Motor Insurance
Motor Insurance
Motor Insurance
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Introduction
What is motor insurance? The answer to this question is very simple as it
comprises two words i.e. motor + insurance and motor means a vehicle of
any sort which is running on the road and Insurance means to provide
cover for any unforeseen risk which may occur in day to day life. Then
another question arises what is unforeseen risk? You are walking on the
road a car hits you from the back, you get a fracture in your leg and while
coming out you never thought that you will have an accident but it
was done. Later on these Acts have been consolidated by the Road Traffic
Act 1960.
How the concept of Motor Insurance has come into existence?
In 1939, India has also realized the importance of Motor Insurance and
Motor Vehicle Act was passed and came into existence in 1939. Earlier,
only few people knew about motor insurance but later on compulsory
third party insurance was introduced by the Act on 1st July 1946. We in
India follow the same practice as that of U.K.. As Motor Vehicles Act laid
the provisions in 1939 and it required some amendments that were
implemented by the Motor Vehicles Act 1988 and it became effective
from 1st July 1989 and thats how the insurance concept has come to
India.
Why one should go for motor insurance?
As you all know in our country crores of vehicles are plying on the road
and lot of accidents occurred daily, and due to these accidents damages to
material and third party occurs. Third party is any person other then the
owner. But the question arises how the loss is to be compensated? After
realizing all these problems it was made mandatory for all the vehicles
which are plying on the road to have an insurance which can provide
coverage to general public against the risk of loss or damage to motor
vehicles and with this the motor insurance concept has come into
existence and Act made this insurance compulsory for everyone those
who are driving the vehicle on the road so it become quite popular among
people and than motor insurance policies become available to provide a
comprehensive cover and a third party liability cover.
on the road can not drive the vehicle without an insurance policy it may
be a comprehensive policy or only a third party liability policy.
2) Insurable Interest: Insurable Interest means the insured must have
some legal right to insure the subject matter. Insurable interest is an
important and fundamental principle of insurance. Thus it is necessary for
valid contract of insurance. According to the definition of insurable
interest in the event of the legal right to insure arising out of a financial
relationship should be recognized under the law between the insured and
the subject matter of insurance. It means that insurable interest must be a
pecuniary interest. The insured must have an insurable interest in the
subject matter of insurance.
Without insurable interest the contract of insurance is void and
unenforceable. A person said to have an insurable interest in the subject
matter has to have benefit from its existence and prejudice by its
destruction. Thus, insurable interest must be actual and real and not
arising out of mere expectation. For e.g. if I own a car I can take a
insurance policy on my name but if my friend own a car then can I take a
policy on my name? The answer is No as we dont have any right on
others property and no profit or loss will occur to me if a claim arises to
this vehicle.
The essentials of insurable interest are:i) The existence of property exposed to loss, damage or a potential
liability;
ii) Such property or liability must be the subject matter of insurance;
iii) The insured must bear a legal relationship to the subject matter
whereby he stands to benefit by the safety of the property, right,
The term Subrogation means transfer of all the rights and remedies
available to the insured in respect of subject matter to the insured after
indemnity has been affected. It is also referred as getting into the shoes of
the others. It implies that the substitution of the insurer in place of the
insured in respect of the latters of Subrogation. For e.g. If a vehicle has
collided with another vehicle then the loss occurred to vehicle can be
claimed from insurer but if it is due to other party and loss has occurred
then it will come from other party, which means insurer may give the
claim to you but they can get the amount of loss from the other party.
This principle holds good only in the case of motor, fire & marine
insurance.
Contribution in simple words means to contribute the amount. This is
the one important principle essential for valid insurance contract. This
doctrine of contribution also applies only to contracts of indemnity i.e., to
fire and marine insurance. According to this principle, the case of double
insurance, the insurers are to share the loss in proportion to the amount
assured by each of them. In order to apply the right to contribution
between two or more companies the following factors must exist:
1(a) The subject matter of insurance must be the same
2(b) The event insured must be the same
3(c) The insured must be the same.
For e.g. If a car is insured by two insurers for Rs. 100,000 from insurer A
and for Rs. 200,000 from insurer B. A loss occurs for 75,000 then the
claim will come in proportion from both the insurers i.e. Rs 25,000 from
insurer A and Rs. 50,000 from insurer B. It does not mean that if loss
occurs and if a person has double insurance then he can claim the whole
amount from both the insurers, this way he can make profit out of these
contracts. So for this purpose this contribution corollary has come into
Motor Vehicles Act in actual sense came into existence in 1939. If we see
the provisions of this we will realize that it provides for various matters
relating to the use, maintenance and operation of motor vehicles. Besides
this it also take into consideration the matters relating to licensing of
drivers of motor vehicles, registration of motor vehicles, construction
equipment and maintenance of motor vehicles, control of traffic etc.
