general insurance train

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    INDEX INSURER INSURED RISK PERIL SUM INSURED COVER SMI CLASS SUBCLASS DISCOUNTS LOADING DEDUCTIBLE

    EXCESS RATE CUSTOMERS ISSUE DATE INCEPTION DATE CONDITIONS UNDERWRITING PROPOSAL FORM CLAIM POLICY DURATION PREMIUM

    CALCULATION

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    Types Of Insurance

    General Insurance

    Life

    1.Group Medical

    2.Group Life

    3.Individual Life

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    General Insurance

    Basic Concepts

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    The Insurance Transaction

    The Risk

    TheInsured

    TheInsurer

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    Insurance Company is theINSURER

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    One who insures and takes a policyis the INSURED

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    RISK

    Risk is a condition where there is apossibility of an adverse deviation

    from a desired outcome that isexpected or hoped for there is norequirement that the possibility be

    unmeasurable,only that it mustexist.

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    PERIL

    A peril is a cause of loss,e.g.fire,windstorm,hail or theft.

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    SUM INSURED(SI)

    Value of the property/max amountpayable when a loss occurs.

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    COVER

    A group of perils put together.

    Fire,Flood,Earth Quake,Theft

    RSMD-Riot,Strike,Malacious Damage

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    SMI

    Subject Matter Insured

    Eg building ,FFF

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    CLASS

    Classifications of General Insurance1.Fire

    2.Marine

    3.Miscellaneous(Motor,PersonalAccident,Money,Engineering)

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    SUBCLASS

    PTE Preferred Car WorkshopPrivate Car Standard

    Tour Care Plus Individual

    Tour Care Plus Family

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    DISCOUNTS

    The amount that is reduced fromthe Premium.

    For

    E.g., FEA,ATD,OFD,NCD

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    LOADING

    This is the amount added to thePremium amount.

    E.g.,Katcha Construction

    Flash Point,Earth Quake zone

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    DEDUCTIBLE

    This an amount that is reducedfrom the claim amount.

    Decided by tariff advisory

    committee.Discourage small claims.

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    EXCESS

    For a predecided claim amount.Amount is deducted fromPremium.

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    CHARGES

    1.Service Tax2.Educational Cess

    3.Stamp Duty

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    RATE

    The factor upon which thepremium is based.

    E.g.,%,per mil

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    PREMIUM CALCULATION

    1.Annual2.Pro-Rata

    3.Short Period

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    CUSTOMERS

    A customer may be:1. Insured or policy Holder

    2. Broker/Agent

    3. Banks

    4. Other Insurance Companies

    5. Reinsurance Companies

    6. Surve ors Loss Assessors

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    CONDITIONS

    All policies contain a list ofconditions.They appear in different

    parts of the policies but conveysimilar points.

    1. That the insured will comply with

    all the terms of the policy.2. That the insured will notify the

    insurer of any changes in the risk.

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    UNDERWRITING

    The process of selecting risks forinsurance and determining in whatamount and on what terms the

    insurance company will accept therisk.

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    PROPOSAL FORM

    The information of the risk to beinsured is entered.

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    ISSUE DATE

    Date on which the Policy isissued.

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    INCEPTION DATE

    Date on which Policycommences/with effect from.

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    DURATION OF POLICY

    AnnualShort Term

    Long Term

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    COMMISSION

    Commission to agents andbrokerage to brokers.

    Both are a percentage of

    Premium.

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    CLAIM

    A request for the payment of a losswhich may come under the terms of

    an insurance contract.1.date of loss 2.date of intimation

    3.estimate 4.surveyors 5.loss

    assessors 6.claim provision7.outstanding claims 8.claims ratios

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    COVER NOTE

    It states that insurance is in forceand give breif details of the cover.

    Temporary

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    CERTIFICATE OFINSURANCE

    This certificate provides evidenceof insurance to the Police andRegistration authorities.

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    THE POLICY SCHEDULE

    It is the place where the policy ismade personal to the insured.

    It includes:-1.the insured

    2.the address of the insured

    3.the nature of business/profession

    4.the period of insurance etc.

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    ENDORSEMENTS

    Alterations to the issued Policy.

    Non-monetary

    Monetary

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    FIRE INSURANCE

    The standard fire policy covers damage tothe property caused by fire,lightening orexplosion.

    The other perils1.storm tempest or flood

    2.burst pipes

    3.earthquake4.aircraft

    5.riot,civil commotion

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    6.malicious damage

    7.explosion

    8.impact

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    DECLARATION POLICY

    Declare the value of the stocks atregular interval

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    FLOATING POLICIES

    These policies may be issued forstocks at various locations underone sum insured.

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    MOTOR INSURANCE

    Third party only:-covers theinsureds liability in respect of thirdparty injury,death or propertydamage.

    Comprehensive :-includes accidentaldamage to the vehicle in addition tothe thirt party ,fire and theft cover.

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    Such policies may also includepersonal accident benefits forinsured and spouse,medicalexpenses and loss of or damage torugs ,clothing and personal effects.

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    Motor policies are described by thetype of vehicle insured.Thus thereare separate policies for privatecars,motor cycles,commercialvehicles[taxis,lorries,vans,hire carsand so on] ,and special type of

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    Vehicles [like forklift trucks,mobilecranes,etc.]

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    PERSONAL ACCIDENT

    The policy is to providecompensation in the event of anaccident causing death or injury.

    What are termed as capital sumsare paid in the event of death orcertain specified injuries,such asthe loss of limbs or sight as may be

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    defined in the policy.A typicalbenefits schedule is:-

    Death 100% of the SI

    Loss of one handOr leg or eye 50% of the SI