Introduction Of Fire Insureance.docx

PROJECT REPORT “FIRE INSURANCE”

SUBMITTED TO University Of Mumbai for partial completion of the degree of Bachelor in commerce (Accounting and Finance) Under the faculty of commerce

BY Darshan.V.Ambani

TYBAF (SEM. v) ( ROLL NO.6) Under the Guidance of MR.SURAJ WADHWA

Shri. Vishnu Waman Thakur Charitable Trust’s Bhaskar Waman Thakur College of Science, Yashvant Keshav Patil College of Commerce, Vidhya Dayanand Patil College of Arts, VIVA College ACADEMIC YEAR April 2019

Certificate This is to certify that Ms/Mr _____________________________________has worked and duly completed her/his Project Work for the degree of Bachelor in Commerce (Accounting & Finance) under the Faculty of Commerce in the subject of Accountancy / Management and her/his project is entitled, “…………………………………..Title of the project -------------------------------------------------------------------------” under my supervision.

I further certify that the entire work has been done by the learner under my guidance and that no part of it has been submitted previously for any Degree or Diploma of any University. It is her / his own work and facts reported by her/his personal findings and investigations.

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forms my own contribution to the research work carried out under the guidance of Name of the guiding teacher is a result of my own research work and has not been previously submitted to any other University for any other Degree/ Diploma to this or any other University. Wherever reference has been made to previous works of others, it has been clearly indicated as such and included in the bibliography. I, here by further declare that all information of this document has been obtained and presented in accordance with academic rules and ethical conduct

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Acknowledgment To list who all have helped me is difficult because they are so numerous and the depth is so enormous. I would like to acknowledge the following as being idealistic channels and fresh dimensions in the completion of this project. I take this opportunity to thank the University of Mumbai for giving me chance to do this project. I would like to thank my Principal, __________for providing the necessary facilities required for completion of this project. I take this opportunity to thank our Coordinator_______________, for her moral support and guidance. I would also like to express my sincere gratitude towards my project guide _____________ whose guidance and care made the project successful. I would like to thank my College Library, for having provided various reference books and magazines related to my project. Lastly, I would like to thank each and every person who directly or indirectly helped me in the completion of the project especially my Parents and Peers who supported me throughout my project.

INDEX

SR.NO INDEX 1 2 3 4 6 7 8 9 10

INTRODUCTION HISTORY & TYPES OF INSURANCE MEANING & DEFINATION& FEATURES NEED FOR FIRE INSURANCE TYPES &SPECIAL PERIL POLICY FEATURES OF FIRE INSURANCE PROCEDURE OF FIRE INSURANCE CONCLUSION REFERENCES

PAGE NO 1 3 7 16 26 38 41 57 58

CHAPTER 1

INTRODUCTION

A fire insurance is a contract under which the insurer in return for a consideration (premium) agrees to indemnify the insured for the financial loss which the latter may suffer due to destruction of or damage to property or goods, caused by fire, during a specified period. The contract specifies the maximum amount, agreed to by the parties at the time of the contract, which the insured can claim in case of loss. This amount is not, however , the measure of the loss. The loss can be ascertained only after the fire has occurred. The insurer is liable to make good the actual amount of loss not exceeding the maximum amount fixed under the policy. A fire insurance policy cannot be assigned without the permission of the insurer because the insured must have insurable interest in the property at the time of contract as well as at the time of loss. The insurable interest in goods may arise out on account of (i) ownership, (ii) possession, or (iii) contract. A person with a limited interest in a property or goods may insure them to cover not only his own interest but also the interest of others in them. Under fire insurance, the following persons have insurable interest in the subject matter: Owner  Mortgagee  Pawnee  Pawn broker  Official receiver or assignee in insolvency proceedings  Warehouse keeper in the goods of customer  A person in lawful possession e.g. common carrier, wharfing, commission agent. The term 'fire' is used in its popular and literal sense and means a fire which has 'broken bounds'. 'Fire' which is used for domestic or manufacturing purposes is not 1

fire as long as it is confined within usual limits. In the fire insurance policy, 'Fire' means the production of light and heat by combustion or burning. Thus, fire, must result from actual ignition and the resulting loss must be proximately caused by such ignition. The phrase 'loss or damage by fire' also includes the loss or damage caused by efforts to extinguish fire.

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CHAPTER 2

HISTORY AND TYPES OF INSURANCE

A fire at a business can devastate a business. The structure may be damaged beyond repair. Business revenues are disrupted as the business cannot remain open. In the United States in 2006 there were 1.6 million fires reported resulting in $11.3 billion in direct property loss. It is a risk that must be insured against. Most property insurance policies and business owner policies cover fire losses. Most business property insurance policies are broad form policies. These policies list a number of perils that are covered by the policy and exclude perils that are not covered. Fire insurance means insurance against any loss caused by fire. Section 2(61 of the Insurance Act defines fire insurance as follows: ―Fire insurance business means the business of effecting, otherwise than incidentally to some other class of business, contracts of insurance against loss by or incidental to fire or other occurrence customarily included among the risks insured against in fire insurance policies.‖ However, fire insurance can be purchased as a specific peril policy or the coverage increased by a specific endorsement. It is important for the business owner to understand what is not covered under a traditional broad form policy and ways to increase coverage. It is important to review what appropriate considerations when reducing premiums are and what not effective ways to save premiums are.

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TYPES OF INSURANCE:

Life Insurance: A life insurance policy is a contract with an insurance company. In exchange for premium payments, the insurance company provides a lump-sum payment, known as a death benefit, to beneficiaries upon the insured's death. Typically, life insurance is chosen based on the needs and goals of the owner. Term life insurance generally provides protection for a set period of time, while permanent insurance, such as whole and universal life, provides lifetime coverage. It's important to note that death benefits from all types of life insurance are generally income taxfree.

Marine Insurance: Marine insurance is very important because through marine insurance, ship owners and transporters can be sure of claiming damages especially considering the mode of transportation used. Of the four modes of transport – road, rail, air and water – it is the latter most which causes a lot of worry to the transporters not only because there are natural occurrences which have the potential to harm the cargo and the vessel but also other incidents and attributes which could cause a huge loss in the financial casket of the transporter and the shipping corporation.

Incidents like piracy and possibilities like cross-border shoot-outs also pose a major threat when it comes to water transportation and therefore in order to avoid any loss because of such events and happenings, in the interest of the corporation and the transporter, it is always beneficial to have a back-up like a marine insurance.

General Insurance: 4

General insurance helps us protect ourselves and the things we value, such as our homes, our cars and our valuables, from the financial impact of risks, big and small – from fire, flood, storm and earthquake, to theft, car accidents, travel mishaps – and even from the costs of legal action against us. And we can choose the types of risks we wish to cover by choosing the right kind of policywith the features we need. In general, insurance works by spreading the cost of unexpected risks among a large number of people in the same region who share similar risks. When you take out an insurance policy, you pay a monthly or annual premium. That money joins the premiums of many thousands of other policyholders and goes into a big pool of funds. For more information on how premiums work click here. With any luck, you will never need to draw on that pool. But if you happen to be one of the unlucky ones affected by an unexpected calamity, perhaps through severe weather or accident, that pool of funds can be used to help you up to the limit you have selected in your policy.

Insure for the Proper Valuation: Many small business owners find that if they insure for an amount less than what the business is worth, premiums are lower. This is true. However, insurers require as a condition of the policy that the business is insured for a value equal to the actual value of the business. If it is not, and a loss occurs, a penalty is applied to the settlement amount. This penalty will almost always exceed the value of any saved premium and will come at a very bad time. Always insure for 100% of the business value

Insure for the Proper Valuation: Many small business owners find that if they insure for an amount less than what the

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business is worth, premiums are lower. This is true. However, insurers require as a condition of the policy that the business is insured for a value equal to the actual value of the business. If it is not, and a loss occurs, a penalty is applied to the settlement amount. This penalty will almost always exceed the value of any saved premium and will come at a very bad time. Always insure for 100% of the business valueHave an independent evaluation of the business by an independent appraiser each year and adjust coverage as necessary. Do not rely on property tax evaluations or guesses from your insurance professional.

Actual Cash Value versus Replacement Cost: Most policies cover a fire loss with actual cash value or ACV instead of replacement cost. Actual cash value pays the amount of the property less depreciation. This can be devastating if your business relies upon high value equipment that has a long useful life, but would be prohibitively expensive to replace. As examples: coolers, refrigerators, tow lifts, aircraft or anything that would be prohibitively expensive to buy new. Replacement coverage pays the amount to replace the property lost at whatever the replacement cost is today. Replacement coverage carries higher premiums and can be purchased as a rider or endorsement. Consider the following when considering ACV vs. replacement coverage.

