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Insurance Ordinance
Table of Contents Insurance Ordinance 2000 - Text

 

INSURANCE ORDINANCE, 2000 TABLE OF CONTENTS

 

PART I PRELIMINARY

1.                                        Short title, extent and commencement

2.                                        Definitions

3.                                        Division of insurance business into life and non-life

4.                                        Classes of life and non-life business

PART II PROVISIONS APPLICABLE TO INSURERS

5.                                        Persons eligible to transact insurance business

6.                                        Registration of insurers

7.                                        Commission may register insurer upon satisfaction

8.                                        Inspection and supply of copies filed with Commission

9.                                        Duration and revocation of registration

10.                                   Notification of grant or revocation of registration

11.                                   Conditions imposed on registered insurers

12.                                   Criteria for sound and prudent management

13.                                   Restriction on issue of certain life policies

PART III

STATUTORY FUNDS OF AND OTHER SPECIAL REQUIREMENTS FOR
LIFE INSURANCE COMPANIES

14.                                   Statutory and other funds of life insurance companies

15.                                   Establishment of statutory fund

16.                                   Policies to be referable to specific statutory funds

17.                                   Assets, liabilities, revenues and expenses of funds

18.                                   Disposition of assets of statutory funds

19.                                   Prohibition on reinsurance between statutory funds

20.                                   Capital payments to life insurance statutory funds

21.                                   Distribution of capital in a life insurance statutory fund

22.                                   Allocation of surplus on life insurance business

23.                                   Restriction on dividends and bonuses

24.                                   Declaration of interim bonuses

25.                                   Transitional provisions

26.                                   Appointed actuary

27.                                   Responsibilities of appointed actuary

PART IV REQUIREMENTS AS TO CAPITAL AND STATUTORY DEPOSITS

28.                                   Requirements as to capital

29.                                   Deposits

30.                                   Reservation of deposits

31.                                   Refund of deposits

PART V SOLVENCY REQUIREMENTS

32.                                   Admissible assets

33.                                   Assets and liabilities in Pakistan

34.                                   Valuation of assets and liabilities

35.                                   Net admissible assets of life insurers

36.                                   Insurers of non-life insurance business to have assets in excess of minimum solvency requirement

37.                                   Prohibition of loan

38.                                   Liability of directors, etc for loss due to contraventions of sections 35,36 or 37

39.                                   Assets of insurer how to be kept

PART VI REINSURANCE ARRANGEMENTS

40.                                   Special definitions and conditions applicable to this Part

41.                                   Requirement to effect and maintain reinsurance arrangements

42.                                   Compulsory cession

43.                                   Premiums and statements

44.                                   Rules and regulations for the administration of compulsory reinsurances

PART VII ACCOUNTS AND AUDIT

45.                                   Books and records

46.                                   Accounting and reporting

47.                                   Compliance with companies laws relating to accounts, reports, etc.

48.                                   Audit

49.                                   Special audit

50.                                   Actuarial report

51.                                   Submission of returns

52.                                   Exemption from certain provisions of the Companies Ordinance, 1984

53.                                   Furnishing reports

54.                                   Abstract of proceedings of general meetings

55.                                   Custody and inspection of documents and supply of copies

56.                                   Power of Commission regarding returns

57.                                   Power of Commission to order actuarial report

58.                                   Evidence of documents

PART VIII INVESTIGATION, DIRECTIVES, ETC.

59.                                   Power of Commission to order investigation

60.                                   Power of the Commission to give directions to the insurer

61.                                   Power of Commission to call for information and access

62.                                   Power of Commission to require plan

63.                                   Power of Commission to issue direction to cease entering into new contracts of insurance

64.                                   Power to require calling of meeting of directors etc.

65.                                   Power to remove Chairman, Director, etc. of the insurer

66.                                   Power to prescribe maximum levels of acquisition costs and maximum levels of management expenses

PART IX

AMALGAMATION AND TRANSFER OF INSURANCE BUSINESS

67.                                   Approval of acquisition or transfer

68.                                   Amalgamation and transfer of life insurance business.

69.                                   Sanction of amalgamation and transfer by Court.

70.                                   Statements required after amalgamation and transfer

PART X

ASSIGNMENT OR TRANSFER OF POLICIES AND NOMINATION

71.                                   Assignment and transfer of life insurance policies

72.                                   Nomination by policy holder

73.                                   Nomination under group life policies

PART XI
MARKET CONDUCT

74.                                   Application of this Part only to direct insurance business

75.                                   Duty of utmost good faith

76.                                   Insurer not to engage in misleading or deceptive conduct

77.                                   Construction of ambiguities in favour of policy holder

78.                                   Exclusion of provisions of Ordinance void; an offence

79.                                   Remedies for non-disclosure or misrepresentation

80.                                   Policy not to be called in question on ground of mis-statement after two years

81.                                   Tribunal may disregard avoidance in certain circumstances

82.                                   Cancellation of a life insurance policy for fraudulent claim

83.                                   Power of the Commission to prescribe rules for market conduct

84.                                   Commission to have power to undertake compliance visits

85.                                   Commission to have power to require a survey to be performed

86.                                   Contractual stipulations for placing insurance with specific or named insurers

87.                                   Provisions when not to constitute discrimination

PART XII
SURRENDER, LAPSE AND FORFEITURE OF CERTAIN LIFE INSURANCE POLICIES

88.                                   Special definitions and interpretation for this Part

89.                                   Acquisition of surrender value

90.                                   Surrender of policy at policy holder's option

91.                                   Surrender of policy at insurer's option

92.                                   Paid-up policy at policy holder's option

93.                                   Non-forfeiture

PART XIII
INTERMEDIARIES

94.                                   This Part to apply only to direct insurance business

95.                                   Liability of Insurer for act or omissions of agent

96.                                   Persons acting as agents

97.                                   Minimum qualifications for agents

98.                                   Insurer to maintain register of agents

99.                                   Payments by and to insurance agents

100.                              Duty to disclose agency

101.                              Restriction on life insurance agents, becoming directors of life insurance companies

102.                              Insurance brokers to be licensed

103.                              Brokers to be presumed agents under certain circumstances; liability of brokers when not
so presumed

