IRDA Incurred Claims Ratio for Year 2018-19

IRDA publishes “Incurred Claim Ratio” data in its annual report. The Incurred Claims Ratio (ICR) helps you pick health insurance or a general insurance company.

What is the Incurred Claims Ratio?

Incurred Claims Ratio (ICR) refers to the total amount of claims paid by a general insurance company divided by the total amount of premium collected during the same period. ICR determines the company’s ability to pay the claims raised by the insured people.

Let’s understand ICR with the help of an example.

For the 90% incurred claims ratio, Rs 900 is paid back as the amount of a claim for every Rs 1000 of premium collected during a given period. ICR is the ratio of the total claims paid to the premiums received.

Incurred Claims Ratio = Net Claims Incurred/ Net Earned Premium
An Incurred Claim Ratio of 75% implies that the company has compensated Rs 75 as claim payout for every Rs 100 collected as premium

ICR 2018-19 – An Analysis of Private and Standalone Health Insurers

1. For Private Sector General Insurance Companies

Private Sector General InsurersNet Earned Premium (in crores)Claims Incurred (in crores)Total ICR (FY 2018-19)
Acko48.8128.6159%
Bajaj Allianz7009.784810.4169%
Bharti AXA1398.981076.6877%
Cholamandalam MS3049.902335.5077%
Future Generali1574.711083.0569%
HDFC ERGO3810.012909.1876%
Go Digit499.98394.1179%
ICICI Lombard8375.356308.1175%
IFFCO Tokio4030.323558.2288%
Kotak Mahindra197.35134.3268%
Liberty General805.44591.0573%
Magma HDI384.95271.6971%
Raheja QBE89.5774.7883%
Reliance General3532.253031.3086%
Royal Sundaram2186.191854.8585%
SBI General2388.381720.5772%
Shriram General2059.431406.3268%
Tata AIG4578.213586.3778%
Universal Sompo1249.06879.6770%
DHFL General108.3130.7728%
Edelweiss General28.8135.31123%
Total47405.8036120.8876%

2. For Public Sector General Insurance Companies

Public Sector General InsurersNet Earned Premium (in crores)Claims Incurred (in crores)Total ICR (FY 2018-19)
National Insurance10400.2311434.03109.94%
New India Assurance21487.5920496.7095.39%
Oriental Insurance10601.5311248.08106.10%
United India13104.5114336.09109.40%
Total55593.8557514.91103.46

3. For Standalone Health Insurance Companies

Standalone Health InsurersNet Earned Premium (in crores)Claims Incurred (in crores)Total ICR (FY 2018-19)
Aditya Birla348.23204.1159%
HDFC ERGO Health1672.901047.0963%
ManipalCigna392.52243.1462%
Niva Bupa659.48355.6454%
Reliance Health1.360.1814%
Care Health1091.20602.6755%
Star Health3662.372297.5963%
Total7828.064750.4361%

What does ICR mean?

The Incurred Claims Ratio helps to identify the potential of a general insurance company for making payments towards the claim raised during a financial year.

When ICR is more than 100%: With ICR more than 100% indicates that the amount of claim given is more than the amount collected as premium. As the company is paying more than what is earned, the business is running at a loss and thus, it’s quite tough to sustain the business.

When ICR is between 50% and 90%: It indicates that a general insurance company is collecting a higher premium amount than what is being paid as a claims amount during a financial year. It means the company is making profits and paying for claims as well.

When ICR is less than 50%: It indicates that the company is charging higher premiums for its plans and making huge profits or hardly paying the amount towards the claim. Despite the fact that the company is generating huge profits in the business, it’s not wise to choose insurance products from such a company as you are at the risk of not getting the claim amount.

Note: You can also read IRDA Claim Settlement Ratio 2018-19 for Life Insurance Companies in India. Also, you can know about the Top 10 Health Insurance Companies in India 2020

What’s an Ideal Incurred Claim Ratio Range?

When it comes to choosing a general insurance company for buying health insurance, motor insurance, or other general insurance products, it’s recommended to pick a company having ICR in the range of 75% to 90%. Don’t go for an insurance company having an ICR of more than 100%.

Difference between ICR and CSR

People often get confused between the Incurred Claims Ratio and the Claim Settlement Ratio.

Incurred Claims Ratio is the ratio of total claims paid to the premium collected. For 85% ICR, the company is paying Rs 850 as claims for every Rs 1000 collected as a premium during a financial year.

Claim Settlement Ratio is the number of claims paid to the total number of claims received during a specific period. For instance, the insurance company receives 100 claims and pays for 95 claims, the CSR here would be 95%.

ICR and CSR are completely two different things. ICR applies to general/non-life insurance companies and CSR applies to life insurance companies.

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Sonia Nagpal

Sonia Nagpal is an Insurance Specialist. She has more than 25 Yrs of experience in sales, Marketing and Corporate Alliances.

5 thoughts on “IRDA Incurred Claims Ratio for Year 2018-19

  • March 17, 2020 at 8:30 PM
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    could you suggest me about total overall claim settlement ratio product wise and as whole for royal sundaram general insurance company.

    Reply
  • March 19, 2020 at 3:20 PM
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    Mam
    having age on 30 years planning for take health insurance policy but i am confused that whuch company i should take …..
    i thik star health…..

    Reply
  • June 27, 2020 at 8:32 PM
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    Hi, I am looking for a health insurance policy but little bit confused between Star Health insurance: Young Star policy and Aditya Birla: Active Health Enhance policy.
    Could you please suggest me which one is better health policy between above two ?

    Reply
  • July 3, 2020 at 8:13 PM
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    Excellent answers. simple, precise and easy to understand. Thanks a lot.

    Reply
  • December 27, 2020 at 6:29 PM
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    which company is best for health insurance and have highest network hospital pen india

    Reply

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