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	<title>Premium &#187; Developments</title>
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	<description>The Magazine for Insurance Sales Professionals</description>
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		<title>New Pension Scheme: Emerging Opportunity for Agents?</title>
		<link>http://magazine.premiumonline.in/new-pension-scheme-emerging-opportunity-for-agents</link>
		<comments>http://magazine.premiumonline.in/new-pension-scheme-emerging-opportunity-for-agents#comments</comments>
		<pubDate>Mon, 13 Dec 2010 05:40:35 +0000</pubDate>
		<dc:creator>Administrator</dc:creator>
				<category><![CDATA[Developments]]></category>
		<category><![CDATA[Chairman]]></category>
		<category><![CDATA[Employees Provident Fund Scheme]]></category>
		<category><![CDATA[Ernst & Young]]></category>
		<category><![CDATA[Ernst & Young Private Limited]]></category>
		<category><![CDATA[Executive Director]]></category>
		<category><![CDATA[Federation of Indian Chambers of Commerce and Industry]]></category>
		<category><![CDATA[FICCI]]></category>
		<category><![CDATA[Financial Services]]></category>
		<category><![CDATA[HDFC Life Insurance Company]]></category>
		<category><![CDATA[HDFC Standard Life Insurance Company]]></category>
		<category><![CDATA[ICICI Prudential Life Insurance Company]]></category>
		<category><![CDATA[Individual Retirement Accounts]]></category>
		<category><![CDATA[IRAs]]></category>
		<category><![CDATA[Mr Ashvin Parekh]]></category>
		<category><![CDATA[Mr Deepak Satwalekar]]></category>
		<category><![CDATA[Mr Praveen Kumar Tiwari]]></category>
		<category><![CDATA[Mr Puneet Nanda]]></category>
		<category><![CDATA[Mr Yogesh Agarwal]]></category>
		<category><![CDATA[New Pension Scheme]]></category>
		<category><![CDATA[NPS]]></category>
		<category><![CDATA[Partner and National Industry Leader]]></category>
		<category><![CDATA[Pension Fund Manager]]></category>
		<category><![CDATA[Pension Fund Regulatory and Development Authority]]></category>
		<category><![CDATA[PFM]]></category>
		<category><![CDATA[PFRDA]]></category>
		<category><![CDATA[Points of Presence]]></category>
		<category><![CDATA[PoPs]]></category>
		<category><![CDATA[PPF]]></category>
		<category><![CDATA[Public Provident Fund]]></category>
		<category><![CDATA[retired Managing Director]]></category>
		<category><![CDATA[Swavalamban]]></category>
		<category><![CDATA[topfeatures]]></category>
		<category><![CDATA[‘India’s Social Security Needs: Imperatives for the new pension scheme’]]></category>
		<category><![CDATA[“New Pension Scheme: – Prospects and Challenges”]]></category>

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		<description><![CDATA[Over one year after it was launched, the New Pension Scheme (NPS) for citizens has not succeeded and the main reasons identified are lack of publicity and the absence of a selling network. 
The new Chairman of Pension Fund Regulatory and Development Authority (PFRDA), Mr Yogesh Agarwal says, “An immediate task before the PFRDA is to expand the distribution network of the NPS so that it is available within the easy reach of all citizens.” Does this mean that insurance agents may have an additional opportunity coming their way? K Nitya Kalyani explores.



Related posts:<ol><li><a href='http://magazine.premiumonline.in/another-group-pension-scheme-for-lic-agents' rel='bookmark' title='Permanent Link: Another group pension scheme for LIC agents'>Another group pension scheme for LIC agents</a> <small>Life Insurance Corporation of India (LIC) has announced a defined...</small></li><li><a href='http://magazine.premiumonline.in/morgan-stanley-mf%e2%80%99s-liquid-scheme' rel='bookmark' title='Permanent Link: Morgan Stanley MF’s Liquid scheme'>Morgan Stanley MF’s Liquid scheme</a> <small>Morgan Stanley has launched the Morgan Stanley Liquid Fund (MSMF),...</small></li><li><a href='http://magazine.premiumonline.in/l-t-gen-targeting-smes-through-agents' rel='bookmark' title='Permanent Link: L &#038; T Gen: Targeting SMEs through Agents'>L &#038; T Gen: Targeting SMEs through Agents</a> <small>L & T General Insurance’s Chief Executive Officer Mr Joydeep...</small></li></ol>

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			<content:encoded><![CDATA[<div id="_mcePaste"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/1231.jpg"><img class="alignright size-full wp-image-4996" title="123" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/1231.jpg" alt="" width="180" height="207" /></a></div>
<div id="_mcePaste"><strong>Over one year after it was launched, the New Pension Scheme (NPS) for citizens has not succeeded and the main reasons identified are lack of publicity and the absence of a selling network.</strong></div>
<div id="_mcePaste"><strong>The new Chairman of Pension Fund Regulatory and Development Authority (PFRDA), Mr Yogesh Agarwal says, “An immediate task before the PFRDA is to expand the distribution network of the NPS so that it is available within the easy reach of all citizens.”</strong></div>
<div id="_mcePaste"><strong>Does this mean that insurance agents may have an additional opportunity coming their way?</strong></div>
<div id="_mcePaste"><strong>K Nitya Kalyani explores.</strong></div>
<div></div>
<div id="_mcePaste">Since its launch in May 2009, only about 7,500 Individual Retirement Accounts (IRAs) have been opened under the NPS for the unorganised sector all over India.</div>
<div id="_mcePaste">The scheme is open to anyone who is not</div>
<div id="_mcePaste">
<div id="attachment_4997" class="wp-caption alignleft" style="width: 118px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Yokesh-Agarwal-Cutout1.jpg"><img class="size-full wp-image-4997  " title="Mr Yogesh Agarwal, Chairman, Pension Fund Regulatory and Development Authority “An immediate task before that PFRDA is to expand the distribution network of the NPS so that it is available within the easy reach of all citizens.”" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Yokesh-Agarwal-Cutout1.jpg" alt="Mr Yogesh Agarwal, Chairman, Pension Fund Regulatory and Development Authority “An immediate task before that PFRDA is to expand the distribution network of the NPS so that it is available within the easy reach of all citizens.”" width="108" height="80" /></a><p class="wp-caption-text">Mr Yogesh Agarwal, Chairman, Pension Fund Regulatory and Development Authority “An immediate task before that PFRDA is to expand the distribution network of the NPS so that it is available within the easy reach of all citizens.”</p></div>
</div>
