Section II The Insurance Sector—An Overview
Section III Banks and Insurance Services—Bancassurance in India
Section IV The Global Insurance Industry—Opportunities and Challenges
Insurance is a protection against a financial loss, arising on the happenings of an unexpected event. Insurance is a contract between two parties whereby one party called insurer takes a fixed sum called premiums, in exchange to pay the other party on the happening of a certain event. A loss is paid out of this premium collected from the insuring public. The insurance company acts as a trustee for the amount collected through these premiums. Insurance is generally classified into three main categories—life insurance, health insurance and general insurance. In order to get insured, an individual or an organization can approach an insurance company directly, through an insurance agent of the concerned company or through intermediaries.
In legal terms, insurance is a ‘uberrimae fidae’ contract—a contract of ‘utmost good faith’. The compensation is contingent upon happening or non happening of a certain event. Insurance provides monetary compensation for the loss, damage or death, provided it falls within the framework of the specific terms of the insurance contract.
What will the amount of compensation of ‘loss’ be based on? The most important factor is ‘value’ – perceived value of the insured object or its potential value in future, or the value for which insurance has been taken. This implies that only those entities or activities that have ascertainable value can be insured. Assessment of ‘value’ is possible in all ‘non life’ (general insurance) contracts – say, insurance on property or vehicles – where the current market price as well as the future revenue generating capacity of the asset can be evaluated with reasonable data or assumptions.
But how does one value ‘life’ – and hence ‘life insurance’? Unlike general insurance, no compensation can be considered adequate for loss of life. In fact, what is compensated is the loss of future income of the individual whose life was insured. Of course, this value would again depend on the age, health and earning capacity of the individual. Once a value is placed on these factors, the policy ‘insures’ the life. Hence, the essential difference between life and general insurance is that life insurance considers the future stream of cash that the insured person would be able to generate over his/her lifetime, while general insurance considers the present value of future cash flows possible from the asset.
Box 18.1 provides an illustrative list of the important terminologies used in respect of Insurance.
Policy: The contract sold by the Insurance company
Policy falling due: Date of payment by insurance company—either due to contract terms or because the insured risk has translated into actual loss. Once a policy falls due for payment (as in the case of life insurance), the ‘life’ of the policy is over and insurance cover under the policy is no more available.
Premium: The amount to be paid by the insured person to enter into the contract or to maintain continuity of the policy.
Sum insured: The amount promised by the insurance company in case of claim at maturity, as in the case of life insurance or when actual loss occurs.
Surrender value: This term is applicable to life insurance policies. In case the person who has taken insurance decides to discontinue paying premiums after a few years before maturity, the insurance company would pay back ‘surrender value’, a value less than the actual amount of premiums already paid.
Assurance versus insurance: Though both terms are often used interchangeably, there is a subtle difference. Insurance refers to protection against loss that may or may not happen, as in the case of fire or theft. Assurance is protection against an event that is bound to occur sooner or later. Hence, ‘life assurance’ is possible, but not ‘fire assurance’.
A contract of insurance should contain certain essential features. Though some of these features may be found in contracts other than insurance, the following are the characteristic features that every insurance contract should contain:
Generally, one rule to establish insurable interest is through ownership of the assets being insured. However, in special cases, such as mortgagees and mortgagors, agents, executors and trustees or bailees, partial ownership of assets insured is recognized as insurable interest. There are also certain classes of insurance that do not demand proving insurable interest, such as accident insurance and certain life insurance contracts. For example, in the case of insurance taken on the life of the spouse, the relationship itself is sufficient to prove existence of insurable interest.
It is to be noted that both ‘indemnification’ and ‘subrogation’ are not applicable to life insurance contracts.
Insurance is an instrument of security, savings and peace of mind. By paying a small amount of premium to an insurance company, one can avail of several benefits as follows:
Life insurance is universally acknowledged to be an institution which eliminates ‘risk’ and provides timely aid to the family in case of an unfortunate event like the death of the breadwinner. It is a contract for payment of a sum of money to the person assured (or the nominee) on the happening of the events insured against. The contract provides for the payment of premium periodically to the insurance company by the insured. The contract provides for the payment of an amount on the date of maturity or at specified dates at periodic intervals or at unfortunate death, if it occurs earlier. Some benefits of life insurance are as follows:
Protection Life insurance guarantees the full protection against risk of death of the assured. In case of death, the full sum assured is payable.
Long-Term Saving By paying a small premium in easy installments for a long period, a handsome saving can be achieved.