104.                              Ownership and management interests inter se of brokers and insurers prohibited

105.                              Broker's duty to disclose relationships

106.                              Payments by and to insurance brokers

107.                              Requirements in respect of persons ceasing to act as insurance brokers

108.                              Basis for payment of remuneration by insurers to insurance brokers

109.                              Insurance brokers to report annually to Commission

110.                              Power to inspect insurance agents and insurance brokers

111.                              Persons permitted to act as insurance surveyors

112.                              Licensing of insurance surveyors

113.                              Registration of authorised surveying officers

114.      Classes of insurance surveying

 

PART XIV
SPECIAL PROVISIONS OF LAW

115.                             Application of Pakistan law to policies issued in Pakistan

116.                             Payment of money into Tribunal

117.                             Small Disputes Resolution Committees

118.                             Payment of liquidated damages on late settlement of claims

119.                             Supply of copies of proposals and medical reports

120.                             Prohibition of business on dividing principle

PART XV
INSURANCE TRIBUNAL

121.                             Constitution of the Tribunal

122.                             Powers of Tribunal

123.                             Procedure of the Tribunal

124.                             Appeal

PART XVI
INSURANCE OMBUDSMAN

125.                             Appointment of Insurance Ombudsman

126.                             Terms and conditions of Insurance Ombudsman

127.                             Jurisdiction, functions and powers of Insurance Ombudsman

128.                             Reference to Insurance Ombudsman by Court

129.                             Procedure for making complaints

130.                             Recommendations for implementation

131.                             Power to call for information

132.                             Duties of insurers

133.                             Duty and power of the Insurance Ombudsman to report to the Commission

134.                             Report of Insurance Ombudsman

PART XVII
APPOINTMENT OF ADMINISTRATORS

135.                             When Administrator for management of insurance business may be appointed

136.                             Powers and duties of the Administrator

137.                             Powers of Administrator respecting property liable to attachment under section 160

138.                             Cancellation of contracts and agreement

139.                             Termination of appointment of Administrator

140.                             Finality of decision of appointing Administrator

141.                             Penalty for withholding document or property from Administrator

142.                             Protection of action taken under sections 135 to 139

PART XVIII
WINDING UP

143.                             Winding up by the Court

144.                             Voluntary winding up

145.                             Court may order continuation of life insurance business

146.                             Court may appoint special manager of life insurance business

147.                             Court may appoint independent actuary

148.                             Powers of Court to reduce contracts of life insurance

149.                             Commission empowered to apply for directions

150.                             Commission entitled to notice and hearing

151.                             Commission entitled to obtain information

152.                             Determination of insurance liabilities

153.                             Application of statutory fund assets

154.                             Winding up secondary companies

155.                             Return of deposits

PART XIX
OFFENCES AND PENALTIES

156.                             Penalty for default in complying with, or acting in contravention of this Ordinance

157.                             Penalty for transacting insurance business in contravention of sections 5, 6 and 29

158.                             Penalty for false statement in document

159.                             Wrongfully obtaining or withholding property

160.                             Power of Tribunal to order restoration of property of insurer or compensation in certain cases

161.                             Notice to Commission and hearing

162.                             Previous sanction of Commission for institution of proceedings

163.                             Power of Court to grant relief

PART XX
MISCELLANEOUS

164.                             Service of notices

165.                             Insurance of interests in Pakistan

166.                             Insurance of public property

PART XXI
RULES AND REGULATIONS

167.      Power to make rules and regulations

PART XXII
REPEAL AND SAVINGS

168.                             Repeal

169.                             Repealed Act to apply to certain insurers ceasing to enter into new contracts before
commencement of this Ordinance

170.                             Savings

171.                             Exemptions

172.                             Removal of difficulties

 

AN ORDINANCE

To regulate the business of the insurance industry to ensure the protection of the interests of insurance policy holders and to promote sound development of the insurance industry and for matters connected therewith and incidental thereto;
WHEREAS, it is expedient to repeal and re-enact the law
relating to the business of insurance;
AND WHEREAS the National Assembly and the Senate stand
suspended in pursuance of Proclamation of Emergency of the fourteenth day of October, 1999, and the Provisional Constitution Order No. 1 of 1999; AND WHEREAS the President is satisfied that circumstances exist which render it necessary to take immediate action; NOW, THEREFORE, in pursuance of the proclamation of Emergency of the fourteenth day of October, 1999, and Provisional Constitution Order No. 1 of 1999, as well as Order No. 9 of 1999, and in exercise of all powers enabling him in that behalf, the President of the Islamic Republic of Pakistan is pleased to make and promulgate the following Ordinance:-

 

PART I

PRELIMINARY

Short title, extent and commencement.- (1) This Ordinance may be called the Insurance Ordinance, 2000.

(2)                      It extends to the whole of Pakistan.

(3)                      It shall come into force at once.