Under this Act Chapter VII- A and Chapter VIII of the Act provides for
insurance of motor vehicles against third party risks.
It was long time back in 1939, when this Motor Vehicles Act has come
into existence and properly came in force on 1st July 1939. But this did
not include all the provisions where as Chapter VIII was brought in force
on 1st July 1946.
The Motor Vehicle Act, 1939 (No. 4 of 1939) consolidated and amended
the law relating to motor vehicles. This was amended a several times to
keep it up to date. A need was, however, felt that this law should now take
into account also the changes in the road transport technology, pattern of
passenger and freight movements, development of road network and
particularly the improved techniques in motor vehicles management.
Various Committees like the National Transport policy committee,
national Police Commission, Road Safety committee, Low powered Twowheelers Committee, as also the law commission went into the different
aspects of road transport. They recommended updating, simplification
and rationalization of this law.
Therefore a working group was constituted in January 1984 to review the
provisions of the Motor Vehicles Act, 1939 and to submit draft proposals
for suitable legislation to replace the existing Act.
(a) Permanent privation of the sight of either eye or the hearing either ear,
or privation of any member or joint; or
(b) Destruction or permanent impairing of the powers of any member on
joint
(c) Permanent disfiguration of the head or face.
Hit and Run Accidents:
Hit and run accident is an accident arising out of the use of a motor
vehicle or motor vehicles the identity whereof cannot be ascertained in
spite of reasonable efforts for the purpose.
Section 163 provides that the central government may establish in fund
known as Solatium Fund to be utilized for paying compensation in
respect of death or grievous hurt to persons resulting from Hit and Run
Motor accidents.
It is provided that grievous hurt shall have the same meaning as in the
Indian Penal Code. According to section 320 of the Indian Penal Code the
following kinds of hurts are designed as grievous:
Permanent Privation of the vision of either eye.
Permanent Privation of the hearing of either ear.
Privation of any member or joint.
Permanent disfiguration of the head or face.
Fracture or dislocation of a bone or tooth.
Any hurt which endangers life or which causes the sufferer to be during
the space of twenty days in severe bodily pain or unable to follow his
ordinary pursuits.
The compensation payable form death claims is fixed at Rs. 25,000/- and
in respect of grievous hurt Rs.12, 500/-after the amendment to Motor
Vehicles Act 1988. (Earlier to amendment, it was Rs.8500/- for death and
Rs. 2,000/-for grievous hurt.
The payment of compensation for Hit and Run Accidents is subject to the
condition that if any compensation is awarded for such death or grievous
hurt under any other provisions of the Motor Vehicles Act or any other
law under Hit and Run Accident has to be deduced from such
compensation.
Solatium fund:
It is the fund, which is, consists of contributions from the General
Insurance Industry, the Central government, and the State Government as
decided by the Central government. A solatium fund is created so as to
provide compensation for the victims of hit & run cases. You must have
seen a lot of accidents on road where a vehicle had hit the other vehicle or
peddlers on the road, so for them this solatium fund is created to provide
them compensation.
1) Private Cars:
These are:
a) Private Car type vehicles are used for social, domestic and pleasure
purposes and sometimes for professional purposes of the insured or
used by the insureds employees for such purpose It excludes use for
hire or reward, racing, pace making, reliability trial, speed testing and
sue for any purpose in connection with the motor Trade. It also
excludes carriage of goods other than samples.
b) Motorized three wheeled vehicles (including motorized rickshaws/
cabin body scooters) are used for private purpose only. Trial, speed
testing and used for any purpose in connection with the Motor Trade is
excluded.
c) Three Wheeled vehicles, which also includes motorized rickshaw cabin
scooters used for private purposes.
2) Two wheelers:
Motorized two wheelers can be with or without sidecar, which is used for
social, domestic and pleasure purposes and also for professional
purposes. It excludes carriage of goods other than samples of the insured
or used by the insureds employees for such purposes but excluding use
for hire or reward, racing, pace making, reliability trial, speed testing etc.
