E-MARKETING - GENERAL INSURANCE INTRODUCTION E Marketing is the Marketing side of eCommerce - company efforts to communicate about, promote, and

d sell products and services over the Internet. E-marketing is a type of marketing that can be defined as achieving objectives through the use of electronic communications technology such as Internet, e-mail, Ebooks, database, and mobile phone. It is a more general term than online marketing which is limited to the use of internet technology to attain marketing objectives. E-mail marketing is one of the most effective ways to keep in touch with customers. It is generally cost-effective, and if done properly, can help build brand awareness and loyalty. At a typical cost of only a few rupees per message, it's a bargain compared to traditional direct mail or more. In addition, response rates on e-mail marketing are strong, depending on the industry and format. Response rates for traditional mail averages tend to be very low. One of the benefits of email marketing is the demographic information that customers provide when signing up for your email newsletter. Discovering who your customers really are age, gender, income and special interests, for example can help you target your products and services to their needs. Effective marketing, planning and promotion begin with current information about the marketplace. Visit your local library online, talk to customers on toll free through & telemarketing and sms service as latest development, study the advertising of other businesses in your community, and consult with any relevant industry associations through internet. This interactive tool will help to assess your e-marketing strengths and weaknesses in the demographic area.

Online marketing is marketing on the Internet. It is a type of e-marketing, which in turn is a type of e-commerce. Internet marketing is a component of electronic commerce. Internet marketing can include information management, public relations, customer service, and sales. Electronic commerce and Internet marketing have become popular as Internet access is becoming more widely available and used. Well over one third of consumers who have Internet access in their homes report using the Internet to make purchases. Some of the benefits associated with Internet marketing include the availability of information. Consumers can log onto the Internet and learn about products, as well as purchase them, at any hour. Companies that use Internet marketing can also save money because of a reduced need for a sales force. Overall, Internet marketing can help expand from a local market to both national and international marketplaces. E-Commerce has redefined the marketplace, altered business strategies, and allowed global competition between local businesses. The term electronic commerce has evolved from meaning simply electronic shopping to representing all aspects of business and market processes enabled by the Internet and other digital technologies. Today's business emphasis is on e-commerce - rapid electronic interactions enabled by the Internet and other connected computer and telephone networks. Rapidly business transactions and unparallelled access to information is changing consumer behavior and expectations. Many small businesses assume that the Internet has little value to them because they feel that their product or service cannot be easily sold online. But inexpensive information processing and electronic media can help most small businesses provide better, faster customer service and communication.

Why is insurance necessary? The question contains the answer within itself. After all, life is fraught with tensions and apprehensions regarding the future and what it holds for the individual. Despite all the planning and preparation one might make, no one can accurately guarantee or predict how or when death might result and the circumstances that might ensue in its aftermath. We are not saying that life and existence are constantly fraught with danger and uncertainty. But then it is essential that you plan for the future. The chances for a fatality or an injury to occur to the average individual may not be particularly high but then no one can really afford to completely disregard his or her future and what it holds. People generally regard insurance as a scheme when and where you have to lose a lot to gain a little. Nevertheless, insurance is still the most reliable tool an individual can use to plan for his future. General insurance made easy for you. This is an attempt to help you understand some basic concepts of general insurance in order to help you identify your insurance needs and to facilitate your decision making process. General Insurance is all about protecting / covering yourself against all kind of insurable risks. General insurance policies, including automobile and homeowners policies, provide payments depending on the loss from a particular financial event. General insurance typically comprises any insurance that is not determined to be life insurance, and is called property and casualty insurance. The reason to provide you conceptual knowledge on general insurance products health insurance, motor insurance, travel insurance to empower you to take a final decision. We have touched upon topics like why you should insure, how much insurance you need, the policies that suit you best, points to ponder while reading the fine print, identify your insurance needs etc are covered. This is a sincere attempt to take you through the basics and to unravel the complexities of general insurance. System whereby individuals and companies concerned about potential hazards pay premiums to an insurance company, which reimburses (in whole or part) them in the event of loss. The insurer profits by investing the premiums it receives.
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IFFCO-TOKIO General Insurance (ITGI). ITGI is Indias trusted insurance company. It simplifies customers life by providing them tailor made products and quality services, thus helping them take informed investment decisions. It is a joint venture between The Indian Farmers Fertiliser Co-operative (IFFCO) and its associates and Tokio Marine and Nichido Fire Group, the largest listed insurance group in Japan. ITGI was incorporated on December 4, 2000 and has its head office in Gurgaon, Haryana. We are among India's top three private-sector general insurance companies with 92 offices and a country-wide network of 480 exclusive point of presence. In our constant effort to provide our customers with "the life they deserve", we offer a wide range of over 40 uniquely customized policies covering a wide range of customers, from farmers to some of India's largest automobile manufacturers. We see ourselves as a "people's company"; our principal aim is to provide benefits for the common man who traditionally lacks knowledge and access to quality insurance products. To achieve this, we have leveraged the deep knowledge of IFFCO by studying 600 of the country's 602 districts before drawing up our business plan. We closely follow the rigorous global financial standards of the Millea group, combining sound financial management with rapid growth. ITGI is the only private general insurance company in India to have made five consecutive years of profit. We are also one of the few to report underwriting profits within four years of operations. We also believe in focusing on creative solutions to provide optimum service to our customers. We are the only company in the country to have a 100%-owned distribution channel to service our retail customers.
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INSURANCE DISTRIBUTION CHANNELS: INTRODUCTION :Risks are inherent in every aspect of life. They are present in whatever we do everyday and all businesses face the threat of losses that may never occur. Worrying about these possibilities hardly makes life pleasant. Of course, it is impossible to eliminate risks - but they can be controlled, lessened or minimized. That is exactly what risk management is all about. We at ITGI have established a proficient risk management team to provide customized, need-based solutions. Armed with a high level of domain knowledge in a wide range of industry verticals, our risk management experts identify and evaluate the risk exposures of your facility or business to provide a comprehensive risk management solution based on your special needs. As a part of our value-added services, we also provide recommendations for loss reduction and risk mitigation and continuously update you about international best practices. ITGI caters to almost all areas of risk management. Below is a list of some of our mainstream services:

Underwriting survey/Loss control Survey/Risk management survey Natural hazard risk evaluation Business continuity planning Business interruption and interdependency risk analysis Marine loss control surveys Safety management Risk assessment studies/Safety audits
Consequence analysis study.

The insurance marketplace is undergoing a transformation that may eventually lead to significant changes in how consumers purchase insurance products. A variety of distribution channels are currently used in this market place, and some insurers utilize a combination of distribution channels. These include the Internet-led channels, company-led channels, bank-led channels, and agent-led channels.

Of these distribution channels, the most discussed and anticipated channel is the Internet-led channel. The widespread diffusion of the Internet has created an explosion in the growth of electronic channels, including direct channels as electronic markets, or electronic intermediaries over which multiple buyers and sellers do business, and other cybermediaries .Prior to the advent of the Internet, most purchasers of insurance products used traditional agent-led distribution channels such as direct writers or independent agents. Given its reliance on traditional channels, the insurance marketplace has only recently begun to reflect this broader growth in electronic channels. The Internet was expected to have a major negative impact on the traditional agent-led distribution channel. However, consumers have not shown a marked preference for purchasing insurance product via the Internet. Currently, less than two percent of insurance products are purchased via the Internet. Although less frequently used, company-led distribution channels through mediums such as direct mail or telephone call centers have seen increasing growth. While an agent is still required in this setting, this person typically does not meet with the insured. With the passage of the Financial Modernization Act of 1999, growth of the bank-led channel was predicted for the U.S. market. The results of a recent American Bank Insurance Association survey indicate that insurance represents a very small percentage of total bank revenue, but bankers predict an increase in marketing efforts. While it is true that insurance purchasers today have more options available than they did five years ago, it is unclear if and when these channels will dominate existing insurance distribution channels. Several obvious factors that impact on a channels adoption are consumer

