Sa-Dhan Newsletter Volume 1 Issue 4
Micro-Insurance
certificates were taken with the details of damage,
(c)
Need for assistance in operations: Extra
address and occupation of member. Intimation of
assistance in filling up forms and guiding them
loss was submitted by members in large numbers at
to the right place has to be provided. Vimo
the insurance office, in SEWA, and SEWA Bank and
Aagewans play this role effectively.
also Collected by SEWA relief team. It was decided to
(d)
Matching of collection schedule with cash flow:
accept claim intimation up to 10 days from date of
Urban poor get small amounts frequently. Rural
heavy rains and this message was conveyed to
poor get lump sums in the agricultural seasons.
members through Aagewans/organizers.
Their cash flow depends on the type of activity
they are involved in. Premium collection systems
The task of surveying more than 1,100 claims was
of the bank should be matched with the cash
handled by five field workers with the support from
flow of its clients.
SEWA's Health and Childcare Teams; Mahila Housing
5. Training needs of the clients should be addressed:
Trust Team, and SEWA Bank. A claims committee was
Women need in depth training as regards the concept
set up consisting of workers and organizers
of insurance, risk coverage, the process of premium
represented by different trades i.e. agarbatti workers,
collection and claim, etc. Lack of knowledge about the
bidi Workers, block printers, construction workers
required documents leads to the submission of
and vegetable vendors. The Committee sat for more
incomplete papers and information, which results in
than twenty days, daily for 4-5 hours and settled 40-
the rejection of claims by the insurance company.
70 claims a day. The total number of members
Incomplete information includes not informing SEWA,
compensated was 630 and the total amount of
and thereby the insurance company, about any change
compensation was Rs 2, 56,787.
in name or address in case of marriage, or change of
The major earthquake (7.6 on Richter scale) on 26th
residence. Differences in names and addresses make
of January 2001, shook Gujarat affecting SEWA
processing of claims difficult and also cause delays in
members in both rural and urban areas. Members
ascertaining the authenticity of the claimant. Through
were given 25 days to report their losses and the
no fault of their own, insurance companies rejected
mammoth task of survey was started on a war footing.
the women's claims.
A team of 15 surveyors from the various wings of
6. The critical role of the field worker: The field
SEWA like health workers, and Housing Trust workers
worker is crucial to the success of the social security
was constituted. 2,167 claims were field and Rs.
system. The field workers are the link between the
23,55,135 was dispersed as the claim amount.
institution and the field. They assist in the door-to-
SEWA has demonstrated over decades, that insurance
door collection of premiums, verifying the genuineness
for the poor is viable. SEWA holds that poor women
of the claims, careful screening of all documents, and
are insurable and willing to pay for the service, social
checking information by extension work. Recently,
security should be perceived as a basic right, integrated
SEWA has recruited 'Aagewans' who spearhead teams
insurance scheme (covering all risks) which is part of
for insurance work. The social security wing of SEWA
the total financial services should be linked with
works closely with other departments like the savings
savings and credit of the poor women, design should
and loan department of the SEA Bank or the health
be demand led, develop faith and trust in the
cooperatives to educate its members about the concept
institution organizing the services is crucial, gender
of insurance and risk pool.
sensitive design is crucial for the client group, simple
7. Design of the insurance services is demand
and flexible mechanisms are essential, timely
driven: The insurance companies have not yet designed
compensation is critical, capacity building of the client
a different mechanism for dealing with the poor,
group regarding the concepts and practice of
illiterate population and continue using the same
insurance, coverage should be wider.
mechanism which is applicable to the literate, urban,
Finally, the challenges in the sector that need to be
middle class. For instance, while dealing with health
addressed are- 'up scaling' of the existing services of
insurance cases the insurance company defines
the insurance companies, and operating with the
hospitals as those with a minimum number of beds,
unorganized sector workers, so that the poor can be
and a specific kind of certificate for coverage. In
brought under the insurance coverage. Such up scaling
villages where there are small hospitals, which do not
would involve the capacity building of the institutions-
fit this definition, the genuine cases are rejected.
capitalizing them as well as strengthening their links
8. Asset loss- Mechanisms of coping and assessing:
with the unorganized sectors. A committed policy that
The challenge lies in providing adequate mechanisms
reaches and builds the capacity of the workers is
of asset loss estimation and payment to enable faster
needed. Another option would be to have a
recovery of the clients. As the water receded after the
combination of systems like Tripartite Boards where
cyclone in the second week of July in 200, SEWA saw
governments would work with people's organizations
a stream of members walking in to report
their
at people's doorsteps. It is clear that through
losses. (It was for the first time that SEWA was dealing
insurance, workers especially women can secure their
with a calamity of such magnitude). Photocopies of
lives and plan for the future.
Annual Insurance Premium and Fixed Deposit
14