Islamic
insurance (Takaful) means the act of group of people reciprocally granting
each commercial profit sharing contract between the providers of funds for
a business venture and the entrepreneurs who actually conduct the
business. In other words, the Takaful business conducted by the company
and the individual members of a group of participants who desire to
reciprocally guarantee certain loss or damage that may be inflicted upon
any one of them. This chapter deals with the conceptual issues, principles
of contract insurance, types of general insurance policies, insurance in
an Islamic perspective, modas operandi of Islamic Insurance
Company, and other relevant matters.
We all
know that life is full of uncertainties and it is general human tendency
to avoid the uncertainties of life as far as possible. Social scientists
of modern age have, therefore, stressed much need for the study of the
subject of risk. In fact scientific study and management of risk is very
important in the present context of worldly affairs. We know that
different types of risk are involved in the society and one should know
how to avoid or deal with it.
In the
present day society, insurance is one of the most used, desired and prime
methods of handling risks. However, insurance is a complex subject and is
also a subject of much misunderstanding. It has been observed that much of
the misunderstanding has arisen due to two main reasons:
i) We have
failed to understand the basic nature of risk
ii) The
relationship and difference between insurance and other methods of
handling risk have not been properly understood.
Therefore,
in order to grasp the functions and nature of insurance we will try to
understand some basic concepts of risks and insurance.
Risk and
Insurance
Risk has
been defined as the uncertainty as to the occurrence of an economic loss.
Risk and probability are not synonymous. Before analyzing the relationship
between risk and insurance, we must understand the difference between risk
and probability. The term's hazard and peril are more closely
related to probability than they are to risk. For example, collision is a
peril that causes the automobile accident and loss. The condition that
makes the occurrence of collision more likely is called the hazard. For
example, foggy weather is the hazard that creates the peril of collision.
This means probability of collision increases when the hazard of foggy
weather creates the peril of collision. Therefore, one can say that
probability is the long run chance that out of a given number of
possibilities, certain number of specific events will occur. But risk is
the uncertainty as to occurrence of a loss. This is measured in the terms
of degree of variation that actual events bear to probable events. The
larger the number of exposures, the smaller is the risk. This is because
under this situation, the smaller is the variation that actual events bear
to the probable events. This called the law of large numbers.
The law
of large number states that for a very large number of exposures, one
can predict precisely the actual number of occurrence of an event. This
law has proved very significant in the study of the subject of
insurance. This is mainly because, the risks of the insurer is that
he does not know what is the actual probability of a loss. It is,
therefore, necessary to estimate the actual probability. The law of large
number is of vital significance in analyzing this problem (Majumdern &
Dewan 1999, p.23). According to this law, one can estimate the probability
of occurrence of certain events more precisely by increasing the number of
observations by sampling process. It has been observed that the average
value of a very large number of observations will be very close to the
actual average of the population from which the observations were taken.
For example, probability of death at certain age can be estimated by way
of a large number of observations in a sampling process.
It may be
noted that foundation of insurance rests upon the law of large numbers.
The insurers obtain a very large number of observations. In the case of
life insurance mortality records of people at different ages are analyzed
and summarized to find out the probability of death at certain age. In the
case of general insurance the insurers usually have the statistical
records of loss against different perils and thus they can fairly measure
the underlying probability of a loss against, fire, accident, mechanical
breakdown etc.
How to
Handle Risk
An
individual is always concerned because of the uncertainties of life. He
does not know whether or not a given loss will occur to him individually.
For an individual, the risk is very large. This is simply because an
individual cannot obtain a sufficient number of exposures to have an
accurate prediction as to the occurrence of loss. It is not the
probability of loss which causes difficulty, but rather the uncertainly as
to whether an individual will be among those who are expected to suffer
loss. Had the loss been certain, one could perhaps prepare him for it in
advance. Since this is not the case, one should try to reduce risk through
insurance and other means.
