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A common platform being planned by Indian health Insurers to curb fraud

Posted on: May 5th, 2023 by hema kashyap No Comments

The General Insurance Council of India is planning to partner with hospitals for facilitating cashless claims settlement for non-life insurance companies. This platform will bring ease of doing business for hospitals to tie up with insurers and put a halt to the leakages in the healthcare sector by bringing transparency.

This platform will address long standing demand of the healthcare industry, having to deal with 30 insurance companies on a standalone basis. This platform is designed to help detect frauds, and eliminate waste and abuse, bringing down the cost for non-life insurance companies.
The objective of this platform is to increase the share of cashless claims to about 100% from 55% currently, contributing to the growth of health insurance industry in India. This platform will also help to identify the errant hospitals and initiate corrective actions.

India’s first global insurance summit for investments being planned

Posted on: May 1st, 2023 by hema kashyap No Comments

Later this year, India is planning to host its first state-sponsored global insurance summit. The summit intends to turn the global spotlight on Indian insurers and highlight the challenges of industry and attract business investments. This comes in the backdrop of India’s insurance regulator recently launching ‘Insurance for all by 2047’ mission and revealing many measures to increase growth in the sector. By 2027, the Indian insurance market is expected to touch US $ 200 billion. The Indian insurance market is emerging as a bright spot in midst of the developed world facing headwinds on economic front.

This conference is slated to be the world’s biggest, by bringing together global heads and top executives from large insurers, reinsurers, broking agencies, actuarial organizations and policymakers on single platform. This event is likely to leverage India’s G-20 presidency and may be planned around September, however, official confirmation is still awaited. This will be an excellent opportunity for India’s insurance sector to seek investments in rapidly growing market with huge potential to increase insurance penetration. During FY21, India’s insurance penetration was 4.2%, with life insurance penetration at 3.2% and non-life insurance penetration at 1.0%.

Government owned General Insurers thinking to re-deploy 20,000 employees in marketing

Posted on: April 18th, 2023 by hema kashyap No Comments

India’s four public-sector general insurers are reviewing a proposal recommended by the global professional services firm EY, to deploy their 50% of the staff from every Indian office in marketing.

This proposal, if accepted, could bring about a big change in the Indian Insurance market, with entry of nearly 20,000 employees of these four general insurance companies for Insurance marketing. There are about 40,000 employees all across India, spread over 8,000 offices of National Insurance, Oriental Insurance, United India Insurance, and The New India Assurance.

EY has been appointed by these four government-owned non-life insurers to review and recommend restructuring their operations.

Indian Public sector General Insurers’ combined market share slips

Posted on: April 10th, 2023 by hema kashyap No Comments

Four public sector general insurance companies of India have lost their combined market share by 1.75% year-on-year basis, capturing 32.27% share for the financial year ended on 31st March 2023 (FY2023). All leading public sector general insurers — New India Assurance, United India Insurance, Oriental Insurance Company and National Insurance Company — reported loss of market share in FY2023 in terms of gross direct premium underwritten, due to intense competition from private players in the non-life insurance business.

The weaker underwriting performance of the four public sector insurers has limited their overall profitability and solvency position. The high losses in underwriting along with extremely low solvency ratios allow limited headroom for them to underwrite new business.

Insurer Market Share Premiums
FY2023 Y-o-Y Change FY2023 (INR mn) Y-o-Y Change
New India Assurance 13.42% -1.33% 344,871.5 5.87%
United India 6.87% -0.25% 176,433.2 12.22%
Oriental 6.08% -0.13% 156,095.7 13.85%
National 5.90% -0.04% 151,557.6 15.47%

The premium income rose lesser than the average growth for the non-life market, for these 4 public sector general insurers. As per General Insurance council’s report, the total gross direct premium underwritten by non-life insurance companies in FY2023 grew by 16.36% to INR 2.57 tn ($ 31.4 bn) from INR 2.21 tn in FY2022.

IRDAI provides Insurers flexibility for expenses management with new payment rules on commission

Posted on: March 30th, 2023 by hema kashyap No Comments

The Indian insurance regulator has allowed Insurers an overall limit on expenses of management (EOM) by removing the individual cap on payments of commission for insurance products. As per the IRDAI (payment of commission) regulations, all life and non-life insurers (general and standalone health insurers) will be able to manage their expenses within the overall limits defined by their gross written premium.

Becoming operational with effect from 1st April 2023, regulations will be reviewed once every three years. It will help insurers to utilize their resources in an optimal manner and extend benefits to the policyholders. Insurance agents will be encouraged to explain policy features and sell insurance products to consumers, increasing insurance penetration in India.

Premium rates for fire insurance now linked with claims record by Insurers

Posted on: March 21st, 2023 by hema kashyap No Comments

Non-life insurance companies in India are linking the premium rates for fire insurance policies to the claims record, doubling the insurance price for those with reported claims of more than three times the premium paid. This linkage will enable companies to offer discounts to customers with good track record, as claims in property insurance are less frequent.

