Categories: Insurance Planning

IRDA Claim Settlement Ratio 2014-15-Which is best Life Insurance Company?

IRDA Published annual report for 2014-15. So let us analyze the IRDA Claim Settlement Ratio 2014-15 and understand which is best life insurance company.

First, let us understand the IRDA Claim Settlement Ratio 2014-15 and identify where your insurance companies stand for.

Note-Refer latest report at “IRDA Claim Settlement Ratio 2015-16 | Best Life Insurance Company in 2017“.

What is Claim Settlement Ratio?

It shows you the number of claims settled by a life insurance company during the particular year. It is calculated as the total number of claims received by the total number of claims settled. Let us say, Life Insurance Company received 100 claims and among that it settled 98 means 98% claim settlement ratio.

You notice that this ratio not differentiate of which types of products, life insurance companies settled. It may be term insurance, endowment plans, or ULIPs. Therefore, it is hard to judge the data perfectly. Even recent clarification and changes to Section 45 of IRDA rules clearly indicates that claim settlement ratio is not the biggest criteria.

Hence, I always suggest that claim settlement ratio is just an indicator but not the sole criteria to select an insurance company. This, I suggest to those who are looking for term insurance. I explained the same in my earlier post “Top 5 Best Online Term Insurance Plans in India-2016“.

Below is the chart of IRDA Claim Settlement Ratio 2014-15.

You notice that Star Union being a new company managed to settle around 94% of claims. At the same time, SBI Life’s claim settlement ratio decreased below 90%.

I indicated with yellow colour for those companies, whose ratio stands above 90%.

As usual, LIC stands topper with 98% of claim and next to it is Max Life and Birla Life. ICICI managed the almost same ratio, while HDFC’s claim ratio declined to previous years.

As I said above, it doesn’t classify the product and the amount of the claim it settled. Hence, let us go deeper and identify the average claim settlement amount of these insurance companies. Many fans of LIC may feel it a surprise, but the reality is as below.

Here comes the reality, the average claim settlement of LIC stands below Rs.2,00,000 Sum Assured. That means the claim settlement ratio of LIC mainly includes typical endowment plans.

This is the reason I say don’t rely too much on claim settlement ratio. Understand your requirement, product feature, comfort with company, and the budget.

Let us go deeper into this IRDA Claim Settlement Ratio 2014-15. Now we see how much is the claim settlement rejection and what is the average sum assured of these policies.

You notice the difference between average claim settlement amount to average rejection amount. You will find that average rejection size is more to all companies. Definitely, it indicates that they are cautious in settling the claims when it comes to higher sum assured.

Below data shows the pending claims of all life insurance companies. Along with that it shows since how long they kept them pending. There may be many reasons for it. Some due to insurance companies fault or lethargic attitude or some due to not providing sufficient documents or information by insured or nominees of insured.

You notice that few companies holding the claims for more than a year. I marked them in red colour.

Hope above data will help you to understand what is claim settlement ratio and how much you can rely on this raw data.

Source-IRDA Annual Report-2014-15.

BasuNivesh

View Comments

  • Hello Baswaraj,
    I am 38 and almost decided on ICICI Pru i SMART Protect Lumpsum Plan of Rs.1 Cr. But I am now rethinking and considering HDFC Protect Plus as it has a ACCIDENTAL DISABILITY RIDER OF 1% SA / Month for 10 years.

    Now, I am suggested by some of my good friends, that all the riders are of no use and go for base plan of TERM Insurance.

    Also, how good are these TERMINAL and CRITICAL ILLNESS benefits. Are they practical in any way and will be really useful in the event of unfortunate incident.

    But then there is no other plan where in I can get a Accidental Disability cover of close to 1 Cr.
    Pl suggest and help. I am now confused

    • RAvi-Go ahead as per your friend and buy accidental and critical plans from general insurers.

      • Hello Basavaraj, But I could not find PA Plan which is providing a disability cover for 1 Cr or any where close to that amount. Can tyou suggest few.
        It will be very helpful.

  • Hi Basavaraj,

    I am Prashant, currently working with pvt company. I want to buy term plan for me which include all. I have good salary.
    in Which company should I go? my age is 29yrs.

    Thanks,
    Prashant

  • Mr basu I'm having health insurance with united india health insurance .I spoke to grievance officer he is not helping me and advising me to take your claim from court.he said that more and more case we will move towards court as we are facing losses in health sector.taking claim from court is a lot of time consuming issue.

  • I am 42 years old, NRI, working in Oman. I have taken an online
    term policy from Max Life insurance last year when I was in India
    on my annual leave.

    As I am pre-diabetic and taking oral medication, I have disclosed
    my health factors sincerely in my proposal form. Even though
    my medical examination results were normal, I have been asked
    to pay an extra premium @ 50% based on my health declaration.

    Now, I came to know that the Max Life Insurance company will
    be merged with HDFC Life within an year and the policy will be
    serviced by HDFC Life thereafter.

    As you are aware, Max Life is having a CSR of 96.2% and the
    claims pending for more than 3 months are only few with them.
    Where as HDFC Life’s CSR is only 95% and they have more
    than 280 claims pending with them for more than 3 months.

    Based on the above facts only, many people decided to choose
    Max Life as their preferred life insurance partner. However, more
    than 75 lakhs policy holders of Max Life are now going to be taken
    over by an insurance company with lower CSR.

    In current market scenario, merger can happen between any
    private insurers in India, in accordance with the acceptance of
    respective Board of Directors. But what will be the consequences
    to be faced by the policy holders in such corporate consolidations.?

    Can I expect to continue with the same kind of quality treatment
    and policy contract after the merger of these companies.? Is there
    any regulation by IRDA to protect the interest of policy holders in
    such mergers.? Being honest in every aspect, can I continue to pay
    the premium and go ahead with my existing insurance contract.?

    Expecting your valuable comments.

  • please comment on cigna ttk medical insurance company since it is new in the market.premium is low compared to other insurance companies.

  • Hi Basu,

    I am confused between Kotak Preferred e-term plan and max online term plan. Please suggest me which one to go for.

      • Which of the two would be a better choice? The premium is almost the same in both the plans. However, Max would be giving me 50 lacs SA while Kotak only 40 lacs as per the annual income. Max has a higher claim settlement ratio as compared to Kotak.

        So please suggest which one would be ideal.

  • I have L&T Insurance Medisure Classic Plan for me and Apollo Munich Optima Restore for my family. Can tell about claim settlement ratio, Are these genuine companies or creating trouble for customers

  • Dear Mr. Basu,
    It is very nice information shared by you.... Thanks for the same.
    I am also associated with Both Life as well as non life insurers.
    I really wonder as how IRDA is publishing its data about all these companies
    so lately i.e. we have ended up with FY 2015-16 by one quarter and we have to submit
    our Tax returns by 31st of July every year.
    Don't you think in today's IT era IRDA need to improve its late responding in disclosing
    data of all the companies available in the market.
    Regards
    Vishnu Agarwal
    9422202863

    • Vishnu-Yes your points are valid. But we have to accept the regulators also :)

  • I had purchase edelweiss e-term but its settlement rate is very low should i continue with it.

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BasuNivesh

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