<div>part of a compulsory, employer-run retirement benefit scheme, like the Employees Provident Fund Scheme for example. Even though the target population is huge and the scope is tremendous,the response has been negligible. A good comparison would be the Public Provident Fund (PPF) scheme, which is very common among investors.</div>
<div id="_mcePaste">In spite of being a good scheme structured with the investor’s interests in mind, there were flaws that made NPS fail.</div>
<div id="_mcePaste">A report examining the performance and nature of the NPS scheme, authored by consulting firm Ernst &amp; Young, for Federation of Indian Chambers of Commerce and Industry (FICCI) was released at a seminar on “New Pension Scheme: – Prospects and Challenges” at Mumbai on November 9, 2010 organised by FICCI. The report was based on the findings of a survey of financial institutions done by FICCI.</div>
<div id="_mcePaste">The report, ‘India’s Social Security Needs: Imperatives for the new pension scheme’, says that the regulator has been “too aggressive in its attempt to keep costs low, leaving little or no incentive for distributors and fund managers.”</div>
<div id="_mcePaste">There was also no direct link between the investor and the fund managers and there were not enough efforts to spread awareness about the scheme, it says.</div>
<div id="_mcePaste">Here are the findings of the survey and an outline of the study report.</div>
<div></div>
<div id="_mcePaste"><strong></p>
<div id="attachment_4998" class="wp-caption alignright" style="width: 118px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Deepak-Cutout.jpg"><img class="size-full wp-image-4998  " title="Mr Deepak Satwalekar, retired Managing Director, HDFC Life Insurance Company “The low-cost model has become a millstone around PFRDA’s neck. Pension requires intensive awareness campaign and hardselling with an appropriate incentive. Banks, post offices and associations alone won’t get you there. It is time to start attracting that much maligned-category called agents.”" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Deepak-Cutout.jpg" alt="Mr Deepak Satwalekar, retired Managing Director, HDFC Life Insurance Company “The low-cost model has become a millstone around PFRDA’s neck. Pension requires intensive awareness campaign and hardselling with an appropriate incentive. Banks, post offices and associations alone won’t get you there. It is time to start attracting that much maligned-category called agents.”" width="108" height="71" /></a><p class="wp-caption-text">Mr Deepak Satwalekar, retired Managing Director, HDFC Life Insurance Company “The low-cost model has become a millstone around PFRDA’s neck. Pension requires intensive awareness campaign and hardselling with an appropriate incentive. Banks, post offices and associations alone won’t get you there. It is time to start attracting that much maligned-category called agents.”</p></div>
<p>Increase awareness</strong></div>
<div id="_mcePaste">The study points out that there was insufficient publicity and awareness creation about the scheme to make it a ‘pull’ product so that it would be bought by the public without a distribution network. PFRDA, those responding to the survey expressed, needed to advertise and market the product more aggressively without which it cannot succeed.</div>
<div></div>
<div id="_mcePaste"><strong>Strengthen and incentivise selling</strong></div>
<div id="_mcePaste">The scheme relied heavily on the investor himself coming forward to openan account and that is where it failed to take off.</div>
<div id="_mcePaste">Though there are 4,000 branches or retail outlets of about 35 Points of Presence (PoPs, the entities licensed to open and maintain IRAs) they were not sufficiently incentivised to ‘sell’ the IRAs as they were given a mere Rs 40 per account opened and Rs 20 per transaction. This system was based on the low-cost approach which has not worked.</div>
<div id="_mcePaste">
<div id="attachment_4999" class="wp-caption alignleft" style="width: 118px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Tiwary-Cut-out.jpg"><img class="size-full wp-image-4999  " title="Mr Praveen Kumar Tiwari, Executive Director, PFRDA “In the last three to four months we have been thinking very hard about the way forward. We have decided now that NPS is sold, not bought.”" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Tiwary-Cut-out.jpg" alt="Mr Praveen Kumar Tiwari, Executive Director, PFRDA “In the last three to four months we have been thinking very hard about the way forward. We have decided now that NPS is sold, not bought.”" width="108" height="85" /></a><p class="wp-caption-text">Mr Praveen Kumar Tiwari, Executive Director, PFRDA “In the last three to four months we have been thinking very hard about the way forward. We have decided now that NPS is sold, not bought.”</p></div>
</div>
<div>The commissions offered were far lower than what competing products such as mutual funds and insurance plans offer and the PoPs were not enthusiastic about taking it on, especially the heavy infrastructure and training costs involved.</div>
<div id="_mcePaste">“Given the low levels of financial awareness in India, most investment products require persuasive selling techniques,” observes the study and the respondents to the survey also favoured ‘aggressive selling’ of the NPS.</div>
<div id="_mcePaste"></div>
<div><strong>Fund Managers should market it</strong></div>
<div id="_mcePaste">There is no direct link between the investor and any one entity in the NPS scheme (See ‘Today I Have to Develop the Sector’, Premium, July 2008, Page 14 for details of the NPS Scheme). The study recommends that the Pension Fund Manager should ‘own’ the customer, and take the responsibility for marketing the scheme and signing up account holders. However, his fund management fees have been fixed at a ridiculously low 0.0009 per cent today and this hardly motivates him to spend on marketing to get customers.</div>
<div id="_mcePaste">
