SlideShare uma empresa Scribd logo
1 de 57
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Module 7: Introduction to Insurance
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
LEARNING OBJECTIVES
This course aims at helping you the student to,
• Gain a broader understanding of risk and insurance as a
means to manage it.
• Appreciate the role of insurance to our economy and
how it operates
• Have a balanced, systems – oriented view of how the
insurance industry players work together to protect and
meet the needs of consumers.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
LEARNING OUTCOMES
After completion of this study you should be able to:
• Describe the role insurance plays in our economy
• Explain how insurance is used to manage or diversify risk
• Understand the fundamental principles of insurance
• Recognize the various categories of insurance and the
underwriting procedure
• Define the key insurance terms
• Explain the roles of the insurance players in the industry
• Explain how insurance claims are administered
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
MODULE COVERAGE
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is insurance?
Insurance is defined as a form of risk management in which the
insured transfers the cost of potential loss to another entity in
exchange for monetary compensation known as premium
Insurance is a contract between two parties whereby one party
agrees to undertake the risk of another in exchange for
consideration known as premium and promises to pay a fixed
sum of money to the other party on happening of an uncertain
event (like property loss, destruction, accident or death) or after
the expiry of a certain period.
The party bearing the risk is known as the 'insurer' or 'assurer' and
the party whose risk is covered is known as the 'insured' or
'assured'
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Risk is the possibility of loss or damage, or a combination of
hazards, the uncertainty of loss, the dispersion of actual from
expected results, the probability of any outcome being
different from the one expected or a condition in which losses
are possible.
Risk can be managed in a number of ways
Avoiding risk: E.g. do not borrow money, do not lend, do not
acquire an ATM card, do not travel, do not buy expensive
assets, do not open up businesses, do not drive on a busy
road etc.
Reducing risk: E.g. do not use an ATM at night, do not travel
with or withdraw huge sums of money, do not sit in the front
seat of a public vehicle, save money for emergencies etc.
Risk definition, management
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Risk management
Retaining the risk: All risks that are not avoided or transferred
are retained. One may not be able to appropriately deal with
the consequences.
Transferring the risk: Through insurance.
Who is the typical insurance client in Uganda?
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Characteristics of Insurable risks
• Fortuitous in Nature: The happening of the insured event must
be accidental
• Monetary Value; The risk must lead to a loss capable of being
measured in financial terms.
• Insurable Interest; In order for a person to insure any property,
one must have insurable interest in it.
• Homogeneous Exposure: There must be a large number of
similar exposures to enable insurers to forecast expected losses.
• Public Policy: The contract of insurance must not be contrary to
what the society considers just and moral.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
How do we respond to risk?
There are two major steps people take in responding to risk; some do
so before (protection steps) and others after (reaction steps);
(i) Protection Steps are actions we take before a crisis or emergency
occurs to help us respond. These may include;
- Buying Insurance
- Employing Security Guards
- Having security Dogs
(ii) Reaction Steps are actions we take in response to something that
happens after the crisis. E.g. Calling the Police to intervene in case
of a problem
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
The Purpose of Insurance
Insurance provides several benefits to individuals,
governments and the society at large. These
benefits can be classified as either economic or
social;
1. Peace of Mind
2. Savings
3. Investment of Funds
4. Preservation of source of Income
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
How does Insurance work?
Insurance works by pooling risk or creation of a common
pool. The insurance Company gathers together people
who want insurance protection and sets itself up to
operate a pool. It takes contributions in the form of
premiums from many people exposed to the same
risks and pays a few who incur losses.
Insurers use past experience to determine the losses
that may occur in a year. These losses are expected to
be generally in line with their prediction for the year.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Fundamentals of Insurance
Utmost Good Faith
Refers to the full and truthful disclosure, by the insured, of all
relevant material facts about the risk being proposed for
insurance. Material facts are facts that would influence the
mind of a prudent underwriter to accept or reject a risk.
Material facts may include; types of material used in
construction in fire insurance, use of the car in motor
insurance, type of stock in burglary insurance, state of health
of the proposer in health insurance.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Indemnity
Refers to placing the insured in the same monetary position
he was in just before the loss occurred. The insured’s
position is restored, i.e. the insured is not supposed to
benefit from insurance; he/she is simply reinstated.
This is only applicable to property and liability insurance but
not life and personal accident policies. These are benefit
policies because they contain agreements to pay a specified
sum of money when the loss occurs. The methods of
providing indemnity include; cash, repairs, replacement ad
reinstatement.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Subrogation refers to the right of the insurance company
to recover the insured’s loss which was the subject of
the relevant claim paid under the policy up to the
amount of that paid claim
Contribution is the right of an insurer to call on other
insurers similarly, but not necessarily equally, liable to
the same insured to share the loss of an indemnity
payment. It also applies to indemnity policies only. This
principle normally applies to large risks
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Insurable Interest – An insurance contract is legally binding
only if the insured has an interest in the subject matter of
insurance, hence, there must be a legal relationship between
the person buying insurance and the asset being insured.
Proximate Cause - the loss must be directly attributed to an
insured peril/risk and must be accidental or not intentional.
In other words, if the insured risk is fire, the insurance
company will not pay for a loss caused by theft. If customer
X insures his car against accident only, and it gets burnt or is
stolen, then the insurer is not liable.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Underwriting and categories of Insurance
Insurance Underwriting
An insurer will require a proposal to be prepared which answers
both general and specific questions about the proposer. When
the proposal has been completed, the underwriter goes
through it to determine whether the risk is acceptable or not.
This process is called underwriting.
The underwriting process begins after the proposal form has
been completed and presented to the underwriter. The
underwriter will consider both the moral and physical hazard.
The physical hazard relates to the physical characteristics of the
subject matter of insurance while the moral hazard relates to
the attitude of the proposer.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
General Questions
• Name of the proposer
• Address of the proposer
• Occupation of the proposer
• Details of past claims
• Other insurance of the
same risk
• Period of insurance
• Description of the risk or
subject of insurance
Specific Questions (fire)
• What construction material
was used in the building
• Use of the building and the
processes which take place
there
• Whether fire extinguishing
appliances have been installed
• The distance from the nearest
fire brigade
• Surrounding fire risks
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Categories of Insurance
1. Non Life Insurance / General Insurance
Basically, it is insurance for assets and liabilities e.g. vehicles,
buildings, computers. Also referred to as indemnity policies,
they are short – term policies, usually up to one year and are
renewable.
COMMON CLASSES INCLUDE:
a. Fire and Special Perils
This policy provides indemnity for loss of and/or damage to
buildings, Plant and machinery, Stock in trade, etc. Resulting
from Fire, Lightening, Explosion of Gas or Boilers used for
domestic purposes, Earthquake, Subsistence and landslip,
Impact by moving objects, Aircraft damage, Riots, Strikes
and Malicious damage, Water damage by burst pipes or
apparatus.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
b. Business Interruption
This policy provides protection against loss of profits following
damage at the insured locations by fire and/or any of the
Special Perils.
c. Burglary
The burglary policy provides protection against loss of movable
items by theft accompanied by violent entry into and/or
exist from the premises.
d. All Risks
This policy provides protection for your various portable
valuable items e.g. Mobile phones, Telephone systems, Fax
machines, Switchboard, Fans, Office, Fittings and Equipment
etc.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
e. Electronic Equipment Insurance (Computers)
Noting the operational hazards to which electronic equipment is exposed, we
recommend this cover for your computers, Air conditioning Plant and
accessories to provide indemnity for losses resulting from:
1.Physical Breakdown, actual breaking, distortion whilst in use or at Rest;
2. Accidental damage i.e. any other sudden and unforeseen loss including fire
and Lightning, theft, earthquake, malicious damage, riots, strikes and civil
commotions.
This cover would additionally provide:
1. Indemnity for damage to other data carrying media e.g. diskettes, tapes
and cables resulting from any of the above perils.
2. Reimbursement of additional expenses incurred to reproduce lost data and
records following damage to the insured equipment by any of the above
perils.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
f. Workers’ Compensation/Employer’s Liability
It is a statutory obligation for every employer to take out insurance for compensation
to his employers for death and/or permanent incapacity from accident sustained
whilst at work.
g. Group Personal Accident
Whereas the workmen’s compensation cover provides protection for your legal
liability to compensate employees for injuries resulting from accidents at work, the
Group Personal Accident cover is a benefit policy for your employees on a 24 hours
basis.
h. Public Liability
Public Liability To provide protection against your legal liability to compensate third
