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ANNUAL REPORT 2011-12<br />
BOX ITEM 6<br />
FORMATION OF INDIAN MOTOR THIRD PARTY DECLINED RISK INSURANCE POOL<br />
The independent review conducted by the Authority through various agencies revealed that the current framework of the<br />
Pool is severely affecting the fi nancial viability of the non-life insurance segment due to its alarming capital depletion. The<br />
Authority, after having examined the current framework of the Pool and its fi nancial management, opined that the pool in<br />
its existing form was eroding the interests of the policyholders and was also causing fi nancial distress to the non-life<br />
insurance companies. Accordingly, the Authority issued an Order (No. <strong>IRDA</strong>/NL/ORD/MPL/277/12/2011 dated 23 rd<br />
December, 2011) creating a Declined Risk Pool for Liability Only commercial vehicle third party insurance with effect from<br />
1 st April, 2012. The purpose of creating the Indian Motor Third Party Declined Risk Insurance Pool for Commercial vehicles<br />
(Act only Insurance) is to ensure (i) equitable and fair sharing by all insurers; (ii) no supply side constraints; (iii) simplicity<br />
in administration; and (iv) to bringing about effi ciency in claims management.<br />
Applicability:<br />
The declined risk pool shall apply to commercial vehicles for standalone third party liability insurance. No comprehensive<br />
motor insurance policy or part thereof shall be ceded to the pool. GIC Re shall act as the pool administrator of the Declined<br />
Risk Pool. At no instance shall the insurer refuse to write the risk. Any refusal shall be seen as a violation of the Insurance<br />
Act, 1938 and shall invite penalty as per of the Act.<br />
Parameters for ceding the proposals to the declined risk pool:<br />
Each company will have its own underwriting manual laying down the underwriting parameters for accepting or ceding<br />
risk to the pool, which shall be fi led with the Authority. Any business which does not fall within the underwriting parameters<br />
of the insurer shall be ceded to the pool. The ceding insurer shall retain 20 per cent of the individual risk to his net account<br />
(after obligatory cessions) and cede the balance to the declined pool.<br />
The underwriting parameters based on which the company shall accept or cede the risk to the pool shall be limited to:<br />
(i) age of the vehicle; (ii) geographical parameters based on the registration of the vehicle; (iii) type of vehicle based on<br />
the tonnage for goods carrying vehicles and passenger seating capacity for passenger carrying vehicles; and (iv) such<br />
other parameters which the Authority may decide from time to time. Every company shall get the cessions to the pool<br />
audited by its statutory auditor who will certify compliance to the underwriting guidelines fi led with the Authority. The<br />
cessions to the pool shall also be audited by the pool auditors.<br />
Manner of calculating the obligations:<br />
Every insurer shall underwrite (excluding reinsurance) a minimum percentage of standalone commercial vehicle motor<br />
third party insurance which shall be in proportion to the sum of fi fty per cent of the company’s percentage share in total<br />
gross premium and fi fty per cent of the total motor premium of the industry in the current year. The declined pool shall be<br />
extinguished at the end of every underwriting year on a clean cut basis, by transferring the risks at par to the members<br />
who have not fulfi lled their mandatory obligations. Such transfer shall be in proportion of the shortfall of each member<br />
company.<br />
Appointment of Grievance Redressal Officer:<br />
Every non-life insurer shall appoint a grievance redressal offi cer to look into the grievances of the policyholder/ prospect/<br />
customer on the non-availability of motor third party insurance and shall submit a report on monthly basis to the pool<br />
administrator with a copy of the same to the Authority outlining the steps taken by the company to ensure compliance with<br />
the regulations.<br />
Methodology of Transfer of Risks:<br />
The Authority under Para 13(e) of its Order No. <strong>IRDA</strong>/NL/ORD/MPL/277/12/2011 dated 23 rd December, 2011 had constituted<br />
a Committee headed by Chairman of General Insurance Council. The other members include representatives from GIC,<br />
two public sector non-life insurers and 2 private sector non-life insurers to work out the methodology for transfer of risks<br />
amongst non-life insurers. The Authority, after taking into consideration the report submitted by the Committee on suggesting<br />
methodology for transfer of risks of Indian Motor Third Party Declined Risk Pool, issued the following Order:<br />
The transfer of risks between companies shall be on portfolio basis to members in defi cit of obligations in proportion<br />
to their share of the pool with servicing of each risk by the policy issuing company.<br />
The pool liability for the underwriting year will be extinguished on a clean cut basis at the end of every year with net<br />
cash payments being exchanged between the ceding and receiving companies on the basis of Ultimate Loss Ratio<br />
(ULR) estimated by the Pool Actuary.<br />
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