CHAPTER 3

MEANING & DEFINATION & FEATURES

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2.1 MEANING: The term fire in a fire insurance is interpreted in the literal and popular sense. There is fire when something burns. In other words fire

means visible flames or actual

ignition. Simmering/ smoldering is not considered fire in Fire Insurance.

Fire

produces heat and light but either of them alone is not fire. Lightening is not a fire but if it ignites something, the damage may be due to fire.

Under section 2(6A) Insurance Act 1938, the fire insurance business is defined as follows: “Fire insurance business means the business of effecting, otherwise than independently to some other class of business, contracts of insurance against loss by or incidental to fire or other occurrence customarily included among the risks insured against in fire insurance policies”. 7

Example: The following are the items which can be burnt/ damaged through fire:

a. Buildings

b. Electrical installation in buildings

c. Contents of buildings such as machinery, plant and equipments, accessories, etc.

d. Goods (raw materials, in–process, semi–finished, finished, packing materials, etc.) in factories, godowns etc..

e. Goods in the open

f. Furniture, fixture and fittings

g. Pipelines (including contents) located inside or outside the compound, etc.

The owner of abovementioned properties can insure against fire damage through fire insurance policy which provides financial protection for property against loss or damage by fire.

Definition of Fire in Insurance: 8

Fire insurance contract is defined as “an agreement, whereby one party in return for a consideration undertakes to indemnify the other party against financial loss which the latter may sustain by reason of certainly defined subject-matter being damaged or destroyed by fire or other defined perils up to an agreed amount”.

Other Points to Consider You will want to review your policy annually. Make sure accurate addresses are reflected on the policy and all endorsements and riders. Sometimes if you own many buildings a blanket fire policy covering all of the structures can save significant premiums. Finally, always have a fire plan in place and train your employees appropriately. Insurers often provide discounts for active fire prevention programs.

Properties that are covered: All moveable/ immoveable properties of the proposer on land (excluding those in transit) broadly categorized as follows: i. Building (including plinth and foundations, if required) • Whether completed or in course of construction (excluding the value of land). Interiors, Partitions and Electricals • Plant & Machinery, Equipments & Accessories (including foundations, if required) • Bought Second hand. • Bought New • Obsolete Machinery Stocks • Raw Material • Finished Goods

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• In process • In trade belonging to Wholesaler, Manufacturer and Retailer. Other Contents such as •Furniture, Fixtures and Fittings • Cables, Piping‘s • Spares, Tools and Stores • Household goods etc. Specific Items such as bullion, unset precious stones, curios, work of arts, manuscripts, plans, drawings, securities, obligations or documents, stamps, coins or paper money, cheques, books of accounts, computer system records, explosives. Special types of Policies available for Stocks.

a. Declaration Policy: To care of frequent fluctuations in Stocks/ Stock Values Minimum Sum Insured Rs. 1 crore per location. Monthly declaration on any one of the following basis to be submitted before the last day of the succeeding month. 1. Average of the highest values at risk on each day (or) Highest value on any day of the month. 2. Refund of premium, on expiry of policy, based on the average declaration upto 50% of the provisional premium.

b. Floater Policy: • To take care of frequent changes in values at various locations. • Single sum insured for all the stocks in all the locations. • Nominal premium loading to cover all the stocks in all the locations.

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• Fire • Lightning Explosion / Implosion • Aircraft damage • Riot, Strike, Malicious and Terrorism damage (hereinafter called RSMTD Perils) • Storm, Tempest, Flood, Inundation, Hurricane, Cyclone, Typhoon and Tornado. • Impact by any Rail/ Road vehicle or animal. • Subsidence / Landslide including rockslide. • Bursting and / or overflowing of water tanks, apparatus. • Leakage form Automatic Sprinkler Installation. • Missile Testing Operation. • Pollution or contamination resulting from any of the above perils. • Any insured peril resulting from pollution and contamination. • Bush Fire.

Expenses Covered: The policy automatically covers the following expenses incurred following loss/ damage/destruction of a covered property as a result of the operation of an insured peril. i. Architects, Surveyors and Consulting Engineers' Fees up to 3 % of the claim amount. ii. Expenses incurred for removal of debris to clear the site up to 1 % of the claim amount.

Exclusions Applicable: 11

a. Losses/ Expenses not covered: i..5% of each and every claim subject to minimum of Rs.10,000 resulting from Lightning, STFI and Subsidence and Landslide including Rockslide and Rs.10,000 in respect of all other perils. ii. Expenses incurred on Architects, Surveyors' Consultant Engineers fees and Debris Removal in excess of 3% and 1% of claim amount respectively. iii. Loss of earnings, loss by delay, loss of market or other consequential or indirect loss or damage of any kind. b. Perils not covered: i. War and allied perils. ii. Ionizing radiations and contamination by radioactivity. iii. Pollution or Contamination c. Properties not covered: i. Items like manuscripts etc. unless specifically declared. ii. Cold storage stocks due to change of temperature. iii. Loss / damage/ destruction of any electrical and/or electronic machine, apparatus, fixture or fitting arising from over running, excessive pressure, short circuiting, arcing, self heating or leakage of electricity, from whatever cause including lightning. iv. Loss / damage / destruction of Boilers, Economizers or other Vessels in which steam is generated machinery or apparatus subject to Centrifugal force, by its own explosion/ implosion.

Importance Of Fire Insurance Fire insurance is the type of insurance coverage, in which an individual pays some sum of money to the company, in exchange to receive advantages for the fireplace losses. Fire insurance provides the security for home, share, home furniture, enterprise 12

buildings, etc,. Fireplace insurance provides the price of alternative of properties and assets, which gets broken due to the fireplace incident. Fire insurance provides the advantages for the homeowner in these ways It provides the price of damage for the building It provides the rc, if any home furnishings are damaged due to the fireplace incident, like plywood home furniture, carpets, clothes. It provides alternative or maintenance price for the electronic items, which is broken due to fireplace, like television, computer, air coolers. Fire insurance provides advantages to the enterprise in the following way It covers the price of share broken due to the fire It provides the loss of life advantages to employee, in case of loss of life occurred due to the fireplace incident. It provides the alternative or maintenance price for the machines, if they get broken due to fireplace incident. It provides the medical expenses for the employees, if they get injured due to the fireplace incident. The expectations of living have definitely modified with the times and this only indicates that more people look for any paths that can lead to benefits. With there being so many kinds of insurance available in the market, some select to leave fireplace insurance, stating that the threats of a fireplace developing are more distant, than say a center. Protecting property or home from fireplace is essential, more so if you know the chance of one developing is very real. Mature qualities usually bring more possibility with them. Their age predisposes them to have some substandard electrical wiring, or some leaking plumbing, which would all end up producing a fireplace. Modern, latest qualities are at less possibility, but random shoots can happen, like during hefty stormy weather when super hits. A fireplace insurance coverage protects for the harm due to a fireplace in two ways. One is paying out the sum of money comparative to the value of the home or business, after the fireplace is out. The other is by getting together with the costs of changing the piece of property or home, and in this case, that indicates fixing and restocking. It‘s bad enough when your home uses up down due to some inevitable incident, but when you do not have an insurance plan to help you move back to your typical life, its even more intense. With that being said, it is well to consider the significance of a fireplace insurance plan, especially if you know you cannot manage to change the home in your own financial initiatives. You get a chance to explain the essentials of the insurance plan you want, showing what you want protected in the insurance plan, and what to be overlooked. If you cannot get your kind of insurance plan with one insurance provider, there are always so many others to select from. 13

Importance of Fire Insurance for Businesses: No type of risk is more dangerous than fireplace and arson that intends enterprise building in the Business. This is why high-risk enterprise qualities like dining establishments are recommended to take additional fireplace insurance to make sure they are well ready for such harmful activities. Basically, fireplace insurance can provide complete take care of against fireplace and smoking damage to the property and its items. Since the actual features and price of take care of will differ on the level of take care of you used for, it is important to make sure that you are effectively protected. Thus, conditions and insurance plan information must be tested before carrying out to a replace insurance coverage. Furthermore, there are other accessories that go with fireplace insurance that you have to involve in your take care of. Although they will price you a little bit more on charges, these will confirm to be important in the future. Such involve legal take care of, personal belongings, and old for new take care of. Just take be aware of administration accepted fireplace protection products that you can use, which will help bring down the price of your fireplace expenses.

