Claim settlement ratio (CSR) is one of the most important factors that you should consider when buying an insurance policy. It is one of the best parameters to check the credibility and integrity of the insurance company that you are planning to buy your insurance from.

What is a claim settlement ratio?

The claim settlement ratio is a percentage figure that shows how many claims have been settled by the insurance company in a financial year against the total number of claims received in that financial year. Every year, the Insurance Regulatory and Development Authority of India (IRDAI) publishes the claim settlement ratio of all the registered insurance companies.

You can easily check an insurance company’s credibility by checking its claim settlement ratio using the IRDA Claim Settlement Ratio 2022 annual report.

Importance of the claim settlement ratio

Your insurance company’s claim settlement ratio is important for two reasons:

• Insurer’s credibility:

A higher claim settlement ratio implies that the insurance company has honored a higher number of claims. This is an indicator that the company is committed to settling the claims raised by its policyholders. This shows their credibility.

• Security for you:

The purpose of buying insurance is to be financially protected in times of crisis. If you cannot get the required financial cushion when you need it the most, the whole purpose of investing in an insurance plan gets defeated. A good and healthy credit settlement ratio ensures financial security for you and your family.

Irrespective of the type of insurance product—life insurance or general insurance—you must consider the claim settlement ratio of the insurer before putting your faith in them. After all, a tedious and complicated claim settlement process is the last thing you want to deal with, especially in the face of a crisis.

The procedure of claim settlement

While the exact procedure may vary from company to company, some steps are common to all insurance providers. These are:

• Intimating or notifying the insurance company:

• Whether it is life, health, or vehicle insurance, the moment the loss or the need for a claim arises, you must intimate the insurance company. Give a written application with all necessary details such as the name of the policyholder, policy number, and mishap/event details depending on the type of insurance.

• Submitting the necessary documents:

• Next, as a claimant, you must submit your statement, the original policy document, health certificate or declaration in case of health insurance, death certificate in case of life insurance, FIR in case of loss of property or vehicle, and likewise. Contact your insurance provider in case they need any additional documents.

• Verification of the submitted documents:

• Once you have submitted all the necessary documents, the insurance provider will corroborate your claim with the policy outline. This is to ensure that you are raising a legitimate claim and it is not outside the range of your insurance policy coverage.

The claim settlement ratio (CSR) of the insurance company is one of the most important factors to be considered when investing in an insurance product. A good CSR is an assurance of your claim being honoured in the time of your need.

What is the claim settlement ratio?

Simply put, the claim settlement ratio is the percentage of claims that an insurance company settles against the number of claims it has received. Every year, insurance companies declare their claim settlement ratio. This ratio is calculated annually based on the number of claims received and settled during a particular fiscal year. This is inclusive of life insurance claims as well as other insurance products such as the claim settlement ratio of travel insurance and health insurance claim settlement ratio.

You can find the CSR of all the registered insured companies on the official website of the Insurance Regulatory and Development Authority of India (IRDAI).

What does the claim settlement ratio show?

The claim settlement ratio shows the credibility of the insurance company. The higher the CSR, the higher the credibility of the insurance company. It means a higher chance of your claim being settled without any hassles. There is no point in investing in an insurance product if you cannot trust your insurer to support you when you need to utilise your policy. A trustworthy insurer honours your claim if you have done everything on your part honestly. You must choose an insurer with a credible track record of settling the claims of its policyholders.

When you claim insurance—be it health or motor insurance—in the face of an emergency, your choice of claim settlement method plays a key role in determining how you feel about your policy. You invest in insurance for the assurance of financial support in your time of need. Cashless claim settlement takes the relief a notch higher by letting you focus on the crisis at hand rather than worrying about arranging for funds at the moment. Confused? Don’t be. Here’s all you need to know.

What is cashless claim settlement?

As a policyholder, there are two ways you can make a claim—cashless claim settlement and reimbursement claim settlement.

• Cashless claim settlement

Remember, you can avail of this benefit only at a network hospital or garage for health and motor insurance, respectively. Based on your policy terms, with cashless treatment, you can seek treatment at a network hospital or get your vehicle repaired at a network garage without paying anything out of your pocket. All you need is your insurance card and policy details. Your bills will be settled by the insurer with the hospital or garage directly.

• Reimbursement claim settlement

Reimbursement claim settlement is primarily used in cases where the insured either cannot access or wish to seek service at a network hospital or garage. Most insurance policies allow you to utilize the services of a network hospital or garage of your choice. However, in such situations, you must pay the bills upfront and later claim reimbursement from the insurer. To claim reimbursement, you will have to submit the original documents, bills, reports etc. along with the duly filled-up claim request form. Once your documents are verified, the reimbursed amount is transferred to your bank account by the insurer.

A claim settlement ratio or CSR is a percentage figure showing how many insurance claims were settled by an insurance company compared to the total number of claims raised by the policyholders during a financial year.