2.                    Definitions.- In this Ordinance, unless there is anything repugnant in the subject or context,-

(i)            "actuary" means a person possessing such actuarial qualifications as may be prescribed;

(ii)           "appointed actuary" means the actuary required to be appointed by a life insurer pursuant to the provisions of section 26 of this Ordinance;

(iii)          "approved securities" means Government securities, and any other security charged on the revenues of the Federal Government or of a Provincial Government, or guaranteed fully as regards principal and profit or return (however called or designated) by the Federal Government or a Provincial Government; and any debenture or other security for money issued under the authority of any Act of the Federal Legislature or any Provincial Legislature by or on behalf of the trustees of the port of Karachi; any security issued under the authority of any Act of Parliament or of a Provincial Assembly; and any security specified as an approved security for the purpose of this Ordinance by the Federal Government by notification in the official Gazette;

(iv)           "approved auditor" means an auditor approved by the Commission for the purpose of performing the functions assigned to auditors under this Ordinance;

(v)           "auditor" means a person qualified under the provisions of section 254 of the Companies Ordinance, 1984 (XLVII of 1984), to act as an auditor of companies;

(vi)           "authorised person" means, in the case of a company, a director, including the chief executive, (by whatever name called), or in the case of insurers being bodies corporate incorporated outside Pakistan and continuing business as such after the commencement of this Ordinance, the closest comparable equivalent thereto, under the laws of the place of incorporation of such foreign body corporate;

(vii)          "banking company" has the meaning assigned to the term in clause (a) of section 2 of the Banking Companies (Recovery of Loans, Advances, Credits and Finances) Act, 1997 (XV of 1997);

(viii)         "base rate" means the effective annual rate implied by the most recent repurchase rate that is published from time to time in a circular issued by the Securities Department of the State Bank of Pakistan for six months Pakistan Treasury Bills, or, if such rate is not available, the most recent repurchase rate for six months Short Term Federal Bonds, or, if neither of such rates is available, the most recent repurchase rate for any other short term paper issued by the Federal Government of an approximately similar tenor, whether in addition to or in substitution for any of the foregoing;

(ix)          "Board" means the Policy Board established under section 12 of the SECP Act;

(x)           "borrower" has the meaning assigned to the term in clause (c) of section 2 of the Banking Companies (Recovery of Loans, Advances, Credits and Finances) Act, 1997 (XV of 1997);

(xi)          "certified" in relation to any copy or translation of a document required to be furnished by or on behalf of an insurer means certified by an authorised person on behalf of such insurer to be a true copy or a correct translation, as the case may be;

(xii)         "class of business" means a classification of insurance business having similar characteristics, into which life insurance or non-life insurance may be divided;

(xiii)         "Commission" means the Securities and Exchange Commission of Pakistan constituted under section 3 of the SECP Act;

(xiv)         "company" has the meaning assigned to it in clause (7) of sub-section (1) of section 2 of the Companies Ordinance, 1984 and includes an existing company as defined in clause (15) of sub- section (1) of section 2 of the Companies Ordinance, 1984 (XLVII of 1984);

(xv)          "continuous disability contract" means a contract under which a benefit is payable in the event of:

            (i)       the death, by a cause specified in the contract, of the person whose life is insured (the "insured"); or (ii)      injury to, or disability of, the insured as a result of accident or sickness; or (iii)     the insured being found to have a specified medical condition or disease;

(xvi)         "Court" means the principal civil Court of original jurisdiction in a District, and includes a High Court in exercise of its ordinary civil jurisdiction; and in relation to Part IX and Part XVIII, shall have the meaning as in section 7 of the Companies Ordinance, 1984 (XLVII of 1984);

 

(xvii)        "customer" has the meaning assigned to the term in clause (d) of section 2 of the Banking Companies (Recovery of Loans, Advances, Credits and Finances) Act, 1997 (XV of 1997);

(xviii)       "direct", in relation to the business of insurance, means insurance other than reinsurance;

(xix)        "domestic insurance policy" means a contract of insurance that provides insurance cover in respect of loss of or damage to a building used primarily and principally as a residence for the policy holder, for persons with whom the policy holder has a family or personal relationship, or for both the policy holder and such persons, or loss of or damage to the contents of such a building, or both;

(xx)         "duly attested" means attested in the manner required for financial or future obligations by Article 17 of the Qanun-e-Shahadat Order, 1984 (P.O. 10 of 1984);

(xxi)        "electronic media" includes the internet, radio, television, tapes, cassettes, all forms of electronic recording media including computer diskettes and CD-ROMs;

(xxii)        "encumbrance"  in relation to any property, movable or immovable, means any mortgage, charge (fixed or floating), hypothecation, pledge, assignment or transfer by way of security, or any other form of security or ownership interest less than absolute legal and beneficial ownership;

(xxiii)       "eligible person" means a person specified in clauses (a) and (b) of sub- section (1) of section 5;

(xxiv)       "finance" has the meaning assigned to the term in clause (e) of section 2 of the Banking Companies (Recovery of Loans, Advances, Credits and Finances) Act, 1997 (XV of 1997);.

(xxv)        "Government securities" means Government securities as defined in the Securities Act, 1920 (X of 1920);

(xx vi)        "group" in relation to contracts of life insurance, including health insurance, means contracts having a term not dependent on the termination or continuation of human life, under which the benefits are payable to a member of a group defined in the contract on the happening to that member during the term of the contract of a contingency defined in the contract, not being a contingency which is bound to happen;

(xxvii)      "insurance" means the business of entering into and carrying out policies or contracts, by whatever name called, whereby, in consideration of a premium received, a person promises to make payment to another person contingent upon the happening of an event, specified in the contract, on the happening of which the second-named person suffers loss, and includes reinsurance and retrocession:

Provided that a contract of life insurance shall be deemed to be a contract of insurance notwithstanding that it may not comply with the definition set out in this clause;

(xxviii)      "insurance broker" means a person carrying on the business of insurance broking;

(xxix)       "insurance broking" means the arrangement of insurance for reward by a person other than an agent of an insurance company;

(xxx)       "Insurance Ombudsman" means the officer appointed by the Federal Government under section 125;

(xxxi)       "insurer" means:

(i)   any company or other body corporate carrying on the business of insurance, which is a company or other body corporate incorporated under any law for the time being in force in Pakistan; and

(ii) any body corporate incorporated under the law of any jurisdiction outside Pakistan carrying on insurance business which carries on that business in Pakistan.

