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Personal Accident & Health Insurance

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PERSONAL ACCIDENT AND HEALTH INSURANCE
OF

Course Name: Principles of Insurance
Course Code: F-210

Submitted to:

Samia Sultana Tani
Assistant Professor,
Department of Finance,
Faculty of Business Studies,
University of Dhaka.

Submitted by:
Group No:
Section :B
B.B.A 17th Batch
Department of Finance
University of Dhaka.

Date of Submission: 27 November, 2012.

A Combined Effort of

Sl No. | Name | ID-No. | Remarks | 01 | Rakibul Islam | 17-052 | | 02 | Ivy Akhter | 17-046 | | 03 | Mousumi Saha | 17-154 | | 04 | Morium Sultana Moni | 17-104 | | 05 | Nipul Hosen | 17-058 | | 06 | ShantaDev | 17-086 | | 07 | ShamsunNaher | 17-112 | | 08 | Emaj Sultana | 17-062 | | 09 | FatemaTujJuhura | 17-156 | | 10 | SadiaSharminUrmi | 17-192 | |

Letter of Transmittal

27 November, 2012 Samia Sultana Tani Assistant Professor Department of Finance Faculty of Business Studies University of Dhaka Subject: Submission of the Report. Dear Madam, It gives us immense pleasure to submit the report on “personal accident and health insurance of pragati insurance limited” This report is submitted as the requirement to fulfill the course “Principles of insurance”. The experience that we gathered through this research was very interesting, joyful and valuable one. This is an ideal ground for us to put in our theoretical knowledge in the practical ground. We express our gratitude to you, as you allowed us to perform the study and to submit the report. We hope that the report will meet the standard and will serve its purpose. Thank you. Sincerely Yours Group B. B. A. 17th Batch Section: B Department of Finance University of Dhaka

Acknowledgement

In preparing this report, we got full co-operation from our class mates. That was a great advantage for us. We would like to thank all the members of our group who helped us sincerely from every respect. An individual can achieve no noble achievement. We are indebted to a number of persons for their kind recommendation, direction, co-operation and their collaboration. First of all we would like to thank our honorable course teacher, Samia Sultana Tani, Assistant Professor, who was always ready to help us by giving necessary advices & support for the preparation of this report .We would also like to thank those customers and employees of Pragati insurance Ltd. who helped us greatly in conducting the survey. This report suffers from many shortcomings; nevertheless we have exerted our best efforts in preparing this report. We seek excuse for the errors that might have occurred in spite of our best effort.

TABLE OF CONTENTS

No. | Particulars | Page No. | 1. | Introduction | 07 | 2. | Origin of the report | 08 | 3. | Objectives of the report | 08 | 4. | Methodology | 09 | 5. | Limitations of the study | 09 | 6. | Company Profile | 10 | 7. | Finding parts | 42 | 8. | Recommendation | 47 | 9. | Conclusion | 48 | 10. | Bibliography | 49 |

Executive Summary

Insurance is a co-operative device to spread burden of the loss of one caused by a particular risk over a number of persons who are exposed to it and who agree to insure themselves against the risk. Insurance can be life, fire, marine and accident. Personal accident insurance is the basic type of policy covering insurance of life or limbs. This insurance provides cover in respect of accidental death or bodily injury to the insured. Health insurance is insurance against the risk of incurring medical expenses among individuals. Insurance coverage is provided by an employer-sponsored self-funded ERISA plan In this report we have tried to show the importance, objectives and also the origination of this report. Going through this entire report, one can find the theoretical background ,research design, empirical analysis about personal accident insurance and health insurance of Pragati life insurance limited. At the last part of this report, we have tried to show some findings gathered by ourselves in preparing this report.

Introduction

Insurance is nothing but a system of spreading the risk of one onto the shoulder of many. whilst it becomes somewhat impossible for a man to bear by himself 100% loo to his own property or interest arising out of an unforeseen contingency, insurance is a method which distributes the burden of loss on a number of persons within the group formed for this particular purpose. Pragati Insurance Limited is one of the leading General Insurance companies in Bangladesh Multimode Group, CEO, Mr. Abdul Awal Mintoo, currently is the Chairman of Pragati Insurance Limited. It provides cover for the insurance of marine, fire , personal accident, health, product liability, product liability. Personal accident insurance policy covers insurance of life or limbs.
Health insurance is insurance against the risk of incurring medical expenses among individuals. By estimating the overall risk of health care expenses among a targeted group, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to ensure that money is available to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization such as a government agency, private business, or not-for-profit entity

Origin Of The Report

This report is generated under the academic supervision of Assistant Professor Samia Sultana Tani, Department of Finance, University of Dhaka. This report is prepared as the requirement of principles of insurance course. The topic is “Personal Accident and Health insurance of Pragati Insurance limited.”

Objectives Of The Report

The main aim of preparing the report is to fulfill the requirement of our course instructor. The report helps to find out personal accident and health insurance of Pragati Insurance limited. The other objectives behind this study are as follows—

* To find the subject matter of personal accident insurance. * To have five years performance of Pragati Insurance limited. * To have overseas mediclaim insurance of Pragati Insurance limited. * To have knowledge about premium procedure of Pragati Insurance limited. * To have knowledge about people’s personal accident insurance of Pragati Insurance limited. * To have knowledge about Pragati Insurance limited.

Scope Of The Report

ScopeThe present study is an attempt to convert our theoretical knowledge into practical experience by different analysis.This report will give a clear idea about Personal Accident and Health insurance of Pragati Insurance limited.

Methodology

The type of methods used in this report is mainly of an theoretical nature. Both primary and secondary data analysis were selected as the basic research method.

Primary Data Collection

The primary data has been collected from

* Lectures given on this topic in the classroom. * Face to face conversation with the insurance company. * Related files, books study provided by our respectable teacher * Sharing practical knowledge of our teacher.