parties for injuries and/or damage to their property resulting form accident s or
events at any premises owned, occupied, hired or leased for your operations
anywhere in the country.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
i. Fidelity Guarantee
Provides protection against loss of cash and/or stock by fraudulent means (involving
staff)
j. Money/Cash In Transit
This cover would be required for indemnity against “All Risks” of physical loss and/or
damage to money whilst in transit to and from the premises and whilst in the
premises during and after working hours.
k. Motor Comprehensive
Comprehensive cover to provide indemnity for:
• All Material Damage: i.e. the risk of accidental loss, fire and theft, including
damage caused by fold, hurricane storm and tempest, earthquake, riots, strikes
and civil commotions and malicious damage.
• Windscreen Extension: i.e. Reimbursement of costs incurred to replace or repair
windscreen following damage or loss other than involving total loss of the vehicle.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Third Party Liability: i.e. compensation to third parties for bodily injury or death
caused by the use of your motor vehicles as required by statute.
Medical Expenses to Insured/Driver: Up to a limit of Ushs.300,000/= per person per
incident.
Towing/Wreckage Removal: Up to a limit of Ushs.300,000/=.
Classes of vehicles to be insured:
A: Private: To cover Saloon wagons and small vehicles used for official, social,
domestic and pleasure purposes.
B: Commercial: To cover Pick-Ups, Trucks, Lorries, Vans and Minibuses used for your
operations.
C: Motor Cycle: Motor Cycles used for official, business, social and domestic
purposes.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
l. Domestic Package
This proposal is for a comprehensive insurance cover for residential buildings owned
by yourselves and/or hired for your executive and household contents therein
against loss of and/or damage resulting from fire, lightning, earthquake,
subterranean fire, flood, storm, hurricane, impact with moving objects, aircraft
damage, riots, strikes and malicious damage, landslip, water damage etc.
This package also extends to cover:
i. Liability for injury to third parties and damage to their property.
ii. Liability to compensate domestic servants.
iii. Loss of Gold equipment, Golfer’s liability and Breakage of clubs.
iv. Personal Accident to occupiers.
v. Loss of rent or costs of alternative accommodation.
vi. Pedal cycle and other equipment for domestic use.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
m. Marine
This cover is recommended for business whose operations involve regular
importation of Raw materials, packaging materials, spares, etc and/or
exportation of finished products. The indemnity provided under this
policy is for “All Risks” of physical loss and/or damage to the goods whilst
in transit form one country to another.
n. Insurance Bonds or Financial Guarantees
Bonds are also referred to as Financial Guarantees. The purpose of an
insurance bond is to compensate the third party in respect of loss suffered
as a result of a failure of the insured to perform a task described in the
insurance contract.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Peculiar features of insurance bonds:-
1. A bond once issued, is non-cancellable before its expiry
date.
2. All bonds issued to contractors for government projects are
demand bonds and are worded in such a way that they can
be invoked by the holder of the bond without any reason
and explanation.
3. The Insurer is obliged to pay upon demand notwithstanding
any dispute or protest by the contractor or insurer or any
third party.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Types of bonds
a. Bid or Tender Bonds:
These are guarantees required in connection with the submission of tenders
for contract jobs with Public Authorities or Private Principals where
relevant. The bond value is usually a fixed amount determined by the
Principal. The main objective of this bond is to guarantee that the
contractor who is awarded the contract will accept the Contract according
to the terms that was submitted by him to the principal. If he is unable to
maintain his quotation, the Bond will be liquidated and the principal will
request the surety to pay for the damages sustained up to the amount of
the bond.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
b. Performance bonds
Performance bonds are surety bonds issued by an insurance
company (surety) or a bank to guarantee satisfactory
completion of a project by a contractor.
c. Advance payment bonds (mainly for government
contracts)
This is required when a contractor applies for an advance
payment from the Principal to help in the funding of the
preliminary costs and mobilization works of the contract.
The bond value ranges from 15% to 25% of the total contract
value.
d. Immigration or Security Bonds
These bonds are issued to non – citizens, whose conduct
insurers guarantee. Should one fail to be of good conduct, an
insurance company undertakes to pay the cost of
deportation or the consequences of their bad conduct.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
e. Court Bonds
These are used when a court has the responsibility of administering
the affairs of persons unable to do so for themselves for some
reasons, that is, mental incapacity. The court appoints a receiver to
administer the affairs of the estate or the person. The court will ask
the receiver to provide a bond that will take care of
maladministration that might take place.
f. Customs or Importation Bonds
These ensure that dutiable goods on which no duty has been paid do
not find their way into the Ugandan market. Should the goods find
their way into the market, the insurer will meet the duty the
insured has not paid.
g. Warehouse Bonds
Warehouse bonds guarantee payment of duty when goods leave a
warehouse.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Categories of Insurance
2. Life Assurance
Life Insurance or Assurance products are also referred to as benefit policies.
They are normally long – term policies i.e. over five years. Life assurance
policies can be grouped into Individual life and Group life.
Individual Life Policies include; Endowment plans, Personal Insurance Plan
and Dividend plus Plan. Group life assurance policies include:
a. Group Life and Income Replacement Benefit
This is a tailor-made Life insurance product that covers death, disability,
critical illness, including income replacement and retirement funds for
employer groups and retirement funds aiming to meet the risk
management needs.
b. Group Life Assurance Benefit
This is a death in service benefit taken out by the employer on behalf of its
employees. The benefit is paid out to the beneficiaries in the event of the
member’s death.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
c. Income Replacement Benefit
This is a benefit taken out as a rider on either Deposit Administration
Plan or Group Life to cater for one’s financial status in the event
he/she is absent from work as a result of critical illness through
accident or natural illness for more than six months and may suffer
from financial hardship as a result. Income Replacement Insurance is
sometimes known as Permanent Health Insurance (PHI) or Income
Protection.
It's called permanent because the insurer may not cancel the policy no
matter how often you claim for benefit, although policies usually
expire when the policyholder reaches 60 or 65.
• To enable us quote, the following will be required;
• A detailed list of eligible members
• Gender
• Dates of birth
• Monthly salaries
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
d. Deposit Administration Pension Plan
This is similar to NSSF, whereby the employer contributes 10%
and the employee 5% of the gross salary. These contributions
are normally made on a monthly basis. The benefits are paid
out with interest at retirement or when the employee resigns
from the job or in the event of death.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Micro insurance
This is a mechanism used to protect low income earners
against risk (accident, illness, death in the family,
natural disasters, etc.) in exchange for insurance
premium payments tailored to their needs, income and
level of risk.
Micro Insurance policies may include; Credit Life or Loan
Protection Insurance, Group or Community Funeral
Insurance and Weather Index Insurance
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
1. Credit Life or Loan Protection Insurance
Proposition.
• The loan protection Insurance protects the Banks,
Microfinance Institutions and SACCOs against
unexpected loss following the death, total permanent
disability, and catastrophic loss of business property
(stock) due to identified perils like fire among others.
• The product also offers a funeral benefit to the client in
the event of accidental death of a pre-identified spouse
and children.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
CATEGORY SCOPE OF COVER BENEFIT (AMOUNT)
A Client Death (Both Natural and Accidental) Outstanding loan amount
and interest due.
B Total Permanent Disability (due to illness or bodily
injury)
Outstanding loan amount
and Interest
C Catastrophic loss of physical property/stock
detailed in the proposal (Fire/earthquake,
explosion, storm, flood). Single property loss is also
covered (valid documentation required).
Outstanding loan amount
and interest
D Funeral Benefit - Death (Accidental) of borrower Specified Amount
E Funeral Benefit - Death ( Accidental only) of a Pre-
identified Spouse
Specified Amount
F Funeral Benefit - Death (Accidental) of a pre-
identified Child (Maximum of 4 children)
Specified Amount
Group insurance benefits- Example
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
2. Group/Community Funeral Insurance
Coverage/beneficiaries: Group member, one pre-
identified spouse and up to two children. The spouse
and children are identified by putting their full names
on the policy form. Names cannot be changed once
they are written on the form.
The policy is active only after payment of premium and
expires a year from the date of commencement.
Benefit/Pay outs are made in cases of; Death of Group
member, Death of pre-identified spouse and Death of
pre-identified child.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Group/Community Funeral Insurance claims:
All claims under this insurance shall be lodged with
the Company by submitting at least three of the
following supporting documents:
• Certified Letter from Local Council & Institutional letter
from the Microfinance Institution or branch
• Death Certificate or a certified copy of the same.
• Police Report for accidental deaths
• Letter from local pastor/imam
• Letter from Group Chairman
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Weather Index Insurance
• Weather index insurance contracts are policies linked to the
fluctuation of a weather variable. The weather variable is
measured and indexed according to the specific objective of the
insurance policy.
• Insurance payouts are based only on the performance of the
weather index and not on actual damage incurred or actual losses
suffered on the ground.
• This kind of insurance is most suitable for farmers’ groups or