Characteristics of Fire Insurance 1. Fire insurance is a contract of indemnity. The insurer is liable only to the extent of the actual loss suffered. If there is no loss there is no liability even if there is a fire. 2. Fire insurance is a contract of good faith. The policy-holder and the insurer must disclose all the material facts known to them. 3. Fire insurance policy is usually made for one year only. The policy can be renewed according to the terms of the policy. 4. The contract of insurance is embodied in a policy called the fire policy. Such policies usually cover specific properties for a specified period. 5. Insurable Interest: A fire policy is valid only if the policy-holder has an insurable interest in the property covered. Such interest must exist at the time when the loss 14

occurs. In English cases it has been held that the following persons have insurable interest for the purposes of fire insurance- owner; tenants, bailees, including carriers; mortgages and charge-holders. 6. In case of several policies for the same property, each insurer is entitled to contribution from the others. After a loss occurs and payment is made, the insurer is subrogated to the rights and interests of the policy-holder. An insurer can reinsure a part of the risk. 7. Fire policies cover losses caused proximately by fire. The term loss by fire is interpreted liberally. Example: A women hid her jewellery under the coal in her fireplace. Later on she forgot about the jewellery and lit the fire. The jewellery was damaged. Held, she could recover under the fire policy. 8. Nothing can be recovered under a fire policy if the fire is caused by a deliberate act of policy-holder. In such cases the policy-holder is liable to criminal prosecution. 9. Fire policies generally contain a condition that the insurer will not be liable if the fire is caused by riot, civil disturbances, war and explosions. In the absence of any specific expectation the insurer is liable for all losses caused by fire, whatever may be the causes of the fire. 10. Assignment: According to English law a policy of fire insurance can be assigned only with the consent of the insurer. In India such consent is not necessary and the policy can be assigned as a chose-in-action under the Transfer of Property Act. The insurer is bound when notice is given to him. But the assignee cannot be recovering damages unless he has an insurable interest in the property at the time when the loss occurs. A stranger cannot sue on a fire policy. 11. Payment of Claims: Fire policies generally contain a clause providing that upon the occurrence of fire the insurer shall be immediately notified so that the insurer can take steps to salvage the remainder of the property and can also determine the extent of the loss. Insurance companies keep experts on their staff of value the loss. If in a policy there is an international over valuation of the property by the policy-holder, the policy may be avoided on the ground of fraud.

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CHAPTER 4

NEED FOR FIRE INSURANCE

Fire accidents are very much unexpected but heavily destructive. Hence, having fire insurance is very much essential. Fire Insurance policy covers your home‘s structure, or fixing and fittings, against hazard and provides you with the financial resources to replace what you have lost, so that you can get back to normal as soon as possible. If the worst were to happen and your house burned down, where would you go, knowing that you have relatives who will pitch in to help you out during such a difficult time is great, but if you don‘t have those resources, what would you do? This is where you need a fire insurance policy. Fire insurance provides the security for home, stock, furniture, business buildings, etc; it provides the cost of replacement of properties and assets, which gets damaged due to the fire accident. For example, if your home is destroyed or damaged enough by a fire to the point that it renders you homeless, a fire insurance policy will often pay for the reasonable increase in your living expenses, such as the additional cost of hotel stays, restaurant bills, etc. Secondly, if you had property worth N1 million, then the insurance firm can be able to restore you to the same old position, gaining back your momentum is very easy as you just have to rebuild what you had once more. Benefits of having fire insurance It is bad enough when your house burns down due to some unavoidable accident, but when you don‘t have an insurance cover to help you slide back to your normal life, it‘s even worse. With that being said, it is well to consider the importance of a fire insurance cover, especially if you know you cannot afford to replace the house in your own financial efforts. One of the major benefits of fire insurance in general is coverage of belongings that are destroyed in a fire. This includes major appliances within the home, furnishings, clothing, jewelries, and other items of value that are specifically covered within the terms of the policy. Fire insurance provides the price of damage for the building, if any home furnishing is damaged due to the fire incident, it provides alternative maintenance price for the electronic items like television, computer, air conditioners, which is destroyed by fire. Having fire insurance can save 16

you from financial disaster. Along with replacement and reimbursement of lost belongings, fire insurance can also provide financial assistance in finding a new place to live and compensating the insured party for losses not covered under a homeowner insurance plan. Your home is probably your most valuable asset. Failing to insure it against fire damage could put you in a precarious financial situation if you leave yourself no recourse in the event of a fire. You‘ve worked hard all your life to have the things that you deserve why put all of that in jeopardy by failing to have adequate insurance coverage for fire? Fire is a commonplace occurrence, but this doesn‘t mean that it is destined to happen to you. But if it does, having fire insurance to help cover your financial losses. It is a critical safety net that nobody should do without.

Subject Matter of Fire Insurance: Subject matter of fire insurance may be of any kind of movable and immovable property having pecuniary value. The property intended to be insured must be properly described. As per fire insurance, it is governed by Tariff; the following are the examples of insurable property such as: 1. Building 2. Electrical installation in buildings 3. Contents of buildings such as machinery, plant and equipments, accessories etc. 4. Good (raw materials, work in progress, semi finished goods, finished goods, packaging materials) in factories and go downs. 5. Good in open 6. Contents in dwellings, shops, hotels, etc. 7. Furniture, fixture and Fittings 8. Pipelines (including contents) located inside or outside the compound etc.

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Introduction to All India Fire Tariff : This Tariff applies to ―Erection All Risks/ Storage Cum Erection Insurance‖ Rating of Risks with Sum Insured up to Rs. 100 cores. (Risks with Sum Insured above Rs. 100 crores and up to Rs. 1500 cores shall be rated by Insurers as per guidelines issued vide Circular 2001/7 dated 1 st January, 2001, Rules for Fire Protection – I) Minimum Compulsory Requirements applicable to all risks irrespective of Sum Insured – i) One portable fire extinguisher of Soda Acid or Water type for every 300 sq. m of storage/erection site area or small bore hose reels as per Relevant Section of Fire Protection Manual of TAC shall be provided. The location of fire extinguishers shall be conspicuously marked by clearly visible signs. Checking and maintenances at regular intervals shall be recorded. ii) Trained fire fighting squad shall be maintained for the site. iii) Watch and Ward facility shall be provided round the clock at the site/premises. iv) One fire engine of 400 GPM x 100 PSI shall always be stationed at site. Note Not applicable to policy with Sum Insured up to Rs. 50 crores v) Materials and equipments stored in buildings (sheds) or in open area shall be divided into sub-units with the value, which shall not exceed 10% of the sum insured or Rs. 50 Crores whichever is less. Wherever value of single equipment stored exceeds this limit, its value shall be taken as the limit. The sub-units in open area shall be separated from each other by a distance of at least 15 m. In case of storage buildings, firewalls of 9" thickness carried up to roof shall be erected without any wall openings between the subunits. vi) Packing materials, scaffolding etc. combustible materials and liquids and explosive substances should be stored at a 30 M safe distance from other buildings, plants and stores 18

vii) Utmost attention should be paid to good housekeeping such as - Orderly storage; Periodic removal of combustible packing material, either by burning on site at a safe distance of 100 M or removal from the site; Clean-up of site at least once a week viii) Open flame work (welding, cutting etc.) requires utmost caution. All combustible materials lying around must be removed or covered. ix) Grass and/or any other vegetation in and around the site are regularly removed. x) "No smoking" rules must be enforced in areas exposed to fire (stores etc.) and in the vicinity of hazardous operations. xi) Living quarters should be well separated (100 M away) from construction site. xii) In addition to above, the following fire prevention measures are recommended: a) The site is secured by properly constructed fence. b) Temporary buildings (offices, rest rooms, material stores etc.) be made of non - combustible materials.

Classification of Risk Risk: Risk may be defined as: The possibility of events, or combinations of events, occurring which have an adverse impact on the economic value of an enterprise as well as the uncertainty over the outcome of past events. It follows that any risk classification system should start by considering what the ―economic value‖ of an enterprise is. The Working Party considered the following definition of economic value: Embedded Value comprising:

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• Shareholder net assets (assets less liabilities) plus • Value In-Force (VIF) – the value of existing business relating to future income less costs, including the cost of capital (covering both regulatory and other capital requirements as well as economic capital) and the impact of taxes. • Plus Goodwill relating to (a) the value of future new business, plus (b) future initiatives to: • Drive down costs, • improve persistency and • improve the risk: reward profile plus/minus various other frictional and structural items such as Agency Costs. Risk classification refers to the use of observable characteristics such as gender, race, beh avior, or the outcome of genetic tests to price or structure insurance policies. Risk classifi cation helps insurers classify selected risks when underwriting. It allows them to group in dividual risks with similar expected medical costs, compute the corresponding insurance premiums, and reduce adverse selection (and potential moral hazard). Only risk character istics correlated with expected claim costs are useful for underwriting. Information on individual risk is seldom used to determine individual participation in em ployer‐ or government‐sponsored plans, but is often observed in voluntary plans and in lo ng‐term insurance markets, where it serves to define accessibility, classify policyholders i n homogenous risk classes, and set the premiums of each risk class. From this, we arrive at the following high level risk categories: • Market Risk – the risk that as a result of market movements, a firm may be exposed to fluctuations in the value of its assets, the amount of its liabilities, or the income from its assets • Credit Risk – the risk of loss a firm is exposed to if a counterparty fails to perform its contractual obligations (including failure to perform them in a timely manner) including losses from downgrades and other adverse changes to the likelihood of counterparty failure

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• Insurance and Demographic Risk – the risk of adverse variation in life and general insurer and pension fund claim experience as well as more general exposure to adverse persistency and other demographic experience, and including adverse changes to assumptions as to future experience; • Operational Risk – the risk of loss, resulting from inadequate or failed internal processes, people and systems, or from external events.

