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Business Interruption Policy

Posted on: November 8th, 2019 by shiv No Comments

Popular insurance products like Fire Insurance, Machinery Breakdown Insurance cover the risk of physical damage to the assets. However the financial loss due to stoppage of work following a physical damage is not covered by these policies.

Business Interruption policies cover financial losses due to stoppage of work, which follows a physical damage either due to risks covered under a fire insurance or under a machinery breakdown insurance. These policies are also called Loss of Profit Insurance or Consequential Loss Policies. These policy provide financial relief only if the affected assets are also covered under a Fire Insurance policy or Machinery Breakdown Insurance, as the case maybe.

The policy covers:

  • Loss of gross profit. Gross profit is defined as the net profit plus insured standing charges (fixed expenses).
  • Increased cost of working
  • The gross profit of the indemnity period selected is the sum insured under the policy.

The indemnity period is the maximum period required to put the business back into normal operation after damage to insured property by an insured peril. The indemnity period commences with the date of damage and lasts till such a time as the business is restored to its pre damaged level or the period stipulated in the policy, which ever comes first. The indemnity period could vary from 6 months to 3 years.

Extensions:

  • Wages Lay – Off and Retrenchment Compensation and Notice Wages Liability
  • Auditor’s Fees
  • Supplier’s Extension
  • Customer’s Extension
  • Insured’s Property stored at other locations
  • Public Utilities Extension

Advance Loss of Profit (ALOP) Insurance

Posted on: November 8th, 2019 by shiv No Comments

This policy is particularly important for large greenfield projects where delay in project completion could have a substantial impact on the expected revenue of the Company, potentially impacting the sponsors’ ability to service debt and other fixed expenses.

The policy pays for Anticipated Net Profit plus Standing Charges (Fixed Expenses) during the period of delay, from the scheduled date of commencement of commercial operation up to the actual date of commencement of commercial operation, subject to a time excess and the Indemnity Period.

The delay must have occurred due to a loss during construction, and payable under the Construction/Erection All Risks policy.

The policy does not cover delay due to:

  • Inventory losses
  • Delay in shipment of supplies
  • Normal project schedule slippages
  • Non -availability of funds for repairs/replacement to damaged items
  • Cancellation of license or Govt. restrictions etc.

Some ALOP basics are:

  • The insured person in ALOP is the owner only. A contractor cannot be the insured.
  • Concurrent Material Damage (MD) insurance (EAR / CAR)  is a prerequisite 

  • Insurance period is identical to MD erection period



Marine Delay in Start Up (MDSU)

Posted on: November 8th, 2019 by shiv No Comments

Provides insurance coverage for the principal’s financial loss resulting from a delay in commencing commercial operation due to a material loss or damage covered by the underlying Marine Cargo policy.

Crime Insurance

Posted on: November 8th, 2019 by shiv No Comments

Crime insurance covers the losses resulting from criminal acts such as robbery, burglary and other forms of theft either by employees or third parties. It is a superior replacement for ‘Fidelity Guarantee Insurance’.

It covers acts by employees, third parties, temp or seasonal staff, contractors and outsourcing operations. Other than compensation for established losses the policy can reimburse fraud investigations costs.

This policy can cover any or all of the following risks:

  • Employee Theft
  • Forgery or Alteration
  • Inside the Premises – theft of money and securities
  • Inside the Premises – robbery or Safe burglary of other property
  • Computer Fraud
  • Funds Transfer Fraud
  • Money Orders and Counterfeit money

Some insurance companies can also provide the following extensions:

  • Client loss
- Where the insured is responsible for the care, custody and 
control of clients’ money, securities or property; and such 
has been lost under the main cover
  • Fees, costs and expenses
    • Auditor fees or investigation costs to identify covered losses
    • Legal fees in defense of demands or claims resulting from 
a covered loss
    • Fair and reasonable costs to restore the insured computers 
following a covered loss
  • Automatic Cover for Acquisitions 
- Cover provided if gross turnover and number of employees is each less than 15% and the business is not materially different from the insured’s current business
  • Discovery period
- If an insured decides to discontinue a commercial crime 
policy a discovery option is available to cover unknown loss

Money Insurance

Posted on: November 8th, 2019 by shiv No Comments

Highlights

Money Insurance policy provides cover for loss of money in transit between the insured’s premises, bank, vendors, customers, post office or other specified places due by robbery, theft or any other fortuitous cause.