associations; however, premium rating is based on the amount of
loans taken from the bank or financial institution. Payouts in the
event of loss are made to the financial institution which disbursed
the loans.
• Examples of weather variables used in index insurance are Rainfall,
Temperature, Wind speed, Soil moisture, Growing degrees days,
and Sea surface temperature
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Advantages and Limitations of Weather Index Insurance
Weather Index Insurance eliminates most of the asymmetric information
problems of traditional insurance products (moral hazard and adverse
selection. For weather index insurance the advantage is that;
• No loss assessment is required
• It is objective and transparent
• It has a simplified claims process
• It provides timely payout
• It reduces administrative costs
• It facilitates risk transfer outside of the local community (international
reinsurance)
Limitations
“Basis risk”: when the actual losses suffered by the insured and the payouts
of the contract don’t match perfectly
By definition, weather index insurance does not cover non weather sources of
risk: in a multi-risk environment this can be a limitation for the end user
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Players in the Insurance Industry
The insurance industry is composed of sellers of insurance, regulators,
intermediaries and other service providers. All these insurance players
must be licensed by the Insurance Regulatory Authority, for them to
operate legally. They are indicated here below;
1. Insurance companies
Insurance companies are financial institutions that sell insurance. They carry
the risk and are responsible for compensating in case of losses. Insurance
companies can sell insurance direct, through Brokers and Insurance
Agents. They sell both life and non – life insurance.
2. Insurance Brokers
These are insurance intermediaries incorporated and licensed to transact
business on behalf of insurance companies. They are independent and
deal with all insurance companies. The insurers pay commissions to
insurance brokers. These should more professional in insurance than the
insurance agents
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
3. Insurance Regulatory Authority
The Authority’s functions include:
• Establishing standards for the conduct of insurance and reinsurance
business;
• Licensing all persons involved in or connected with insurance business
including insurance and reinsurance companies, insurance and
reinsurance intermediaries, loss adjusters and assessors;
• Safeguarding the rights of policyholders and insurance beneficiaries to any
insurance contract;
• Providing a bureau to which complaints may be submitted by members of
the public;
• Promoting a sound and efficient insurance market in the country;
• Supervising and controlling transactions between insurers and reinsurers;
• Ensuring strict compliance with the provisions of the Insurance Act and
regulations made under it and any other law relating to insurance; etc.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
4. Insurance Institute of Uganda
The Insurance Institute of Uganda is the training arm of the insurance
industry in Uganda whose articles and memorandum of association mainly
mandates it to provide and maintain a central organization for the
promotion of efficiency, progress, welfare, knowledge and general
development among persons engaged or employed in the insurance
business.
The institute has the following objectives:
– To promote and assist the study of subjects and conduct trainings bearing on
any branch of insurance
– To advise on academic standards, qualifications and skills development of
members in the insurance industry
– To offer prizes and awards on the results of examinations for essays or
research in any subject bearing insurance
– To promote excellence, enterprise and integrity in the insurance profession
and to provide members with access to relevant high quality information
research and knowledge including library for use by members of the institute
and other interested individuals
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
5. Uganda Insurers’ Association
The Uganda Insurers Association is an umbrella trade organization
founded in 1965 by Insurance Companies to meet the challenges of
an emerging competitive and growing industry its membership is
composed of corporate insurance and reinsurance companies
incorporated and licensed to operate in Uganda. Membership to
the Association is mandatory for all licensed insurance companies.
6. Uganda Brokers’ Association
The Uganda Association of Insurance Brokers is a body of all insuring
broking persons, firms, companies, corporations or cooperative
societies carrying on business of insurance broking in Uganda. The
main objective of the Association is to protect and promote the
general welfare and interests of the insurance brokers who are
members of the Association.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
7. Loss Adjusters
These are qualified to assess, investigate, negotiate and settle losses of
big magnitude on behalf of the insurer. Before they can be licensed
by the Insurance Regulatory Authority, they should be qualified
professionals in loss assessment.
8. Loss Assessors
These are appointed by insurance companies after a loss has taken
place to quantify the magnitude of the loss and advise on the
method of compensation. They are used mostly in general classes
of insurance.
9. Insurance Surveyors
These survey risks and advise on rates, terms and conditions of
premiums and make suggestions for improvement of risks.
10. Insurance Agents
These are insurance intermediaries just like brokers, but unlike brokers,
they represent one business for Chartis Insurance.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What to do in case a claim arises;
The insured is required to act always as if they are not insured. This means
that one should do everything within one’s power to prevent further
damage. In other words, the insured should not be careless with the
insured property just because it is insured. In fact, insurers will only
compensate genuine and accidental claims.
When a loss occurs, the insured should;
• Report the incident to the insurer immediately
• Report to the police if malicious persons are involved or in case of big
accidents
• Deliver the necessary information required by the insurer within a
stipulated period
• The insurer will immediately go and inspect the scene of the accident or
occurrence and make his report as well. They will then provide the insured
with a claim form to fill in.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Claim Forms:
When a report about a claim has been made to the insurer, a blank claim form is
issued to the insured for completion. The claim form, which is in form of a
questionnaire, is designed by the insurer for the purpose of extracting details
about the loss from the insured.
Claims Processing:
If the details in the claim form are acceptable, the insurer will open a claim file. The
details in the claim file include;
• Name and address of the insured
• Claim number
• Policy number
• Period of insurance
• Sum insured or the limit of liability
• Estimate of loss or the claim reserve
In the claim form, the insured will give an estimate of the loss. The amount being
claimed determines how insurers will deal with the claim. Small claims like
windscreens are replaced immediately while bigger ones may take about two
weeks to a month.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
What is Insurance?
Risk Management and Responding to Risk
The Purpose of insurance
How does Insurance work?
Players in the Insurance Industry
Insurance Underwriting and Categories of Insurance
Fundamental Principles of Insurance
Some commonly used Insurance terminologies
Settlement of Insurance Claims
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
Common Insurance terminologies
• Insurer – a company that accepts the risk of loss and compensates the
insured in the event of loss in exchange for a premium payment.
• Insured – person or company transferring the risk of loss to a third party
through a contractual agreement (Insurance policy). This is a person/entity
that will be compensated for loss by an insurer under the terms of the
insurance policy.
• Premium – amount of money charged by an insurer and paid by the
insured for insurance
• Commission – amount of money paid by an insurer to its agent for
business transacted. It is a percentage of the premium brought in.
• Claim – loss or injury suffered by the insured, which must be settled by
the insurer in monetary terms
• Excess – part of the claim that the insured bears, e.g, for motor insurance,
the insurance company pays 90% of the claim the insured meets the 10%.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
• Insurance Policy – a document binding the insurer and insured, and
contains details of the asset insured, the terms and conditions, and
exclusions to the policy. It is the evidence of the contract setting out the
terms and conditions of insurance. This is general to all clients who have
bought a particular policy, e.g. all private motor policies are the same for
all clients-
• Policy Schedule – this is a document that makes the policy personal to the
insured. The information typed on this document is generated from the
proposals form.
• Proposal Form – a form containing questions about the details of the
client and the asset being insured, and which is filled in by the insured.
• Claim Form – a form containing questions about the details of the
occurrence of the loss, which should be filled in by the insured.
• Endorsement – any writing on a policy, in addition to its normal wording,
which supplements or modifies the terms of the policy. It is normally
made when the insured requires a wider or extra cover, e.g if the insured
wants to add more vehicles on the fleet that has already been insured.
This document is added when or after the policy is issued.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
• Renewal Notice – a document issued to bring to the attention of the
insured that the policy is about to expire. It is issued one month before the
expiry date.
• Cover Note – an interim document evidencing the grant of insurance
cover, states that the cover is in force and gives brief details of the cover. It
is given to the insured in cases of urgency, i.e. when the policy document
is not yet ready. It is therefore a temporary document and will be
superseded once the policy is ready.
• Sum Insured – the value of the risk that is being insured, e.g value of a
building, stock, motor vehicles, from which premium is charged. It is also
referred to as the insurer’s maximum liability, i.e. the maximum amount
compensation by the insurer to any one client or insured.
• Underwriter – an officer in the insurance company who assesses and
determines whether or not the risk is acceptable. The underwriter also
inputs all the information given by the insured in the company system.
• Exclusions – conditions that are excluded from the normal policy
documents, e.g. coverage for terrorism, floods and smuggling.
THE UGANDA INSTITUTE
OF BANKING &
FINANCIAL SERVICES
UIBFS
ISO 9001:2008 CERTIFIED
END

