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Risk, Risk Management
    and Insurance




Group Report on Prime
   Life Insurance

                        www.company.com
Group Members
•   Chhitiz Shrestha
•   Niraj Taujale
•   Raj Shrestha
•   Sheeba Maskay
•   Zhang Peng




                       www.company.com
Insurance in the Nepalese Context
• In the current scenario insurance business is playing
  vital role of financing losses
• Over the last decade, Nepalese insurance industry
  has undergone a substantial change, from being the
  domain of nationalized players to attracting private
  sector companies
• As the industry has changed, so too has the
  important aspects like customer- provider relationship




                                                 www.company.com
Insurance in the Nepalese Context
• In the last fiscal year, different insurance companies
  registered a total transaction of Rs 14.4 billion
• Non-life insurance saw a transaction of Rs 6.5 billion
• Life insurance saw a transaction of Rs 8.9 billion
• 16 companies are providing non-life insurance
  service while eight companies are providing life
  insurance service




                                                  www.company.com
Insurance in the Nepalese Context
• Transactions in billions
    10
               8.9
     8
                               6.5
     6
                                     Life
     4                         4.4
                                     Non- Life
     2

     0
             2009            2010



                                                 www.company.com
Insurance in the Nepalese Context
• Yet only as much as 8% of people are insured.
• The remaining 92% of people still do not have access
  to insurance
• It is mainly due to unexplored rural areas which lack
  access to the likes of insurance
                        8%


                                     Insured


                                     Uninsured
                  92%




                                                 www.company.com
Prime Life Insurance at a Glance
• Came into existence in June 2007
• Share holding constitutes of 70 percent promoters
  holding and 30 percent general public
• Laxmi Bank Limited, is one of the major promoters
  with 15 percent stake
• Unprecedented achievement in the Nepalese Life
  Insurance Industry by recording net profit of NPR
  56.75 million in the first full year operation
• Recorded more than 370,566 policies in just 3 years
  of operation

                                              www.company.com
Prime Life Insurance at a Glance
• Collected premium amounting to NPR 1,262 Million
• Increased its distribution network by opening 85
  network points of representations all over Nepal




                                             www.company.com
Products offered by Prime Life
• PrimeLife Pension Plan
  (Bhawisya Britti Bhuktani Jeevan
  Beema)
• PrimeLife Saral Jivan
  (Endowment Plan with profits)
• PrimeLife Dhan Sagar (Money
  Back Policy with profits)
• PrimeLife Nari Jeewan Beema




                                     www.company.com
Products offered by Prime Life
• PrimeLife Swarnim(Child
  Endowment with profits)
• PrimeLife Jivan Surakshya
  (Whole Life Endowment with
  profits)
• PrimeLife Karja Surakshyan
  (Mortgage Redemption
  Insurance)
• PrimeLife Baideshek Rozgar
  (Foreign Employment Policy)

                                   www.company.com
Insurance Marketing System
• Mainly dependent upon
  mass advertising
   – The likes of Kollywood
     Superstar Mr. Rajesh
     Hamal is used to market
     the insurance product
• Vast use of Call centers
  as well
• Major corporations
  insure all their staffs at
  once

                               www.company.com
Insurance Marketing System
• Besides that, the normal use of Insurance
  Agents as well
• Others come to the insurance office themselves,
  for specific kind of insurance




                                          www.company.com
Insurance Process




                    www.company.com
Insurance Imperfections
• The Principle of utmost good faith
   – It is generally applied, yet in case of minute necessities, it is
     avoided.
   – Eg. The place form where the man who is insured is not
     examined with much vigor as what caused his accident.
• Agent/Staff Manipulation
   – Although the company claims that the customers of another
     company is off limits, however, if it is in the company's
     interest it could attract staffs and agents from another
     companies



                                                              www.company.com
Insurance Imperfections
• Difference in risk calculation
   – Although not an imperfection, risk is calculated separately
     for separate individual
   – Eg. A person with AIDS yet good financial backing and
     healthy habits may have to pay less premium then a person
     with AIDS but insecure finance and unhealthy habits.
   – Thus, risk for each person is calculated uniquely.




