home equal to 20% of the Sum Insured for Home
Building Cover subject to a maximum of ₹ 10 Lakh (Rupees Ten Lakh) provided the insured
have opted for both Home Building and Home Contents cover.
• If Insured choose to have a higher Sum Insured for Home(General ) Contents, he can do so by
declaring the Sum Insured in the Proposal Form and pay additional premium
• 3) Valuable Contents (Optional Cover) like jewellery, silverware, paintings, works of art,
valuable carpets, antique items, curios, paintings can be covered by declaration of sum
insured and paying additional premium
• Excludes bullion or unset precious stones, manuscripts, vehicles, explosive substances ,
cannot be covered even by declaring the same.
• Location and use of contents: Location – address of the home and use is purely personal use
and no commercial use.
B –Who can take this policy – Home
contents?
General Contents : Built in cover for 20% of the sum insured – Maxm Rs 10 lakhs)If Building and contents both cover are
taken)but not a free cover.. Insured has to pay the premium for the amount(20% of the building sum insured)
General Contents : Higher Sum insured – By declaration and paying additional premium
If only Home contents policy – Declare Sum insured for General Contents(should be new replacement value).
Examples of Home contents Sum insured…
The carpet area of Your Home Building is 500 sq.m. The rate of cost of
construction for Your home building is Rs 50,00 per sq.m. Home building
sum insured - Rs 25,00,000/-
If opted for both Home Building and Home Contents cover but have not
specifically mentioned anything about Sum Insured for contents in the
proposal. There is an automatice cover for Home contents for 20% of the
Sum Insured i.e for Rs 5,00,000/-(Maxm allowed is Rs 10 lacs)
D - WHAT IS PAID UNDER –HOME CONTENTS …
• Reimburse the cost of repairs to a condition substantially the same as its condition at the time of damage,
• Pay the cost of replacing that item with a same or similar item,
• Repair the damaged item to a condition substantially the same as its condition at the time of damage.
The maximum amount payable under Home Contents is the Sum Insured shown in the
Policy Schedule for Home Contents Cover.
If the Policy Schedule shows any limit for any item, or category or groups of items,
such limit is the maximum We will pay for that item
CLAUSE E- OPTIONAL COVER –
PERSONAL ACCIDENT COVER
• If the Policy Schedule shows any limit for any item, or category or groups of items,
such limit is the maximum amount payable for that item damaged.
• Loss to only one item of a pair or set does not constitute loss or damage to
the entire pair or set.
Optional Cover – Personal Accident
• In the event an insured peril that caused damages to the Home
Building and/or Home Contents also results in the unfortunate
death of either insured or spouse, Insurers pay compensation of ₹
5,00,000 (Rupees Five Lakh) per person.
• In the event of the unfortunate death of the insured, the Personal
Accident cover shall continue for the spouse until expiry of the
policy.
CLAUSE F - EXCLUSIONS
. Loss, damage or destruction to any
electrical/electronic machine, apparatus, fixture,
or fitting by over-running, excessive pressure,
Deliberate ,Willful or intentional
Radiation and short circuiting, arcing, self heating or leakage of
act or omission of insured, or
contamination clause. electricity from whatever cause (lightning
anyone on his behalf and in
connivance. included) This exclusion applies only to the
particular machine so lost, damaged or destroyed.
Loss or damage to any Any reduction in market value of Costs, fees or expenses for
Insured Property any Insured Property after its preparing any claim.
removed from the repair or reinstatement.
Home to any other
place.
FEATURES … CONTD…
Grievances
Waiver of
Underinsurance
Changes to Cover
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Changes to Cover
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Underinsurance does not apply to this Policy. if the Sum
Insured calculated on the basis of the information that
D
insured is less than the actual value at risk, the difference
will not affect the amount payable on a claim .
J OTHER DETAILS
Notice ,Nomination ,Applicable law and
Jurisdiction , Arbitration C
GRIEVANCES
K
GRO,Consumer Affairs Department of IRDAI,
OMBUDSMAN
Insurers to…
• Launch the product wef 1.4.2021
• Basic product to be filed before 28.2.2021- pricing ..
• Insurers – .. Add ons for the product by 31.3.2021 ( Maxm 5
products)
• By 30th September again 5 products can be filed
• Premium for the add ons – not to exceed 50% of the base premium.
• Impart Training – Agents , Intermediaries and other permitted
channels
Summing up
• Various coverages are in built in .. Terrorism, STFI, EQ..
• New covers : Theft following operation of insured perils within 7 days,
Volcanic eruptions..
• Sum insured is Agreed ..
• No Underinsurance
• For claims
• Prove insured event has happened
• Extent of physical loss
• Actual Repair should take place to get a claim.. Supporting Invoices for
reconstruction,/ Replacement/ Repairs
• Allow surveyor to inspect loss, take measurements, samples, & photographs