Mais conteúdo relacionado

Mais procurados

Insurance introduction
Insurance   introductionInsurance   introduction
Insurance introduction
Mohit Singla
 
Working of insurance
Working of insuranceWorking of insurance
Working of insurance
college
 

Mais procurados (20)

Unit 3 insurance intro sem-1
Unit 3 insurance intro sem-1Unit 3 insurance intro sem-1
Unit 3 insurance intro sem-1
 
Types of insurance
Types of insuranceTypes of insurance
Types of insurance
 
Insurance
Insurance Insurance
Insurance
 
Insurance introduction
Insurance   introductionInsurance   introduction
Insurance introduction
 
Insurance Companies
Insurance CompaniesInsurance Companies
Insurance Companies
 
Insurance Industry Overview
Insurance Industry OverviewInsurance Industry Overview
Insurance Industry Overview
 
insurance sector ppt
insurance sector pptinsurance sector ppt
insurance sector ppt
 
Insurance
InsuranceInsurance
Insurance
 
Working of insurance
Working of insuranceWorking of insurance
Working of insurance
 
Life insurance basics
Life insurance basicsLife insurance basics
Life insurance basics
 
Marine insurance
Marine insuranceMarine insurance
Marine insurance
 
Life Insurance
Life InsuranceLife Insurance
Life Insurance
 
Re insurance pptx
Re insurance pptxRe insurance pptx
Re insurance pptx
 
Types of insurance
Types of insuranceTypes of insurance
Types of insurance
 
Insurance
InsuranceInsurance
Insurance
 
Property Insurance - Black Book Project
Property Insurance - Black Book ProjectProperty Insurance - Black Book Project
Property Insurance - Black Book Project
 
Insurance Industry Overview
Insurance Industry OverviewInsurance Industry Overview
Insurance Industry Overview
 
insurance
insuranceinsurance
insurance
 
Types of insurance
Types of insuranceTypes of insurance
Types of insurance
 
Motor insurance 030515 final
Motor insurance 030515 finalMotor insurance 030515 final
Motor insurance 030515 final
 

Destaque (10)

Introduction to insurance unit7
Introduction to insurance unit7Introduction to insurance unit7
Introduction to insurance unit7
 
Insurance education in india
Insurance education in indiaInsurance education in india
Insurance education in india
 
BUS 116 Chap019 insurance
BUS 116 Chap019 insuranceBUS 116 Chap019 insurance
BUS 116 Chap019 insurance
 
Introduction to insurance unit4
Introduction to insurance unit4Introduction to insurance unit4
Introduction to insurance unit4
 
Insurance FUNDAMENTALS/PRINCIPLES OF GENERAL INSURANCE
Insurance FUNDAMENTALS/PRINCIPLES OF GENERAL INSURANCEInsurance FUNDAMENTALS/PRINCIPLES OF GENERAL INSURANCE
Insurance FUNDAMENTALS/PRINCIPLES OF GENERAL INSURANCE
 
ICICI Bank - A Case Study
ICICI Bank - A Case StudyICICI Bank - A Case Study
ICICI Bank - A Case Study
 
A study on grievance management system conducted at abc pvt ltd
A study on grievance management  system conducted at abc pvt ltdA study on grievance management  system conducted at abc pvt ltd
A study on grievance management system conducted at abc pvt ltd
 
