The number of deaths in road crashes in India was at an all-time high in 2022 with fatalities above 1.68 lakh. This is approximately 462 deaths per day or a death every three minutes. The number of injured persons in accidental crashes stood at 4.43 lakh and these are only the reported accidents. Unreported accidents and their financial impact would be much higher.

With the increase in vehicle sales over the last few years, having a comprehensive car/two-wheeler insurance policy is more important than ever. Motor insurance provides essential financial protection against accidents, theft of vehicles and damages to third parties. Unfortunately, many people continue to have a few misunderstandings and misconceptions surrounding vehicle insurance. In this article, we will attempt to understand and clear some of these myths. 

What are the different myths about vehicle insurance?

Myth 1: Motor insurance is not required if I am a good driver

Some vehicle owners believe that car insurance is optional. Those who drive cautiously and carefully, feel they do not require it. However, this is not the right thought process. As we all can understand, accidents can happen at any time and may even happen due to the mistakes of others. Thus, every vehicle on the Indian roads must have adequate insurance with third-party liability insurance cover being the bare minimum necessity. With adequate insurance, you will be protected from any legal liability in case a third party or his/her property gets damaged due to an accident involving your vehicle. With proper insurance, you would even be protected against damages to your vehicles. Remember, being a good driver is not enough, you need to also have adequate papers and insurance taken on the vehicle.

Myth 2: Third-party cover is adequate 

Motor third-party liability only insurance policy is mandatory in India. As per Indian Motor Vehicle Act 2019, if you are driving without valid motor insurance, you will be charged a hefty penalty and may even attract imprisonment. The IRDAI (Insurance Regulatory and Development Authority of India) determines the third-party premiums. The policy covers the loss or damage to a third party person or property while you are driving. Most people believe this should be sufficient but it is not. Such a policy does not cover the expenses incurred when your vehicle gets damaged. Own Damage Cover or Comprehensive policies cover your third-party liability and even protect you from financial losses due to theft, accidents, and natural disasters that damage your vehicle.

Myth 3: Motor insurance is too expensive

Car/ Two wheeler insurance offers a range of coverage, like third-party liability, personal accident and own damage cover that includes damages to your vehicle. However, multiple factors determine the premiums. For eg; 

1. Cubic capacity (cc) of your car - if your car’s cc is less than 1000 cc lower premiums are charged and if cc is more than 1500 cc higher premiums are charged. 
2. Zone - if your vehicle is registered in Zone A city (Mumbai, New Delhi, Kolkata, Bengaluru, Chennai, Hyderabad, Pune and Ahmedabad), a higher premium is charged than Zone B (rest of India).

Before making a decision, do a cost-benefit analysis of the premium against the cost of repairing your car after an accident or replacing your vehicle due to theft or total loss. What would be the cost of that? There are motor policies with different & comprehensive add-on coverages at very affordable premiums which you can customise as per your preference.

Myth 4: It is better to make and benefit from claims

Many believe that insurance is only for those people who want claims. It is only a perception that you must file claims to benefit from the policy. Motor policies offer very good discounts on premiums for careful drivers. Similarly, It is also not essential to ask the insurance company to pay for minor dents and scratches. Such a step would stop you from enjoying the no-claim bonus (NCB) and increase your premium for the subsequent years. Also, it may lead to the insurer denying some add-ons upon renewal. Therefore, it is always advisable to carefully evaluate when to use your insurance policy to file claims and to benefit from the insurance coverage without impacting your wallet or future coverage.

Things to explore before you buy car insurance:

Comprehensive motor insurance offers 360-degree financial protection for you and your vehicle. But before you decide to buy a policy, must analyze & understand the following factors:

1. Your coverage needs

Take a moment to assess your individual needs. Ask yourself what level of coverage you require. Cautious drivers and those who park in secure areas and drive less frequently may not need a high sum assured. On the other hand, people who cover long distances regularly or frequently drive through busy areas may need more protection. Consider your requirements and select a plan accordingly.