                                                         www.company.com
Claim Settlement Process
• A claim is the payment made by the insurer to the
  insured or claimant on the occurrence of the event
  specified in the contract, in return for the premiums
  paid for the insured.
• Based on information, Assessment and Decision
• While asking for requirements the company
  considers
   – The Sum at risk
   – Cause
   – Circumstances of claim


                                                  www.company.com
Claim Settlement Process
• Eg. For accidental death, specific proofs such as
  Post Mortem and Police Report are required
  whereas for death due to illness, the Company calls
  for records from hospital, test reports, etc.
• The nominee (in case of minor nominee) last
  recorded under the Policy in case of Policy on own
  life.
• The proposer in case the Policy is not on own life.
• Assignee in case the Policy was assigned.
• Life Assured himself in case of policy on own life for
  living benefit claims (Eg Critical Illness rider)
                                                   www.company.com
Calculation of Premium
• Based on Occupation
   – People with riskier jobs pay more amount of premium
• Based on Financial hazard
   – Risk also depends upon jobs a person undertakes and
     his commission
• Based on Moral Hazard
   – Primarily based on morals and motives of people
   – People in various regions have to face various risks
     thus, risk also changes




                                                   www.company.com
Calculation of Premium




                         www.company.com
Scope of Re-insurance
• Re-insurance still lacks a proper scope in Nepal
• It is mainly due to:
   –   Poor Economy of our country
   –   Unstable political condition
   –   Lack of developmental activities
   –   Lack of investment
• Hence a re-insurance company cannot sustain in
  Nepal.
• Finally, an economy like ours would not be able
  to sustain a collapse of a re-insurance company
• So, all re-insurance is done abroad
                                           www.company.com
The Role of the Underwriter
• Studying various insurance proposals;
• Gathering and assessing background
  information;
• Calculating possible risk and deciding how much
  individuals or organizations should pay for
  insurance (the premium);
• Deciding whether the risk should be shared with
  a re-insurer;




                                          www.company.com
The Role of the Underwriter
• Computing results for appropriate premiums
  using actuarial information, other statistics and
  own judgment;
• Visiting brokers or potential customers and
  preparing quotes;
• Writing policies;
• Keeping detailed records of policies underwritten
  and decisions made.




                                           www.company.com
The Role of the Underwriter
• Liaising with specialists, such as surveyors or
  doctors, for risk assessment;
• Gathering information and various types of
  reports (e.g. medical records) from specialists;
• Specifying conditions to be imposed on different
  types of policies, for example, asking that a
  property owner install a security alarm;
• Negotiating with brokers and drawing up
  contracts;


                                           www.company.com
The End




          www.company.com
Special Thanks
• Mr. Subin Shrestha (RRMI Instructor)
• Mr. Kishor Lamichane (Underwriter - PLI)