(xxxii)     "investment contract" means a contract of insurance, providing for benefits to be paid on death or on a specified date or dates before death where the benefits paid are calculated by reference to either a running account or units under the contract whether or not the minimum value of that account or those units is guaranteed and providing for the account to be increased during the currency of the contract;

(xxxiii)         "investment-linked" in relation to life insurance means investment contracts, the principal object of which is the provision of benefits calculated by reference to units, the value of which is related to the market value of a specified class or group of assets of the party by whom the benefits are to be provided;

(xxxiv)         "lender" means a person inside or outside Pakistan carrying on the business of advancing money by way of loans or finance and includes a banking company;

(xxxv)      "listed company" means a company, a body corporate or corporation (including a body corporate or corporation incorporated outside Pakistan) or other body whose securities are allowed to be traded on a stock exchange (inside or outside Pakistan);

(xxxvi) "loan" has the meaning assigned to the term in clause (f) of section 2 of the Banking Companies (Recovery of Loans, Advances, Credits and Finances) Act, 1997 (XV of 1997);

(xxxvii)       "managing agent" has the meaning ascribed to that term in section 206 of the Companies Ordinance, 1984 (XLVII of 1984);

(xxxviii)       "member of the family" in relation to any person, means the husband or a wife, the dependent father, mother, brother or sister, or a minor son or unmarried daughter of that person;

(xxxix)         "mutual insurance company" means an insurer, being a company incorporated under the law of Pakistan or any country or state other than Pakistan, which has no share capital and of which, by its constitution, only and all policy holders are members;

(xl)          "National Insurance Corporation" means the corporation established under the National Insurance Corporation Act, 1976;

(xli)         "officer" has the meaning assigned to that expression in clause (24) of sub-section (1) of section 2 of the Companies Ordinance, 1984 (XLVII of 1984);

(xlii)        "Pakistan Insurance Corporation" means the corporation established under the Pakistan Insurance Corporation Act, 1952 (XXXVIII of 1952);

(xliii)       "participating", in reference to life insurance business, means contracts of life insurance, other than investment-linked contracts, health contracts, group life contracts and group health contracts, under the terms and conditions of which the policy holder has an entitlement to participate in distributions by the life insurer of profits or surpluses;

Explanation: a benefit paid under a policy is not a distribution of profit or surplus if the benefit is determined according to the terms and conditions of the contract and is not subject to the exercise of discretion by the insurer;

(xliv)        "permanent capital fund" means a fund that is established in the records of a life insurance company not having a share capital, and which contains that part of the assets and liabilities of a life insurer which is attributed to it and is not attributed to any statutory fund maintained by that life insurer;

(xlv)        "policy" means a contract of insurance;

(xlvi)       "policy holder" means the person to whom a policy is issued or, in the case of a policy of life insurance, the person to whom the whole of the interest of the policy holder in the policy is assigned once and for all, but does not include an assignee thereof whose interest in the policy is defeasible or is for the time being subject to any condition;

(xlvii)      "policyholder liability", in relation to life insurance, means:

a liability that has arisen under a policy of life insurance; or a liability that, subject to the terms and conditions of a policy, will arise on the happening of an event, or at a time, specified in the policy;

(xlviii)         "prescribed" means prescribed by rules made under section 167;

(xlix)       "private motor property damage policy" means a contract of insurance that provides insurance cover in respect of loss of or damage to a motor vehicle or of the contents of a motor vehicle used primarily and principally as a means of private transport by the policy holder, by persons with whom the policy holder has a family or personal relationship, or by both the policy holder and such persons;

(I)             "private company" has the meaning assigned to it in clause (28) of sub- section (1) of section 2 of the Companies Ordinance, 1984 (XLVII of 1984);

(li)           "public company" has the meaning assigned to that expression in clause (30) of sub-section (1) of section 2 of the Companies Ordinance, 1984 (XLVII of 1984), or an existing company which is not a private company or a subsidiary of a private company;

(Hi)           "reinsurance" means a contract of insurance under which the event, specified in the contract, contingent upon the happening of which, payment is promised to be made to the policy holder thereunder, is payment by the policy holder of a claim or claims made against that policy holder under another contract or contracts of insurance issued by that policy holder;

(liii)          "regulations" means regulations made under this Ordinance.

(liv)          "repealed Act" means the Insurance Act, 1938 (IV of 1938);

(Iv)           "retrocession" means a contract of reinsurance under which the event, specified in the contract, contingent upon the happening of which, payment is promised to be made to the policy holder thereunder, is payment by the policy holder of a claim or claims made under another contract or contracts of reinsurance issued by that policy holder;

(Ivi)          "rules" means rules made under this Ordinance.

(Ivii)        "scheduled bank" has the meaning assigned to it in clause (m) of section 2 of the State Bank of Pakistan Act, 1956 (XXXIII of 1956);

(Iviii)       "SECP Act" means the Securities and Exchange Commission of Pakistan Act, 1997(XLIIof 1997);

(lix)         "shareholders' fund" means a fund that is established in the records of a life insurance company and which contains that part of the assets and liabilities of a life insurer which is attributed to it and is not attributed to any statutory fund maintained by that life insurer;

(Ix)           "State Life Insurance Corporation" means the corporation established under Article 11 of the Life Insurance (Nationalization) Order, 1972 (P.O. 10 of 1972);

(Ixi)          "statutory fund" means a fund that is established in the records of a life insurer and which relates solely to the life insurance business of that life insurer or a particular part of that life insurance business.

