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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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