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ManipalCigna Health Insurance

ManipalCigna Health Insurance Plans

ManipalCigna Health Insurance Plans

Are you interested in finding out about the best ManipalCigna health insurance plans? Well, you have come to the right place. Let us discuss the top 16 health insurance plans offered by ManipalCigna and their features.

ManipalCigna ProHealth Plan

This is a complete healthcare plan that is designed to cover all medical and surgical expenses incurred in the treatment of any sickness, illness, or injury.

The USP of this plan is that it offers 100% sum restoration unlimited number of times for unrelated illnesses.

This plan is available in 5 variants- Plus, Protect, Accumulate, Preferred, and Premier Plan.

Plan features

  • This plan offers comprehensive coverage covering hospitalization expenses.
  • Worldwide emergency coverage is available.
  • This plan covers Ayush treatment.
  • The benefit of 100% sum restoration unlimited number of times.
  • 25% increase on the sum insured every year irrespective of the number of claims.

Plan specifications

  • Age Entry- 91 days – No limit
  • Sum insured – Rs 2.5 Lakhs – Rs 1 Crore

ManipalCigna Lifetime Health Plan

This is a high sum insured health plan that offers you enough coverage for any major health eventualities. It is an ideal plan where you can cover your family members on a family floater basis. A wide range of sum insured options starting from Rs 50 Lakh to Rs 3 Crore.

It is available in two variants- India and Global Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare treatments.
  • Modern treatments like robotic and cyberknife surgery, etc are covered up to sum insured.
  • Free health check-up for all insured persons once a year.
  • This plan covers all psychiatric illnesses and disorders.
  • Multiple sum restoration available for unrelated illnesses.
  • The plan also covers HIV and STDs.
  • Coverage for Ayush treatment is provided.

Plan specifications

  • Age entry – 91days- 65 years
  • Sum Insured- Rs 50 Lakh – Rs 3 Crore

ManipalCigna ProHealth Select Plan

This is a uniquely designed plan that comes with a distinctive reassurance benefit, which provides an automatic extension of policy for two years without paying any premium, in case of a critical illness or any disablement due to an accident.

The plan is available in 2 variants- Prohealth Select A and Prohealth Select B plan.

Plan features

  • This plan covers hospitalization expenses and 171 daycare procedures.
  • 100% sum restoration benefit for unrelated illness once a year.
  • 60 days pre and 90 days post hospitalization expenses are covered
  • Cumulative bonus of 5% of sum insured every year, maximum up to 100%.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 91days- No limit
  • Sum insured – Rs 50,000- Rs 25 Lakh

ManipalCigna Super Top Up plan

This is a top-up plan that comes into force once the policyholder exhausts the coverage of his/her initial base health policy.

A unique feature of this plan is that it provides a guaranteed 50% increase of the sum insured irrespective of any claim.
It is available in two types Super Top Up Plus and Super Top Up Select Plan.

Plan features

  • This plan covers hospitalization expenses and all daycare procedures.
  • 60 days pre and 90 days post-hospitalization charges are covered.
  • Guaranteed 50% increase of sum insured irrespective of any claim.
  • Organ donor expenses are covered.
  • The plan covers Ayush treatment.
  • Emergency ambulance services are covered.

Plan specifications

  • Age entry 19 days – No limit
  • Sum insured- Rs 1 Lakh- Rs 30 Lakh

ManipalCigna Arogya Sanjeevani Policy

This is a standard health insurance policy mandated by IRDA, It provides basic health coverage to the insured person to meet their essential healthcare requirements. This plan takes care of most of the hospitalization needs that arise from any sickness or injury.

Plan features

  • This plan covers hospitalization expenses and daycare procedures.
  • 30 days pre and 60 days post hospitalization are covered.
  • The benefit of a 5% increase of SI, maximum up to 50% for every claim-free year.
  • Ambulance charges covered up to Rs 2000 per hospitalization.
  • The plan covers Ayush treatment.
  • Modern treatments covered up to a certain limit.
  • Copayment of 5% applicable on all claims.

Plan specifications

  • Age Entry- 91 days – 65 years
  • Sum insured – Rs 50,000 – Rs 10 Lakh

ManipalCigna Corona Kavach Policy

This plan is designed to cover the medical expenses incurred in the treatment of COVID-19. It covers the cost of hospitalization and homecare treatment for a maximum of up to 14 days.

Plan features

  • This plan covers hospitalization expenses in the treatment of COVID-19.
  • Homecare treatment for a maximum period of 14 days is covered.
  • 15 days pre and 30 days post-hospitalization charges are covered.
  • Ayush treatment is covered under the plan.
  • Ambulance charges covered up to Rs 2000 per hospitalization.

Plan specifications

  • Age entry- 1 day – 65 years
  • Sum insured – Rs 50,000- Rs 5 Lakh

ManipalCigna Corona Rakshak Policy

Under this plan, the insured will receive a lump sum benefit of 100% sum insured when positively diagnosed with Covid-19. The diagnosis of the illness should take place at a government-authorized diagnostic center. This plan is available on an individual coverage basis only.

Plan features

  • 100% sum insured will be paid to the policyholder when diagnosed with COVID-19.
  • No pre-medical check-up is required.

Plan specifications

  • Age entry- 18 years- 65 years
  • Sum insured- Rs 50,000 – Rs 2.5 Lakh

ManipalCigna Lifestyle Protection – Accident Care Plan

This is a cash benefit plan that financially secures against accidents.
Policy nominee will receive 100% sum insured in the event of the accidental death of the insured individual.
It is available in 3 types- Basic, Enhanced, and Comprehensive Plan.

