Frequently Asked Questions
All Insurance

Life Insurance | General Non-Life Insurance
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How should one select an insurance company?

Ask friends who deal with the Companies for personal feedback.
Request the financial accounts of the Company and ask someone who understands it to analyze it if necessary.
Ask your Broker to recommend the best Companies for the type of cover you are seeking.
In case of Group Policies the Company may be predetermined.
Consult your bank or mortgagee, they may be willing to give you a list of acceptable companies.
Be sure that the Company is sound and not on the brink of insolvency.
Ensure that the Company has a good reputation for settling claims and disbursing claim related funds.
Be sure that the Company has a reputation for providing effective and pleasant service to clients.


What is an insurance broker, and what are the advantages of using one?
An insurance Broker is an intermediary that acts on behalf of the Insured when negotiating with various Insurers, and on behalf of the Insured when accepting business or settling claims. They do not have binding authority on quotes or final statements.

The advantages of having an Insurance Broker are as follows:
Since a Broker will deal with various Insurance Companies, he is in the best position to inform and advise on the best cover available.
A Broker can negotiate with the Insurance Company for terms and conditions and handle claims as well.


What is an insurance agent and what are the advantages of using an insurance agent?
An Insurance Agent is an individual or firm that is contracted by an Insurance Company to transact insurance business on its behalf.

The advantages of using an Insurance Agent are as follows:
The Agent has explicit knowledge of each policy offered.
The Agent can have binding authority and is capable of first hand negotiations on behalf of the Company.
The Agent is a direct link to the Company.

What is Insurance?

Insurance is a risk transfer mechanism which facilitates the transfer of risks from one party, the Insured to the risk taker/underwriter, the Insurer.

What risks are insurable?
Not all risks are insurable. Insurable risks have certain characteristics:
they must be capable of financial measurement, they must be a large enough number of similar risks, they must be pure and particular, with possibly certain fundamental risks qualifying. The loss must be fortuitous as far as the insured is concerned, the risk must not be against public policy and the premium is to be reasonable and there must be insurable interest on the part of the person insuring.

What is Insurable Interest?
Insurable interest constitutes ‘the legal right to insure arising out a financial relationship, recognized at law between the insured and the subject matter of insurance.

What is ‘Utmost Good Faith’?
Due to the fact that the subject matter of insurance, and the circumstances pertaining to it, are facts particularly within the knowledge of the insured. The insurers are not generally aware of these facts unless the insured tells them. In order the make the situation an equitable one, the law imposes a duty of "uberrima fides" or "utmost good faith" on the parties to an insurance contract. This makes the contract one of faith or trust and most contracts of a fiduciary nature are subjected to the same doctrine.

What is a Material Fact?
According to the Marine Insurance Act 1906 S.18 (2), a material fact refers to every circumstance which would influence the judgment of a prudent insurer in fixing the premium or determining whether he will take the risk.

What is Proximate Cause?
Proximate Cause was clarified in the case of Pawsey v. Scottish Union and National (1907) as the active, efficient cause that sets in motion a train of events which brings about a result, without the intervention of any force started and working actively from a new and independent source.

What is Indemnity?
For the purposes of insurance contracts, Indemnity could be looked upon as exact financial compensation sufficient to place the insured in the same financial position after a loss as he enjoyed immediately before it occurred.

Some insurance agents I talk to say they are paid employees of the insurance company while other agents says they are independent business people -- why the difference? Should I care which one I purchase insurance from?
Insurers deliver their insurance products to policy owners primarily through independent agents or through exclusive agents. Historically, almost all insurance agents were independent business people paid on commission. More recently, many insurance companies have adopted a system where the agent is a paid employee of the firm rather than an independent business person. These agents are referred to as exclusive agents. Economists who have studied the differences between these two types of distribution systems have long argued that the independent agency system is a less efficient method of getting the insurance product to the customer as measured by statistics such as the ratio of expenses incurred to premiums written. However, the most recent studies suggest that the reason for the higher expenses by independent agents is that they offer better quality service to policy owners through more personalized service, more advice on policy limits, more help when a claim is filed with the company, etc.

What do I give up by not using an agent to purchase insurance?
Many life insurance and property-casualty insurance products can be purchased without the use of an agent. Typically potential policyholders will either be contacted through the mail or they can call a 1-800 number to apply for the insurance product. The advantage of this type of distribution system is that the expenses of selling the product are usually much lower because there are no agent commissions to be paid. These savings may then be passed onto the consumer through lower premiums. The main disadvantage is that the policyholder does not receive as much, or sometimes any, personal service either purchasing the product or in filing a claim.

I understand there are organizations that assign financial ratings to insurance companies. Who are they and what do they do?
Insurance is a product where the insurance company promises to make future loss payments in return for a premium you pay today. It is therefore important that you know the financial health of the insurer when you are deciding how much you are willing to pay for the product. For example, holding all other things equal, people should pay slightly more for a life insurance policy from an insurance company with a higher financial rating, or should pay slightly less for the same policy from a company which is not as financially strong. In order to make this kind of informed purchasing decision, a number of private organizations, called rating agencies, rate the financial stability of insurance companies. Major insurance rating agencies include the A.M. Best Company, Standard & Poor's, Weiss Research, Duff and Phelps, and Moody's. Each of these companies uses data obtained from various sources to rate the financial strength of insurance companies. It should be noted, however, that each organization has its own rating standards and therefore the financial grades from two different rating agencies may be different. The best advice usually given to insurers is to check the financial rating of the insurer from as many rating agencies as possible to determine the range of opinions of the financial health of the company.

What kinds of questions should I be expected to answer when I am applying for an insurance policy? Why do insurers ask all of these questions?
When you apply for an insurance policy, you will be asked a number of questions. For example, the agent will ask you a number of demographic questions such as your name, age, sex, address, etc. In addition to these demographic questions, you will be asked a number of other questions which will be used to determine what type of risk you are. For example, when an insurance company is deciding whether or not to offer automobile insurance to a potential policy owner, it will want to know about the person's previous driving record, whether there have any recent accidents or tickets, what type of car is to be insured and various other types of information. All of this information will be used for two purposes. First, based upon the responses to these questions, the insurance company will decide whether the profile of the applicant is consistent with the type of risks the insurer is trying to attract. Some insurers specialize in offering insurance to only very safe drivers and therefore will only accept applications from people who fit the profile of a safe driver.
Once the insurer has decided that your risk profile is consistent with the types of risks it accepts, the answers to the questions will be used to determine which rate to charge you. For example, the insurance company will decide whether you should be offered insurance at the high risk driver rate or the low risk driver rate. Collectively, this entire process is known as the underwriting process. The primary function of the underwriting department in an insurance company is to decide whether or not to offer insurance to a person who has completed an application. If the answer is yes, then the underwriting department seeks to determine the "quality" of that risk so that the proper premium can be charged. That is, high risk people should pay more than low risk people.

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Page last updated 29 Jun 2011

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