Calculation of the claim settlement ratio (CSR)

The claim settlement ratio of an insurance company is calculated using the following formula:

CSR = (Total number of claims settled in a year) / (Total number of claims in a year) x 100

The CSR of an insurance company serves as an indicator of the overall financial health and credibility of the company. The higher the claim settlement ratio, the higher the chances of your claim being settled smoothly.

Every year, the Insurance Regulatory and Development Authority (IRDA) publishes the claim settlement ratio of all the registered insurance providers. You can easily check the credibility of an insurance company by going through the list of IRDA Claim Settlement Ratio 2022.

Calculation of actual claim amount

While CSR reflects your chances of getting your claim settled without effort, it also speaks volumes about an insurance company’s financial credibility and customer-centricity. In addition, as a policyholder, you must know how your claim amount is actually calculated. For this, you must understand the extent of your coverage, especially if you are a businessperson or have undervalued your insurance needs.

There is a provision called “Average Clause” which the insurance companies apply to ensure policyholders do not under-insure. Let us use an example to understand it better.

Say, a businesswoman buys insurance and the insured value of the stocks is less than the total value of the stocks of the business. Now, if the business incurs a loss, as per the average clause, the loss coverage by the insurance company will be up to an extent in the proportion of the insured value of the stocks to the total value of the cost.

So, the claim amount will be calculated in the following way:

Claim Amount = (Loss value) x (Insured value / Total cost)

Suppose, a policy cover of Rs 100,000 is taken for business stocks amounting to Rs 120,000. There is an under-insurance of Rs 20,000. Now, if out of this Rs 20,000 there is a loss of amount Rs 10,000, then the insurance provider will pay Rs 8,333. This amount is calculated in the following way:

Claim amount = 20,000 x (100,000/120,000) = 8333.3333

It is of paramount importance for policyholders to understand how the claim amount is determined. A lack of these insights, may create confusion and lead you to take a cover that does not match your coverage needs.

As a generic rule, it is best to opt for reputed insurance companies such as ICICI Lombard. Doing that will ensure transparent conduct and assured support in the time of your need. You can check the ICICI Lombard Claim Settlement Ratio in case you want to know more about their financial health.

Vitamins are essential to keep the body going. For the normal functioning of the body and a top-notch immune system, you must include vitamins and minerals in your diet. Vitamin deficiency can cause several health issues and trigger bigger health problems with serious consequences. Most body functions need direct and indirect vitamin support for execution. For example, vitamin D is essential for calcium absorption in the body. It means not having enough vitamin D can lead to issues related to calcium deficiency as well. Today, we will look at how vitamin D helps in maintaining good health and run you through a detailed list of Vitamin D food for vegetarians and non-vegetarians.

What is vitamin D?

Vitamin D is a fat-soluble nutrient that helps the body to absorb as well as retain calcium, phosphate, and magnesium—minerals essential for a healthy skeletal system. Vitamin D also controls cancer cells, checks infections, reduces inflammation, and boosts immunity. The daily amount needed to sustain healthy calcium metabolism and strong bones is referred to as the Recommended Dietary Allowance for vitamin D. They are:

• UL: The Tolerable Upper Intake Level (TUIL) is the largest daily intake that is unlikely to have a deleterious impact on health (UL). The UL for vitamin D in children aged 9 years and above is 4,000 IU (100 mcg).
• RDA: For people aged 19 years and above, the recommended daily allowance is 600 IU (15 mcg). For those over 70 years, it is 800 IU (20 mcg).

Benefits of vitamin D

Vitamin D can reduce inflammation, restrict the growth of malignant cells, and assist in preventing infections. Besides supporting bone health, vitamin D is a major requirement in the normal functioning of many organs and tissues. Some benefits of vitamin D include:

• Fights bone diseases: Vitamin D is an essential component for calcium absorption. Without vitamin D, you cannot have calcium in your body in active form. Absorption of calcium allows the body to maintain the required amount of phosphate in the body which is again essential for bone health and development.

• Helps maintain good mental health: While it is not clear how essential vitamin D is in checking clinical depression, it is highly effective in managing seasonal depression. Since there is less sunlight in winter, the body absorbs relatively much lesser vitamin D. This adversely affects the neurotransmitter serotonin.

• Fights respiratory infections: If you have a significantly low vitamin D level, chances are high that you may suffer from more respiratory issues such as cold and flu. Research shows that deficiency of Vitamin D can worsen the post-COVID consequences.

• Protects against heart ailments and diseases: Adequate amount of vitamin D reduces the risks of heart failure, stroke, and several heart diseases. Medically, it is not clear if Vitamin D is solely responsible for the prevention of heart diseases, but it definitely helps.

• Keeps the risks of diabetes in check: Cell-based observational studies show that vitamin D augments insulin sensitivity, improves beta cell function, and reduces inflammation. All these factors are extremely important in controlling Type 2 Diabetes.

• Reduces cancer risk: More and more scientific sample studies are reinforcing the role of vitamin D in managing and reducing the threat of cancer. The potential correlation between vitamin D and colon cancer, ovarian cancer, breast cancer and prostate cancer is evident. Vitamin D helps in controlling the growth of cancer cells.

