"Accident Insurance"-A Life Security: A Project Submitted To University of Mumbai
"Accident Insurance"-A Life Security: A Project Submitted To University of Mumbai
BY ANITA SESMA
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2.1 Private Car Insurance: ........................................................................................................................... 26 What does the Auto Secure Insurance cover? ................................................................................ 26
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This cover offers full claim without any deduction for depreciation on the value of parts replaced. The cover is available for vehicles up to 3 years old and operates for maximum 2 claims during the policy period. ...................................................................................................................................... 27 2. Return to Invoice....................................................................................................................... 27
2.2 Two Wheeler Insurance ........................................................................................................................ 28 Key Features ........................................................................................................................................... 28 What are the unique benefits offered by Tata AIG? ..................................................................... 29 3.3 Commercial Vehicle Insurance ........................................................................................................ 29 Key Features ........................................................................................................................................... 29 IV) OTHER TYPES OF ACCIDENT INSURANCE ................................................................................ 32 1. Business Travel Accident Insurance ................................................................................................... 32 2. Household Members Personal Accident Insurance............................................................................. 32 3. Personal Accident Insurance for Members of Sports Organizations .................................................. 32 4. Personal Accident Insurance for Members of Hunting and Fishing Organizations ............................ 32 5. Personal Accident Insurance for Members of Volunteer Firefighters Organizations and Other Lifesaving Teams .................................................................................................................................... 33 6. Personal Accident Insurance for Pilots, Cabin Crew Members and Passengers in Airplanes and Other Aircraft .................................................................................................................................................... 33 7. Personal Accident Insurance for Members of Cultural Associations ................................................. 33 8. Personal Accident Insurance for Children, Pupils and Students .............................................. 33 9. Personal Accident Insurance for Students Staying Abroad ................................................................ 34 10. Personal Accident Insurance for Visitors and Audiences, Including Policyholder Liability ............ 34 11. Personal Accident Insurance for Tourists and Holidaymakers, Including Policyholder Liability .... 34 Is Accident Insurance Different Than Health Insurance?.......................................................................................... 37 How They Pay ......................................................................................................................................... 37 What They Cover..................................................................................................................................... 37 Exclusions ............................................................................................................................................... 37 Cost ......................................................................................................................................................... 38 Forum for Prevention of Road Accidents ............................................................................................... 39 Sydenham College Of Commerce and Economics Page 3
Mumbai
ANITA SESMA
April 2012
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ANITA SESMA
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I, Miss anita sesma, student of T.Y.B.Com, Banking and Insurance, Semester VI, Roll No. 44 hereby declare that this Project Report entitled ACCIDENTAL INSURANCE- A life security is being submitted as a partial fulfillment of the course, which is necessary requirement to pass the Semester VI examination.
I further declare that the Report is the output of my personal research and all the information contained here in is correct to the best of my knowledge.
Mumbai
ANITA SESMA
APRIL, 2012
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Since then the insurance industry has gone through many sea changes .The competition LIC started facing from these companies were threatening to the existence of LIC .since the liberalization of the industry the insurance industry has never looked back and today stand as the one of the most competitive and exploring industry in India. The entry of the private players and the increased use of the new distribution are in the limelight today. The use of new distribution techniques and the IT tools has increased the scope of the industry in the longer run
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1938 1956
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1968 1972
PRESENT SCENARIO
India with about 200 million middle class household shows a huge untapped potential for players in the insurance industry. Saturation of markets in many developed economies has made the Indian market even more attractive for global insurance majors. The insurance sector in India has come to a position of very high potential and competitiveness in the market. Indians, have always seen life insurance as a tax saving device, are now suddenly turning to the private sector that are providing them new products and variety for their choice. Consumers remain the most important centre of the insurance sector. After the entry of the foreign players the industry is seeing a lot of competition and thus improvement of the customer service in the industry. Computerization of operations and updating of technology has become imperative in the current scenario. The insurance agents still remain the main source through which insurance products are sold. The concept is very well established in the country like India but still the increasing use of other sources is imperative. At present the distribution channels that are available in the market are listed below. Direct selling Corporate agents Group selling Brokers and cooperative societies Bancassurance Customers are offered unbundled products with a variety of benefits as riders from which they can choose. More customers are buying products and services based on their true needs and not just traditional money back policies, which is not considered very appropriate for long-term protection and savings. There is lots of saving and investment plans in the market. However, there are still some key new products yet to be introduced - e.g. health products. The rural consumer is now exhibiting an increasing propensity for insurance products. A research conducted exhibited that the rural consumers are willing to dole out anything between Rs 3,500 and Rs 2,900 as premium each year. In the insurance the awareness level for life insurance is the highest in rural India, but the consumers are also aware about motor, accidents and cattle insurance.