Secondary Data Collection The secondary data has been collected from * Website of Pragati insurance Ltd. * Annual report of Pragati Insurance Ltd. * Journal of Pragati Insurance Ltd.

LIMITATIONS OF THE REPORT

Every study has some limitations. We faced some usual constraints during the completion of our report. The major limitations are:

* Lack of experience: Lack of experience acted as constraints in the way of meticulous exploration on the topic.

* Insufficient data: The data required for sufficient analysis for writing report couldn’t be collected due to the excessive workload.

* Time constraints: Time constraints have confined us to prepare this report shortly. Though time is limited but we have tried to give our best effort to prepare this report in the proper way.

PRAGATI INSURANCE LIMITED

COMPANY PROFILE

PRAGATI INSURANCE LIMITED was established in 1986. A group of young entrepreneurs of Bangladesh who had earlier launched a commercial Bank in the private sector sponsored the company with 30 million Taka capital. Sponsors included shipping magnets, Engineers, Road Builders, Top Garment Exporters and Importers. |

Head Quarter of Pragati Insurance Limited |

Market size of Bangladesh in the non-life sector was Tk.1,050 million in 1986. It has grown to Tk.12,284.20 million in 2009. With the arrival of private sector power companies like AES, gas giants like UNOCAL, SHELL and discovery of new off shore gas in the Bay of Bengal and other private sector infrastructure industry in the country, it is expected that there would be quantum jump in the non-life insurance premium portfolio in Bangladesh once the decision as to utilization or export of gas is taken by the Govt.

26th AGM of Pragati Insurance Limited
Besides, They insure all traditional lines of non-life insurance businesses . Fire & allied risks including flood, cyclone, earthquake, Typhoon, malicious damage, burglary, riot, strike, damage, house breaking, industrial all risks, DOS, machinery break-down, loss of profit, business interruption, CAR/EAR, personal accident including workmen compensation, motor insurance of all descriptions & value, Travel medical & medical insurance including treatment abroad to name a few broad lines.

Paid-up capital of the company is Tk.447.80 million and Reserves including capital reserves stood at Tk.2,176.68 million thus making an equity base of Tk.2,624.48 million as of December 2011.

Total Asset as of 31st December, 2011 stood at over Tk.3,461.34 million.
Investment

Company’s investment portfolio is well balanced. Position in brief, as of December, 2011, stood as below: | Amount (Tk.) | Govt. Bond | Tk. 4,500,000 | Shares & Debentures
(Revalued as per IAS-25 ) | Tk. 386,731,018 | Land (Freehold) | Tk. 828,337,503 | Land & Building | Tk. 667,888,778 | Total | Tk. 1887,457,299 |

Claim Settlement: Client's service and prompt settlement of claims are the key to the success and growth of the company. Claims are settled immediately on completion of the required formalities by the insured and the surveyors. The company has settled claims of over Tk.370.45 million since 2007 till 2011. The gross premium earned and gross claims settled during the last 5(five) years stood as under: (Taka In Million) | 2007 | 2008 | 2009 | 2010 | 2011 | Gross Premium earned | 802.76 | 979.08 | 1,035.88 | 1,062.26 | 1,137.29 | Net claim settled | 58.42 | 48.65 | 92.37 | 110.68 | 60.33 | Re-Insurance arrangement: Company' portfolio is adequately reinsured both at home and abroad. Fire and allied risks are covered by surplus and Auto-Fac Treaties. Marine Cargo risks are also covered by surplus & Auto-Fac Treaties. Motor risks are covered by 3 layer XL Treaties. Engineering and Misc. risks are covered by Surplus Treaty. The company has also cover for fire and marine cargo own retained portfolio. Company's gross premium income, Reinsurance cession and net premium retention for the year 2011 were as under (Taka in Million) | Fire | Marine | Motor & Misc. | Total |

Gross Premium | 484.09 | 420.03 | 233.16 | 1137.28 | Reinsurance | 239.87 | 46.19 | 18.36 | 304.42 | Retained Premium | 244.22 | 373.84 | 214.80 | 832.86 | BIG CLIENT PROTFOLIO
We are a key player in the private sector insurance business in Bangladesh. We have in our port-folio companies like:

MULTINATIONAL CLIENTS 1. Robi Axiata Limited
2. Grameen Phone Limited
3. Aventis Ltd.
4. CDC Hynudai
5. Singer Bangladesh Ltd.
6. ITS Labtest Bangladesh Ltd.
7. American International School
8. Heildelbarg Cement Bangladesh Ltd.
9. Lafarge Surma Cement
10. Marga Net One Ltd.
11. KAFCO
12. Reckitt Benckiser (BD) Ltd.
13. Mamiya-OP (BD) - CEPZ
14. Youngone Group – CEPZ
15. U-Jin Electronics Co. – CEPZ
16. Kenpark Bangladesh – CEPZ
17. Global Fabrics - CEPZ Hopeful Textile - CEPZ
18. Dhakarea Limited - DEPZ
19. Queen South Textile - DEPZ
20. ACE Bicycle (BD) CEPZ
21. Alita (BD) – CEPZ
22. Chihong Knit Ltd. -CEPZ
23. Swan Lon Co. - DEPZ
24. Daeyu (BD) Ltd. - DEPZ
25. Lik Fung Garments – DEPZ
26. Westmont Power (BD) Pvt. Ltd.
27. Bata Shoe Co.(BD). Ltd. LOCAL CLIENTS 1. Square Group of Industries
2. Beximco Group
3. Monno Group of Companies
4. Reckitt Benckiser (BD) Ltd.
5. Jayson Group of Companies
6. Olympic Group if Industries
7. Multimode Group of Industries
8. KDS Group
9. Hosaf Group of Indistries
10. A. Monem Group of Comanies
11. Khulna Power Co. Ltd.
12. Q.C. Group
13. Anlima Dyeing

In the insurance of private sector power companies, we are the pioneer. We started with insurance of 60 MW Barge Mounted Power Plant at Mymensingh built for RPC by Mitsui Engineering and Shipbuilding Co., Japan followed by insurance on 110 MW Barge Mounted Power Plant of Khulna Power Company, 110 MW Barge Mounted Power Plant at Baghabari of Westmont Power and 350 MW AES Power Plant at Haripur. We have also insured small power plants of United Summit Groups. For handling insurance of technological and multi-dimensional projects, one needs support of multinational Insurance Brokers for Reinsurance placement in the world market. We have developed our relations with AON and MARSH, the two big insurance broking houses in the world who always support us in underwriting any big risk in Bangladesh. We have good working relation with TYSER & Company, Re- insurance broker of the SBC, the state corporation on insurance & re-insurance.