Reliance Life Insurance Summer Project Report 2010
Reliance Life Insurance Summer Project Report 2010 Reliance Life Insurance Summer Project Report 2010
Reliance Life Insurance Summer Project Report 2010
 
Microfinance An Introduction
Microfinance An IntroductionMicrofinance An Introduction
Microfinance An Introduction
 
FUNCTIONS OF INSURANCE
FUNCTIONS OF INSURANCEFUNCTIONS OF INSURANCE
FUNCTIONS OF INSURANCE
 

Semelhante a Introduction to insurance

Customer perception towards max newyork life insurance
Customer perception towards max newyork life insuranceCustomer perception towards max newyork life insurance
Customer perception towards max newyork life insurance
malay srivastava
 
Promotional strategy in life insurance companies
Promotional strategy in life insurance companiesPromotional strategy in life insurance companies
Promotional strategy in life insurance companies
Dharmik
 

Semelhante a Introduction to insurance (20)

Introduction to insurance unit5
Introduction to insurance unit5Introduction to insurance unit5
Introduction to insurance unit5
 
Introduction to insurance unit1
Introduction to insurance unit1Introduction to insurance unit1
Introduction to insurance unit1
 
Introduction to insurance unit3
Introduction to insurance unit3Introduction to insurance unit3
Introduction to insurance unit3
 
Introduction to insurance unit2
Introduction to insurance unit2Introduction to insurance unit2
Introduction to insurance unit2
 
Insurance chapter 3.pptx
Insurance chapter 3.pptxInsurance chapter 3.pptx
Insurance chapter 3.pptx
 
Analysis of Financial Statement
Analysis of Financial StatementAnalysis of Financial Statement
Analysis of Financial Statement
 
full project final-PDF
full project final-PDFfull project final-PDF
full project final-PDF
 
yadav (1).pdf
yadav (1).pdfyadav (1).pdf
yadav (1).pdf
 
Blackbook project
Blackbook projectBlackbook project
Blackbook project
 
Customer perception towards max newyork life insurance
Customer perception towards max newyork life insuranceCustomer perception towards max newyork life insurance
Customer perception towards max newyork life insurance
 
Insurance in india
Insurance in indiaInsurance in india
Insurance in india
 
Introduction to insurance unit8
Introduction to insurance unit8Introduction to insurance unit8
Introduction to insurance unit8
 
Insurance Basics
Insurance Basics Insurance Basics
Insurance Basics
 
Askari insurance report
Askari insurance reportAskari insurance report
Askari insurance report
 
Project report on tata aig life insurance company.
Project report on tata aig life insurance company.Project report on tata aig life insurance company.
Project report on tata aig life insurance company.
 
star health insurance summer report
star health insurance summer reportstar health insurance summer report
star health insurance summer report
 
Islamic Finance.pptx
Islamic Finance.pptxIslamic Finance.pptx
Islamic Finance.pptx
 
Life insurance
Life insuranceLife insurance
Life insurance
 
Promotional strategy in life insurance companies
Promotional strategy in life insurance companiesPromotional strategy in life insurance companies
Promotional strategy in life insurance companies
 
Insurance
InsuranceInsurance
Insurance
 

Mais de UNBFS

Mais de UNBFS (20)

Introduction to financial services 2
Introduction to financial services 2Introduction to financial services 2
Introduction to financial services 2
 
Introduction to financial services 1
Introduction to financial services 1Introduction to financial services 1
Introduction to financial services 1
 
The legal environment unit3
The legal environment unit3The legal environment unit3
The legal environment unit3
 
The legal environment unit2
The legal environment unit2The legal environment unit2
The legal environment unit2
 
The legal environment unit1
The legal environment unit1The legal environment unit1
The legal environment unit1
 
The legal environment unit5
The legal environment unit5The legal environment unit5
The legal environment unit5
 
The legal environment unit5 copy
The legal environment unit5   copyThe legal environment unit5   copy
The legal environment unit5 copy
 
The legal environment unit4
The legal environment unit4The legal environment unit4
The legal environment unit4
 
Economic environment unit3
Economic environment unit3Economic environment unit3
Economic environment unit3
 
Economic environment unit2
Economic environment unit2Economic environment unit2
Economic environment unit2
 
Economic environment unit8
Economic environment unit8Economic environment unit8
Economic environment unit8
 
Economic environment unit7
Economic environment unit7Economic environment unit7
Economic environment unit7
 
Economic environment unit6
Economic environment unit6Economic environment unit6
Economic environment unit6
 
Economic environment unit5
Economic environment unit5Economic environment unit5
Economic environment unit5
 
Economic environment unit4
Economic environment unit4Economic environment unit4
Economic environment unit4
 
Economic environment unit1
Economic environment unit1Economic environment unit1
Economic environment unit1
 
Lending unit 9
Lending unit 9Lending unit 9
Lending unit 9
 
Lending unit 8
Lending unit 8Lending unit 8
Lending unit 8
 
Lending unit 7
Lending unit 7Lending unit 7
Lending unit 7
 
Lending unit 5
Lending unit 5Lending unit 5
Lending unit 5
 

Último

Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
amitlee9823
 
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
dlhescort
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
amitlee9823
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
lizamodels9
 
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
daisycvs
 
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
lizamodels9
 

Último (20)

Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
Nelamangala Call Girls: 🍓 7737669865 🍓 High Profile Model Escorts | Bangalore...
 
Katrina Personal Brand Project and portfolio 1
Katrina Personal Brand Project and portfolio 1Katrina Personal Brand Project and portfolio 1
Katrina Personal Brand Project and portfolio 1
 
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
Enhancing and Restoring Safety & Quality Cultures - Dave Litwiller - May 2024...
 
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
Call Girls Zirakpur👧 Book Now📱7837612180 📞👉Call Girl Service In Zirakpur No A...
 
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
Call Girls in Delhi, Escort Service Available 24x7 in Delhi 959961-/-3876
 
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort ServiceEluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
Eluru Call Girls Service ☎ ️93326-06886 ❤️‍🔥 Enjoy 24/7 Escort Service
 
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
Call Girls Jp Nagar Just Call 👗 7737669865 👗 Top Class Call Girl Service Bang...
 
Business Model Canvas (BMC)- A new venture concept
Business Model Canvas (BMC)-  A new venture conceptBusiness Model Canvas (BMC)-  A new venture concept
Business Model Canvas (BMC)- A new venture concept
 
Phases of Negotiation .pptx
 Phases of Negotiation .pptx Phases of Negotiation .pptx
Phases of Negotiation .pptx
 
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
Russian Call Girls In Gurgaon ❤️8448577510 ⊹Best Escorts Service In 24/7 Delh...
 
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
Quick Doctor In Kuwait +2773`7758`557 Kuwait Doha Qatar Dubai Abu Dhabi Sharj...
 
Monthly Social Media Update April 2024 pptx.pptx
Monthly Social Media Update April 2024 pptx.pptxMonthly Social Media Update April 2024 pptx.pptx
Monthly Social Media Update April 2024 pptx.pptx
 
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
Call Girls From Pari Chowk Greater Noida ❤️8448577510 ⊹Best Escorts Service I...
 
A DAY IN THE LIFE OF A SALESMAN / WOMAN
A DAY IN THE LIFE OF A  SALESMAN / WOMANA DAY IN THE LIFE OF A  SALESMAN / WOMAN
A DAY IN THE LIFE OF A SALESMAN / WOMAN
 
Cracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptxCracking the Cultural Competence Code.pptx
Cracking the Cultural Competence Code.pptx
 
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best ServicesMysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
Mysore Call Girls 8617370543 WhatsApp Number 24x7 Best Services
 
Falcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in indiaFalcon Invoice Discounting platform in india
Falcon Invoice Discounting platform in india
 
Value Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and painsValue Proposition canvas- Customer needs and pains
Value Proposition canvas- Customer needs and pains
 
RSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors DataRSA Conference Exhibitor List 2024 - Exhibitors Data
RSA Conference Exhibitor List 2024 - Exhibitors Data
 
Famous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st CenturyFamous Olympic Siblings from the 21st Century
Famous Olympic Siblings from the 21st Century
 

