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FSN Chapter 3

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Shreejan Bhandari/ Yukta Amatya

Insurance System in Nepal


Year III Semester V
Contents
Introduction to insurance
Key Components of insurance
Significance of insurance
Business Model of Insurance Companies
Regulatory Aspects
Types of Insurance Companies
Insurance Products
Bancassurance
Trends and Issues
Risk
Risk refers to the uncertainty or potential for loss, damage, injury,
or any adverse outcome that may affect an individual,
organization, or system. In various contexts, risk is an inherent part
of life and decision-making, and managing it effectively is crucial
for making informed choices and minimizing negative
consequences.
Introduction to Insurance
Insurance is a financial arrangement that provides
protection against potential financial losses. It involves
the transfer of risk from an individual or entity to an
insurance company in exchange for the payment of a
premium. The basic idea behind insurance is to pool
risks among a large number of policyholders, with the
understanding that not everyone will experience a loss
at the same time.
Key Components of Insurance
Policyholder: This is the person or entity that purchases the
insurance policy. The policyholder pays a premium to the
insurance company in exchange for coverage.
Premium: The premium is the amount of money that the
policyholder pays to the insurance company at regular
intervals (such as monthly or annually). This is the cost of
obtaining and maintaining the insurance coverage.
Insurance Policy: This is a contract between the
policyholder and the insurance company. It outlines the
terms and conditions of the coverage, including the types of
risks covered, the limits of coverage, and any exclusions or
conditions.
Key Components of Insurance
Insurer: The insurance company is referred to as the
insurer. It assumes the financial risk associated with the
covered events in exchange for the premiums paid by
policyholders.
Coverage: This refers to the protection provided by the
insurance policy. Different types of insurance policies cover
various risks, such as health events, property damage,
liability, life events, and more.
Claim: When a covered event occurs, the policyholder can
file a claim with the insurance company. The insurer then
evaluates the claim and, if approved, provides
compensation to the policyholder to help mitigate the
financial loss.
Significance of Insurance Companies
Risk Management:
Individuals: Insurance allows individuals to transfer the
financial risk of unforeseen events, such as illness,
accidents, or property damage, to the insurance
company.
Businesses: Companies use insurance to protect against
various risks, including property damage, liability
claims, business interruption, and employee-related
risks.
Financial Protection: Insurance provides financial
protection and a safety net for policyholders. In the event
of a covered loss, the insurance company helps mitigate the
financial impact by providing compensation or coverage for
the damages.
Significance of Insurance Companies
Wealth Preservation: Insurance contributes to the
preservation of wealth by preventing significant financial
setbacks due to unexpected events. It helps individuals and
businesses maintain financial stability in challenging times.
Encourages Economic Activity: The existence of insurance
allows businesses to take calculated risks and invest in
growth opportunities. Insurance coverage provides the
confidence and security needed for entrepreneurial
endeavors.
Crisis Response and Recovery: Insurance plays a vital role
in responding to and recovering from crises, including
natural disasters, accidents, and other catastrophic events.
The financial support provided by insurance facilitates
recovery efforts.
Significance of Insurance Companies
Facilitates Investments: Insurance companies are major
institutional investors. The premiums collected are often
invested in various financial instruments, contributing to
capital markets' liquidity and supporting economic
development.
Promotes Stability: By spreading risks across a large pool
of policyholders, insurance companies contribute to overall
financial stability. This diversification of risk helps prevent
the concentration of financial losses in specific sectors or
regions.
Encourages Responsible Behavior: Insurance policies often
include incentives for policyholders to adopt responsible
behaviors.
Significance of Insurance Companies
Supports Legal and Regulatory Compliance: Insurance
companies operate within a regulatory framework, ensuring
compliance with laws and regulations.
Social Safety Net: Insurance serves as a social safety net,
providing financial assistance to individuals and families in
times of need. Life insurance, health insurance, and
disability insurance, for example, help support individuals
and their dependents.
Innovation and Adaptation: Insurance companies
continually innovate to address emerging risks and
changing customer needs. They develop new products and
services to adapt to evolving economic, technological, and
environmental landscapes.
01. 02.
Pricing and Interest
Assuming Earnings and
the Risk Business Model of Revenue
03.
Insurance 04.
Companies
Reinsurance Evaluation of
Insurers
Nepal Insurance Authority
Nepal Insurance Authority is the sole Regulatory Agency established to
systematize, regularize, inspect and supervise insurance business in Nepal. It is
an autonomous institution, established as per section 3 of the Insurance Act,
2079 BS, having a legal personality with perpetual succession. The Authority is
entrusted with the objective to ensure a fair, competitive, reliable and credible
insurance service in Nepal. Similarly, the Authority is also responsible for the
regulation of insurance business effectively to protect the rights and interest of
policy holders. To carry out these broad objectives, the Authority cooperates and
coordinates with various national competent Authorities, private sector,
stakeholders, foreign counterparts and international organizations. It is a
founding member of International Association of Insurance Supervisors(IAIS).
As a separate Regulator of the Insurance Sector, Insurance Board (Beema Samiti)
was established in 2026 BS for the first time which with the enactment of
Insurance Act, 2079 BS is converted into Nepal Insurance Authority.
Insurance Act 2079
Formation and Management of Board
Functions, Duties and Power of Board
Registration of Insurer, Cancellation of Registration
and Liability
ProvisionsRelatingtoInsurance
Agent,SurveyorandBroker
Fund and Audit
Types of Insurance Companies