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WHAT TO ENQUIRE FOR?? When shopping for accident insurance, people should ask about premiums and what types of accidents and events are covered. Some insurance companies cover more than others, and some are notorious for viewing all claims with deep suspicion, delaying payments until they are satisfied that a customer really does meet the terms for a payout. For people who need money to deal with immediate expenses, this can be a problem. Accident insurance policies have payouts which vary, depending on the severity of the injuries. Some include very specific language about amounts which will be paid out in the event of losing particular extremities, for example. The payout is designed to cover medical care along with pain and suffering, and if an accident causes permanent disability, the payment may be structured to provide funds for the accident victim to live on. In the event of a death, the benefits are paid out to the listed beneficiary on the policy.
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If you are a breadwinner, an accident can create serious financial problems for your family. It can ruin the comfort and security you work so hard to provide them. Just think of it, which will help them settle the financial commitments in your absence or in case of your disability to earn any more, temporarily or permanently? You need to be prepared. Arm yourself with personal accidentinsurance.Accident insurance provides a cash cover to a policyholder when s/he suffers injuries as a result of an accident. While insurance helps a policyholder pay off hospital and medical bills in case of accident injuries, it provides cash benefits to family members if the policyholder dies in the accident. This insurance, applicable 24 hours a day, 365 days a year, is also commonly referred to as personal accident insurance. Accident benefits are most commonly paid for people are:* Accidental loss of life (also called accidental death) * Accidental loss of limb or sight (dismemberment) * Loss of time and/or income * Hospital expenses * Surgical expenses * Medical expenses like visits to the doctor. The person who received the death benefit is called the beneficiary. The policy owner (or holder) has the right and responsibility of naming beneficiaries. Usually there is primary beneficiary however the policyholder can assign second and even a third beneficiary. The primary beneficiary is the first person in line to receive the benefit in the event of the death of the policyholder. They can also name a second beneficiary who would receive the benefit in the event the primary beneficiary dies before the insured. Some policies can include a third beneficiary who would be in line after the first two. Although, some policies allow you to divide (by percentage) between the beneficiaries.
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During 2004 there were 280,840 casualties on Indian Roads . That includes 3221 killed and 31,330 seriously injured. Accidents at home Surprisingly, your home is one of the most dangerous places you can be. Home injuries send an incredible 2.8 million people to hospital Accident and Emergency units, with an unknown number going to GPs for less serious accidents. Every day, ten people die and 8000 people seek medical treatment as a result of home and garden accidents in the INDIA. Most common accidents are falls from height, choking, poisoning, burns and scalds. Accidents at work
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In 2005 around 2 million people were hurt at work and required treatment at a hospital casualty department. In 2005 over 200 people died, and over 350,000 were seriously injured. Many had to take weeks off work Accidents involving children
The saddest figure is the annual toll of child deaths from accident, including 260 road casualties Every year, 3 million children suffered injuries which require attendance at the A&E department of a hospital. A million are injured in and around schools, recreational areas, and sports facilities and so on -and 2 million in and around the home. If a serious accident befalls you, then you may be unable to work for the rest of your life. You may need money for income or adapting your home.
You have a one in seven chance of being off work for 6 months due to illness or accident, during your working life. Thankfully, medical advances and better remedial care mean that more people can return to work and normal life. You may expect the state to support you. You may get a small amount of benefit, but may have to go through unpleasant interviews, medical tests and a review of your finances. Sadly, with many fraudulent claimants, the state treats everyone claiming benefit with great suspicion, guilty until proven innocent. If you are a specialist tradesperson, or professional, a serious injury may mean that you can work, but not in the profession or type of occupation you were used to. Politicians may dislike the blunt truth, but in the modern world, the state expects you to take any form of work on offer. They may even force you to go on training programmes, before they decide whether or not to give you a handout. By law, an employer must pay most employees statutory sick pay for up to 28 weeks. This will almost certainly be a lot less than your full earnings. Few pay for longer. If it is obvious you can never return to work, they may stop paying and terminate your employment. Not all employers pay willingly.
