Insurance Claim Investigation

The increase in the number of players in the Insurance sector has lead to spiralling growth of the Industry. More people are now aware of Health, Medical, General and Life Insurance plans and are keenly opting for various types of risk cover. As the customer base increases for these players so do the number of Insurance claims being filed with these companies. In a country such as India where there are few verifiable facts about a customer, this creates a large number of fraudulent risk claims. Onicra works closely with the Insurance companies to establish validity of these claims and mitigate risk.

What exactly is Insurance Claims Investigation?
Individuals and business enterprises buy insurance policies to safeguard themselves against monetary losses. In case there is a loss, the insurance policy holders submit claims, or request for payment to seek compensation for their loss.

Insurance investigators thus work for life and general insurance companies, for whom they handle claims contending unfortunate cases of bodily injury, deaths or third party claims. Their main job is to investigate the claims, negotiate settlements, and authorize payments to claimants. It is they who must assess and verify whether the customer’s insurance policy covers the loss and how much of the loss should be paid to the claimant.

About Insurance Claims Investigation Services

Life and General Insurance claim processing.

Authentication of medical reports (Life and General Insurance).

Conducting checks and balances before extending insurance.

Onicra is leading and pioneering the way that Insurance claim investigation is conducted.

Compnay insurance investigators possess decades of experience and have established a proven reputation in the industry for exposing fraudulent applications and claims, Our clients include companies such as Reliance Insurance, Bajaj Allianz etc. Our well-trained staff examines the various causes of the accident, death, property loss, vehicle damage or third party damage and reports the claims to the client as valid or in-valid based upon a comprehensive set of guidelines using our revolutionary PDA technology. This decision analysis tool aids us in identifying insurance claims as genuine or fraudulent.

With our team of seasoned industry specialists and our highly trained workforce, we have set new benchmarks in the Industry using this system.In addition our widely spread network across the country gives us the leverage to cover almost any geographic location. In states such as Rajasthan, Uttar Pradesh, Madhya Pradesh and the Eastern Belt, which are vast in terms of reach and spread, our network is extremely robust.

Benefits of outsourcing Insurance Claims Investigation to Onicra

High strike rate in identifying fraudulent insurance claims

Fast track PDA technology facilitates live transfer of case

Real Time Case tracking and management solution

Reduces claim handling costs and other operations costs

Help mitigate risk, reduce settlements and identify fraud claims

What To Do With Your Life Insurance Dividends

Life insurance dividends are paid out by mutual life insurance companies. The dividends represent a return of premium payments that you’ve been overcharged. Overcharged? Yes, life insurance companies overcharge you, then return the difference later at the end of the year – but you’re not being ripped off. In fact, that excess amount is used to ensure the long-term viability of your policy.

You see, at some point, your dividends will exceed the premium payments you make – that’s the result of the insurer investing most of your premium dollars. While dividends are not guaranteed, you should know what to do with them when you do get them since most mutual insurers have a consistent track record of paying them out every year.

Take as Cash

One option you have is to take your dividend as cash. This option treats the life insurance policy like an investment – you take the dividend as it’s paid out. It doesn’t help the cash value growth much, but the dividend tends to grow each year. Admittedly, this isn’t the most attractive option since dividends are taxable once you’ve recouped your cost basis (the sum total of your premium payments).

Buy More Insurance

The most popular option – the default option with most companies – is to buy additional paid up insurance. Why is this popular? Because additional paid up life insurance grows the death benefit, grows the cash value, grows the dividends exponentially, and defers tax on all of this growth as long as the policy remains in force. It’s also an excellent option if you want to supplement your future retirement income since the policy’s dividends, and the rest of the base cash value, may be accessed income tax-free as long as the policy remains in force (check with your tax adviser to make sure that your situation would not prevent tax-free access to cash values).

It’s also an ideal option if you just want to ensure a growing death benefit. While dividends are not guaranteed, most insurers have an excellent track record, so there’s a reasonable expectation of growing the benefit amount over the long-term.

Reduce The Premium

If you don’t want to be stuck paying a premium for the rest of your life, consider using the dividend to reduce the premium. Be careful of this option though. Back in the 1980s, something called “vanishing premiums” hit the market. This was a concept sold by many life insurance agents.

Basically, agents back then told customers that they could make a few years worth of premium payments, and their premiums would be covered by the dividends generated by the policy. In essence, the premiums would “vanish.” Well, as interest rates fell, customers realized that dividend rates were not guaranteed. Premiums never “vanish” unless you buy a limited pay policy – which means you must make all premium payments outlined in the policy.

If your dividend isn’t enough to cover the premium, you may have to resume payments later on in your life. If you’re fine with that, this is a decent option to lessen the burden of payments.