Introduction to insurance

  • 1. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Module 7: Introduction to Insurance
  • 2. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED LEARNING OBJECTIVES This course aims at helping you the student to, • Gain a broader understanding of risk and insurance as a means to manage it. • Appreciate the role of insurance to our economy and how it operates • Have a balanced, systems – oriented view of how the insurance industry players work together to protect and meet the needs of consumers.
  • 3. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED LEARNING OUTCOMES After completion of this study you should be able to: • Describe the role insurance plays in our economy • Explain how insurance is used to manage or diversify risk • Understand the fundamental principles of insurance • Recognize the various categories of insurance and the underwriting procedure • Define the key insurance terms • Explain the roles of the insurance players in the industry • Explain how insurance claims are administered
  • 4. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims MODULE COVERAGE
  • 5. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is insurance? Insurance is defined as a form of risk management in which the insured transfers the cost of potential loss to another entity in exchange for monetary compensation known as premium Insurance is a contract between two parties whereby one party agrees to undertake the risk of another in exchange for consideration known as premium and promises to pay a fixed sum of money to the other party on happening of an uncertain event (like property loss, destruction, accident or death) or after the expiry of a certain period. The party bearing the risk is known as the 'insurer' or 'assurer' and the party whose risk is covered is known as the 'insured' or 'assured'
  • 6. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 7. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Risk is the possibility of loss or damage, or a combination of hazards, the uncertainty of loss, the dispersion of actual from expected results, the probability of any outcome being different from the one expected or a condition in which losses are possible. Risk can be managed in a number of ways Avoiding risk: E.g. do not borrow money, do not lend, do not acquire an ATM card, do not travel, do not buy expensive assets, do not open up businesses, do not drive on a busy road etc. Reducing risk: E.g. do not use an ATM at night, do not travel with or withdraw huge sums of money, do not sit in the front seat of a public vehicle, save money for emergencies etc. Risk definition, management
  • 8. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Risk management Retaining the risk: All risks that are not avoided or transferred are retained. One may not be able to appropriately deal with the consequences. Transferring the risk: Through insurance. Who is the typical insurance client in Uganda?
  • 9. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Characteristics of Insurable risks • Fortuitous in Nature: The happening of the insured event must be accidental • Monetary Value; The risk must lead to a loss capable of being measured in financial terms. • Insurable Interest; In order for a person to insure any property, one must have insurable interest in it. • Homogeneous Exposure: There must be a large number of similar exposures to enable insurers to forecast expected losses. • Public Policy: The contract of insurance must not be contrary to what the society considers just and moral.
  • 10. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED How do we respond to risk? There are two major steps people take in responding to risk; some do so before (protection steps) and others after (reaction steps); (i) Protection Steps are actions we take before a crisis or emergency occurs to help us respond. These may include; - Buying Insurance - Employing Security Guards - Having security Dogs (ii) Reaction Steps are actions we take in response to something that happens after the crisis. E.g. Calling the Police to intervene in case of a problem
  • 11. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 12. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED The Purpose of Insurance Insurance provides several benefits to individuals, governments and the society at large. These benefits can be classified as either economic or social; 1. Peace of Mind 2. Savings 3. Investment of Funds 4. Preservation of source of Income
  • 13. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED How does Insurance work? Insurance works by pooling risk or creation of a common pool. The insurance Company gathers together people who want insurance protection and sets itself up to operate a pool. It takes contributions in the form of premiums from many people exposed to the same risks and pays a few who incur losses. Insurers use past experience to determine the losses that may occur in a year. These losses are expected to be generally in line with their prediction for the year.
  • 14. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 15. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Fundamentals of Insurance Utmost Good Faith Refers to the full and truthful disclosure, by the insured, of all relevant material facts about the risk being proposed for insurance. Material facts are facts that would influence the mind of a prudent underwriter to accept or reject a risk. Material facts may include; types of material used in construction in fire insurance, use of the car in motor insurance, type of stock in burglary insurance, state of health of the proposer in health insurance.
  • 16. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Indemnity Refers to placing the insured in the same monetary position he was in just before the loss occurred. The insured’s position is restored, i.e. the insured is not supposed to benefit from insurance; he/she is simply reinstated. This is only applicable to property and liability insurance but not life and personal accident policies. These are benefit policies because they contain agreements to pay a specified sum of money when the loss occurs. The methods of providing indemnity include; cash, repairs, replacement ad reinstatement.
  • 17. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Subrogation refers to the right of the insurance company to recover the insured’s loss which was the subject of the relevant claim paid under the policy up to the amount of that paid claim Contribution is the right of an insurer to call on other insurers similarly, but not necessarily equally, liable to the same insured to share the loss of an indemnity payment. It also applies to indemnity policies only. This principle normally applies to large risks
  • 18. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Insurable Interest – An insurance contract is legally binding only if the insured has an interest in the subject matter of insurance, hence, there must be a legal relationship between the person buying insurance and the asset being insured. Proximate Cause - the loss must be directly attributed to an insured peril/risk and must be accidental or not intentional. In other words, if the insured risk is fire, the insurance company will not pay for a loss caused by theft. If customer X insures his car against accident only, and it gets burnt or is stolen, then the insurer is not liable.
  • 19. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 20. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Underwriting and categories of Insurance Insurance Underwriting An insurer will require a proposal to be prepared which answers both general and specific questions about the proposer. When the proposal has been completed, the underwriter goes through it to determine whether the risk is acceptable or not. This process is called underwriting. The underwriting process begins after the proposal form has been completed and presented to the underwriter. The underwriter will consider both the moral and physical hazard. The physical hazard relates to the physical characteristics of the subject matter of insurance while the moral hazard relates to the attitude of the proposer.
  • 21. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED General Questions • Name of the proposer • Address of the proposer • Occupation of the proposer • Details of past claims • Other insurance of the same risk • Period of insurance • Description of the risk or subject of insurance Specific Questions (fire) • What construction material was used in the building • Use of the building and the processes which take place there • Whether fire extinguishing appliances have been installed • The distance from the nearest fire brigade • Surrounding fire risks
  • 22. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Categories of Insurance 1. Non Life Insurance / General Insurance Basically, it is insurance for assets and liabilities e.g. vehicles, buildings, computers. Also referred to as indemnity policies, they are short – term policies, usually up to one year and are renewable. COMMON CLASSES INCLUDE: a. Fire and Special Perils This policy provides indemnity for loss of and/or damage to buildings, Plant and machinery, Stock in trade, etc. Resulting from Fire, Lightening, Explosion of Gas or Boilers used for domestic purposes, Earthquake, Subsistence and landslip, Impact by moving objects, Aircraft damage, Riots, Strikes and Malicious damage, Water damage by burst pipes or apparatus.
  • 23. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED b. Business Interruption This policy provides protection against loss of profits following damage at the insured locations by fire and/or any of the Special Perils. c. Burglary The burglary policy provides protection against loss of movable items by theft accompanied by violent entry into and/or exist from the premises. d. All Risks This policy provides protection for your various portable valuable items e.g. Mobile phones, Telephone systems, Fax machines, Switchboard, Fans, Office, Fittings and Equipment etc.
  • 24. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED e. Electronic Equipment Insurance (Computers) Noting the operational hazards to which electronic equipment is exposed, we recommend this cover for your computers, Air conditioning Plant and accessories to provide indemnity for losses resulting from: 1.Physical Breakdown, actual breaking, distortion whilst in use or at Rest; 2. Accidental damage i.e. any other sudden and unforeseen loss including fire and Lightning, theft, earthquake, malicious damage, riots, strikes and civil commotions. This cover would additionally provide: 1. Indemnity for damage to other data carrying media e.g. diskettes, tapes and cables resulting from any of the above perils. 2. Reimbursement of additional expenses incurred to reproduce lost data and records following damage to the insured equipment by any of the above perils.
  • 25. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED f. Workers’ Compensation/Employer’s Liability It is a statutory obligation for every employer to take out insurance for compensation to his employers for death and/or permanent incapacity from accident sustained whilst at work. g. Group Personal Accident Whereas the workmen’s compensation cover provides protection for your legal liability to compensate employees for injuries resulting from accidents at work, the Group Personal Accident cover is a benefit policy for your employees on a 24 hours basis. h. Public Liability Public Liability To provide protection against your legal liability to compensate third parties for injuries and/or damage to their property resulting form accident s or events at any premises owned, occupied, hired or leased for your operations anywhere in the country.
  • 26. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED i. Fidelity Guarantee Provides protection against loss of cash and/or stock by fraudulent means (involving staff) j. Money/Cash In Transit This cover would be required for indemnity against “All Risks” of physical loss and/or damage to money whilst in transit to and from the premises and whilst in the premises during and after working hours. k. Motor Comprehensive Comprehensive cover to provide indemnity for: • All Material Damage: i.e. the risk of accidental loss, fire and theft, including damage caused by fold, hurricane storm and tempest, earthquake, riots, strikes and civil commotions and malicious damage. • Windscreen Extension: i.e. Reimbursement of costs incurred to replace or repair windscreen following damage or loss other than involving total loss of the vehicle.
  • 27. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Third Party Liability: i.e. compensation to third parties for bodily injury or death caused by the use of your motor vehicles as required by statute. Medical Expenses to Insured/Driver: Up to a limit of Ushs.300,000/= per person per incident. Towing/Wreckage Removal: Up to a limit of Ushs.300,000/=. Classes of vehicles to be insured: A: Private: To cover Saloon wagons and small vehicles used for official, social, domestic and pleasure purposes. B: Commercial: To cover Pick-Ups, Trucks, Lorries, Vans and Minibuses used for your operations. C: Motor Cycle: Motor Cycles used for official, business, social and domestic purposes.
  • 28. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED l. Domestic Package This proposal is for a comprehensive insurance cover for residential buildings owned by yourselves and/or hired for your executive and household contents therein against loss of and/or damage resulting from fire, lightning, earthquake, subterranean fire, flood, storm, hurricane, impact with moving objects, aircraft damage, riots, strikes and malicious damage, landslip, water damage etc. This package also extends to cover: i. Liability for injury to third parties and damage to their property. ii. Liability to compensate domestic servants. iii. Loss of Gold equipment, Golfer’s liability and Breakage of clubs. iv. Personal Accident to occupiers. v. Loss of rent or costs of alternative accommodation. vi. Pedal cycle and other equipment for domestic use.
  • 29. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED m. Marine This cover is recommended for business whose operations involve regular importation of Raw materials, packaging materials, spares, etc and/or exportation of finished products. The indemnity provided under this policy is for “All Risks” of physical loss and/or damage to the goods whilst in transit form one country to another. n. Insurance Bonds or Financial Guarantees Bonds are also referred to as Financial Guarantees. The purpose of an insurance bond is to compensate the third party in respect of loss suffered as a result of a failure of the insured to perform a task described in the insurance contract.
  • 30. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Peculiar features of insurance bonds:- 1. A bond once issued, is non-cancellable before its expiry date. 2. All bonds issued to contractors for government projects are demand bonds and are worded in such a way that they can be invoked by the holder of the bond without any reason and explanation. 3. The Insurer is obliged to pay upon demand notwithstanding any dispute or protest by the contractor or insurer or any third party.
  • 31. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Types of bonds a. Bid or Tender Bonds: These are guarantees required in connection with the submission of tenders for contract jobs with Public Authorities or Private Principals where relevant. The bond value is usually a fixed amount determined by the Principal. The main objective of this bond is to guarantee that the contractor who is awarded the contract will accept the Contract according to the terms that was submitted by him to the principal. If he is unable to maintain his quotation, the Bond will be liquidated and the principal will request the surety to pay for the damages sustained up to the amount of the bond.
  • 32. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED b. Performance bonds Performance bonds are surety bonds issued by an insurance company (surety) or a bank to guarantee satisfactory completion of a project by a contractor. c. Advance payment bonds (mainly for government contracts) This is required when a contractor applies for an advance payment from the Principal to help in the funding of the preliminary costs and mobilization works of the contract. The bond value ranges from 15% to 25% of the total contract value. d. Immigration or Security Bonds These bonds are issued to non – citizens, whose conduct insurers guarantee. Should one fail to be of good conduct, an insurance company undertakes to pay the cost of deportation or the consequences of their bad conduct.
  • 33. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED e. Court Bonds These are used when a court has the responsibility of administering the affairs of persons unable to do so for themselves for some reasons, that is, mental incapacity. The court appoints a receiver to administer the affairs of the estate or the person. The court will ask the receiver to provide a bond that will take care of maladministration that might take place. f. Customs or Importation Bonds These ensure that dutiable goods on which no duty has been paid do not find their way into the Ugandan market. Should the goods find their way into the market, the insurer will meet the duty the insured has not paid. g. Warehouse Bonds Warehouse bonds guarantee payment of duty when goods leave a warehouse.