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This type of insurance is available for persons from 14 to 75 years of age. In the case of an insured event, the insurer pays out the following agreed insurance amounts specified by the policy:
the insured amount in the case of death if the accident resulted in the death of the policyholder, or the insured amount in the case of disability if the accident resulted in total disability of the policyholder a percentage of the insured amount in the case of disability corresponding to the percentage of partial disability, if the accident resulted in partial disability of the policyholder if the total disability percentage is over 50%, each portion of the percentage over 50% is recognized as a double amount daily compensation if the accident resulted in the policyholder's temporary incapacity for work or performing their regular professional activities compensation of healthcare costs if the accident resulted in the policyholder requiring medical attention and thus incurred healthcare expenses other contractual obligations pursuant to the Special Conditions and Insurance Terms and Conditions 1.4 BENEFITS OF PERSONAL ACCIDENT POLICY
A simple personal accident policy pays a set cash sum on death. On other benefits, there may be a cash sum, a monthly income or a mixture of the two. Monthly income is limited to a set number of months. Most also include a cash sum for Total Permanent Disablement. This is where you are not going to get better. Then there are frequently specific items where you get payment for injuries which result in
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Total loss of speech, hearing or sight Total loss of or use of a hand or foot Less frequent are specific higher benefits for catastrophes which result in quadriplegia or paraplegia. Some policies go into great detail about the different benefits for each type of accident such as fracture or dislocation. Also common is Temporary Total Disablement. This is where you are seriously hurt but will get better. Other benefits may include Hospital Cash for every night you are in hospital. It is quite common for benefits to be double, treble or quadrupled for serious problems such as travel accident, accidental death, disappearance or exposure.
When should plan benefits start? Some policies pay as soon as you have an accident. But this tends to be for minor injuries only. They usually make you wait and wait. Some will only pay after a set number of weeks. This is most common when the benefit is shown as income rather than a cash sum. Insurers often wait for weeks or months before paying out for serious accidents, as they do not know for a while if an injury is permanent or temporary When should plan benefits end? Personal accident policies are short-term contracts. They are designed to give immediate help, not to provide an income for life. Cash benefits are sometimes paid very quickly, but where disability is permanent, you may have to wait months or even years, until insurers know whether or not the problem is temporary or permanent. For monthly or weekly income benefits they may pay out for 3/6/ 9 or 12 months. A 24-month period is rare, and longer terms rarer still. Policies often have age limits beyond which cover is reduced or removed.
1.5Typical exclusions and limitations This first main exclusion is not usually listed in insurance policies as insurers think it obvious. If you have an accident, you can only claim if you have a physical injury. The policy will not pay for a car, property, and animals, damaged or lost. A policy will not pay for inconvenience, lost work, injured pride or anything else like that.
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Disability due to, or caused by HIV/AIDS Normal pregnancy and childbirth War Self-inflicted injury- including actual or attempted suicide Criminal acts Misuse of alcohol or drugs Failure to follow medical advice Taking part in any dangerous or hazardous work, activity, sport or hobby Driving with more alcohol than is allowed by law Motorcycling Engaging in military duty.
1.6 How much does it cost? The cost of a personal accident insurance plan depends on:-
Width of cover How much you want to receive. If any benefits are income rather than cash, for how long the benefit is paid Extra options bought Then there are factors personal to you, which affect the price of personal accident insurance Age- premiums can rise with age Sex - women tend to pay more Occupation; a manual job will be more of a risk than an office or shop worker Activity what activities you do Health history ;of you, and sometimes of your family too How many people are covered Not all insurers have the same views on the above factors.
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death caused by accident permanent disability healthcare costs An individual may agree an extra premium for additional cover of specific risks [taking part in car and motorcycle races, operation of airplanes and other types of aircraft, etc.] and various sports risks.
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Is your life cover (with an accident rider) as comprehensive as a standalone personal accident insurance policy? A life insurance provides you and your family cover in case of the policy holder's death (due to accident/ illness or other reasons) or total permanent disablement. A health insurance policy covers your medical expenses due to an illness, accident, etc. A personal accident policy on the other hand, protects individuals and their families not only in the event of accidental death (which life insurance already does), but also covers total permanent disablement, partial permanent disablement & temporary total disablement due to an accident.