One can
handle risk by assuming it. Most of the people do it knowingly and
unknowingly. In many cases we pass through life by way of accepting or
assuming many small risks. However, in many occasions one has to accept it
simply because one cannot afford to pay for it's reduction or
transfer. If one can afford to pay the price of risk transfer, the
insurance company or some other organization will bear the risk. In that
case the insurance company will bear the risk for a price. But how will
the insurance company bear the risk? The insurance company handles risk by
utilizing the combination method as the basis of their insuring operation.
The method of combination is the system of handling risk that usually
involves the use of large numbers. The insurance companies persuade a
large number of individuals, known as insured to pool their individual
risks in a large group. When sufficiently large numbers are grouped the
actual loss experience over a period of time will closely approximate the
probable loss experience. The insurance company has little or no risk at
all if this method is used properly When all of the individual objects are
pooled into one group, the risk is no longer present, if the requisites of
insurable risks are met with.
It may be
noted here, that insurance companies do not cover all risks. That is to
say, all risks are not insurable. Usually it is only the “pure” risks that
are insurable and not the “speculative” risks. A pure risk can cause only
loss but a speculative risk causes either a profit or loss. For example,
there is risk in any investment and business venture due to market
fluctuations. This is a speculative risk and therefore, not insurable.
However, a businessman can insure the assets and legal liabilities against
specified perils like fire, flood, cyclone, negligence, collision, etc.
Similarly, one cannot insure the risk of gambling. However, all pure
risks are not insurable as there are many situations that can cause loss
where the loss a of large number does not operate satisfactorily.
For many situations large number of required statistical records are not
available. If the insurers cannot obtain statistics over a sufficient
length of time on losses resulting from a particular peril, they cannot
accurately predict the probable loss experience. In that situation it is
not prudent to cover such risk. So it is evident that the prime requisite
of insurable risk is that the number of objects must be of sufficient
number. This means that the probable loss must be subject to advance
estimation in order that it can be made accurate and the objects to be
insured must be similar so that reliable statistics of loss can be
formulated. For example, in case of fire and theft insurance, commercial
buildings and private dwellings should be grouped separately as the
hazards against these risks are different. Similarly the properties
situated in the cyclone belt should not be grouped with that of the
properties located in the cyclone free zone. This means the physical and
social environment of the group ought to be roughly similar. Therefore, it
is evident that from the viewpoint of the insurer, one of the prime
requisites of insurable risks is that the number of objects must be
sufficient in number and quality so that a reasonably close calculation of
probable loss can be made (Greene 1962, p.47).
Requisites
of Insurance for Covering Risk
Apart from
what has been discussed above, the other requisites of insurance may be
summarized as following:
(a)
Insurance
must be effected by means of a legal contract and must meet the general
requirements of contract as follows:
i)
It must
be made by parties with legal capacity to contract; and
ii)
It must
be affected with a meeting of the minds of the
parties.
(b)
For any
insurance contract to be valid it is necessary to have insurable interest
of the insured on the subject of insurance. This means that an insured
must suffer a financial loss himself.
(c)
Property
and liability insurance are subjected to the principle of indemnity which
states that a person must not be indemnified more than his actual loss in
the event of damage caused by a insured peril.
(d)
Principle
of subrogation ought to be followed where the principle of indemnity is in
existence. Under this principle, the insurer is entitled to subrogation,
which means that they acquire the right to recover from liable third
parties. This is necessary to reinforce the principle of indemnity i.e. to
prevent the insured to receive more than actual loss.
(e)
Principle
of utmost good faith must be followed in every insurance contract and for
that matter breach of warranty, material misrepresentation and concealment
of facts makes the contract void.
(f)
Last, but
not the least, there are the principles of loss determination and payment.
Uninsurable
Risks
Not all
risks are insurable. This is mainly because there are some risks, which in
the true sense cannot be termed as risks. Therefore, the authors of risk
management have differentiated between pure risk and speculative risk.