1. Insurance Distribution Channels: ATTITUDES AND PREFERENCES In particular, it may be that consumers consider insurance products to be more complex than originally thought. Consumers still do not view even personal lines insurance products to be commodity products. The purpose of this paper is to discuss the transitions that are occurring in property/liability insurance distribution channels. As part of this discussion, we describe some of the factors that are impacting on the adoption of alternative channels (e.g., the Internet), provide an overview of the academic literature on innovation adoption and insurance distribution channels, and comment on the near-term future for insurance distribution channels. EXPECTATIONS V. REALITY The growth of the Internet has led to a great deal of speculation and discussion regarding its potential impact on traditional distribution channels. For example, the meeting topic for the 2000 International Insurance Society meeting was The Power of Leadership in the Knowledge Millennium. Part of the focus of the presentations at that meeting was on the changing channels of distribution. Some trade publications during that time period included articles suggesting that insurance agents were faced with the strong possibility of being replaced with a more efficient and less-costly Internetled distribution channel. The same was true for travel agents during that time period. Interestingly, the experience of insurance agents and travel agents has been very different. The travel industry has indeed seen a growth of the Internet-led distribution channel for a wide variety of travel-related purchases including plane tickets, hotel reservations, and car rentals. Examples of cybermarkets operating today include Expedia, Travelocity, and Orbitz. Additionally, sites like Priceline.com allow consumers to make offers for various travel services including airline travel. Other sites, like SkyAuction.com, create an auction market for travel services. Finally, consumers can purchase tickets online directly from airlines. As the Internet-led channel has grown for
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travel-related types of services, travel agents have come under increasing pressure and airlines have reduced the commissions paid to travel agents. 2 Insurance Distribution Channels: The experience of insurance agents has been much different. Recent figures suggest that online sales accounts for less than 2% of total premium volume. Although there have been some changes in the areas of commissions and production requirements, agents continue to be the primary distribution channel for insurance products. A recent National Underwriter article reported the results of a survey of four insurance industry associations (the National Association of Independent Insurers, the National Association of Mutual Insurance Companies, the American Insurance Association, and the Alliance of American Insurers). All four of these associations indicated an expectation that the traditional agent-led distribution channel will continue to be a major distribution channel for insurers. While the adoption rate of the Internet as a distribution channel has been low, we have seen widespread adoption of the Internet as a support channel. Insurers are using the Internet to provide general information on financial services products (e.g., insurance, investments) and planning involving the use of these products, to provide specific information on the company and its product lines, to provide administrative support to its policyholders, and to serve as a prospecting and communication tool for its agent-led channel. For example, Celent Communications surveyed major U.S. property/liability insurers regarding Internet usage. The six main usage areas were (1) agent access to quotes, (2) agent extranet, (3) policyholder account access, (4) customer live quotes, (5) customer quote request, and (6) agent locator. Of these six, the two most frequently used were the agent locator (over 60%) and the agent extranet (approximately 40%). These results clearly indicate that for property/liability insurers, the web is being used as an information or communication tool, as well as a prospecting tool for insurers agents. INNOVATION ADOPTION To gain a better understanding of what factors tend to drive the adoption of one channel over another, it is helpful to examine some of the
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existing literature on innovation adoption and insurance distribution channels. The Internet Channel One factor that leads to the adoption of an innovation is how widespread it is. Rogers (1995) suggests that widespread diffusion of an innovation will lead to significant changes in the environment. 3 Insurance Distribution Channels: MARKET CHANNELS As noted above, we have seen widespread diffusion of the usage of the Internet in both the travel and insurance industries; however, the adoption patterns have been quite different. The ability to reduce the transactions costs of interaction between buyers and sellers has always been acknowledged as a central motivation for the use of the web. Predictions of disintermediation and cyber mediation are typically based on the reduced transaction costs of electronic interaction between sellers and buyers; for example, in book retailing or online stock trading. Trust is another factor that drives or affects the adoption of the Internet-led channel and others examined privacy and security as it relates to choosing an Internet channel. The widespread popularity of online stores or online auctions provide some indication that consumers trust the channel sufficiently to provide personal and financial information via a secure part of the channel. Additionally, secure support channels like Paypal have been created to provide secure payment channels for purchases. Technological improvements alone cannot safeguard a company's digital risks. Whether managing the risk of a computer virus, electronic theft of confidential information or the loss of business interruption due to a computer attack, a Total Risk Management Approach is required which combines best in class technology, risk information and insurance.

VEHICLE INSURANCE

INTRODUCTION: Speed has become the essence of life in the present day economic and social conditions. Every body wants everything fast enough to enjoy the fruits of any labour which has been put in. In this labour man is being replaced by machine in almost all spheres of activity. The latest is Computer trying to replace the human brain. Though it is impossible to achieve the speed of thought, the human efforts will always endeavor to achieve that speed. When we talk of speed, Motor Vehicle is perhaps or sure enough, a tool used by majority of human beings in every walk of life as aid, either to transport himself or to transport material useful for his existence. As a means of transport, Motor vehicle is of immense importance in respect of both the human amenities and the commerce. The number of vehicles on the road has been on increase and it is quite likely that it may over-flow the capacity of the road and parking places. Many vehicles are required to be kept in the streets at night and thus are exposed to various risks from human elements as well as natural elements. The number of persons holding driving license is increasing and the employers with all the care they may take in choosing a good driver. Do get reckless driver on their pay roll which fact comes to the knowledge only when a serious accident, sometimes involving loss of life happens, and are thus exposed to risks.

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VHEICLE INSURANCE CONTRACTS Motor Insurance Contracts are subject to the basic principles applicable to property and liability insurance in general, These principles are1) Utmost good faith: Contracts of Motor Insurance are governed by the doctrine of utmost good faith. The doctrine imposes a legal obligation on the proposer to disclose material facts to the Insurers. The use of proposal forms is compulsory and the declaration clause in the form converts the common law duty into a contractual duty of utmost good faith. The effect of this is that the answers given in the proposal become warranties. The answers are required to be literally true and correct. Any wrong answer, irrespective of its materiality, will render the contract violable by Insurers. 2) Insurable Interest: This is the legal right to insure. The essentials of insurable interest arei) the existence of property exposed to loss, damage or a potential liability: ii) such property or liability must be the subject matter of insurance: iii) such property or liability must be the subject matter of the property or creation of liability and must benefit by the preservation of the property or the absence of liability. 3) Indemnity: Insurance contract are contracts of indemnity that is to say, the insured is placed after a loss, as far as possible, in the same position as he was immediately before the loss. This principle ensures that the Insured does not make a profit out of his loss. 4) Subrogation & Contribution: Subrogation is the transfer of rights from the insured to the insurer when the loss or damage to the vehicle is caused by negligence of another person. The Insurers exercise these rights to recover the loss from the person responsible. Under common law subrogation operates only after the claim is paid. A Policy condition, however, provides for subrogation before the payment of the claim.

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Contribution arises when there is double insurance, that is, when the same vehicle is insured under two policies. According to Policy condition the loss is shared pro-rata between the two insurers. The Contribution condition is specially worded in private car policies because the owner is also covered for Third Party liability while driving cars not belonging to him. Proximate Cause: The doctrine of proximate cause applies to Motor insurance as to other classes of insurance. The loss or damage to the vehicle is indemnified only if it is proximately caused by one of the insured perils. The doctrine also applies to Third Party claims. The Third party injury or property damage must be proximately caused by the negligence of the insured for which he is held legally liable to pay damages. TYPES OF MOTOR VEHICLES: A Motor Vehicle has been defined in the Motor Vehicle Act, 1939 as a mechanically propelled vehicle adopted for use upon road where the power of propulsion is transmitted thereto from an external or internal source and includes a chassis to which a body has not been attached and a trailer but does not include a vehicle running upon fixed rails. For purpose of insurance, Motor vehicles are classified into 3 broad categories, viz 1) Private Cars 2) Motor Cycles and Scooter 3) Commercial Vehicles.

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PRIVATE CARS: These are

a) vehicles used solely for social, domestic and pleasure purposes; b) Cars of private type including station wagons, used for social, domestic and pleasure purposes and for the business or professional purposes(excluding the carriage of goods other than samples) of the insured or used by the Insureds employees for such purposes, c) Three wheeled cars (including cabin scooter used for private purposes) MOTOR CYCLES: a) Motor cycles (with or without sidecars) b) Auto cycles or mechanically assisted pedal cycles. c) Motor Scooters (with or without sidecars) d) A three-wheeler invalid carriage. COMMERCIAL VEHICLES A) Goods carrying vehicles (own goods). These are vehicles used under a Private Carriers permit within the meaning of the Motor Vehicles Act, 1939. The Act defines a Private Carrier as an owner of a transport vehicle other than a public carrier who uses the vehicles solely for the carriage of goods which are his property or the carriage of which is necessary for the purpose of his business not being a business of providing transport GOODS CARRYING VEHICLES (General cartage). These are vehicles used under a Public Carrier Permit within the meaning of the M.V. Act. 1939. The Act defines a public carrier as an owner of a transport vehicle who transports or undertakes to transport goods or any class of goods, for another person at any time and in any public place for hire or reward, whether in pursuance of the terms of a contract or agreement or otherwise.
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TRAILERS: Any truck, cart carriage or other vehicle without means of selfpropulsion including agricultural implements drawn or hauled by any self propelled vehicle. PASSENGER CARRYING VEHICLES: I) Buses including tourist buses: ii) Hotel/School omnibuses. iii) Air-line buses PASSENGER CARRYING VEHICLES FOR HIRE: i) Taxis or Private car type vehicles plying for public hire ii) Private type Taxis let out on private hire direct from the Owner with or without meters and driven by the Owner or an employee of the Owner. iii) Private car type vehicles let out on Private Hire and driven by the Hirer or any driver with his permission. iv) Private car type vehicles owned by Hotels and hired by them to their guests. v)passenger carrying vehicles (Motorized Rickshaws).