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death caused by accident death caused by illness permanent disability healthcare costs
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That is why if you do not want to find yourself in such an unpleasant situation concerning car accident or some other occasion, which may damage your car, obtain car accident insurance and be sure that if something happens you will be able to handle all the expenses.
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Under the MOTOR CAR insurance policy of TATA AIG, it takes care of the following: Private car insurance Two wheeler Commercial vehicle Second hand car
2.1 Private Car Insurance: Your car is not only a high value asset but also a highly valued possession. Therefore, it becomes crucial to insure your valuable possession. In todays times you need a comprehensive policy that not only covers you against the mandatory third party liability but also against the losses caused due to fire, theft, explosion, burglary, riots, strikes, earthquakes, flood, cyclones, accidents, malicious acts and terrorist activities. Auto Secure, value added car insurance from Tata AIG, has been designed to give you the extra assurance and peace of mind. Thats not all, through our 8 unique add on covers, you can enhance your standard car insurance policy. Key features Free pick-up of car!* Direct settlement facility at special garages!* Upto 6-month accident-repair warranty Quality spares and materials, guaranteed! Claim settlement in 7 days! Enhanced protection though 8 unique add on covers.
What does the Auto Secure Insurance cover? Loss or Damage to your Vehicle: Any partial or total loss to your vehicle arising out of accident or on account of fire and allied perils is covered. Third Party Legal Liability: Covers Third party property damage and Third party Bodily injury. No deduction on count of Salvage value
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6.
7. Emergency Transport and Hotel Expenses 8. Loss of Personal Belongings. 2.2 Two Wheeler Insurance Your two-wheeler (motorcycle or scooter) is perfect for your needs for quick mobility and convenience. But steering it around in todays times is also risky. Tata AIG offers you a comprehensive insurance cover, which not only covers you for the liability arising out of the Third party but covers you against the loss or damage to your own two-wheeler. Key Features
1. 2. 3. 4.
Loss or Damage to your Vehicle: Any partial or total loss to your vehicle arising out of accident or on account of fire and allied perils in covered. Third Party Legal Liability: Covers Third party property damage and Third party Bodily injury. Discount (NCB) for claim free experience Predefined depreciation for the parts needing replacement on account of accident.
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No deduction on count of Salvage value Direct Payment facility at garages (in limited locations) Faster Claim Settlement 24 X 7 Contact centre for lodging claims and all queries 3.3 Commercial Vehicle Insurance Your vehicle is most critical to your business. Any damage to it can be a huge loss to you. In todays times of uncertainties, you need a comprehensive insurance cover which not only covers you for the liability arising out of the Third party but covers you against the loss or damage to your vehicle. That is the offer from Tata AIGs Commercial Vehicle Insurance. Key Features
1. 2. 3. 4.
Coverage for Partial Loss & total loss arising out of accident, Fire & allied perils, burglary & theft, riots and strikes, damage in transit by air, rail, road and sea. Discount (NCB) for claim free experience. Predefined depreciation for the parts needing replacement on account of accident. Third Party Legal Liability: Covers Third party property damage and Third party Bodily injury.
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insurance for members of sports organizations - amateur or professional sports competitors insurance for participants in sports races and competitions compensation of medical expenses for foreign participants in sports competitions
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5. Personal Accident Insurance for Members of Volunteer Firefighters Organizations and Other Lifesaving Teams
The insurance is available as group insurance for all members of volunteer firefighters organizations and other lifesaving teams.
6. Personal Accident Insurance for Pilots, Cabin Crew Members and Passengers in Airplanes and Other Aircraft
Insurance is available for:
8. Personal Accident Insurance for Children, Pupils and Students This insurance is available for:
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10. Personal Accident Insurance for Visitors and Audiences, Including Policyholder Liability
This type of insurance covers accidents which may occur to audience members in performance halls, in the premises designated for ticket holders, regardless whether the injured person is a ticket holder or not, or on the premises around sports grounds or another place where a performance or sport event is being held, if such a place is designated for spectators. The insurance also covers those types of accidents which may occur to the visitor while queuing to purchase a ticket at a designated place.
