What is Exclusions? Definition of Exclusions, Exclusions Meaning - The Economic Times (2024)

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Definition: Exclusions are the cases for which the insurance company does not provide coverage. These are the conditions excluded from the insured event to avoid losses to the company.

Description: Life insurance contracts have certain specified provisions and clauses which have to be fulfilled so that the claim can be considered valid. Generally, the insurance provider is liable to pay the claim amount in case of death of the insured. But to avoid situations of adverse selection, the insurance companies will not consider provision of benefits for specific conditions like committing of suicide by the insured person.
Such clauses have to be clearly stated in the policy document at the time of commencement of the contract for the information of the policyholder. Waiting period in which the insurance benefits do not apply is also a type of exclusion.

Also See: Insurance, Annualized Premium, Return, Beneficiary, Annuity, Insurable Interest, Insurability, Claim Amount

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    • LIFE INSURANCEINSURANCERETURNLIFE INSURANCE POLICY
    • INSURABLE INTERESTANNUITYINSURANCE BENEFITSBENEFICIARY
    • WAITING PERIODCLAIM AMOUNTEXCLUSIONSANNUALIZED PREMIUM
    • INSURABILITY
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      Embedded Value

      Embedded value is the sum of the net asset value and present value of future profits of a life insurance company.

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      Expense Loading

      Expense loading is the amount included in the premium charged by an insurance company to cover its administrative and maintenance costs.

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    • Actuarial ScienceActuarial Science is a discipline that deals with assessing the risks in insurance and finance field using various mathematical and statistical method.Description: The professionals who carry out these tasks of ascertaining, analyzing and providing solutions of future uncertainties having financial risks are the actuaries. Mathematics of probability and statistics are the major tools they use toActuariesA person with expertise in the fields of economics, statistics and mathematics, who helps in risk assessment and estimation of premiums etc for an insurance business, is called an actuary.Description: Insurance business requires advanced statistical and analytical skills for evaluation of risks and returns associated with each proposal. Insurance companies employ these experts from the field of Adverse SelectionAdverse selection is a phenomenon wherein the insurer is confronted with the probability of loss due to risk not factored in at the time of sale. This occurs in the event of an asymmetrical flow of information between the insurer and the insured.Description: Adverse selection occurs when the insured deliberately hides certain pertinent information from the insurer. The information may be of critAgentAn agent is a person who represents an insurance firm and sells insurance policies on its behalf.Description: Generally, there are two types of such agents who reach the prospective parties that may be interested in buying insurance. These are independent agents and captive or exclusive agents.Independent agents may represent many insurance firms and receive commission for their services a
    • Annualized PremiumThe total amount of premium paid annually is called the annualized premium.Description: Any insurance policy comes up with many premium payment options. Premium can be paid monthly, quarterly, semi annually and annually.For instance, if the monthly premium is Rs 2000, then the annualised premium will be 2000*12 = Rs 24000Also See: Insurance, Concealment, BancassuranceAnnualized Premium EquivalentAnnualized premium equivalent (APE) is a common measure of ascertaining the business sales in the life insurance industry. It is the sum of the regular annualized premium from the new business plus 10% of the first single premium in a given period.Description: APE is computed as:APE = Annualized regular premium + 10 % of single premium (Including top-up premium). Where annualized regular pre

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