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A.

Money
B. Banking
C. SEBI-Sharemarket, Financial Market,
Companies Act and Corporate
Governance -> Quiz
D. Next: Insurance, Pension, fin. Inclusion

SEBI-walla handout
Quiz@9:30PM
Insurance Pays premium e.g. Rs.6000/- per
year
Policy

Insurer / Insured /
Underwriter Client
Pays Rs. 1 Crore if client dies. “Law of probability”- all
will not die at same time.
• Debt instrument.
Insurance Policy • Social device / legal contract
• Against eventualities of death /
damage
Life /
Non-Life
(General)

Insurer /
Insured / Client
Underwriter
• Good faith, hide nothing.
Uberrima
fides • Already HIV/cancer and buying health
insurance with fake medical certificates.
• Only to extend of “REAL” loss, not
imaginary.
Indemnity • ₹15 lakh House burnt, couldn’t give CAT
exam= give ₹50 cr rupees of imaginary
IIM-package.
Not important
• Insurer can Recover from negligent 3rd for prelims but
Subrogation party. fundamentals
• faulty boiler caused factory explosion?
useful in GSM4
•Direct loss link.
Causa •Film Fan buying life insurance
proxima for Amitabh. (that’s ‘speculation
/ betting’)
•If “risk-x” not happen, client
remains in same position, “risk-
Insurable x” happens client in bad Not important
interest position. for prelims but
•e.g. can’t take ‘insurance’ on “if fundamentals
I don’t win lottery ticket”. useful in GSM4
Presidency Banks Insurance
• 1818: Oriental life (1st)
•1806-45->1921->55
Which was
Targets
Target first…KBC-GK
• foreign widows. Indians
•Merchants, foreigners charged extra premium “more
likely to die”
Swadeshi Swadeshi
•Allahabad (1865), • 1870: Bombay Mutual life
PNB (1894) assurance. [no extra premium
for being “Indian”]
1912:
1913 •Life insurance
companies act
•Companies Act

1934 1938:
•RBI Act •Insurance Act
1949
Aftermath of great depression and
•Banking regulation Act collapse of companies
1948
•RBI nationalized
1956 (Corporation)
1955
•LIC Act took over ~245 private
•Imperial Bank->SBI insurance co.

Private Banks 1972 (Corporation)


•1969 (14 banks) •GIC & its four subsidiaries took
•1980 (6 banks) over ~107 General Insurance
Cos.
Before independence, 1. Private owners’ shares
owned by pvt parties. transferred to Govt of India. =
So they were private banks “Nationalized Banks”
2. Public Sector Bank = Govt is the
majority shareholder.
1. Private owners’ shares transferred to
Before independence, Govt of India. = “Nationalized Banks”
owned by pvt parties. 2. Public Sector Bank = Govt is majority
So they were private banks shareholder.

This was never a private owned


banks. Directly, govt setup
with public money in 2013.
So, “Public Sector Bank”, but
not “Nationalized Bank”.
Yes it’s a bank, but
have to obtain
•Allow •Allow pvt separate license from
IRDAI for insurance
private insurance
banks… companies.
Narsimhan I Malhotra
(1991) & II Committee 1993
(1998) [RBI Gov] [IAS, RBI Gov.]
Insurance / Pension
sector qs: don’t come
each year.
•CRR, SLR on deposits •Investment Pattern, Solvency They are usually
•BASEL-III norms capital… Margin. E.g. They must invest confined to govt
minimum “x%” of premium
in G-Sec, they can’t invest schemes, so we need
more than “y%” of premium not spend too much
in pvt companies mental energy here.
shares/bonds etc. & so on..
Exact norms not imp.

RBI IRDAI
Insurance / Pension
• PSL norms, • Rural & Social Obligation Norms:
every year “x” number of policies sector qs: don’t come
• 25% branches in unbanked rural
areas must be sold in rural areas, each year.
PH/backward etc. They are usually
• Invest minimum “x%” in
affordable housing projects, confined to govt
State Govt’s fire equipment etc. schemes, so we need
Else IRDAI imposes penalty..
Exact norms not imp. not spend too much
mental energy here.