01.
LIFE
INSURANCE 03. REINSURANCE

NON-LIFE/
02. GENERAL
INSURANCE
04.
MICRO
INSURANCE
Life Insurance Companies
Life insurance is a financial contract between an
individual (the policyholder) and an insurance company.
In exchange for regular premium payments, the
insurance company agrees to provide a specified sum of
money (the death benefit) to the designated
beneficiaries upon the death of the insured person. Life
insurance is designed to provide financial protection
and support to the policyholder's loved ones or
dependents in the event of their death.

There are currently 14 life insurance companies in Nepal


Non-Life Insurance Companies
Non-life insurance companies, also known as property
and casualty (P&C) insurance companies, provide
insurance coverage for a wide range of risks other than
those related to human life. Unlike life insurance, which
primarily deals with providing financial protection in the
event of death, non-life insurance focuses on protecting
against various risks, damages, and liabilities.

There are currently 14 non-life insurance companies in


Nepal
Reinsurance Companies
Reinsurance is a practice in which an insurance
company (the primary insurer) transfers a portion of its
risk to another insurance company (the reinsurer) to
reduce its exposure to large financial losses. The
primary insurer cedes a portion of its insurance policies
or portfolio to the reinsurer in exchange for a premium.
Reinsurance is a key component of risk management for
insurance companies, allowing them to spread risk and
ensure financial stability.

There are currently 2 reinsurance companies in Nepal


Micro Insurance Companies
Microinsurance is a type of insurance specifically
designed to meet the needs of low-income individuals or
those with limited access to traditional insurance
products. The goal of microinsurance is to provide
financial protection to vulnerable populations, often in
developing countries, against specific risks at an
affordable cost. It addresses the unique challenges and
economic circumstances faced by individuals with
limited resources.

There are currently 4 micro insurance companies in


Nepal
Insurance Products
Endowment Life Insurance
Whole Life Insurance
Term Life Insurance
Property Insurance
Auto Insurance
Travel insurance
Accidental and Medical Insurance
Transit Insurance
Bancassurance
Bancassurance is a financial services model in which insurance
products are distributed through banking channels, typically within a
bank's branch network. It involves a strategic partnership between
banks and insurance companies to offer a range of insurance
products and services to the bank's customers. Bancassurance aims
to provide customers with a one-stop-shop for their financial needs
by integrating banking and insurance offerings.
Trends & Issues
Insurtech
Parametric Insurance
Micro-insurance
Ethical Considerations

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