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Nana Kay

2 weeks ago

PRINCIPLE OF CONTRIBUTION IN INSURANCE IN GHANA

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Principle of Contribution in Insurance in Ghana

The principle of contribution is a core concept in insurance, particularly when the insured has multiple policies covering the same risk. According to this principle, if a policyholder has multiple insurance policies that apply to the same loss, each insurer is required to contribute proportionally towards the claim. In the context of Ghana, the contribution principle plays a significant role in ensuring fair distribution of liability among insurers, protecting against over-insurance, and managing the risk of policyholders profiting from multiple claims on the same loss.

This set of notes will explore the definition of contribution, its purpose and application, the importance of contribution for the Ghanaian insurance industry, the calculation process, challenges in implementation, and the regulatory framework governing the principle.


1. Definition of the Principle of Contribution

  • Explanation: Contribution is an insurance principle stating that when multiple policies cover the same asset or risk, each insurer shares the responsibility for compensating the policyholder based on their proportional coverage.
  • Key Terms:
    • Multiple Insurance Policies: When an insured item or risk has more than one policy covering it.
    • Proportional Sharing: Each insurer is responsible for a share of the claim, calculated according to the amount of coverage provided by their policy.
  • Example: If an individual insures their house with two insurance companies for the same risk, each insurer must contribute proportionally towards any claims made, based on the level of coverage provided by each.

2. Purpose of the Principle of Contribution

  • Equitable Claim Settlement: Contribution ensures that each insurer bears a fair portion of the claim based on the risk they underwrite, preventing any single insurer from bearing the entire cost.
  • Prevention of Over-Insurance and Profit: By applying contribution, insurers prevent policyholders from profiting from multiple claims on the same loss. It avoids situations where the insured would receive more compensation than the actual loss amount.
  • Protection for Insurers: Contribution helps distribute liability among insurers, safeguarding each company’s financial stability by preventing excessive claims from single-policyholders with overlapping policies.
  • Promoting Transparent Insurance Practices: The principle promotes transparency and fairness, as it requires all parties to understand their obligations when multiple policies cover the same risk.

3. Application of the Principle of Contribution in Ghana

  • Home and Property Insurance: In Ghana, it is common for high-value properties, especially commercial buildings, to be insured by multiple insurers. If a loss occurs, each insurer contributes to the claim according to their coverage proportion.
  • Motor Vehicle Insurance: If a vehicle is insured under multiple policies (e.g., for third-party, fire, and theft across different companies), each insurer will contribute based on the policy terms.
  • Health and Life Insurance: While less common in health and life insurance, the contribution principle may apply if a policyholder has multiple accident policies that overlap, ensuring proportional responsibility among insurers.
  • Marine and Cargo Insurance: In Ghana’s import-export sector, goods in transit may have multiple insurance policies, especially if they are valuable or high-risk. In case of loss or damage, insurers share the claim burden proportionally.

4. Importance of the Contribution Principle for Ghana’s Insurance Industry

  • Fair Distribution of Claim Costs: Contribution helps balance financial responsibility among insurers in Ghana, supporting fairness and reducing the likelihood of disputes between companies.
  • Reduction of Moral Hazard: The principle discourages policyholders from taking out excessive insurance coverage, which could lead to profit-seeking claims, thereby reducing fraud risks and enhancing industry trust.
  • Enhanced Industry Collaboration: Contribution fosters collaboration among insurers who may need to work together to process and share claim costs fairly.
  • Market Stability and Premium Control: By avoiding over-compensation, insurers can control premium costs more effectively, which helps stabilize the insurance market and makes insurance more affordable for Ghanaians.


5. Calculation of Contribution in Insurance

  • Proportionate Contribution Method: In this common approach, each insurer’s liability is calculated based on the proportion of the total sum insured by each policy. The formula is:

Contribution by Insurer=(Sum Insured by InsurerTotal Sum Insured by All Policies)×Loss Amount\text{Contribution by Insurer} = \left( \frac{\text{Sum Insured by Insurer}}{\text{Total Sum Insured by All Policies}} \right) \times \text{Loss Amount}Contribution by Insurer=(Total Sum Insured by All PoliciesSum Insured by Insurer​)×Loss Amount

  • Example Calculation: Suppose a property is insured for a total of GHS 200,000 across two insurers: Insurer A with GHS 120,000 and Insurer B with GHS 80,000. If a claim for GHS 50,000 arises, each insurer’s contribution is calculated as follows:
    • Insurer A: (120,000200,000)×50,000=GHS30,000\left( \frac{120,000}{200,000} \right) \times 50,000 = GHS 30,000(200,000120,000​)×50,000=GHS30,000
    • Insurer B: (80,000200,000)×50,000=GHS20,000\left( \frac{80,000}{200,000} \right) \times 50,000 = GHS 20,000(200,00080,000​)×50,000=GHS20,000

This calculation ensures fair cost distribution.