RBI IRDAI
Internal difference
depends on how many
•Bank branch • Agents & brokers. companies’ policy they
•Business Correspondence • Banks selling policies of can sell- but not imp.
Agent (BankMitra) insurance companies
•… (Bancassurance)
• Surveyor/ Loss Assessor.
• Third Party Administrators (e.g.
Hospital where treatment is
given)

RBI IRDAI
Non-Life /
General
Life
insurance,
Health

• Subtypes
• Notable
org & Re-
insurance
schemes
Life Insurance Type At maturity (if no death) At death
Whole life Longer: (e.g. 35 yrs)
Endowment shorter(e.g. 10-20) Yes savings returned** YES

Term (Low premium short term)


e.g. 1 year: 2 lakh Insurance for Rs.330/- NO YES

ULIP: Unit Linked Insurance Plans*


Part of money in insurance, part in Mutual fund Yes savings returned** YES

ELSS: Equity linked savings Scheme YES** NO


(entirely invested in shares) ELSS is not insurance scheme. Subtype
of mutual fund
Money is invested into G-Sec / Government borrowing programs**
PLI 6 plans (govt employees,
Rural RPLI 6 plans
CPSE etc.)**
•Whole life assurance •whole life assurance Individual names
(Suraksha); convertible (Grama Suraksha);
whole life assurance convertible whole life / features not imp
(Suvidha); endowment assurance (Grama Suvidha); but the fact that
assurance (Santosh); endowment assurance it’s with Dept of
anticipated endowment (Grama Santosh);
assurance (Sumangal); joint anticipated endowment Post rather than
life assurance (Yugal assurance (Grama LIC.
Suraksha); and children Sumangal); 10 years RPLI
policy (Bal Jiwan Bima) (Grama Priya); and children
policy (Bal Jiwan Bima)
Money is invested into G-Sec / Government borrowing programs**
What type of MCQ
• Which ministry?
• Whether target
is 100% RPLI/
PM Fasal
Bima….
Not much imp
because
discontinued
long time
back.
• Feature not
important because
old scheme.
• However, motive is
important.
Premium: Annual Rs.330/- per LIC & even empaneled pvt
person. bank autodebit. Life insurance cos

Apply: any Indian RESIDENT 18-50 age. NRI also eligible but pay in ₹ only.
1 year “term life” insurance. Any type of death = ₹2 lakhs.
Term insurance= no death, no money. If accident handicap but no death – then no money.
1931
2l each
• Insurance premium ought to be
decided by mathematical probability
1756 against risk. But, here ‘populism’
₹330, it should be raised, otherwise
loss . [And govt not paying for loss.]
• Then, why Pvt insurance Cos would
330 each join then? Because ‘rural & social
obligation (sell “x” number of policies
premium paid claims on death to poor/PH/weaker’, ELSE IRDAI
penalty. So this scheme help filling
that quota.
2017-18 (₹ crores)
Public Sector GENERAL insurance cos
and empaneled Pvt general Insurance
Companies
• “Accidental Death”: murder, disaster etc.= 2
lakh
• If not dead but permanent handicap
• 1 eye/hand/leg: 1 lakh
• 2 organs/>: max.2 lakh.
Suicide, alcohol-drugs related death: not eligible

• Any Indian Resident or NRI (18-70 age). Annual Rs.12/- per person. bank auto debit.
• 1 year “term” accident cum death cover. No accident or no death then no money.
ONLY IF Jeevan ki jyoti • SU: suicide not
stops u get ₹. eligible.
Jeevan Jyoti Suraksha Bima Yojana
Any Indian resident or NRI. Age 18-50 Any Indian resident or NRI. Age: 18-70
term insurance term insurance
‘life’ insurance ‘general’ insurance
Rs.330 Rs.12
Any type of death: Rs.2 lakh • Accidental Death”: murder, natural disaster etc.
Rs. 2l
• 1 eye/hand/leg: 1 lakh
• 2 organs/>: max.2 lakh
Any death Eligible Suicide, alcohol-drugs related death: not eligible

Nope Hospitalization cost… nope.


Non-Life /
General
Life
insurance,
Health
• RPLI, LIC-AABY,
PMJJBY

Re-
insurance
Health insurance Fire
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets

Marine Rural
Motor vehicle
• Cargo, vessel • Crops, livestock
1948-52
• ESIC, Labour Ministry

1957
Health insurance Fire • ECGC, Commerce
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets Ministry, Exporters
1961
• DICGCI (bank
deposits. Max ₹1
lakh). **
1972
Marine Rural • GIC and 4
Motor vehicle
• Cargo, vessel • Crops, livestock subsidiaries
Subsidiary
Owner Holding
Companies HQ Location,
motto: If
Natl.insurance preparing for
New India
insurance officer
assurance / assistant
Government GIC
exams.
United India

Oriental
Subsidiary
Owner Holding
Companies
4
Gener
Natl.insurance al NABARD,
Insura 30%
nce
New India Cos.,
assurance 35%
Government GIC
United India
GIC, 35%

Oriental

2002: Govt takes direct control of these Agri. insurance


four general Insurance companies. Company ltd. (2002)
1948-52
• ESIC, Labour Ministry