• Guards against autoimmune conditions: Vitamin D plays a very important role in regulating the immune system, thus preventing autoimmune disorders. Studies show that people who intake or absorb sufficient vitamin D are less prone to autoimmune disorders such as arthritis, thyroid etc.

• Helps check cognitive inefficiency and dementia: Our brain tissues have vitamin D receptors. This indicates the role of vitamin D in cognitive development and health. Since vitamin D enhances cognitive function, it also helps in preventing conditions such as dementia.

Top vitamin D-rich food items for vegetarians

Now that you are well aware of the importance of including vitamin D in your diet, it is only obvious that you would want to know about vitamin D foods. Given below is a list of vitamin D food for vegetarians. To ensure an adequate amount of vitamin D in your body, include these vitamin D-rich foods:

• Fortified orange juice: Most store-bought fortified orange juice is supplemented with calcium and vitamin D, making it a reliable source of nutrition for lactose-intolerant people. One cup of enhanced orange juice has 100 IU of vitamin D.

• Mushrooms: Similar to humans, mushrooms can produce Vitamin D when exposed to sunshine. With 2300 IU of vitamin D2 per 100g, they are rich in vitamin D. However, professionally raised mushrooms have very little vitamin D2. Although, some varieties receive UV light treatment, making them a good source of vitamin D. These mushrooms contain 130 to 450 IU of vitamin D2.

• Fortified soymilk: For vegans and vegetarians, soymilk is a nutritious meal alternative because it contains the same nutrients as cow's milk. Each cup of soy milk contains 120 IU of vitamin D. However, before purchasing soy milk, read the label to determine whether it contains vitamin D. Little vitamin D is present in non-fortified brands.

• Cheese: Cheese makes one of the best vitamin D-rich food for vegetarians. Cottage cheese has particularly higher amounts of vitamin D. Other cheeses with vitamin D include Cheddar, Fontina, and Monterey. Any type of cheese has about 24 IU of vitamin D per 100g serving.

• Yoghurt: Because yoghurt is fortified with vitamin D, dairy and non-dairy yoghurts have high levels of this vitamin. It contains around 120 IU of vitamin D per cup.

• Fortified almond milk: Each serving of fortified almond milk has 2.4 mcg (96 IU) of vitamin D. Numerous almond milk brands also add calcium to enhance its nutritional value.

Are you planning to buy a new car? While you may have shortlisted the car of your choice and arranged for funds, have you looked up the difference between what has been quoted to you as the price of the car by the dealer, and what you will be actually paying? You must know what ex-showroom price means and what is the on-road price of the car you wish to buy before closing the deal.

What is the ex-showroom price?

In simple terms, the ex-showroom price is the price at which dealers buy or procure a vehicle from the manufacturer. This price does not include the cost of vehicle registration, which must be done at the local RTO. Also, the ex-showroom price does not include road tax and insurance costs. Here’s all you need to know to understand what ex-showroom price means:

• Registration, road tax, and insurance are non-negotiable for driving or riding a motor vehicle in India. Not adhering to these three compliances can attract heavy fines and even imprisonment. The ex-showroom price does not include the cost of these.
• The ex-showroom price includes the factory cost of the vehicle, Goods and Services Tax (GST), and the profit margin of the vehicle dealer. However, you will have to pay extra for optional accessories.
• The ex-showroom price of a vehicle is the advertised price.

What is the on-road price?

The on-road price is the final amount you pay to receive a ready-for-road vehicle from your dealer. The points mentioned below will help you understand what is the on-road price:

• The on-road price is inclusive of the ex-showroom price, the cost of vehicle registration, road tax, and the cost of insurance.
• In case you want additional features and accessories, then the same is included in the on-road price of the vehicle.
• You can check the difference between the ex-showroom price and the on-road price using online calculators or by reaching out to the dealer.

Difference between a vehicle’s ex-showroom price and on-road price

Here are the major difference between the ex-showroom price and the on-road price:

On-road price for new vehicles

Several factors affect the on-road price of a vehicle. While some of these factors are obligatory, others are optional. It is crucial to know these factors, or else you may find yourself confused between the difference in your estimated purchase price and the actual vehicle price.

• Charges of vehicle registration

Whether you buy a bike or a car, it must be registered at the Regional Transport Office (RTO). Usually, the dealer from whom you are buying the vehicle gets this done. Correspondingly, the dealer includes this expense in the final price of the vehicle that is the on-road price. Note, vehicle registration charges differ from state to state. Also, the vehicle registration charges increase if you want a specific registration number.

• Road tax

When you use a motor vehicle on Indian roads, you must pay the road tax. While this is a component of the on-road price, it is calculated based on the ex-showroom price. Usually, it is a percentage levied on the ex-showroom price, which ranges between 2% and 3%. The road tax paid once remains valid for 10-15 years.

• The tax collected at the source

The dealer levies a tax of 1% of the ex-showroom price of the vehicle. This tax is called tax collected at source.

• Annual maintenance charges

Many vehicle dealers offer an annual maintenance package that includes services like cleaning the vehicle, polishing, roadside assistance, and more. If you take up this package, then the on-road price will increase further.