  • 34. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Categories of Insurance 2. Life Assurance Life Insurance or Assurance products are also referred to as benefit policies. They are normally long – term policies i.e. over five years. Life assurance policies can be grouped into Individual life and Group life. Individual Life Policies include; Endowment plans, Personal Insurance Plan and Dividend plus Plan. Group life assurance policies include: a. Group Life and Income Replacement Benefit This is a tailor-made Life insurance product that covers death, disability, critical illness, including income replacement and retirement funds for employer groups and retirement funds aiming to meet the risk management needs. b. Group Life Assurance Benefit This is a death in service benefit taken out by the employer on behalf of its employees. The benefit is paid out to the beneficiaries in the event of the member’s death.
  • 35. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED c. Income Replacement Benefit This is a benefit taken out as a rider on either Deposit Administration Plan or Group Life to cater for one’s financial status in the event he/she is absent from work as a result of critical illness through accident or natural illness for more than six months and may suffer from financial hardship as a result. Income Replacement Insurance is sometimes known as Permanent Health Insurance (PHI) or Income Protection. It's called permanent because the insurer may not cancel the policy no matter how often you claim for benefit, although policies usually expire when the policyholder reaches 60 or 65. • To enable us quote, the following will be required; • A detailed list of eligible members • Gender • Dates of birth • Monthly salaries
  • 36. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED d. Deposit Administration Pension Plan This is similar to NSSF, whereby the employer contributes 10% and the employee 5% of the gross salary. These contributions are normally made on a monthly basis. The benefits are paid out with interest at retirement or when the employee resigns from the job or in the event of death.
  • 37. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Micro insurance This is a mechanism used to protect low income earners against risk (accident, illness, death in the family, natural disasters, etc.) in exchange for insurance premium payments tailored to their needs, income and level of risk. Micro Insurance policies may include; Credit Life or Loan Protection Insurance, Group or Community Funeral Insurance and Weather Index Insurance
  • 38. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 1. Credit Life or Loan Protection Insurance Proposition. • The loan protection Insurance protects the Banks, Microfinance Institutions and SACCOs against unexpected loss following the death, total permanent disability, and catastrophic loss of business property (stock) due to identified perils like fire among others. • The product also offers a funeral benefit to the client in the event of accidental death of a pre-identified spouse and children.
  • 39. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED CATEGORY SCOPE OF COVER BENEFIT (AMOUNT) A Client Death (Both Natural and Accidental) Outstanding loan amount and interest due. B Total Permanent Disability (due to illness or bodily injury) Outstanding loan amount and Interest C Catastrophic loss of physical property/stock detailed in the proposal (Fire/earthquake, explosion, storm, flood). Single property loss is also covered (valid documentation required). Outstanding loan amount and interest D Funeral Benefit - Death (Accidental) of borrower Specified Amount E Funeral Benefit - Death ( Accidental only) of a Pre- identified Spouse Specified Amount F Funeral Benefit - Death (Accidental) of a pre- identified Child (Maximum of 4 children) Specified Amount Group insurance benefits- Example
  • 40. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 2. Group/Community Funeral Insurance Coverage/beneficiaries: Group member, one pre- identified spouse and up to two children. The spouse and children are identified by putting their full names on the policy form. Names cannot be changed once they are written on the form. The policy is active only after payment of premium and expires a year from the date of commencement. Benefit/Pay outs are made in cases of; Death of Group member, Death of pre-identified spouse and Death of pre-identified child.
  • 41. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Group/Community Funeral Insurance claims: All claims under this insurance shall be lodged with the Company by submitting at least three of the following supporting documents: • Certified Letter from Local Council & Institutional letter from the Microfinance Institution or branch • Death Certificate or a certified copy of the same. • Police Report for accidental deaths • Letter from local pastor/imam • Letter from Group Chairman
  • 42. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Weather Index Insurance • Weather index insurance contracts are policies linked to the fluctuation of a weather variable. The weather variable is measured and indexed according to the specific objective of the insurance policy. • Insurance payouts are based only on the performance of the weather index and not on actual damage incurred or actual losses suffered on the ground. • This kind of insurance is most suitable for farmers’ groups or associations; however, premium rating is based on the amount of loans taken from the bank or financial institution. Payouts in the event of loss are made to the financial institution which disbursed the loans. • Examples of weather variables used in index insurance are Rainfall, Temperature, Wind speed, Soil moisture, Growing degrees days, and Sea surface temperature
  • 43. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Advantages and Limitations of Weather Index Insurance Weather Index Insurance eliminates most of the asymmetric information problems of traditional insurance products (moral hazard and adverse selection. For weather index insurance the advantage is that; • No loss assessment is required • It is objective and transparent • It has a simplified claims process • It provides timely payout • It reduces administrative costs • It facilitates risk transfer outside of the local community (international reinsurance) Limitations “Basis risk”: when the actual losses suffered by the insured and the payouts of the contract don’t match perfectly By definition, weather index insurance does not cover non weather sources of risk: in a multi-risk environment this can be a limitation for the end user
  • 44. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 45. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Players in the Insurance Industry The insurance industry is composed of sellers of insurance, regulators, intermediaries and other service providers. All these insurance players must be licensed by the Insurance Regulatory Authority, for them to operate legally. They are indicated here below; 1. Insurance companies Insurance companies are financial institutions that sell insurance. They carry the risk and are responsible for compensating in case of losses. Insurance companies can sell insurance direct, through Brokers and Insurance Agents. They sell both life and non – life insurance. 2. Insurance Brokers These are insurance intermediaries incorporated and licensed to transact business on behalf of insurance companies. They are independent and deal with all insurance companies. The insurers pay commissions to insurance brokers. These should more professional in insurance than the insurance agents
  • 46. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 3. Insurance Regulatory Authority The Authority’s functions include: • Establishing standards for the conduct of insurance and reinsurance business; • Licensing all persons involved in or connected with insurance business including insurance and reinsurance companies, insurance and reinsurance intermediaries, loss adjusters and assessors; • Safeguarding the rights of policyholders and insurance beneficiaries to any insurance contract; • Providing a bureau to which complaints may be submitted by members of the public; • Promoting a sound and efficient insurance market in the country; • Supervising and controlling transactions between insurers and reinsurers; • Ensuring strict compliance with the provisions of the Insurance Act and regulations made under it and any other law relating to insurance; etc.
  • 47. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 4. Insurance Institute of Uganda The Insurance Institute of Uganda is the training arm of the insurance industry in Uganda whose articles and memorandum of association mainly mandates it to provide and maintain a central organization for the promotion of efficiency, progress, welfare, knowledge and general development among persons engaged or employed in the insurance business. The institute has the following objectives: – To promote and assist the study of subjects and conduct trainings bearing on any branch of insurance – To advise on academic standards, qualifications and skills development of members in the insurance industry – To offer prizes and awards on the results of examinations for essays or research in any subject bearing insurance – To promote excellence, enterprise and integrity in the insurance profession and to provide members with access to relevant high quality information research and knowledge including library for use by members of the institute and other interested individuals
  • 48. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 5. Uganda Insurers’ Association The Uganda Insurers Association is an umbrella trade organization founded in 1965 by Insurance Companies to meet the challenges of an emerging competitive and growing industry its membership is composed of corporate insurance and reinsurance companies incorporated and licensed to operate in Uganda. Membership to the Association is mandatory for all licensed insurance companies. 6. Uganda Brokers’ Association The Uganda Association of Insurance Brokers is a body of all insuring broking persons, firms, companies, corporations or cooperative societies carrying on business of insurance broking in Uganda. The main objective of the Association is to protect and promote the general welfare and interests of the insurance brokers who are members of the Association.
  • 49. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED 7. Loss Adjusters These are qualified to assess, investigate, negotiate and settle losses of big magnitude on behalf of the insurer. Before they can be licensed by the Insurance Regulatory Authority, they should be qualified professionals in loss assessment. 8. Loss Assessors These are appointed by insurance companies after a loss has taken place to quantify the magnitude of the loss and advise on the method of compensation. They are used mostly in general classes of insurance. 9. Insurance Surveyors These survey risks and advise on rates, terms and conditions of premiums and make suggestions for improvement of risks. 10. Insurance Agents These are insurance intermediaries just like brokers, but unlike brokers, they represent one business for Chartis Insurance.
  • 50. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 51. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What to do in case a claim arises; The insured is required to act always as if they are not insured. This means that one should do everything within one’s power to prevent further damage. In other words, the insured should not be careless with the insured property just because it is insured. In fact, insurers will only compensate genuine and accidental claims. When a loss occurs, the insured should; • Report the incident to the insurer immediately • Report to the police if malicious persons are involved or in case of big accidents • Deliver the necessary information required by the insurer within a stipulated period • The insurer will immediately go and inspect the scene of the accident or occurrence and make his report as well. They will then provide the insured with a claim form to fill in.
  • 52. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Claim Forms: When a report about a claim has been made to the insurer, a blank claim form is issued to the insured for completion. The claim form, which is in form of a questionnaire, is designed by the insurer for the purpose of extracting details about the loss from the insured. Claims Processing: If the details in the claim form are acceptable, the insurer will open a claim file. The details in the claim file include; • Name and address of the insured • Claim number • Policy number • Period of insurance • Sum insured or the limit of liability • Estimate of loss or the claim reserve In the claim form, the insured will give an estimate of the loss. The amount being claimed determines how insurers will deal with the claim. Small claims like windscreens are replaced immediately while bigger ones may take about two weeks to a month.
  • 53. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED What is Insurance? Risk Management and Responding to Risk The Purpose of insurance How does Insurance work? Players in the Insurance Industry Insurance Underwriting and Categories of Insurance Fundamental Principles of Insurance Some commonly used Insurance terminologies Settlement of Insurance Claims
  • 54. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED Common Insurance terminologies • Insurer – a company that accepts the risk of loss and compensates the insured in the event of loss in exchange for a premium payment. • Insured – person or company transferring the risk of loss to a third party through a contractual agreement (Insurance policy). This is a person/entity that will be compensated for loss by an insurer under the terms of the insurance policy. • Premium – amount of money charged by an insurer and paid by the insured for insurance • Commission – amount of money paid by an insurer to its agent for business transacted. It is a percentage of the premium brought in. • Claim – loss or injury suffered by the insured, which must be settled by the insurer in monetary terms • Excess – part of the claim that the insured bears, e.g, for motor insurance, the insurance company pays 90% of the claim the insured meets the 10%.
  • 55. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED • Insurance Policy – a document binding the insurer and insured, and contains details of the asset insured, the terms and conditions, and exclusions to the policy. It is the evidence of the contract setting out the terms and conditions of insurance. This is general to all clients who have bought a particular policy, e.g. all private motor policies are the same for all clients- • Policy Schedule – this is a document that makes the policy personal to the insured. The information typed on this document is generated from the proposals form. • Proposal Form – a form containing questions about the details of the client and the asset being insured, and which is filled in by the insured. • Claim Form – a form containing questions about the details of the occurrence of the loss, which should be filled in by the insured. • Endorsement – any writing on a policy, in addition to its normal wording, which supplements or modifies the terms of the policy. It is normally made when the insured requires a wider or extra cover, e.g if the insured wants to add more vehicles on the fleet that has already been insured. This document is added when or after the policy is issued.
  • 56. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED • Renewal Notice – a document issued to bring to the attention of the insured that the policy is about to expire. It is issued one month before the expiry date. • Cover Note – an interim document evidencing the grant of insurance cover, states that the cover is in force and gives brief details of the cover. It is given to the insured in cases of urgency, i.e. when the policy document is not yet ready. It is therefore a temporary document and will be superseded once the policy is ready. • Sum Insured – the value of the risk that is being insured, e.g value of a building, stock, motor vehicles, from which premium is charged. It is also referred to as the insurer’s maximum liability, i.e. the maximum amount compensation by the insurer to any one client or insured. • Underwriter – an officer in the insurance company who assesses and determines whether or not the risk is acceptable. The underwriter also inputs all the information given by the insured in the company system. • Exclusions – conditions that are excluded from the normal policy documents, e.g. coverage for terrorism, floods and smuggling.
  • 57. THE UGANDA INSTITUTE OF BANKING & FINANCIAL SERVICES UIBFS ISO 9001:2008 CERTIFIED END