Industry experts are of the opinion that it is due to the IRDAI’s directive to not to treat the premium rates published by the insurance information bureau as minimum rates.

India: Public Liability Insurance is the way to be

Posted on: March 16th, 2023 by hema kashyap No Comments

Public liability insurance provides cover for any personal injury or damage to the third party which can be attributed to the policyholder’s business operations. It covers damage caused to the general public, customers, or sub-contractor within business premises or claims of damage to others’ property involving the business. The aim of public liability insurance is to avoid costly litigations and stop insurmountable losses.

As per the report on Public Liability Insurance in India, India’s economic development and industrial growth will necessitate the pursuit of public liability insurance. This report provides a holistic overview of the rules and regulations governing liability insurance, its operability, and working both for disastrous public tragedies like 1984 Bhopal gas disaster and commercial liability of global organizations.

There is a need for non-life insurers to spread awareness of liability insurance and the inherent risks involved in any business activity. Develop public liability risk covers in line with market expectations and which aspect of the risk can be covered under such insurance. A high degree of focus is required to improve product coverage, claim conditions, and relief options for victims to improve the low penetration of liability insurance in India.
The report proposes • to make public liability insurance mandatory for all businesses and to fast-track justice and compensation for victims of non-industrial accidents

Turkey-Syria earthquake – Insurable losses exceed $ 4 bn

Posted on: March 15th, 2023 by hema kashyap No Comments

A high-intensity earthquake measuring 7.8 on the Richter scale devastated parts of Turkey and Syria on 6th February 2023. More than 33,000 people have died and innumerable losses on the economic front. Not just overall economic losses, it is very difficult to predict the economic losses which could have been covered with insurance, as on ground situation becomes clear. This earthquake has caused an estimated insurable economic loss of more than $ 4 bn, impacting the insurance sector.

Many structures and buildings in the region have been completely destroyed, with a good size of the population residing in temporary shelters or buildings prone to earthquake tremors. The Turkish Catastrophe Insurance Pool (TCIP) covers only residential buildings in the urban region, excluding commercial properties and loss of life.
Despite mandatory earthquake insurance cover, many residential properties are not insured, due to affordability. Presently, around 10.8 mn (53.90%) of about 20 mn residential properties in Turkey are covered for earthquake risk.
With insurable economic losses from the Turkey-Syria earthquake touching $ 4 bn or even more, the reinsurance part of TCIP could provide a little over $ 2 bn protection.

Further, local and international commercial insurers which provide insurance to industrial clients, for damaged factories and infrastructure like airports and ports are also majorly reinsured. The extent of claims is estimated to be insignificant for the global reinsurance market.

IRDAI reinstructs insurers to provide health cover to vulnerable persons

Posted on: March 2nd, 2023 by hema kashyap No Comments

India’s Insurance regulator has instructed all general and health insurers to offer specialized cover for persons with disabilities (PWD), HIV/AIDS patients, and those suffering from mental illness.

A circular dated 27 February 2023 mandates insurers to have a board-approved underwriting policy so that the above-mentioned categories of people are not denied insurance access on account of the above-stated disabilities and/or illnesses.

All general and standalone health insurers must launch and offer such products immediately. Insurers may determine the price of the product in compliance with health insurance regulations, for a renewable policy tenure of 1 year.

This is in response to a Delhi High Court hearing in December 2022 on the plight of affected people to advise insurers about designing and offering insurance products for persons suffering from disabilities, HIV/AIDS, mental illnesses, as well as for transgender people, and submit a status report before 17 March 2023.

Indian Insurance Regulator to launch a platform for Information Exchange to tackle frauds in Insurance

Posted on: February 20th, 2023 by hema kashyap No Comments

The Insurance Information Bureau (IIB) of IRDAI is preparing to go live with ‘Beema Satark’ a B2B platform, to alert the general and standalone health Insurers about fraudulent medical insurance cases. All insurance companies will be able to exchange information and gain from this fraud analytics platform of the Indian general insurance industry. It will start with health insurance claims and add motor insurance claims later.

Insurance frauds are on the rise

As per a survey, about 60% of Indian private insurers think that frauds in the life and health insurance are rising significantly, while a minority of 10% think it increased marginally. This survey of insurance frauds was conducted in July-September 2022, with top level management responsible for compliance in leading private Indian insurers.
Frauds are on the rise owing to a higher level of digitization, post-COVID working from remote, and weakening of controls. Data theft is emerging as a big risk while traditional frauds like collusion between third parties and insurance mis-selling continues.

About 40% of the participants across the life and health insurance segments highlighted Fraud Mitigation as the top most priority for the Board and management.

The survey noted that there is an urgent need for Indian insurers to work pro-actively for Fraud risk management framework. Strategic intervention from top decision-makers to mitigate frauds is essential by reviewing and constantly monitoring the insurer’s operational model.

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