Liquidity A loan can be obtained against an assured policy whenever required.
Tax Relief Tax relief in income tax and wealth tax can be availed on the premium paid for life insurance.
Health insurance polices ensure guarding a holder’s health against any calamities that may cause long-term harm to his life hampering his earning ability for a lifetime. These health policies cover individuals and groups.
There are several types of health policies as given below.
Broadly, insurance products can be classified as given in Figure 18.1.
FIGURE 18.1 BROAD CLASSES OF INSURANCE PRODUCTS
Life insurance: This is a contract between the insurance company and the insured person, whose terms specify that the insurer pay a specified amount of money at the end of the term of the policy, or in case of the death of the insured. The insured periodically pays a premium, the amount of which is determined based on the insured’s age and health. At the end of the term or on the death of the insured, whichever is earlier, the amount along with bonus is paid to the insured or his family.
As shown in Figure 18.1, there are two basic types of plans under life insurance—pure endowment and term assurance. These are considered the building blocks of life insurance, and the other plans, schemes and annuity plans of life insuring companies are variants of these basic plans. Under the pure endowment plan (and its variants), the sum assured is paid on survival of the life assured for the term of the policy. Under the term insurance plan, in contrast, the insurance sum is paid only on death of the insured during the term of the policy.
An illustrative list of general insurance products is as follows:
The economic growth and increase in population have made the countries, such as India and China as the most lucrative insurance markets in the world. Before 1999, Indian market was a monopoly with the state-run Life Insurance Corporation of India (LIC), the major player in life insurance sector and the General Insurance Corporation of India (GIC), with its four subsidiaries in the general sector. In the wake of the reform process and the passing of the Insurance Regulatory Development Act (IRDA) by the parliament in 1999, the Indian insurance sector was opened for private companies.
History The insurance industry has a long history. Life insurance, in its existing form, came to India from the UK in 1818. The Indian Life Insurance Companies Act of 1912, was the first measure to regulate the life insurance business. Later in 1928, the Insurance Companies Act was passed, which the government amended in 1950. On 1 September 1956, all the insurance companies were nationalized. The LIC of India was formed in September 1956, by the passing of the LIC Act by the Indian parliament in 1956.
The first general insurance company, Triton Insurance Company Ltd, was established in Calcutta in 1850. In 1957, the General Insurance Council, a wing of the Insurance Association of India, formed a code of conduct. In 1961, an insurance act was passed to form the GIC Ltd, which was amended in 1968. The general insurance business was nationalized with effect from 1 January 1973 by the General Insurance Business Act of 1972. 107 Indian and foreign insurance companies operating prior to 1973 were amalgamated and grouped into four operating companies under the GIC.
All the above four subsidiaries of the GIC operate all over India. The GIC and its four subsidiary companies were government companies registered under the Companies Act.
The GIC as a holding company of the above four companies, super intends, controls and carries on the business of general insurance. The GIC undertakes mainly reassurance business and aviation insurance. The general insurance business of fire, marine, motor and miscellaneous is undertaken by the four subsidiaries. The general insurance industry has been growing at a rate of 17 per cent per annum.
Globalization and Liberalization The wave of globalization and liberalization is in full swing in the Indian markets. The insurance sector, being one of the most affected markets, has experienced a plethora of new relationships in the last couple of years. There are a few forces acting on the industry that have brought about significant changes in the behaviour of insurance policies.
India has become the second largest emerging market in the world. Emerging markets are characterized by low penetration and high growth.
Tables 18.1 and 18.2 provide basic information on the life and general insurance companies operating in India.
Though liberalization has led to an increase in the number of players, there is immense potential to increase insurance penetration in India. One study states that only about a quarter of India’s population has life insurance. ‘Insurance penetration’ is defined as the ratio of insurance premium to GDP, and is considered a key indicator of the spread of insurance coverage and insurance culture.
People purchase insurance for various reasons—old age security, risk coverage, tax rebate, money for child’s marriage and money for child’s education in that order with diminishing importance. In terms of insurability, the market penetration and coverage of human life value of policyholders are both less than 20 per cent. To harness the full force of Indian potential for contractual savings like insurance, the industry must learn a differential technique for rural business in areas like product development and pricing, marketing, development of sales channels, sales process, service to customers and financial management with a rural bias.