We have confidence in our technical and financial ability to underwrite big industrial or infrastructure projects.

| |
COMPANY PERFORMANCE Taka in Million | 5 Years at a glance ParticularFinancial Performance | | 2011 | 2010 | 2009 | 2008 | 2007 | Gross Premium | 1137.29 | 1062.26 | 1035.88 | 979.08 | 802.76 | Net Premium | 477.20 | 474.69 | 429.11 | 412.81 | 341.97 | Net claim | 60.33 | 110.68 | 92.37 | 48.65 | 58.42 | Underwriting profit | 89.31 | 63.09 | 62.86 | 99.24 | 77.90 | Investment IncomeIncome from financial service | 6.2046.30 | 77.2840.97 | 43.164.50 | 69.8449.46 | 74.7446.72 | Net profit before tax | 133.38 | 161.52 | 131.38 | 198.83 | 176.84 | Net profit after tax | 79.82 | 106.95 | 68.55 | 118.07 | 142.66 | Dividend in Percent | 10+15(Stock) | 15+5(Stock) | 20+10(Stock) | 20+15(Stock) | 35(Stock) | Share Capital & Reserve | Paid-up Capital | 447.80 | 426.47 | 387.71 | 337.13 | 249.73 | Total Reserves & Surplus | 2176.68 | 1669.54 | 1668.88 | 1686.42 | 1615.88 | Share holders Equity | 2624.48 | 2123.07 | 2056.60 | 2023.56 | 1856.61 | Assets | Investment in Shares and Securities | 397.14 | 389.27 | 391.23 | 361.65 | 242.58 | Cash, FDR and Bank Balances | 510.46 | 523.23 | 473.04 | 532.12 | 510.34 | Land and Building | 2014.75 | 1518.30 | 1496.21 | 1319.03 | 1318.52 | Total Assets | 3461.34 | 3012.47 | 2900.94 | 2662.47 | 2449.50 | Ratios | EPS | 2.36 | 3.38 | 2.87 | 4.68 | 5.68 | P/E (Times) | 33.39 | 46.11 | 52.84 | 20.28 | 8.45 | Solvency Surplus | 2696.64 | 2126.47 | 2092.14 | 2044.48 | 1899.89 | Net Asset Value Per Share | 58.60 | 49.80 | 530.44 | 600.21 | 747.04 | Net Cash Flow Per Share | 0.94 | 1.16 | 10.88 | 47.08 | 2.01 | | | | | | | Credit Rating | Long Term | AA1 | AA1 | AA1 | AA2 | AA2 | Short Term | ST1 | ST1 | ST1 | ST1 | ST1 | | |
Overseas mediclaim insurance

Salient Feature Overseas Mediclaim policy covers Medical Expenses whilst traveling abroad for business/holiday. The policy will be valid only if the insured journey commences within 14 days of the first day of insurance as indicated in the policy schedule. Cancellation of the policy may be done ONLY in cases where a journey is not undertaken and ONLY on production of the insured person’s PASSPORT as a proof that the journey has not been undertaken. Any request for cancellation will be entertained not less than 14 days after the First Day of Insurance as indicated in the policy schedule. Such cancellation will be subject to deduction of cancellation charges by the underwriters as applicable. Partial refund in premium is permitted on trip band basis provided cover is for a minimum period of 60 days and unexpired period is not less than 14 days subject to there being no claim under the policy.

Pragati Insurance Limited issues two types of overseas Mediclaim Insurance viz.
(1) Business and Holidays and (2) Employment/Studies.
(1) BUSINESS/HOLIDAYS:

This Policy is divided into Two plans:-
Plan 'A’ - Bangladeshi's/other citizen (who are working in Bangladesh) visiting countries other than USA & CANADA
Plan 'B’ – Bangladeshi’s & other citizen (who are working in Bangladesh) visiting USA & CANADA

Scope of Cover:- | Intended only for use of Insured Person in the event of a sudden and unexpected sickness or accident arising when the Insured is staying abroad. | Maximum Limit of
Indemnity:- | Plan 'A’ US$50,000
Plan 'B’ US$1,00,000 | Period Covered:- | Period covered is 180 days under both the plans but the period of insurance shall be automatically extended for a further period of 45 days for treatment of covered illness or accident. | Restricted Cover:- | In the event that the proposer is unable to present himself for medical examination where called for by Pragati Insurance Ltd, the limit of indemnity under the insurance shall be reduced to US $10.000/- | Procedure for obtaining claim –assistance | IIn case of illness and hospitalisation the insured person &/or his representative should contact "Van Ameyde and Wallis Ltd. 34 The Mall Bromley Kent, BR1 1TS, United Kindom. | | Telephone # +44 20 84669191, (24 hours)
Fax #+44 20 83139062
34 The Mall, Bromley, Kent, BR1 1TS, UK | Rate:- | The rates being adopted in Bangladesh are as follows. |