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MISCELLANEOUS AND SPECIAL TYPES OF VEHICLES Category D

1) Agricultural Tractors Pedestrian Controlled. 2) Trailer fitted as Cinema Film Recording and publicity vans. 3) Delivery Truck Pedestrian Controlled. 4) Trailers- Duest carts, water carts, etc . 5) Trailers Fire Brigade and Salvage Corps. 6) Plan Loader. 7) Trailers- Mobile Plant. 8) Trailers fitted as Mobile Shop and Canteen. 9) Trailers Tar spraying. 10) Trailers- Clearing and Levelling plant. 11) Traction Engine Tractors: Agriculural and Forestry spraying plant i) Agricultural sprayer. ii) Tar sprayers 12. Trailers towed by Tractors. 13) Lawn Mowers. 14) Cranes- Trailers and Tractors fitted with Lift apparatus. 15) Hearses 16) Ambulances.
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17) Breakdown vehicles 18) Cinema film recording and publicity vans. 19) Dispensaries. 20) Dampers. 21) Dust carts, water carts, road sweepers, etc. 22) Electric Trolleys or Tractors. 23) Fire Brigade and Salvage corps. Vehicles. 24) Footpath rollers. 25) Fork lift Trucks. 26). Mobile shops & Canteen Vehicles. 27) Mobile Surgeries & Dispensaries. 28) Refuse Carts. 29) Road Rollers Road Sprinklers also used as Fire Fighting vehicles. 30) Traction Engine Tractors- Tractors used with one or more Angle Dozers, bulldozers etc. 31) Cranes I) Breakdown vehicles. 32) Excavators. 33) Levelers 34) Site clearing and leveling plant etc.
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II) Goods carrying vehicles.

TYPES OF POLICIES: The vehicles mentioned above can be insured under three types of policies:Act only policy: This policy provides the minimum cover for legal liability for injuries to third parties or their property damage, as required by the provisions of Chapter VIII of the Motor Vehicles Act, 1939. Third Party Policy: This Policy provides the cover as under the Act only policy and in addition provides cover for higher limits for third party property damage. Comprehensive Policy: This policy provides cover as under a Third Party Policy and in addition provides cover for loss or or damage to the vehicle. Two other variations of cover are available for certain categories of vehicles( e.g. Private Cars) Fire and/or Theft Risk- These policies cover the risks of fire and or theft while the car is in garage and out of use. Third party and Fire and/or Theft Risks: The Third party policy is extended to cover the risks of fire and/ or theft whilst the vehicle is running and or /in garage. EXEMPTED VEHICLES: The Provisions relating to compulsory third party insurance do not apply to any vehicle owned by the Central Government or State Government and used for Government purposes unconnected with any commercial enterprise. Exemptions may also be granted by the appropriate Government for any vehicle owned by:a) the Central Government or a State Government if the vehicle is used for Government purposes connected with any commercial enterprise. b) any local authority;
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c) any State Transport Undertaking( for example, where such undertaking is carried on by a State Government or any Road Transport Corporation established under the Road Transport Corporation Act, 1950). The above exemption is made only if a fund is established and maintained by that authority for meeting any liability arising out of the use of any vehicle. The fund has to be established in accordance with the Rules framed under the Act. Types of Motor Insurance Covers: There are two types of cover granted under Motor Insurance. Policy A provides Liability Cover and Policy B provides Comprehensive cover. Third Party Policy has been withdrawn from 1st April 1990. 1) Policy A - Act Liability Policy provides an indemnity in respect of legal liability for death or bodily injury to members of public or damage to their property, compulsorily insurable under the provisions of Motor Vehicles Act, 1988. Limits of Liability:b) Policy B - Comprehensive Policy is wider cover. In addition to covering the insureds legal liabilities to third party, both for bodily injury and damage to property, this policy covers loss or damage to the vehicle&/or theft of vehicle and/or accessories whilst fitted thereon a) by fire, explosion, self-ignition or lightening; b) by burglary, housebreaking or theft; c) by riot and strike; d) by earthquake (fire and shock damage); e) by flood, typhoon, hurricane, storm, tempest, inundation, cyclone, hailstorm, frost;
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f) by accidental external means; g) by terrorist activity; h) whilst in transit by road, rail, inland waterway, lift, elevator or air; i) by landslide / rockslide The Recital clause of both form of policies states(i) that the proposal and declaration shall be the basis of the contract of insurance and are deemed to be incorporated therein. (ii) that the insured has applied to the company for insurance and has paid or agreed to pay the premium as consideration for the insurance afforded by the policy for the period specified. The contract is not to pay the loss to the insured but to indemnify him against his loss. Protection and Removal Costs: If the motor car is disabled by reason of loss or damage covered under the policy, the insurer will bear reasonable cost of protection and removal to the nearest repairers and of redelivery to the insured but not exceeding in all Rs. 1,500/- in respect of any accident. Authorization for Repair The insured may authorize repairs necessitated by damage covered under the policy, provided that:(a) the estimated cost of such repairs does not exceed Rs.500/(b) the insurer is furnished forthwith a detailed estimate of the cost, and (c) the insured gives the insurer every assistance to see that such repair is necessary and the charge reasonable.

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(a) consequential loss, depreciation, wear and tear, mechanical or electrical breakdown , failures and breakage; and (b) damage to tyres unless the motor car is damaged at the same time when the liability of the insurer is limited to 50% of the cost of replacement; (c) any accidental loss or damage suffered whilst the insured or any person driving with the knowledge and consent of the insured is under the influence of intoxicating liquor or drug.

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FOR ONLINE RENEWAL INTIMATION OF POLICY .

ONLINE RENEWAL NOTICE SENT TO CLIENT

CLIENT NAME

AGENT DETAILS

SUB: RENEWAL OF POLICY NO: ____________ PREMIUM DETAILS

SUM INSURED VEHICLE DETAILS

GROSS PREM.

S.TAX

NET PAYABLE PREM. HYPOTHECATION ( IF ANY ) AUTHORISED SIGNATORY

**************************************************

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FIRE INSURANCE GENERAL RULES AND REGULATIONS: These rules and regulations are applicable to all sections of the Tariff. 1. POLICY (a) Only Standard Fire and Special Perils Policy (hereinafter referred to as Policy) with the permitted Add-on covers (as appearing under Section VIII) if any, can be issued. Note: - Unless otherwise specifically provided for, this tariff is applicable to land-based properties only. (b) The wording of the policy shall be as shown in Section II of the Tariff. (c) Policy (ies) should be read together with proposal forms(s), scheduled specification, endorsements, warranties and clauses as one contract. (d) Policy (ies) covering Buildings and/or contents shall show block wise separate amounts on (i) Building (ii) Machinery and accessories (iii) Stock and Stock-in-Process and (iv) Furniture and other contents. (e) It is permissible to exclude Storm, Tempest, Flood and Inundation group of perils (hereinafter referred to as STFI) and/or Riot, Strike, Malicious Damage perils (hereinafter referred to as RSMD) at inception of the Policy only by deleting the relevant perils from the Policy. The deletion shall apply for the entire property in one complex/compound/location covering the entire interest of the Insured under one or more policy (ies) without any option for selection. Reduction in premium rates for such deletion(s) may be allowed as shown under the relevant sections of the Tariff. When these perils are deleted from the scope of the policy, the general exclusions shall include these perils. Terrorism cover will be separate cover which can be granted only in conjunction with RSMD. Terrorism will not be given in isolation without RSMD cover. (Circular No.FT/1/2002 dtd 13/03/02)

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(f) Any risk, which has not been provided for in the Tariff, shall be referred to the Committee for rating. Provisional rate of Rs. 2.50 per mille shall be charged in such cases for covering the risks under Standard Fire and Special Perils Policy. No discounts and/or agency commission shall be allowed on this rate. For add-on covers, additional rates provided in section VIII shall be charged. (g) Rates shown under this tariff are minimum rates. Insures may charge rate higher than those given under the tariff.