6. Challenges in Implementing the Contribution Principle in Ghana

  • Lack of Awareness: Some policyholders in Ghana may be unaware of how contribution works, leading to misunderstandings or disputes if multiple insurers are involved in claims.
  • Complexity in Claims Processing: Calculating contributions can be complex, especially if the policies have differing terms, coverage levels, or deductibles. This complexity can cause delays in processing claims.
  • Insurance Policy Terms: Policies in Ghana may vary significantly, which can lead to disagreements between insurers regarding responsibility and liability for a claim.
  • Limited Regulatory Guidance: Ghana’s insurance regulatory framework may not cover specific scenarios involving contribution, leading to challenges in applying the principle effectively and fairly.

7. Types of Insurance Where Contribution Is Commonly Applied in Ghana

  • Fire and Property Insurance: Large properties, such as commercial buildings, are often covered by multiple policies due to high-value risks, and the contribution principle is frequently applied in these cases.
  • Marine Cargo Insurance: Imported goods may have multiple policies from local and international insurers, making contribution relevant when calculating claim payments.
  • Liability Insurance: Businesses may have multiple liability policies to cover the same risks (e.g., public liability, employer’s liability). Contribution ensures each policy contributes proportionally.
  • Auto Insurance: In rare cases where multiple policies cover the same vehicle risk, contribution calculations are used to manage claims.

8. Role of Insurers and Brokers in Ensuring Effective Contribution Practices

  • Policy Transparency: Insurers must clearly outline contribution-related terms in their policies to ensure clients understand how claims will be handled if multiple policies exist.
  • Claims Assessment Teams: Ghanaian insurers often rely on specialized teams to assess claims involving multiple policies, ensuring accurate and fair calculation of contributions.
  • Collaboration with Brokers: Insurance brokers play a significant role in Ghana by advising clients on appropriate policy levels and minimizing the potential for over-insurance or multiple coverage overlaps.
  • Client Education: Insurers and brokers can help clients understand the importance of disclosing all existing policies to avoid disputes and ensure smooth claims processing.

9. Regulatory Framework for Contribution in Ghana

  • National Insurance Commission (NIC): The NIC provides oversight to ensure fair application of the contribution principle among insurers, monitoring compliance to protect policyholders.
  • Insurance Act of Ghana: The Act requires transparent disclosure of terms, ensuring policyholders are aware of the impact of multiple policies on claim settlement.
  • Consumer Protection Laws: These regulations protect policyholders by requiring insurers to handle contribution claims fairly and provide clear explanations about how multiple policies affect compensation.

10. Case Studies of Contribution in Ghana

  • Property Insurance Case: A commercial building in Accra insured with two policies suffered significant fire damage. Each insurer, having proportional coverage, contributed towards the claim to cover the loss, illustrating contribution’s role in managing high-value claims.
  • Cargo Insurance Case: A logistics company shipping goods insured with two policies experienced loss in transit. The contribution principle was applied to recover costs from both policies based on their coverage proportions.
  • Liability Insurance Case: A business with multiple liability policies covering a workplace injury utilized contribution to manage the claim process. Each insurer contributed proportionally, reducing the financial impact on a single insurer and providing timely compensation to the injured party.


Conclusion

The principle of contribution is essential to maintaining fairness and transparency in Ghana’s insurance industry. It ensures that claim liabilities are distributed among multiple insurers when multiple policies cover the same risk, thereby protecting insurers from excessive losses and preventing policyholders from benefiting unfairly from overlapping policies.

Despite challenges such as complex claim calculations and potential disputes, the contribution principle promotes responsible insurance practices. Ghana’s regulatory framework, including the National Insurance Commission, continues to support the principle by enforcing transparency and fairness requirements. By fostering fair competition and protecting both insurers and policyholders, contribution remains an integral part of Ghana’s insurance landscape, reinforcing the industry’s stability and integrity.

 

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