(Ixii)        "subsidiary" or "subsidiary company" has the meaning assigned to it in clause (38) of sub-section (1) of section 2 of the Companies Ordinance, 1984(XLVIIof 1984);

(Ixiii)       "surveyor" means a person (by whatever name called) who examines the goods, property or any interests insured under a contract of non-life insurance to express an independent opinion as to the cause, extent, location and amount of any loss incurred or claimed to be incurred under that contract;

(Ixiv)       "Takaful" means a scheme based on mutual assistance in compliance with the provisions of Islamic shariah, and which provides for mutual financial aid and assistance to the participants in case of occurrence of certain contingencies and whereby the participants mutually agree to contribute to the common fund for that purpose;

(Ix v)        "Tribunal" means the Tribunal constituted under section 121 of this Ordinance; and

(Ixvi)       "unit", except in section 32, means a notional share in the net value of a specified class or group of assets of a statutory fund of an insurer carrying on life insurance business, the value of which is to be used as a basis for determination of the benefits payable under an investment linked contract.

3.                    Division of insurance business into life and non-life.- (1)   For the purposes of this Ordinance insurance business is divided into life insurance business and non-life insurance business.

(2)              Subject to sub-sections (3), (4) and (5), the effecting and carrying out of any or all of the following type of contracts shall constitute the carrying on of life insurance business; namely:-

(a)    a contract of insurance that provides for the payment of money on the death of a person or on the happening of a contingency dependent on the termination or continuance of human life;

(b)    a contract of insurance that is subject to payment of

premiums for a term dependent on the termination or continuance of human life;

(c)    a contract of insurance that provides for the payment of an annuity for a term dependent on the continuance of human  life;

 

(d)    a contract that provides for the payment of an annuity for a term not dependent on the continuance of human life but exceeding the period of one year;

(e)    a contract providing an indemnity for medical expenses;

(f)             a continuous disability income contract;

(g)    an investment contract; and

(h)   such contracts as may be prescribed.

(3)                             Notwithstanding anything in this Ordinance to the contrary, the effecting and carrying out of a contract whose principal object is one of life insurance business, but which contains related and subsidiary provisions of a non-life insurance nature, shall be taken to constitute the carrying on of life insurance business.

(4)                             Notwithstanding anything in this Ordinance to the contrary, the effecting and carrying out of a contract that provides for the payment of money on the death of a person shall not constitute the carrying on of life insurance if the contract is effected and carried out by an insurer who is registered to carry on non-life insurance business; and both of the following conditions exist:

 

(a)         by the terms of the contract, the duration of the contract is to be not more than one year; and

(b)        payment is only to be made in the event of death by accident.

 

(5)                           Notwithstanding anything in this Ordinance to the contrary, the effecting and carrying out of a contract that provides for the payment of money in the event of a person suffering loss, other than death, attributable to accident, sickness or infirmity shall not constitute the carrying on of life insurance if the contract is effected and carried out by an insurer who is registered to carry on non-life insurance business; and by the terms of the contract, the duration of the contract is to be not more than one year.

(6)                           All contracts of insurance which are not, in accordance with the provisions of the foregoing sub-sections, classified as life insurance contracts, shall be classified as non-life insurance contracts.

4.                    Classes of life and non-life business.- (l)For the purposes of this Ordinance, the following shall be the classes of business into which life insurance business is divided:

(a)         Class 1 being ordinary life business;

(b)        Class 2 being capital redemption business;

(c)         Class 3 being pension fund business; and

(d)        Class 4 being accident and health business.
(2)               For the purposes of sub-section (1) -

 

(a)         "ordinary life business" means effecting and carrying out contracts of life insurance other than contracts included in Class 2, Class 3 or Class 4;

(b)        "capital redemption business" means effecting and carrying out capital redemption contracts;

(c)         "pension fund business" means effecting and carrying out contracts of life insurance that are maintained for the purposes of a pension or retirement scheme and are owned by trustees under the scheme; and

 

(d)    "accident and health business" means effecting and carrying out contracts of insurance providing fixed pecuniary benefits or benefits in the nature of indemnity or a combination of both, against risks of the policy holder or a person for whose benefit the contract was made -(i) sustaining injury as a result of an accident;

 

(ii) becoming incapacitated in consequence of an accident or disease; or

 

(iii) suffering loss, including medical expenses, attributable to accident, sickness or infirmity

 

(3)           For the purposes of this Ordinance, the following shall be the classes of business into which non-life insurance business is divided:

(a)     for direct and facultative reinsurance business;

(i)      Class 1 being fire and property damage business;

(ii)     Class 2 being marine, aviation and transport business;

(iii)     Class 3 being motor third party compulsorybusiness;

(iv)     Class 4 being liability business;

(v)      Class 5 being workers' compensation business;

(vi)     Class 6 being credit and suretyship business;

(vii)     Class 7 being accident and health business; and

(viii)    Class 8 being agriculture insurance including crop insurance;

(ix)     Class 9 being miscellaneous business;

 

(b)    for treaty reinsurance business:

(i)       Class 9 being proportional treaty business; and

(ii)      Class 10 being non-proportional treaty business.