<div id="attachment_5001" class="wp-caption alignright" style="width: 118px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Puneet-Nanda-ICICI-Pru-Cutout.jpg"><img class="size-full wp-image-5001  " title="Mr Puneet Nanda, Executive Director, ICICI Prudential Life Insurance Company “The core of the problem (with NPS) is there is no distribution system. We have to see which the appropriate distribution system is. The insurance agent is best qualified to advise, but he has to be incentivised, trained, mentored, managed and engaged on an ongoing basis. People want to talk to a ‘face’ and physical infrastructure is very important for the customer. But don’t restrict distribution to any one channel. ”" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Puneet-Nanda-ICICI-Pru-Cutout.jpg" alt="Mr Puneet Nanda, Executive Director, ICICI Prudential Life Insurance Company “The core of the problem (with NPS) is there is no distribution system. We have to see which the appropriate distribution system is. The insurance agent is best qualified to advise, but he has to be incentivised, trained, mentored, managed and engaged on an ongoing basis. People want to talk to a ‘face’ and physical infrastructure is very important for the customer. But don’t restrict distribution to any one channel. ”" width="108" height="140" /></a><p class="wp-caption-text">Mr Puneet Nanda, Executive Director, ICICI Prudential Life Insurance Company “The core of the problem (with NPS) is there is no distribution system. We have to see which the appropriate distribution system is. The insurance agent is best qualified to advise, but he has to be incentivised, trained, mentored, managed and engaged on an ongoing basis. People want to talk to a ‘face’ and physical infrastructure is very important for the customer. But don’t restrict distribution to any one channel. ”</p></div>
</div>
<div><strong>Recent initiatives</strong></div>
<div id="_mcePaste">Some recent initiatives have been tried out to make NPS a success. They include the Swavalamban scheme where the Government gives a grant of Rs 1,000 a year for the first three years, NPS-Lite where the minimum annual investment is Rs 2,000 rather than Rs 6,000 and the charges are much lower than the normal scheme, marketing initiatives among the corporates in the public and private sector and the proposal under the Direct Taxes Code Bill to make NPS tax exempt on maturity, rather than taxable as at present.</div>
<div id="_mcePaste">
<div id="attachment_5002" class="wp-caption alignleft" style="width: 190px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Asgwin-Parekh-Cutout.jpg"><img class="size-full wp-image-5002 " title="Mr Ashvin Parekh, Partner and National Industry Leader, Financial Services, Ernst &amp; Young Private Limited “International experience suggests that, unlike several successful pension systems, the NPS in India lacks distribution muscle. Therefore, there is a strong case for creating a model that relies on better incentivised sales agents.”" src="http://magazine.premiumonline.in/wp-content/uploads/2010/12/Asgwin-Parekh-Cutout.jpg" alt="Mr Ashvin Parekh, Partner and National Industry Leader, Financial Services, Ernst &amp; Young Private Limited “International experience suggests that, unlike several successful pension systems, the NPS in India lacks distribution muscle. Therefore, there is a strong case for creating a model that relies on better incentivised sales agents.”" width="180" height="119" /></a><p class="wp-caption-text">Mr Ashvin Parekh, Partner and National Industry Leader, Financial Services, Ernst &amp; Young Private Limited “International experience suggests that, unlike several successful pension systems, the NPS in India lacks distribution muscle. Therefore, there is a strong case for creating a model that relies on better incentivised sales agents.”</p></div>
</div>
<div><strong>Mid-course correction</strong></div>
<div id="_mcePaste">There appears to be a change in the thinking of PFRDA towards selling NPS through multiple channels with suitable commissions and incentives. This spells a possible new opportunity for the insurance agency profession which can add a very powerful product to its basket of financial planning products.</div>
<div id="_mcePaste">Chairman, PFRDA, Mr Yogesh Agarwal said at the seminar that course correction is needed for NPS and there would be a massive awareness campaign and a relook at the incentive structure as NPS required ‘substantial marketing efforts’.</div>
<div id="_mcePaste">These issues and their solutions are being studied by the G N Bajpai committee set up by PFRDA to solve the NPS problem. Going by PFRDA’s new stand and the discussions in open forums, there should be a new opportunity in the offing for insurance agents and any others who can sell NPS for an appropriate commission.</div>
<div id="_mcePaste">As Mr Deepak Satwalekar, retired Managing Director, HDFC Standard Life Insurance Company (Now called HDFC Life Insurance Company) put it: “Pensions need selling, not distributing’’. The customer has choices and the person who is selling has to spend time correlating the benefits of investing in pensions to the sacrifice of his money toward a long-term investment.</div>
<div id="_mcePaste">This person, he said ‘‘Will want to be compensated, and that compensation cannot be Rs 50!”</div>
<div id="_mcePaste"></div>
<div></div>


<p>Related posts:<ol><li><a href='http://magazine.premiumonline.in/another-group-pension-scheme-for-lic-agents' rel='bookmark' title='Permanent Link: Another group pension scheme for LIC agents'>Another group pension scheme for LIC agents</a> <small>Life Insurance Corporation of India (LIC) has announced a defined...</small></li><li><a href='http://magazine.premiumonline.in/morgan-stanley-mf%e2%80%99s-liquid-scheme' rel='bookmark' title='Permanent Link: Morgan Stanley MF’s Liquid scheme'>Morgan Stanley MF’s Liquid scheme</a> <small>Morgan Stanley has launched the Morgan Stanley Liquid Fund (MSMF),...</small></li><li><a href='http://magazine.premiumonline.in/l-t-gen-targeting-smes-through-agents' rel='bookmark' title='Permanent Link: L &#038; T Gen: Targeting SMEs through Agents'>L &#038; T Gen: Targeting SMEs through Agents</a> <small>L & T General Insurance’s Chief Executive Officer Mr Joydeep...</small></li></ol></p>
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		<title>Referral arrangements IRDA drafts new regulation</title>
		<link>http://magazine.premiumonline.in/referral-arrangements-irda-drafts-new-regulation</link>
		<comments>http://magazine.premiumonline.in/referral-arrangements-irda-drafts-new-regulation#comments</comments>
		<pubDate>Sat, 12 Jun 2010 18:00:59 +0000</pubDate>
		<dc:creator>Administrator</dc:creator>
				<category><![CDATA[Community Buzz]]></category>
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		<description><![CDATA[Referral arrangements IRDA drafts new regulation Insurance Regulatory and Development Authority (IRDA) is proposing new regulations for referral providers for insurance sales. It has released an exposure draft of the new regulations on its web site. (See “Highlights of the draft regulations”) To be called Insurance Regulatory and Development Authority (Acquisition of Database for Distribution [...]