The visitor insurance policy may also include a policyholder liability cover for physical damage or loss of property incurred by the insured visitor up to the amount specified in the policy.
11. Personal Accident Insurance for Tourists and Holidaymakers, Including Policyholder Liability
This insurance policy covers holidaymakers and tourists who go on group excursions to particular places organized by the policyholder specified in the policy. The insurance covers all accidents which may occur to the holidaymaker while waiting for the excursion at a designated place, and immediately upon return from the excursion, until the moment of departure from the place designated for the dissolution of the tourist group. The tourists and holidaymakers insurance may also include a policyholder liability cover for physical damage or loss of property incurred by an insured tourist or holidaymaker up to the amount specified in the policy.
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It was the last working day of the week just before Diwali holidays and he had to rush home early that day. He was as attentive while driving as he was always, but he forgot that accident happens not because you are careless , but because other can be damn careless While Ajay was taking a u-turn another car slammed into his car which was coming with a lot of speed.
It was a serious accident and what Ajay never imagined happened. Both of his hands were non functional after the accident. Being a senior programmer in his company, he knew that his future is lost now. This one incident changed him life . While his income stopped, his expenses at house , EMI etc had to still continue. His term plan could not pay him because he was not dead. His health insurance plan covered the expenses for hospitalization, but only covered for a basic amount in case there was a temporary disablement. But Ajay case was not covered in any of his existing insurance policies. At this point of time, if Ajay had a Accident Insurance Policy, it might have helped him a lot
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What They Cover Health insurance is generally more broad-based than accident insurance. It covers most situations in which you would see a health care provider. Examples of situations covered by health insurance include illness, injury due to accidents, prenatal care, and in some cases, mental health coverage. Accident insurance only goes into effect in the event of an accident. Examples of what accident insurance covers include falling down the stairs, cutting oneself while cooking, losing a limb in a farm machine and accidentally falling through a plate glass window. Illnesses are not covered under accident insurance; however, accident injury care is typically covered under health insurance.
Exclusions
The two types of insurance differ in many of their exclusionary policies, in that health insurance generally has more exclusion. An accident policy usually includes a rider excluding coverage if you are injured while you are committing a crime, take part in extremely high risk behavior in which a reasonable person would not take part in or commit suicide. Suicide exclusions are sometimes limited to the first two years of the policy.
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Cost
Health insurance is almost always more expensive than accident coverage because health insurance covers so much more. With accident insurance you get a onetime, pre-determined payout following a qualifying event. Health insurance, though it may have a lifetime cap, usually pays out over time and covers illness as well as accidents. Lifetime caps on many policies are between $1 million and $5 million. The risk is much higher to the insurance company; therefore, they charge more for your coverage.
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To identify and develop road safety programs to increase knowledge, awareness and skill amongst the Indian road users. To promote changing attitudes and behaviors of drivers contributing to making Indian roads safer and reducing road trauma.
To prevent death and injury on the roads through education of all road users and campaigning for Governance improvements to road safety. To promote a positive attitude of law enforcement officials and infuse a sense of courtesy and safety awareness among road users. To monitor relevant road statistics both locally and internationally on an ongoing basis in order to effect improvements.
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To promote advocacy on specific road safety issues in influencing, informing and assisting decision and or policy formulation. To rise awareness about road traffic injuries, their grave consequences and enormous costs to the society.
Forum for Prevention of Road Accidents (FPRA) is now developing road safety programmes to increase knowledge, awareness and skills amongst all types of road users. Besides education, it also promote advocacy on some particular issues in influencing, informing and assisting decision and policy makers. Presently we are promoting Make Helmets Mandatory campaign for young two-wheeler riders in India. PROJECTS BY FPRA 1) National road safety week 2) Make helmet mandatory campaign 3) World day of remembrance for road traffic victims 4) Pappu zebra road sense campaign kicks off in Orissa 5) Decade of action for road safety launched in Cuttack
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Eight districts of the State, representing one-fourth of the total number of districts, account for 45 per cent of road accidents and fatalities, statistics show. Going by the data of road accidents and persons killed in the State during 2010 and 2011 (up to October), those eight districts Chennai, Coimbatore, Kancheepuram, Madurai, Salem, Tirupur, Vellore and Villupuram witnessed 29,855 accidents in 2010 and 25,710 accidents in 2011 against the State's total number of accidents of
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