2. The various plans 

Don’t settle for the first insurance plan that comes your way. Take the time to compare different policies from various insurance providers. Look beyond just the premium amount. Consider the coverage offered, the network of garages for cashless repairs, and the claim settlement process.

3. The policy inclusions and exclusions

Read the policy document thoroughly to understand the exclusions and inclusions. Different insurance plans might have varying coverage options for engine damage, natural disasters, and roadside assistance. Knowing what is covered and what isn’t can save you from surprises during a claim.

4. The add-ons

Many insurers offer add-on covers that can enhance your policy’s coverage. These may include zero depreciation cover, engine protection, and consumables coverage. Having insurance policy add-ons can give complete protection to your vehicle. To be able to enjoy the extended benefits of motor insurance, you should carefully choose insurance add-ons as per your requirements.

5. The claim-settlement ratio

Claims are the litmus test for any insurance policy. The claim settlement ratio of an insurance company mirrors its capability in processing and settling claims. A higher claim settlement ratio indicates faster claims handling and high reliability. Examine the claim settlement ratios of different insurers before deciding.

Conclusion:

Motor insurance is a crucial aspect of being a responsible vehicle owner and citizen of India. It helps to fulfil legal burdens and provides financial security in case of an untoward event. By busting common myths surrounding vehicle insurance, we’ve illustrated the importance of making informed decisions about insurance coverage. But considering the evolving needs of cars, today car owners need comprehensive protection for their vehicles to enjoy driving without worrying about financial loss. Insuring with the right motor insurance ensures a smoother journey on India’s busy roads. 

Today we live in a fast-paced, stress-filled life and we are knowingly and unknowingly exposed to many risks to life, health and property. Managing these risks becomes an essential aspect of our wealth management journey in life. Risks can be mitigated in many ways like taking precautionary measures, avoiding risks or by transferring risks. Insurance is one way of managing risks where we are transferring the financial risk from the insured to the insurer. 

There are many different types of insurance available in India, and it can be difficult to know which ones you really need. As an important tool for financial security, individuals and businesses can protect themselves from financial hardship in the event of a covered loss by choosing the right insurance policies. In this article, we will try to understand the different risks faced by us, how we can protect against the same and the benefits of buying adequate insurance.  

The 4 Ds of Risks:

Insurance protects against the financial risks at a personal level arising from the four Ds of death, disease, disability, and damages in a variety of ways.

Death: 

Life insurance is the most important type of insurance for everyone, regardless of age or income. Life insurance provides financial support to the policyholder's beneficiaries in the event of the policyholder's death. This can help to pay for the comfortable sustainance of the family left behind, cover for the outstanding debts/obligations, and also cover the financial goals for the family to live a respectable life. 

The risk of death is typically best covered by pure-term insurance policies. However, life cover can also be obtained under personal accident policies for death occurring due to accidents and traditional life insurance plans which is a blend of protection and investment and may thus not provide the maximum affordable protection desired.  

Disease: 

Health insurance helps to pay for the cost of medical care, including hospitalization, any operations/surgeries, doctor visits, prescription drugs and so on. This can help to prevent financial hardship in the event of a serious illness or injury. Proper health insurance would also give you access to quality medical care even if your personal finances are limited and thus can prove to be invaluable when needed.   

There are two main types of health insurance plans in India: individual health insurance plans and family health insurance plans. Individual health insurance plans cover only one person, while family health insurance plans can help cover the entire family. Critical illness plans are also great to have to protect against the common big lifestyle diseases we are exposed to and are very affordable. The base health insurance policies can be further complemented with top-up and super-top up health plans to extend the cover available.    

Disability

Disability can be permanent or temporary and can be partial or full. Disability brings with it its’ own challenges in terms of care, the ability to live life normally and the ability to earn. Adequate protection against these risks becomes very crucial for everyone, especially the earning members of the family. Traditionally, disability is a risk most of us often ignore and can prove to be very costly.   

Personal accident policies provide the best cover against disability, whether temporary or permanent. Moreover, such policies are affordable and easy to buy. Further, some health and personal accident policies may even provide you for your loss of income during hospitalisation or disability. Agains the personal accident policies also provide cover against accidental death and are very affordable - something everyone must have in their insurance portfolio.     

