Life Insurance Products: Elements & Contracts

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Questions and Answers

Which of the following best describes the 'death cover' benefit in life insurance?

  • A benefit paid only if the insured dies during a specified period. (correct)
  • A benefit paid when the insured survives a specified period.
  • A bonus added to the sum assured over time.
  • A return of premiums if no claim is made during the policy term.

According to IRDAI regulations, a life insurance product with a term of more than 10 years must provide a minimum sum assured of 5 times the annual premium for individuals of any age.

False (B)

What is the primary difference between 'guaranteed bonus' and 'reversionary bonus' in investment-linked insurance policies?

Guaranteed bonus is paid for the first few years, while reversionary bonus depends on the insurance company's performance.

If a policy ________ due to non-payment, the policyholder may be able to revive or reinstate it by paying the pending premiums along with a penalty within a specific timeframe.

<p>lapses</p> Signup and view all the answers

Match the life insurance policy feature with its correct description:

<p>Death Cover = Benefit paid only on the death of the insured within a specified period. Survival Benefit = Benefit paid when the insured survives a specified period. Sum Assured = The amount being insured. Policy Lapse = Occurs if the premium due on a policy is not paid.</p> Signup and view all the answers

What is the Human Life Value (HLV) approach primarily based on?

<p>The present value of the individual's expected future income. (D)</p> Signup and view all the answers

According to the needs-based approach for calculating life insurance, one should exclude personal assets like a residential house and personal jewelry when determining the insurance requirement.

<p>True (A)</p> Signup and view all the answers

In calculating the insurance cover using the income replacement method, what is the significance of adjusting the rate for inflation and investment return?

<p>It determines the applicable rate for calculating the corpus needed to generate the required income.</p> Signup and view all the answers

The insurance requirement calculated via the HLV method will always be ______ or equal to the insurance requirement calculated as per the needs-based approach.

<p>higher</p> Signup and view all the answers

Match the type of life insurance with its benefit pattern

<p>Term Insurance = Pays a benefit only if the policyholder dies during the period for which one is insured Endowment = Returns the investment portion of the premium along with actual returns if the insured person survives the tenure of the plan Whole Life Insurance = Covers the entire life of the insured person or up to an upper age limit specified by the insurer Unit-Linked Insurance = Allows the insured to decide on the kind of portfolio that the insurer should maintain for the savings portion</p> Signup and view all the answers

What is the primary difference between a regular term life insurance policy and a term insurance policy with return of premium?

<p>Return of premium policies refund the premiums paid if the insured survives the policy term. (A)</p> Signup and view all the answers

The accrued bonus in an endowment policy is a pre-defined figure at the commencement of the policy.

<p>False (B)</p> Signup and view all the answers

Why is an official illustration from the insurance company's website essential when evaluating investment-linked insurance policies?

<p>It clearly lays down the probable returns and which portion is guaranteed.</p> Signup and view all the answers

In a unit-linked insurance policy, the value of the investment portfolio changes in line with the market, and the insurer announces a ______ on a daily basis.

<p>Net Asset Value</p> Signup and view all the answers

Match term to its purpose

<p>Nomination = Identify person(s) entitled to receive the policy money if the policy becomes a claim by death. Policy Assignment = Transfer interests in the policy, often done for taking a loan against the policy. MWPA = Ensures the policy benefits stay with the nominees (spouse or children) despite claims on assets by creditors.</p> Signup and view all the answers

How does buying a life insurance policy under the Married Women's Property Act (MWPA) impact the rights to the claims in the policy?

<p>The nominees acquire all rights to the claims, and the insured cannot lay any right to the amounts payable. (C)</p> Signup and view all the answers

Life insurance premiums are linear, which means the premium goes up in exact proportion of the sum assured.

<p>False (B)</p> Signup and view all the answers

Why should an insurance proposal form list all existing and pending life insurance proposals?

<p>It allows the company to assess the insured's risk cover considering financial standing and insurance needs.</p> Signup and view all the answers

The Claim Settlement Ratio published by ______ may not be a very important criterion if full disclosure has been made by the insured

<p>IRDAI</p> Signup and view all the answers

Match the coverage type with description

<p>Property Insurance = Protects against risks to property such as fire, theft etc Health Insurance = Reimburses medical expenses for the policyholder and identified family members Motor Insurance = Indemnifies the insured in the event of accident caused by, or arising out of the use of the motor vehicle</p> Signup and view all the answers

Regarding "No Claim Bonus" in car insurance, which statement is correct?

<p>It is available to the insured person and can be transferred to a new car purchase. (D)</p> Signup and view all the answers

Under motor insurance, insuring a vehicle against damage or theft is compulsory, similarly to third-party liability insurance.