1957
Health insurance Fire • ECGC, Commerce
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets Ministry, Exporters
1961
• DICGCI (bank
deposits. Max ₹1
lakh).
1972
Marine Rural • GIC and 4
Motor vehicle
• Cargo, vessel • Crops, livestock subsidiaries
Beneficiary?
• If you’re working in any (non-
seasonal) establishment with
10/> employees. AND
• Your salary less than
₹21,000/-
• Who pays ESIC premium?
“x%” from employee’s wages,
“y%” from employer’s side.
• Project Panchdeep:
digitization and
automation of ESIC
processes by WIPRO
(finished 2017).
• Project Arrow:
Modernization of Indian
Post (2008)
Pause Video to
Attempt it Yourself
Any (non-seasonal)
establishment with
10/> employees

Pause Video to
Attempt it Yourself
1948-52
• ESIC, Labour Ministry

1957
Health insurance Fire • ECGC, Commerce
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets Ministry, Exporters
1961
• DICGCI (bank
Other schemes? deposits. Max ₹1
lakh).
1972
Marine Rural • GIC and 4
Motor vehicle
• Cargo, vessel • Crops, livestock subsidiaries
Premium Treatment

• BPL: 250 • Upto Rs. 1 lakh


• APL: 500
• Minor without parents:
free

• Low profile old scheme so we need not apply


too much brain energy here.
Only BPL [upto 5 people in a family, NO AGE LIMIT]
• Only 1 time Registration Rs.30
• No premium. Govt bears it.
• ₹30k for medical treatment [smartcard,
cashless].
• even existing ailment, even private
hospital.
• ₹25k for accidental death
• Breadwinner dies: ₹50 x 15 days.
• ++ Senior Citizen Health Insurance
2008 2014
Scheme (SCHIS): if 60/>-: they get addl.
• Labour Min • Health ministry [admin]
30k for treatment.
• Both subsumed in PM-JAY
Budget-2018: Ayushman Bharat

A) 1.5 lakh PHC to be B) National Health Protection


transformed into Health & Scheme (AB-NHPS)
Wellness Centres= Free drugs,
checkup, mother-child care

Later renamed ‘PM Jan Arogya


Yojana (PMJAY)’
Budget-2018: Ayushman Bharat

A) 1.5 lakh PHC to be B) National Health Protection


transformed into Health & Scheme (AB-NHPS)
Wellness Centres= Free drugs, Subsumed
checkup, mother-child care
1. Senior Citizen
Health Insurance
Motto” Swasthya Aapka, Scheme (SCHIS)
Saath Hamara”. Later renamed ‘PM Jan Arogya 2. Rashtriya Swasthya
2018, Sept: launched from Yojana (PMJAY)’ Bima Yojana
Ranchi, Jharkhand. (RSBY)
No limit on
family size and
age of members
upto Rs 5 lakh
per family, per
year
Governing Board
•Health Minister, NITI CEO, NHA CEO, experts
•State govt representatives on rotational basis**

National Health Authority (NHA) & its CEO

State Health Agencies (SHA)

Hospitals ₹5l/family/
per year
Governing Board
•Health Minister, NITI
CEO, NHA CEO, experts

NHA & its CEO

State Health
Agencies
National Health Authority

• Individual states have freedom to


Gujarat-SHA MH-SHA form …SHA in the form of a ‘trust,
society, not-for-profit company…”

₹5l/family/
per year
National Health Authority

• Individual states have freedom to


Gujarat-SHA MH-SHA form …SHA in the form of a ‘trust,
society, not-for-profit company…”
• SHA ties up with an Insurance
• Or SHA direct implements scheme..
company

• Empanelling the private hospitals, fund release, complaint redressal…


• Pradhan Mantri Aarogya Mitra (PMAM) in Hospitals to help families.
• What is this “Special category
states” – will learn with Pill#2->
Finance Commission.
₹5l/family/
per year
₹5l/family/
per year
₹5l/family/
per year
₹5l/family/
per year
• Read monthly yojana, Kurukshetra mags then easy to frame intro, conclusions like this.
• Page
81
Pause Video to
Attempt it Yourself
Everything boils down to
whether second statement is
right ?
Pause Video to
Attempt it Yourself
• Whether Maharashtra’s SHA agency
adopted trust model or tied with insurance
company & whether Guj is getting seat in
NHA governing body in first rotation…. NOT
IMP.
• More than pvt mock tests, better go thru
last five years upsc papers vs. cut-offs
Pause Video toto
get better idea on howAttempt
much prep. Is req.
it Yourself
1948-52
• ESIC, Labour Ministry

1957
Health insurance Fire • ECGC, Commerce
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets Ministry, Exporters
1961
• DICGCI (bank
What abt crops? deposits. Max ₹1
lakh).
1972
Marine Rural • GIC and 4
Motor vehicle
• Cargo, vessel • Crops, livestock subsidiaries
Premium

No crop loss, then no


Payment
payment.
Premium

Payment
It’s compulsory for
farmer to buy
crop-insurance IF
he’s taking agri.
Loan from banks

Farmer to pay ₹ 5000. but Insurance company’s premium 10k, so


remainder amt paid by Govt (union-state: 50:50)
“fig. not •Empaneled Private insurance cos.
important” E.g. ICICI Lombard.
•(Govt) Agriculture Insurance
1
Company of India Limited (AIC)
•4 (Govt) General Insurance cos.
other
•SBI general insurance etc.