Plan features

  • 100% payout of the sum insured in the event of accidental death of the insured person.
  • Ambulance charges covered up to Rs 10,000.
  • This plan covers funeral expenses up to a specified limit.

Plan specifications

  • Age entry – 5 years – 80 years
  • Sum insured- Rs 5000- Rs 10 Crore

ManipalCigna Saral Suraksha Bima

Saral Suraksha Bima offers you and your family financial safety against an unfortunate event like an accident. Under this plan, the insurer will pay 100% sum insured in the event of accidental death or any permanent disablement suffered by the insured due to accident.

Plan features

  • 100% payout of the sum insured to the nominee of the policy in the case of accidental death.
  • 100% payout of the sum insured in case of permanent total disablement.
  • 5% increase of sum assured, maximum up to 50% for every claim-free year.

Plan specifications

  • Age entry 3months- 18 years – 70 years
  • Sum insured- Rs 2.5 Lakh- Rs 1 Crore

ManipalCigna Lifestyle Protection -Critical Care plan

This plan is specially curated to secure against major critical illnesses. Under this policy, the policyholder will receive a lump-sum amount of the sum insured upon diagnosis of the set listed conditions mentioned in the policy.

This plan covers critical illnesses like first heart attack, cancer, kidney failure, and so on.
It is available in 2 variants- Basic and Enhanced Plan.

Plan features

  • Coverage against 15 to 30 life-threatening illnesses depending on the plan selected.
  • Payment of 100% sum assured when diagnosed with listed illnesses.
  • Free second medical opinion provided.

Plan specifications

  • Age entry- 18 years – 65 years
  • Sum insured – Rs 1 Lakh- Rs 25 Crore

ManipalCigna ProHealth Cash Plan

This is a cash benefit plan in which the policyholder will receive a daily cash allowance during their hospital stay. This plan will assist you to pay for miscellaneous expenses that are not covered in a general plan. It comes in 2 variants- Basic and Enhanced Plan.

Plan features

  • Daily cash benefit ranging from Rs 500 up to Rs 5000 depending on the plan selected.
  • Receive double the sum insured when admitted to the intensive care unit.
  • Access to an online wellness program.

Plan specifications

  • Age entry – 91 days – 65 years
  • Sum insured- Rs 500 – Rs 5000

ManipalCigna ProHealth Group Plan

This is a group insurance plan designed to offer overall protection against health-related risks and contingencies to employees working together in a company. It covers the basic hospitalization expenses of the insured member under the policy.

Plan features

  • This plan covers hospitalization expenses and daycare treatments.
  • Pre and post-hospitalization charges are covered.
  • Organ donor expenses are covered.
  • Road ambulance services are covered.

Plan specifications

  • Age entry- No age limit
  • Sum insured- Rs 5000 – Rs 1 Crore

ManipalCigna Global Health Group Plan

This plan is designed to cover hospitalization expenses of the insured group members not just in India but all around the world with its worldwide emergency health coverage.

Plan features

  • This plan covers hospitalization expenses and daycare treatments anywhere in the world.
  • This plan covers maternity expenses, emergency repatriation, cancer, and any psychiatric illness or disorders.
  • Private ambulance expenses will be covered.
  • Multiple wellness packages to aid your health and wellbeing.
  • The plan covers the cost of all outpatient treatments anywhere in the world.

Plan specifications

  • Age of entry – 18 years – 95 years
  • Sum insured- up to $10 Million

ManipalCigna Lifestyle Protection Group Plan

It is an all-in-one plan that covers against accidents or a setlist of critical illnesses specified under the policy.
There are two covers available under this plan, group personal accident and critical illness cover. You can select both covers or one of the two to avail the respective benefit.

Plan features

  • This plan covers accidental death or disablement due to an accident.
  • This plan covers against specified listed critical illnesses and conditions.

Plan specifications

  • Age entry- 18 years- 75 years
  • Sum insured- Rs 10,000- Rs 50 Crore

ManipalCigna Group Overseas Travel Insurance Plan

This plan offers medical protection to insured group members when traveling abroad on a family or business trip.
Along with covering medical expenses, any inconveniences like loss of baggage and cancellation of trips shall be reimbursed.

It is an ideal plan for groups who frequently travel overseas for work.

Plan features

  • This plan takes care of all the hospitalization expenses abroad.
  • Payout in case of accidents covered up to a fixed limit.
  • This plan reimburses the cost in case of loss of baggage or cancellation of flights, etc.

Plan specifications

  • Age entry- up to 95 years
  • Sum insured- up to Rs 50 Lakh

ManipalCigna FlexiCare Group Insurance Policy

This plan is named FlexiCare because it gives the option to customize the health plan according to the requirements of the group members. This plan offers comprehensive coverage against illnesses, domestic travel, accidents, and so on.

Plan features

  • This plan offers hospitalization expenses and multiple daycare treatments.
  • The plan covers accidents, domestic travels, surgery, etc.
  • The plan provides wellness packages to aid your health and wellbeing.
  • Ambulance charges are covered.
  • Alternative treatments like Ayush are covered under the plan.

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Health Insurance

Why is health insurance important?

Why is health insurance important?

There could never be a more appropriate time to use the age-old expression “Health is wealth”
With the world struggling with a global pandemic, it is now more important than ever to take care of our health and wellbeing.