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			<content:encoded><![CDATA[<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Referral arrangements</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA drafts new regulation</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Insurance Regulatory and Development Authority (IRDA) is proposing new regulations for referral providers for insurance sales.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It has released an exposure draft of the new regulations on its web site. (See “Highlights of the draft regulations”)</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">To be called Insurance Regulatory and Development Authority (Acquisition of Database for Distribution of Insurance Products) Regulations, 2010, the regulations are meant to codify the nature of a referral arrangement and the remuneration that can be paid for such services.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The exposure draft was put up on IRDA’s web site on May 18, 2010 and IRDA has invited comments on it be submitted on or before May 27.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Background</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">In a background explanation for the need of such a regulation IRDA has said that referrals “play a key role in  making faster expansion of the sector and in reaching out to large chunks of population that may not be otherwise  accessible through the conventional distribution channels of insurers.”</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Some referral providers just supply databases of their clients to the insurance companies while others facilitate sales by introducing the clients to them, providing office space for the employees of insurer, displaying of publicity material and so on.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“Since the activities of a referral provider stop short of selling, they normally do not require a regulatory license,” it says.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Guidelines now</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The existing guidelines on referrals are based on a circular dated 14.2.2003 which has some constraints. For example  these guidelines deal only with Life insurance and not General insurance. It deals only with referral arrangement with banks and not with non-banking entities. It also specifies that a referral provider bank should not be a licensed insurance intermediary and a bank can have a referral arrangement with only one Life insurance company and one General insurance company.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Existing practices</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA noticed during its market conduct inspection that there are people entering into referral arrangements with non-banking referral entities and even with individuals.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Several different practices are being followed by the insurers with regard to referral fees resulting in high cost of acquisition which pushes up premiums for the policyholders.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">In some cases, fees are staggered over a few years rather than being paid as a lump sum after the sale. Insurers claim that this is to encourage renewals but IRDA says that it is “questionable in view of the limited role envisaged for the referrals.”</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The lack of guidelines on fee limits in case of non-banking entities and individuals has given insurers “unfettered freedom.” And in the case of banks some insurance companies “in their over-enthusiasm” have paid advances amounting to crores of rupees.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">There are also extraneous clauses in their agreements since there is no standardisation.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Fresh guidelines needed</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA feels there is a need to streamline the fee structure for referral providers since referrals are seen to be increasing the already spiralling costs of insurers. Also, arrangements with non-banking entities and individuals need to be regulated.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">There is a clause in the IRDA (Insurance Advertisements and Disclosure) Regulations, 2000 which allows a third party group or association to furnish the data of its members to an insurer and be compensated for this on the basis of sales made out of the references. There are no limits for these payment and some insurers have been making excessive payments towards references obtained by them. This provision requires to be scrapped, says the IRDA note regarding the draft regulations.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Clarity is required on the categories of entities that can take up referral activity to ensure that it is streamlined.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Govardhan Committee</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The Committee on Distribution Channels, constituted by IRDA and headed by Mr N M Govardhan, retired Chairman of Life Insurance Corporation of India (LIC) which gave its report in May 2008 had made the following recommendations:</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">a. The expenses of management including referral fee should be capped by section 40B of the Insurance Act, 1938.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">b. Referral fee should be paid only on successful conversion, with a linkage to sale by the company’s sales person and such fees and other costs incurred on the entity should not exceed the ceilings on commissions as provided under Sec 40A of the Insurance Act.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">c. Trail fee, including other expenses, subject to the overall cap of section 40A, can be paid for the referral arrangements.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">With regard to these recommendations IRDA has published draft regulations for eliciting opinion of the consumer organisations, policyholders, general public, insurance companies and various other stakeholders in the insurance sector. The draft along with the recommendations received from various stakeholders will be placed before the Insurance Advisory Committee and the Board of the Authority for their consideration, the circular says.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The following are the highlights of the draft regulations on referral providers</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Defining ‘Referral Arrangement’</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Referral Arrangement is an arrangement between a referral company and an insurance company in terms of an agreement entered into in connection with the sharing of the database of the customers of the referral company but does not include the soliciting or sale, directly or through an agent, corporate agent or an insurance intermediary including a micro -insurance agent of an insurance product.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Defining ‘Referral Company’</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“Referral Company” means a company formed and registered under the Companies Act, 1956 (1 of 1956) and approved as such by the Authority under sub-regulation (3) of regulation 6.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Approval of a referral company</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The draft regulations provide for IRDA to approve a referral company for a period of three years.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">For IRDA’s approval of a company as a referral company, it has to be engaged in a business that has no linkage, direct or indirect, with the transaction or distribution of the business of insurance.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not carry out the sale or promotion of insurance products in its premises or elsewhere at all times.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should have a net worth of Rs.50 lakh and a turnover of at least Rs.1 crore for the last three consecutive years.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should have a database of its customers acquired through its business.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not be, by itself or through its subsidiary, associate or group company, licensed/ registered as an insurance agent, corporate agent, micro insurance agent or a broker under IRDA Regulations.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should comply with insurance legislations and its rules and regulations</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should have a tie up with only one insurance company for one class of insurance business.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not be in any of the businesses of extending loans and advances, accepting deposits, trading in securities on its own account or on the accounts of the customers.