Notas do Editor

  1. INTRODUCTION In this module, we shall be discussing the concept of risk and the techniques of identifying, measuring and managing it. In this context, insurance as a risk management tool is discussed with reference to its role, functions, and the fundamental principles as applicable to the different classes. Now, we realize that in one form or another, insurance is part of our day to day lives, whether it is auto, medical, liability, disability, fire etc. Insurance serves as an excellent risk management and wealth – preservation tool. Having the right kind of insurance is a critical component of any good financial plan. All businesses should not operate without insurance, for it allows owners to minimize the risk of loss from circumstances beyond their control. Therefore, the risks that need to be covered should be identified.
  2. Insurance is a risk transfer mechanism. It is a form of protection against the threat or possibility of loss, a mechanism that helps to reduce the effects of adverse situations in the most economical way. It promises to pay the insured in case a loss occurs. Insurance transfers the financial consequences of the disaster insured against from the person by buying insurance from the insurance company. It is also a form of management/minimization of risk. The Insurance Contract is designed to have legal consequences, between two or more parties; this agreement has legal consequences and therefore, is legally enforceable.
  3. Some risks are insurable while others are not. How do we know if a certain risk is insurable? All Insurable Risks must have the characteristics below: Fortuitous in Nature; The happening of the insured event must be fortuitous or accidental in as far as the insured is concerned. It is not possible to insure against an event that will definitely occur since this involves no uncertainty of loss and therefore not transfer of risk would take place. Monetary Value; The risk must lead to a loss capable of being measured in financial terms. In property insurance, the value is easy to determine. In life assurance, the value of life may not be measurable, but the sum assured would be determined at inception, being generally limited by the ability of the assured to pay premiums. Insurable Interest; In order for a person to insure any property, one must have insurable interest in it. This means that there must be a legally recognizable relationship between the insured and the subject matter of insurance. Homogeneous Exposures; Insurance operates on the basis of the law of large numbers. In order for this law to apply, there must be a large number of similar exposures to enable insurers to forecast expected losses. Given a sufficiently large number of exposures to the risk, insurers can calculate the likelihood and the effects of occurrences. Public Policy; Like all other contracts, the contract of insurance must not be contrary to what the society considers just and moral. This requirement rules out the possibility of insuring stolen property or inflicting self-injury in a bid to benefit from insurance.
  4. Peace of Mind; when individuals, businesses and other entities know that insurance exists to meet financial consequences of their insurable risks; they will invest larger amounts of money than those they could have invested in the absence of insurance. Savings; Premiums paid for life assurance constitute income saved now for future consumption. An individual who saves one’s current income for the future’s well being of his family generally ensures their future security and prosperity. Investment of Funds; – Insurance companies use premiums collected to purchase treasury bills and other government securities. Insurers also lend to individuals, the government, and other companies leading to economic development in the country. Preservation of source of Income – Since insurers provide funds to be used in the reconstruction of damaged property e.g Owino fire, people are able to continue with their employment and contribute to the national economy. Invisible Earnings in form of COMESA yellow cards, Goods in transit, travel insurance, etc, insurance purchased across borders, improves income for the nation. Thus insurance companies improve on the balance of trade and add to the wealth of the country. Reduction and Control of Losses; Insurers provide loss control measures, improve and reduce effects of the loss by making use of loss assessors and loss adjusters. Protection; Life assurance policies offer protection to the lives of the insured. A person with a life policy is assured that in the event that he/she dies, the dependants shall be paid a lump sum to alleviate the financial consequences of the death. Job Creation and Retention; Insurers invest the premiums paid, which in turn create jobs for the unemployed population.
  5. The pool mechanism is based on the fact that the unfortunate few will be compensated by the fortunate many. Not all insured individuals will suffer losses at once or at all, so this allows insurance companies to operate profitably and at the same time pay for claims that may arise. The law of large numbers can be illustrated with the simple act of tossing a coin. If a coin is tossed very many times, then the chance of getting a tail or a head will almost be equal (50%). The law of large numbers would have operated to give a result which conforms to the probability. In operating a common pool, insurers rely on the law of large numbers which states that the actual number of events occurring will tend towards the expected number where there is a large number of similar exposures.  
  6. Insurance law is largely derived from the general law of contract. Because of this, insurance contracts must contain elements or principles that are applicable and required for all legally binding contracts. There are six basic principles that govern the way insurance operates;  
  7. Insurance law is largely derived from the general law of contract. Because of this, insurance contracts must contain elements or principles that are applicable and required for all legally binding contracts. There are six basic principles that govern the way insurance operates. For indemnity above, For instance, if the value of a customer’s vehicle is 10,000,000/=, then the insurer can only pay claims up to 10,000,000/= and not more. The insured is not supposed to benefit- they are simply reinstated.  
  8. Subrogation works hand in hand with indemnity, i.e. it is corollary to the principle of indemnity and prevents the insured to recover from parties, (the insurer and the third party who has caused the loss). An example of subrogation may include; a case where one car knocks another, naturally the owner of the damaged car would demand for compensation or repairs by the owner of the car that caused the damage. However, if the car is insured, then the insurer may pay the claim. In this case the insured should not demand for compensation from both parties but should give such rights to the insurer. In reality however, subrogation rights are rarely practiced. An example on contribution is for instance, KCCA may decide to spread their risks to NIC, UAP and Chartis Insurance companies in proportions 40%, 30% and 30% proportionately. Claims settlement should be done in the same proportion. Contribution can be applied in two ways; where there is Co-insurance (two insurance companies at the same level sharing a big risk) and Re-insurance (where the insurance companies insures the risk with a bigger company normally referred to as a Reinsurance Company), such as Swiss Re, Africa Re, etc
  9. The person buying the insurance who has an insurable interest stands to benefit from the preservation of the asset and will suffer from its loss. For instance, a husband or wife can insure an asset they both own e.g. a car, house etc, and a person with powers of attorney can insure the asset over which he has powers because he is affected by the loss or damage to the asset. Other relationships where insurable interest applies include; ownership, agent, bailee and part or joint ownership.
  10. Before Underwriting can be effected, the insurer must collect all the information necessary for underwriting purposes. In most cases the information is collected through a proposal form that is in form of a questionnaire.   A proposal form is printed by the insurer and issued to the proposer for the purpose of extracting underwriting information. In addition to the questions in the proposal form, the form contains a summary of the relevant policy cover. There are certain classes of insurance, however, for which proposal forms are not normally required, such as large fire risks. In this case information is got by the insurer through conducting surveys.
  11. Specific questions relate to the form of risk for which cover is being sought. These questions will assist the underwriter to determine whether or not, and on what terms and price, to accept the risk. A proposal form should be free of ambiguities, simple to understand and easy to complete. All questions on a proposal form deal with material facts. Thus, material facts are facts that are given by the proposer on the proposal form. The proposer should sign the proposal form as confirmation that all information given is true to the best of the proposer’s knowledge and belief.
  12. NON – LIFE INSURANCE This is commonly known as General Insurance e.g motor, fire, marine, accident, computer and electronics, machinery etc. Basically, it is insurance for assets and liabilities e.g. vehicles, buildings, computers, workers etc. General insurance policies are also referred to as indemnity policies, they are short – term policies, usually up to one year and are renewable. The common classes include;   (i) Fire and Special Perils   This policy provides indemnity for loss of and/or damage to buildings, Plant and machinery, Stock in trade, etc. Resulting from Fire, Lightening, Explosion of Gas or Boilers used for domestic purposes, Earthquake, Subsistence and landslip, Impact by moving objects, Aircraft damage, Riots, Strikes and Malicious damage, Water damage by burst pipes or apparatus.  
  13. Additionally, the business interruption policy provides cover for wages necessary to maintain staff during the interruption period as well as the increased costs of working incurred to minimize loss of gross profit. It is of paramount importance that the maximum period of interruption be assessed considering the possibility of relocating operation, reconstruction period, etc and a suitable amount insured as the gross profit to obtain the benefit of this policy. For the burglary policy, in view of the remote possibility of total loss by the theft of all the items at various locations in a single burglary event, we would recommend incorporation of the first loss sum insured to act as the insurers limit of liability for anyone loss and also the maximum under the policy. The indemnity under the all risk cover is for all risks of physical loss of and/or damage including fire and theft, and also includes cover for the insured items whilst being used away from the premises or in repair workshops.
  14. A statute to the effect of the workers’ compensation was recently passed by parliament with laws of the land mandating 60 months cover i.e. 5 years earnings for each employee for both Death and Permanent Disability. The cover is also extended to include medical up to a limit agreeable to the insured. It is a twelve hour cover. The benefits payable under the group personal accident policy may be fixed as a percentage of employees’ earnings or as fixed sum per person as follows: Death: Capital sum insured Permanent Disablement: Capital sum insured Temporary Disablement: Agreed fraction of employee’s weekly earnings for a stated period e.g. number of weeks. The Cover is also extended to include medical up to a limit agreeable to the insured. You have the option of taking out this cover for only the senior members of staff as is the case, or for all the members of staff. Our proposal for the public liability cover also includes cover under the following extensions subject to a limit of 10% of the General Liability limit. - Food and Drink poisoning - Use of Car Parks - Use of Signs Posts - Loading and Unloading - Use of carts and Pedals Cycles - Visits by Executive abroad - Jurisdiction clause: Uganda
  15. For Cash in transit, we would require an estimate of the annual carryings and the limits of cover desired for the various situations/circumstances to enable us tailor a suitable quote. Our cover also includes indemnity for damage to safes following theft or attempted theft. 
  16. A goods in Transit insurance cover provides similar coverage to marine cover, however for inland transits e.g. transits/deliveries of fuel and/or lubricants within Uganda abroad trucks or trains. This policy may be arranged on an “Open Cover” basis thereby anticipating the transits to be made in the course of the year, subject to periodical declarations of actual transits made, or alternatively on a “specific” basis, where cover would only attach in respect of consignments declared prior to transit.   A Financial Guarantee can also be referred to as an insurance contract that guarantees a prescribed amount would be paid in any event of a default by the guaranteed (“first party”) party in a “Three-party contingent liability” agreement. Under such agreement the third-party (the guarantor or “insurer”) agrees to be directly or collaterally responsible for the obligation (contract fulfillment, loan) of a first-party (the principal) to a second-party (government, bank, client) in case the first-party defaults or fails to fulfill its part of a deal. In effect, signing such a guarantee as a guarantor is like signing a blank check.
  17. Types of bonds: These include: Bid or Tender Bonds Performance Bonds Advance Payment Bonds (for government contract only) Immigration or Security Bonds Court Bonds Customs or Importation Bonds Warehouse Bonds
  18. Performance Bond and Insurance guarantee are basically synonymous with Financial Guarantees. This type of bond is usually required by the Principal to ensure that the Contractor fulfils his contractual obligations e.g. within the period specified or in accordance with the conditions of the contract. If the contractor does not complete the contract within the time specified and if no extension in the period is allowed, then the Bond or Guarantee is liquidated.
  19. Group life assurance benefit has the following riders, critical illness and income replacement. For critical illness, that is when one is unable to continue with daily routine work as a result of critical illnesses. In the event you can’t continue working, one is paid the full sums benefit, however, once you resume duty, and has already been paid part of the benefit, in the event of death, one is paid the outstanding amount of the sums assured.
  20. Income Replacement Insurance is sometimes known as Permanent Health Insurance (PHI) or Income Protection; it protects the consumer against unforeseen circumstances such as disability and long-term illness by providing financial help to replace lost income. The benefit pays a regular income designed to protect your standard of living if you are unable to work for an extended period of time. While a number of people have some form of life cover, a significant proportion of the public do not insure themselves against loss of income through ill-health. It's called permanent because the insurer may not cancel the policy no matter how often you claim for benefit, although policies usually expire when the policyholder reaches 60 or 65. Insurance companies will not normally write new policies for applicants within five years of these age limits
  21. In addition to General Insurance and Life Assurance, there exists a relatively new type of insurance known as Micro Insurance. This is a mechanism used to protect low income earners against risk (accident, illness, death in the family, natural disasters, etc.) in exchange for insurance premium payments tailored to their needs, income and level of risk. It is aimed primarily at the developing world´s low-income workers, especially those in the informal economy who tend to be underserved by mainstream commercial and social insurance schemes.
  22. Additionally, the premium prices are special rates negotiated with our insurance companies to ensure they do not overcharge the clients. An integral part of this product is comprehensive training of the loan staff provided by our experienced personnel for a better understanding of the product, risk management and awareness.
  23. Premium Rating: 1% of the loan amount. (Or 1% of the outstanding balance on existing loan) Premium frequency: Single premium on loan disbursement. Maximum Loan Period: 0-24 months
  24. The Exclusions include; Suicide by the member or attempt there at, self-inflicted injury, chronic alcoholism and drug abuse or participation in an unlawful activity. Members who have attained an age over 65 are not covered unless they have been a member of the program for two years. If this is the case, they may be covered until the age of 70. Registered children must not be above 21 years of age. Death or injury occurring whilst the Member is engaged in aviation (except as a fare-paying passenger on a scheduled airline), wild game hunting, mountaineering, racing of any kind, polo or motorcycling. Death traceable to any nuclear weapons or other nuclear devices or radioactive substances. Death arising out of War or warlike operation, insurrection, mutiny or attempt to overthrow the government, political riots or disturbances of similar nature.
  25. An example of an index insurance contract is a drought policy or crops that pay out if precipitation falls below a certain threshold. Payouts are not triggered by production losses measured in the field but, if the index is designed appropriately, the contract will capture the losses in crop production. The development of an appropriate index is one of the keys to successful implementation of index insurance.
  26. The establishment of the Insurance Regulatory Authority of Uganda was a consequence of Government’s adoption of the liberalization and privatization policies which ended its role of directly engaging in the provision of goods and services and taking on the role of supervisor or regulator. The Authority is the supervisor and regulator of the insurance industry in Uganda. It was established under Section 14 of the Insurance Statute, 1996 (Statute) [now, The Insurance Act, (Cap 213) Laws of Uganda, 2000] the provisions of which came into effect on 4th April 1996.
  27. In addition, in collaboration with and subject to the authority of the board of education trustees appointed by members of the institute, to devise and complement procedures and methods (including examinations and/or other practical tests) for testing candidates for the award of diplomas and certificates in the field of insurance and grant such diplomas and certificates to successful candidates as directed by the board of education trustees
  28. People and organizations buy insurance because of the compensation they expect to get in case of a misfortunate. In this sense, the purpose of insurance is to compensate or indemnify the insured. The way an insurer handles a claim will determine whether the insured will or will not continue doing business with the insurer. Insurers have lost quality business because of not handling claims well.   People and organizations buy insurance because of the compensation they expect to get in case of a misfortunate. In this sense, the purpose of insurance is to compensate or indemnify the insured. The way an insurer handles a claim will determine whether the insured will or will not continue doing business with the insurer. Insurers have lost quality business because of not handling claims well.  
  29. The insured should give the correct details about a loss in the claim form. When the claim form is completed, the details are compared with the proposal form and the policy document. If it is evident that the insured did not disclose some material facts, the insurer can avoid the claim. In some circumstances, the insurer may decide to deal with the claim on an ex-gratia basis, so as to keep the good relationship with the insured.