establishing underwriting policy for insurance prducts

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    Presented by

    Neha

    Deepti

    VeenuMerily

    Krupali

    Natasha

    Priyanka

    Shweta samant

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    Underwriting policy criteria

    Policy clauses

    Excesses, deductibles, loading and Incentives

    Internal and External constraints on

    underwriting policy

    Risk Assessment

    Underwriting policy guidelines

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    The insurance product offered by the insurer

    should reflect the underwriting philosophy

    and policies of the firm.

    Fulfill the insurers business requirements aswell as the expectations of the policyholders

    Ensure balance between risk exposure and

    premium charged

    Comply with all legal and chosen ethicalrequirement

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    Adhering to common and standardized policy

    wordings

    Benefits

    Tried & tested over a period of time

    Wordings are comprehensive thus removes

    ambiguity

    Uses Plain English

    Standard policies written on modular basis Provide number of different cover

    Example- home insurance policy, standard travel

    policy etc.

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    It include terms of contract and extent of

    cover .

    Criteria relevant :

    Subject matter of insurance.( physicalproperty, personal injury, legal liability, private

    medical expenses, legal expenses)

    Risks or perils covered

    Insurance period

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    Example of subject matter are:

    Building insured under property policy.

    Injury to authorized driver, vehicle and its

    content under motor policy.

    Risk or perils covers:

    Destructions or loss

    They give information that insurer is willing to

    provide cover in respect to particular risk

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    Insurance period :

    Usually it is 12 month

    In case of mortgage indemnity, it is for fixed

    duration reflected in a single premium

    Exceptions in insurance cover

    These include those which an insurer is not

    willing to cover.

    For example war risks or existing damage

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    Inclusion of such type of risk can be

    permitted but at an higher or increased

    premium.

    Terminology : Excesses

    Deductible

    Incentives ( ex. Long Term Agreement)

    Premium loading

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    In any type of insurance an excess or a deductible is a certain pre-

    determined amount that is paid by the policyholder in case an

    accident (or damage) occurs to the policyholder.

    It is of2 types

    - Voluntary : Compulsory excess is the minimum payment that is

    acceptable to your insurance provider.

    - Compulsory: you can also opt for voluntary excess in case you

    want to lower the premiums and have enough funds to shell out

    the amount in case of an accident.

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    Purpose

    To attract new clients & retain existing customers

    Types:

    Long Term Agreement (LTA)

    No Claim Discount (NCD)

    Profit Commission

    Volume Commission

    Gifts

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    What is Normal Premium?

    Example: Maruti 800

    What is Premium loading?

    Example: Modified Maruti 800

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    A first-loss policy is a property insurance policy in which the

    policyholder arranges cover for an amount below the full value of

    the items insured and the insurer agrees not to penalize him for

    under-insurance.

    The main use of these policies is in circumstances in which a total

    loss is virtually impossible.

    Insurer provides first loss covers only in respect of property and

    for losses arising due to storm, flood, impact and theft

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    Externalconstraints

    What iscovered

    Limits ofcover

    MarketPosition

    NewBusinessPosition

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    What tocover

    Fulfill conditions

    Insured should have insurable interest in the subject matter of the insurance.

    Both the insurer as well as the insured should adhere to the doctrine of utmost good faith

    The subject matter of the insurance should be in existence.

    The subject matter should be capable of being identified

    Regulatory laws

    Limits tocover

    Ensure sound financial resources

    MarketPosition

    Competition

    New BusinessGrowth

    Solvency

    Competitive environment

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    Few in number

    Long time in business and possess good

    experience and knows what to cover withrespect to all the classes they transact

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    There may be a reluctance to provide cover

    with respect to a particular class or subclass

    of business at particular location or in

    generalEg: cracker factory

    Lack of evidence suggesting demand for a

    particular cover

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    Classification and

    categorization of risk

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    Frequency

    Severity

    Assessment of potential claims

    Relevant and detailed statistical data

    INTERNAL EXTERNAL

    ARRANGEMENT IN A

    SYSTEMATIC MANNER,MANAGEABLE FORMAT

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    Common definitions

    In U.K. , the A.B.I.- codes-simplifying process

    Eg. Private motor Insurance, Property Insurance

    ACCEPTANCEAND RENEWALCRITERIA

    Underwriting guidelines- commercial risks

    Quality of Insurance portfolio- audits

    RISK IMPROVEMENTAND SURVEYCRITERIA

    Verify the accuracy

    Survey method- size of risk and frequency of risk

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    Insured

    Insurer

    Insurer can choose business Insurer will not accept sub-standard risks

    Higher risks if accepted, will be charged a very high premium

    HARD MARKET

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    Insured

    Insurer

    Intense competition among insurersoor ris s ill ecome accepta le

    remiums ill nose-dive

    SOFT MARKET

    olicyholders can procure cover as per requirements

    Any attempt at ris -improvement ill fail

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    Competitor Activities

    Stay abreast

    Be armed with a counter strategy

    EML Estimated Max Loss Policy requisites

    How retention limits are controlled

    What safeguards are in place

    What measures are to be initiated to rectify negativetrends

    y Reinsurance different types

    y Adopt new responsive business acquisition policy

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    Binding authorities Agents accept risks of a particular class within

    defined limits

    Limits clear, pre-defined by insurer

    Ceiling imposed on agents authority to writenon-standard business

    Insurer notified at regular intervals

    Agent benefits

    Higher commission Greater authority to take decisions quickly

    Insurer benefits More business is written

    Certain administrative hassles taken care of

    BUT, Ensure proper monitoring & auditing arrangements

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    Acceptance Slips

    In case of large risks

    Ability of external agents to implement firms

    underwriting policy

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    Standardgroup

    Balancing thesize of

    Substandardgroups

    Balancewithin each

    class

    Emphasis onmajor risks

    Equityamonginsurers

    Socialacceptability

    Recognitionof

    underlyingloss

    assumptions

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    THANK YOU