TABLE 18.2 GENERAL INSURANCE COMPANIES OPERATING IN INDIA
Some of the discernable trends for a healthy industry in India are a change of strategy from a technology focus to an integrated business focus, management style from a functional control to leadership based on teamwork, organization from a rigid hierarchical structure to a flexible team-based structure, performance measurement from a weak internal job orientation to a result-based business, funding from incremental induction to business value-based commitment and relationship with customer from ‘sell what can be sold’ to ‘retain the customer for life’.
Consider the following facts. Only 22 per cent of the insurable population in India possesses life insurance. What’s more, in a country of over 1 billion people, life insurance premia forms only 1.8 per cent of the GDP, indicating the extent of underinsurance. Recognizing the huge potential in the market and the need to make insurance, particularly life insurance, available on a wider scale, the government opened the industry to private players in 1999 and was flooded with applications. Major international insurers—Prudential and Standard Life of UK, Sun Life of Canada and AIG, MetLife and New York Life of the US, to name a few, tied up with leading companies in India to reach out to this vast mass (see Table 18.3). Today, the Indian life insurance industry has many private players, each of which are making strides in raising awareness levels, introducing innovative products and increasing the penetration of life insurance in the vastly underinsured country. Several of the private insurers have introduced revamped products to meet the needs of their target customers in line with their business objectives. Some insurers, such as ICICI PruLife have fulfilled their mission to be a scale player in the mass market by introducing a slew of products to meet the need of each customer. Others have taken a more focused approach, introducing select products that they believe hold potential and fill market gaps. Whatever the case may be, each life insurer has approached the category with a fresh perspective. The success of the efforts is noteworthy—private players captured over 20 per cent of the premium income in less than 4 years since the beginning of operations, a figure that is growing each month.
Undoubtedly the biggest beneficiary of the competition amongst life insurers is the consumer. A wide range of products, customer-focused service and professional advice has become the mainstay of the industry, and the consumer forms the pivot of each company’s strategy. On the back of advertising campaigns, seminars and workshops, one can see a dramatic increase in customer awareness. Penetration of life insurance is beginning to cut across socio-economic classes and attract people who have never purchased insurance before.
Life insurance is no longer a poorly understood product that is pushed on to people. Nor is it a product that is only to be bought hurriedly at the time of filling taxes. It is now catching on as an important element of the overall financial basket; one that is purchased to fulfil specific rational and emotional needs and has clear benefits and advisors are being trained to sell insurance as a solution to meet these needs.
Life insurance is now also being regarded as a versatile financial planning tool. Research indicates that Indians have four basic financial needs during their life—asset accumulation (house, car), protecting their family, securing their children’s education and provision for their retirement. So, while there are three basic types of insurance, these have been structured with increased flexibility to meet focused requirements. Furthermore, these can be enhanced with riders to protect one against disability and provide monetary compensation at times of critical illness or surgeries. Apart from protection, life insurance policies are also ideal vehicles to save for retirement, because of their expertise in long-term fund management. By starting, say in one’s early thirties, and saving regularly through a pension plan for say, 25–30 years, a person can accumulate a large amount at the time of retirement. This can then be invested in an annuity to provide a regular income.
In addition to innovation, there are two trends that stand out on the products front. The days of high guaranteed return products, which were unsustainable, are over. Products are now priced flexibly, realistically and sustainably. What does this mean for the consumer? With greater awareness, they are in a better position to understand the benefits and are accepting new products.
Another area of vast improvement is in the service attitude and delivery. From a system that left policyholders running from pillar to post to get policy serviced, service levels are steadily rising to make the customer the focus of each initiative.
Multiple touch-points have emerged—contact centres, email, facsimile, web sites and of course snailmail—which enable the customer to get in touch with insurance companies quickly, easily and directly. In the process, response time has come down dramatically and information availability has become immediate.
As with privatization in any industry, the benefits are not restricted to the customer alone, but extend to society at large by generating employment for thousands. Over the past 2 years, insurance companies—both life and non-life—have collectively hired thousands of employees to staff their operations across the country. Most of them have been appointed as life insurance advisors who counsel and recommend products to insurance buyers. One of the most promising outcomes of this trend is that a job as an insurance advisor has become a practical career option for thousands of people who would otherwise not work—housewives, retirees, even those with just basic educational qualifications! Success levels are determined by the amount of effort one puts in, and the advantages are several—flexible hours, continuous learning and training, little or no investment, the pride of working with some of the most respected names in the financial services industry and an income stream that can continue for several years.
It is clear that the face of life insurance is changing. But with the changes, there come a host of challenges, and it is only the credible players with a long-term vision and a robust business strategy that will survive. Whatever be the developments, the future and the opportunities in the industry will surely be exciting.