Damages

A damage or loss to any property/asset can occur due to any reason. There are risks to your car, home, valuables, shop, factory and so on. Adequate protection isrequired to cover the risk of damages. Thankfully, on motor insurance, at least third-party liability is mandatory for all vehicles in India which protects the policyholder’s interests from damages caused to a property or an individual by the policyholder. We would always suggest one to buy a comprehensive motor insurance policy though. Home insurance is another product to protect you against damages and typically cover should be taken for both the structure and the contents. Beyond vehicle and home coverage, there are many other policies available that business owners and professionals can buy depending on their specific requirements and can cover shops, factories, offices, professional indemnity, travel, and so on.   

Benefits of Insurance: 

By now, everyone would be familiar with the numerous benefits of insurance. Yet, to summarise, we would highlight the three key benefits offered by insurance…. 

• Financial protection: Insurance can help you to pay for unexpected expenses and emergencies. This can help you avoid going into debt or having to sell assets in order to cover these costs. Insurance acts as your umbrella at a small cost.
  

• Continuity: Insurance is your hedge against financial shocks. With adequate insurance, financial distress and disruptions in life can be avoided, ensuring continuity of life at comfortable levels, even after the occurrence of the event.  
  

• Peace of mind: Insurance can give you peace of mind knowing that you are financially protected in the event of a loss or tragedy. This can allow you to focus on other things, such as your family, your business, or your hobbies. It gives the confidence and the ability to afford critical medical intervention which may otherwise be difficult in the absence of insurance.
  
• Tax benefits: In some cases, premiums paid for insurance can be tax deductible. This can help to reduce your overall tax burden. However, tax savings should never be seen as the primary factor for insurance purchase and shoud only be seen as a by-product or side benefit.  

Buying Insurance: 

We hope this article has helped you to understand the different types of risks faced by us and the options available in insurance to protect ourselves against the same. Before choosing the right insurance plan, we would advise you to have a proper understanding of your needs - the type of insurance policies and the amount of coverage required. Next, look out for and compare policies from different insurance companies before you buy. Make sure that you read and understand the terms and conditions of the policy before you sign on the dotted line. We would recommend that you evaluate your insurance portfolio at least every couple of years and update your portfolio as needed. Your trusted insurance advisor /broker can be of great help in the process of understanding your insurance needs and finding suitable products. Needless to say, this is one critical aspect of wealth protection which you cannot afford to ignore. 

Insurance is the cornerstone of financial security, offering individuals a safety net against life's uncertainties. At its core, insurance is built on principles of transparency, good faith, and accurate information exchange. When purchasing an insurance policy, individuals are required to disclose all relevant information to their insurer. This practice, known as the disclosure of material facts, forms the foundation of a fair and equitable insurance contract. 

However, just like any contractual agreement, the omission of relevant information or the non-disclosure of material facts can have serious repercussions for both policyholders and insurers, undermining the very foundation of trust that insurance represents. In this article, we will explore the significance of disclosing material facts and the potential consequences of failing to do so.

Understanding Material Facts:

The contract of insurance is based on the doctrine of ‘Utmost Good Faith’, which means a person applying for an insurance cover has to disclose and reveal all material information required by the insurance company. Material Information means all the information based on which the underwriter accesses the risk profile of the person and decides to accept the risk and issue the insurance policy or decline the same or to determine the terms and conditions of coverage, and establish appropriate premiums. Examples of material facts relevant for an individual would include a person's profile like age, personal & family medical history, occupation, hobbies, criminal record, etc., and other information like income, previous claims, policies from other insurers, and so on, depending on the nature of insurance policy. 

Insurers heavily rely on the accuracy of the information provided by policyholders during underwriting to assess risk effectively. Policyholders have a legal and moral duty to provide complete and accurate information to their insurers during the application process. This duty is outlined by the IRDAI guidelines and is applicable to all types of insurance, be it life, health, or general insurance. 