(4)           For the purposes of sub-section (3).-

(a)      "fire and property damage business" means effecting and carrying out contracts of insurance against loss to the policy holder arising from loss of or damage to property, other than as contained in class2;

(b)    "marine, aviation and transport business" means effecting
and carrying out contracts of insurance against loss to the
policy holder arising from:

(i)       loss of or damage to, or arising out of or in connection with the use of:

(a)         means of transport, including motor vehicles
and railway rolling stock used on land,
vessels used on the sea or on inland waters,
and aircraft; or

(b)        the machinery, tackle, furniture or equipment
of those means of transport;

including third party risks and carrier's liability but excluding risks contained in class 3 or class 5: or (ii)      loss of or damage to merchandise, baggage and all other goods in transit, irrespective of the form of transport;

(c)         "motor third party compulsory business" means effecting
and carrying out contracts of insurance against loss to the
policy holder arising from liabilities incurred to third
parties arising out of or in connection with the use of motor
vehicles on land, as specified in the Motor Vehicles Act,
1939 (IV of 1939);

(d)        "liability business" means effecting and carrying out
contracts of insurance against loss to the policy holder
arising from liabilities incurred to third parties, other than
in respect of risks specified in class 2, class 3 or class 5;

(e)         "workers' compensation business" means effecting and
carrying out contracts of insurance against loss to the


policy holder arising from liabilities incurred to workers arising out of or in connection with the employment of the workers by the insured persons;

(f)      "credit and suretyship business" means effecting and
carrying out:

(i)       contracts of insurance against loss to the policy holder arising from failure, whether through insolvency or otherwise, of debtors to pay debts when they fall due; or

(ii)      contracts of insurance against loss to the policy

holder arising from his having to perform contracts of guarantee entered into by him; or

(iii)     contracts for fidelity bonds, performance bonds,

administration bonds, bail bonds, custom bonds or similar contracts of guarantee;

(g)    "accident and health business" means effecting and
carrying out contracts of insurance, the duration of which
under the contract is not more than one year, providing
fixed pecuniary benefits or benefits in the nature of
indemnity or a combination of both, against risks of the
policy holder or a person for whose benefit the contract
was made;

(i)       sustaining injury as a result of an accident;

(ii)      dying as a result of an accident;

(iii)     becoming incapacitated in consequence of a disease;

or (iv)     suffering loss, including medical expenses,

attributable to sickness or infirmity; but excluding contracts of a type included in class 5;

(h)       "agriculture insurance" means effecting and carrying out contracts of insurance against loss to the policyholder arising from loss of or damage to agriculture related property including crops;

(i)       "miscellaneous business" means effecting and carrying out contracts of insurance of types not included in any other class;

(j)       "proportional treaty business" means effecting and carrying out of contracts of treaty reinsurance, whether obligatory or otherwise, of such a nature that a proportion of premium or of a separately identified part of premium on insurance contracts which are the subject matter of the treaty is payable to the reinsurer by the cedant and an identical proportion of claims or of a separately identified part of claims on those contracts is payable to the cedant by the reinsurer, and including without limitation treaties of quota-share and surplus classifications; and

(k)      "non-proportional treaty business" means effecting and carrying out of contracts of treaty reinsurance, not being contracts of a type included in Class 9.

(5)                      The Commission may, by rules, prescribe sub-classes of business into
which any of those set out in sub-section (1) and sub-section (3) may be
divided.

(6)                      The Federal Government may, by rules, prescribe any class of business
set out in sub-section (1) or sub-section (3), or sub-class of business
prescribed under sub-section (5), as a restricted class or sub-class as the
case may be.

PART II


PROVISIONS APPLICABLE TO INSURERS

5.                    Persons eligible to transact insurance business.-. (1) After the

commencement date no person other than:

(a)      a public company; or

(b)     a body corporate incorporated under the laws of Pakistan (not being a private company or the subsidiary of a private company); shall start any insurance business in Pakistan.

(2)           After the commencement date no person other than an eligible person or the branch of a body corporate incorporated in any jurisdiction outside Pakistan, which, immediately before the commencement of this Ordinance, was registered to carry on and was carrying on such business in Pakistan, shall, after the expiry of one year from such commencement, continue such business.

(3)           An insurer, being a body corporate incorporated in a jurisdiction outside Pakistan and registered to carry on and carrying on insurance business in Pakistan at the commencement of this Ordinance, may, within six months of such commencement take steps to transfer the business of such an insurer to a new public company pursuant to a scheme of arrangement under the provisions of sections 284 to 287 of the Companies Ordinance, 1984 and the applicable provisions of this Ordinance, and all such provisions shall apply mutatis mutandis as if the business in Pakistan of such an insurer is being carried on by a public company incorporated in Pakistan.

6.                    Registration of insurers.-(1) No eligible person shall, after the commencement of this Ordinance, begin or, after the expiry of six months from the commencement date, continue, to carry on any insurance business in Pakistan, unless such eligible person has obtained from the Commission a certificate of registration to carry on insurance business under this Ordinance, and that registration has not been revoked.

(2)                            A certificate of registration issued to an insurer under section 3 or section 3A of the repealed Act shall be deemed, for the purposes of this section, to constitute registration under this Ordinance, during the period until the expiry of such existing registration or one year from the commencement date for this section whichever is earlier; and National Insurance Corporation, Pakistan Insurance Corporation and State Life Insurance Corporation shall be deemed, for the purposes of this section, to have been so registered, such registration to continue until one year from the commencement date.

(3)                            During the period of six months from the commencement date, the Commission may on the application of an insurer registered under the repealed Act as at the commencement date extend, for the purposes of this section, the validity of the certificate of registration held by the insurer for a period not exceeding six months from the date on which that certificate of registration would otherwise have expired.

(4)                            An eligible person required to register under this Ordinance, may make an application to the Commission for registration as a person authorised
to carry on life insurance business or non-life insurance business as the
case may be.

(5)                            An application for registration shall be made in writing, in either the English or the Urdu language and shall be signed by authorised persons on behalf of an eligible person.

(6)                           An application for registration shall contain such information and shall be accompanied by such documents, reports, certificates and other
matters as may be prescribed.

(7)                            An application for registration made by an insurer carrying on insurance business at the commencement date shall include a plan for the
achievement of compliance by the insurer with the paid-up capital and solvency levels set out in Part IV and Part V of this Ordinance by the
dates set out in those Parts.

