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Insurance Audit

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Services for Insurance Audits

An Indian insurance company gets registered under and as per the norms of Companies Act 2013. A foreign company must not possess more than 26% of the paid-up equity capital of this insurance company in total equity shares, whether directly or through subsidiaries or nominees. An Indian insurance company's main goal is to operate a life insurance, general insurance, or reinsurance business.

The policy and liability procedures, tax records, risk assessments, and other financial records of insurance are all subject to examination by insurance auditors during insurance audits. This is done to make sure that the insurance businesses adhere to regulatory regulations and that suitable insurance rates and premiums are applied. Claims and commissions are a couple of the main things that need to be checked during insurance audits. The insurance auditors must also uphold the policyholders' and insurance companies' quality control.

Insurance Audit: What Is It?

The auditor must annually examine each insurer's financial accounts in accordance with Section 12 of the Insurance Act of 1938. According to IRDA, 1999, each insurer is required to make the following preparations with regard to his insurance company and the shareholders fund-

  • Balance sheet
  • A profit-and-loss statement
  • Payments and an Account for revenue
  • Individual account for receipts

At the conclusion of each fiscal year, all of these must be completed in accordance with IRDA requirements. An insurance audit is an unbiased review of accounting records that offers a qualified opinion regarding their accuracy.

What types of insurance are subject to insurance audits?

All different sorts of insurance contracts, whether they are for people or businesses, are covered by the insurance audit service.

The following are a few insurance types for which insurance audit is appropriate:

  • Property insurance that covers homes, buildings, stocks, and reserves.
  • Liability insurance, such as product liability, environmental liability, professional indemnity, and employer's liability.
  • Both business interruption and employee theft insurance are available.
  • Insurance policies covering property and money theft.
  • Insurance for transportation via land, water, air or all.
  • Life insurance products such term and permanent insurance, etc.
  • Whether it is individual or corporate health insurance.
  • Life, accident, and health insurance are all included in the employee benefit plan.
  • Individual or group pension insurance is covered by pension insurance.
  • Vehicle insurance covering both single vehicles and fleets of vehicles.

What functions do Insurance Auditors perform in the insurance audit process?

  • An insurance company's central and branch auditors are chosen at the annual general meeting of the firm.
  • A confirmation from the Comptroller and Auditor General is required before making the appointment.
  • According to the Insurance Act of 1938 and the Companies Act of 2013, insurers are required to abide by the rules regarding the employment of auditors.
  • The board names the statutory auditors in accordance with the Audit Committee's recommendation, subject to the Indian Insurance Company's shareholders' approval at the general meeting.
  • To conduct the audit of the divisions with the same legal rights and obligations, branch auditors are appointed. The statutory auditors receive the branch auditors' report.
  • The branch auditors validate the Trial balance incorporating the financial statements of the branches under the divisions, but only at the divisional level.
  • Without getting permission from the authority, the insurer is not permitted to fire the statutory auditor.
  • More than three insurances (life, health, reinsurer, or non-life) cannot be audited concurrently by an audit company.
  • They scheduled a meeting that may be cancelled if it turns out that the insurers did not choose auditors in accordance with the suggested rules.

What are the crucial elements examined during an insurance audit of a Profit & Loss Account?

When doing an insurance audit, the following are the crucial items to check for-

Checking the Premium

  • The premium collected amounts are credited to a different bank account. There are normally no withdrawals allowed from that account for general spending purposes.
  • The premium collected amounts are credited to a different bank account. There are normally no withdrawals allowed from that account for general spending purposes.
  • The collections are sent to the Regional Office or Head office in accordance with the insurance company's policy.
  • The Insurance Act of 1938's Section 64VB states that the insurer may not take on any risk without first receiving premium.
  • Because insurance premiums are paid when policies are issued, it is crucial for an auditor to confirm them.
  • It is observed as a consideration for taking on the insurance company's risk.
  • The auditor must follow the following guidelines-

  • The auditor must first review the internal controls and compliance that are required for the collecting and recording of premiums before beginning the premium income verification process.
  • The cover notes must be numbered in serial order
  • The auditor must verify that the premium records are kept in chronological order and include all information, including GST charged daily in accordance with the acceptance advise.
  • The auditor must confirm that the premium amount calculated matches the amounts displayed in the general ledger.
  • Additionally, the auditor will confirm whether or not the payments that are expected on or before the balance sheet date have been received and have been recorded as premium revenue for the audited year.
  • Claim Verification

    Every division’s or branch’s auditor is required to gather data for all business classes and will choose how many documents in total need to be examined, giving more weight to claims with greater values. All payments, including those for the repairs, the survey, the photographs, etc., are deducted from the claim account. The auditor must-

  • Inspect the clause for unresolved claims.
  • Verify whether there is a provision for claims for which the corporation is held legally liable.
  • Verify that the provision provided does not exceed the insured amount.
  • Verify the co-insurance agreements; the business has made provisions for its own portion of the expected liabilities.
  • Commission Verification

    A commission is used to fund an agent's compensation. The amount of compensation is determined by adding a percentage to the premium the agent has collected. The commission for the business procured is paid to the agents, and the commission on direct business account is subsequently debited. In most cases, insurance agents approach potential customers. The auditor must confirm-

  • Entries made in the disbursement vouchers with relation to the copies of commission bills and statements.
  • Verify that the officers-in-charge have approved the vouchers in accordance with the rules and that income tax has been withheld at the source.
  • Verify the permitted commission rate.
  • Verify the commission accounting period.
  • Confirmation of operating costs

    The auditor needs to examine the following operational costs-

  • The highest of Rs. 5 lakhs in expenses or 1% of the net premium. It needs to be displayed separately.
  • The costs incurred in the investment department, bank fees, etc., are examples of expenses that must be listed separately because they are not direct expenses considering insurance businesses.