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not be bound by any confidentiality agreement with the customers, on the matter of sharing their personal and financial databases.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Its total income from its referral business with an insurance company or any other organisation should not be more than 10 per cent of its total income in any year of the agreement.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It shall not acquire databases with the express purpose of selling it to insurance companies or any other organisations.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Registration of a referral company</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The referral company should not undertake any insurance related activities except sharing of database of its customers for the sale or distribution of insurance products.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not create a database of its customer groups by specifically soliciting or scouting prospective policyholders, for the sale or distribution of the insurance products.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not provide details of its customers without their prior consent or provide details of any person/ firm/ company with whom they have not had any recorded business transaction.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not receive any payment from the insurance company for providing the database of its customers, over and above the remuneration as outlined in the regulations.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">It should not receive any payment for providing the database of its customers from a person other than an insurance company.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Obligations of the insurance company</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">An insurance company’s referral fee to a referral company for acquiring its database should be within the overall commission limits provided for in section 40A of the Insurance Act, 1938 and should not exceed 25 per cent of the commission.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">No fee is payable for the database of the same prospect more than once.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">No fee is payable on renewal or on the sale of a new policy to an existing customer of the insurer.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">No advance payments can be made.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">No other payments can be made to the referral company by way of incidental costs, promotional expenditure, infrastructure costs and the like.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">No payment can be made towards acquisition of any database after the date of termination of the referral arrangement.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Existing referral arrangements not conforming to the new regulations have to be terminated. They can be continued only if they are modified suitably within three months of notification  as per  the regulations.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">In case of default</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA will be empowered to cancel the approval granted to a referral company and an insurance company shall not be permitted to enter into a referral arrangement with such a referral company for a period of three years after this cancellation.</div>
<p>Insurance Regulatory and Development Authority (IRDA) is proposing new regulations for referral providers for insurance sales.</p>
<p>It has released an exposure draft of the new regulations on its web site. (See “Highlights of the draft regulations”)</p>
<p>To be called Insurance Regulatory and Development Authority (Acquisition of Database for Distribution of Insurance Products) Regulations, 2010, the regulations are meant to codify the nature of a referral arrangement and the remuneration that can be paid for such services.</p>
<p>The exposure draft was put up on IRDA’s web site on May 18, 2010 and IRDA has invited comments on it be submitted on or before May 27.</p>
<p><strong>Background</strong></p>
<p>In a background explanation for the need of such a regulation IRDA has said that referrals “play a key role in  making faster expansion of the sector and in reaching out to large chunks of population that may not be otherwise  accessible through the conventional distribution channels of insurers.”</p>
<p>Some referral providers just supply databases of their clients to the insurance companies while others facilitate sales by introducing the clients to them, providing office space for the employees of insurer, displaying of publicity material and so on.</p>
<p>“Since the activities of a referral provider stop short of selling, they normally do not require a regulatory license,” it says.</p>
<p><strong>Guidelines now</strong></p>
<p>The existing guidelines on referrals are based on a circular dated 14.2.2003 which has some constraints. For example  these guidelines deal only with Life insurance and not General insurance. It deals only with referral arrangement with banks and not with non-banking entities. It also specifies that a referral provider bank should not be a licensed insurance intermediary and a bank can have a referral arrangement with only one Life insurance company and one General insurance company.</p>
<p><strong>Existing practices</strong></p>
<p>IRDA noticed during its market conduct inspection that there are people entering into referral arrangements with non-banking referral entities and even with individuals.</p>
<p>Several different practices are being followed by the insurers with regard to referral fees resulting in high cost of acquisition which pushes up premiums for the policyholders.</p>
<p>In some cases, fees are staggered over a few years rather than being paid as a lump sum after the sale. Insurers claim that this is to encourage renewals but IRDA says that it is “questionable in view of the limited role envisaged for the referrals.”</p>
<p>The lack of guidelines on fee limits in case of non-banking entities and individuals has given insurers “unfettered freedom.” And in the case of banks some insurance companies “in their over-enthusiasm” have paid advances amounting to crores of rupees.</p>
<p>There are also extraneous clauses in their agreements since there is no standardisation.</p>
<p><strong>Fresh guidelines needed</strong></p>
<p>IRDA feels there is a need to streamline the fee structure for referral providers since referrals are seen to be increasing the already spiralling costs of insurers. Also, arrangements with non-banking entities and individuals need to be regulated.</p>
<p>There is a clause in the IRDA (Insurance Advertisements and Disclosure) Regulations, 2000 which allows a third party group or association to furnish the data of its members to an insurer and be compensated for this on the basis of sales made out of the references. There are no limits for these payment and some insurers have been making excessive payments towards references obtained by them. This provision requires to be scrapped, says the IRDA note regarding the draft regulations.</p>
<p>Clarity is required on the categories of entities that can take up referral activity to ensure that it is streamlined.</p>
<p><strong>Govardhan Committee</strong></p>
<p>The Committee on Distribution Channels, constituted by IRDA and headed by Mr N M Govardhan, retired Chairman of Life Insurance Corporation of India (LIC) which gave its report in May 2008 had made the following recommendations:</p>
<p>a. The expenses of management including referral fee should be capped by section 40B of the Insurance Act, 1938.</p>
<p>b. Referral fee should be paid only on successful conversion, with a linkage to sale by the company’s sales person and such fees and other costs incurred on the entity should not exceed the ceilings on commissions as provided under Sec 40A of the Insurance Act.</p>
<p>c. Trail fee, including other expenses, subject to the overall cap of section 40A, can be paid for the referral arrangements.</p>
<p>With regard to these recommendations IRDA has published draft regulations for eliciting opinion of the consumer organisations, policyholders, general public, insurance companies and various other stakeholders in the insurance sector. The draft along with the recommendations received from various stakeholders will be placed before the Insurance Advisory Committee and the Board of the Authority for their consideration, the circular says.</p>
<p><strong><em>The following are the highlights of the draft regulations on referral providers</em></strong></p>
<p><strong>Defining ‘Referral Arrangement’</strong></p>
<p>Referral Arrangement is an arrangement between a referral company and an insurance company in terms of an agreement entered into in connection with the sharing of the database of the customers of the referral company but does not include the soliciting or sale, directly or through an agent, corporate agent or an insurance intermediary including a micro -insurance agent of an insurance product.</p>