Invest Them

You can let the premiums sit in the insurer’s general investment account and accumulate interest at a fixed rate. You may also be able to invest them in the insurer’s separate account for a non-guaranteed return based on the performance of mutual funds. In both instances, you will pay income tax on the investment gain.

Pay Off Previous Loans

Sometimes, you need to borrow money against the value of your policy’s surrender value (the cash value). If you don’t want to repay the loan, or can’t make repayments, you can use the dividends to repay the loan. This way, the interest doesn’t accumulate and put your policy in danger of lapsing.

Life Insurance And Taxation

If your company owns life insurance policies on your executives or any key people for that matter, you need to be aware of the potential tax ramifications and the requirements to avoid taxation of benefits. Important changes have taken place in the last few years that can significantly impact the taxation of corporate owned life insurance. The information below is designed to inform you of the IRS regulations that have been implemented over the last few years and what is needed to comply with these IRS requirements so that policy proceeds avoid needless taxation.*

Pension Protection Act of 2006 and Life Insurance Taxation

On August 17, 2006, President George Bush signed tax legislation containing provisions that significantly impact key man and other employer owned life insurance purchased after August 17, 2006. The legislation, known as the COLI (Corporate Owned Life Insurance) Best Practices Act (which is part of the Pension Protection Act of 2006), includes the proposed IRC Section 101(j). Under this proposed law, life insurance death benefits for business-owned life insurance policies issued after the effective date of August 17, 2006 are income taxable (to the extent the death benefit exceeds the employer’s premiums) unless certain requirements are met.

This new legislation applies to all employer-owned policies issued after August 17, 2006 and includes policies used for key man insurance, stock redemption plans, Corporate Owned Life Insurance and Supplemental Executive Retirement Plans (among others). It may also extend to collateral assignment (economic benefit) regime split dollar and split dollar loans. With this law, all situations where an employer will have full or partial ownership of a insurance policy that is issued after August 17, 2006, regardless of the purpose of the policy, will need to meet certain requirements and follow specific guidelines to avoid potential taxation.

Avoiding Taxation of Key Man Life Insurance

In order to prevent policy proceeds (death benefits) from being income taxable, both of the following requirements must be met:

1. Notice and Consent Requirements:

a) The employee must be notified (in writing), prior to the life insurance policy being issued, that the employer intends to buy a policy on his/her life and disclose what the maximum face amount that is being applied for on his/her life is;

b) The employee must provide written consent to being insured and agree that the employer may choose to keep the policy in force even after the employee separates employment; and

c) The employee must be notified in writing that the employer is the beneficiary of all or part of the death benefit proceeds.

Under the COLI Best Practices Act, unless the employer provides written notice and obtains the employee’s written consent prior to the issuance of the policy, the death benefit of the life insurance policy will be taxable from day 1. Notice and consent may not be obtained after the life insurance policy is issued to remove this taxable death benefit status.

2. Once the “Notice and Consent Requirements” are met, there are two “Exceptions” to the rule taxing death proceeds payable to an employer, one of which must be met:

a.) Exception #1:

1) The insured was an employee at any time during the 12-month period before the insured’s death OR

2) The insured was a Director or “highly compensated employee” at the time the contract was issued.

b.) Exception #2:

Any amount received by the employer as a result of the insured’s death is paid to:

1) A family member of the insured;

2) A designated beneficiary of the insured under the contract other than the employer;

3) A trust established for the benefit of a family member, other designated beneficiary, or the insured’s estate; or

4) A family member, designated beneficiary, trust, or estate in exchange for any interest they hold in the corporation / employer (i.e. buy-sell agreement).

If both the “Notice and Consent Requirements” and one of the “Exceptions” above are met, Corporate Owned Life Insurance proceeds would be received income tax free if the policy death benefits would otherwise be eligible for favorable tax treatment.

COLI Best Practices Act- Reporting Requirements

All employers are required to report annually all corporate-owned life insurance policies to the IRS. The annual reporting requirements imposed under the IRC Sec. 6039I include:

1) The total number of employees at the end of the year;

2) The number of employees insured under COLI arrangement at the end of the year;

3) The total amount of insurance in force on all insured employees at the end of the year; and

4) The employer’s name, address, tax payer identification number and type of business, and

5) A statement of valid consent for each insured employee (or, if all required consents are not obtained, number of insured employees for who consent was not obtained).

The IRS requires this reporting annually on Form 8925 ” Report of Employer-Owned Life Insurance Contracts.” It is a simple form and must be completed to comply with IRS Code. You should consult your CPA or professional tax advisor immediately for more information on Form 8925 and the IRS reporting requirements.