• Cost of essential accessories

Some accessories such as floor mats and seat covers are essential. You can buy these essential accessories from your vehicle dealer or you can opt to buy them separately. If you buy them from your vehicle dealer, then the cost of the same will be included in the on-road price.

• Cost of extra accessories

There are some accessories that you choose to add to your car or bike to enhance its features and/or efficiency. For example, you may want to buy a trendy helmet for your bike or install a GPS navigation tool in your car. Adding these extra accessories to your purchase list will increase the final that is the on-road price of your vehicle.

• Extended warranty

All vehicles come with a fixed warranty provided by the manufacturer. It is available only up to a certain time or distance travelled. However, you can extend this warranty by paying some additional charges. Remember, this additional charge is included in the on-road price of the vehicle.

• Green cess

Post the ban on diesel vehicles in Delhi and NCR, the Supreme Court of India issued an obligatory cess called green cess, which is charged on the ex-showroom price of the vehicle. The cess differs from state to state and is decided by the government. It is subject to change as per the government’s policy decision.

• Handling charges

Your vehicle dealer must get your vehicle from the manufacturer’s factory outlet or warehouse. The transfer of vehicles from one place to another consists of transportation and handling charges. These charges are added to the on-road price of the vehicle. These costs are included in the profit margin of the dealer. Note, this particular component is not added to the on-road price separately. Rather, this is a component of the ex-showroom price.

• Insurance

As per the Motors Vehicle Act, you cannot drive your vehicle on the roads without valid motor insurance. You must have at least third-party car insurance. Usually, dealers have tie-ups with insurance providers and they arrange it for you. Or, you can get your insurance on your own. However, if you get your motor insurance from your dealer, it is only obvious that the cost of it will be added to the on-road price of the vehicle.

In the wake of rapidly changing environmental conditions, switching to sustainable alternatives is no more an option, but a necessity. Increased adoption of electric vehicles is one way to tackle the issue. However, small a solution it may look, the collective effort can yield significant results.

A new vehicle buyer can always choose an electric vehicle over a traditional combustion engine vehicle. But, what about those who already have a petrol or diesel vehicle? If you are one of them, then this article is for you. You can still do your part in preserving the environment by choosing to convert petrol cars to electric cars. Here’s all you need to know about diesel or petrol to electric car conversion.

Types of electric vehicles

There are primarily three types of electric vehicles (EVs):

• Battery Electric Vehicles (BEV): These electric vehicles are charged using DC level 3 chargers. These are one of the most environmentally friendly vehicles. A prime example of BEV is Tesla X.
• Plug-in Hybrid Electric Vehicles (PHEV): These electric vehicles get power from both the plugging-to-power method as well as Regenerative Braking. Prime examples are Porsche, BMW, and Mercedes.
• Hybrid Electric Vehicles (HEV): These types of electric vehicles initially start using electric power and then shift to gas as and when speed increases. There are many international fleets of HEVs manufactured by popular brands such as Toyota and Honda.

Retrofitting a car with an electric kit

While the need and significance of electric vehicles are well known, it is also true that electric vehicles are not easy on the pocket. However, today, we do have a sustainable alternative. Something which was not feasible a decade ago has become one of the most popular hacks of the vehicle industry—converting traditional fuel cars into electric cars.

Are you wondering—is this possible? Is it legal? If yes, how do you go about conversion of a petrol car to an electric car in India? Let us deal with these questions one by one.

• Yes, it is possible to convert your petrol or diesel-run vehicle into an electric vehicle.
• It is legal as authorities have made due changes in the Central Vehicle Motors Rule, 1989 to allow you to convert diesel cars to electric
• The rule allows retrofitting traditional combustion engine vehicles with an electric core.
• Cars with retrofitted electric cores have an electric car conversion kit as well. This is to ensure the smooth functioning of the vehicle.
• With an electric core, erstwhile petrol or diesel-run vehicles can choose to power their vehicles using electric battery-operated systems.
• Retrofitting a petrol or diesel-run car with an electric kit will not only help restrict environmental pollution but also phase out or remodel old and unfit cars.
• As per the norms of the Central Vehicle Motors Rule, retrofitting can be graded into three categories—conversion into an electric vehicle for all types of vehicles, hybrid conversion for those weighing 3.5 tonnes, and for vehicles that weigh more than 3.5 tonnes.

Like any other market, the insurance market also runs on the dynamics of demand and supply. People need insurance companies to offer them insurance products that protect them from various financial losses. At the same time, the insurance providers are also required to meet the expectations of their customers—the policyholders. The most crucial expectation that people have from these insurance providers is that their claim will be settled easily, that is, they would be reimbursed with the insured sum as and when needed.

Principles of claim settlement

In their pursuit to meet the insurance market demands, the suppliers or the insurance providers must adhere to a certain set of principles surrounding claim settlement. There are primarily three major pillars of claim settlement:

Verification of the loss

It is the responsibility of the insurance provider to verify the claim. They must ensure that the authentic claims do not get rejected or delayed, and the inauthentic ones do not make it to the final claim disbursal. This involves estimating correctly the instance of loss and corroborating the same with the policy coverage.