                                             www.company.com

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Prime life insurance

  • 1. Risk, Risk Management and Insurance Group Report on Prime Life Insurance www.company.com
  • 2. Group Members • Chhitiz Shrestha • Niraj Taujale • Raj Shrestha • Sheeba Maskay • Zhang Peng www.company.com
  • 3. Insurance in the Nepalese Context • In the current scenario insurance business is playing vital role of financing losses • Over the last decade, Nepalese insurance industry has undergone a substantial change, from being the domain of nationalized players to attracting private sector companies • As the industry has changed, so too has the important aspects like customer- provider relationship www.company.com
  • 4. Insurance in the Nepalese Context • In the last fiscal year, different insurance companies registered a total transaction of Rs 14.4 billion • Non-life insurance saw a transaction of Rs 6.5 billion • Life insurance saw a transaction of Rs 8.9 billion • 16 companies are providing non-life insurance service while eight companies are providing life insurance service www.company.com
  • 5. Insurance in the Nepalese Context • Transactions in billions 10 8.9 8 6.5 6 Life 4 4.4 Non- Life 2 0 2009 2010 www.company.com
  • 6. Insurance in the Nepalese Context • Yet only as much as 8% of people are insured. • The remaining 92% of people still do not have access to insurance • It is mainly due to unexplored rural areas which lack access to the likes of insurance 8% Insured Uninsured 92% www.company.com
  • 7. Prime Life Insurance at a Glance • Came into existence in June 2007 • Share holding constitutes of 70 percent promoters holding and 30 percent general public • Laxmi Bank Limited, is one of the major promoters with 15 percent stake • Unprecedented achievement in the Nepalese Life Insurance Industry by recording net profit of NPR 56.75 million in the first full year operation • Recorded more than 370,566 policies in just 3 years of operation www.company.com
  • 8. Prime Life Insurance at a Glance • Collected premium amounting to NPR 1,262 Million • Increased its distribution network by opening 85 network points of representations all over Nepal www.company.com
  • 9. Products offered by Prime Life • PrimeLife Pension Plan (Bhawisya Britti Bhuktani Jeevan Beema) • PrimeLife Saral Jivan (Endowment Plan with profits) • PrimeLife Dhan Sagar (Money Back Policy with profits) • PrimeLife Nari Jeewan Beema www.company.com
  • 10. Products offered by Prime Life • PrimeLife Swarnim(Child Endowment with profits) • PrimeLife Jivan Surakshya (Whole Life Endowment with profits) • PrimeLife Karja Surakshyan (Mortgage Redemption Insurance) • PrimeLife Baideshek Rozgar (Foreign Employment Policy) www.company.com
  • 11. Insurance Marketing System • Mainly dependent upon mass advertising – The likes of Kollywood Superstar Mr. Rajesh Hamal is used to market the insurance product • Vast use of Call centers as well • Major corporations insure all their staffs at once www.company.com
  • 12. Insurance Marketing System • Besides that, the normal use of Insurance Agents as well • Others come to the insurance office themselves, for specific kind of insurance www.company.com
  • 13. Insurance Process www.company.com
  • 14. Insurance Imperfections • The Principle of utmost good faith – It is generally applied, yet in case of minute necessities, it is avoided. – Eg. The place form where the man who is insured is not examined with much vigor as what caused his accident. • Agent/Staff Manipulation – Although the company claims that the customers of another company is off limits, however, if it is in the company's interest it could attract staffs and agents from another companies www.company.com
  • 15. Insurance Imperfections • Difference in risk calculation – Although not an imperfection, risk is calculated separately for separate individual – Eg. A person with AIDS yet good financial backing and healthy habits may have to pay less premium then a person with AIDS but insecure finance and unhealthy habits. – Thus, risk for each person is calculated uniquely. www.company.com
  • 16. Claim Settlement Process • A claim is the payment made by the insurer to the insured or claimant on the occurrence of the event specified in the contract, in return for the premiums paid for the insured. • Based on information, Assessment and Decision • While asking for requirements the company considers – The Sum at risk – Cause – Circumstances of claim www.company.com
  • 17. Claim Settlement Process • Eg. For accidental death, specific proofs such as Post Mortem and Police Report are required whereas for death due to illness, the Company calls for records from hospital, test reports, etc. • The nominee (in case of minor nominee) last recorded under the Policy in case of Policy on own life. • The proposer in case the Policy is not on own life. • Assignee in case the Policy was assigned. • Life Assured himself in case of policy on own life for living benefit claims (Eg Critical Illness rider) www.company.com
  • 18. Calculation of Premium • Based on Occupation – People with riskier jobs pay more amount of premium • Based on Financial hazard – Risk also depends upon jobs a person undertakes and his commission • Based on Moral Hazard – Primarily based on morals and motives of people – People in various regions have to face various risks thus, risk also changes www.company.com
  • 19. Calculation of Premium www.company.com
  • 20. Scope of Re-insurance • Re-insurance still lacks a proper scope in Nepal • It is mainly due to: – Poor Economy of our country – Unstable political condition – Lack of developmental activities – Lack of investment • Hence a re-insurance company cannot sustain in Nepal. • Finally, an economy like ours would not be able to sustain a collapse of a re-insurance company • So, all re-insurance is done abroad www.company.com
  • 21. The Role of the Underwriter • Studying various insurance proposals; • Gathering and assessing background information; • Calculating possible risk and deciding how much individuals or organizations should pay for insurance (the premium); • Deciding whether the risk should be shared with a re-insurer; www.company.com
  • 22. The Role of the Underwriter • Computing results for appropriate premiums using actuarial information, other statistics and own judgment; • Visiting brokers or potential customers and preparing quotes; • Writing policies; • Keeping detailed records of policies underwritten and decisions made. www.company.com
  • 23. The Role of the Underwriter • Liaising with specialists, such as surveyors or doctors, for risk assessment; • Gathering information and various types of reports (e.g. medical records) from specialists; • Specifying conditions to be imposed on different types of policies, for example, asking that a property owner install a security alarm; • Negotiating with brokers and drawing up contracts; www.company.com
  • 24. The End www.company.com
  • 25. Special Thanks • Mr. Subin Shrestha (RRMI Instructor) • Mr. Kishor Lamichane (Underwriter - PLI) www.company.com