2.

VALUED POLICY(IES) Valued Policy (ies) can be issued only for properties whose Market Value cannot be ascertained e.g. Curios, Works of Art, Manuscripts, Obsolete machinery and the like subject to the valuation certificate being submitted and found acceptable by the insurers.

3.

LONG TERM POLICIES Policies for a period exceeding 12 months shall not be issued except for Dwellings.

4.

MID-TERM COVER Generally, it is not permissible to grant mid-term cover for STFI and/or RSMD perils. The following provisions shall apply, where such covers are granted midterm: (a) Insurers must receive specific advice from the insured accompanied by payment of the required additional premium in cash or by draft. This additional premium shall not be adjusted against existing Cash deposits or debited to Bank guarantee. (b) Mid-term cover shall be granted for the entire property at one complex/compound/location covering the entire interest of the Insured under one or more policy (ies). Insured shall not have any option for selection.

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(c) Cover shall commence 15 days after the receipt of the premium. NB: Endorsement to be issued in this regard (d) The premium rates as under shall be charged on short period scale (as per Rule 8) on full sum insured at one complex/compound/location covering the entire interest of the insured for the balance period i.e. up to the expiry of the policy.

5.

PAYMENT OF PREMIUM Premium shall be paid in full and shall not be accepted in instalments or by deferred payments in any form. N.B.:- It is not permissible to split sum insured of the same property under various policies for different periods of insurance to derive advantage of deferred instalments for payment of premium. Notwithstanding the above, different policies may be issued for stocks where circumstances necessitate issuance of such policies.

6.

MINIMUM PREMIUM Minimum premium shall be Rs.100/- per policy except for risks rateable under Section III and Tiny Sector Industries under Section IV where the minimum premium shall be Rs. 50/ per policy.

7.

PARTIAL INSURANCE It is not permissible (a) To issue a policy covering only certain portions of a building. Notwithstanding this, the plinth and foundations or only the foundation of a building may be excluded.

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(b) To issue a policy covering only specified machinery (except Boilers), parts of machine or accessories thereof housed in the same block/building. N.B. Where portions of a building and/or machinery therein are under different ownership; it is permissible for each owner to insure separately but to the full extent of his interest on the building and/or machinery therein. In such cases, the Insureds interest shall be clearly defined in the policy. 8. RATES FOR SHORT PERIOD INSURANCE Policies for a period of less than 12 months shall be issued at the rates set out hereunder: For period exceeding -do-do-do-do-do-do-do-donot 15 days 10% of the Annual rate

1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months

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15% of the Annual rate 30% of the Annual rate 40% of the Annual rate 50% of the Annual rate 60% of the Annual rate 70% of the Annual rate 75% of the Annual rate 80% of the Annual rate

-doFor a exceeding

9 months period 9 months

85% of the Annual rate The full Annual rate

N.B.: Extension of short period policy (ies) shall not be permitted. 9. LOADING FOR KUTCHA CONSTRUCTION Building(s) having walls and/or roofs of wooden planks/thatched leaves and/or grass/hay of any kind/bamboo/plastic cloth/asphalt cloth/canvas/tarpaulin and the like shall be treated as Kutcha construction for rating. An additional rate of Rs.4.00%o shall be charged for such building(s) and/or contents thereof. Note: - Temporary sheds (attached to buildings) erected during the monsoon solely for the purpose of monsoon protection are permitted without loading provided such sheds are not used for storage purpose. 10. RULES FOR CANCELLATIONS For Cancellation of insurance policy. 10.1 At the option of the insured:10.1.1 Retention of premium shall be at Short Period Scale for the period the policy has been in force, subject to the retention of minimum premium by the Insurer.

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10.1.2 During the currency, if a policy is replaced with the same insurer by a new annual one covering the identical property,

11.

MID-TERM REVISION IN SUM INSURED: Mid-term revision in sum insured shall be allowed as follows: Increase in sum insured: On pro-rata basis Decrease scale. in sum insured: On short-period

12.

ESCALATION CLAUSE: It will be in order for Insurers to allow automatic regular increase in the Sum Insured throughout the period of the policy in return for an additional premium to be paid in advance. The terms and conditions for this extension shall be as follows. (a) The selected percentage increase shall not exceed 25% of the Sum Insured. (b) The additional premium, payable tin advance, will be at 50% of the full rate, to be charged on the selected percentage increase. (c) The Sum Insured at any point of time would be assessed after application of the Escalation Clause. (d) Escalation Clause will apply to policies covering Building, Machinery and Accessories only and will not apply to policies covering stock.

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13.

FLOATER POLICY Floater Policy (ies) can be issued for stocks at various locations under one Sum Insured (The Standard Floater Clause I, Annexure A shall be attached to such policies). Note: - Unspecified location shall not be allowed. Rating: The rate shall be the highest rate applicable to insureds stocks at any location with a loading of 10%. N.B.1: In case Stocks in a process block are covered under the Floater Policy and the rate for process block is higher than the storage rate, the process rate plus 10% loading shall apply.

14.

DECLARATION POLICIES To take care of frequent fluctuations in stocks/stock values, Declaration Policy(ies) can be granted subject to the following conditions (Standard Declaration Clause J, Annexure A shall be attached to such policies, refer page no:97): (a) The minimum sum insured shall be Rs 1 Crore in one or more locations and the sum insured shall not be less than Rs. 25 lakhs in at least one of these locations. It is necessary that the declared values should approximate to this figure at sometime during the policy year. (b) Monthly declarations based on a) the average of the values at risk on each day of the month or b) the highest value at risk during the month shall be submitted by the Insured latest by the last day of the succeeding month. If declarations are not received within the specified period, the full sum insured under the policy shall be deemed to have been declared. (c) Reduction in sum insured shall not be allowed under any circumstances.

28

(d) Refund of premium on adjustment based on the declaration/cancellation shall not exceed 50% of the total premium. In case the total sum insured at the risk including 50% of the declared sum insured for declaration policy exceeds Rs. 50crs, the risk will qualify for claim experience discount / loading. (Letter no.Fire/453[591] dtd 23/05/01) (e) The basis of value for declaration shall be the Market Value anterior to the loss.

15.

FLOATER DECLARATION POLICIES 1. Floater Declaration Policy (ies) can be issued subject to a minimum sum insured of Rs 2 Crores and compliance with the Rules for Floater and Declaration Policies respectively except that the minimum retention shall be 80% of the annual premium. 2. Special rates under Floater Declaration policy granted for the stocks of Central Warehousing/ State Warehousing Corporation and Marketing Federation owned by State Govt. (Circular No.FT/4/2001 dtd 09/02/01)

16.

CLAIMS EXPERIENCE DISCOUNT/LOADING Risks having sum insured (on buildings and contents of all blocks in one compound of one complex in one location) above Rs.50 Crores rateable under Sectio IV, V, VI &VII of this tariff shall attract claims experience discounts/loadings based on the incurred claims experience of all the policies covering the Insureds interest for the preceding 36 months excluding the expiring policy period. (If there is any break in insurance, available 36 months experience shall be taken into account) as per the table given below.

29

17.

FIRE EXTINGUISHING APPLIANCES DISCOUNT The discounts as per the scale given below may be granted by the Insurers to detached or segregated (as per the Committees Building Regulations) blocks of the risks protected by Fire Extinguishing appliances rateable under Section III, IV, V, VI and VII of the Tariff [except for Floater and/or Floater Declaration Policy(ies)] subject to the following: For Professionals: a. Should be Graduate Engineer with 5 years experience in the Fire Protection field or Diploma Engineer with 10 years related experience. b. Should have handled at least 3 projects for which proposals submitted were approved and full discounts granted for the Fire Protection systems by T AC or Insurance Companies. Information in this connection should be provided to the Insurance Company in the following format:

18.

RATING OF RISKS INDUSTRIAL ESTATE

IN

MULTIPLE

OCCUPANCY

Risks in Multiple Occupancy Industrial Estate shall be rated Per se. If the entire building of the Industrial Estate is insured under one sum insured, a rate of Rs. 1.80%o shall be chargeable to building. 19. SILENT RISK Risks rateable under Sectio IV and V are allowed silent rates as per the following table.The silent rates are not applicable if a risk goes silent following a loss under the policy.

30

20.

Voluntary Deductibles On receipt of application from the insured, Insurer may consider suitable discounts for voluntary deductibles as per the scale shown in the table below. The discounts are applicable under the Standard Fire and Special Perils Policy as well as for the add-on covers. GENERAL CONDITIONS

1. THIS POLICY shall be voidable in the event of misrepresentation, mis-description or non-disclosure of any material particular.

