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    REGULATION OF

    INSURANCE BUSINESS ININDIA

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    The development and growth of theInsurance Industry in India has gone

    through three distinct stages. Insurance law in India had its origins in

    the United Kingdom with the

    establishment of a British firm, theOriental Life Insurance Company in1818 in Calcutta.

    Followed by the Bombay Life Assurance

    Company in 1823.The Madras Equitable Life Insurance

    Society in 1829 and the Oriental LifeAssurance Company in 1874.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    Till the establishment of the Bombay MutualLife Assurance Society in 1871, Indians werecharged an extra premium of up to 20% ascompared to the British.

    The first statutory measure in India toregulate the Life Insurance Business was in1912 with the passing of the Indian LifeAssurance Companies Act, 1912 (Act of1912) (which was based on the English Actof 1909).

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    General insurance on the other hand alsohas its origins in the United Kingdom. Thefirst general insurance company TritonInsurance Company Ltd. was promoted in1850 by British nationals in Calcutta.

    The first general insurance company

    established by an Indian was IndianMercantile Insurance Company Ltd. inBombay in 1907.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIAwith the growth of fire, accident and marine

    insurance, the need was felt to bring such kinds ofinsurance within the purview of the Act of 1912.

    While there were a number of attempts to introduce

    such legislation over the years, non-lifeinsurance was finally regulated in 1938 through the

    passing of the Insurance Act, 1938 (Act of

    1938).

    The Act of 1938 along with various amendments

    over the years continues till date to be the one

    definitive piece of legislation on insurance and

    controls both life insurance and general insurance.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    On January 19, 1956, the management oflife insurance business of two hundred and

    forty five Indian and foreign insurers and

    provident societies then operating in India was

    taken over by the Central Government.

    The Life Insurance Corporation (LIC) was

    formed in Sept ember 1956 by the Life

    Insurance Corporation Act, 1956 (LIC Act)which granted LIC the exclusive privilege to

    conduct life insurance business in India.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    The general insurance business was alsonationalised with effect from January 1, 1973,

    through the introduction of the General

    Insurance Business (Nationalisation) Act,

    1972 (GIC Act)

    The GIC was established by the Central

    Government in accordance with the provisionsof the Companies Act, 1956 (Companies Act)

    in November 1972 and it commenced business

    on January 1,1973.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIAPrior to 1973, there were a hundred and seven

    companies, including foreign companies,

    offering general insurance in India. These

    companies were amalgamated and groupedinto four subsidiary companies of GIC viz.

    The National Insurance Company Ltd.

    The New India Assurance Company Ltd.

    The Oriental Insurance Company Ltd.The United India Assurance Company Ltd.

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    Insurance in India used to be tightly regulated and

    monopolized by state-run insurers.

    The insurance regulatory and development authority

    (IRDA) act of 1999 was passed.

    The insurance business was opened on two fronts :

    Firstly: Domestic private-sector companies were

    permitted to enter both life and non-life insurancebusiness

    REGULATION OF INSURANCE

    BUSINESS IN INDIA

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    Secondly: Foreign companies were allowedto participate, albeit with a cap on

    shareholding at 26%.

    Since its inception IRDA has been taking

    steps to promote insurance sector and also

    protect interest of people.

    A number of reforms have been introduced

    by IRDA regarding regulation of agents,

    deciding about premium, marketing

    strategies etc.

    REGULATION OF INSURANCE

    BUSINESS IN INDIA

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    DUTIES, POWERS AND FUNCTIONS OF IRDA

    To regulate, promote and ensure orderly growth of the

    insurance business and re-insurance business.

    Issue to the applicant a certificate of registration, renew,modify, withdraw, suspend or cancel such registration.

    Protection of the interests of the policy holders in matters

    concerning assigning of policy, nomination by policyholders, insurable interest, settlement of insurance claim,

    surrender value of policy and other terms and conditions of

    contracts of insurance.

    REGULATION OF INSURANCE

    BUSINESS IN INDIA

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    Cont:

    Specifying requisite qualifications, code of

    conduct and practical training for intermediary

    or insurance intermediaries and agents.

    Specifying the code of conduct for surveyors and

    loss assessors.

    Promoting efficiency in the conduct of insurancebusiness.

    REGULATION OF INSURANCE

    BUSINESS IN INDIA

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    REGULATION OF INSURANCE

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    Calling for information from, undertaking

    inspection of, conducting enquiries and

    investigations including audit of the insurers,intermediaries.

    Control and regulation of the rates,advantages, terms and conditions that may be

    offered by insurers in respect of general

    insurance business.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIACont:

    Specifying the form and manner in whichbooks of account shall be maintained andstatement of accounts shall be rendered byinsurers and other insurance intermediaries.

    Regulating investment of funds by insurancecompanies.

    Regulating maintenance of margin of

    solvencyAdjudication of disputes between insurersand intermediaries or insuranceintermediaries.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    Registration of an Insurance Company

    Every insurer seeking to carry outthe business of insurance in India is

    required to obtain a certificate ofregistration from the IRDA prior tocommencement of business.

    The pre-conditions for applying forsuch registration have been set outunder the Act of1938, the IRD Actand the various regulations

    prescribed by the Authority.