<p><strong>Defining ‘Referral Company’</strong></p>
<p>“Referral Company” means a company formed and registered under the Companies Act, 1956 (1 of 1956) and approved as such by the Authority under sub-regulation (3) of regulation 6.</p>
<p><strong>Approval of a referral company</strong></p>
<p>The draft regulations provide for IRDA to approve a referral company for a period of three years.</p>
<p>For IRDA’s approval of a company as a referral company, it has to be engaged in a business that has no linkage, direct or indirect, with the transaction or distribution of the business of insurance.</p>
<p>It should not carry out the sale or promotion of insurance products in its premises or elsewhere at all times.</p>
<p>It should have a net worth of Rs.50 lakh and a turnover of at least Rs.1 crore for the last three consecutive years.</p>
<p>It should have a database of its customers acquired through its business.</p>
<p>It should not be, by itself or through its subsidiary, associate or group company, licensed/ registered as an insurance agent, corporate agent, micro insurance agent or a broker under IRDA Regulations.</p>
<p>It should comply with insurance legislations and its rules and regulations</p>
<p>It should have a tie up with only one insurance company for one class of insurance business.</p>
<p>It should not be in any of the businesses of extending loans and advances, accepting deposits, trading in securities on its own account or on the accounts of the customers.</p>
<p>It should not be bound by any confidentiality agreement with the customers, on the matter of sharing their personal and financial databases.</p>
<p>Its total income from its referral business with an insurance company or any other organisation should not be more than 10 per cent of its total income in any year of the agreement.</p>
<p>It shall not acquire databases with the express purpose of selling it to insurance companies or any other organisations.</p>
<p><strong>Registration of a referral company</strong></p>
<p>The referral company should not undertake any insurance related activities except sharing of database of its customers for the sale or distribution of insurance products.</p>
<p>It should not create a database of its customer groups by specifically soliciting or scouting prospective policyholders, for the sale or distribution of the insurance products.</p>
<p>It should not provide details of its customers without their prior consent or provide details of any person/ firm/ company with whom they have not had any recorded business transaction.</p>
<p>It should not receive any payment from the insurance company for providing the database of its customers, over and above the remuneration as outlined in the regulations.</p>
<p>It should not receive any payment for providing the database of its customers from a person other than an insurance company.</p>
<p><strong>Obligations of the insurance company</strong></p>
<p>An insurance company’s referral fee to a referral company for acquiring its database should be within the overall commission limits provided for in section 40A of the Insurance Act, 1938 and should not exceed 25 per cent of the commission.</p>
<p>No fee is payable for the database of the same prospect more than once.</p>
<p>No fee is payable on renewal or on the sale of a new policy to an existing customer of the insurer.</p>
<p>No advance payments can be made.</p>
<p>No other payments can be made to the referral company by way of incidental costs, promotional expenditure, infrastructure costs and the like.</p>
<p>No payment can be made towards acquisition of any database after the date of termination of the referral arrangement.</p>
<p>Existing referral arrangements not conforming to the new regulations have to be terminated. They can be continued only if they are modified suitably within three months of notification  as per  the regulations.</p>
<p><strong>In case of default</strong></p>
<p>IRDA will be empowered to cancel the approval granted to a referral company and an insurance company shall not be permitted to enter into a referral arrangement with such a referral company for a period of three years after this cancellation.</p>


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		<title>Talking Health Insurance</title>
		<link>http://magazine.premiumonline.in/talking-health-insurance</link>
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		<pubDate>Thu, 12 Feb 2009 18:00:14 +0000</pubDate>
		<dc:creator>Administrator</dc:creator>
				<category><![CDATA[Developments]]></category>
		<category><![CDATA[Dr K P Mishra]]></category>
		<category><![CDATA[Dr R Kannan]]></category>
		<category><![CDATA[Health insurance]]></category>
		<category><![CDATA[Mr A J Kulthe Professor- General Insurance National Insurance Academy (NIA]]></category>
		<category><![CDATA[NIA]]></category>

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		<description><![CDATA[developments Talking Health Insurance Two segments of General insurance that are showing the highest growth are takaful and Health insurance. Yet, for Health insurance to realise its growth potential, we should not track its premium collected but value of the health delivered, said Dr K P Mishra, Director, National Insurance Academy (NIA,) Pune. Mr Mishra [...]


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			<content:encoded><![CDATA[<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">developments</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Talking Health Insurance</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Two segments of General insurance that are showing the highest growth are takaful and Health insurance. Yet, for Health insurance to realise its growth potential, we should not track its premium collected but value of the health delivered, said Dr K P Mishra, Director, National Insurance Academy (NIA,) Pune.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Mr Mishra was delivering the welcome address at the IAI-NIA Seminar on Health Insurance &amp; Care held at NIA on January 8 and 9, 2009 and organised jointly by The Institute of Actuaries of India and NIA.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The fourth such seminar, this year’s meet attracted a gathering of about 120 delegates from across the industry including Life and General insurance companies, both from the public sector and the private sector.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Mr P A Balasubramanian, Chairperson of the Advisory Group on Health Insurance, IAI and retired Member (Actuary) Insurance Regulatory and Development Authority (IRDA,) in his introductory address, said that there had been a leap in the growth rate of Health insurance premium from 28 per cent a few years ago to 60 per cent last year. Of the premium collected the lion’s share was by the public sector.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“The entire growth is coming from the General insurance industry with the Life insurance industry barely contributing Rs 100 crore to this amount,” he said and urged Life insurance companies to develop the portfolio that started out as being only Health riders on Life insurance policies.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“We have to create demand by changing the product structure to suit needs and give up the passive attitude of just providing coverage,” he stressed. He also pointed out that there was an urgent need for alignment of the interests of the insurer and service providers like hospitals.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">There is not only information asymmetry among insurers, the insureds and the healthcare providers, but, while insurers are subject to statutory regulation the other parts of the supply chain are not. Hence there are gaps in medical care delivery, he said.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Dr R Kannan, Member (Actuary,) IRDA, in his keynote address said that developing Health insurance was engaging 50 per cent of the attention of the Regulator and the companies. The two segments of the business that would grow in the next 20 years are Health insurance and Pensions, he said, adding that it is a misconception that only a small percentage of the population is covered by Health insurance.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Health insurance covers 15 per cent of the population today and the premium collected has gone up from Rs 3,200 crore in 2006-07 to Rs 5,100 in 2007-08.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Government group insurance schemes like Arogyasri and Rashtriya Swasthya Bima Yojana (RSBY) have been seeing some success, he said, adding that IRDA had been encouraging the development of the business starting with a committee in 2003 to creating a Health insurance department in September 2007.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA also constituted a committee on TPAs, he said and has been giving all importance to product clearance of Health insurance policies.