2. All insurances under this policy shall cease on expiry of seven days from the date of fall or displacement of any building or part thereof or of the whole or any part of any range of buildings or of any structure of which such building forms part. PROVIDED such a fall or displacement is not caused by insured peril, loss or damage which is covered by this policy or would be covered if such building, range of buildings or structure were insured under this policy.

Notwithstanding the above, the company subject to an express notice being given as soon as possible but not later than seven days of any such fall or displacement may agree to continue the insurance subject to revised rates, terms and conditions as may be decided by it and confirmed in writing to this effect.

31

3. Under any of the following circumstances the insurance ceased to attach as regards the property effected unless the Insured, before the occurrence of any loss or damage, obtains the sanction of the Company signified by endorsement upon the policy by or on behalf of the Company:-

(a) If the trade or manufacture carried on be altered, or if the nature of the occupation of or other circumstances affecting the building insured or containing the insured property be changed in such a way as to increase the risk of loss or damage by Insured Perils. (b) If the building insured or containing the insured property becomes unoccupied and so remains for a period of more than 30 days. (c) If the interest in the property passes from the insured otherwise than by will or operation of law.

4. This insurance does not cover any loss or damage to property which, at the time of the happening of such loss or damage, is insured by or would, but for the existence of this policy, be insured by any marine policy or policies except in respect of any excess beyond the amount which would have been payable under the marine policy or policies had this insurance not been effected.

5. This insurance may be terminated at any time at the request of the Insured, in which case the Company will retain the premium at customary short period rate for the time the policy has been in force. This insurance may also at any time be terminated at the option of the Company, on 15days notice to that effect being given to the Insured, in which case the Company shall be liable to repay on demand a rateable proportion of the premium for the unexpired term from the date of the cancellation.

32

6. (i) On the happening of any loss or damage, the Insured shall forthwith give notice thereof to the Company and shall within 15 days after the loss or damage, or such further time as the Company may in writing allow in that behalf, deliver to the Company. (a) A claim in writing for the loss or damage containing as particular an account as may be reasonably practicable of all the several articles or items or property damaged or destroyed, and of the amount of the loss or damage thereto respectively, having regard to their value at the time of the loss or damage not including profit of any kind.

(b) Particulars of all other insurance, if any The Insured shall also at all times at his own expense produce, procure and give to the Company all such further particulars, plans, specification books, vouchers, invoices, and duplicates or copies thereof, documents, investigation reports (internal/external), proofs and information with respect to the claim and the origin and cause of the loss and the circumstances under which the loss or damage occurred, and any matter touching the liability or the amount of the liability or the amount of the liability of the Company as may be reasonable required by or on behalf of the Company together with a declaration on oath or in other legal form of the truth of the claim and of any matters connected therewith. No claim under this policy shall be payable unless the terms of this condition have been complied with. (ii) In no case whatsoever shall the company be liable for any loss or damage after the expiry of 12 months from the happening of the loss or damage unless the claim is the subject of pending action or arbitration; it being expressly agreed and declared that if the Company shall disclaim liability for any claim hereunder and such claim shall not within 12 calendar months from the date of the disclaimer have been made the subject matter of a suit in a court of law then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.
33

7. On the happening of loss or damage to any of the property insured by this policy, the Company may 1. Enter and take and keep possession of the building or premises where the loss or damage has happened. 2. Take possession of or require to be delivered to it any property of the Insured in the building or on the premises at the time of the loss or damage. 3. Keep possession of any such property and examine, sort, arrange, remove or otherwise deal with the same. The powers conferred by this condition shall be exercisable by the Company at any time until notice in writing is given by the insured that he makes no claim under the policy, or if any claim is made, until such claim is finally determined or withdrawn, and the Company shall not by any act done in the exercise or purported exercise of its powers hereunder, incur any liability to the Insured or diminish its rights to rely upon any of the conditions of this policy in answer to any claim. 8. If the claim be in any respect fraudulent, or if any false declaration be made or used in support thereof or if any fraudulent means or devices are used by the Insured or any one acting on his behalf to obtain any benefits under the policy or if the loss or damage be occasioned by the wilful act, or with the connivance of the Insured, all benefits under this policy shall be forfeited. 9. If the Company at its option, reinstate or replace the property damaged or destroyed, or any part thereof, instead of paying the amount of the loss or damage, or joint with any other Company or Insurer(s) in so doing the Company shall not be bound to reinstate exactly or completely but only as circumstances permit and in reasonably sufficient manner, and in no case shall the Company be bound to expend more in reinstatement than it would have cost to reinstate such property as it was at the time of the occurrence of such loss or damage nor more than the sum insured by the Company thereon. If the Company so elect to reinstate or replace any property the insured shall at his own expense furnish the Company with such plans, specification, measurements, quantities and such other
34

particulars as the Company may require, and no acts done, or caused to be done, by the Company with a view to reinstatement or replacement shall be deemed an election by the company to reinstate or replace. If in any case the Company shall be unable to reinstate or repair the property hereby insured, because of any municipal or other regulations in force affecting the alignment of streets or the construction of buildings or otherwise, the Company shall, in every such case, only be liable to pay such sum as would be requisite to reinstate or repair such property if the same could lawfully be reinstated to its former condition. 10.If the property hereby insured shall at the breaking out of any fire or at the commencement of any destruction of or damage to the property by any other peril hereby insured against be collectively of greater value than the sum insured thereon, then the Insured shall be considered as being his own insurer for the difference and shall bear a rateable proportion of the loss accordingly. Every item, if more than one, of the policy shall be separately subject to this condition.

35

MEDISHIELD INSURANCE MEANING DEFINATION & SCOPE:

The Medi-shield policy of ITGI is meant for people at large. In the time of increasing cost of living, the expenses for medical treatment have gone up substantially and at the same time, the population has also become vulnerable towards contracting disease and sustaining injury due to factors of fast life, urbanisation, stress, congestion, pollution etc. In order to mitigate the financial hardship of the population who have to spend a larger sum for taking any treatment, IFFCO-TOKIO General Insurance Company Ltd. has decided to launch this cover, which can be offered to any Company, Club, and Association for their members. 1. SCOPE OF COVER: The Medi-shield Policy covers Hospitalisation/Domiciliary Hospitalisation Expenses for illness, disease sustained under the following heads of Expenses, which are reasonably and necessarily incurred by or on behalf of Insured person: A) B) C) 2. Room Rent, Boarding Expenses as provided by the Hospital/Nursing Home. Nursing Expenses. Surgeon, Anaesthetist Medical Practitioner, Consultants, Specialist fees.

LIMIT OF LIABILITY: The liability of the company in respect of all claims admitted during the period of Insurance shall not exceed the Sum Insured per Insured person as mentioned in the Schedule.

36

3.

IMPORTANT DEFINITIONS: A) Hospital/Nursing Home: It means any institution with in India established for indoor care and treatment of sickness, injuries and which:
a)

Has been registered as a Hospital or Nursing Home with the local authorities and Is under the supervision of a registered and qualified Medical Practitioner. OR

b) Should comply with minimum criteria as under: i. It should have at least 15 in-patients Beds.

ii. Fully equipped operation theatres of its own wherever surgical

operation are carrying out.

iii. Fully qualified Nursing Staff under its employment round the clock.

iv. Fully qualified Doctor(s) should be in charge round the clock. The requirement of operation theatre may be waived for such establishments, which provide treatment under discipline, which do not resort to Surgery such as Ayurvedic and Psychiatric treatment. However, the other criteria could remain unaltered except for very emergency situation where the criteria of any of the criteria can be referred for claim purpose seeing the availability of good Hospital in the nearby area with minimum No. of beds.

37

B)

Surgical Operation: It Means Manual and/or operative procedures for correction of deformities and defects, repairs of injuries, diagnosis and cure of diseases, relief of suffering and prolongation of life.