<p>False (B)</p> Signup and view all the answers

What is the primary purpose of a critical illness insurance policy, and how does it differ from life insurance?

<p>It provides a lump sum benefit upon diagnosis of a specified illness, unlike life insurance that pays on death.</p> Signup and view all the answers

A ______ insurance policy covers losses sustained by the employer as a result of an act of forgery, fraud or dishonesty from an employee.

<p>fidelity</p> Signup and view all the answers

Match rider type with its function

<p>Double sum assured rider = provides twice the amount insured in case of death before the term of the policy Waiver of premium rider = triggered if there is a disability or loss of income that makes it difficult to pay the premium. Income Benefit Rider = allows the policyholder's nominee to get a specific amount of sum as a fixed income in the event of the policyholder's death during the duration of the plan</p> Signup and view all the answers

Why do multiple indemnity policies (such as health insurance policies) make very little sense?

<p>The total claim amount cannot exceed the sum insured on all policies put together. (B)</p> Signup and view all the answers

A "Top up" and "Super Top up" health insurance policy is the same thing

<p>False (B)</p> Signup and view all the answers

What is the advantage of a health insurance policy providing a cashless facility?

<p>Bills are directly settled with the hospital and the insured is not required to pay upfront.</p> Signup and view all the answers

The premium payable on a health insurance policy is a function of the sum insured, age and medical ______ of the insured, among others.

<p>history</p> Signup and view all the answers

Match the type of insurance policy with location

<p>Normally health insurance = provide coverage for expenses incurred in India only. Overseas travel policies = indemnity policies that are designed specifically for each country</p> Signup and view all the answers

Flashcards

Death Cover

A benefit paid only on the insured's death within a specific period.

Survival Benefit

A benefit paid when the insured survives a specified period.

Insured

The person whose life is being insured.

Term of the Contract

The time period during which insurance cover is available.

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Sum Assured

The amount being insured.

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Bonus

Amount added to the sum assured, announced periodically

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Guaranteed Bonus

Bonus paid for the first few years of the policy

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Reversionary Bonus

Based on company performance, declared at insurer's discretion.

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Policy Lapse

Policy terminates if premium isn't paid within the grace period.

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Human Life Value (HLV)

Life insurance amount depend on the economic value.

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Term Insurance

Pure risk cover that pays only if death occurs during the term.

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Term Insurance with Return of Premiums

Insurance with a return of premiums.

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Endowment

An investment cum insurance plan that returns the investment portion to the insured with returns.

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Whole Life Insurance

Investment cum insurance for life or up to a specified age.

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Unit-Linked Insurance

Policy where the insured decides how the savings component is invested.

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Nomination

Declaring beneficiaries when buying a policy.

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Policy Assignment

Transferring interests in the policy.

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Married Women's Property Act (MWPA)

Policy where the nominees cannot be altered after the policy has been bought.

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Non-Life Insurance

Policies providing risk cover from loss or destruction of assets

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Sum Insured

Maximum liability for claims during the policy period

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Health Insurance

Medical expenses for policyholder and family members

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Motor Insurance

Indemnifies insured in the event vehicle accident

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Personal Accident Insurance

Provides for bodily insurance due to accident

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Critical Illness Insurance

Lump sum payment if certain diseases are contracted

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Overseas Travel Insurance

Medical and finance assistance during international travel

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Liability Insurance

Indemnity for damages payable under law for personal injury to third parties

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Fidelity Insurance

Losses due to forgery, fraud, or dishonesty from an employee

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Overseas Travel Insurance

Health Insurance plan designed specifically for each country

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Directors & Officers Liability Insurance

Insurers officers from actions to protect the company

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Keyman Insurance

Insurance to cover the damage of loss of a key executive

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Study Notes

  • Life insurance products provide cover for the life of the insured.

Elements of Life Insurance Products

  • Life insurance benefits include death cover, paid upon the insured's death within a specified period.
  • Survival benefits are paid when the insured survives a specified period.
  • Term insurance policies offer only death benefits, while investment-cum-insurance policies combine both death and survival benefits.