Consequences of Non-Disclosure

Non-disclosure of any material facts may result in the policy being considered null and void from the very beginning and the insurer will not pay out any claims or return any premiums. Policyholders will be left without the protection intended and financial well-being may be compromised. Non-disclosure can also lead to claim denial leaving the policyholder to bear the entire financial burden. It can also affect a policyholder's ability to obtain insurance in the future as insurers have access to shared information and a record of non-disclosure can make it challenging to secure coverage or result in higher premiums. Thus, it becomes very important that accurate and complete information is shared in the proposal form. 

Understanding the Reasons Behind Non-Disclosure:

Non-disclosure of material facts in insurance in India can occur for a variety of reasons as we we can see below:

1. Lack of Awareness/ Misunderstanding: Many policyholders may not fully comprehend what constitutes a material fact due to a lack of awareness or misunderstanding. They might unintentionally and unknowingly withhold specific information required to be revealed in the proposal form. Few might encounter difficulties in understanding or accurately filling out the proposal form because of language or literacy challenges. Additionally, some may presume that some information may be irrelevant and not important to be mentioned. 

2. Intent to Quickly Fill Forms: Some people may view the proposal form filling and the disclosure procedure as time-consuming and difficult. They may take the entire process casually and refrain from delivering complete and accurate data while filling out lengthy forms or providing extensive information. Policyholders who are anxious to get insurance may speed up the application procedure and omit crucial information because they believe it to be unimportant. 

3. Intentional Fraud: In certain cases, policyholders may purposefully omit relevant information to influence the underwriting procedure in order to get coverage or cut premiums under false pretenses. Other times, even brokers or insurance agents would encourage policyholders to omit information in order to hasten the approval procedure or close a deal.

4. Confusion or Forgetfulness: Policyholders might genuinely forget to mention certain details. There might also be instances where people do not really have a complete understanding of their medical history and status. 

5. Depending on Others to fill the Form: There can also be instances where some important information is missed when the proposal form is filled by someone else, likely the insurance agent /broker or say a relative of the applicant. Such a scenario may arise when the applicant is uncomfortable filling out the form due to literacy or language limitations.

How to avoid non-disclosure?

As we can see from the reasons for non-disclosure of material facts, it becomes clear that the same can be easily avoided once we understand the importance of full and fair disclosure. The best way to do this is to take appropriate time to properly read and understand every piece of information asked carefully. You may seek clarification from your insurance agent if something is not clear. Please do not hurry and take time to remember any past medical history, ask spouse and parents for relevant information if you are not sure. Having an experienced insurance agent from a reputed firm also helps a lot in ensuring that the proposal form is properly filled. 

Bottom Line

In summary, material facts are essential as they enable insurers to make informed decisions and ensure that insurance contracts are fair and equitable. Both policyholders and insurers must uphold the principle of utmost good faith, fostering transparency and trust. If everyone gives proper information, the pricing of the policies can be appropriately made and the overall premiums would also become more affordable for everyone. Applicants should understand that failure to disclose material facts can have severe repercussions in times of need and thus is never a wise thing to do. Lastly, a good insurance agent /broker can be of great help not only during the application process but in the entire journey from understanding the need, finding suitable policy cover, helping in the application process, and then especially in the claim process helping you manage all comfortably.

Health insurance has always acted as a crucial safety net, giving people and families access to financial security against unanticipated medical expenses. Despite its importance, there are still many complaints that arise in the world of health insurance. Policyholders frequently experience difficulties and annoyances due to a variety of reasons, such as coverage restrictions, claim rejections, postponed settlements, and insufficient customer service. 

When there is a perceived mismatch between policyholders' expectations and the services offered by insurance firms, grievances related to health insurance arise. These grievances can undermine the intended purpose of health insurance, creating stress and financial burdens on individuals when they are in need of the most support. In this article, we will bring light to some of the common challenges or grievances that buyers of health insurance policies may experience if they are not careful and have not been fully honest.