That being said, uncertainty can strike at any time, and it is important to be protected in the face of adversity. Health insurance can be our cushion during such trying times. So, why is health insurance important? Let’s find out:

Top 11 important benefits of health insurance

It’s critical to have a health insurance policy in this day and age. Learn about the top 7 most important benefits of having a health insurance policy.

  • Protection against rising medical expenses
  • Maintains your existing lifestyle
  • Protection to your family
  • Pre and post hospitalization coverage
  • Inflation adjusted coverage
  • Health insurance plus savings
  • Protection against accidents
  • New age covers
  • Free medical check-up
  • Alternative therapies
  • Income tax benefits

Protection against medical expenses

A health insurance policy will protect you against unforeseen medical emergencies, and the expenses associated with it. It is also important to understand that the cost of medical expenses is rapidly rising, and you should consider this fact while you decided on your coverage.

Maintains your existing lifestyle

An unforeseen sickness has the ability to wreak havoc on your existing lifestyle. The cost of treatment can adversely affect your existing lifestyle as funds need to be routed towards medical expenses. A health insurance policy can protect your lifestyle as it would be the insurance company looking after your medical bills, not you.


Protection to your family

There are times when a sickness not only affects the patriarch of the family but the entire family itself. There is an old saying “A sickness not only affects one person. It affects the entire family”
It is important to protect your family and their finances in such trying times. A health insurance policy can alleviate a lot of the stress on the family during trying times.

Pre and post hospitalization coverage

a large number of health insurance policies provide pre and post-hospitalization expenses. That basically means that your coverage starts even before you physically enter into a hospital, and is still present even after you exit the hospital.
For instance, a person may need to visit an OPD specialist after his fracture. The insurance company will provide coverage for the same. This is called post-hospitalization coverage.

Inflation-adjusted coverage

Medical expenses are continuing to be prohibitively expensive. The cost of medical expenses in India is rising at an average of 15% a year, compared to general inflation of 5-7% a year. This is a worrying trend if you are not covered.
A No-claim bonus (NCB) can also provide a cushion against high medical inflation. Please enquire about an NCB with your insurance provider.

Health insurance plus savings

There are various insurance plans in the market that provide health coverage along with a savings component. They are called ULIP plans. There are worth investigating.

Protection against accidents

In 2019, over a hundred and fifty thousand Indians lost their lives in road accidents alone. This was a result of over 5 Lakh accidents in 2019. Protection against accidents is a crucial component of a health insurance policy. Ensure that your plan has accident coverage.

New age covers

New age covers include maternity coverage, daycare expenses, OPD expenses, etc. These new-age covers provide additional protection to policyholders.

Free medical check-up

A lot of insurance policies provide the benefit of a free medical check-up, either once a year or once every alternate year.

Alternative therapies

Have you ever wondered if an insurance policy can cover your Ayurvedic treatment? The answer is yes. New age policies cover Ayurvedic, Unani, Homeopathic, Siddha treatments. Ensure that you confirm this with your insurance company beforehand.

Income tax benefits

A person can claim up to Rs 25000 as deductions when you buy a health insurance policy. Further, the limit of deductions can increase based on certain other criteria. It would be a prudent decision to buy a health insurance policy to lower your tax liability. This would provide a double benefit, you get coverage, and you get a tax deduction as well.

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Motor Insurance

What is RTI in car insurance

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What is RTI in car insurance

RTI stands for Return to Invoice. It is an additional add-on that can be purchased along with a car insurance policy. You would simply need to purchase an RTI add-on and pay the required additional fee to avail of RTI coverage.
The article aims to help you in understanding RTI in car insurance better. Topics covered would be:

  • What is RTI in car insurance?
  • Benefits of return to invoice (RTI)
  • Eligibility of RTI
  • Example of RTI 

What is RTI in car insurance ?

A Return to Invoice (RTI) cover gives the policyholder the ability to claim towards the total cost of the vehicle (on-road price, including road tax). The RTI cover bridges the gap between the Insured Declared Value (IDV) and the on-road price of the car. If a person takes an RTI cover along with his car insurance and is met with a serious accident, he is eligible for making a claim on the car’s on-road price, and not just the IDV.

This difference between the RTI price and the IDV price can be many lakhs, and it would be a prudent choice for new car owners to opt for an IDV add-on along with their car insurance.


Benefits of Return to Invoice (RTI)

Mentioned within are some of the notable benefits of an RTI add-on:

Enhanced coverage: A person will be eligible for a much larger coverage if he/she opts for an RTI coverage compared to a regular IDV coverage.

Relatively cheap: An RTI Rider can generally be availed for less than 10% of the total car insurance premium.

Theft protection: The policyholder will be compensated up to the billing amount of the car in the event of a theft. This amount can be far greater compared to just the IDV value of the vehicle.

Beneficial when a car is totaled: The RTI rider truly protects the policyholder when the vehicle is totaled. This is where the insurance company will compensate the holder with the billed value, not just the IDV.

Eligibility of RTI 

  • Brand new cars are eligible for RTI coverage.
  • Cars over the age of 3 years will not be eligible for RTI add-ons
  • This type of cover will only provide protection if the car is totaled (unrepairable). If the car can be repaired, RTI will not be applied.

Example of RTI 

Let us assume that Mr. Shantilal has bought a car insurance policy with RTI cover for his new Honda City. After 3 months, his vehicle is stolen. He files an FIR with the local police station, intimates the insurance company, and duly fills the claim-related documents.

