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ANNUAL REPORT 2011-12<br />
These factors came into effect from December 31,<br />
2008 onwards. Further, the life insurers were asked<br />
to submit scrip-wise details of investments available<br />
for arriving at the ‘available solvency margin’ along<br />
with actuarial valuation reports for the year ended<br />
31 st March, 2009 onwards. There have been no<br />
further amendments in the regulations since then.<br />
III.12.3 In case of non-life insurance, the Authority<br />
has made changes in the calculation of Required<br />
Solvency Margin (RSM), which shall be the maximum<br />
of the fi fty crore of rupees (one hundred crore of<br />
rupees in the case of reinsurer); or higher of RSM-1<br />
and RSM-2 computed. The RSM-1 is the Required<br />
Solvency Margin based on net premiums, and shall<br />
be determined as twenty per cent of the amount<br />
which is higher of the Gross Premiums multiplied by<br />
a Factor and the Net Premiums. For the purpose of<br />
calculation of RSM-1, premium of the last 12 months<br />
on rolling basis will be taken into account. The RSM-<br />
2 is the Required Solvency Margin based on net<br />
incurred claims, and shall be determined as thirty per<br />
cent of the amount which is the higher of the Gross<br />
Incurred Claims multiplied by a Factor and the Net<br />
Incurred claims.<br />
III.12.4 In order to promote Health insurance<br />
business and keeping in mind the short term tail of the<br />
Health insurance business, the Authority permitted<br />
the following relaxations as regards computation<br />
of solvency by the non-life insurers for their Health<br />
insurance business:<br />
<br />
<br />
Relaxed the requirement of Section 64(1)(ii)(b)<br />
of the Insurance Act, 1938 for computation of<br />
Reserve for Unexpired Risk or Health segment<br />
for three years i.e., up to 2012-13. This relaxation<br />
was initially introduced in 2008-09.<br />
Relaxed the provisions of Regulation 2 (1)((a) of<br />
<strong>IRDA</strong> (Assets, Liabilities and Solvency Margin<br />
of Insurers) Regulations, 2000 as regards the<br />
admissibility of assets in the specifi c context of<br />
government receivables subject to a maximum<br />
period of 180 days.<br />
III.12.5 In order to bring uniformity in the manner of<br />
calculation of Solvency Margin in respect of Motor TP<br />
Pool, the Authority issued a clarifi cation that Gross<br />
Premium in respect of Motor TP Pool will be defi ned<br />
as “retrocession received from Motor TP Pool and<br />
Gross Incurred claim will be taken as incurred claim<br />
of Retroceded Business.”<br />
Risk Based Solvency Approach<br />
III.12.6 <strong>IRDA</strong> (Assets, Liabilities and Solvency Margin<br />
of Insurers) Regulations provide for a factor based<br />
solvency regime. The solvency regime in India does<br />
not prescribe for identifi cation of the risks to which<br />
an insurer is exposed and for setting aside capital for<br />
the identifi ed risk(s). However, in case of life insurer,<br />
the regulations provide for computation of Margin<br />
for Adverse Deviation (MAD), which takes care of<br />
all risks. Consequent upon introduction of Solvency<br />
II by the European Union, it has become imperative<br />
to fi nalize the road map for shifting to Risk Based<br />
Solvency Approach in the Insurance Sector.<br />
III.12.7 The Authority has constituted a Committee<br />
for fi nalization of the road map for shifting to risk<br />
based solvency approach for insurance sector. The<br />
Committee is headed by Ex-Member (Actuary). The<br />
terms of reference of the Committee provide for<br />
studying the RBC approach followed in USA, Japan<br />
and Singapore, Identifying the issues which may be<br />
arising out of the RBC, Study of Solvency II and the<br />
issues arising out of the same and recommending the<br />
suitable approach in the Indian context.<br />
III.13 Adjudication of disputes between Insurers<br />
and Intermediaries or Insurance Intermediaries<br />
III.13.1 As per Regulation 41(2) of <strong>IRDA</strong> (Insurance<br />
Brokers) Regulations, 2002, any disputes arising<br />
between an insurance broker and an insurer or any<br />
other person either in the course of his engagement as<br />
an insurance broker or otherwise may be referred to<br />
the Authority by the person so affected; and on receipt<br />
of the complaint or representation, the Authority<br />
may examine the complaint and if found necessary<br />
proceed to conduct an enquiry or an inspection or an<br />
investigation in terms of these regulations. During the<br />
year under review, the Authority has not received any<br />
such requests for adjudication.<br />
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