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Claim settlement ratio key to find right term insurance plan

Claim settlement ratio is a crucial parameter of whether your insurance company is more likely to honour your claim or reject it. LIC of India has a claim settlement ratio of 98% which is higher than the industry average of 97%.

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5 mins 28 secs
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Last Updated - September 6, 2023
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IRDAI’s death claim settlement ratio for the year 2014-15 is out and on the top is none other than state-run Life Insurance Corporation (LIC) of India. LIC has a claim settlement ratio of 98% which is higher than the industry average of 97%. This essentially means that LIC settles over 98% percent of the claims it gets. Max Life and Birla Sunlife are other companies with claim settlement ratios of 95-96%. On the other hand companies like DLF Pramerica and Edelweiss Tokio have abysmally low settlement ratio of 57%, this essentially means that there is a higher probability of your claim getting rejected if you buy insurance from DLF Pramerica or Edelweiss Tokio whereas the chances of your claim getting accepted is high when you buy insurance from LIC, Max Life or Birla Sunlife.

Life InsurerTotal Claims (Units)Claims Paid (Units)Claims Paid (%)
AEGON RELIGARE46041389.78%
AVIVA1,6831,39883.07%
BAJAJ ALLIANZ20,66118,97891.85%
BHARTI AXA1,11089880.90%
BIRLA SUNLIFE8,4538,05695.30%
CANARA HSBC57651689.58%
DLF PRAMERICA95354557.19% **
EDELWEISS TOKIO1196857.14%
FUTURE GENERALI2,1601,80883.70%
HDFC STANDARD12,18911,03190.50%
ICICI PRUDENTIAL12,30911,54693.80%
IDBI FEDERAL97173675.80%
INDIAFIRST1,6551,19572.21%
EXIDE LIFE3,4322,95586.10%
KOTAK MAHINDRA2,8662,43790.73%
MAX LIFE9,1498,78696.03%
PNB METLIFE2,4662,29092.86%
RELIANCE LIFE18,14215,21183.84%
SAHARA77870089.97%
SBI LIFE14,87613,30389.43%
SHRIRAM LIFE1,9601,28765.66%
STAR UNION DAI-ICHI1,2661,19194.08%
TATA AIA3,8733,65994.47%
PRIVATE TOTAL1,21,9271,09,00789.40%
LIC7,55,9017,42,24398.19% **
INDUSTRY TOTAL8,77,8288,51,25096.97%

A term insurance plan is purely risk-protection and is meant to safeguard against the loss of income of the primary bread winner due to death. If you already have investments and seek only risk cover then an online term insurance policy is aptly suited for you. In a term plan there is no money back or maturity benefit only pure risk-coverage from death.

Buying a term insurance is an important decision as it is the last safety mechanism for you to insulate your family against the risk of income loss due to the death of the primary bread winner. While buying a term plan you have to be particularly sure that you buy a term plan from an insurance company that has high claim settlement ratio. Claims Settlement Ratio is defined as the ratio of claims paid to nominees by the insurance company against the total number of claims filed.

Which Term Plan to buy?

Always buy a term plan from a company that has high claim settlement ratio. The insurance sector regulator IRDA (Insurance Regulatory Development Authority of India) publishes a death claim settlement ratio report annually for life insurance companies operating in India. This report provides a good indicator of quantum of claims getting settled against total claims filed annually. 

How it Works?

A term plan promises a fixed amount of money or sum assured to the beneficiaries of the life assured, in-case of death of the life assured within the policy period. Policy term in a term insurance plan is the term for which the plan is valid. Online term insurance plans are most affordable of all the categories of insurance plans available. 

Know your premium

A non-smoking male aged 28 years will have to pay premium in the range of Rs. 7,400-9,000 for a term or policy period of 35 years or maturity at 70, whichever is early. The premium for a smoker in a similar scenario would be Rs 8256- 14,430 annually. Many insurance companies have the option to pay monthly or semi-annually.  Be sure to check the claim settlement ratio of the policy (closer to 100 percent is better) before buying a policy lest the risk of rejection increases.

It is also important to know what the adequate cover for your life is. Whether Rs 1 crore cover will truly compensate for the loss of your income to your family? Or should Rs. 50 lakh suffice you’re your wife alone if your children are more or less settled and you already have adequate savings. Will your family need money for any major life events such as life-events such as higher education of children in the family etc? It’s important to ask yourself these questions before selecting a cover because premium increases with sum assured.

Inflation

It’s important to factor in the effect of inflation when you think of goals in calculating your cover. What is the tuition fees of your kid’s favourite college and what will it cost 10 years from now? Will your house need repairs in some years or renovation of furniture? These questions may also help you reach a realistic figure to seek insurance for. A simple Google search will give you throw up umpteen calculators at you to calculate the insurance amount and the premium thereof.

Timing makes all the difference

The term or tenure of the plan is as important as the amount of cover or sum assured and premium thereof. According to experts, the minimum age that one should be insured is up till 65 years. This ensures that the person is covered throughout his entire working life.

Although 15-20 year covers are available at much lower premiums but it is advisable not to go for these as the term of the policy is insufficient. Insurance premiums zoom for those looking to buy insurance in their 40’s, as the risk of death increases after that.

Other factors

Other than factors, it is essential to focus on these factors that insurance companies rely on to determine the premium of your term plans: Health history, current health, weight, occupation. For example the premium of a race car driver or test pilot is likely to be higher than an accountant.

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Author

Sachin Telawane is a Content Manager and writes on various aspects of the Insurance industry. His enlightening insights on the insurance industry has guided the readers to make informed decisions in the course of purchasing insurance plans.