Prompt payment

The second principle for settling a claim is to clear the claim amount at the earliest—that is as soon as the information collection and verification are completed. Once the claim is found to be valid, the payment of the insured sum should not be delayed by any means.

Assistance to the insured

The insurance company must provide systematic and consistent assistance to the policyholder during claim settlement. While the need for insurance is widely understood, its processing is still a long shot for many policyholders. It is the responsibility of the insurance provider to ensure that their customer has access to correct information about the claim settlement process.

Some key points for policyholders

While insurance providers are expected to stick to the principles mentioned above, insurance buyers are suggested to take note of certain factors surrounding claim settlement. These are:

• Before buying an insurance policy, you should research well to ensure that the company you opt for is credible. Always check the claim settlement ratio of your preferred company. The higher the claim settlement ratio, the better the chances of your claim being settled without any hassles.
• You can find the claim settlement ratio of all the IRDA-registered companies on the IRDA Claim Settlement Ratio 2022
• Say, you zero in on an insurance provider with a high claim settlement ratio. But, that is not enough. You should also check the overall financial health of the company.

The Insurance Regulatory and Development Authority of India(IRDAI) is the insurance sector regulatory body in India. The IRDAI’s objective is to optimise the existing insurance industry and make sure the operations and conduct of the sector are fair. The insurance market is undergoing constant changes, upgradation, and high competition. Consequently, the role of the IRDAI is essential.

IRDAI rules for health insurance

The IRDAI has laid down some rules for health insurance claim settlement for all insurance providers registered under it. These rules are laid down to help both the insurer and the insured. Listed below are some of the rules for health insurance claims laid down by the IRDAI:

• A health insurance policy may not have an exit age if the policyholder renews it on schedule without any interruptions in renewal.
• A Group Health Insurance policy comes with a validity of a maximum of one year.
• The insurer is responsible for providing the policyholder with information regarding the terms and conditions of the policy concerning receiving care at a hospital in India.
• The insurance provider must give the policyholder the choice to switch to another plan after meeting the exit conditions for their health insurance policy. Additionally, insurers must award appropriate credits if the policy was renewed without any gaps.
• The insurance provider must give the applicant a fair, justifiable, and open explanation in writing if their request to purchase health insurance is declined.
• A policyholder will receive rewards if they renew their coverage on time, purchase it early in life, or have a positive claims experience with an insurance provider. The prospectus and policy document should include explicit references to the benefits as agreed by the board.
• Before issuing the policy, the insurance company should give the policyholder a list of medical facilities, government or otherwise, from whom the firm will accept the medical reports.
• Particularly for senior individuals, the premium amount should be reasonable, equitable, and clear. Additionally, the total sum should be made clear to the potential policyholder.

IRDAI new rules for claim settlement

IRDAI has rules for claim rejection and settlement as well. Some of them are:

For claim rejection

• If the policyholder maintains the coverage for 8 years without a break, the health insurance provider cannot deny a claim. These 8 years are called the moratorium period.
• Except in cases of fraud and/or a claim brought against the exclusion of the health policy after the moratorium period, the insurance company cannot appeal to the IRDAI against the settlement of such a claim.
• A claim cannot be denied by the insurance company due to misrepresentation or non-disclosure.
• A claim cannot be denied on that basis since IRDAI has allowed the insurance company an 8-year window for validating the information provided by the policyholder.

For claim settlement

• The insurance company is responsible for paying interest on the claim amount at a rate that is 2% higher than the bank rate if the insurer's claim payment is delayed.
• The claim should be resolved within 30 to 45 days of the date the policyholder received the last necessary document.

The claim settlement process of a vehicle insurance plan can be a daunting affair sometimes. Unlike life, health, or home insurance, where the proof of crisis or damage to the property due to a natural calamity has self-explanatory evidence, the same cannot be said about damage to vehicles.

For instance, the driver of a car or bike involved in an accident can shift the blame to the other party or refuse to take accountability. Thus, there remains a possibility of confusion. Consequently, negotiating a fair claim settlement amount may turn out to be a critical process.

Know your policy

To mitigate such uncertainties and their consequences, it is imperative to know all that you can claim in your settlement application. For that, you must read the policy outline thoroughly and take note of the inclusions and exclusions of your insurance policy.

Inclusions

Every vehicle insurance policy comes with certain inclusions. Make sure you are aware of them. Your claim will be taken forward, processed and accepted if and only if, the reason for the claim is covered under the inclusions. Comprehensive vehicle insurance covers third-party liabilities, total loss or damage to the car or bike due to natural calamity, personal accident etc.

Exclusions

Exclusions are the conditions or instances that are not included in the insurance policy. If you raise a claim for a cause that is excluded from the policy coverage, your claim will be rejected. Usually, instances such as drunk driving, driving without a licence, an invalid car insurance policy, or loss due to wear and tear are not covered by vehicle insurance.