Liquidity Risk : The high level categories cover threats to the quantum of embedded value i.e. threats to the amount of realistic assets in excess of realistic liabilities. However, solvency is based not just on the amount of assets relative to liabilities but also to how liquid these are. If assets are not sufficiently liquid, they may have to be sold at a discount to market value to meet liabilities as they fall due and/or a firm may have to borrow to cover the shortfall in liquid funds, giving rise to interest costs. In extremis, a firm may find itself unable to meet liabilities as they fall due. There is thus the need to consider the liquidity as well as the amount of assets relative to liabilities and thus we need to add a high level category for Liquidity Risk which is defined as: The risk that a firm, although solvent, either does not have available sufficient financial resources to enable it to meet its obligations as they fall due, or can secure such resources only at excessive cost.

Risk to Goodwill – Strategy Risk The categories considered so far relate to existing assets and liabilities and the embedded value arising from these, but a large component of a firm‘s economic value relates to goodwill in respect of future new business and initiatives to extract greater 21

value from the existing book of business. Thus a separate Strategy Risk category has been added to cover threats to the realisation of the goodwill of a firm in relation to future new business as well as future projects/initiatives to: • reduce costs, • improve persistency and • optimize risk profile. • Risks leading to actual strategic outcomes differing adversely to expectations; • Risks which may inhibit strategy and strategic choices • The risk that the strategy chosen is sub-optimal. The risk that strategy is suboptimal includes Agency Risk where the interests of management are not aligned with the owners of a firm. Inter alia, Strategy Risks include threats which may compromise the value of the firm‘s brand and its ability to leverage this to write profitable new business.

Aggregation & Diversification Risk: It is important in considering risk to look not just at the individual components but how they come together as a whole. Risks may be super-additive, with the combined impact greater than the sum of the individual parts. More often than not, risks are subadditive with risks unlikely to crystallize to the same extent simultaneously. Firms

allow for this diversification benefit in assessing capital requirements, but there is a risk that the combined impact may be greater than expected i.e. that the diversification benefit is less than expected. Thus the common risk classification system has a final,

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over-arching high-level category for Aggregation and Diversification Risk which is defined as: The risk that the aggregate of risks across individual categories is greater than the sum of the individual parts and/or that anticipated diversification benefits are not fully realized. Note that aggregation and diversification is also considered as a sub-set of each highlevel category e.g. Market Risk will include an Aggregation and Diversification Risk category to address the combined impact of individual market risks such as equities and property. However this high-level category will consider impact across the other highlevel categories e.g. between Market and Operational Risks. To summaries, based on the view of risk outlined above, the common risk classification system has high-level categories for: • Market Risk • Credit Risk • Insurance and Demographic Risk • Operational Risk • Liquidity Risk • Strategy Risk • Frictional Risk and • Aggregation and Diversification Risk

Market Risk : The definition of Market Risk is based on the FSA‘s definition in INSPRU 3.1.5G which also notes that: ―Sources of general market risk include movements in interest rates, equities, exchange rates and real estate prices‖ This gives rise to Equity, Interest Rate, Foreign Exchange and Property Risk categories of Market Risk. In addition: • Interest Rate Risk is further split out with a separate Real Interest Rate Risk category covering movements in real yields and hence implied inflation; 23

• There is also a separate Inflation Risk category to cover adverse movements in actual (as opposed to implied) inflation rates and in rates of earnings inflation; • A Swap Spread Risk category covers movements between Gilt and swap rates, while a Bond Spread Risk category covers the widening of corporate bond spreads over the riskfree rate; • A Commodity Risk category covers adverse movements in commodity prices; • There is an Alternative Investments category to cover the risks associated with Infrastructure and other alternative investments. The categories of Market Risk above can be further broken down into: • Specific risk (or ―Alpha‖) relating to an individual share, bond or property; • Sector impacts e.g. telecom shares, regional office property markets; • General market impacts (or ―Beta‖) – split domestic and overseas markets; • Income risk relating to dividend and rent variability • Implied volatility of options for that particular asset class;

• Model Risk relating to changes in the value of derivatives for a particular asset class due to changing models of that asset class; and • Basis Risk relating to differences between exposures hedged and hedge assets.

OPERATIONAL RISK Definition of Operational Loss In defining Operational Risks, a considerable area of uncertainty relates to what exactly constitutes an operational loss. The Working Party has worked on the basis that operational losses include overtime and temporary staff recruited to solve a problem but not the cost of existing of staff that may be switched to problem solving i.e. marginal costs only. Operational losses would also include lost 24

future income e.g. from regulatory challenges to charges, which might impair embedded value.

FRICTIONAL RISK:

This would include categories for: a) Regulatory capital rule changes which increase capital requirements and hence the economic cost of capital borne by a firm; b) Accounting rule changes having the same effect as a) and/or restricting the ability to pay dividends to shareholders; c) Changes in rating agency requirements having the same effect as – where the firm wishes to maintain its rating; d) Problems caused by operating structure, including: • lack of fungibility of capital in subsidiaries e.g. cannot transfer excess capital in one subsidiary to cover a shortfall in another; • changes in corporate structure adversely affect capital requirements; • problems in a subsidiary having a ―knock on‖ impact on other subsidiaries whom it provides services for; e) Tax changes including the impact on embedded value of changes to corporation and income tax and VAT, as well as own portfolio impacts affecting the rate of tax paid (e.g. life insurer moving into an ―excess E‖ position); and f) Increases in economic capital requirements

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CHAPTER 5 TYPES & SPECIAL PERIL POLICY

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1. Valued Policy: In this policy the value of the subject-matter is agreed upon at the time of taking up the policy. The insurer agrees to pay a pre-determined amount if the subject-matter is destroyed or damaged by fire. The principle of indemnity is not applicable to this policy. The agreed value may be more or less than the market value at the time of loss. These policies are generally issued for those goods or property whose value cannot be determined after their loss or damage. These goods may include works of art, jewellery, paintings, etc

2. Specific Policy:

Under this policy the risk is insured for a specific sum. In case of loss of property, the insurer will pay the loss if it is less than the specified amount. It can be explained with an example: An insurance policy is taken for Rs. 50,000 and the value of the property is Rs. 80,000. If the property worth Rs. 40,000 is lost, the insured will get the whole amount of loss. If the loss is up to Rs. 50,000, it will be paid in full. In case loss exceeds Rs. 50,000, say it is Rs. 60,000, the indemnity will only be upto the amount insured i.e. Rs. 50,000. Under this policy the insured is not punished for getting a policy for lesser sum. The actual value of property is not taken into consideration. 3. Average Policy: If the ‘average clause’ is applicable to a policy, it is called Average Policy. Average clause is added to penalise the insured for taking up a policy for a lesser sum than the value of the property. The compensation payable is proportionately reduced if the value of the policy is less than the value of the property. Suppose a person takes up a fire insurance policy of Rs. 20,000 and the value of the property is Rs. 30,000. If there is a loss of property worth Rs. 50,000, the underwriter

27

pays compensation of Rs. 10,000 (20,000/30,000 x 15,000) and not Rs. 15,000. It discourages the insured to get under-valued policy.

4. Floating Policy:

A floating policy is taken up to cover the risk of goods lying at different places. The goods should belong to the same person and one policy will cover the risk of all these goods. This policy is useful to those businessmen who are engaged in import and export of goods and the goods lie in warehouses at different places. The premium charged is generally the average of the premium that would have been paid, if specific policies would have been taken for all these goods. Average clause always applies to these policies. 5. Comprehensive Policy:

A policy may be taken up to cover up all types of risks, including fire. A policy may be issued to cover risk like fire, explosion, lightening, burglary, riots, labour disturbances etc. This is called a comprehensive policy or all risk policy. 6. Consequential Loss Policy:

Fire may dislocate work in the factory. Production may go down while the fixed expenses continue at the same rate. A policy may be taken up to cover up consequential loss or loss of profits. The loss of profits is calculated on the basis of loss of sales. A separate policy may be taken up for standing charges also. 7. Replacement Policy:

The underwriter provides compensation on the basis of market price of the property. The amount of compensation is calculated after taking into account the amount of depreciation. A replacement policy provides that compensation will be according to the replacement price. The new asset should be similar to the one which has been lost.