(8)           An application for registration as a person authorised to carry on life insurance business shall in all cases include or be accompanied by:

(a)    a statement of the rates, advantages, terms and conditions of life insurance policies proposed to be offered by the applicant, including without limitation where the policy acquires a surrender value, the basis on which the surrender value is determined, and including without limitation in the
case of investment-linked policies a description of:

        the investments to which the policy is linked; the basis on which the benefits payable under the

policy are determined;

 

(iii)    the frequency with which and basis by which the unit values are determined; and the values attributed to units at the time of purchase and         sale;

(iv)     the basis by which values are attributed to units at the time of and for the purpose of purchase and sale; (v)      the basis on which expenses attributed to the policy are determined; and

 

(vi)     the basis on which charges for mortality attributed to the policy are determined;

(b)        a business plan setting out the expected premium income, expenses and results of the applicant for a period of not less than ten years from the date at which authorisation is proposed to be obtained;

(c)         a copy of any written, electronic or other material proposed to be issued by the applicant for mass communication or for communication with a policy holder or prospective policy holder, in respect of life insurance policies proposed to be offered by the applicant;

(d)        a statement by the appointed actuary that the terms and conditions of the life insurance contracts proposed to be entered into are sound and workable; and

(e)         a statement by the appointed actuary that the business plan has been prepared according to principles which appear to him to be reasonable and sound.

(9)           Where an applicant has made an application under this section for registration and, before registration is granted or refused, a change occurs in the particulars specified in the application or in the matters contained in a document required to accompany the application, the applicant shall, within 14 days after the occurrence of the change, give to the Commission notice in writing signed by any two authorised persons and specifying particulars of the change.

(10)         An applicant shall not:-

(a)         make an application under this section; or

(b)        give to the Commission a notice under sub-section (9); that is false or misleading in a material particular.


7.                    Commission may register insurer upon satisfaction.-(1) Where an

application for registration is received by the Commission under section 6, the Commission may, subject to sub-section (2) and sub-section (3), register the insurer as authorised to carry on life insurance business or authorised to carry on non-life insurance business as the case may be, if the Commission is satisfied that:

(a)         the provisions of this Ordinance relating to minimum paid- up share capital requirements have been complied with;

(b)         the provisions of this Ordinance relating to minimum statutory deposits have been complied with;

(c)         the provisions of this Ordinance relating to minimum solvency requirements have been complied with;

(d)         the provisions of this Ordinance relating to the effecting of reinsurance arrangements have been complied with;

(e)         the applicant is, and is likely to continue to be, able to meet its liabilities;

(f)                       the applicant meets, and is likely to continue to meet, criteria for sound and prudent management including without limitation those set out in section 12;

(g)         the applicant has appointed an auditor recognised by the Commission as appropriately qualified to audit the business of life or non-life insurance as the case may be;

(h)     the applicant has, if it proposes to carry on life insurance business, appointed an actuary as its appointed actuary, and the Commission does not disapprove that appointment;

(i)      the applicant is, and is likely to continue to be, able to comply with such other of the provisions of this Ordinance as are applicable to it; and

(j)    on the basis of the information provided by the application and any other information received by the Commission, the application ought to be granted.

(2)                            The Commission shall not grant a certificate of registration if the granting of that certificate would not be in accordance with policy decisions made by the Federal Government.

(3)                            The Commission shall not grant registration to any applicant where the grant of such registration would result in an insurer carrying on both life
insurance and non-life insurance business.

(4)                            Where the Commission is not satisfied with respect to all or any of the matters referred to in sub-section (1), it shall refuse an application.

(5)                            Within thirty days of receipt of an application for registration, or such longer period as may be prescribed, the Commission shall, in writing, notify the applicant that the application has been granted or refused, as the case may be; except that:

 

(a)          if the Commission so notifies the applicant in writing before the expiry of the period of thirty days referred to in this sub-section, the period of thirty days shall be extended to ninety days or such longer period as may be prescribed;

and

(b)         if the application is deficient in any technical particular,and the Commission so notifies the applicant before the expiry of the period of thirty days referred to in this sub­ section, the application for registration shall not, for the purposes of this sub-section, be treated as received until the
applicant has amended the deficiency so notified.

(6)                            The Commission may, on granting registration, specify any class, classes, sub-class or sub-classes of business prescribed as restricted under
sub-section (6) of section 4 as a class, classes, sub-class or sub-classes of business which the insurer is not authorised to carry on.

(7)                            The Commission may at any time require a registered insurer or an insurer deemed under this Ordinance to be registered, to comply with
such conditions, not inconsistent with the provisions of this Ordinance, as the Commission may specify in writing:

Provided that conditions imposed under this sub-section shall be imposed only where the Commission believes on reasonable grounds that such conditions are desirable for the protection of the policy holders and potential policy holders of the insurer and such conditions shall not be imposed in such a manner as to restrict unreasonably the commercial liberty of any insurer as against other insurers or such as to impose an unreasonable burden upon any insurer;

Provided also that conditions shall not be imposed under this sub­section without giving an insurer to whom the conditions would apply not less than thirty days' written notice of intention to impose such conditions, or without giving such insurer an opportunity to be heard.

Inspection and supply of copies filed with Commission.-   Any person may on payment of the prescribed fee inspect such of the documents filed by an insurer with the Commission under section 6 as may be prescribed, and may obtain a copy of any such document or part thereof on payment in advance at the prescribed rate for the making of the copy.

9.                    Duration and revocation of registration.-(l )..Registration under this Ordinance to carry on insurance business shall continue until it is revoked.

(2)                            Where the Commission is requested in writing by an insurer to revoke the registration of that insurer to carry on insurance business, the Commission may by a written instrument revoke that registration.