Post this, the insurance company does its due diligence and disburses the total billed value of the vehicle (Rs 15 Lakhs) to Mr. Shantilal. Had Mr. Shantilal not taken the RTI cover, the insurance company would only provide him compensation up till the vehicles IDV (which was Rs 7 Lakhs as per his policy)

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Insurance

What is General Insurance?

What is General Insurance?

Simply put, all insurance products not classified as life insurance products are general insurance products. There are a variety of general insurance products ranging from health to property, and everything in between. These branches of insurance come under the term ‘general insurance.’

Still, wondering what is general insurance? Don’t worry. This article will discuss the following aspects of general insurance and clear all your doubts:

 

  • General Insurance Types
  • General Insurance Features
  • General Insurance Example
  • General Insurance vs Life Insurance

General insurance Types

There are a variety of general insurance products available on the market today. Let us discuss some of the most important ones:

 

  • Health insurance: A health insurance policy protects the insured against any unforeseen health complications. Hospitalization charges are borne by the insurance company.
  • Motor insurance: A motor insurance policy protects the insured against motor accidents. Both, third-party and comprehensive motor insurance policies are available in the market.
  • Property insurance: A property insurance policy protects your home or factor against theft, terrorism, acts of nature, etc.
  • Marine insurance: Marine insurance protects a trader’s cargo or vessel against risks of the sea.
  • Travel insurance: Travel insurance protects the insured against the costs of hospitalizations abroad.
  • Accident insurance: An accident insurance policy insures the policyholder against damages caused due to an accident.
  • Aviation insurance: Aviation insurance protects an aircraft against risks of the air.
  • Crop insurance: Crop insurance protects the farmer’s crops against drought, floods, acts of nature, etc.

General Insurance Features

Top 5 features of general insurance include:

 

  • Peace of mind: A policyholder will have peace of mind knowing he is covered against various uncertainties of life.
  • Financial stability: A general insurance policy can many a time provide great financial stability to a policyholder and his family.
  • Wide coverage: Today’s insurance companies provide an option to widen your insurance coverage by additional premium. The wider the coverage, the higher the protection.
  • Savings: There are various general insurance plans like ULIP, money back plans, etc, that provide the policyholder will additional savings benefits.
  • Tax benefits: There are various IT deductions available to policyholders under the Indian IT Act. Individuals can avail of these deductions and lower their tax liability.

General Insurance Examples

Still, confused? Let us provide 2 simple examples of general insurance to clear your doubts.

 

  • Health insurance example: Let us say, Mr. Ajit buys a health cover with an insurance company with coverage of Rs 5 Lakhs. Now, Mr. Ajit has met with a minor accident and requires hospitalization. Upon discharge, he makes a claim with the health insurance company to pay his hospitalization bills. The insurance company does its due diligence and disburses the funds to Mr. Ajit.
  • Motor insurance example: Let us say, Mr. Roy has bought a motor insurance policy for his new Honda City. After a few months of the purchase, his vehicle meets with an accident. Mr. Roy intimates the insurance company and files a claim. The insurance company disburses the funds to repair his car if all documentations are in order.

General Insurance Vs Life Insurance

 

General Insurance

Life Insurance

Meaning

General insurance comprises of all insurance products that are non-life in nature.

Life insurance products are products that provide coverage against the policyholder’s life.

Examples

Motor insurance, health insurance, home insurance, marine insurance, etc.

Term insurance, whole life insurance, ULIP, etc.

Indemnification

Indemnified contract

Not an indemnified contract

Savings Component

Generally, no savings component.

Savings components are available in these type of plans.

Contract Term

Short term

Long term

Claim Payment

Claims are paid on the occurrence of an event.

Claims can be paid at the occurrence of an event or maturity.

Author Bio

This article is written by Team InsuranceLiya.com, an independent website that writes about insurance, finance, health, and more. Our writers have a wealth of knowledge, experience, and degrees in the fields of insurance, finance, economics, and beyond.

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Insurance

What is an insurance company?

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What is an insurance company?

Insurance may sound like a complicated and daunting subject, but it doesn’t have to be. If you’re thinking about buying your first insurance policy, it is wise to start with the very basics such as ‘What is an insurance company?’Post this, you can move on to understanding slightly more complicated topics such as No Claim Bonus (NCB), claim settlement ratio, cover charge, porting and more. Let’s start with the basics first. This article will illuminate you on the following topics:

  • What is insurance?
  • What is an insurance company?
  • What are the types of insurance companies?

Alright, before you find out what is an insurance company, you need to understand what insurance is. Let’s dive right in.

What is insurance?

Insurance is an agreement between an insurer and an insured. The insurer is generally an insurance company, and the insured is usually an individual. The insurer indemnifies (protects) the insured against unforeseen events. How does an insurer do that? Well, by providing financial assistance.

For instance, Mr. Rajeev bought a health insurance policy from an insurance company. A few months later, Mr. Rajeev falls sick and has to visit the hospital. Since he is insured, he receives a complete refund of the entire amount he spent in the hospital by the insurance company. This is a simple illustration of an insurance agreement.

What is an insurance company?

Now that we know what is insurance, let’s understand what is an insurance company. An insurance company is any company that provides insurance and related services to either the general public or other parties.
An insurance company can either do their business by writing insurance policies to the general public, or they can do their business by writing insurance policies to other businesses.
Further, there are insurance companies that provide insurance services to other insurance companies. These are called reinsurance companies.

What are the types of insurance companies?

