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Life Insurance – Required Cover

by Dr. Gaurav Sinha & Mr. Vinay Kohli  ·  Unit 8 of 35
After learning about the legal principles governing life insurance contracts, Aman finally felt ready to purchase his first life insurance policy. He had understood concepts such as insurable interest, utmost good faith, policy clauses, riders, and endorsements. However, when he began comparing policies offered by different insurance companies, he became overwhelmed by the number of options available. Some policies promised lower premiums, others highlighted guaranteed returns, while a few emphasised market-linked investments and additional benefits. Aman wondered whether selecting the cheapest policy was the right decision or whether there were other factors that deserved greater attention. His father explained that choosing a life insurance policy should never begin with comparing premiums alone. Instead, the first priority should always be determining whether the policy provides adequate financial protection and suits the family's long-term financial needs. Before purchasing any life insurance policy, the most important step is to **assess the actual need for life insurance**. Insurance should not be bought simply because it offers tax benefits or because someone recommends a particular company. Every individual's financial responsibilities are different. The amount of protection required depends on income, family responsibilities, outstanding liabilities, future financial goals, and the standard of living that the family would need to maintain if the primary earning member were no longer available. Financial planners often suggest a simple **thumb rule** while estimating life insurance coverage. According to this guideline, the life cover should generally be **around ten times the individual's annual income**. This recommendation is not a strict legal requirement but rather a practical starting point that helps ensure the family receives meaningful financial support if an unfortunate event occurs. For example, if Aman earns ₹10 lakh annually, a life insurance cover of approximately ₹1 crore may provide a reasonable foundation for financial protection. However, his father reminded him that this rule should never replace a detailed financial assessment because every family's circumstances are unique. Once the need for insurance has been identified, the next step is to **study the policy documents carefully**. Many people rely entirely on advertisements, agents, or promotional brochures while making their decision. Although these sources provide useful information, they often summarise only the key features of the product. The complete rights, responsibilities, benefits, exclusions, and conditions are contained in the official policy document. Reading this document thoroughly helps the policyholder understand exactly what is being purchased. Aman realised that one of the first things every buyer should understand is the **type of life insurance policy**. Broadly, life insurance policies can be divided into **traditional insurance plans** and **market-linked insurance plans**. Traditional policies generally offer predetermined benefits and, in some cases, guaranteed returns according to the policy terms. Market-linked policies, such as Unit Linked Insurance Plans (ULIPs), combine insurance protection with investment in market-based funds, meaning the returns depend on market performance rather than fixed guarantees. Understanding this distinction helps policyholders select a product that matches both their financial objectives and their willingness to accept investment risk. If the policy belongs to the traditional category, customers should determine whether it provides **guaranteed returns** or whether certain benefits depend upon bonuses declared by the insurer. Guaranteed benefits provide greater certainty, while bonus-based benefits may vary according to the insurance company's performance and policy conditions. Reading the policy wording carefully enables the customer to distinguish between guaranteed and non-guaranteed benefits before making a commitment. For market-linked policies, Aman learned that understanding the **available investment fund options** is equally important. Different ULIP funds invest in varying combinations of equity, debt, or balanced portfolios. Since investment performance depends upon market conditions, policyholders should evaluate whether the chosen fund aligns with their financial goals, investment horizon, and risk tolerance. His father also advised him to examine **all charges deducted from the premium**. Many first-time buyers assume that the entire premium they pay automatically contributes towards investment or insurance coverage. In reality, different policies may include charges relating to administration, fund management, mortality, policy allocation, and other services depending on the product structure. Understanding these deductions allows customers to estimate how much of the premium actually contributes to building policy value or maintaining insurance protection. Another essential consideration is the **liquidity of the policy**. Unlike ordinary savings accounts, life insurance policies are designed primarily for long-term financial planning. Many policies include a **lock-in period**, during which withdrawals may be restricted or subject to specific conditions. Customers should therefore understand whether they can access their money before the policy matures and whether any surrender penalties or withdrawal limitations apply. A policy that perfectly suits one person's financial needs may not be appropriate for another whose circumstances require greater flexibility. Aman also learned that