PLAN "A" (WORLD WIDE EXCLUDING USA AND CANADA Age bands | 6month-30years | 31-40 years | 41-50 years | 51-55 years | 56-59 years | 60-65 years | Period (Days) | Taka | Taka | Taka | Taka | Taka | Taka | 1-14 | 1,458 | 1,749 | 2,316 | 2,646 | 3,308 | 5,788 | 15-21 | 1,519 | 1,822 | 2,470 | 2,821 | 3,526 | 6,170 | 22-28 | 1,701 | 2,040 | 2,756 | 3,150 | 3,937 | 6,889 | 29-35 | 2,089 | 2,516 | 3,329 | 3,804 | 4,757 | 3,323 | 36-47 | 2,402 | 2,881 | 3,816 | 4,361 | 5,452 | 9,540 | 48-60 | 2,825 | 3,390 | 4,520 | 5,166 | 6,457 | 11,299 | 61-75 | 3,494 | 4,192 | 5,580 | 6,377 | 7,972 | 1,3950 | 76-90 | 4,177 | 5,012 | 6,615 | 7,560 | 9,450 | 16,537 | 91-120 | 7,062 | 8,475 | 11,290 | 12,901 | 16,127 | No Cover | 121-147 | 8,505 | 10,206 | 13,539 | 15,473 | 19,342 | No Cover | 148-180 | 11,818 | 14,180 | 18,675 | 21,521 | 26,902 | No Cover |

PLAN "B" (WORLD WIDE INCLUDING USA AND CANADA Age bands | 6month-30years | 31-40 years | 41-50 years | 51-55 years | 56-59 years | 60-65 years | Period (Days) | Taka | Taka | Taka | Taka | Taka | Taka | 1-14 | 2,402 | 2,881 | 4,941 | 5,645 | 7,057 | 12,349 | 15-21 | 2553 | 3063 | | | | | 22-28 | 2885 | 3463 | | | | | 29-35 | 3464 | 4156 | | | | | 36-47 | 4131 | 4956 | | | | | 48-60 | 6654 | 7984 | | | | | 61-75 | 9568 | 11482 | | | | | 76-90 | 11514 | 13816 | | | | | 91-120 | 16221 | 19465 | | | | No Cover | 121-147 | 21538 | 25844 | | | | No Cover | 148-180 | 28524 | 34228 | | | | No Cover |
VAT at the rate of 15% to be added to the above rates.

Deductibles: – For insured(s) over of 60 years US$500 or 20% of the total amount of each and every claim whichever is the higher .
2. Corporate Frequent Travels (CFT) annual covers for business persons for Bangladeshi citizens. Please do not hesitate to contact us for further information/clarification. Employment/Studies:
The Policy is divided into Two plans:-
Plan 'C’ - For Bangladeshi’s staying in countries other than USA & CANADA
Plan 'D’ – For Bangladeshi’s staying in USA & CANADA. Scope of Cover:- | Intended only for use of Insured Person in the event of a sudden and unexpected sickness or accident arising when the Insured is staying outside Bangladesh. | Covered Expenses: - | The reasonable and customary fees, charges for unavoidable medical services, supplies and treatments authorised by a Licensed Physician and approved by the claims Administrator. | Period of Insurance:- | From the date the insured person departs from Bangladesh to travel to the country of posting or study till the time his Employment/study continues. | Age Limit:

Claim Procedure: | Any citizen of Bangladesh with age limit 18-59 years.

In the event when Medical services are required the Insured Person shall where possible consult first with the campus, college, school or Employer’s/Sponsor’s Doctor. In case of Hospitalisation and out patient treatment in excess US$500, the Insured Person or his representative or the treating Licensed physician will consult with "Voyager Assistance Worldwide" in U.K. USA Canada (Office address with telephone are furnished in the policy. |

Rate:-
(A) Employment:

Premium to paid in Foreign currency | PLAN 'C'
Worldwide excluding
USA/CANADA | PLAN 'D' for USA/CANADA | Age group (yrs) | 18-40 | 41-59 | 18-40 | 41-59 | Premium per person per month or part thereof for participant/accompanying paying spouse | US$27 | US$31.2 | US$46.8 | US$64.8 | Premium per child per month or part thereof child (under 18 yrs) | US$22.8 | | US$39.6 | |
(2) Employment / Studies:

Premium to be paid in Bangladeshi Taka | PLAN 'C'
Worldwide excluding
USA/CANADA | PLAN "D" for USA/CANADA | Age group (yrs) | 18-40 | 41-59 | 18-40 | 41-59 | Premium per person per month or part thereof for participant/accompanying paying spouse | Tk. 778 | Tk. 850 | Tk. 1253 | Tk. 1714 | VAT at the rate of 15% to be added to the above rates. |

DREAD DISEASE
PRAGATI also issues policy for the following Dread Diseases. Various forms of Medical Expenses policies are available around the world, but we can honestly say that the Dread Diseases insurance that we are proposing is by far the most simple and attractive for the insured. 1. Coronary Heart disease 2. Kidney failure 3. Stroke 4. Cancer 5. Organ Transplantation 6. Multiple Sclerosis Limit of cover:- | Minimum Tk.5,00,000/- and maximum of Tk.25,00,000/- per insured is available | Condition of cover:- | No prior medical examination is required for the insurance but no cover is available for pre-existing condition | Eligibility of the cover:- | Applicable for the Bangladesh citizens only. | Age Limit:- | 18-65 years. | Rate:- | The rate is on an annual basis, with the premium being calculated on a rating subject only to age. The rates being adopted in Bangladesh are as follows: | | | | Ages | Rates | 18 to30 | 0.1625% | 31 to 40 | 0.3380% | 41 to 50 | 0.9230% | 51 to 60 | 2.1900% | 61 to 65 | 2.5840% | VAT at the rate of 15% to be added to the above rates. | | Age: 6 months to 70 years.