Insurance companies are generally classified into 3 subsections:

Life insurance companies

What is a life insurance company? A life insurance company is an insurance company that provides life and term insurance-related policies. Types of policies that are written by life insurance companies are:

Each of these policies aims to insure the life of the policyholder. That means either the policyholder or their nominee will get a lump sum amount either on policy maturity or the death of the policyholder.

General insurance companies

What is a general insurance company? A general insurance company is a company that deals with any insurance product that is non-life in nature. For instance, a general insurance company can deal in motor insurance, health insurance, theft insurance, etc. Types of policies that are written by general insurance companies are:

  • Health insurance policies
  • Motor insurance policies
  • Fire insurance policies
  • Theft insurance policies
  • Crop insurance policies
  • Cyber insurance policies

Reinsurance companies

What is a reinsurance company? A reinsurance company is an insurance company that provides insurance to other insurance companies. Now, why would insurance companies need insurance? The answer is quite straightforward.
A large insurance company issues lakhs of policies every year. What happens if there is a major ecological disaster like an earthquake or a flood and all of the policyholders decide to make claims at the same time? The insurance company could face a massive liquidity crisis in such a time.

To overcome this uncertainty, the insurance company pays a reinsurance company a premium to underwrite some of the policies. Thus, if there is a massive influx of claims, the reinsurance company can come to the rescue of the insurance company by handling some of the claims.

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Insurance

Types of insurance claims

Types of insurance claims

Just buying insurance is not enough. You need to also understand what are the types of claims that you are eligible to make. Are you wondering what are the types of insurance claims? This article will provide you with a detailed understanding of the wide variety of claim types across various insurance verticals.


At the end of the article, you will have a proper understanding of all of the types of insurance claims, ranging from life insurance claim types to motor insurance claim types and everything in between.

  • Types of life insurance claims
  • Types of health insurance claims
  • Types of motor insurance claims
  • Types of property insurance claims

Types of life insurance claims

There are two primary types of life insurance claims. They are maturity claims and death claims.

Maturity claims

There are specific life insurance policies that provide a maturity benefit to policyholders. This is where the policyholder can file a claim with the insurance company when his policy term ends. He/she is eligible to get a maturity payment.
Example: Let us say Mr. Suresh has bought a ULIP Term Insurance with HDFC ERGO with a policy term of 30 years. Mr. Suresh’s term insurance policy now matures after 30 years. He can now file a claim to collect his entire maturity benefit.

Death claims

This is the most typical type of life insurance claim. This is where the policyholder’s family can raise a claim with the insurance company after the policyholder’s demise. The nominee mentioned within the policyholder’s policy shall get the complete death benefit specified within the life insurance policy.

Example: Mr. Manoj had a life insurance policy worth Rs.10 Lakhs with an insurance company. He meets with an unfortunate accident and passes away. His family can now raise a claim with the insurance company, and the insurance company will have to disburse the death benefit amount (Rs.10 Lakhs) to the nominee of the policy.

Types of health insurance claims

There are two types of health insurance claims that a policyholder can make—cashless and Reimbursement.

Cashless claims

A cashless claim is where the policyholder does not need to pay the hospital out of his own pockets. The insurance company will directly disburse the funds to the hospital. It is, however, necessary for the policyholder to get admitted to a network hospital. Thus, it is essential to know which are your closest network hospitals to avoid any last-minute confusion.

Reimbursement claims

A reimbursement claim is when the policyholder will need to initially pay hospitalization expenses out of his own pocket. He can later raise a claim with his insurance company upon discharge. It is essential to keep the original copies of all receipts, bills, statements, certifications, medical reports, etc.

Types of motor insurance claims

Two primary motor insurance claims are first-party claims and third-party claims.

First party claims

This is where your vehicle meets with an accident, and you raise a claim with your insurance company. The claim can be raised for damage to the vehicle, yourself, or a passenger.

Example: Mr. Jatin meets with a minor car accident and breaks his windshield. He is now eligible to raise a claim with his car insurance company for compensation. The insurance company will do their due diligence and pass the claim if everything is in order.

Third-party claims

Mr. Mohit bumps his vehicle into a bystander and causes minor damages to the bystander. The bystander sends a legal notice to Mr. Mohit to pay for damages. Mr. Mohit shares the legal notice to his insurance company, and the company appoints a lawyer for Mr. Mohit. The matter goes into court. The company will now pay whatever amount the court decides to the bystander.


Types of property insurance claims

There are a variety of property insurance claims that can be made. Let us understand all of them briefly.

Theft related claims

This is where the internals of the home (jewelry, expensive art, expensive furniture, etc.) are insured, and subsequently stolen. The insured can file an FIR and raise a theft claim with the insurance company.

Fire related claims

A fire can be devastating to a home. It is estimated that every 5th fire-related death originates in India. Over 35 Indian’s die every day of fire-related accidents. There were over 27 thousand fire-related casualties nationwide in 2019 alone. This is an alarming number. If a home is met with a fire, the policyholder can file a claim with the insurance company, provided his home has fire coverage.

Liability claims

This is where your guest, neighbor, or any other individual is hurt due to your negligence. For instance, a person may be visiting your home, and a wall falls on him and injures his arm. This kind of risk can be mitigated by purchasing a liability insurance rider.

Human related property damage

Acts of terror, outsider damage, vandalism, and mischief can be claimed against. For instance, a policyholder can file a property insurance claim if a thief entered his house, stole his valuables, and damaged his property through vandalism.