3) Commercial Vehicles:
a) Goods carrying vehicles (own goods): They are trucks and trolleys
which carry goods for their own purposes or for their private use. These
are vehicles used under a Private Carriers permit within the meaning of
the Motor Vehicles Act 1939. The Act defines a private carrier as an
owner of a transport vehicle other than a public carrier who uses the
vehicle solely for the carriage of goods which are his property or the
carriage of goods which belong to him and is necessary for the purpose of
business to carry the goods and not being a business of providing
transport. For e.g. I own AXC Co. Ltd at Delhi and I have to send my
own goods to my manufacturing unit at Meerut so for this purpose if I use
my own truck to carry my own goods, it means this vehicle is under the
category of Private carrier vehicle.
Under the provisions of the Motor Vehicle Act, 1939(as amended), Motor
Accidents Claims tribunal are constituted by State Government to
adjudicate upon claims for compensation in respect of motor vehicles
accidents involving death of or bodily injury to persons or damage to
their property. These Tribunals were introduced with the object of
providing facilities for less expensive and quick settlement of third party
claims. MACT is formed so as to provide assistance to general public
when any third party claim arises.
In a way Tribunal has all the powers, which a Civil Court has and it is
deemed to be a Civil Court at times but still the procedures of the
Tribunal and a Civil Court are different.
The procedures of this Tribunal is simpler then those of Civil Court, but
still they were unable to settle the various disputes regarding third party
damage / injury.
Lok Adalats:
Lok Adalats as the name says are the Adalats formed for the general
public to settle their disputes regarding claim settlement. There are so
many accidents that occur daily and claims arises due to accidents but
when the settlement has to be done sometimes insured is not at all
satisfied with the compensation provided to him as settlement of claim.
If in reality we see there are lot of third party claims are still pending with
MACT and to clear this backlog and to provide a proper way for the
settlement of claims the concept of Lok Adalat (also known as Lok
Nayayalaya-peoples court) was mooted by Shri P.N Bhagwati, Ex. Chief
justice of India. If in a general way we see Lok Adalat sections are held at
important centers in the country in lose liaison with the Legal Aid
Committee of the state and the M.A.C.T or District and Session Judge.
It has been specified by GIC that Claims up to certain limits from time to
time are submitted to the Lok Adalat and only pending cases are taken up
for compromise settlement. Chapter XI of the Lok Nyayalaya rules, 1986
provide special provisions for the amicable settlement of pending cases
before MACT. It is provide that members of MACT themselves should
scrutinize each case pending before them, and if it is found that there no
defense regarding the negligence of the victim nor any defense under
Section 96(2) of the Motor Vehicle Act, 1939 section 49(2) of the Motor
Vehicle Act, 1988) which section provide the only grounds of defense
open to an issuer then these matters may placed before the Lok
Nyayalaya for amicable settlement.
A consent application has to be taken from the applicant and also the
consent of the advocates for the applicants, for the opposite party and the
insurer has to be obtained well in advance for placing the cases before the
MACT can go straight away to this forum. The claims instead of filing a
claim before the MACT can submit to the company the relevant claim
documents such as copy of FIR, proof of age and income, medical
certificates, etc. The settlement is arrived by an independent panel
comprising retired judges, retired insurance executives and medical
practitioners. If the amount assessed is not acceptable to the claimant, he
has a right to seek redress or help through the MACT. This Scheme is
particularly applicable to Non-Fatal injuries i.e. where the death of the
person does not occur. The Jalad Rahat Yojana offers the following
benefits as:
1. Settlement of claim within shortest possible time i.e. 2 or 3 months.
2. It is a cheapest remedy for the applicant as it does not charge any court
fees, lawyers fees or any other charges.
3. It provides a fair assessment of claims by independent judges, retired
judges, medical practitioners etc.
4. Payment is made in full and final settlement of claims.
policies
other
Package policy
class of vehicle.
Proposal form
The proposal form is the basis of insurance. It is so desired as to elicit all
information necessary for a proper evaluation of the risk and for rating.
Specimen of the proposal forms are given in Section 5 of the Tariff.
The queries made/details stated in the Proposal form are the minimum
requirements to be furnished by a proposer. The insurer may seek any
other information as desired for underwriting purposes.
The questions commonly asked are:
(a) Particulars about the proposer:1(i) Proposers name in full to establish the identify of the insured who is
one of the parties of the contract, and may place the insurer on enquiry
concerning the moral hazard.
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Motor Vehicles Act and the Rules made there under for the
time being in force to drive the category of motor vehicle
insured hereunder.