The policy also covers loss by burglary or housebreaking whilst money is retained at Insured’s premises in safe(s) or strong room.

Scope of Cover

  • Section I: Covers money in transit including cash like instruments like Bank Drafts, Currency Notes, Treasury Notes, Cheques, Postal Orders and current Postage Stamps.
  • Section II: Covers money in safe, counter, till or on premises

Basis of Sum Insured

Two amounts are specified in the policy for the purpose of premium computation and liability:

  • Limits of liability for any one loss (i.e. maximum liability of the Company)
  • Estimated amount that will be carried between any two points during the year

Extensions

This policy can be extended to include

  • The risk of embezzlement by employees
  • Terrorism
  • Compensation to employees if they are injured in an assault resulting in looting of money been carried by them

Exclusions

  • Shortage due to errors or omission

Keyman Insurance

Posted on: November 8th, 2019 by shiv No Comments

What is Keyman Insurance?

Keyman Insurance is a Term Life Insurance cover affected by the company to compensate for the financial loss suffered following the death of a Key Member or Staff of the Organization. Keyman Assurance does not provide for indemnification of loss incurred but only for the benefits as per the plan of assurance selected.

Purpose of Keyman Cover:

It provides a financial cushion to the company for:

  • The loss of customers or sales affected by the keyman’s ability and personality.
  • The loss of day-to-day specialized skills.
  • The cost of recruiting and training a suitable replacement.
  • Delay or cancellation of any business project that the keyman is working in.
  • The loss of opportunity to expand in the future.
  • The loss of stable management and good labor relations.
  • Reduction of credit worthiness – recall of loans guaranteed by the keyman.

Who can be a Keyman?

Anybody with specialized skills, whose loss can cause a financial strain to the company are eligible for Keyman Insurance. For example, they could be:

  • Directors of a Company
  • Key Sales People
  • Key Project Managers
  • People with Specific Skills

Benefits to the Company

  • Insulate the risk of financial loss against loss of a Keyman.
  • Premiums paid under keyman insurance are fully allowed as Business Expenses under Section 37(1) of the Income Tax Act, 1961, subject to satisfaction of the assessing authority.
  • Interest on loans taken against a keyman insurance policy may also be allowed as business expenses.
  • Premiums paid by the company on the life of a keyman would not be treated as perquisites in the hands of such a keyman when the company’s request is accepted by the assessing authority.
  • Keyman Insurance policy is a positive measure to improve the retention of the keyman in the company.

Group Health Insurance

Posted on: November 8th, 2019 by shiv No Comments

The policy covers expenses incurred by an insured person during hospitalization. The main benefits in the policy are:

  • Self, Spouse, Two Children and Parents (1+5) can be covered under family floater.
  • Maternity expenses are covered from the day the policy starts or from the day an employee joins.
  • New born baby covered from the time of birth
  • Pre-existing Disease is covered.
  • All expenses can be covered from the 1st day of the policy. i.e. waiver of all waiting periods
  • Cashless treatment at more than 3000 hospitals across India and all major hospitals in all cities.
  • Expenses incurred 30 Days before and 60days after hospitalization are also reimbursed.

Insurance Companies:

The policy is available from all non-life and health insurers in India. However we have observed that the four government companies give better prices and better services for group larger than 500 persons.