Tips for smooth claim settlement

Given below are some tips to ensure that you have a comprehensive understanding of factors that affect the claim settlement on your vehicle

Maintain records

You should try maintaining the details of all small and large accidents or brush-offs suffered by your vehicle, in chronological order. The record should carry medical bills if there are any, police reports, and other related documents.

Comprehensive demand letter

When you make a claim, in your application for the same, break down all the elements that you took into consideration and how you arrived at the amount that you claiming.

Check the claim settlement ratio

One of the major indicators of the credibility of insurance companies is their claim settlement ratio (CSR). The higher the claim settlement ratio, the higher chances of your claim getting settled smoothly. Before you buy insurance, check the IRDA Claim Settlement Ratio 2022 list.

Easy settlement process

The claim process should be easy. At the time of claim settlement, you do not want to go through a tedious and time-consuming process. You can contact the insurance company directly to know about their claim settlement process.

While purchasing vehicle insurance, do not forget to check the claim settlement ratio of the insurance company. Choose a financially healthy company such as ICICI Lombard. You can check its credibility and track record by checking the ICICI Lombard Claim Settlement Ratio from IRDA’s annual report.

The claim settlement ratio of the insurer is a crucial aspect of the decision-making process when choosing an insurance product. The claim settlement ratio gives you an idea of the insurer’s track record in offering a seamless and hassle-free claim settlement process. Before proceeding to ways to check the claim settlement ratio, let us go through some of its basics in detail.

What is a claim settlement ratio?

Claim settlement ratio (CSR) is the percentage of claims that were settled in a financial year to the total number of claims that were raised during that period. It shows the credibility of the insurer. The higher the CSR, the higher the chances of your claim being settled without any hassles.

How to check the claim settlement ratio?

Insurance companies registered under the Insurance Regulatory and Development Authority of India (IRDAI) declare and publish their claim settlement ratio annually. To know the CSR of your preferred insurance company, just visit the IRDAI website or look for IRDA claim settlement ratio 2022 on a search engine. A claim settlement ratio is a percentage number. Are you wondering what it means?

Let us explain the claim settlement ratio with an example. Suppose you want to know the credibility of an insurance company and the IRDA claim settlement ratio 2022 of that particular insurance company is 94%—a percentage figure. This means, in the last financial year, the company settled 94% of the total claims that were raised throughout the year. Simply put, for every 100 claims made by the policyholders, 94 were settled successfully. The number also indicates that the remaining 6 claims that were raised were either rejected, repudiated, or are pending. The claim could have been rejected due to one or more reasons such as fake claims, dissatisfactory paperwork, or insufficient information to prove the authenticity of the claim.

Points to keep in mind while checking the claim settlement ratio

Now that you know how to check the claim settlement ratio, be aware of some additional points that you must factor in while checking the ratio:

• Check the IRDAI details: The IRDAI claim settlement ratio is an extremely important and reliable indicator of the claim performance of an insurance company.
• Compare CSRs: As you know how to check and comprehend the claim settlement ratio of an insurance company, make the best of it when shortlisting insurance providers for your policy.
• Claim amount: Besides checking the claim settlement ratio, check the amount of the claim settled. It is quite possible that by the virtue of “number of policies” an insurance company has a higher CSR, but the “total amount” of the claim settlement is relatively low or non-competitive. This can happen when the company settles more claims with a lower sum insured and rejects high claim amounts.
• Financial performance: This is an extension of the previous point. Along with the CSR and the claim amount, it is important to check the financial health of the company. If a company is not doing well financially, then there are higher chances of you missing out on your insurance benefits in a time of need.

You must always check the claim settlement ratio (CSR) of a health insurance company before buying a policy from them. In fact, you should compare different insurance providers, their plans, terms and conditions, coverage, and waiting period for pre-existing diseases before paying the premium amount. Also, compare their health insurance claim settlement ratio. This is because a medical emergency would already put you under immense mental stress. In such a situation, the last thing you would want to do is follow up through a complex claim settlement process, and worse, face claim rejection. An insurer with a good claim settlement ratio will help you with a seamless and hassle-free claim settlement process.

Checking claim settlement ratio for health insurance plans

Before zeroing in on a health insurance plan, run through the following steps:

• Every year, the Insurance Regulatory and Development Authority (IRDA) publishes the claim settlement ratios of all insurance companies registered under it.
• Visit the official website of the IRDA and check the IRDA health insurance claim settlement ratio of your preferred insurance company. Look for the IRDA Annual Report and download the PDF for the latest financial year.
• Make a list of insurance companies with a high IRDA Claim Settlement Ratio in 2022. The higher the claim settlement ratio, the better your chances of getting the sum insured in times of medical emergency.
• Now, compare the coverage benefits of the available health insurance plans of companies with a high claim settlement ratio.

Remember, a health insurance plan may come with good coverage and several additional benefits at a competitive price. But, if the claim settlement ratio of that health insurance provider is not good, you may face a hard time getting your claim settled when you need it the most. This would defeat the whole purpose of getting health insurance.