Lost, Destroyed or Mutilated Certificates :
Where the insured person
3(a) Lodges with an insurer a declaration in which he declares that
a Certificate of Insurance issued to him by such Insurer has
been lost, destroyed or mutilated and sets out full particulars
of the circumstances connected with the loss or destruction
of the Certificate and the efforts made to find it; or
(b) Returns to the Insurer the Certificate of Insurance issued to him by
such Insurer in a defaced or mutilated condition; and
(c) Pays to the Insurer a fee of Rs. 50/- in respect of each such certificate.
The Insurer, shall if reasonably satisfied that such Certificate has been
lost and that all reasonable efforts have been made to find it, or that it has
been destroyed, soiled or is defaced or mutilated as the case may be, issue
in lieu thereof a duplicate certificate of Insurance or cover note with the
word DUPLICATE prominently endorsed to that effect.
Cover Note :
A cover note is usually issued when the policy and certificates of
insurance cannot be immediately issued for any reason.
1(i) Cover Notes insuring Motor Vehicles are to be issued only in
Form 52 in terms of Rule 142, Sub Rule (1) of the Central
Motor Rules 1989.
2(ii) It terms of Rule 142, Sub-Rule (2) of Central Motor Vehicle
Rules 1989, a Cover Note shall be valid for a period of sixty
days from the date of its issue and the insurer shall issue a
policy of Insurance before date of expiry of the Cover Note.
2The cover is worded along the following lines as prescribed by the
Tariff:
The insured described in the Schedule below having proposed for
insurance in respect of the Motor Vehicle (s) described in the Schedule
below and having paid the sum of .the risk is hereby held covered in
terms of the Companys usual form of ..policy applicable thereto
(subject to any special conditions or restrictions which may be mentioned
overleaf) for the period between the dates specified in the Schedule
unless he cover be terminated by the company by notice in writing, in
which case the insurance will thereupon cease and proportionate part of
the annual premium otherwise payable for such insurance will be changed
for the time the Company has been on risk.
1(1) Registered Mark and No. or description of the vehicle (s)
insured, Engine no., chassis No.
2(2) Make and cubic capacity, type of vehicle (s) etc.
3(3) Name and address of Insured.
4(4) Effective date of commencement of Insurance for the purpose
of the Act a.m./ p.m. on
5(5) Date of Expiry of insurance.
6(6) Persons or classes of persons entitled to drive.
7(7) Limitations as to use.
8(8) Additional Risks if any.
9(9) Special Conditions
3It will be observed that the Cover Note incorporates a certificate that it
is issued in accordance with the provisions of the Motor Vehicles Act.
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Policy forms:
Policies insuring Motor Vehicles are to be issued only as per the Standard
Form(s) given in INDIA MOTOR TARIFF (G.R.3)
The Policy Form consists of the following sections: 1(a) Recital clause. This clause reads as follows:- Where the
Insured by proposal and declaration dated as stated in the
Schedule which shall be basic of this contract and is deemed
to be incorporated herein has applied to the Company for
insurance hereinafter contained and has paid or agreed to pay
the premium as consideration for such insurance in respect
of accident, loss or damage occurring during the Period of
Insurance.
2(b) Operative clause of a private comprehensive policy specifies
the risk covered and the risks excluded.
3(i) Section I deals with the loss or damage to the vehicle;
4(ii) Section II deals with the liability to third parties;
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8(iii) In commercial Vehicle Policies Section III deals
9With towing of any mechanically disabled vehicle. In
Motor Trade policies, Section III deals with Trailer
attached to the Vehicle.
10(iv) Personal Accident Cover for Owner Driver.
11(c) General Exceptions. These are exclusion applicable to entire
policy.
12(d) Conditions
13(e) Schedule of a Private Car Policy :- This consists of type
written matter relating to individual details of the contract,
The column provides are:
Policy No.
Name of the Company
The Insureds name and address and Business or
Occupation;
Period of Insurance
Geographical Area.
Registration mark and other details of the vehicle
Limitations as to use
Driver.
Premium Computation.
Date of signature of Proposal and declaration.
Signature of Authorized Officer.
Endorsement
An endorsement is a document, which incorporates change in the terms of
the policy. An endorsement may be issued at the time of the policy to
provide additional benefits and covers (e.g. Legal Liability to Driver) or
to impose restrictions (e.g. excess accidental damage in a public carrier
policy) the wordings of these endorsement are provided in the Tariff. An
endorsement may also be issued subsequently to record changes such as
change of address, change of name, change of vehicle etc. The present
form of the Tariff contains 65 Endorsement.