Normally the pure risk is insurable and speculative risk is handled by
methods other than insurance. In pure risk, there is uncertainty as to
whether the loss will occur or not, but there is a chance of producing a
profit out of that event. But in case of speculative risk there is
uncertainty of an event that could produce either a profit or loss. For
example, a business venture and a gambling contract are the risks of
speculative nature and, therefore, not insurable. Market risks such as
price changes and/or changes in the exchange rate of currency are not
insurable. These risks are not subject to advance calculation, hence the
insurer would have no realistic basis for computing his premium. Further,
in times of rising prices no one would be interested to have insurance
coverage against such risk and in times of failling prices an insurer can
not afford to take on the risk because he can not avail the opportunity of
spreading the risk over which to average out good years with bad
years. The speculative risks are handled businessmen by way of
hedging, whereby a speculator assumes the price risk.
Insurance
and Gambling
Although
it is common to confuse insurance with gambling, from economic and legal
point of view gambling and insurance are two distinct matters. It is true
that insurance company pays an insured a great deal more money than it has
received, in terms of premiums, but this does not mean that insurance is
thereby a gambling contract. The very purpose of insurance is to eliminate
risks, whereas gambling creates a new risk.
For
example, “A” and “B” may agree that if the property of “C”
comes under fire, “A” will pay taka 1,000.00 to “B” and if there is
no fire, “B” should pay taka 100.00 to “A”. In this case
before this gambling contract neither party had any risk of loosing or
gaining any money from this source. When “A” and “B” agree to the above
proposition, each party becomes subject to a new risk of loosing money.
Moreover, neither “A” nor “B” has any insurable interest on the property
of “C”. However, if an insurance contract has to be effected it is only
“C” (who can insure) to the extent of loss (up to agreed value) against a
fixed premium. “C” in this case in fact has exchanged a large uncertain
loss for a small but certain loss called the premium.
Although,
insurance as being practiced in the modern world cannot be termed as
gambling, this cannot be called also Islamic, simply because it is not
gambling. However, insurance as a device to combat loss can rightly be
used in an Islamic Society by way of applying the basic principles of
insurance and eliminating the forbidden practices.
Principles
of Insurance Contract
Insurance
is affected by means of a legal contract and must meet the general
requirements of contract. Thus the insurance contract must not be against
public policy, must be enacted by parties with legal capacity to contract,
must be affected with a meeting of the minds of the parties and must be
supported by a consideration. Insurance is a contract of adhesion and any
ambiguities are construed against the insurer. The following legal
doctrines are vital to the understanding of insurance contract.
Insurable
Interest:
A fundamental legal principle underlying all insurance contracts is the
principle of insurable interest. This means insurance is operative only in
respect of the interest of the insured in the event of property concerned
and it is this interest that is the subject matter of insurance contract.
It means it is not the bricks and materials used in building which is the
subject matter of insurance. The subject matter of insurance is the
legally recognized relationship of the owner of the building whereby he
will suffer loss if the building is caught in fire. This is
essential; otherwise an individual would claim indemnification, even when
he had not suffered any loss. The doctrine of insurable interest is also
necessary to prevent insurance from becoming gambling.
Principle
of Indemnity:
The principle of indemnity ensures that a person does not get more than
his actual loss, in the event of
damage caused
by an insured peril. It is important to note that only the contracts of
property and liability insurance is subjected to this doctrine. Life
insurance, health insurance and personal accident insurance policies are
not contracts of indemnity (as no money payment can actually indemnify for
loss of life or for bodily injury to the insured).
There are
several ways by which an insured can be indemnified i.e. by cash payment,
repair, replacement and reinstatement. In every instance the onus of
proving that that the loss was caused by an insured peril rests upon the
insured. The onus of proving that the loss was caused by other than in
insured peril rests upon the insurer.
Without
application of this principle, the insured would be tempted to make profit
out of the happening of loss. There would be a tendency in the direction
of over insurance. There are, however, some exceptions to the application
of this principle in property insurance. For example, in marine insurance,
for commercial convenience, it is customary to issue “value” policies i.e.
the insured value is mutually agreed between the insured and the insurer.
In the event of loss, the indemnity is measured in terms of the value
fixed by the policy.