Insurance Contract Elements

  • The insured is the person whose life is being insured, which can include individuals, minors, or joint lives.
  • The proposer or policyholder buys the policy for the insured and must have an insurable interest in the insured.
  • The term of the contract specifies the period during which insurance cover is available; it may have an upper age limit.
  • The sum assured is the amount being insured; regulations require a minimum sum assured based on the policy term and the individual's age.
  • Payment of the sum assured occurs upon a specified event like death or policy expiry.
  • Premium payable depends on the sum assured and policy term, with payment modes like monthly, quarterly, or annually.
  • Non-payment within the grace period leads to policy lapse, but revival is possible with pending premiums and penalty.
  • Bonus is added to the sum assured for investment-cum-insurance policies, announced periodically, and paid on maturity or the insured event.
  • Guaranteed bonus is paid for the initial policy years as a percentage of the sum assured and is received at the end of the term.
  • Reversionary bonus is based on the insurer's performance and declared for participating policies after the guaranteed bonus period.
  • Policy lapse occurs if the premium is unpaid, even within the grace period, voiding claims.
  • A policy that has been in force for a certain number of years may acquire a cash or surrender value, which is returned to the policyholder.
  • Surrendering a ULIP policy before 5 years incurs a discontinuation charge, with the balance transferred to a discontinuation policy fund.
  • Insurers may pay an amount based on the current asset value held against the policy.
  • In unit-linked insurance plans, the surrender value is paid only after a 5-year lock-in period.
  • Policies can be made paid-up, reducing the sum assured proportionally to the premiums paid versus total premiums due.
  • Nomination allows the policyholder to designate who receives policy money upon death, which can be done or changed anytime.

Life Insurance Needs Analysis

  • Human Life Value (HLV) is the economic value attached to a human life to determine the required life insurance cover.
  • HLV represents the present value of the expected income available for dependents over the individual's working life.

Estimating Life Insurance Coverage

  • One approach estimates HLV using current annual income, retirement age, return on investment, and inflation rate.
  • HLV calculations depend on the income increase rate and post-tax return on the sum assured.
  • The needs-based approach uses insurance proceeds to meet the insured's expenditure needs and liabilities, subtracting existing assets to determine the insurance requirement.

Income Replacement Method

  • It involves calculating the current income value to be provided, the corpus needed for this income, and deducting existing investments to arrive at the required insurance amount.
  • HLV calculation will always be higher than insurance requirement calculated as per the needs-based approach, as overall expenditure cannot exceed income.

Types of Life Insurance Products

  • Life insurance policies can be categorized based on their benefit patterns and payment of benefits upon death or maturity.
  • Term insurance is a pure risk cover product that pays a benefit only if the policyholder dies during the insured period.
  • Term insurance provides coverage for a specified term at a specified premium, with low premiums and no investment component.
  • Key considerations for term insurance include the sum assured, premium cost, and coverage term or length.

Term Insurance Variants

  • Term insurance has different payout options, including a lump sum amount or fixed regular monthly payments.
  • Some companies offer coverage up to 85 or 100 years.
  • Term insurance with return of premium variants has higher premiums than regular term policies with the difference invested to return the premium at term end.

Endowment Policies

  • Endowment policies are investment cum insurance plans where the insurance company returns the investment portion of the premium with actual returns upon surviving the plan tenure.
  • Actual returns are calculated and declared annually as accrued bonus, paid at the end of the tenure.
  • If death occurs during the policy term, the sum assured and any accrued bonus are paid out.
  • Inherent investment returns are calculated using official illustrations from the insurance company.

Whole Life Insurance

  • Whole Life insurance policies provide cover for the insured's entire life or up to a specified age, with fixed premiums and variations like shorter premium payment periods.
  • On traditional whole life policies, the sum assured and bonuses are paid on the policy holder's death.

Unit-Linked Insurance

  • Unit-linked insurance policies allow the insured to decide on the managed portfolio (asset mix), that the insurer maintains for the savings portion.

Loan against Insurance Policy

  • Most insurance companies offer a loan against the surrender value of Investment cum Insurance policies.
  • Taking a loan from a bank/NBFC against Investment cum Insurance policies can help rebuild a credit score after past defaults.

Nominations

  • Nomination is a right of a policy holder to identify a person to receive the policy money in the event of policy claim by death.
  • Nomination can be made or changed any number of times

Policy Assignment

  • Assignment means transferring the interests in the policy.
  • Assignment normally done for taking loan against the policy but can also be done for other reasons.
  • An assignment cancels an existing nomination in the policy.

Insurance under Married Women's Property Act (MWPA)

  • MWPA ensure financial security of family members, for women and children.
  • Nominations cannot be changed after the policy has been bought

Claims from Multiple Insurers

  • Premiums are telescopic, meaning that premiums do not increase in the same proportion as the sum assured.

Evaluating Life Insurance

  • Online vs offline Term Plans comes down to long term comittment, availability of the amount of risk cover, premium payable, availability of riders, and the claim settlement numbers.
  • Traditional Life Insurnace vs Unit Linked Plans comes down to choosing the type of investment for returns.

Global Coverage

  • Defined benefit policies such as life insurance, critical illness policies, accidental death policies will pay wherever the covered risk occurs
  • Residents can use their Liberalised Remittance Scheme (LRS) entitlement of up to USD 2,50,000 per annum to buy life Insurance policies of foreign companies.
  • Policies and grievance redresses are governed by regulations of countries where issued, so caution should be exercised.

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