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Renewability of Health policies is an issue IRDA is giving a lot of importance to. “IRDA’s stand has been that all policies have to be renewed except when there is fraud on the part of the insured,” he stated, and when the insurance company wants to increase premium it has to inform the insured in advance and prove why the increase is justified.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">He was referring to widespread complaints made to IRDA about insureds, especially senior citizens, with long periods of unbroken cover being denied renewal of cover or being offered renewal with a massive loading of premium.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">IRDA has laid down that insured cannot be compelled to switch to another product, nor should the benefit structure be changed without consultation with the insured.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Another aspect in shoring up the quality of Health cover is that the insured now has to be given a 15 day grace period for renewing the policy and this has to be taken into account for purposes of continuity of cover.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Other measures include that if a group Health policy is cancelled the members of the group should not be left in the lurch.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">These recommendations, he said, were part of the Sastry Committee report. Forty seven of the 90 recommendations of the committee had been implemented, sixteen had been rejected due to internal inconsistencies and 15 others had been accepted. Twelve had been referred to the General Insurance Council, he informed the gathering.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Some of the significant measures implemented were, he said:</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">1.<span style="white-space: pre;"> </span>Age of entry to be up to 65 years as opposed to 48 as recommended by the committee</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">2.<span style="white-space: pre;"> </span>Renewals cannot be declined, sum assured cannot be reduced and insured cannot be forced to opt for a different policy</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">3.<span style="white-space: pre;"> </span>Companies have to give fair and justified treatment to the insured</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">4.<span style="white-space: pre;"> </span>Where the insured has stayed with the company for a long period, since the premium money is available to the company for long term investment, loyalty additions should be given</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">5.<span style="white-space: pre;"> </span>Contract terms should be transparent</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">6.<span style="white-space: pre;"> </span>Companies should have proper Management Information Systems</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">7.<span style="white-space: pre;"> </span>The Life Insurance Council has mooted sharing of expenses</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">8.<span style="white-space: pre;"> </span>The General Insurance Council has stressed the members should exercise self discipline in Health insurance to ensure healthy growth.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Health insurance is made up of four tiers, the public, Third Party Administrators (Health Services) (TPAs), the healthcare sector including clinics, doctors, hospitals, primary health centres and the insurance companies. How to evolve effective communication among them is an important challenge and one that has to be met for a decent Health insurance cover, Dr Kannan said.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">From the actuarial side, Dr Kannan said, there was no morbidity data – data about the rates of illness and disease incidence – in the country and insurers and actuaries were dependent on reinsurance company data. To evolve a solution to this the IAI has started a Mortality and Morbidity Research Centre and the Tariff Advisory Committee (TAC) has also been collecting and working on Health insurance data in the last few years, he said.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The cost of hospitalisation is going to play a significant role in Health insurance in the future and there is an urgent need to standardise services, treatment, fees and charges.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“Out duty is to see to what extent IRDA can play a role in achieving this,” Dr Kannan concluded.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Just as it is now being seen in micro-insurance , public-private partnership can been used for effective Health insurance spread, he pointed out.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">If Health insurance has to grow, the industry needs a mechanism to ensure annual renewal and for this at least a 10 year product has to be allowed and launched.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">A pre-requisite for this is that we need proper morbidity data, he said, or there would be uncertainty in the profitability of the portfolio.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Lapse rates are high even in long term policies, he cautioned, and underwriting losses are significant since there is no proper underwriting on a risk based approach.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Earlier, when Health insurance was a cross subsidised business due to high Fire insurance tariffs, insurance companies followed a cashflow approach to writing Health policies, but now a risk based underwriting approach is necessary since the portfolio has to show profits on its own.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Above all this delay in paying claims does not create a confidence and the Insurance Ombudsman will play a significant role in this matter, he hoped.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">Speaking of the tax ambiguity that cropped up about some Health policies at the end of the last financial year, he reiterated the IRDA had clarified that Section 80D benefits would not apply to any policy that had a surrender benefit.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">“We have to accept that some tax advantage is required to develop the sector and we have to research what tax benefit is required,” he said, calling for the members of the IAI to give IRDA a note on what their expectation was from Regulations to develop Health insurance.</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">The two day seminar had presentations by Dr Somil Nagpal, IRDA, Mr Robert Prochnow, Swiss Re Health, India, Ms Gayle Adama, Head of Health Consulting, Watson Wyatt Worldwide, Mr A P V Reddy, Family Health Plan Limited, Dr Medha Samant, Founder and  Annapurna Mahila Mandal, Pune, Mr Aloke Gupta, Consultant, Health insurance, Mr Sunil Nandraj of WHO, Mr Lalit Baveja, MAAA Milliman Inc., Group Captain Rajesh Vaidya, Armed Forces Medical College, Mr Alam Singh, MAAA Milliman Inc., Mr John Rutherford, RGA Reinsurance and Mr G N Agarwal, President IAI and Group Actuary, Future Generali. n</div>
<div id="_mcePaste" style="position: absolute; left: -10000px; top: 0px; width: 1px; height: 1px; overflow-x: hidden; overflow-y: hidden;">K Nitya Kalyani</div>
<div id="attachment_2027" class="wp-caption alignnone" style="width: 310px"><a href="http://magazine.premiumonline.in/wp-content/uploads/2009/11/NIAseminar2.jpg"><img class="size-full wp-image-2027" title="Dr R Kannan, Member (Actuary,) IRDA, lights the lamp to inaugurate the IAI-NIA Seminar on Health Insurance &amp; Care. Looking on are Mr P A Balasubramanian, Chairper- Chairperson son of the Advisory Group on Health Insurance, IAI and retired Member (Actuary) Insurance Regulatory and Development Authority (IRDA,), Mr A J Kulthe Professor- General Insurance National Insurance Academy (NIA,) Pune and Dr K P Mishra, Director, NIA  " src="http://magazine.premiumonline.in/wp-content/uploads/2009/11/NIAseminar2.jpg" alt="Dr R Kannan, Member (Actuary,) IRDA, lights the lamp to inaugurate the IAI-NIA Seminar on Health Insurance &amp; Care. Looking on are Mr P A Balasubramanian, Chairper- Chairperson son of the Advisory Group on Health Insurance, IAI and retired Member (Actuary) Insurance Regulatory and Development Authority (IRDA,), Mr A J Kulthe Professor- General Insurance National Insurance Academy (NIA,) Pune and Dr K P Mishra, Director, NIA  " width="300" height="214" /></a><p class="wp-caption-text">Dr R Kannan, Member (Actuary,) IRDA, lights the lamp to inaugurate the IAI-NIA Seminar on Health Insurance &amp; Care. Looking on are Mr P A Balasubramanian, Chairper- Chairperson son of the Advisory Group on Health Insurance, IAI and retired Member (Actuary) Insurance Regulatory and Development Authority (IRDA,), Mr A J Kulthe Professor- General Insurance National Insurance Academy (NIA,) Pune and Dr K P Mishra, Director, NIA  </p></div>