Natural damage

These claims arise out of acts of nature like earthquakes, tsunamis, forest fires, floods, tornadoes, etc.

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Insurance

Unemployment insurance in India

Unemployment insurance in India

Ever worry about that dreadful letter stating that your employer doesn’t require your services anymore? Does the thought of losing your job keep you up at night? There is a solution that could make you sleep much better at night. It’s called unemployment insurance. There are 2 major aspects of unemployment insurance in India:-

  • Unemployment insurance addon riders
  • Unemployment allowance provided under ESIC (Rajeev Gandhi Shramik Kalyan Yojana)

Let us discuss both of these options in detail below.

Unemployment insurance addon riders

An unemployment insurance rider is an add-on that you can purchase with your existing life insurance policy. The motive of this additional rider is to cover you against any unforeseen unemployment caused due to:-

  • Mergers and takeovers
  • Bankruptcy announced by your company
  • Department shutdown (due to internal decision of management)

Importance of unemployment insurance

  • It provides a steady flow of income even during the tumultuous period of job loss
  • Helps maintain the standard of living for yourself and your family
  • Provides peace of mind even when you are employed

Exclusions

There are certain things that job insurance does not cover. They are:-

  • Job loss due to resignation
  • Job loss occurring during probation or trial period
  • Job loss due to the poor performance of the employee
  • Unemployment due to a pre-existing illness or sickness

Further, self-employed people cannot opt for unemployment insurance.

Unemployment insurance addon riders in India

  • Secure Mind policy by ICICI Lombard
  • Home Suraksha Policy by HDFC Ergo
  • Safe Loan Shield Policy by Royal Sundaram


Unemployment allowance provided under ESIC (Rajeev Gandhi Shramik Kalyan Yojana)

All employees enrolled under the Employee State Insurance Act can avail of the Rajeev Gandhi Shramik Kalyan Yojana. This Yojna states that an employee can claim unemployment benefits if he/she is unemployed due to no fault of theirs, business winding-ups, or workplace injury

Salient features of Rajeev Gandhi Shramik Kalyan Yojana

  • Unemployed employees will only be provided an allowance for a maximum period of 1 year.
  • The claimant has to ensure that he claims within 6 months of job loss.
  • The claimant cannot claim benefits once he is re-employed.
  • The claimant has to be a member of ESIC for at least 3 years before making claim under RGSKY.

In light of the above information, the prudent employee should know about these unemployment insurance options in India and act upon them. It may save them a lot of unease in the future.

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Principles of insurance (7 important principles you should know)

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Principles of Insurance (The 7 Principles)

Just buying insurance is not enough. The policy buyer also needs to know the rules of the game. The insurance industry and all participants need to adhere to certain principles while dealing with each other, these principles are the principles of insurance.

Insurance has 7 primary principles that both parties (insured and insurer) need to adhere to. We will be discussing these 7 principles in detail so you can get a complete understanding of the principles of insurance. They are:-

 

  1. Principle of utmost good faith
  2. Principle of insurable interest
  3. Principle of proximate cause
  4. Principle of subrogation
  5. Principle of loss minimization
  6. Principle of indemnity
  7. Principle of contribution

Once you understand these insurance principles, you will be in a much better position when it comes to understanding your insurance contract.

1.) Principle of Utmost Good Faith

The principle of utmost good faith elucidates that there should be complete honesty when it comes to sharing of information between the policyholder and the insurance company and vice versa.

All facts relating to the object of insurance must be completely and correctly provided by the policyholder to the insurance company. Similarly, the insurance company must also maintain complete transparency and honesty when it comes to the policy contract. There should be no falsification by either party when it comes to sharing information.

Example

Mr. Ramesh took a life insurance policy. At the time of filling the questionnaire, he did not mention he had a terminal illness. At the time of his demise, the insurance company found out that Mr. Ramesh willfully held back this information and canceled his policy. Due to willfully holding back correct information, Mr. Ramesh’s family did not get any life insurance benefits from their policy.

2.) Principle of Insurable Interest

This principle states that the policyholder should have an insurance interest in the insured object. This means that there should be a financial loss on part of the policyholder if the insured object gets damaged, destroyed, lost, stolen, etc.

Example

An individual has an insurable interest in his car and can take motor insurance for the same. This is because if his car gets damaged, destroyed, or stolen it will cause financial harm to him.  Thus there is a clear insurable interest of the policyholder in his car.

3.) Principle of Proximate Cause

The principle of proximate cause states that the closest cause for any particular loss will be considered when it comes to making a claim payment.  For instance, 2 causes caused an event. The nearest cause will be considered while claiming the settlement.

Example

Mrs. Jyoti took an accidental insurance policy from a company. While driving, Mrs. Jyoti had a heart attack, resulting in a car accident. While making her accident insurance claim, the insurance company stated that the nearest cause (Causa Proxima) of the accident was the heart attack and rejected her claim. As heart attack was not covered under her accidental policy.

4.) Principle of Subrogation

Under the principle of subrogation, the insurer assumes control over the object of insurance once it has paid the policyholder his/her claim. This allows the insurer to recover any losses that he may have faced by way of legal recourse.

Example

Mr. Jatin has bought a motor insurance policy. Let us assume he meets with an accident with another rider, and totals his car. He was paid full insurance towards his damages by way of his claim.  Later, It was found that the other rider was driving without a valid license and under the influence of alcohol. The insurance company can step into the shoes of the insured and sue the other party for damages and recover their losses.