C)

Minimum period: Expenses on hospitalisation for a minimum period of 24 hours are admissible. However, this limit is not applied to specific treatment i.e. Dialysis, Chemotherapy, Radiotherapy, Eye Surgery, Dental Surgery, Lithotripsy (Kidney stone removal), Tonsillectomy, D&C taken in the Hospital/Nursing Home and the Insured is discharged on the same day, the treatment will be considered to be taken under hospitalisation Benefits. For other treatments, where hospitalisation is less than 24 hours, the following guidelines may be adopted: a) The treatment should be such that it necessitates Hospitalisation and procedure involved required specialised infrastructure facilities which are available in the Hospital. b) Due to technological advances, Hospitalisation period required is less than 24 hours.
b

D)

Domiciliary Hospitalisation: It means Medical treatment for a period exceeding three days for such illness/disease/injury which in the normal course would require care and treatment at a hospital/nursing home but actually taken whilst confined at home in India under any of the following circumstances namely:-

i. The condition of the patient is such that he/she cannot be removed to the hospital/nursing home Or

38

ii. The patient cannot be removed to hospital/nursing Home for lack of

accommodation therein. E) ANY ONE ILLNESS: Any one illness will be deemed to mean continuous period of illness and it includes relapse within 45 days from the date of last consultation with the Hospital/Nursing Home where treatment may have been taken. Occurrence of same illness after a lapse of 45 days as stated above will be considered as fresh illness for the purpose of this policy. F) PRE-HOSPITALISATION Relevant medical expenses incurred during period unto 30 days prior to hospitalisation on disease/illness/injury sustained will be considered as part of Hospitalisation claim.
G)

POST-HOSPITALISATION Relevant medical expenses incurred during period unto 60 days after Hospitalisation on disease/illness/injury sustained will be considered as part of Hospitalisation claim.

H)

MEDICAL PRACTITIONER means a person who holds a degree/diploma of a recognised institution and is registered by Medical Council of respective State of India. The term Medical Practitioner would include Physician, Specialist and Surgeon. QUALIFIED NURSE means a person who holds a certificate of a recognised Nursing Council and who is employed on recommendations of the attending Medical Practitioner. PRE-EXISTING CONDITION: It means an injury and/or sickness and/or its symptoms which exists when the cover incepts for the first time. Complication arising from pre-existing disease will be considered part of preexisting condition.
39

I)

J)

4.

EXCLUSIONS: The Company shall not be liable to make any payment under this policy in respect of any expenses whatsoever incurred by any Insured Person in connection with or in respect of:i. All diseases injuries which are in pre-existing condition when the cover incepts for the first time. ii. Any disease other than those stated in clause c) below, contracted by the insured person during the first 30 days from the commencement date of the policy. This exclusion shall not however, apply if in the opinion of panel of medical practitioners constituted by the company for the purpose, the insured person could not have known of the existence of the disease or any symptoms or complaints thereof at the time of making the proposal for insurance to the company. This condition shall not however apply in case of the insured person having been covered under this scheme or group insurance scheme with any of the Indian insurance companies for a continuous period of preceding 12 months without any break. iii. During the first year of the operation of the policy, the expenses on treatment of diseases such as Cataract, Benign Prostetic Hyperthrophy, Hysterectomy for Menorrahagia or Fibromyoma, Hernia, Hydrocele, Congenital Internal Disease, Fistulainanus, Piles, Sinusitis and related disorders are not payable. If these diseases are pre-existing at the time of proposal they will not be covered even during subsequent period of renewal too. iv. War and Nuclear Risk: v. Circumcision unless necessary for treatment of a disease not excluded hereunder or as may be necessitated due to an accident, Vaccination or inoculation or change of life or cosmetic or aesthetic treatment of any description, plastic surgery other than as may be necessitated due to an accident or as a part of any illness. vi. The cost of spectacles and contact lenses, hearing aids. vii. Dental treatment or surgery of any kind unless requiring hospitalization.

40

viii. Convalescence, general debility, Run-down condition or rest cure, congenital external disease or defects or anomalies, sterility, venereal disease, intentional self-injury and use of intoxicating drugs/alcohol.

ix. All expenses arising out of any condition directly or indirectly caused to or associated with Human T-Cell Lymphotropic Virus Type III (III-LB-III) or Lymphadinopathy Associated Virus (LAV) or the Mutants Derivative or variations Deficiency Syndrome or any Syndrome or condition of a similar kind commonly referred to as AIDS. 5. AGE LIMIT: This insurance is available to persons between the age of 5 years and 80 years. Children between the age of 3 months and 5 years of age can be covered provided one or both parents are covered concurrently. Though persons above 75 years have to be avoided if they want coverage on stand-alone basis. However, WE will grant coverage to persons above 75 years of age if they are cases of renewals and have been covered with us for a period of at least 3 years. EXTENSION OF POLICY PERIOD In case the Insured Person who is covered under Medi-shield Policy has to go abroad for 15 days and accordingly he buys an Overseas Mediclaim Policy for that 15 days and submits the proof of Overseas MEDISHIELD Policy to the company. In that event the period of Insurance in respect of that Insured Person will be extended by 15 days. Alternatively if the Insured person is part of family and/or Group and the period of Insurance is to be same for everyone in the family, then in that case the prorata premium for the period when he was abroad will be available as Refund
41

credit to that Insured Person and it can be adjusted against next years renewal premium. However, there will not be Cash refund of the Premium

7.

CANCELLATION: The policy may be renewed by mutual consent. The Company shall not however be bound to give notice that it is due for renewal and the Company may at any time cancel this policy by sending the Insured 30 days notice by registrered letter at the Insureds last known address and in such event the Company shall refund to the Insured a pro-rata premium for unexpired period of Insurance. The company shall, however, remain liable for any claim which arose prior to the date of cancellation.

8.

ELIGIBILITY: Persons of any Nationality may avail the benefits of the policies but claims for treatment in India to be covered under the Policy.

9.

ELIGIBILITY FOR COVERAGE UNDER GROUP POLICY:

The Group Policy for MEDISHIELD can be offered to any proposed Group which falls clearly under any of the following categories: a. Employer-Employee relationship including dependants of the employee. b. Pre-identified Segment/Group where the premium is paid by the State/Central Govt. c. Members of Registered Service Clubs. d. Holders of Credit Cards of Bank/Diners/Master/Visa Travel related Services. e. Holders of Depositor Certificate by Banks/NBFCs. f. Shareholders of Banks/Public Limited Companies. g. All members who have common identification, interest but this common identification, interest should not be initiated for the purpose of having benefit of Insurance Policy and availing Group Discount.

42

10.GROUP DISCOUNT: The Group discount is permissible as per the following scale depending upon the total number of Insured persons covered under the Group Policy at the inception. Increase/Decrease in the size of the Group during the currency of the Policy is permissible. The final Group discount (Increase/Decrease) will be adjusted on the last day of the Policy Posted provided that the Policy is renewed for the next 12 months: Note: Minimum No. in a Group to be eligible for this Policy is 15. However, the discount would be available if No. of persons in the Group is 25 and above.

LOW CLAIM RATIO DISCOUNT (BONUS) Low Claim Ratio Discount at the following scale will be allowed on the Total premium at renewal only depending upon the incurred claims ratio for the entire group insured under the Medi-shield Insurance Policy for the preceding 3 completed years excluding the year immediately preceding the date of renewal. Where the Medi-shield Insurance Policy has not been in force for 3 completed years such shorter period of completed years excluding the year immediately preceding the date of renewal will be taken into account. 12.DETAILS OF INSURED PERSON:
The Insured shall be required to furnish a complete list of Insured Persons in the following format according to Sum Insured. Any additions and deletions during the currency of the policy should be intimated to the Company in the same format.

13.

SUM INSURED: Minimum Rs.15,000/- with multiples of Rs. 5,000/- thereafter, with maximum Sum Insured of Rs.5,00,000/43

14.

PAYMENT OF PREMIUM Depending upon the age of the insured person(s) and sum insured selected for that person,

15.

MATERNITY EXPENSES BENEFIT: This is an optional cover which can be obtained on payment of 10% of the totalbasic premium for all the Insured Persons under the Policy. Total basic premium means the total premium computed before applying Medi-shield Discount and/or High Claim Ratio Loading. Low Claim Discount and special discount in lieu of agency commission.Option for Maternity Benefits has to be exercised at the inception of the policy period and no refund is allowable in case of Insureds cancellation of this option during currency of the policyThe maximum benefit allowable under this clause will be upto Rs.50,000/or the Sum Insured opted by the member of the group.

EXTENSIONS UNDER MEDISHIELD POLICY 1)

EDUCATION COST: COVERAGE: This Policy can be extended to cover the education cost of the Insured Person provided that the Insured person is attending University, College or School and such Insured person who is a student falls sick or sustains injury leading to admission of liability under MEDISHIELD Policy and solely and directly as a result of such sickness or injury, the student (Insured Person) is unable to complete the Semester/Academic year of education he/she is pursuing and does not get Degree/Diploma/Certificate/Promotion to next class/semester/academic year with the rest of classmates, then in that case WE will pay for
44

a)

i) ii) iii) iv)

b)

Any Tuition fees for repeating the academic year/semester/class. Any Examination fees. Any fixed monthly boarding/lodging Expenses not exceeding 0.5% of the Sum Insured for School Education and 1.0% of Insured in Case of University, College Education. Other necessary incidental cost subject to proof being submitted by YOU.