<p>Two segments of General insurance that are showing the highest growth are takaful and Health insurance. Yet, for Health insurance to realise its growth potential, we should not track its premium collected but value of the health delivered, said Dr K P Mishra, Director, National Insurance Academy (NIA,) Pune.</p>
<p>Mr Mishra was delivering the welcome address at the IAI-NIA Seminar on Health Insurance &amp; Care held at NIA on January 8 and 9, 2009 and organised jointly by The Institute of Actuaries of India and NIA.</p>
<p>The fourth such seminar, this year’s meet attracted a gathering of about 120 delegates from across the industry including Life and General insurance companies, both from the public sector and the private sector.</p>
<p>Mr P A Balasubramanian, Chairperson of the Advisory Group on Health Insurance, IAI and retired Member (Actuary) Insurance Regulatory and Development Authority (IRDA,) in his introductory address, said that there had been a leap in the growth rate of Health insurance premium from 28 per cent a few years ago to 60 per cent last year. Of the premium collected the lion’s share was by the public sector.</p>
<p>“The entire growth is coming from the General insurance industry with the Life insurance industry barely contributing Rs 100 crore to this amount,” he said and urged Life insurance companies to develop the portfolio that started out as being only Health riders on Life insurance policies.</p>
<p>“We have to create demand by changing the product structure to suit needs and give up the passive attitude of just providing coverage,” he stressed. He also pointed out that there was an urgent need for alignment of the interests of the insurer and service providers like hospitals.</p>
<p>There is not only information asymmetry among insurers, the insureds and the healthcare providers, but, while insurers are subject to statutory regulation the other parts of the supply chain are not. Hence there are gaps in medical care delivery, he said.</p>
<p>Dr R Kannan, Member (Actuary,) IRDA, in his keynote address said that developing Health insurance was engaging 50 per cent of the attention of the Regulator and the companies. The two segments of the business that would grow in the next 20 years are Health insurance and Pensions, he said, adding that it is a misconception that only a small percentage of the population is covered by Health insurance.</p>
<p>Health insurance covers 15 per cent of the population today and the premium collected has gone up from Rs 3,200 crore in 2006-07 to Rs 5,100 in 2007-08.</p>
<p>Government group insurance schemes like Arogyasri and Rashtriya Swasthya Bima Yojana (RSBY) have been seeing some success, he said, adding that IRDA had been encouraging the development of the business starting with a committee in 2003 to creating a Health insurance department in September 2007.</p>
<p>IRDA also constituted a committee on TPAs, he said and has been giving all importance to product clearance of Health insurance policies.</p>
<p>Renewability of Health policies is an issue IRDA is giving a lot of importance to. “IRDA’s stand has been that all policies have to be renewed except when there is fraud on the part of the insured,” he stated, and when the insurance company wants to increase premium it has to inform the insured in advance and prove why the increase is justified.</p>
<p>He was referring to widespread complaints made to IRDA about insureds, especially senior citizens, with long periods of unbroken cover being denied renewal of cover or being offered renewal with a massive loading of premium.</p>
<p>IRDA has laid down that insured cannot be compelled to switch to another product, nor should the benefit structure be changed without consultation with the insured.</p>
<p>Another aspect in shoring up the quality of Health cover is that the insured now has to be given a 15 day grace period for renewing the policy and this has to be taken into account for purposes of continuity of cover.</p>
<p>Other measures include that if a group Health policy is cancelled the members of the group should not be left in the lurch.</p>
<p>These recommendations, he said, were part of the Sastry Committee report. Forty seven of the 90 recommendations of the committee had been implemented, sixteen had been rejected due to internal inconsistencies and 15 others had been accepted. Twelve had been referred to the General Insurance Council, he informed the gathering.</p>
<p>Some of the significant measures implemented were, he said:</p>
<p>1.<span style="white-space: pre;"> </span>Age of entry to be up to 65 years as opposed to 48 as recommended by the committee</p>
<p>2.<span style="white-space: pre;"> </span>Renewals cannot be declined, sum assured cannot be reduced and insured cannot be forced to opt for a different policy</p>
<p>3.<span style="white-space: pre;"> </span>Companies have to give fair and justified treatment to the insured</p>
<p>4.<span style="white-space: pre;"> </span>Where the insured has stayed with the company for a long period, since the premium money is available to the company for long term investment, loyalty additions should be given</p>
<p>5.<span style="white-space: pre;"> </span>Contract terms should be transparent</p>
<p>6.<span style="white-space: pre;"> </span>Companies should have proper Management Information Systems</p>
<p>7.<span style="white-space: pre;"> </span>The Life Insurance Council has mooted sharing of expenses</p>
<p>8.<span style="white-space: pre;"> </span>The General Insurance Council has stressed the members should exercise self discipline in Health insurance to ensure healthy growth.</p>
<p>Health insurance is made up of four tiers, the public, Third Party Administrators (Health Services) (TPAs), the healthcare sector including clinics, doctors, hospitals, primary health centres and the insurance companies. How to evolve effective communication among them is an important challenge and one that has to be met for a decent Health insurance cover, Dr Kannan said.</p>
<p>From the actuarial side, Dr Kannan said, there was no morbidity data – data about the rates of illness and disease incidence – in the country and insurers and actuaries were dependent on reinsurance company data. To evolve a solution to this the IAI has started a Mortality and Morbidity Research Centre and the Tariff Advisory Committee (TAC) has also been collecting and working on Health insurance data in the last few years, he said.</p>
<p>The cost of hospitalisation is going to play a significant role in Health insurance in the future and there is an urgent need to standardise services, treatment, fees and charges.</p>
<p>“Out duty is to see to what extent IRDA can play a role in achieving this,” Dr Kannan concluded.</p>
<p>Just as it is now being seen in micro-insurance , public-private partnership can been used for effective Health insurance spread, he pointed out.</p>
<p>If Health insurance has to grow, the industry needs a mechanism to ensure annual renewal and for this at least a 10 year product has to be allowed and launched.</p>
<p>A pre-requisite for this is that we need proper morbidity data, he said, or there would be uncertainty in the profitability of the portfolio.</p>
<p>Lapse rates are high even in long term policies, he cautioned, and underwriting losses are significant since there is no proper underwriting on a risk based approach.</p>
<p>Earlier, when Health insurance was a cross subsidised business due to high Fire insurance tariffs, insurance companies followed a cashflow approach to writing Health policies, but now a risk based underwriting approach is necessary since the portfolio has to show profits on its own.</p>
<p>Above all this delay in paying claims does not create a confidence and the Insurance Ombudsman will play a significant role in this matter, he hoped.</p>
<p>Speaking of the tax ambiguity that cropped up about some Health policies at the end of the last financial year, he reiterated the IRDA had clarified that Section 80D benefits would not apply to any policy that had a surrender benefit.</p>
<p>“We have to accept that some tax advantage is required to develop the sector and we have to research what tax benefit is required,” he said, calling for the members of the IAI to give IRDA a note on what their expectation was from Regulations to develop Health insurance.</p>
<p>The two day seminar had presentations by Dr Somil Nagpal, IRDA, Mr Robert Prochnow, Swiss Re Health, India, Ms Gayle Adama, Head of Health Consulting, Watson Wyatt Worldwide, Mr A P V Reddy, Family Health Plan Limited, Dr Medha Samant, Founder and  Annapurna Mahila Mandal, Pune, Mr Aloke Gupta, Consultant, Health insurance, Mr Sunil Nandraj of WHO, Mr Lalit Baveja, MAAA Milliman Inc., Group Captain Rajesh Vaidya, Armed Forces Medical College, Mr Alam Singh, MAAA Milliman Inc., Mr John Rutherford, RGA Reinsurance and Mr G N Agarwal, President IAI and Group Actuary, Future Generali.</p>
<p><strong><em>K Nitya Kalyani</em></strong></p>


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