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    REGULATION OF INSURANCE

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    General Registration RequirementsThe following are some of the important general registrationrequirements that an applicant would need to fulfill:

    (a) The applicant would need to be a company registered under theprovisions of the Indian Companies Act, 1956. Consequently, anyperson intending to carry on insurance business in India would need toset up a separate entity in India.(b) The aggregate equity participation of a foreign company (either byitself or through its subsidiary companies or its nominees) in theapplicant company cannot not exceed twenty six per cent of the paid upcapital of the insurance company. However, the Insurance Act and theregulations there under provide for the manner of computation of such

    twenty-six per cent.(c) The applicant can carry on any one of life insurance business,general insurance business or reinsurance business. Separatecompanies would be needed if the intent were t o conduct more thanone business.

    (d) The name of the applicant needs to contain the words insurance

    company or assurance company.

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    REGULATION OF INSURANCEBUSINESS IN INDIA

    Capital Structure Requirements

    The applicant would need to meet with the following capital structurerequirements:

    (a) A minimum paid up equity capital ofrupees one billion in case ofan applicant which seeks to carry on the business of life insurance orgeneral insurance.

    (b) A minimum paid-up equity capital of rupees two billion, in case ofa person carrying on exclusively the business of reinsurance.

    In determining the aforesaid capital requirement, the deposits to bemade and any preliminary expenses incurred in the formation andregistration of the company would be included.

    A promoter of the company is not permitted to hold, at any time,more than twenty-six per cent of the paid-up capital in any Indianinsurance company. However, an interim measure has been permittedfor percentages higher than twenty six percent if the promoters divest,in a phased manner, over a period of ten years from the date of

    commencement of business, the share capital held by them in excess oftwenty six per cent.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    Procedure for obtaining a certificate of registration:

    An applicant desiring to carry on insurance business in

    India is required to make a requisition for a registration

    application to the IRDA in a prescribed format along with

    all the relevant documents.

    The applicant is required to make a separate requisition

    for registration for each class of business i.e. life

    insurance business consisting of linked business, non-

    linked business or both, or general insurance businessincluding health insurance business

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    REGULATION OF INSURANCEBUSINESS IN INDIA

    The IRDA may accept the requisition on beingsatisfied of the bonafides of the applicant, thecompleteness of the application and that theapplicant will carry on all the functions inrespect of the insurance business includingmanagement of investments etc.

    In the event that the aforesaidrequirements arenot met with, the Authority may after giving theapplicant a reasonable opportunity of beingheard, reject the requisition.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIARenewal of registration

    An insurer who has been granted a certificate ofregistration should renew the registration before the 31stday of December each year, and such application shouldbe accompanied by evidence of fees that should be the

    higher of- fifty thousand rupees for each class of insurance

    business, and

    one fifth of one per cent of total gross premium writ tendirect by an insurer in India during the financial yearpreceding the year in which the application for renewal ofcertificate is required to be made, or the application forrenewal of certificate is required to be made, or rupeesfifty million whichever is less.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIASuspension of registration

    The registration of an Indian insurance company or insurer may besuspended for a class or classes of insurance business, in additionto any penalty that may be imposed or any action that may betaken, for such period as may be specified by the Authority, in thefollowing cases:

    Conducts its business in a manner prejudicial to theinterests of the policy-holders;

    Fails to furnish any information as required by theAuthority relating to its insurance business;

    Does not submit periodical returns as required under

    the Act or by the Authority; Does not co-operate in any inquiry conducted by the

    Authority;

    Indulges in manipulating the insurance business;

    Fails to make investment in the infrastructure or socialsector as specified under the Insurance Act.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    ActuaryAn insurer carrying on the business of insuranceor reinsurance in India is required, under theIRDA (Appointed Actuary) Regulations, 2000, to

    appoint a person fulfilling the eligibilityrequirements, to act as an appointed actuary,after seeking the approval of the Authority in thisregard.

    It is mandatory for an insurer carrying on thebusiness of life insurance in India to appoint anyActuary.

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    REGULATION OF INSURANCE

    BUSINESS IN INDIA

    Powers, Duties and Obligations of an Actuary

    An appointed actuary has access to all

    such information and documents of an

    insurer for the performance of his dutiesand obligations.

    An appointed actuary may also attend

    the meetings of the insurer and discussmatters related to the actuarial advice and

    solvency of margin.

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    REGULATION OF INSURANCEBUSINESS IN INDIA

    Cont:

    An appointed actuary, in addition to rendering

    actuarial advice to insurer (in particular in the

    areas of product design and pricing, insurancecontract wording, investments and reinsurance), is

    also required inter alia to ensure the solvency of the

    insurer at all times, certify the assets and liabilities

    that have been valued and maintain the solvency

    margin.

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    REGULATION OF INSURANCEBUSINESS IN INDIA

    Cont:In case the insurer is carrying on life insurance business,an appointed actuary should also inter alia -

    Certify the actuarial report, abstract and other returnsrequired under the Insurance Act,

    Comply with the provisions wit h respect to the bases ofpremium,

    Comply with the provisions with respect torecommendation of interim bonus or bonuses payable bythe life insurer to policyholders whose policies mature for

    payment by reason of death or otherwise during the inter-valuation period, and

    Ensure that the policyholders' reasonable expectationshave been considered in the matter of valuation of liabilitiesand distribution of surplus to the participating

    policyholders who are entitled for a share of surplus.

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    REGULATION OF INSURANCEBUSINESS IN INDIA

    In case of an insurer carrying on general insurance

    business in India, the appointed actuary is required to

    ensure that the rates are fair in respect of those contracts

    that are governed by the insurer's in-house tariff and that

    the actuarial principles, in the determination of liabilities,have been used in the calculation of reserves for incurredbut not reported claims and other reserves where actuarial

    advice is sought by the Authority.