MAXIMUM AMOUNT PAYABLE: The Maximum amount WE will pay is Rs.60,000/- (Rupees sixty Thousand) in case of college/University education in Indemnity period and Rs.30,000/-(Rupees Thirty Thousand) in case of School Education in the Indemnity period.

c)

BASIS OF CLAIM SETTLEMENT: i) WE will pay for actual cost incurred subject to necessary proofs such as Medical Practitioner Certificate, Certificate of Head of Institution/Department, Mark sheet subject to our liability not exceeding the Maximum Amount payable as above. ii) If the period of Insurance and Session of Academic year is not coincident, then in that case the non completion of course would depend upon sickness, injury sustained during the period of Insurance. In such an event, it will be seen that whether such injury/sickness was sole and direct cause for non completion of the course or not.

d)

Indemnity Period: The Maximum period for which WE will pay is 12 months or till the day when the student who is attending the course complete it and moves to next semester/class/academic year whichever is earlier.

45

e)

EXCLUSIONS: WE will not be liable for i) Books and Reading Material. ii) Any cost as a consequence of alteration in the course programme. iii) Any fixed cost/expenses which has already been incurred by student in previous academic year/semester/class. iv) Cost and expenses if such student is not insured under MEDISHIELD of this Policy and the claim has not been admitted there.

f)

RATE: 1) Rs.100 per School going Student c 2)Rs.200 for College going Student

CEO will have discretion to change the limit of Indemnity, Premium rate in exceptional cases. 2) AMBULANCE CHARGES: In case of Insured person falling sick and getting hospitalised, and the claim having been admitted and become payable by us WE will pay for Ambulance charges up to Rs.1000/- for Insured Person for Hospitalisation. This amount is payable only if the Insured person has been admitted following Emergency situation. 3) COST OF TRAVEL: The Policy can be extended to cover the Cost of Travel for one of relation of Insured Person, friend or colleague to meet the Insured person who has been admitted in a Hospital outside the city, town or the village where his principal place of residence is located and also for return travel expenses for the sick Insured person. The scheme is as under: Cost of Travel for any relation, friend, colleague or any other nominated person: In the event of Insured person falling sick outside the principal place of residence and claim having been admitted under Hospitalisation and Domiciliary Hospitalisation claim, then WE
46

would pay for cost of travel expenses for one of the relation, friend, colleague of Insured person or a nominated person by the Insured Person or his/her spouse to join him/her for both outward/return journey. This benefit is available only if the Insured person has been hospitalised as a consequence of emergency sickness and the trip has been planned for professional business or holiday purpose, but not for treatment of disease or any related disease or a consequential complication thereof, following which the Insured person has been hospitalised. The Maximum liability would be restricted to Rs.15,000/- or actual expenses whichever is lower in any one period of Insurance. The prescribed rate would be Rs.30/- per Insured person

4)

COST OF SUPPORTING ITEMS: In the event of insured person having been hospitalized and the claim having been admitted under Hospitalization or Domiciliary Hospitalization, a and claim becomes payable, WE would reimburse the cost of purchase of supporting items such as Crutches, Stretcher, tricycle, wheel chairs, Intra ocular Lens, spectacles.. 5) Discounts for Reducing Pre and Post Hospitalisation Period: The Medi-shield Policy provides for reimbursement of PreHospitalisation Expenses upto 30 days and Post Hospitalisation period upto 60 days. However, in the Policy designed by ITGI, the pre and post Hospitalisation period can be reduced to Nil days. Accordingly for every reduction in this Pre Hospitalisation period by 1 week, the discount would be 0.5% of the premium and it can be done pro-rata basis for remaining days thereof. Further for the post Hospitalisation period, the reduction in the period by every week would entitle the Insured to earn the discount of 1% at the rate of per week and prorata of 1% for remaining days thereof. Discounts will be followed in majority of cases, but CEO of ITGI will have discretion to change it.

47

6) Hospital Daily Cash: The Medi-shield Policy offers the Sum Insured on overall basis without any sub limit for various Expenses nor for any limitation or expenses on no. of days basis. However, the Policy designed by ITGI has this flexibility that the Overall Sum Insured chosen by Insured can be apportioned for No. of days and a Hospital daily Cash cover can be granted. Supposing there is Sum Insured of Rs.1 lac and no. of days is 30 days then the cover can be granted for Rs.3333/- per day. This Policy will have same terms, conditions as that for Medi-shield Policy CLAIM SETTLEMENT PROCEDURE: On admission of Insured person in the Hospital, our Medical Representative will visit the Hospital and discuss the expenses with Attendant Doctor and accordingly the claim will be settled on agreement with sum Insured. Hospital and us without asking the bills on the basis of our limit per day is opted by Insured.The daily limit fixed and discount in lieu of that will be changed according to situation at the discretion of CEO,in exceptional cases, and also the claim settlement procedure. 7) FLOATER POLICY: The family with coverage for every member in the family can be allowed to have a family floater i.e. for all or none basis. However for being eligible, the minimum Sum Insured is prescribed depending upon the No. of persons in the family. Member A family of 6 persons A family of 5 persons A family of 4 persons A family of 3 persons A family of 2 persons Minimum Sum Insured Rs.75, 000/Rs.90, 000/Rs.1.00 Lacs Rs.1.25 Lacs Rs.1.50 Lacs

48

In this family floater, the underwriting should be done in a such way that the average age of the Insured persons should not be more than 50 years in case of family size of 4 members and above, and 45 years in case of people with family size of 3 and 45 years in case of family of 2 persons. RATING FOR FLOATER POLICY: The Premium must be taken for each individual Insured person depending upon their age and the Sum Insured and the family floater would be loaded on total premium for all members of the family. Further for purpose of floater, there will not be selectivity such as in the family of 4 persons covered under Medi-shield Policy, the floater family with loading would not be applied for only 2 persons and the remaining 2 persons can be left. It will be for all members covered under the Medi-shield Policy.e.g. This Overall premium will be calculated in following way. However the CEO will have the discretion to waive this condition of minimum sum insured according to the size of the family and allow the loading on flat basis taking into account the average size of the group without any upper limit of individual person. CLAIM MANAGEMENT GUIDELINES The following aspects are important in loading of claims under MEDISHIELD Policy: 1) Intimation of Claim: Preliminary Notice of claim with particulars relating to Policy Nos., Name of Insured Person in respect of whom claim is made. Nature of Illness/Injury and Name and address of the attending Medical Practitioner/Hospital/Nursing Home should be given by the Insured Person to the company with in 7 days from the date of Hospitalization/Domiciliary Hospitalization. .Final claim along with receipted Bills/Cash Memos, Claim form and list of documents as listed in the Claim form should be submitted to the company within 30 days from the date of completion of treatment.
49

2) Processing of Claims: The following supporting documents are required for the purpose of scrutiny:
A) Hospitalization Claims

I. II. III. IV. V.

VI.

Duly completed claim form. Bills, receipts and discharge certificate/card from the hospital. Cash memos from the hospital/chemist(s), supported by proper prescription. Receipt and Pathological test reports from a Pathologist supported by the note from the attending medical Practitioner/Surgeon demanding such pathological tests. Surgeons certificate stating nature of operation performed and surgeons bill and receipt. Attending doctors Consultants/Specialists/Anaesthetists etc. bill and receipt is fully cured.

B) Domiciliary Hospitalization Claims In case of domiciliary Hospitalization Claims, apart from I) to iv) and vi) as shown above the following documents is also required:Certificate from the attending Medical Practitioner, giving reasons like severity of disease, for allowing treatment at home. To confirm whether Domiciliary Hospitalization as in fact required. Similarly, clinical nothings contained in the certificate is to be verified. The above documents are normally required to be submitted within 15 days of completion of the treatment. 3) The policy is subject to following time limits:
a) b)

Pre-Hospitalization : 30 days Post-Hospitalization : 60 days

Where recurrence of same disease is within 45 days the 60 days limit will apply overall

50

4) The following issues may be specially looked into:

a) Family doctors frequent visits to the hospital. b) That claim does not fall within waiting period and first year exclusion.

c) That continuity of the cover has been maintained. d) That the Hospital/Nursing home should conform to requirement of the policy. e) That the disease for which claim has been made is not excluded under the policy. f) In case, previous medical history is not shown on discharge card/narrative/discharge summary of the hospital/admission papers of the hospital should be called for after taking authority letter from the insured. g) Enquiries with family physician of the claimant to ensure that claim are not in respect of pre-existing disease for which he was consulted earlier. h) Period of treatment in case of Domiciliary Hospitalization Claim since company is liable only if period of treatment exceeds three days. i) That all cash memos for purchase of medicines are in conformity with the prescription of attending medical practitioner/surgeon during the period of treatment. j) That all bills of the hospital are supported by corresponding receipts. k) That figures and/or dates of purchase in the cash memos are not altered by way of eraser super imposition of writing or added writing with a different ink. l) That admission to hospital is not for routine check up. m) That treatment taken is in line with nature of disease. n) Those pathological reports are submitted in case of operation. o) That hospitalization and domiciliary hospitalization benefit is not clubbed together. In case of death of insured after having incurred medical expenses the amount of admissible claim should be reimbursed to legal representative of the deceased or any other insured family member submitting original bills cash memos etc. after obtaining proper declaration by that person to the effect that the person claiming reimbursement of expenses actually incurred such expenses for the treatment of the insured person.