Scope of Cover Medical expenses incurred by the insured persons, outside India as a direct result of bodily injuries caused or sickness or disease contracted are covered. Eight Plans available under the policy: PLAN A-1 For travel to countries excluding USA & Canada for business and holiday limited to USD 50,000. PLAN-A-2 Same as (A-1) above except that benefits stand increased to USD 250000. PLAN B-1 For travel worldwide including USA & Canada for business and holiday limited to USD 1, 00,000. PLAN B-2 Same as (B-1) above except that benefits stand increased to USD 5,00,000. PLAN C For travel to countries excluding USA & Canada for employment and studies limited to USD 150,000. PLAN D For travel worldwide including USA & Canada for employment and studies limited to USD 150,000. PLAN E-1 For travel worldwide including USA & Canada for corporate frequent travelers limited to USD 1,00,000. PLAN-E-2 Same as (E-1) above except that benefits stand increased to USD 500000 PLAN-K For travel to Asian Countries – Excluding Japan for business and holiday limited to USD 15,000. ADDITIONAL Add-on benefits:-Besides the above additional add-on benefits are available under Business & Holiday 1. Personal Accident 2. Loss of checked in Baggage (Not applicable under Plan K) 3. Delay of checked in Baggage (Not applicable under Plan K) 4. Loss of passport (Not applicable under Plan K) 5. Personal Liability (Not applicable under Plan K)
Exclusions
1. No claim will be paid where the Insured Person: a. is traveling against the advice of a Physician; or b. is receiving or on a waiting list for specified medical treatment declared in the Physician’s report or certificate; or c. is traveling for the purpose of obtaining treatment; or d. Has received a terminal prognosis for a medical condition. 2. No claim will be paid arising from suicide attempted suicide or willfully self inflicted injury or illness, mental disorder, anxiety, stress or depression, venereal diseases, alcoholism, drunkenness or the abuse of the drugs, or any loss arising directly or indirectly from any injury, illness, death, loss expenses or other liability attributable to HIV (Human Immunodeficiency Virus) and/or any HIV related illness including AIDS (Acquired Immune Deficiency Syndrome) and/or any mutant derivative or variation thereof however caused. 3. No claim will be paid arising from the insured person taking part in Naval, Military or Airforce operations. 4. No claim will be paid arising from War, invasion, acts of foreign enemy, hostilities (Whether war be declared or not), civil war, rebellion, revolution, insurrection, military or usurped power or confiscation or nationalization or requisition of or destruction of or damage to property by or under the order of any government or local authority. 5. This insurance does not cover any claim arising from the loss or destruction or damage to any property whatsoever or any loss or expenses whatsoever resulting or arising therefrom or any consequential loss directly or indirectly caused by or contributed to by or arising from a. ionizing radiation or contamination by radioactivity from any nuclear waste from the combustion of nuclear fuel; or b. the radioactive, toxic, explosive or other hazardous properties of any explosive nuclear assembly or nuclear component thereof. 6. No claim will be paid arising from the participation of the Insured person engaging in Air Travel unless he or she flies as a passenger on an aircraft properly licensed to carry passengers. For the purpose of this exclusion, Air Travel means being in or on, or boarding an aircraft for the purpose of flying therein or alighting therefrom following a flight. 7. No claim will be paid arising from the participation of the Insured person in winter sports, mountaineering (where ropes or guides are customarily used), riding or driving in races or rallies, caving or potholing, hunting or equestrian, skew diving or other underwater activity, rafting or canoeing involving white water rapids, yachting or boating outside coastal waters (2 miles). Further no claim will be paid in case Insured Person participates in professional sports or any other hazardous sports. The claim is neither payable if arises from participation in potentially dangerous sports for which the Insured Person is either untrained or physically unfit or using improper equipment. 8. No claim will be paid for losses arising from accidents on two wheeled motorized vehicles unless at the time of the accident the driver is duly qualified, is in possession of a current full International driving license and the injured person is wearing a safety crash helmet, or losses arising from accidents on two wheeled motorized vehicles over 50cc. 9. No claims will be paid for losses arising directly or indirectly from manual work or hazardous occupation, self exposure to needless peril (except in an attempt to save human life) or if engaging in any criminal or illegal act.

Personal Accident Insurance
This insurance policy covers insurance of life or limbs. Personal accident insurance contract is not a contract of indemnity because life or limbs cannot be valued in terms of money. So this policy cover only ensures a financial benefit arising out of accidental death or bodily injury.

Sum insured: As it is not a contract of indemnity, any person can effect any number of policies for any amount depending on his financial capability. At the time of claim all such policies must pay the entire sum insured under all such policies. But normally the sum insured is limited to TK.100, 000(one lac).
Premium: In spite of the position of law insurers would always try to put a check on the possible moral hazard by restricting the sum insured on the financial capability and standing of a man, that is to say, his continued premium payment capacity. Premium must be equal to at least 0.3% of the sum insured plus 15% VAT and a stamp fee of TK. 40.
The usual scales of benefit are: | Loss | Payment | 1. | Death | Sum insured | 2. | Loss of two limbs or two eyes | Do | 3. | Loss of one limb or one eye | 50% of the sum insured | 4. | Permanent total disablement | Sum insured | 5. | Permanent partial disablement | A percentage of the sum insured | 6. | Temporary total disablement | Weekly benefit at a rate percent of the sum insured | 7. | Temporary partial disablement | Weekly benefit at a reduced rate percent of the sum insured than in above |

THE PEOPLE’S PERSONAL ACCIDENT INSURANCE

Policy No.:
Whereas the Insured named in the schedule hereto has made to the Pragati Insurance Ltd. (herein after called “the Company”) a written proposal (dated as stated in the schedule) which shall be the basic of this contract and is deemed to be incorporated herein (warranting the truth of the statement made therein) for the insurance hereinafter contained has paid or agreed to pay the premium stated in the schedule as consideration for Insurance.
Now this Policy witnessed that subject to the terms & conditions definitions and exclusions contained herein or empress or otherwise hereon, the company will indemnify the insured as hereinafter mentioned.
If the Insured shall sustain by bodily injury resulting solely and directly from accident caused by outward, violent and visible means, then the Company shall pay to the insured the sum set forth in the following Schedule of Compensation. SCHEDULE OF COMPENSATION

a) Death (within 6 calendar months of injury) Capital sum insured b) Total permanent loss of sight of both eyes/total permanent loss of both hands/both feet/one eye and one limb/one hand and one foot (within 6 calendar months of injury) Capital sum insured c) Total permanent loss of sight of one eye/total permanent loss of one foot. (within 6 calendar months of injury) 50% of capital sum

d) Permanent Total and absolute disablement caused by injury (within 12 calendar months of injury) Capital sum insured