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The amount of compensation will depend upon the market price of the new assets so that it is replaced without additional cost to the insured.

8. Blanket policy Blanket policy is issued to cover more than one named building or property, or all the contents of more than one named building. Under such a policy, all the fixed and current assets of a manufacturer or a trade lying in different buildings can be covered by one policy at the same premium.

9. Consequential Loss Policy: It is a policy under which the insurer agrees to indemnify the insured for the loss of profits which he suffers due to the dislocation of his business caused by fire. It is also known as loss of Profit Insurance.

10. Reinstatement Policy ;

If the insurer undertakes to reinstate (replace) the insured property in case of risk, it is called as reinstatement or replacement policy.

11.Transit Policy:

It covers risk due to fire during transit. The policy commences with the loading of goods in the carriage and ends once the goods are unloaded at the destination.

12.Adjustable Policy:

Adjustable policy is issued for a particular period on the existing stock. The premium amount is paid in full at the time the policy is taken. Any variation in the value of the stock covered by the policy is intimated to the insurer by the insured. The insured, on 29

receipt of such an information, endorses the policy in accordance with the change intimated and the premium adjusted. The premium is finally settled at the expiry of the policy.

Reinstatement or replacement Policy In such policies the insurer undertakes to pay no the value of the property lost, but the cost of replacement of the property destroyed or damaged. The insurer may retain an option to replace the property instead of paying cash.

Floating Policy

When one policy covers property situated in different places it is called a floating policy. Floating policies are always subject to an average clause.

Combined Policies

A single policy may cover losses due to a variety of cases, e.g. fire together with burglary, third party losses, etc. A fire policy may include loss of profits, i.e. the insurer may undertake to indemnify the policy holder not only for the loss caused by fire but also for the loss of profits for the period during which the establishment concerned is kept closed owing to the fire. Fire insurance is a form of property insurance which protects people from the costs incurred by fires. When a structure is covered by fire insurance, the insurance policy will pay out in the event that the structure is damaged or destroyed by fire. Some standard property insurance policies include fire insurance in their coverage, while in other cases, fire insurance may need to be purchased separately. Property owners should check with their insurance companies if they are not sure whether or not fire insurance is part of their policies, and if fire insurance is not included, it should be purchased. Depending on the terms of the policy, fire insurance may pay out the actual value of the property after the fire, 30

or it may pay out the replacement value. In a replacement value policy, the structure will be replaced in the event of a fire, whether it has depreciated or appreciated: in other words, if homeowners purchase a home and the value increases, as long as it is covered by a replacement value policy, the insurance company will replace it. An actual cash value policy covers the structure, less depreciation. Most accounts come with coverage limits which may need to be adjusted as property values rise and fall. Depending on the terms of the policy, the contents of the home as well as the structure may be covered in the event of a fire. Some policies also provide a living allowance which allows the victims of a fire to rent temporary housing while their homes are repaired. These clauses in an insurance policy typically cause the policy to become more expensive, since they will represent additional costs to the insurance company in the event of a fire. However, they can be extremely useful if a fire occurs. The cost of fire insurance varies widely. The use of fire alarms, sprinkler systems, and other safety measures can decrease the cost of the policy, and may even be required for some policies. Living in a region prone to wildfires will increase the cost of the insurance, as the risk of a payout is greatly increased. Because many people purchase fire insurance for their homes and businesses, insurance companies have a large risk pool, making fire insurance less expensive than specialized insurance like earthquake or flood insurance. When purchasing fire insurance, people should be aware that some types of fires may not be covered. For example, a fire caused by an earthquake might

be excluded from a fire insurance policy, as might a fire caused by an act of God. It is important to read the terms of the policy carefully, and to ask for clarification from the insurance representative if the terms are not clear. If a policy does not appear to meet the need, it should be renegotiated until it is satisfactory.

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Fire and Special Peril Policy : What are the basic principles of insurance? The basic principles of insurance under common law may be defined as an agreement between the insurers and the insured whereby the insurers having received premium undertake to make good the financial loss subject to limit of sum insured suffered by the Insured as a result of damage or destruction of the insured property by fire or other specified perils during a stated period. How are they applied to fire insurance? The fire insurance is also subject to certain special principles evolved under common law. Whether stated in the policy or not, the common law principles automatically apply to fire insurance contracts. These are all called as implied condition. These relate to

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1. Utmost good faith 2. Insurable Interest 3. Subject matter of insurance 4. Indemnity

Utmost good faith In ordinary commercial contracts the parties to the contract are required to observe only good faith i.e. There should not be any fraudulent. However, in insurance contracts the legal doctrine of utmost good faith applies. It means it is the duty of the insured to disclose all material facts bearing on the insurance. The insurers rely entirely on information given by the proposer. The insurer can avoid the contract if they provide that certain material information has not been given or has been incorrectly given by the insured.

Insurable Interest Insurable Interest, in simple terms, means the legal right of insure. To constitute insurable interest, three essentials are required 1. There must be a physical object, capable of being destroyed or damaged by fire or other insured perils. 2. This physical object must be the subject matter of insurance. 3. The insured must have some relationship to such object recognized by law, so that he stands to benefit by its safety or be prejudiced by its destruction or damage.

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Existence of the subject matter The subject matter of insurance must exist when the contract is affected and must be described adequately to ensure that it can be identified in the event of loss. The insured can only recover up to the extent of insurable interest, irrespective of sum for which he has insured.

Indemnity The principle of indemnity, which arises under common law, ensures that the insured does not recover more than actual loss suffered by him. The indemnity is subject to the terms and conditions of the policy depreciation, salvage, underinsurance and policy excess. Elaborate risks covered under Standard Fire and Special Perils Policy with provision of deductible excess. Which are the perils covered under the standard Fire and Special Perils Policy? The following perils are covered under standard fire and special perils policy

1. Fire 2. Lightning 3. Explosion / Implosion 4. Aircraft damage 5. Riot, Strike, Malicious damage 6. Storm, Tempest, Flood, Inundation, Hurricane, Cyclone, Typhoon and Tornado. 7. Impact by any Rail/ Road vehicle or animal 8. Subsidence / Landslide including rockslide. 9. Bursting and / or overflowing of water tanks, apparatus. 34

10. Missile Testing Operation. 11. Leakage form Automatic Sprinkler Installation 12. Bush Fire

Properties that are covered: All moveable/ immoveable properties of the proposer on land (excluding those in transit) broadly categorized as follows: 1. Building (including plinth and foundations, if required): Whether completed or in course of construction (excluding the value of land). Interiors, Partitions and Electricals. 2. Plant & Machinery, Equipments & Accessories (including foundations, if required) Bought Second hand. Bought New Obsolete Machinery 3. Stocks: Raw Material Finished Goods In process In trade belonging to Wholesaler, Manufacturer and Retailer. 4. Other Contents such as Furniture, Fixtures and Fittings Cables, Piping‘s Spares, Tools and Stores Household goods etc. 5. Specific Items such as bullion, unset precious stones, curios, work of arts, manuscripts, plans, drawings, securities, obligations or documents, stamps, coins or paper money, cheques, books of accounts, computer system records, explosives. A traditional and a time-tested policy that offers cover against fire and allied perils and the perils of nature. The policy can cover building (including plinth and foundation), plant and machinery, stocks, furniture, fixtures and fittings and other contents. The standard cover is a named-peril policy covering the following perils: Fire Explosion/ Implosion (excluding explosion/ implosion of boilers, economizers or other vessels, machinery or apparatus in which steam is generated) Direct lightning Aircraft including damage caused by any article dropped there from (excluding 35

pressure waves) Riot, strike, malicious damage-excluding terrorism Storm, cyclone, typhoon, tempest, hurricane, tornado, flood and inundation Impact by any rail/ road/ vehicle/ animal (other than own) Subsidence and landslide including rockslide Bursting and/ or overflowing of water tanks, apparatus and pipes Missile testing operations Leakage of water from automatic sprinkler installations Bush fire (excluding forest fire) Terrorism risk can be covered on payment of additional premium Removal of debris up to 1% of claim amount Architect's and Surveyor's fees up to 3% of claim amount Quick and expert risk inspections where required Expert Risk Control Program me by our Risk Engineers on all aspects of safety and Loss Prevention/ Minimization Availability of various optional covers Rating based on individual risk features including claims experience and fire protection systems availability Superior claim service.