some life insurance policies provide a **loan facility** after they have acquired sufficient value. This feature allows policyholders to borrow against the policy instead of surrendering it prematurely during temporary financial difficulties. Although such loans can provide useful financial flexibility, borrowers should understand the applicable interest rates, repayment conditions, and impact on future policy benefits before using this facility. His father then emphasised the importance of examining the **coverage provided by the policy**. Every policyholder should know precisely which situations are covered under the contract and whether additional protection may be required. If certain financial risks remain uncovered, the policyholder may consider purchasing supplementary insurance or adding suitable riders to bridge those gaps. Equally important are the **policy exclusions**. These specify circumstances under which the insurance company may not pay benefits according to the policy terms. Many customers pay little attention to exclusions while purchasing insurance, only to discover their significance during the claim process. Reading the exclusions carefully allows policyholders to understand the limits of coverage and reduces the likelihood of unpleasant surprises later. Another practical factor Aman examined was the **premium payment structure**. Before purchasing a policy, customers should clearly understand the premium amount, payment frequency, and the total premium-paying period. Some policies require premiums throughout the policy term, while others involve limited premium payment periods. Selecting a premium schedule that comfortably fits within the monthly or annual budget helps ensure that payments remain consistent over the long term. His father also introduced him to the concept of the **free-look period**, one of the most valuable consumer protection features available in life insurance. Every life insurance company allows policyholders to review the policy after receiving the documents. If the customer feels that the policy does not meet expectations or differs from what was understood during purchase, it can generally be returned within **15 to 30 days**, subject to applicable regulations and policy conditions. This period provides customers with an opportunity to reconsider their decision after carefully reviewing the policy documentation. Another important aspect to evaluate is the **impact of non-payment of premiums**. Life circumstances sometimes change unexpectedly, affecting the policyholder's ability to continue premium payments. Before purchasing a policy, customers should understand the consequences of missed premiums, the grace period available, the circumstances under which the policy may lapse, and the procedures for restoring lapsed coverage through policy revival. Aman also discovered that every policy contains specific **revival terms and conditions**. If a policy lapses because premiums are not paid within the prescribed time, insurers generally provide an opportunity to restore coverage by fulfilling certain requirements, such as paying outstanding premiums, interest, or submitting evidence of continued good health where applicable. Understanding these provisions helps policyholders protect long-term insurance benefits even if temporary financial difficulties arise. His father then explained one of the most important indicators for evaluating an insurance company—the **Claim Settlement Ratio (CSR)**. This ratio reflects the percentage of claims successfully settled by an insurer during a particular period. Since the primary purpose of life insurance is to provide financial protection when required, choosing an insurer with a strong claim settlement record increases confidence that genuine claims will be processed efficiently. This information is publicly available through the **Insurance Regulatory and Development Authority of India (IRDAI)** and is also published by several reputable insurance comparison platforms. Many financial experts generally consider a claim settlement ratio of **90% or higher** to indicate a strong claims performance, although customers should evaluate other service-related factors as well. Apart from claim settlement performance, Aman realised that **customer service quality and grievance redressal mechanisms** also deserve attention. Purchasing a life insurance policy creates a relationship that may continue for several decades. Efficient customer support, transparent communication, and prompt handling of policy servicing requests contribute significantly to a positive long-term experience. By the end of the discussion, Aman understood that selecting a life insurance policy is a much more thoughtful process than simply comparing premium amounts. The cheapest policy may not always provide the protection, flexibility, or service quality required for his family's financial security. Instead, every aspect of the policy should be examined carefully before making a final decision. After learning what should be considered before purchasing life insurance, Aman realised that responsible insurance planning begins with understanding one's own financial needs rather than focusing solely on price. Assessing the required life cover, reading the policy documents thoroughly, understanding the policy type, evaluating charges, checking liquidity, reviewing exclusions, studying premium obligations, utilising the free-look period, and comparing claim settlement ratios all contribute to making an informed decision. He understood that choosing the right life insurance policy is not merely about buying financial protection—it is about selecting a long-term partner capable of protecting his family's financial future when they need it the most.