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Questions and Answers

What is the maximum premium amount an individual can claim for life insurance related to the Employees Provident Fund?

  • RM9,000
  • RM6,000 (correct)
  • RM3,000
  • RM100,000
  • Which entity administers the Employees’ Social Security Act 1969?

  • Employees Provident Fund (EPF)
  • Human Resources Development Fund (HRDF)
  • Social Security Organisation (SOCSO) (correct)
  • Occupational Safety and Health Administration (OSHA)
  • How does SOCSO primarily support lower-income employees?

  • By providing tax relief on premiums
  • By regulating workplace safety
  • By administering pension funds
  • By offering social security protection through insurance (correct)
  • Under the Employees Provident Fund, what is the maximum voluntary contribution amount recommended for commission-based personnel?

    <p>RM100,000</p> Signup and view all the answers

    Which of the following insurance plans is specifically mentioned as being covered by OSHA?

    <p>Workmen Compensation</p> Signup and view all the answers

    What is a primary disadvantage of using press conferences for product promotion?

    <p>Not all press releases are reported accurately.</p> Signup and view all the answers

    Which method of promotion is described as being primarily passive with limited market exposure?

    <p>Open days during festive periods</p> Signup and view all the answers

    How do human resources contribute to the insurance industry's outreach?

    <p>They form the multi-channel sales force that engages the market.</p> Signup and view all the answers

    Which of the following promotional methods is recognized for good company branding but unsuitable for direct product branding?

    <p>Sponsorship in public events</p> Signup and view all the answers

    What limitation is associated with direct mail to existing policyholders?

    <p>It does not target potential new customers efficiently.</p> Signup and view all the answers

    Study Notes

    Promotion Methods

    • Direct mail can be a low-cost promotion method for existing policyholders, but it is impersonal.
    • Booths in malls or fairs offer an interactive experience, but they require a significant investment in human resources.
    • Charity work can be a good way to increase corporate branding, but it is not appropriate for product branding.
    • Press conferences and releases allow for access to journalists, but publicity might be misguided or misinformed.
    • Sponsoring industry events can increase brand positioning, but it is not always effective for product promotion.
    • Open days during events like festivals are a good way to increase brand positioning, but have limited market exposure.

    Human Resources

    • Human resources are essential for the insurance industry's value chain.
    • The sales force heavily relies on the individuals involved in the multichannel sales process.
    • The value chain encompasses employees from product development to sales and claims handling.

    The Employees Provident Fund (EPF)

    • Established by the Employees Provident Fund Act 1991, replacing the 1951 Act.
    • Applies to employees, not commission-based sales personnel.
    • Offers tax relief for life insurance premiums up to RM6,000 per year.
    • Provides tax relief for education and medical insurance premiums up to RM3,000 per year.
    • Offers tax relief for annuities with premiums up to RM3,000 per year.
    • Encourages commission-based personnel to contribute to the EPF with a maximum of RM100,000 per year.

    The Social Security Organization (SOCSO)

    • Administers the Employees’ Social Security Act 1969 and its related regulations.
    • Provides social security protection through social insurance, including medical and cash benefits.
    • Offers artificial aids and rehabilitation for employees.
    • Aims to reduce employee suffering and provide financial security for families.
    • Primarily targets lower-income employees with contributions deducted directly from salaries.
    • Allows employees to file claims for hospitalisation, death, and temporary or permanent disabilities.

    The Occupational Safety and Health Act 1994 (OSHA)

    • Primarily relevant to general insurance, particularly plans covering workers like "Workmen Compensation".
    • Provides principles and guidelines for claims handling and interactions with claimants.
    • Emphasises customer-focused claims philosophy, including fairness, transparency, and personal interactions.

    Claims

    • Insurance companies should prioritize clear goals and desired market perception for the claims process.
    • Some prioritize reducing leakage through fraud prevention, while others actively pursue claim payouts.
    • All insurance companies must prioritize customer service, adhering to the Fair Treatment of Financial Consumers (FTFC) policy.

    Fair Treatment of Financial Consumers (FTFC)

    • Introduced in May 2020, aiming for fair and effective handling of consumer complaints and claims.
    • Requires Financial Service Providers (FSP) to focus on core service values and behaviors.
    • Emphasizes internal commitments that deliver external outcomes for customers and policyholders.
    • The legal and compliance departments, often separate, work closely to ensure compliance with regulations.
    • The heavily regulated insurance industry necessitates adherence to legal and regulatory frameworks.
    • The legal and compliance departments play a critical role in every insurance company to ensure compliance.
    • Ensures all company actions adhere to national laws.
    • Drafts and reviews various contracts, including those with business partners and financial arrangements.
    • Reviews reinsurance agreements, intellectual property issues, sales agreements, sales materials, and legal changes.
    • Resolves disputes and litigation matters.

    Compliance Department

    • Examines financial reports and audits internal control systems.
    • Evaluates compliance with policies, procedures, and business practices within legal and regulatory frameworks.
    • Reviews operations and campaigns for alignment with objectives and planned execution.
    • Investigates reported instances of fraud, embezzlement, theft, waste, and misconduct.

    Internal Audit

    • Ensures objectivity and independence to maintain effectiveness.
    • Reports to the CEO and the Board of Directors, providing regular updates on audit plans, results, and significant findings.
    • Enjoys direct access to the CEO and the Board for immediate attention to pressing matters.

    Strategic Planning

    • Large insurance companies often have dedicated strategic planning departments.
    • The department oversees the strategic planning process, from drafting to execution.
    • Aligns strategies with the Board of Directors and the CEO.
    • Designs and presents the strategic plan to the Board for approval.
    • Cascades the plan to management and staff.
    • Monitors implementation progress and adjusts plans based on feedback.

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