Insured’s Name: Age: Father’s Name: Address: | Policy No.: Date of Proposal: | Name of Nominee Beneficiary:Address: Reiationship: | Capital Sum insured Tk. 1,00,000/- Premium Tk. 99/- + VAT | From............am on pm To Noon on |

In witness whereof the undersigned acting on behalf of and under the authority of the company has hereto set his hand at on day of 20. Premium Tk. 99/- received For and on behalf of
Pragati Insurance Limited
Receipt No. (Authorised officer) (Please see Conditions)

CONDITIONS

1. The policy and the schedule shall be read together as one contract and any word of expression to which a specific meaning has been attached in any part of this policy or of the schedule shall bear such specific meaning wherever it may appear. 2. In the event of any accident hereby insured against happening to an insured person there of in writing shall be given to the company within 14 days of occurrence of the accident. The insured or his legal personal representatives shall at his or their own expense forward to the company within the space of seven days after demand, a written report from a medical attendant who shall be duly qualified and registered medical practitioner of the facts of the case and the nature and extent of the injuries received and generally all such information in support of the claim as the company shall reasonably require and in case of loss of sight or amputation occurring more than 14 days after the accident, notice as aforesaid must be given within one calendar month of such loss of sight or amputation. In the case of a claim for death loss or permanent disablement unless otherwise stated all sums payable hereunder shall be payable within one calendar month after, such personal injury and the cause and the results thereof shall have been provide to the satisfaction of the company and such information as is required by the conditions of this policy shall have been furnished. No sums payable under this policy shall cover interest and the company shall cease to be liable for any such sum unless claimed within one year after it has become due. 3. If required by the company the Medical, Surgical or other agent of the company shall in case of any accident to an insured person whilst the insured person is suffering from the effects of the same, and in the event of death to make a postmortem examination of the body of the insured person. 4. The insured shall on tendering any premium for the renewal of the policy give notice in writing to the company of any physical defect or infirmity with which an insured person has become affected since the payment of the next preceding premium. 5. The company shall not be bound to notice or be affected by any notice of any trust charge or alienation relating to this policy but the receipt of the insured or his legal personal representatives shall in any case effectually discharge the company. 6. All notice required to be given by the insured shall be given to the company at the Head Office or at its Branch Office, wherefrom Policy was issued. 7. This policy and the insurance hereby made shall be subject to the several conditions restrictions stipulations and notices endorsed herein, and such conditions in so far as they provided for anything to be done by the insured are to be deemed conditions precedent to the right of the insured to use or recover hereunder. 8. Age limit 16 to 60 years. 9. The insured having declared loss of use of the member of the body if any as incorporated in the policy. It is hereby declared and agreed that the liability of the Company shall not extent to any portion of such affected member of the body and in the event of any injury occurring to other member of the body, any resulting claim shall be assessed as though the insured retained the perfect use of such member of the body.

Pragati InsuranceHospital Care Plan Misfortunes never announce their arrival. In this fast paced world and with our ever-changing lifestyles, susceptibility to risk has increased more than ever before.

These risks often bring in unforeseen hospitalization causing financial burden on you, your family and your employees. With the escalating theater, doctors and surgeon’s fee, diagnostic tests etc may turn out to be very expensive. That is why it is important to plan ahead for emergency medical costs, so that one can stay prepared for any eventuality.

This assures to someone of the best medical treatment, without having to bother about the cost of the treatment or compromising on its quality. With Progoti Hospital Care Plan, a new hospitalization and surgical benefit policy from Pragati Insurance, one can now plan ahead and have full control in any medical eventuality. Whether person is an individual or a corporate, he or it is essentially looking for the people he or it values either his family or its employees.
What is available : 1. Individual Hospital Care Insurance Plan for Individuals and their dependent family members. 2. Group Hospital Care Insurance Plan for Members of a group and their dependents.

Pragati launches new health care plan
Pragati Insurance Ltd has launched its new range of health care insurance plans with reinsurance and technical support from ICICI Lombard GIC Ltd of India, said a statement.
The plan covers individuals, their spouses/ dependants and corporate clients aged between 3 months to 60 years for medical expenses incurred during hospitalisation for more than 24 consecutive hours in various hospitals in Bangladesh and India.
It will provide three levels of coverage from 5 lakh, 8 lakh and 12 lakh respectively and will give benefits for expenses incurred on 30 days pre-hospitalisation and 60 days post-hospitalisation period.
Abdul Awal Mintoo, chairman of the company, said, By offering this plan we would be able to save a substantial amount of foreign exchange drained out of Bangladesh every year as we travel to foreign countries, especially India, for medical treatment without any insurance.�
The other features of this plan include repatriation of remains from India, domestic ambulance cover, air travel cover, free health check-up and personal accident cover.
What does this plan cover?
Depending upon the plan opted by one, Pragati Hospital Care Plan covers: * Hospital Accommodation * Consultation Fee with Physicians and Surgeons * Medicine & accessories * Medical Investigations, Diagnostics Tests * Major and Minor Surgical Operation * Ancillary Services like Post-Operative Care, Intensive Care Facility, Blood Transfusion, Ambulance Service, Oxygen Therapy etc.

How many plan options are available?
Depending upon one’s needs, one may choose any of the following plans: 1. Basic Plan (Maximum Benefit Tk. 25,000 yearly), 2. Standard Plan (Maximum Benefit Tk. 50,000 yearly), 3. Super Plan ( Maximum Benefit Tk. 75,000 yearly), 4. Corporate Plan (Maximum Benefit Tk.1,00,000 yearly), 5. Royal Plan (Maximum Benefit Tk.1,50,000 yearly).