Dental hygiene is essential for overall health. Ignoring your oral health can cause cavities and tooth decay. For example, if you ignore dental plaque and do not visit your dentist to have it removed from your tooth enamel, you may develop an oral bacterial infection. Dental procedures, like any other medical treatment, can consume a month's or two's salary. Still, in most cases, they are not part of standard health insurance, and there are no riders available to take care of your teeth. Have you ever wondered why dental is not covered by health insurance? To know the answer, read on. 

Why is dental work not included in health insurance?

In India, most insurers cover dental procedures if the need for medical treatment arises as a result of a severe accident. Furthermore, if some oral ailments have become life-threatening, you may be able to settle your related claims if dental procedures are based on the recommendations of registered medical practitioners.

What insurers do not cover are planned dental procedures. These procedures are classified as cosmetic treatments. For example, if you go to your dentist for a dental screening, crowning, extractions, or fillings, any associated claim will be denied.

Conclusion

Dental procedures are subject to policy exclusions as they are considered cosmetic procedures. Even if your insurer provides coverage for this, you should try to understand all the provisions associated with dental-related issues and the claim process.

Travelling by car and discovering new places is a one-of-a-kind experience. It allows you to capture not just beautiful moments in exotic settings but also creates a wealth of memories. However, if you are stuck in the middle of your trip with a broken car, particularly one with a damaged engine, your excitement may turn to sorrow. Your concerns may be compounded when you learn that even if your vehicle is covered by comprehensive car insurance, you will not receive assistance for engine leakage.

So, does this imply that insurers do not offer any option to cover engines? The solution is the engine protection (EP) cover. You can avail of the benefits of this add-on cover by paying an additional premium. 

As the name suggests, the engine protection or EP cover reimburses the bill if the engine sustains damage due to water ingression, lubricant oil leakage, or a hydraulic lock fault. The coverage also includes key engine components. For example, if an engine's pistons, crankshaft, or gearbox are damaged, you can file a claim invoice.

However, the policy does not provide financial assistance if the engine is damaged as a result of your constant attempts to start your car while it is submerged. Another situation that is not covered is an increase in pressure when the engine is clogged with water.

The Engine Protection Add-On is not suitable for everyone. For example, if you live in a city with a good drainage system and little rain, investing in this cover may not be worthwhile. However, if you live or drive in a flood-prone area, this add-on is a must-have to extend the life of your vehicle.

You can buy this rider either at the time of buying a new policy or during the renewal process.

It is not unusual to misplace the hard copy of your motorcycle insurance. Or, you may lose it to the usual wear and tear of being stored in narrow gaps of your bike. Either way, do not fret if you lose your insurance policy document or need to obtain a copy of your bike insurance policy. Here’s what you must do:

Follow these tips if you lose your two-wheeler insurance document

• Look for the document in your office, home, and vehicle. If you don't find it in any of these places, it was likely either lost or stolen.
• Stop using the bike if you cannot find the insurance document. You must not ride your bike without the policy document in hand.
• Your last option is to request a duplicate insurance copy from your insurer and wait a few days for it to arrive before you resume using your bike.

How To Download A Bike Insurance Copy Online?

Whether you bought bike insurance online or offline, the insurer allows you to download the insurance copy online with a few clicks. Follow these steps to download a copy of your insurance document.

• Visit your two-wheeler insurer's website. 
• Navigate to the bike insurance section and select the type of insurance you purchased.
• Enter your policy details. In case you do not remember the policy number, enter your bike registration number, and you will be provided with the policy details. 
• Verify the information displayed on the screen. 
• The policy copy will appear on your screen. Download the file to your desktop and print a copy.

How to Get a Duplicate Two-Wheeler Insurance Copy Offline?

Notify your insurer

As soon as you see your insurance document is missing, inform your insurer.

File an FIR

The insurer may request a copy of the FIR. As a result, it is critical to file a complaint with the nearest police station and keep a copy of the complaint with you.

Newspaper advertising

In some cases, you must also advertise the missing policy information in the local newspaper. Attach the advertisement cutting with other documents when requesting a new copy.

Indemnity bond

Finally, you must sign the indemnity bond, after which the insurer will verify your documents before issuing duplicate policy papers.

As the name implies, a family floater plan covers the entire family under a single policy. The policy benefits apply to your spouse, dependent children, and dependent parents. Sometimes siblings are also covered by this plan, but you must check this with your insurer.

Here Is How Family Floater Plan Works

Assume you have a Rs 1,000,000 worth family floater insurance policy. Along with you, the plan covers your spouse and children. Your spouse and child became severely ill within a year of purchasing the policy. The treatment bill for your spouse is approximately Rs 800,000, and that for your child is around Rs 200,000. In this case, the sum insured of Rs 1,000,000 will cover both sets of bills.

In a family floater plan, each covered member is free to use the sum insured up to the full amount. However, if one member uses the entire amount, the other member will be denied benefits. To overcome this, you can supplement your policy with a reinstatement add-on. It will restore the sum insured, allowing other covered members to benefit from the coverage.