Loss Covered By Fire Insurance: The types of losses covered by fire insurance are:. Goods spoiled or property damaged by water used to extinguish the fire . Pulling down of adjacent premises by the fire brigade in order to prevent the  progress of flame.  Breakage of goods in the process of their removal from the building where fire is raging e.g. damage caused by throwing furniture out of window.  Wages paid to persons employed for extinguishing fire.

The types of losses not covered by a fire insurance policy are:-

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 loss due to fire caused by earthquake, invasion, act of foreign enemy, hostilities orwar, civil strife, riots, mutiny, martial law, military rising or rebellion or insurrection. Loss caused by subterranean (underground) fire.  Loss caused by burning of property by order of any public authority.  Loss by theft during or after the occurrence of fire. 

Loss or damage to property caused by its own fermentation or spontaneous

combustion e.g. exploding of a bomb due to an inherent defect in it. Loss or damage by lightening or explosion is not covered unless these cause actual ignition which spread into fire.

A claim for loss by fire must satisfy the following conditions:-

The loss must be caused by actual fire or ignition and not just by high temperature.  The proximate cause of loss should be fire.  The loss or damage must relate to subject matter of policy.  The ignition must be either of the goods or of the premises where goods are kept. 

The fire must be accidental, not intentional. If the fire is caused through a

malicious or deliberate act of the insured or his agents, the insurer will not be liable for the loss.

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CHAPTER 6

Features of Fire Insurance:

.

1) Offer & Acceptance : It is a prerequisite to any contract. Similarly, the property will be insured under fire insurance policy after the offer is accepted by the insurance company. Example: A proposal submitted to the insurance company along with premium on 1/1/2011 but the insurance company accepted the proposal on 15/1/2011. The risk is covered from 15/1/2011 and any loss prior to this date will not be covered under fire insurance.

2) Payment of Premium: An owner must ensure that the premium is paid well in advance so that the risk can be covered. If the payment is made through cheque and it is dishonored then the coverage of risk will not exist. It is as per section 64VB of Insurance Act 1938. (Details under insurance legislation Module).

3) Contract of Indemnity Fire insurance is a contract of indemnity and the insurance company is liable only to the extent of actual loss suffered. If there is no loss, there is no liability even if there is fire. Example: If the property is insured for Rs 20 lakhs under fire insurance and it is damaged by fire to the extent of Rs. 10 lakhs, then the insurance company will not pay more than Rs. 10 lakhs.

4) Contribution: 38

If a person insured his property with two insurance companies, then in case of fire loss both the insurance companies will pay the loss to the owner proportionately. Example: A property worth Rs. 50 lakhs was insured with two Insurance companies A and B. In case of loss, both insurance companies will contribute equally.

5) Period of fire Insurance: The period of insurance is to be defined in the policy. Generally the period of fire insurance will not exceed by one year. The period can be less than one year but not more than one year except for the residential houses which can be insured for the period exceeding one year also.

6) Deliberate Act: If a property is damaged or loss occurs due to fire because of deliberate act of the owner, then that damage or loss will not be covered under the policy.

7) Claims: To get the compensation under fire insurance the owner must inform the insurance company immediately so that the insurance company can take necessary steps to determine the loss.

8) Utmost Good Faith: The property owner must disclose all the relevant information to the insurance company while insuring their property. The fire policy shall be voidable in the event of misrepresentation, mis-description or non-disclosure of any material information. Example: The use of building must be disclosed i.e 39

whether the building is used for residential use or manufacturing use, as in both the cases the premium rate will vary.

9) Insurable Interest: The fire insurance will be valid only if the person who is insuring the property is owner or having insurable interest in that property. Such interest must exist at the time when loss occurs. It is well known that insurable interest exists not only with the ownership but also as a tenant or bailee or financier. Banks can also have the insurable interest. Example: Mr. A is the owner of the building. He insured that building and later on sold the building to Mr. B and the fire took place in the building. Mr. B will not get the compensation from the insurance company because he has not taken the insurance policy being a owner of the property. After selling to Mr. B, Mr. A has no insurable interest in the property.

10)

Payment of Claims:

Fire policies generally contain a clause providing that upon the occurrence of fire the insurer shall be immediately notified so that the insurer can take steps to salvage the remainder of the property and can also determine the extent of the loss. Insurance companies keep experts on their staff of value the loss. If in a policy there is an international over valuation of the property by the policy-holder, the policy may be avoided on the ground of fraud.

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CHAPTER 7

PROCEDUER OF FIRE INSURANCE

1. Selection of Insurance Company First of all one should identify a fire insurance company from which the policy is to be purchased. In India, four general insurance companies owned by Government were operating in this field. These companies are: i.

National Insurance Company,

ii.

Oriental Fire and General Insurance Company,

iii.

New India Assurance Company, and

iv.

United India Insurance Company.

Now private insurers have also entered the field. These companies can either be directly contacted or through a broker.

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2. Proposal form After having chosen a company, the proposer will have to fill in a proposal form which furnishes the basis of the contract. The proposal form requires the proposer to give details such as his name, address, occupation and value and nature of property to be insured, type of policy required, amount of assured sum, etc. While indicating the value of the property or the goods, the insured should give the market value because the company takes into account the current market value of the subject matter at the time of settling the claim. A little margin may be added to such value for likely appreciation in its market value. As the fire insurance contract is based on the principle of utmost good faith, care should be taken to avoid ambiguity, while answering questions in the proposal form. The proposal form should be signed properly and sent to the company for acceptance.

3. Evidence of responsibility Fire insurance is a personal contract. Just by setting fire to the property, the insured can claim large sums of money. Hence, before accepting a risk, the insurance company requests the proposer to furnish reasonable evidence of his responsibility. Before assuming the risk, the insurer has to ascertain whether the proposer is a respectable person and is taking policy in utmost good faith. This precaution is mandatory as the fire insurance involves a high degree of moral hazard which arises from the nature and behavior of human beings connected with the subject matter of insurance. By purchasing a policy for setting fire to the property, the insured might get a large sum and make a quick buck out of it. If the proposer, on the other hand, is a well known figure, than the risk can be assumed without any enquiry but in case of new proposers or strangers of doubtful integrity, the insurer will have to compel them to produce some reasonable evidence of their integrity.

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4. Survey of property The next step in effecting fire insurance is a survey of property proposed to be insured through qualified experts known as surveyors. These surveyors are deputed to inspect the property carefully and to assess the degree of risk involved. It is on the basis of their report that the company accepts or rejects the proposal and determines the rates of premiums. In case the risk is small, agent’s report will be sufficient and the insurer does not insist on the survey. For insuring private house, small shops and other small buildings etc., the insurer accepts such risks on the basis of information furnished in the proposal form. On the contrary, if the risk is very high, the insurance company will depute surveyors to inspect the property to to get first hand information and to and to estimate the degree of risk involved.

5. Acceptance of proposal form After examining the contents of the proposal form and the surveyor’s report, the insurer will decide whether to accept the proposal or not. If he finds that the information furnished in the proposal form and surveyor ‘s report is satisfactory, he will accept the proposal and intimate the same to the proposer.

6. Commencement of Risk As soon as acceptance of the proposal is conveyed, the proposer will be asked to pay the premium within a stipulated period of time. On payment of the premium, the fire insurance contract is said to have entered upon and the risk commences.

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7. Issue of Cover note Once the risk is assumed, the insurer is supposed to issue a fire policy to the insured. As the preparation of fire policy takes some time, the insurer will issue a provisional document known as Cover Note. The cover note is in the nature of interim policy and covers the risk immediately on the receipt of first premium. The cover note is effective till the fire policy is issued. If the loss occurs before the final policy is issued, the cover note can be produced as an evidence of insurance. Thus, the cover note protects the insured as much as the policy.

8. Issue of Fire Insurance Policy Later on, the insurer prepares the first insurance policy (to replace the cover note) and sends it to the insured. The policy is the final acceptance of the company and simultaneously it cancels the, provisional acceptance given before. The fire policy contains the name and address of the insured, the sum insured, the terms and premiums, date of issuing the policy, policy number, description and location of property covered and other details. It is generally issued for one year.

Additional Terms & Advances 

Reinstatement Value This is the fire policy with the reinstatement value clause attached to it. The clause provides that in the event of loss, the amount payable is the cost of reinstating property of the same kind or type, by new property (i.e.) “New for Old”.