But, only 1 insurance company allowed in a given


cluster of districts.
Pause Video to
Attempt it Yourself
If they asked to find
wrong statement then
answer will be “A”
Pause Video to
Attempt it Yourself
1948-52
• ESIC, Labour Ministry

1957
Health insurance Fire • ECGC, Commerce
Accident cum Death
• Cashless/ reimbursement • Houses, industrial assets Ministry, Exporters
1961
What abt this? • DICGCI (bank
deposits. Max ₹1
lakh).
1972
Marine Rural • GIC and 4
Motor vehicle
• Cargo, vessel • Crops, livestock subsidiaries
Third Party Motor Vehicle Comprehensive Vehicle
Insurance Insurance covers
- Motor Vehicles Act (1988) - This is not statutory req.
requires all motor vehicle - both third party as well as
owners to purchase it. you & your vehicle against
(statutory req) accident, vandalism,
- When your vehicle hits natural disasters etc but
another vehicle, person or then it has higher premium
property-> that victim then simple 3rd party-
(third party) registers a walla insurance.
case, gets compensation.
IRDAI regulates premium
rates & other norms.
Third Party Motor Vehicle Comprehensive Vehicle
Insurance Insurance covers
- Motor Vehicles Act (1988) - This is not statutory req.
requires all motor vehicle - both third party as well as
owners to purchase it. you & your vehicle against
(statutory req) accident, vandalism,
- When your vehicle hits natural disasters etc but
another vehicle, person or then it has higher premium
property-> that victim than simple 3rd party-
(third party) registers a walla insurance.
case, gets compensation.
IRDAI regulates premium
rates & other norms.
Non-Life /
General
Life
insurance,
Health
RPLI, LIC-AABY,
PMJJBY

Re-
insurance
Banks Insurance Cos.
Deposit insurance Insurance on their biz

DICGCI [Max. 1 lakh rs.] REINSURANCE Cos.


Refer to burning issues in
banking-walle lecture / handout
Peak Profit Peak Loss

Re-Insurance

Life Insurance &


General Insurance
Profit Great Loss

Re-Insurance

Life Insurance &


General Insurance

• Previously, GIC was sole reinsurer. Every


insurance company was required to buy re-
insurance from it.
• 2015: Insurance Act Amendment - More
than one RE allowed.
• But I’ve to buy re-insurance as it’s
life
statutory requirement under Insurance Act
and IRDAI norms. 
General • High cost of operation→ can’t reduce
premium rates for clients.

GIC-RE dictated the re-


insurance PREMIUM
rates & biz agreement • I can reinsurance your ₹1 lakh crore worth of policies,
but I want “X crores”.
• Like it or leave it. Competition Commission of India
can’t do much abt it, because no other company was
permitted :P :P
life
Operational costs declined:
1. Expand network to reach people▲
2. Riskier and much bigger corporate
General projects can be insured.

life
GIC-RE dictated the re-
insurance PREMIUM General
rates & biz agreement

Multiple cos: lower


premium
Non-Life /
General
Life
insurance,
Health

Re-
insurance
• 1934: RBI -> Bahubali in • 1996: IRDA setup,
Banking .Reg Act‘49 • 1999: Act
• DRT->SARFAESI Act 2002 • 2014: name changed:
• Payment regulation & Insurance Regulatory And
settlement system act-> Development Authority Of
PRB (Budget 2017) India. (IRDAI)

Narsimhan I Malhotra
(1991) & II Committee 1993
(1998) [RBI Gov] [IAS, RBI Gov.]
PFRDA (2003-13), IBBI (2016)

RBI (1934), SEBI (92-99)

IRDAI (96-99)
Both IAS/non-IAS
5 yr / Chairman have been chairman
65 age
• 2013-18: TS
Vijayan: LIC career
5 yr / 5 4 Part
62 age Fulltime time officer
• 2018: Dr. Subhash
Total 10, re-appointment yes. C. Khuntia (IAS)
NPA/TBS

IDBI, IL&FS
NPA/TBS

IDBI, IL&FS
Insurance Penetration Insurance density

total premium/total GDP Total Premium / Total population

<3.5% (2016). = Per capita premium

<₹60 (2016)

For India, they’ve improved in last decade. both are low compared to many
developing countries because of the challenges mentioned in previous slides.
A. Money
B. Banking
C. SEBI-Sharemarket, Financial Market,
Companies Act and Corporate
Governance -> Quiz
D. Insurance, Pension, fin. Inclusion

SEBI-walla handout
Quiz@9:30PM

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