Renewal Notice:
It is the practice of companies to issue Renewal notice to the insured
usually one month in advance of the date of expiry of the policy.
This notice provides details of renewal premium, including No Claim
discount, if earned.. As notice is prepared in advance, there could be a
claim between the date of preparation and the date of expiry. The renewal
premium invited is subject to the provision that in the event of a claim
suitable adjustments will be made in the premium.
The insureds attention is also invited to revise the Insureds Declared
Value as per depreciation provided in the Tariff / Policy. If the vehicle is
older than 5 years old, the IDV of the vehicle fixed on the basis of
understanding between the Insurer and the Insured.
Renewal Receipt:
This is a document which is issued in lieu of the policy at renewal. As a
measure of economy and quick service, these Receipts are issued. This is
a simpler document than the policy.
Underwriting
claims
experience
or
additional
The risk exposure due to the purpose for which the vehicle is used is
taken care of in the rating systems adopted by the traffic. The use to
which vehicles are to be put, even those of the same class, is a deciding
factor in the relative degree of risk involved. Private Cars represent a
lighter risk than taxies which are subject to optimum utilization.
Private carriers are a better risk than public carriers. The use of the former
is limited to carriage of own goods whereas public carriers, like the
taxies, are subject to optimum utilization including driving during night,
thus exposed to greater incidence of accidents and wear and tear. Private
carriers are also better maintained.
Even in same class of vehicles, one risk may differ from another, A goods
carrying vehicle used for delivery of aerated water bottles from door to
door in a city will not be such a heavy risk as a lorry engaged in interstate transportation of goods. The general nature of the goods carried is
important for underwriting purposes, especially if they are flammable or
likely to explode.
The Area of Operation:
The area of in which the vehicle is used has a direct bearing upon the risk
under all sections of cover of the comprehensive policy. This aspect of
physical hazard is also taken care of in the rating system adopted I the
Tariff for all type of vehicle. For these vehicles, rates differ according to
the zones in which it is used. This differential rating takes into account
the density of population, density of road traffic, etc.
of in the rating system but just as important is the personal hazard of the
driver which is not dealt with in the rating system.
It is essentially the driver who is responsible for good or bad claims
experience in motor insurance. By careful driving and by taking a pride in
his vehicle, an insured can substantially reduce loss possibilities. On the
other hand, neglect and carelessness are two factors which are responsible
for bad claims experience.
Therefore, the concerns of underwriting are how to deal with a young
driver or a new driver, or what should be done with the owner who is
known to be a careless driver or the insured who pays scant attention to
the mechanical condition of the car so as long as it is reasonably fit for
his purposes. It may be mentioned that these cases could be regarded as a
moral hazard in the wider sense of carelessness can dealt with by the
underwriter. The hazard arising from the driver can be assessed from the
point of view of his age, physical condition, driving experience and
occupation.
The Claims Experience:
All proposal forms elicit full particulars of settled and outstanding claims
in connection with any motor vehicle owned or driven by the proposer
during the last preceding 3 to 5 years. Information is required to be
submitted separately for own damage claims, third party claims and
other claims. Claims experience has also to be considered at the time of
renewal. The approach adopted for acceptance of new proposal is equally
applicable for renewal business. If the loss experience on own damage
claims is bad, then renewal will have to be offered on the basis of
excess or restricted cover.
Moral Hazard:
Consumers remain the most important centre of the insurance sector. After the
entry of the foreign players the industry is seeing a lot of competition and thus
improvement of the customer service in the industry. Computerisation of
operations and updating of technology has become imperative in the current
scenario. Foreign players are bringing in international best practices in service
through use of latest technologies
The insurance agents still remain the main source through which insurance
products are sold. The concept is very well established in the country like
India but still the increasing use of other sources is imperative. At present the
distribution channels that are available in the market are listed below.
Direct selling
Corporate agents
Group selling
Brokers and cooperative societies
Bancassurance
Customers have tremendous choice from a large variety of products from pure
term (risk) insurance to unit-linked investment products. Customers are
offered unbundled products with a variety of benefits as riders from which
they can choose. More customers are buying products and services based on
their true needs and not just traditional moneyback policies, which is not
considered very appropriate for long-term protection and savings. There is lots
of saving and investment plans in the market. However, there are still some
key new products yet to be introduced - e.g. health products.