This basis of settlement differs from the basis under the fire policy where the losses are settled on the basis of market value i.e. making deductions for depreciation, etc. 44



Under reinstatement value policy, it is possible to cover the depreciated value of the building or machinery. The cost of replacement of the damaged property is ascertained by new property of the same kind. If due to technical improvements the new machinery is better than the damaged machinery e.g. output is increased with less consumption of power, the insured is obliged to bear a part of the cost of the new machinery to ensure that he does not derive any undue benefits. Thus, the principle of indemnity is still observed.



The reinstatement value clause incorporates the following special provisions:



Reinstatement must be carried out by the insured and completed within 12 months after the destruction or damage, or within such extended time as may be allowed by insurers, failing which the loss will be settled on the normal indemnity basis i.e. according to the Fire Policy.



Until reinstatement is carried out, the liability under the policy remains on the normal indemnity basis. i.e. market value basis.



Pro-rata Average is applied by comparing the sum insured with the cost of reinstatement of the entire property insured as on date of reinstatement.



The reinstatement basis of settlement will not apply



If the insured fails to intimate to the insurer within 6 months or any extended time his intention to replace the damaged property.



(ii) If the insured is unable or unwilling to replace the damaged property. In such cases the loss will be settled on the normal basis of indemnity.



The work of reinstatement may be carried out upon another site and in any manner required by the insured provided the liability under the policy is not thereby increased.



These insurances are granted to insureds whose bonafides are satisfactory and, are generally issued only in respect of building, plant and machinery in a comparatively new condition.



These insurances are not granted on stocks.



Local Authorities Clause



Reinstatement Value Policy may be extended to cover such additional cost of reinstatement of the destroyed or damaged property as may be incurred solely by reason of the necessity to comply with the Building or other Regulations under any Act of Parliament or bye-laws of any Municipal or Local Authority. 45



Agreed Bank Clause



All policies in which a Bank has a partial interest are to be made out in the name of the Bank and Owner or Mortgagor and the Agreed Bank Clause incorporated in the policy.



The salient features of the clause are :



The claim is payable to the bank whose receipt shall be a complete discharge and binding on all parties insured.



Any notice under the policy is sufficient if given by or to the bank.



Any settlement, compromise etc. in relation to dispute if made with the bank shall be valid and binding on all parties insured.



Any alteration or increase in risk does not invalidate the insurance, provided the bank notifies the same as soon as it comes to its knowledge and pays additional premium.

Benefits Of Fire Insurance:

Fire insurance refers to the protection that you get from the bank in case of any mishap that takes place at your home or office due to the sudden outbreak of a fire. There are a number of reasons due to which this issue can strike and that is why it is recommended that you must have insurance so that your damages caused due to the outbreak are covered. Read ahead now to know more about the advantages of fire insurance and you too will surely apply for one then. Replacement: First of all, you must understand that everything that comes in the way of fire is engulfed. This means that it cannot be repaired because it is literally reduced to ashes. This is why the next sensible step is replacement. This is why you must have a fire insurance that will help you to replace the goods that are lost. This can be any material as well as immaterial item. Once the accident takes place, you need to claim 46

the insurance. This must be done as soon as possible and you must provide all the details that are asked for. Remember, it should not be an act done on purpose. Or, you can get into legal trouble.

Provisional housing: When a fire breaks out at your residence or workplace, it is obvious that you do not have a place to go to. This is because the edifice that you own is now ruined. Thus, when you are the owner of a fire insurance, you can simply get a provisional space. This cost will be covered by the fire insurance company and you will not have anything to lose further. This is particularly great for those who do not have much savings in any other way.

Rebuilding: This implies the re-construction of what is lost. The damage, as stated earlier, cannot be reversed. This is why you need to build everything from scratch which can be quite expensive. A fire insurance helps you to be independent even after the big accident. Before you sign the deal for a fire insurance, you must always make sure that the garage, the swimming pool as well as the outhouse (if any) are included in the contract of coverage.

Preventive: Last but not the least, fire insurance gives you a sense of protection and stability. When you have nothing to rely back on, it might get stressful already. However, if you have external support, you can work with a free mind. In fact, this will also imply that you take necessary measures such as a loud fire alarm and water sprinklers to douse our the flames. These are steps that must be taken for sure and should be seen as investment for a safe future instead of any added expenditure.

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Tips For Filling Fire Insurance:

1. Ask for an advance against your ultimate fire insurance claim. If you were forced to evacuate due to the dangerous conditions, you may not have grabbed essentials like toiletries or clothes. Some of these things may have even been completely lost in the fire. Don't panic. Call your insurance company and ask that someone bring a check to wherever you're staying. That way you can purchase necessities without having to wait for your ultimate insurance coverage. Take care of your needs, but don't go overboard. Be practical with what you buy because the insurance company will refuse to reimburse you for frivolous things. For example, if you need a pair of slacks and a dress shirt for work, don't assume you can head to the most expensive clothing store in town. Remember, this advance will be deducted from the total amount you receive from the insurance company, so don't hurt yourself by going overboard. 2. Make a list of everything you've lost and don't throw anything away. You'll want to make a list of everything you lost in the fire, which can take some time and reflection from everyone in your household. You want to be sure to start making this list as soon as possible so that you're able to remember to include everything lost by the time you file your fire insurance claim. Be sure not to throw anything away. It'll be easier to prove that you really lost the items on your list if you hold on to them for the insurance adjuster to see the damage. If you throw them away, the insurance company may refuse to compensate you. 3. File your claim right away and press the insurance company to act ASAP. Insurance policies require policyholders to file their fire insurance claims as soon as possible, so call your homeowners' insurance agent immediately to get the process started. The insurance company will require you to submit a "proof of loss claim," which is where you list all of the items you lost, including their value. Your prompt 48

action is especially important if there were many other homeowners affected by the fire. If you don't act immediately, you could fall to the bottom of the list of policyholders who have fire insurance claims, and it could be a long time before the adjuster reaches you. The following is a list of information to include in your claim: 

Date of loss



Type of loss/damage



Location of damage



Any related injuries



Others involved



Condition of the home



Description of damaged contents



Any necessary temporary repairs



A police report

Dealing with the insurance company is a very convoluted process involving countless calls, emails, letters, and documents. Be sure to keep track of all of the documents and communication, including post office receipts of mailing. Take notes, including the date and time, of every phone conversation and face to face meeting. Putting everything in a binder or file organizer will allow you to organize the different types of correspondence, invoices, bills, permits, contracts for repairs, and insurance forms into their own separate section. Remember to always keep original documents of everything. If your insurance company wants proof of a document, make them a copy but keep the original. The more organized you are, the better prepared you'll be should your insurance company start playing the "he said, she said" game with you. Since you're acting promptly to fulfill your responsibilities of the policy, your insurance company should also be prompt in acting on your fire insurance claim. In fact, the law requires insurance companies to handle claims in a timely manner, and most states give insurance companies specific timelines. For example, California laws and regulations requires insurance companies to send out a "notice of intentions" within 30 days of receiving a fire insurance claim. If there 49

are no issues or disputes with your fire insurance claim, they must send you payment within that time as well. If your insurance company is taking too long to get back to you, write them and let them know that you're sending a copy of the letter to the state's Department of Insurance. This should prompt the company to act, as they will not want to make a mistake or drag their feet if they know they are being monitored. 4. Secure your property to mitigate damage. The insurance company will require you to take reasonable care of your property. Therefore, be sure that you secure your property from further damage. If something is a total loss, of course, this is unnecessary. However, where only one section of your home is damaged, be sure to take proactive measures in preventing further damage. Insurance companies call this "mitigating damage," which just means reducing the amount of damage. Ways to mitigate damages include: Covering holes in the walls and roof to protect from the elements Boarding up or building a fence to prevent looters Smoldering all embers Moving property that's at risk of further damage (for example, moving the unharmed television out from underneath the hole in the ceiling). 5. Keep track of your living expenses. Your insurance policy includes a clause called "loss of use," which means the insurance company reimburses you for your living expenses while you're displaced from your damaged home. Note, however, that you're only entitled to the difference between what it costs you while displaced and what it was costing you in your home. For example, if your monthly living expenses are $4,000 per month, but now you're having to add hotel stays, restaurant meals, laundry expenses, and extra gas for your car, totaling an additional $1,000, your insurance company will only reimburse you the extra $1,000 per month. Many people decide to stay with family members or friends instead of at a hotel. Sometimes the insurance company will reimburse your hosts for the additional costs of your stay, so ask your host to itemize the additional costs. Take extra care to be 50