Individual/Family Plan (Non-Group)
Hospitalization and treatment insurance is available for individual/spouse from ages 18 to 60, and children up to age 25. See below for Premium Rates and Discounts.
Annual Premium Rates (In Taka) for Individual/Family Plan (Non-Group) Age in year | Plan | | Basic | Standard | Super | Corporate | Royal | 18-45 | 1,000 | 1,500 | 2,000 | 2,500 | 3,500 | 46-50 | 1,200 | 1,800 | 2,250 | 2,750 | 4,500 | 51-55 | 1,500 | 2,500 | 3,000 | 3,250 | 6,000 | 56-60 | 2,000 | 3,500 | 4,000 | 4,500 | 7,500 | (15% VAT to be added)
Treatment facility in India is available by paying 40% additional premium over normal premium rate, while treatment facility in Bangkok is available by paying 50% additional premium over normal premium rate. Coverage Discount (on total premium) | Self | Nil | Couple (Husband & Wife) | 5% | Family (Husband, wife & children) | 10% |

Group Policy Membership
Small, medium or large employer groups may apply for membership for its employees and their dependents. Premium discounts are available for group with over 100 people.
An eligible employee may apply for membership of the plan sponsored by his/her employer by completing a Membership Application From and submitting it to the insurer through his employer. He will become a member as soon as his/her application is accepted and premium received by the insurer. An employee from age 18 to 60 shall be eligible for membership of the plan on the date on which he completes at least 90 days of continuous active service with his employer.

What are the policy limitations? * The first Tk. 1000 per claim is excluded from the policy liability. * All pre-hospitalization expenses and any minor surgical operation are excluded if confinement in hospital is not necessary or performed as an outdoor surgery. * If any member is also covered for similar benefits under any other insurance contract then payment of the claim shall be made on a pro-rata basis after taking into account the coverage under all contracts. * Any charges for food or food supplements (Horlicks, Viva, Bournvita etc.) cosmetic creams or oils of any nature, water purifiers. Etc., are excluded. * Maternal benefits for pregnancy or child birth are covered only after ten months from the commencement date of this Contract. Nevertheless emergency hospitalization arising from the following complications of pregnancy are covered: a) Hyperemesis gravidarum, b) Exstras-uterine pregnancy, c) Eclampsia of pregnancy, d) Intra-abdominal surgery required for complication after termination of pregnancy.

Annual Premium Rates (In Taka) for Group Plan Age attained (Years) | 18-35 | 36-45 | 46-50 | 51-55 | 56-60 | Basic Plan | Employee | 550 | 690 | 960 | 1,375 | 1,925 | | Spouse | 468 | 587 | 816 | 1,169 | 1,637 | | Each child (Age up to 25 yrs) | 468 | 468 | 468 | 468 | 468 | Standard Plan | Employee | 990 | 1,240 | 1,735 | 2,475 | 3,465 | | Spouse | 842 | 1,054 | 1,475 | 2,305 | 2,945 | | Each child (Age up to 25 yrs) | 842 | 842 | 842 | 842 | 842 | Super Plan | Employee | 1,360 | 1,585 | 2,030 | 2,700 | 3,600 | | Spouse | 1,156 | 1,347 | 1,726 | 2,295 | 3,060 | | Each child (Age up to 25 yrs) | 1,156 | 1,156 | 1,156 | 1,156 | 1,156 | Corporate Plan | Employee | 1,600 | 1,850 | 2,250 | 2,850 | 3,780 | | Spouse | 1,360 | 1,573 | 1,913 | 2,423 | 3,213 | | Each child (Age up to 25 yrs) | 1,360 | 1,360 | 1,360 | 1,360 | 1,360 | Royal Plan | Employee | 3,200 | 3,600 | 4,400 | 5,700 | 7,200 | | Spouse | 2,720 | 3,060 | 3,740 | 4,845 | 6,120 | | Each child (Age up to 25 yrs) | 2,720 | 2,720 | 2,720 | 2,720 | 2,720 | (15% VAT to be added)

Group Size Premium Discount | Size of Group | Discount (%) | Up to 100 | Nil | 101-500 | 5 | 501-1000 | 7.5 | 1001-2000 | 10 | 2001 & Above | 12.5 |

What are the benefits of choosing Pragati Hospital Care Plan : * No restriction of choosing hospital/ clinic to be treated. * No restriction of consultant by whom to be treated. * Treatment facility in India is available by paying 40% additional premium over normal premium rate. * Treatment facility in Bangkok is available by paying 50% additional premium over normal premium rate. * Options of choosing five different benefit levels. * With the rising incidence of diseases and cost of treatment, any illness can mean substantial financial outgo for you and your family. Health insurance allows you to plan for such events without feeling the financial burden of treatment.

Maternity Benefits:
Maternity benefits for pregnancy or child birth are covered when the membership has been in forced for at least ten months under the plan with the following limitation: Plan | Basic | Standard | Super | Corporate | Royal | Normal Delivery | Max. Tk.4,000 | Max. Tk. 7,500 | Max. Tk. 10,000 | Max. Tk. 12,500 | Max. Tk. 15,000 | Caesarian | Max. Tk. 10,000 | Max. Tk. 15,000 | Max. Tk. 20,000 | Max. Tk. 25,000 | Max. Tk. 30,000 |