5.) Principle of Loss Minimization

Under the principle of loss minimization, it is the duty of the insured to ensure that he has taken all possible steps to minimize the damage caused by an event.

The principle states that even though the policyholder knows he is covered by insurance, he/she should try their level best to protect the insured object.

Example

Mr.Rishi bought motor insurance for his car. Let us assume that fumes are coming out of his engine. Mr. Rishi should make all attempts to extinguish the fumes by using a fire extinguisher and call for help to put the fire out.He should not simply stand idle while the fire consumes the car.

6.) Principle of Indemnity

The principle of indemnity states that the insurance company will only reimburse the policyholder in accordance with the actual loss incurred, and not beyond that. This principle is also subject to certain terms and conditions of the policy. But in general, the insurance company will only indemnify the policyholder to the extent of their loss.

Example

Mr. Vikas has taken a health insurance policy worth 2 lakhs. He was admitted to the hospital for a minor condition and his hospital bill came to 1 lakh. The insurance company will only pay Mr. Vikas 1 lakh even though he is covered for 2 lakhs.

7.) Principle of Contribution

The principle of contribution states that a person can insure the same object with 2 different insurers. The policyholder will however only be paid off the loss incurred and nothing beyond.

Example

Mr. Kumar has 2 health insurance policies for himself, each worth 2 lacs. Let us assume he was admitted to the hospital for a minor condition and his bill amount came to 2.35 lakhs.  He can claim 2 lakh from the first insurance company and the balance from the second insurance company. He however cannot claim 2 lakhs each from both the insurance companies, as that would lead to a profit on his part.

AUTHOR BIO

This article is written by Team InsuranceLiya.com, an independent website that writes about insurance, finance, health, and more. Our writers have a wealth of knowledge, experience, and degrees in the fields of insurance, finance, economics, and beyond.

FREQUENTLY ASKED QUESTIONS

  • How many principles of insurance are there?

    There are 7 principles of insurance. They are:

    1. Principle of utmost good faith
    2. Principle of insurance interest
    3. Principle of subrogation
    4. Principle of proximate cause
    5. Principle of loss minimization
    6. Principle of indemnity
    7. Principle of contribution
  • Are the principles of insurance mandatory?

    Yes, everyone dealing in insurance mustfollow these principles.

  • Are principles of insurance the same in life insurance Vs health insurance?

    Yes, the principles are the same in life insurance as well as health insurance.

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    Insurance

    Meaning of insurance premium

    Meaning of insurance premium


    So, you’re looking to buy an insurance policy? A prudent choice! That being said, there are a bunch of complicated terms and jargon in the insurance industry. One such term Is an insurance premium. So what is an insurance premium? This article will aim to clear all doubts that you may have on the subject and help you leave this page with complete clarity. So, let’s dive in!

    Meaning of insurance premium

    An insurance premium is a fee that the insurance company takes to cover the risks of a policyholder. The concept of the insurance premium is universal. It is the same across all kinds of insurance policies like life, health, fire, motor, marine, etc.

    Now, why would you be willing to pay a premium to an insurance company? The simple answer is that they are covering you against certain predefined risks. Let’s say you’re traveling abroad and are worried about getting sick while on the trip. This is where a travel insurance policy comes in. An insurance company will (for a premium) provide you a travel insurance policy that will help pay for any hospitalization costs that you may incur while abroad.

    Insurance premium examples

    Let us further solidify the concept of an insurance premium with the help of a couple of more examples.

    Life insurance premium

    Let us say Mr. Ram has taken a life insurance policy worth 50 lakh Rupees from HDFC Life. For Mr. Ram (or his heirs) to avail the benefits of his life insurance policy will have to regularly pay his premium until his policy matures or he passes away.

    Health insurance premium

    Let us assume that Mrs. Meena has taken a health insurance policy worth 10 lakh Rupees from HDFC Ergo. She will have to ensure regular premium payment for her to be covered against any hospitalization charges in the future. If she fails to pay her premium even after the premium grace period, her policy benefits will lapse.

    Motor insurance premium

    Let us assume that Mrs. Sheela has taken a Motor insurance policy for her new Honda Accord. It is mandatory for her to purchase a motor insurance policy under the Motor Vehicles Act. A motor insurance policy can either be third-party or comprehensive. The policy will cover risks against accidents and Mrs. Sheela will have to pay a premium to the insurance company for bearing this risk.

    4 Important Points To Remember

    Premium payment: It is very important to pay your insurance premium on time, to ensure continuity of benefit. If for any reason you have failed to pay your premium on time, it is critical that you pay it within the grace period.

    Flexible premiums: Premium payment can be flexible. A company will generally accept premiums yearly, half-yearly, one time premium (for certain policies), monthly, etc.

    Premium discount: Many companies provide discounts on premiums if you decide to make premium payments for 2 or 3 years in advance. The discounts range from 10-20%.

    Tax benefit: The premium that you pay has a tax benefit that is attached to it. Premiums are tax-deductible under sections 80C & 80D of the Indian Income Tax Act.

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    Insurance Sector in India

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    Insurance Sector in India (Key Takeaways)

    If you’ve ever bought an insurance policy or are looking to buy an insurance policy in India, it would be well worth your time to at least familiarize yourself with some of the basic key takeaways and learnings of the insurance sector in India.