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5) On account Payment MEDISHIELD Policy: In exceptional circumstances where the claim is in respect of major diseases on account of payment up to 80% of the expenses/eligible amount whichever is lower may . 6) Panel Doctors: a) In case of difference of opinion between claimants doctor and companys panel doctor which can not be resolved should be referred to a specialist for decision. b) Where suspicions are aroused in relation to disease allegedly suffered linked to pre-existing condition, such claims may be referred to a doctor for investigation from panel maintained by regional office. Reference to panel doctor/referee for investigation should not be made in routine but selectively on merits. c) To ensure that panel doctors opinion is conclusive.

7) Claims Minimisation: a) For frequent claims and for the same ailment consideration may be given whether to renew or otherwise. Underwriting department and R.O. should be kept informed. b) In case of claim under group MEDISHIELD Policy, employees record should be verified to ensure that he has taken leave for the period for which he is claiming.

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PROTECTOR SERIES SUCH AS HOME & FAMILY PROCTECTOR, TRADE & OFFICE PROTECTOR ETC. Requirements: All the requirements as per the ITGI guidelines. The Generic risk screen and the Generic Claims Statistics screen do not meet all the ITGI requirements. Hence new screens have been developed to meet the requirements. (a) Underwriting Subsystem A new risk screen with 12 section cover screens has been incorporated, in order to cater for the insurance requirements of Home & Family Protector Policy . The new risk screen is to be used to maintain the section cover for New Business, Endorsement, Cancellation, Reinstatement and Renewal transactions. The existing underwriting screens, Contract Header, Premium Posting and Reinsurance Risk are to remain unchanged. A new schedule in a specified format shall fulfil (b) Claim Subsystem A new Claim Statistics has been incorporated into the existing Claim subsystem The new Claim Statistics provides some risk and claim information. The existing claim screens, Claim Header, Reserve Analysis and Claim Reinsurance are to remain unchanged. Concept and Policy creation for customer and insurer respectively The following are the steps to create a policy 1. Create The contract Header Screen. This is unchanged for this product 2. Work with the risk screen. As the user may be aware Home Protector
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Policy has 12 sections which appear in the risk screen as under POLICY IN THE POLISY 400 SYSTEM
Contract Header Screen

Risk Screen

Enter
Enter F6

Issue
Cover Screen Additional Cover Screen

CLIENTALE CRM
Two major aspects of marketing are the recruitment of new customers (acquisition) and the retention and expansion of relationships with existing customers (customer base management or customer relationship management).

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GENERAL INSURANCE

NEW CUSTOMER

EXISTING CUSTOMER

CUSTOMER GUIDELINES

e.g. new policy

e.g. renewal of insurance

e.g.various products motor fire , medclaim etc.

FLOW CHART WITH GUIDELINES

E-METHODS OF SERVICES: The website serves the e-method for all the customer and service to be provided and the others so on: as under: Accountability. Credibility. Authenticity. These are the hallmarks of effective Customer Service the website servers. In a world of rapidlyevolving technology, the hallmarks desperately need an update. It is important to show how the best in the business keep their customers happy and, more importantly, coming back for more.As soon as the customer types the site of ITGI which is as under (www.itgi.co.in ) The website opens and the skip intro is to be clicked to know the ITGI. The web page is designed as to on the right hand side displays the WHATS NEW? Product. The below that the display for those is mentioned if U R IN HURRY THEN CLICK Leave your name and number and we will contact you. And submit button is displayed. The products update and manual guidelines as explained above is available on the website and all
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downloadable information is been placed on the website so as to meet the customer requirements. Newsletter gives all the necessary details on the site with latest updates. New customer can go through all the website and choose for an product such as to fit his needs , the premium payment amt . Can be obtained by him through quotes emailed to the client by the company according the type of cover been selected by the client and the payment to be made particular mode is been intimated. The client can pay through his bank account or through credit/debit card etc.after filling all the necessary details and gets the insurance policy document. Thus the website serves a boon to E-marketing process

E-RENEWALS: E-Renewal is a secure, Web-based process that allows registrants, licensees, or companies to renew products or licenses in multiple states with a single transaction. E-Renewal Products The Network offers three E-Renewal programs: Product Renewals Business products Individual products Motor Products - includes submission of labels and other documents. FIRE, MARINE , BURGLARY , ALL RISKS ETC. Individual mediclaim , personal accident , etc.
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Payment Secured transactions. You may pay by check or credit card A convenience fee (which may vary by state) may be charged for the electronic renewal of registrations or licenses. Accessing This Service Contact the Network to obtain a User Name and Password. Logon to www.itgi.co.in Forgot your User Name or Password? Send us an e-mail containing your company name and license number. support@itginetwork.com

THE TOLL FREE NUBMER SERVICE: THE TOLL FREE NUMBER SERVICE TO THE CUSTOMER IS PROVIDED AS UNDER.ENABLES THE CUSTOMER TO ENQUIRE ABOUT THE POLICY STATUS,RENEWAL DATE , PRODUCT INFORMATION, HEALTH SERVICES INFORMATION ETC.AT JUST CLICK AND DIAL METHOD Toll free of itgi is : Call us at our TOLL FREE 1800-345-3303 Toll-free numbers are very common and have proven successful for businesses, particularly in the areas of customer service and telemarketing. Toll-free service provides potential customers and others with a free and convenient way to contact businesses. Toll free numbers work very easily. First, you would select a toll free service provider. During the application process, you would need to select a "ring to" number. A "ring to" number is the phone number you would like your
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toll free service to ring in on. Having a toll free number does not change your outgoing or direct dialed incoming calls. All callers who dial the "ring to" number directly, without using the toll free number, will pay for the call themselves (unless the call to you is local for them).

CONCLUSION By now, most companies have realized the need for an electronic marketing component as a part of their marketing strategy. However, there is a substantial difference between having a Web site on line, and having an integrated approach to e-marketing.

First, the question is, why e-marketing? It's trackable, measurable, flexible, easily changeable, and it's effective. E-marketing gives you a clear way to have accountable advertising. It isn't always easy to know what your results are from print/TV advertising, but you can track your results online down to the number of clicks on your logo.

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It is conclude from survey that E MARKETING IN INSURANCE means handle the insurance transaction through internet. But according to Mr.V.K.Korde the branch manager of NEW INDIA ASSURANCE CO.PVT LTD. usually people do not handle their policy transaction from internet, because they have fear of miss happening or frauds.

QUESTIONNAIRE 1. WHAT DO YOU MEAN BY THE TERM E MARKETING IN INSURANCE? ________________________________________________________ 2. WHICH KIND OF POLICIES ARE EXISTED IN THIS TYPE OF TRANSACTION? ________________________________________________________ 3. DO YOU THINK E MARKETING IN INSURANCE IS REALLY USEFUL FOR CUSTOMERS? ________________________________________________________
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4. WHICH TYPE OF COMPUTER SOFTWARE YOUR COMPANY PREFFERD FOR HANDLEING THE TRANSACTON? ________________________________________________________ 5. TO UPDATE THE EMPLOYEES IS THERE IS ANY TRAINNING POLICY? IF YES FOR HOW MANY MONTHS? ________________________________________________________ ________________________________________________________ 6. IS YOUR COMPANY CHARGES ANY EXTRA AMOUNT FOR USING E-SERVICES? ________________________________________________________ ________________________________________________________

BIBLIOGRAPHY
1. Life Insurance :IC33 By IRDA

WEBLIOGRAPHY

1. WWW.Google.Com 2. WWW.LIC corporation ltd.

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3. WWW.Yahoo.Com

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