What Is Checked in the company’s balance sheet during an insurance audit?

The following are the key factors taken into account during an insurance audit of the company's balance sheet-

A- Investments

  • Only permitted securities may be purchased by insurance companies. The following prerequisites must be met in order for it to invest in securities other than those that have been approved-
    1. a) No more than 25% of all investments may be made in any one investment.

      b) The board of directors must approve the investment before it may be made.

  • An insurer may not purchase less than any of the following shares or debentures of an insurance or investment company-
    1. a) 10% of its own estimated total assets.

      b) 2% of the investee's subscribed share capital or debentures.

  • An insurance or investment firm must meet at least the following criteria before an insurance company may invest in its shares or debentures-
    1. a) 10% of its own estimated total assets.

      b) 10% of the investee's subscribed share capital or debentures.

  • A private firm's shares and debentures cannot be purchased by an insurance company.
  • Insurance companies are prohibited from investing in policyholders' fund outside India.
  • B-Balances of cash and banks
  • The auditor must create bank reconciliation statements during the insurance audit.
  • The validation of bank balances for all active and inactive accounts must be given to the auditor.
  • The term deposit receipts issued by the bankers must be physically verified by the auditor. Typically, at year's end, all cash is placed with the bank as a term deposit.
  • The auditor must confirm all deposits and withdrawals and determine whether only authorized individuals are using the account.
  • The auditor must confirm that any funds that are in transit are accurately reported in a reconciliation statement.
  • C-Balance of outstanding premium and agents

    The following audit techniques may be used on an agent's balance-

  • Check to see that all outstanding balances for the agent's account as well as the outstanding premium account have been reported, evaluated, and reconciled for the audit.
  • Check to see if large, unpaid deposits have been recovered after the audit period.
  • Check to see if there are any past-due obligations or credit balances that need to be adjusted at year's end. It should be insured that, the management provides a written explanation.
  • Verify the agent's balances, excluding the balances of any staff, as well as the balances of any other insurance providers.
  • Check to see that agents for businesses are receiving no commission credit.

What laws or regulations apply to the performance of insurance audits?

Regarding life insurance and general insurance firms, there are numerous laws. The following acts and rules highlight the key legal aspects that are pertinent to the audit of life insurance firms.
  • The 1938, Insurance Act
  • 1939, Insurance Rules
  • The 1961, Income Tax Act
  • The 2013, Companies Act
  • The 1956, The Life Insurance Corporation Act
  • Along with the aforementioned, the Employees State Insurance Act of 1948 will also apply in relation to general insurance.
  • There are also corporate governance guidelines for Indian insurers in addition to laws and regulations. Guidelines on Corporate Governance for Insurance Companies were released by the regulator IRDAI on August 5, 2009, which were amended in 2016.

Why must an insurance audit have an audit committee?

The regulations require insurance companies to create the following required committees, including-
  • Committee for Investments,
  • Committee for Risk Management,
  • Audit Committee,
  • Profits Committee,
  • Protection Committee for Policyholders,
  • Committee for Nomination and Remuneration,
  • Committee on Corporate Social Responsibility.
  • Following is a description of the audit committee's role in an insurance audit-

  • According to Section 177 of the 2013 Companies Act, every insurer must establish an audit committee.
  • The committee will review the annual and quarterly financial reports, including the cash flow statements and financial reporting.
  • An independent director of the board who has experience in accounting, finance, or audit, as well as someone who may be a chartered accountant or have a solid background in financial analysis, will serve as the chair of the audit committee.
  • The CEO's involvement with the Audit Committee must be restricted to times when it is necessary for it to obtain specific information about audit results.
  • The Audit Committee must consist of at least three directors, of whom the majority should be of Independent Directors, in accordance with Section 177 of the Companies Act of 2013.
  • The Audit Committee will monitor the department's effective operation and go over its reports.
  • The committee will also keep an eye on how well abnormalities are being fixed and how processes are changing in areas where flaws have been found.
  • The Audit Committee is responsible for overseeing the policies and procedures put in place to handle concerns regarding the upkeep of books of account, administrative practices, transactions, and other issues affecting the insurer's financial position, whether they are brought up by the auditors or by anyone else.
  • The Audit Committee must have pre-audit discussions with the statutory auditors regarding the nature and scope of the audit as well as post-audit conversations to scrutinize and resolve any areas of distress.

How can Estabizz assist with your Insurance Audit?

You can get insurance audit services from our experts at Estabizz in the following ways-

  • We put the internal control system to the test during the audit procedure. We will also evaluate its performance and provide a set of improvements that will aid in identifying any potential faults.
  • The insurance firm will make some revisions to the accounting reports in the accounting system to account for needed deviations from the prevailing laws.
  • In order to avoid tax penalties, we will make recommendations after reviewing the tax code and the fairness tax base.
  • Measures for improving effectiveness and using internal reserves for managerial decisions are suggested during the full study of financial activity.

How you can contact Estabizz?

  • Fill the form.
  • Get a call back
  • Submit the required documents.
  • Track the progress of your application.
  • Get the expected results.

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