    In a massive country like India, the insurance sector plays a pivotal role in the stability and protection of the nation. The concept of insurance is rather simple, insurance is where the risk is undertaken by parties that are capable of bearing those risks (for a premium). The idea behind this is to transfer the risk from the insured (the policyholder) to someone who is more capable of bearing the risk (insurance company). This leads to financial and social stability across a country. The insurance sector in India is regulated by the Insurance regulatory and development authority (IRDA).

    We will be discussing some of the following salient features and aspects relating to the insurance sector in India:-

    • Participants in the insurance sector
    • Regulator of the insurance sector in India
    • Growth of the insurance sector in India
    • Insurance sector reforms in India
    • FDI in insurance sector
    • Jobs in the insurance sector
    • Government schemes

    Participants in the Insurance Sector

    There are 3 board sub-sections in the insurance sector. They are life insurance, general insurance, and reinsurance.

    1.) Life insurance companies: There are a total of 24 life insurance companies in India.

    2.) General insurance companies: A total of 34 general insurance companies are active in India (as of 2021).

    3.) Reinsurance companies: General Insurance Corporation Of India (GIC) is the only reinsurance company in India.

    Regulator of the Insurance Sector in India

    The insurance sector in India is regulated by IRDA (having its headquarters in Hyderabad). IRDA came into force in 1999, after the Indian Parliament passed the IRDA act in 1999. It is IRDA’s role to ensure fair competition among the insurance companies and the efficient functioning of the insurance sector in India. It is also the IRDA’s principal goal to ensure that the end customer’s (policyholders) rights are upheld and no injustice is done to them in any capacity.

    Growth of Insurance Sector in India 

    The insurance sector grew at a compounded annual growth rate (CAGR) of over 12% from 2013-17 and is expected to grow at approximately 5% from 2017-22. India is the 10th largest life insurance market in the world and the 15th largest Non-life insurance market in the world respectively. The life insurance sector in India is valued at $92.1 billion, and the General insurance sector is valued at $24.5 billion.

    That being said, penetration of the insurance market is still a measly 5-10%, signifying tremendous growth potential in the future.

    Future of the Insurance Sector in India 

    The overall Insurance sector in India is expected to grow to $250 billion by the year 2025. India is also forging ahead with a plethora of high-tech insurance products like Unit Linked Insurance Plans (ULIPs) and innovative agricultural insurance products. The penetration of the insurance market in India is also likely to increase due to the innovative intermediary distribution services like Point Of Sales Person (POSP), TPA services, Brokers, insurance repositories, insurance marketing firms, insurance self network platforms(ISNP), and Online web aggregators.

    The number of registered intermediaries under IRDA as of 2021 are as follows:-

    • 483 registered insurance brokers
    • 23 registered TPAs
    • 22 registered web aggregators
    • 4 registered insurance repositories
    • 398 registered insurance marketing firms

    FDI in Insurance Sector

    FDI limit in the insurance sector is up to 74%. The limit was increased from 49% to 74% in the 2021 Union Budget. This move is bound to increase foreign investment in the sector greatly.

    Insurance Sector Reforms in India

    IRDA has introduced a plethora of insurance reforms in the country. They include:-

    • Bancassurance
    • Common service centers
    • Electronic insurance
    • Competition reforms
    • Investment reforms
    • Customer-centric reforms

    1.) Bancassurance

    Previously Bank’s could only sell a single insurer’s insurance products. This leads to a lack of selection variety and ended up being detrimental to the end customer. Seeing this, IRDA has introduced the Bancassurance reform where a bank can offer a multitude of insurance products across various insurance companies. This increases the choice for the end customer.

    2.) Common service centers

    Common Service Centres (CSC) are physical locations set up across the nation for distributing government schemes and products. It was introduced under the ambit of the
    Ministry of Electronics and Information Technology and is managed by CSC e-Governance Services India Limited. There are over 1.5 lakh CSCs across the country.

    4.) Electronic insurance

    IRDA has pushed for Electronic Insurance. This means insurance policies, related documents, and KYC requirements will be handled electronically and without the need for physical handling.

    5.) Competition reforms

    Companies having paid-up capital of over INR 1 billion are eligible to partake in the insurance sector. There are various further reforms pushed by IRDA to ensure fair competition among insurance companies.

    Investment reforms

    As mentioned above, FDI in the insurance sector has been increased from 49% to 74%. This reform is likely to bring in an influx of foreign capital in the sector and create additional jobs across the sector.

    Customer Centric Reforms

    Some customer centric reforms introduced are:

    • An Insurance company cannot reject any claim made by an insured person if he or she has been a regular premium payer for 3 years.
    • Life Insurance Company of India is now mandated to pay interest on delayed payments to its customers.
    • There is an attempt to generalize insurance products, resulting in an easier understanding of policies.

    Jobs in the Insurance Sector 

    • The India Today-Employment Trends Survey puts the insurance industry within the top 10 recruiters in the nation.
    • An NIA-CII survey estimates that over 6.5 million people were employed in the insurance sector in 2012.
    • According to the CII Report, there will be an additional demand of 2.1 million skilled jobs within the insurance sector in India by 2025.

    Thus it can be concluded that the insurance sector will be a leading absorber of skilled labor within the nation in the years to come.

    Government Schemes

    The Government Of India has introduced a plethora of insurance schemes in the nation, intending to provide economic and social stability. Mentioned below are some of the popular government schemes:

    • Universal Health Insurance Scheme (Ayushman Bharat Yojna)
    • Aam Admi Bima Yojna (AABY)
    • Central Government Health Scheme (CGHS)
    • Employment State Insurance Scheme (ESIS)

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