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Claim Settlement Ratio of Life Insurers: All you need to know

Updated on: Jun 9th, 2024

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2 min read

Life insurance is an agreement between the policyholder (insured) and the insurance company (insurer), where the insurer agrees to pay the sum assured of the policy when the insured dies as per the conditions mentioned in the policy document.

The sum assured of the policy is also called death benefits. The insured pays periodic premiums to keep the policy active. The insured will nominate a beneficiary to receive the proceeds of the life insurance policy.

Why is Life Insurance Important?

The modern world is full of uncertainties. By keeping the interest of your dependents in mind, it’s only wise to avail life insurance to secure their future financially. You can provide for your family even when you are not around.

Who can be the Beneficiary?

At the time of signing your policy document, you need to nominate the beneficiary(s). You are allowed to nominate more than one beneficiaries by specifying their shares from your life insurance policy. Generally, blood relatives and spouse are chosen as beneficiaries. However, you are allowed to nominate friends by specifying reasons, to avoid conflicts with the legal heirs.

Who can Claim Life Insurance Policy?

Only the beneficiaries are allowed to claim the proceeds of a life insurance policy. Even though you are a legal heir and you are not designated as a beneficiary, then you cannot claim the proceeds of the policy.

What is Claim Settlement Ratio?

The claim settlement ratio of an insurer is the number of claims settled against the number of claims filed: the higher the ratio, the better the insurer. When choosing the insurer, you must check the claim settlement ratio. What is the point of availing of life insurance if your insurer rejects the beneficiary’s policy claim? Hence, you need to ensure that your insurer has a good claim settlement ratio.

IRDAI Report on Insurers’ Claim Settlement Ratio

The insurance watchdog Insurance Regulatory and Development Authority (IRDAI) releases the claim settlement ratio of all life insurers every year. You should mandatorily check this data before deciding on the insurer.

The following table shows the claim settlement ratio of life insurers for the FY 2017-18.

Life InsurersNumber of Claims FiledClaims SettledClaim Settlement Ratio 2017-18
Max Life103321015298.26%
LIC of India73908272459698.04%
Tata AIA Life2850279398.00%
ICICI Prudential Life114591121697.88%
HDFC Standard Life125661228997.80%
Bharti Axa Life88886096.85%
Exide Life3357325096.81%
SBI Life188851827496.76%
DHFL Pramerica Life59257296.62%
Aditya Birla Sun Life5491529296.38%
Aegon Life55453095.67%
Edelweiss Tokio Life18918095.24%
Canara HSBC OBC Life83779795.22%
Reliance Nippon Life8987855395.17%
Aviva Life1118105694.45%
Kotak Mahindra Life3074288193.72%
Future Generali Life1291120293.11%
Star Union Daichi Life1241114592.26%
Bajaj Allianz Life143151317692.04%
IDBI Federal Life1161106891.99%
PNB Met Life4089372691.12%
India First Life1810162689.83%
Sahara Life67255682.74%
Sriram Life3146252480.23%

The table that shows the claim settlement ratio for the year 2018-19 is given below.

Life insurersNumber of Claims FiledClaims SettledClaim Settlement Ratio 2018-19 (%)
Tata AIA2700267599.07
HDFC129461282299.04
Max Life150871489798.74
ICICI Prudential108261067298.58
LIC75095073432897.79
Reliance Nippon8371817997.71
Kotak Life3038295997.40
Bharati AXA Life1065103697.28
Aditya Birla Sunlife5260511097.15
Exide Life3335323697.03

Here is the table that shows the claim settlement ratio for the year 2019-20.

Life InsurersNumber of Claims FiledClaims SettledClaim Settlement Ratio 2019-20 (%)
Max Life154631534299.22
HDFC126261250999.07
Tata AIA2982295499.06
Pramerica Life56956098.42
Exide Life3468340498.15
Canara HSBC OBC1276125298.12
Reliance Nippon8017786698.12
Bajaj Allianz121271188798.02
Aegon35134498.01
ICICI Prudential114601121297.84

Claim settlement ratio is a crucial factor to consider as it depicts an insurer’s trend of settling claims. You must compare the claim settlement ratio of various insurers before choosing one.

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Quick Summary

Life insurance provides financial security to dependents upon the policyholder's death; beneficiaries receive death benefits. Only beneficiaries can claim the policy proceeds, check the insurer's claim settlement ratio. IRDAI releases the annual report on insurers' claim settlement ratios to inform policyholders. It's crucial to compare insurers' ratios before selecting one.

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