On the recommendation of the Malhotra Committee, the Insurance Regulatory Development Act (IRDA) was passed by the Indian Parliament in 1993. Its main aim was to activate an insurance regulatory apparatus essential for proper monitoring and controlling of the insurance industry. This Act helped several private companies to enter into the insurance market and some companies even joined hands with foreign partners. In this economic reform process, insurance companies could boost the socio-economic development process also. The huge amount of funds at the disposal of insurance companies could be directed towards desired avenues like housing, safe drinking water, electricity, primary education and infrastructure. The growth of the debt market also got a boost. Above all, the policyholders got better pricing of products from competitive insurance companies.
IRDA is responsible for the proper monitoring and controlling of the insurance industry. The IRDA is headed by a chairman, who is also the controller of insurance.2
IRDA, for the time being, prohibits 100 per cent foreign equity in insurance. It requires Indian promoters to invest either wholly in an insurance venture or establish a joint venture with a foreign partner. IRDA is the sole authority responsible for awarding of licenses.
Due to the IRDA regulations, foreign players have to cultivate and develop long-term relations with potential Indian partners. The IRDA encourages domestic insurers to maintain maximum retentions commensurate with their financial strength and premium volume. Further, insurers must satisfy minimum obligations to serve specific rural and social sectors with phased operational targets. The IRDA also has tight controls and regulates rates, minimum capitalization and solvency, as well as advertisements, disclosure requirements, contract terms and conditions. Insurers must also satisfy minimum investment requirements in national government, state or approved securities (i.e., not less than 50 per cent of the total invested assets for life insurers and 30 per cent for non-life and reinsures). Minimum investment in infrastructure and social sector assets also apply (i.e., at least 15 per cent of life assets and 10 per cent for non-life and reinsures).4 The general intent is to keep as much business in the country as possible, a somewhat questionable action given the potentially substantial economic benefits of greater geographic diversifications.
Tax Concession An investment in life insurance is not only a safety net, but also a great way to reduce tax burden. An illustrative list of income tax benefits available under various plans of life insurance is provided in Table 18.3.
TABLE 18.3 AN ILLUSTRATIVE LIST OF IT BENEFITS CURRENTLY APPLICABLE (2009–2010) IN RESPECT OF LIFE INSURANCE
Life Insurance Corporation of India (LIC) was formed in September 1956 by the Government of India. Its main duty was to spread the message of life insurance in the country and mobilize people to save for nation-building activities.
Over time, LIC became very popular in India. The central office of LIC is in Mumbai and it has seven zonal offices located at Mumbai, Delhi, Kolkata, Chennai, Hyderabad, Kanpur and Bhopal. There are over 100 divisional offices and 3,000 plus branch offices. There are more than half a million active agents of LIC. It also has offices in different countries for business transactions. LIC has entered into joint ventures abroad with several companies in the field of insurance.
LIC has a variety of insurance plans which helps all categories of people and their diverse needs. The funds generated through the premium of policyholders are divested to a number of socio-economic projects in the country. The LIC insurance plan is categorized as individual insurance plan, group insurance schemes, pension plans and capital market linked plans.
LIC Plans for Individuals The important insurance plans offered by the LIC are as follows:
The Export Credit Guarantee Corporation of India, the fifth largest credit insurer of the world was established in 1957 by the Government of India. Its main purpose is to cover the risk of companies on export credit. It is managed by a board of directors comprising representatives of the government, the Reserve Bank of India, the banking sector and insurance and exporting firms.
Major Functions The major functions of ECGC can be discussed as under.
Policies issued by the ECGC can be divided into the following categories:
Overseas Investment Risk Insurance The ECGC has evolved a scheme to provide protection for Indian investments abroad. Any investments made by way of equity capital or untied loan for the purpose of setting up or expansion of overseas projects will be eligible for cover under investment insurance. The investments may be either in cash or in the form of export of Indian capital goods and services. The cover will be available for the original investment together with annual dividends or interest receivable.
Gradually all over the world, the separation of commercial banking activities from other financial services is blurring. In many countries, where such compartmentalization did exist, the barriers are being broken down through appropriate legislation and regulation. Financial liberalization and innovation have brought the worlds of banking and insurance closer.
Bancassurance refers to selling insurance products through banks’ established distribution channels. Given India’s size, its low insurance penetration, low insurance density and a very large bank branch network, it was only natural that banks entered the insurance business—since insurance is a financial product required by all banking customers.