reasonable and not frivolous, and be patient with your insurance company should they want to negotiate with you for this cost. Politely remind the company that you're saving the company a great amount of money in hotel and restaurant expenses by staying with loved ones. 6. Get the right repair estimates and keep receipts and documentation for everything. Filing fire insurance claims enables you to repair or even rebuild your damaged home. "Actual cash value" policies entitle you to the amount it would take to return your home, including its contents, to its pre-fire fair market value. "Replacement" policies entitle you to the amount it would take to replace the home and its contents, regardless of the value of what you lost. "Replacement" coverage doesn't require you to actually rebuild your home on the exact same lot. You can choose where you want to rebuild. So, as long as it's the same value as your old lot, your insurance covers it. Of course, if you move to where property is more expensive, you'll end up paying the difference. If you decide not to rebuild, but to invest the money in something completely unrelated, like a business or college fund, the "replacement" policy will become an "actual cash value" policy, providing you with about 15% less. The insurance company will require an estimate of the fair market value or cost of replacement of damaged property before the fire. Insurance companies will send out their own adjusters, so it's important to remember that they'll make decisions in the insurance company's best interest, not yours. You don't have to accept the numbers that they throw at you, and it may be a good idea to hire your own independent estimator or contractor. The estimator or contractor you hire is paid by you and therefore will look out for your best interest. Don't accept any amount from the insurance company unless you're certain it's what a buyer would have paid for your home and its contents just before the fire. Be sure to be picky when choosing a contractor. Choose one who is not only good and experienced in building, but also is experienced in how insurance companies handle

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issues. Before you agree to commence any work, be sure that you and the insurance company agree on the scope of the work to be done. 7. Keep paying your insurance premiums. Many people make the error of discontinuing their insurance premiums once they've filed fire insurance claims. This is a huge mistake. Your homeowners' insurance includes liability protection for your home, including pets. So, if Spot, upset by the disaster and sad demeanor of the household, chews up your expensive sofa, you're covered. However, if you stop paying your premiums, the destruction from Spot's puppy aggression won't be covered. Also, remember to give your insurance agent the address of where you're staying and have that added to your liability coverage. To reduce your premiums, you can also ask that the section of the policy that covers the structure of your home be cut back, in the case that your home was a total loss. Just be sure to adjust this after your new home is built. 8. It's not over until you say so. Insurance companies are quick to close fire insurance claims, especially in mass disaster situations. The longer your claim is open, the greater chance you'll discover something you overlooked previously. In such a stressful and confusing time, it's likely you may forget to list an item of value in your initial insurance claim. Protect yourself by waiting a few months before consenting to closing your claim. You do have this power. Insurance companies will try and slide in closure of a claim by adding a note to your check. For example, the check may say something like "acceptance of this payment will close your claim." You don't have to accept this. Cross out the language, sign or initial next to it, and send them a letter thanking them for the payment, but asserting that you don't consider the claim closed. 9. Consider hiring a public adjuster. Even if after hiring your own independent estimator or contractor you're unable to reach an acceptable settlement, consider hiring a public adjuster who will negotiate with the insurance company on your behalf. Some people fear doing this because of 52

the extra cost--you pay the public adjuster between nine and fifteen percent of what the insurance company ultimately pays you. This can be worth it, though, if the adjuster succeeds in getting you significantly more than you would have otherwise received. You can find a public adjuster on the National Association of Public Insurance Adjusters' website. 10. Don't worry about losing your insurance coverage. Too familiar with automobile insurance companies raising premiums or completely dropping drivers, many people fear that filing fire insurance claims will cause their homeowners' insurance company to do the same. This is not the case. As long as you file only legitimate claims after real disasters, you're not a "habitual claimant," and there's no evidence of fraud on your part, your premium will not increase and you will not lose your coverage.

How to decide the sum insured under a fire insurance policy?

The most important aspect of a fire insurance policy is the sum insured. The sum insured, should ideally represent the market value of the property/asset. If more than one property is insured in the policy, values for each block should be provided and divided into: 

Stocks,



Buildings



Plant and Machinery, furniture, or other capital assets for personal use



Valuables, antiques, and precious materials Each of these properties will be insured based on the type of insurance available for it:



Stocks in Trade: Cost of Landing for the buyer, plus any processing cost, also called market value based 53



Buildings, capital goods (plant and machinery) and personal assets like furniture, etc.:

o

Depreciated Value Based: Material and labour cost (landed cost for insured in case of machinery) after inflation and depreciation for age, or

o

Reinstatement Value Based: Material and labour cost after inflation but without depreciation

o

Under construction building: Material and labour cost only



Valuables, Antiques and Precious Materials: Such assets cannot always be valued at market value. Therefore, a value is agreed upon between the insurer and the insured for the insurance. This is called Agreed Value Basis insurance. Therefore, below-mentioned guidelines are provided for the calculation of the value of property: Building: If the construction of the building is completed, the value is determined on the depreciated value basis or the reinstatement value basis. If the building is under construction, the total value of material and labour is estimated. Plant and Machinery: In the case of plant and machinery whether new or second hand, the value will be determined based on the market value of the plant and machinery. If the reinstatement value is used, a suitable escalation for the policy period will be applicable. In the case of an obsolete machinery, the value is determined by an expert valuer, which is to be ascertained between the insurer and the proposer. Stocks and Stock In Trade: The value of stocks as well as stock-in-trade is determined by its market value. Furniture, Fixtures, and Fittings: For determination of the value of furniture, fixtures and fittings, the value is either market value or the reinstatement value basis. Any items other than mentioned above are to be insured on an agreed value basis. Check here to know: How fire insurance is important for your business Case of Sum Insured Decision in Fire Policy

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Sukhram Buildtech Pvt. Ltd. is a technology and services firm indulged in estate ownership and management services after a building is complete and occupied. As a manager of the building and administrator of the residents, Sukhram wants to buy a fire insurance policy for the building which was constructed 20 years back. They submit a proposal of Rs. 25 lakh to the insurer for the fire insurance. The insurer after estimating the construction cost and depreciation revises the following proposal: 

The cost of material for similar building in current times: Rs. 55,00,000



The cost of labour for the construction of the same: Rs. 750,000



Depreciation factor for the building life at 5% p.a.: 2.6533



Sum Insured on Depreciated Value Basis: Rs. 23.56 Lakh



Sum Insured on Reinstatement Basis (without depreciation): Rs. 62.5 Lakh The premium will also vary as per the choice of the Sum Insured by the company. Upon consulting with the residents who agree to bear the additional premium, the firm goes for reinstatement value insurance.

What to do in case of a Claim under the Fire Insurance Policy ? Naturally a claim under the policy would depend upon whether 

the property lost or damaged is covered under the policy AND



the cause of such damage is covered under the policy

In case a loss or damage happens which is caused by one or more of the insured perils then the Insurers need to be informed immediately. While advising the claim please ensure the following: a. The Policy number is quoted on the Loss advice.

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b. The date and time of loss is specified c. A brief summary of the loss incidence and the materials that are lost or damaged is specified d. The location of the premises where the loss has taken place is provided e. The phone number of the contact person who can assist the Insurers or a Loss Adjustor deputed by them to verify the damages.



In the event of a claim happening all efforts should be made to minimize loss. These may involve segregating damaged materials from the rest of the property, obtaining competitive quotes for any repairs / replacements that may be required etc. If any Third Party is responsible for the loss then they should be held specifically responsible for the loss / damage so that the rights of recovery are protected.



At the earliest possible , a detailed estimate of loss / damage need to be prepared and provided to the Company / Loss Adjustor



If the loss / damage involves repairs / replacement of damaged property the detailed estimate of loss / damage (mentioned above) should be supported by at least three quotations for such repairs / replacement , obtained from out-side sources.

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CHAPTER 8

CONCLUSION

After knowing the brief history, types, perils associated,advantages, barriers and precautions of fire insurancewe conclude that:There is no way to face the risks of fire or to completelyeliminate the factors of fire but we can be saved fromthe damages associated from fire through insurance.Fire insurance is a key to cover losses caused by fire.It cannot bring back your dear ones but try toovercome or to fill the spaces in the life of the heirs. Fire insurance is the most popular insurance, that offers protection to the insured against any uncertain loss or destruction of the assets, arising out of the fire. On the contrary, marine insurance is the oldest type of insurance, in which the insurer agrees to indemnify the insured, against transit losses to any sea voyage.

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CHAPTER 9

REFERENCES

1. 1983 VR (supreme court of Vienna) 2. Callaghan v. Dominion Insurance Co. Ltd(1997) 2 Lloyds Rep.541(QBD) 3. SMALL v. U.K. Fire Insurance Association(1897) QB 311 4. (1925) AC 619 5. (1907) Case

Book Reffered: 1.The Economics of Fire Protection By Ganpathy Ramchandran 2. Modern Insurance Law , By Jhon Birds

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