Principle
of Subrogation:
This principle states that the insurer, if and when indemnifies the
insured, is entitled to recover from third
party liable
for the loss. One of the important reasons for this doctrine is to
reinforce the principle
of indemnity i.e. to prevent the insurer from collecting more than his
actual loss. Another reason for subrogation
is to hold premiums below what they would otherwise be. This, however,
does not allow the insurer to lodge claim against the insured, even if the
insured is negligent. The principle of subrogation also does not apply to
personal accident and life policies.
Principle
of Utmost Good Faith:
This principle imposes a higher standard of honesty on parties to an
insurance contract. The proposer must disclose before the contract
is concluded all material facts, which he knows or ought to know. Failure
to make such disclosure renders the contract avoidable at the insurers
option. It is, important to note that avoiding the contract does not
follow unless the misrepresentation is material to the risk. It is
generally held that even an innocent misrepresentation of a material fact
is no defense to the insured, if the insurer elects to avoid the contract.
The insurer, however, in good faith pay the claim even if there is breach,
and a breach of warranty may also be
waived by the insurers. However, unless it is waived, a warranty must be
complied with strictly and literally. It makes no difference whether the
breach of warranty is material or immaterial, fraudulent or innocent.
TYPES
OF GENERAL INSURANCE POLICIES
Marine
Insurance:
Marine
policies relate to three areas of risk: the hull, the cargo and the
freight. The risks against which these items may be insured are
“perils of the sea,” fire, theft, collision as well as a wide range of
other perils. Cargo is usually insured on a warehouse (of departure) to
warehouse (of arrival) basis and frequently covered against "all
risks."
Aviation
Insurance:
Most
policies are issued on an "all risks" basis subject to certain
restrictions. The buyers of these policies are the large commercial
airlines, the corporate or business aircraft owners, private owners
and flying clubs. Usually a comprehensive policy is issued covering
the aircraft itself (the hull), the liabilities of passengers and
liabilities to others.
Fire
Insurance:
A
standard fire policy is used for almost all business insurance, the basic
intention of the fire policy is to provide compensation to the insured
person in the event of there being damage to the property insured. The
standard fire policy covers damage to property caused by fire, lightning
or explosion, where this explosion is brought about by gas or boilers used
for domestic purposes.
This is
limited in its scope as property can be damaged in other ways, and to meet
this need a number of extra perils, known as special perils, can be added
on to the basic policy. These perils can include:
»
Storm,
tempest or flood
»
burst
pipes
»
earthquake
»
aircraft
Accident
Insurance:
Personal
Accident Insurance - The intention of the basic policy is to provide
compensation in the event of an accident causing death or injury. What are
termed "capital sums," is paid in the event of death or certain specified
injuries, such as loss of limbs or sight as may be defined in the policy.
The policy is usually extended to include a weekly benefit up to 104 weeks
or more for compensation if the insured is temporarily totally disabled
due to an accident and a reduced weekly benefit if he is temporarily only
partially disabled from carrying out his normal duties. In the event of
permanent total disablement (other than loss of eyes or limbs) an annuity
is paid. Practice varies among insurers, some of whom pay a lump sum.
Sickness
Insurance
- Personal
accident cover can be extended to provide a weekly benefit for an agreed
upon period which may be restricted to 52 weeks, in the event the insured
is temporarily totally disabled from engaging in his usual occupation due
to sickness.
Engineering
Insurance: The cover
is intended to provide compensation to the insured in the event of the
insured plant being damaged by some extraneous cause or its own breakdown.
Engineering
insurers provide an inspection service on a wide range of engineering
plants and this is a service much sought after by industry. Engineering
covers can be summarized thus:
a)
damage
to or breakdown of specific items of plant and machinery
b)
an
inspection service of those items
c)
cost of
repair of own surrounding property due to (a)
d)
legal
liability for injury caused by (a)
e)
legal
liability for damage to property of other caused by
(a).
Theft
Insurance:
Theft
insurance was first introduced towards the end of the nineteenth century
and was originally called "burglary insurance." Insurance companies
included in their policies a phrase to the effect that theft, within the
meaning of the policy, had to involve force and violence either in
breaking in to or out of the premises of the insured for cover to apply.
