Who can claim compensation?
A person who has himself sustained an injury, or owns the property which has been damaged in a vehicular accident, or is the legal representative of the deceased who died in the motor accident, or is the duly authorized agent by the injured person, or by the legal representatives of the deceased, as the case maybe- can claim compensation, states in the Section 166 of MV Act 1988.
When can the compensation be claimed?
As per the recent amendment carried in Motor Vehicle Act, the limitation period i.e., the time in which the claim for compensation has to be filed is six months from the occurrence of the accident. It means that after the expiration of six months, any application that is claiming damages cannot be validated or considered.
In addition, the Claims Tribunal under Section 172 (1) states that an insurer or any party in a compensation claim is obliged to pay special costs as compensation. If it is certain that either the compensation claim is invalid as the policy of insurance was obtained through any kind of fraud or misrepresentation or that any party or insurer has proposed a false or abrasive claim or defence during the proceedings of the case. These special costs must be compensated to the insurer or the party against whom such claim or defence had been advanced.
Many reports indicated that these lawyers have caused a loss of several crores to insurance companies by submitting fake claims under the Motor Accident Claims Tribunal. Uttar Pradesh’s Special Investigation Team after its existence has been able to identify several fraudulent matters thereby, saving hundreds of crores of public money.
This effort by the Uttar Pradesh SIT helps safeguard the public from insurance fraud and this should be taken up by other State Governments as well, to ensure the safety of public money.
Bima Sugam to make insurance cheaper
The recently approved one-stop ‘Bima Sugam’ platform is expected to increase penetration by making insurance cheaper and more accessible. It is also seen helping insurers and IRDAI track integrated data to understand trends in coverage, customer needs and product requirements to increase insurance penetration.
“The idea is to basically get all the players in the ecosystem on one platform, including insurance repositories, companies, intermediaries, customers and broker associations, so that everything can be done in real time by integrating the ecosystem on one technology platform,” said Vighnesh Shahane, MD and CEO of Ageas Federal Life Insurance.
The platform could, however, play a dampener to private insurance aggregators who may be forced to rethink their business model, industry participants said.
“In the shape and form that Bima Sugam has been proposed recently, it may impact the private insurance aggregators because the marketplace is planned to play the same role that an aggregator typically plays,” said Atri Chakraborty COO at IndiaFirst Life Insurance.
Direct sales
Conceived as an insurance marketplace for comparing, selling and servicing for insurance policies across life, general and health insurance without any tedious paperwork, the platform will also enable saving of insurance policies in a demat format enabling easier renewals and claims management.
It will make policies cheaper because there will be no distributor commission and the regulator is very clear that this benefit should be passed on to customers, industry players said, adding that policyholders will also be able to port their agent or policy.
Standardisation
“The lack of standardisation is what Bima Sugam addresses the most. This will be very helpful in making insurance buying online easier and simpler, thus bringing in more transparency and help reduce instances of mis-selling and fraud risk,” said Susheel Tejuja, Founder and MD of PolicyBoss.com.
Enhanced customer convenience is seen boosting direct policy sales, thereby reducing distribution costs for all stakeholders. Policies bought without the help of an intermediary of agent, currently constitute a very small percentage of overall insurance policy sales.
“Over a period of time the visibility, ease of availing insurance and adoption is expected to push direct policies especially the standard OTC products,” said TM Shyamsunder, COO of Royal Sundaram General Insurance.
Private aggregators
The immediate threat to private web aggregators business is seen from the fact that a section of customers may start buying insurance directly whereas others may prefer and trust a regulator-backed platform over private players due to issues such as data privacy.
Private platforms tend to be biased due to their profitability goals. However, a regulator-supervised platform will provide unbiased comparisons to customers and leads to service providers, said Anil Kumar Aggarwal, MD and CEO of Shriram General Insurance.
Most industry players expect atleast a short-term hit on the business of private aggregators, especially in straight-line products at the lower end of the spectrum such as term products, motor and health covers, which could in turn see more direct sales.
Others though believe that private aggregators have the ‘first mover advantage’ and have built customer-friendly and seamless onboarding models–something which regular users might not want to give up.
More flexibility
Further, with IRDAI proposing more flexibility and insurtech solutions, aggregators may be nudged to look at more unique offerings and services to create a distinct value proposition for their customers, according to industry participants.
Even, aggregators go beyond pure online intermediation and are involved in physical intervention with prospective customers, which may not be true under Bima Sugam at this stage, said Ramandeep Singh Sahni, CFO of Bajaj Allianz General Insurance.
“Customers from rural India may still like to go for the traditional approach and thus the insurance aggregators may aggressively start exploring these markets,” said Sudhish Ramteke, head – Property and Engineering at Anand Rathi Insurance Brokers, adding that increased competition may lead to improved services from aggregators, agents and brokers resulting in increased customer satisfaction.