Family Floater Policy Coverage

• The policy reimburses for pre and post-hospitalisation expenses.
• This family health insurance covers daycare procedures such as minor surgeries and anaesthesia.
• There is also a provision for medical expenses related to organ donors for a specific time.
• You can also raise medical bills related to in-patient and domiciliary expenses.
• In case you or a loved one has contracted coronavirus, the associated medical bills will be reimbursed.

A family floater plan is essential today. However, before choosing an insurer, you should consider the coverage scope, renewability options, ease of adding new members and claim settlement process.

In India, bike-related mishaps are common. Several factors such as potholes, pedestrian carelessness, and rash driving by vehicle owners contribute to this. If any of these events cause damage to your bike, the garage owner's repair bills will dig into your pockets. However, you do not have to worry about the bills if you have insurance.

Bike insurance claim settlement process in India

Raising a bike insurance claim online is a cakewalk. You just need to inform your insurer about the accident immediately and submit the basic documents. The insurers give you two options—cashless and reimbursement claims. The former offers free-of-cost repairs, whereas; the latter allows you to choose your garage, pay bills and then claim reimbursement.

Cashless claim settlement

Every insurer has partnered with well-known garages in every city. After reviewing the garage's service quality and the mechanics' collective experience, they reach an agreement. When you purchase motor insurance, you are given a list of network garages where you can receive free repairs and services as per the terms of your policy. The insurer settles the bills directly with the garage under a cashless claim.

Reimbursement claim settlement

Reimbursement claims necessitate that you pay for the repairs out of your pocket. After the damage has been repaired, you must submit an invoice to your insurer. The main advantage of this settlement process is that you do not have to worry if there is no network garage nearby because you can get repairs done at any garage and get bills reimbursed directly to your account.

Documents required for filing a bike insurance claim

There are multiple scenarios in which you may need to file an insurance claim. If your bike is stolen or damaged in an accident, your insurer will provide you with financial support. However, the documentation process for various situations differs greatly. Let's learn about them:

Purchasing a car is not a one-time expense. You will need to set aside some of your earnings to cover its operational and maintenance costs. Even minor car damage can result in significant repair bills. But, if you have a comprehensive motor cover, you won't have to worry about maintenance. Insurance provides financial assistance if repair costs are incurred as a result of an accident, fire, or other tragic events. Also, you will be compensated if you lose your car to theft or total damage. 

While driving a car, a few incidents are unavoidable; a dent is just one of them. It is critical to understand the claim process to avoid any last-minute hassles.

How to Claim Insurance for a Car Dent in India?

Follow these steps to raise a car insurance claim: 

• Notify your insurer: Notify your insurer as soon as possible following the accident that damaged your vehicle. You can dial the toll-free number to reach the claim support team.

• File an FIR: If the claim is for theft or an accident, you must file an FIR with the nearest police station.

• Save the claim number: When you submit your claim request, you will be given a claim acknowledgement number. Save this number for future reference. You will need it to track your claim status.

• Inspection: Your insurer will dispatch a surveying officer to assess the extent and nature of the loss. The officer will prepare a report based on his/her evaluation and send it to the claim support team.

• Garage appointment: Following the inspection, you will be given a list of nearby network garages. You can arrange to have your vehicle towed and the repairs completed. You may also visit a non-network garage. In that case, you cannot avail of the cashless claim facility and will have to file a reimbursement claim.

Following the completion of the preceding steps, the insurer will settle the claim.

There are several ways to check the status of your health insurance claim. You can check it online on your insurer's website or in person at a branch office. If you purchased your policy through an intermediary, they may also provide you with claim information. Policyholders seeking medical treatment at a network hospital do not need to go through this process. That is because the Third Party Administrator or TPA at the relevant hospital has already processed their documents, allowing you to receive cashless treatment.

Ways to check your health insurance claim status

You can check your health insurance claim status either online or offline. The online method allows you to follow up from the comfort of your home. For the offline method, you must visit your insurance provider’s branch office and connect with an executive or reach out to your insurance agent who helped you buy the policy in the first place.

Let us look at each method in detail:

Online method to check health insurance claim status

To check your claim status online, you need to follow the steps mentioned below: 

• Visit your insurer's official website.
• Navigate to the health insurance page. Once there, click on the claim links to get redirected to the claim page.
• The page will show you two options—retail or corporate. Click on the "Retail User" tab.
• Enter the claim number and click on "Proceed."
• The real-time status of your claim request will be displayed on the screen. 

You can also check your claim status by sending an email to the customer support email address. Attach a copy of your policy documents and mention the acknowledgement number you received when submitting your claim in the email.

Offline method to check health insurance claim status

The offline process for checking your claim status is slightly more time-consuming than the online one. Here’s how you can do it:

• Visit the nearest branch of your insurer. Carry your policy documents with you. An executive will assist you in learning about your claim status.
• You can also call the toll-free number listed on the insurer's website. Before informing you of the status, the customer service representative will ask for your policy details and the claim reference number.

Remember, checking your health insurance claim status offline could demand more effort and be time-consuming compared to the online method.