If proper record keeping and reporting is not maintained, any and all key man life insurance policy proceeds or other corporate owned life insurance death benefits may be subject to income taxation

In Conclusion

Corporate Owned Life Insurance Policies including key man insurance policies issued after August 17, 2006 may have death benefits that are subject to income taxation if certain requirements are not met. The Pension Protection Act of 2006, which includes the COLI Best Practices Act, includes provisions that have significant consequences for key man and other employer owned insurance purchased after August 17, 2006. You need to understand the Notice and Consent requirements and well as the Exceptions and Record Keeping and Reporting requirements and comply with the IRS so that key man insurance policy proceeds avoid needless taxation. Unfortunately, if you have a key man policy issued after August 17, 2006 and you have not been compliant, your best bet to avoid potential income taxation may be to scrap your current policy and start over!

* All of the above tax information is for information purposes only and is provided to explain the basic tax treatment of life insurance based on the Internal Revenue Code. Any individual or entity considering any life insurance policy should consult with their own CPA or tax/legal advisor that understands their particular tax circumstances and the rules governing their state. In no way is this information intended to be tax or legal advice.

How To Take The Stress Out Of Moving House

In terms of stress and anxiety, psychiatrists claim moving house is actually on par with getting divorced and experiencing bereavement! But some of the strain can be avoided by planning properly. If you organise yourself weeks before the move, your chances of having a smooth ride on the big day increase dramatically!

Packing
Packing all your belongings to move house can easily turn into a nightmare if you’re not organised and prepared. It can take a whole day to pack up a room full of belongings and furniture, so plan in advance and draw up a schedule of what you want to complete to give yourself targets. Packing all of your belongings can seem daunting but don’t struggle on your own; get your family and friends to help you out!

Ensure you have enough packing materials to carry all your stuff, as realising you don’t have enough boxes to carry everything is a sure fire way to increase stress levels on the big day! You should also make sure the containers you use are of good quality as old cardboard boxes have a nasty habit of splitting open at just the wrong moment!

First of all you should try and pack things that you don’t use regularly. As the day gradually gets closer you can begin packing the items you use more often so on move day you should just be able to quickly grab your last few belongings. By the time you’ve finished packing everything it will be nearly impossible to remember the specific items that are stored in each box. So clearly label each one as you fill it. This will make it easier to unpack at the other end as your removal team will know which room to put each box in.

The Garden
If you’re selling your house and you’ve got garden plants you are taking with you, you need to notify your buyers during the conveyancing process.

Before you pack the plants, leave them to dry outside so that the soil won’t be wet when the plants are packed with the rest of your stuff. If your plants are stored in breakable pots put newspaper around the pots to ensure they stay safe during the journey. Leaving the lid off the container your plants are stored in will help prevent anyone putting anything on top of them and will also ensure they get some fresh air and light while they’re in transit.

Paperwork
Filing old paperwork is no-one’s idea of fun but before you move it’s really important. Making sure you’ve securely stored and transported paper work related to your mortgage, car insurance, home insurance etc, will help you avoid falling victim to identify theft as your documents are less likely to fall into the wrong hands. It’s also a good idea to shred documents related to your old home that you don’t need anymore; as ripped up documents can still be pieced together once they’ve been thrown out.

Transport
If you’re going to move yourself using a hired van, work out how many trips back and forth you’re going to have to make. Once you know how many journeys you’ll be doing, you can plan your time on the day more accurately. Also if you’re going to have to travel through a city or town centre to get to your new home, think about how the traffic could disrupt your journey.

Children and pets
If you have children or pets it’s a good idea to organise somewhere for them to be looked after for the day, as they can often get in the way and make the whole process more chaotic. For children, moving can be quite traumatic, especially if they’ve lived in the same house for all or most of their lives. Try to ease their worries and concerns before the big day to minimise the impact the process will have on them. Keep reminding them about their new home and plan some treats once everything is unpacked to raise their spirits.

Cats and dogs become very attached to their familiar surroundings and will need extra attention and care to get used to their new home. On the moving day you should add a tag to their collar with your new phone number and mobile number. If they escape during or shortly after the move this information will make it easier for a stranger or the authorities to return them to you. If your pets have identifiable microchips make sure these are updated by your vet as soon as possible.

Try and stay relaxed!
Which ever way you look at it, moving house is a big deal but it shouldn’t be as stressful as a divorce or bereavement! If you don’t leave everything to the last minute and plan in advance the experience can run smoothly. The key to good planning is pre-empting everything that could happen to delay the process you’re trying to complete. Once you know what could go wrong you can think of solutions to overcome the delays.

Often these kinds of events are a lot easier if you’re relaxed; but if the process does end up getting stressful try to think about how much fun your house warming party is going to be, hopefully this will provide you with enough motivation to keep going!