Why should Optima be a Preferred Partner for Group Health Insurance:

  • More than 4 lakh lives covered through us
  • More than 150 large companies are covered through us.
  • Strong relationship with TPAs, insurers and hospitals

We would provide the following services if we are given an opportunity to manage your health portfolio:

  • Sessions with employees on policy benefits
  • E-Enrollment of dependents to reduce HR work load.
  • Manage additions and deletions of employees, issuance of TPA cards and reimbursement claims
  • Provide SOS support for cashless claims
  • Maintain and provide updated MIS of various activities like – cards, claims, endorsements 
  • Help in claims control
  • Periodic review of the portfolio with the management team

Some of our value added services are:

  • Organizational Health mapping
  • Doctor on call / chat service
  • Pre defined SLAs with penalty clauses for all our deliverables to bring accountability.

Group Personal Accident Insurance

Posted on: November 8th, 2019 by shiv No Comments

Accidents can happen anytime. While boarding a bus, going to the bathroom in the night, traveling in the train etc

Insurance provides financial relief in case of an accident. The personal accident policy provides the following coverage:

Low Cost Insurance Cover
This cover can also be given to a group of persons who can come together for a purpose other than insurance e.g. group of employees, group club members etc.

Coverage

  • Accidental Death – The Sum Insured is paid to the nominee of the insured.
  • Accidental Disability – The Sum Insured or a part of it, depending upon the extent of disability, is paid to the insured on loss of limb/s in case of an accident. This benefit can cover both Permanent Total Disability (PTD) and Permanent Partial Disability (PPD)
  • Loss of Pay – In case the insured is bed ridden due to an accident and is not able to attend office, the policy pays 1% of the Sum Insured as compensation upto 104 weeks. The benefit is also called ‘Weekly Benefit’ or ‘Temporary Total Disability’
  • Medical Expenses – The policy reimburses medical expenses incurred on treatment incase of an accident.

Highlights

  • Accidents mean anything, which is unforeseen, and therefore cover all types of accidents including road accidents.
  • It is a 24 hours cover, world-wide cover.

Group Term Life Insurance

Posted on: November 8th, 2019 by shiv No Comments

What is Group Term Insurance?

A type of insurance coverage offered to a group of people. This coverage will provide a monetary benefit to the beneficiaries if the covered individual dies during the defined covered period.

As with other types of group benefits, group term life insurance is generally cheaper than comparable individual policy coverage. For this reason, group term life insurance is often a key component in employee benefit packages.

The premiums are based on the company’s deaths experience, proposed sum assured, range of employees’ ages and the occupation of the employees.

Why is Group Term Life Insurance Important?

Most of us do not use of insurance as a risk management tool. Insurance is still used to save taxes or make savings.  Therefore most of us buy investment based plans, which have meager sum assureds.  In case of untimely death of a person these policies are unable to provide a sufficient corpus, which can replace the income of the person.

A Group Term Life cover supplements the sum assured taken by an employee and provides financial relief to the family in case of the employee’s untimely death.

Salient Features of the Policy:

  • One master policy issued covering all members of the group
  • One year renewable plan
  • Sum assured is payable on death (either due to natural causes or accidents)
  • Addition and deletion of group members on pro-rata basis
  • No health tests required for group members upto a defined sum assured limit which is called ‘Free Cover Limit’. Health tests applicable to members who have sum assured above the Free Cover Limit.

FAQs

Can the member carry the policy on leaving the group?

No, all benefits under the plan are terminated when a member leaves the group.

Can the Sum Assured be changed mid term?

No, sum assured cannot be changed mid term unless the sum assured for the whole group or the particular hierarchy is being revised. Sum assured can also be changed if any person has been promoted during the policy duration and the new designation enjoys a higher sum assured.

Information Required By Insurers to Quote:

Insurers require the following information for each member of the group:

  • Date of birth
  • Date of Joining
  • Designation
  • Proposed Sum Assured
  • Declaration of any deaths in the three previous years

Specific Policy

Posted on: November 8th, 2019 by shiv No Comments

This policy is valid for a single voyage or transit. The policy will be issued before the voyage starts. The coverage will cease immediately on completion of the voyage.

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