1. Mis-selling: When an insurance advisor gives the policyholder inaccurate or misleading details about a policy's features, benefits, or terms, this is known as mis-selling. This may result in the policyholder buying a policy that does not meet their needs or may not offer the coverage they had been expecting for. Thus, individuals should be cautious when buying insurance coverage to safeguard themselves from mis-selling. It's crucial to thoroughly understand the policy terms, read the fine print, ask questions, and compare policies from different insurers before making a decision. In order to make sure they select the insurance products that best suit their needs and financial objectives, one can make sure that you are dealing with established and reputed brokers in the market. 

2. Wrong Policy Documents/ Copy: This complaint happens when an insurance policyholder pays the premium but does not receive the policy copy as intended. Alternatively, they may receive a policy document that contains inaccurate information about the policyholder, the scope of coverage, or the type of policy. In these situations, receiving the appropriate policy paperwork is essential for ensuring the validity and accuracy of the policyholder's coverage.

The policyholder should speak with the insurance advisor or the insurer right away to get this anomaly resolved. To assist the organization in locating the payment and determining the problem, they should offer documentation of premium payments as well as all pertinent information. Policyholders should constantly double-check their personal, contact and other crucial information before giving it to the insurance firm to avoid such problems. They should also keep track of any premium payments, correspondence with the insurance provider, and other pertinent information associated with the acquisition of the policy for future reference.

3. Claim Approval Delays: Claim approval delays happen when an insurance provider takes an unusual long time to examine and approve a submitted claim. When a policyholder relies on the claim amount to pay for immediate needs like repairs, medical bills, or other urgent needs, such delays might put them in a difficult financial situation and cause them inconvenience.

The following actions can be taken by policyholders to reduce claim approval delays:

• Submit the claim with correct and comprehensive documentation.
• Engage completely in any investigation that your insurance provider requests.
• Maintain ongoing communication with the claims department and check in on the status of the claim.
• Be familiar with the terms and conditions of the policy to avoid any unpleasant surprises when filing claims.
• In case the insurance provider asks for more details or supporting documents, provide it as soon as possible.

However, several times, the guidelines of the insurer may call for extra caution in situations where the claim amount is very high. In such cases, after the claim is handled at one end, a certain length of time passes before your claim is sent and you receive the insurer's consent. The transmission of information pertaining to your claim to you may be delayed as a result of this gap in time.

4. Claim Rejection: When an insurance company rejects a claim for various kinds of reasons, it is known as a claim rejection. It can be as a result of relevant information not being disclosed during the insurance application, the claim not satisfying policy requirements, or the claim falling under policy exclusions. Rejecting a claim can be upsetting, particularly if the policyholder sincerely feels that their claim should be accepted.

Policyholders should thoroughly study their insurance plans, comprehend the coverage, and make sure all requirements are met in order to avoid having claims denied. During the application procedure for a policy, it's imperative to provide all pertinent information honestly. If your claim gets rejected, the insurance provider is required to disclose the reason. Additionally, you can discover the grounds for the denial of your claim. However, the IRDAI, Insurance Regulatory and Development Authority of India, mandates that insurance providers provide justification for denial of claims.

Grievance redressal: 

In India, the IRDAI is the regulator overseeing the insurance industry and defending the rights of policyholders. In case of any grievance or anomaly, the policyholder should first make sure that he/she has read all the policy related documents and fine print carefully and that the complaint or claim is genuine and can be backed with relevant supporting facts, communications and documents. Once convinced, the policyholder can initially get in touch with the insurance advisor for further clarification and guidance. One can also contact the concerned insurer customer service or grievance department for the resolution. Ideally all common and addressable complaints would be resolved by now. However, in rare cases of a genuine complaint yet not resolved, the last option left is for the policyholder to escalate the situation to IRDAI for additional support and resolution. 

Bottom line: 

The chances of any grievance happening can be greatly reduced if one is following proper due-diligence procedures, has researched and read all the policy related documents (especially policy terms), inclusions and exclusions, and has provided all the necessary and correct details. Also, working with established and reputed insurance brokers in the market helps a lot in all these aspects. The right advisor will also help you in identifying the suitable products as per your requirement and needs. Ultimately though, your active participation and understanding is crucial in your entire experience of having insurance policies.