What does the policy not cover? * Any pre-existing condition. * Any food or food supplements, antiseptics, cosmetic cream etc. * Mental, emotional or psychiatric disorders, alcoholism or any other narcotic addiction. * Any procedure which is experimental or not generally accepted by the medical profession i.e. acupuncture. * Any cosmetic or plastic treatment/ surgery unless required as re-constructive surgery as a consequence of injury due accidents/ burns. * Rest, convalescence or rejuvenation cures. Thermal baths or confinement for the purposes pf slimming or beautification. * Treatment for family planning purposes including termination of pregnancy, dilatation & curettage or sterility. * Abortion, miscarriage, ectopic pregnancy, fetal death or any complication and / or sequel therefrom. * Attempted suicide, violation or attempted violation of the law, injuries willfully or intentionally self-inflected or due to insanity or under the influence of a drug.
What is the hospital admission and claims procedure?
Prior to admission in hospital/ clinic the patient will complete a claim notification form specimen available with the policy and to submit the form through the employer to progoti insurance along with the consulting doctor’s advice.
The patient shall submit the claim through the employer in the prescribed form along with the original supporting document for reimbursement of expense. In case of emergency, prior authorization is not necessary but Pragati Insurance should be notified through the employer within 48 hours of admission. In case of individual ( non-group policy holder), the patient will submit the form directly to the company. No Claim Discount | No Claim Years | Discount (%) | One year | 10 | Two Consecutive Year | 20 | Three Consecutive Year | 30 |

Plan Benefits

Plan | Basic | Standard | Super | Corporate | Royal | Benefit (Max. yearly) | Tk. 25,000 | Tk.50,000 | Tk.75,000 | Tk.1,00,000 | Tk.1,50,000 | Hospital Stay ( max. days) | 14 | 14 | 18 | 21 | 21 | Room rent (Actual or Max. Tk. Per day) | 600 | 1,200 | 1,500 | 2,000 | 2,000 | Consultation fee (Actual or Max. Tk. Per day) | 300 | 500 | 500 | 500 | 600 | Routine Investigation (Actual or Max.) | 1,000 | 1,200 | 1,500 | 1,500 | 2,000 | *Medicine (Actual or Max. Tk.) | 5,000 | 10,000 | 12,000 | 15,000 | 18,000 | Surgery (Actual or Max. Tk.)MajorIntermediate | 14,0008,000 | 15,00010,000 | 16,00012,000 | 20,00012,000 | 22,00015,000 | Ancillary Service(80% of actual or Max. taka) | 3,000 | 6,000 | 8,000 | 10,000 | 12,000 | *Medicine, in case of Surgical Treatment | 2,000 | 4,000 | 6,000 | 8,000 | 10,000 |

. QUESTIONNAIRE ~supply side~
1.What kind of health insurances you provide?
Ans:

2.Which one customers prefer most? why?
Ans:

3.What is the market size of your company in Bangladesh?
Ans:

4.Who can take overseas mediclaim insurance?
Ans:

5.What is the maximum limit of indemnity in overseas mediclaim insurance?
Ans:

6.What is the compensation rate of personal accident insurance?
Ans:

7.What things are covered in your new health care insurance plan?
Ans:

8. How many plan options are available?
Ans:

9. What are the benefits of choosing Pragati Hospital Care Plan?
Ans:

10.What are the policy limitations?
Ans:

11.What kind of strategy you follow to grab customer’s interest towards your company?
Ans:

QUESTIONNAIRE ~Demand side~
1.Why did you choose Pragati Insurance company ?
Ans:
2.What policy/es you have taken?
Ans:
3.What amount of money you give as premium?
Ans:
4.What is the time limit of your insurance policy?
Ans:

5.Are you satisfied with the services provided by Pragati Insurance company?
Ans:

RECOMMENDATION

* Brac bank and mercantile bank should increase their ATM booths in convenient locations. * Brac and Mercantile Bank should include other banking menu options like DBBL ‘Fast Track’. * Brac Bank should provide voice direction to the new users. * DBBL needs to maintain more security about transactions. * All the banks need to provide special service for disabled. * DBBL and Brac bank should be more immediate in performing online transactions. * Mercantile bank and DBBL should be more careful about their customer’s complains. * Mercantile Bank and DBBL need to be careful about customer feedback service. * Mercantile Bank should provide Mobile Banking facility to their customers.

CONCLUSION

Personal Accident insurance or PA insurance is an annual policy which provides compensation in the event of injuries, disability or death caused solely by violent, accidental, external and visible events. It is different from life insurance and medical & health insurance.

One can either take a PA policy for oneself or a group policy for his family, protecting him and them anywhere in the world, anytime of the day. PA insurance provides 24-hour worldwide insurance protection. This assures to someone of the best medical treatment, without having to bother about the cost of the treatment or compromising on its quality. With Progoti Hospital Care Plan, a new hospitalization and surgical benefit policy from Pragati Insurance, one can now plan ahead and have full control in any medical eventuality. Whether person is an individual or a corporate, he or it is essentially looking for the people he or it values either his family or its employees.
What is available :
Individual Hospital Care Insurance Plan for Individuals and their dependent Bibliography

* http://www.pragatiinsurance.com/ * http:// en.wikipedia.org/wiki/personalaccident insurance * http:// en.wikipedia.org/wiki/healthinsurance

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...IBAIS UNIVERSITY TERM PAPER ON Green Delta Insurance Company Submitted to:- Prof. Dr. SUJIT SAHA Dean Department of Business Administration IBAIS University Submitted By:- Innocent Group MD: Ishtiak Hossain ID 0102123936 MD:Omor Faruq ID 0102123929 Sajib Debnath ID 0102123922 Minara Akhter ID 01012123917 Program: B.B.A Date of Submission: 30 August, 2015 Letter of Transmittal Date: 30 August, 2015 Prof. Dr. SUJIT SAHA Dean Faculty of Business Administration IBAIS University Subject: Term paper on Green Delta Insurance Company. Dear Sir, With immense pleasure, I am submitting our report of “Green Delta Insurance Company Ltd.: An Evaluation.” which was assigned me as a part of my BBA Program. I have tried my level best to complete this report with the necessary information and suggested proposal that you were provide me as your best as well. I hope that the report will be completed as your expectations. Thank you Sincerely, …………………………….. On behalf of innocent group Department of Business Administration IBAIS University ...

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