The term ‘bancassurance’ stems from French origins (banc + assurance). In France, traditionally, a large part of insurance selling is being done by banks, and the term first appeared in 1980. Banks selling insurance products became common in other European countries too. Even in the United States, where there was a strict division between banking and non-banking activities, there is increased preference—post the Gramm-Leach-Blailey Act 1999—for banks dealing in non-banking financial products, especially insurance products. Several Asian countries too have adopted the ‘financial supermarket’ theme.
Following the Malhotra Committee recommendations,1 the Government of India specified in August 2000 that ‘Insurance’ is a permissible form of business that could be undertaken by banks under Section 6(1)(o) of the Banking Regulation Act, 1949. Subsequently, the RBI issued the guidelines on banks conducting insurance business.
Bancassurance helps banks in the following ways:
Bankassurance helps insurance companies in the following ways:
Bancassurance helps customers in the following ways:
Let us look at the typical models of bancassurance.
Both the referral and corporate agency models are in vogue in India. The current regulations stipulate that banks can opt to become either referral providers or corporate agents, but they are permitted to do so only for one life and one non-life insurance company in India. Variants of these practices can be found in various parts of the world, as shown in Table 18.4.
TABLE 18.4 ILLUSTRATIVE PRACTICES ADOPTED BY VARIOUS COUNTRIES FOR BANCASSURANCE
The performance of the insurance sector since 2007 has been largely influenced by the sub-prime crisis that originated in the United States, and later engulfed most of the major world economies. However, except for a few major insurance companies, most insurance companies were not affected. Nevertheless, for the first time since 1980, insurance premiums declined in real terms. Life premiums appeared to be impacted more by a fall of about 3.5 per cent, while non-life premiums fell by 0.8 per cent. Profitability of insurance companies were further eroded due to losses on investments in volatile capital markets and higher cost of guarantees as well as lower revenues from management fees.
The United States of America accounts for 35 per cent of the global life and non-life insurance premiums. This reflects the concentration of wealth and high risk-awareness in that market. Japan has a global share of 21 per cent, mainly due to the public’s strong reliance on life insurance products as an investment vehicle. The UK contributes to about 10 per cent of the world’s total premium. Together, the three markets account for 66 per cent of world insurance premiums. It is worth noting that insurance industry too has its plate full of miseries. Non-life insurance companies suffered more than the life insurance ones. They were called upon to bear the loss due to the terrorist attacks; reinsurance companies had also doled out billions of dollars taking a severe hit in the process.
There is tremendous potential for growth in the insurance industry because of the diversity and depth of the market. Amidst challenges of liberalization, intense competition and convergence of financial institutions, global insurers have called for greater cooperation among themselves and with the regulators. The life market is coping with challenges of new regulations, widened competition from banks and pressure to expand distribution channels. In recent years, insurers have expanded the frontier of insurability to include previous unfamiliar areas like political, gene and financial risk and would necessarily face greater challenges than before. In general, the key challenges are as follows:
Catastrophes Natural catastrophes include storms, floods and earthquakes. In recent years, the magnitude of catastrophic property—casualty disaster has become a major topic of debate. An approach based on traditional insurance according to the solidarity principle is better for all concerned and is feasible from an underwriting point of view.
Both life and non-life insurers see real challenges and opportunities in the market. Non-life insurers welcome the hardening cycle as a forcing factor to the industry to return to prudent underwriting basics, while life insurers feel there is greater scope for players with stress on financial planning, retirement planning, asset management and healthcare insurance. The key strength of the market is a strong consumer demand for insurance products, which is expected to continue for a long time.
One conception of convergence is that the lines between banking, finance and insurance are increasingly blurred. For example, bancassurance, the provision of insurance products through banks, has developed into a major insurance distribution channel in Europe, where regulatory barriers are less restrictive than in other markets. Life products are more easily sold through banks than non-life products. The growth of bancassurance reflects several broad industry trends, including growing competition, a desire to expand existing distribution networks through cross-selling, a bank’s desire for diversification, financial deregulation and the pursuit of cost efficiencies.
Globally, insurers are increasingly pressured by the demands of their clients. The development of the global insurance industry over the past few years was considerably influenced by the booming stock markets, which enabled considerable capital gains to be made in the non-life business. This strengthening of insurers’ equity capital increased underwriting capacity, while demand did not develop at the same pace, resulting in a dramatic fall in insurance prices. The stock market boom of the past few years led to a soaring demand for unit-linked insurance products in life business.
The key areas for the IRDA for developing the emerging Indian insurance market are given below.