Motor
Insurance:
The
minimum requirement by law is to provide insurance in respect of legal
liability to pay damages arising out of injury caused to any person. A
policy for this risk only is available and is termed as an "Act Only"
policy. A “'Third Party Only'” policy would satisfy the minimum legal
requirements and in addition would include cover for legal liability where
damage was caused to some other person's property. The most common form of
cover is the “'Comprehensive Policy”' which adds accidental loss of or
damage to the vehicle to the third party, fire and theft cover.
Miscellaneous
Insurance
Money
insurance - The
policy provides compensation to the insured in the event of money being
stolen either from his business premises, his home or while it is being
carried to or from the bank.
Glass
insurance
-
Accidental damage to glass, mainly plate glass windows but also glass
doors and shelves, is covered by the Glass Insurance Policy. It is also
possible to include damage to the shop front and the contents of the
window.
TYPES
OF LIFE INSURANCE POLICY
Life
assurance contracts available are many and the basis of all these policies
can be found under the following headings :
Terms
Insurance:
This is
the simplest and oldest form of insurance and provides for payment of the
sum assured on death, provided death occurs within a specified term.
Should the life assured survive to the end of the term then the cover
ceases and no money is payable. This is a very cheap form of cover and is
suitable, for a young married man who wants to provide a reasonable sum
for his wife in the event of his death. It can also be used for a variety
of specific purposes such as business journeys.
Whole Life
Insurance:
The chosen
sum assured is payable on the death of the assured whenever it occurs.
Premiums are payable throughout the life of the assured until retirement
of the assured. Although premiums may cease at, say, age sixty, the policy
is still in force. Should the person die at age seventy-five, the
policy would provide the benefits for his widow or family.
Endowment
Insurance:
The chosen
sum assured is payable at the end of a given term of years or upon earlier
death. These contracts are taken out as savings plans for the future with
the added attraction of life cover. Endowment contracts will always
be popular because each proposer earnestly hopes that he will live to the
end of the term and spend the proceeds himself.
Annuities:
When a
person has a reasonably large sum of money and wants to provide an income
for himself after he retires, or at some other time, he can approach a
life assurance company and purchase an annuity. The annuity may start at
once, when it is called an immediate annuity, or may start at some date in
the future (a deferred annuity). Regardless of when it starts it can take
various forms. It may provide an annuity for the life of the person, the
annuitant, or it may be payable irrespective of death for a certain
period, as in the case of the "annuity certain." The guaranteed annuity is
similar in that it provides the annuity for a guaranteed period and
thereafter until the annuitant dies.
Pension
Schemes:
These
schemes are designed to provide an income at retirement. So far as
insurers are concerned they may be asked to arrange a scheme, rather than
a firm doing all the work itself. This involves collecting the premiums,
investing them and paying pensions to retired people. Many schemes are
endowment policies with group life insurance cover to provide benefits,
should the death of a member occur before retirement age, but there are
different ways in which this can be done.
INSURANCE
IN AN ISLAMIC FRAMEWORK
Insurance
is a socio-economic institution that reduces risk both to society and to
individuals. This accomplished by combining, under one management, a large
group of objectives so that the aggregate loss to which society is subject
become predictable. Insurance has scientific basis and is effected by
legal contract, under which the insurer for consideration promises to
reimburse the insured for any loss suffered during the tenure of the
contract.
There are
many social and economic value of insurance, but the greatest value lies
in the benefits following from the reduction of risk in society. Insurance
has the advantage as a device to handle risk and, therefore, it is
necessary that its services be extended in order to bring about the
greatest economic advantage to a given society. In order to establish the
validity of this point we must have clear concept about the
socio-economic objectives of an Islamic Society.
Belief in
Allah is central in the Islamic concept of society. This is the organizing
force without which life losses it’s full meaning. Belief in a
supernatural power reduces man's vanity and despair. Belief in one Allah
does not mean that the individuals in the society are just the dolls in
the hand of the Almighty. In fact, Islam fosters initiative and
responsibility. The Quran insistently and consistently reminds people that
they are judged on