(3)                            Registration under this Ordinance to carry on insurance business shall not be revoked unless the Commission is satisfied that adequate provision has been made for the irrevocable transfer to a registered insurer of all insurance liabilities incurred by the insurer seeking revocation of registration under the preceding sub-section.

(4)                            Nothing in this section shall prevent the Commission from exercising the powers available to it under section 63 to direct a registered insurer tocease  entering into new insurance contracts.

10.                   Notification of grant or revocation of registration.-(l)   Where registration under the preceding provisions of this Part is granted or revoked, the Commission shall cause notice of the grant (including any limitations as to classes of business which may be underwritten) or revocation of registration to be published in the Gazette.


(2)              Where registration under the preceding provisions of this Part is granted, the Commission shall issue to the insurer a written certificate of registration, which certificate shall be surrendered to the Commission on revocation of registration.

(3)           The Commission may, on payment of the prescribed fee, issue a duplicate certificate of registration to replace a certificate of registration to replace a certificate lost, destroyed or mutilated, or in any other case where it is of opinion that the issue of a duplicate certificate is necessary.

11.                   Conditions imposed on registered insurers.-(l) An insurer registered under this Ordinance shall at all times ensure that:

(a)         the provisions of this Ordinance relating to minimum paid- up share capital requirements are complied with;

(b)         the provisions of this Ordinance relating to minimum statutory deposits have been complied with;

(c)         the provisions of this Ordinance relating to minimum solvency requirements are complied with;

(d)         the provisions of this Ordinance relating to the obtaining of reinsurance arrangements are complied with;

(e)         the insurer is, and is likely to continue to be, able to meet its liabilities;

(f)                       the insurer meets, and is likely to continue to meet, criteria for sound and prudent management including without limitation those set out in section 12;

(g)         the insurer has appointed an auditor recognised by the Commission as appropriately qualified to audit the business of life or non-life insurance as the case may be; and

(h)    the insurer is, and is likely to continue to be, able to comply with such other of the provisions of this Ordinance as are applicable to it.

 

(I)           An insurer registered under this Ordinance shall be deemed to have undertaken to abide by the decisions of any small disputes resolution
committee constituted under section 117.

(3)                            An insurer registered under this Ordinance shall pay to the Commission, on or before the fifteenth day of January in every calendar year, an annual supervision fee of the greatest of:

 

(a)         Rs. 100,000;

(b)         one rupee per thousand of gross direct premium written in Pakistan during the calendar year preceding the calendar year ended on the previous 31st day of December; or

(c)         such amount as may be prescribed.

12.                   Criteria for sound and prudent management.-(1) For the purposes of

this Ordinance, the following shall, without limitation, be recognised as criteria for sound and prudent management of an insurer or applicant for registration as a person authorised to carry on insurance business:

(a)       the business of the insurer or applicant is carried on with

integrity, due care and the professional skills appropriate to the nature and scale of its activities;


(b)         each director and officer or (in the case of an applicant which is a body corporate incorporated outside Pakistan) the principal officer in Pakistan of the insurer or applicant is a fit and proper person to hold that position;

(c)         the insurer or applicant is directed and managed by a sufficient number of persons who are fit and proper persons to hold the positions which they hold;

(d)         the insurer or applicant maintains adequate accounting and other records of its business; and

(e)         the insurer or applicant maintains adequate systems of control of its business and records.

 

Explanation: A person is a fit and proper person who possesses such experience and qualifications as are appropriate for the duties for which he is responsible, and conducts those duties with due diligence and skill. A person is not a fit and proper person to hold the position of Chairman, or of Chief Executive or principal officer in Pakistan, of an insurance company if that person does not have experience or qualifications of direct relevance to the conduct of insurance operations. A person is not a fit and proper person if the association of that person with the insurer is or is likely, for whatever reason, to be detrimental to the interest of the insurer or of the policy holders, or is otherwise undesirable.

(2)           Accounting and other records shall not be regarded as adequate for the purposes of clause (d) of sub-section (1) unless they are such as:

(a)         to enable the business of the insurer or applicant to be prudently managed; and

(b)         to enable the insurer or applicant to comply with the obligations imposed on it by or under this Ordinance.

(3)           In determining whether any systems of control are adequate for the purposes of clause (e) of sub-section (1), the Commission shall have
regard to the functions and responsibilities for those systems which are held by the persons who are responsible for the direction and
management of the insurer or applicant and to whom clause (b) of sub­ section (1) applies.

(4)                      The insurer or applicant shall not be regarded as conducting its business in a sound and prudent manner if it fails to conduct its business with due
regard to the interests of policy holders and potential policy holders.

(5)                      The insurer or applicant shall not be regarded as conducting its business in a sound and prudent manner if it:

 

(a)         fails to satisfy an obligation to which it is subject by virtue of this Ordinance; or

(b)        fails to supervise the activities of a subsidiary with due care and diligence and without detriment to the insurer's or
applicant's business.

(6)           No insurer shall appoint a managing agent for the conduct of its business.

 

13.           Restriction on issue of certain life policies.-(l)..No insurer shall offer

any policy or contract in respect of life insurance business other than those described in the prescribed documents filed with the Commission under sub-section (6) or sub-section (8) of section 6 or an amendment to such prescribed documents filed with the Commission under sub-section (9) of section 6, unless the insurer has, not less than thirty days prior to such offer, furnished to the Commission in respect of such contracts the particulars and materials specified in sub-section (8) of section 6.

(2)          The Commission may, within thirty days of such submission, require

the insurer in writing to make such changes in the particulars and materials as the Commission may direct, and where the Commission does so direct the insurer shall not be taken to have complied with sub-section (1) until the insurer has complied with the direction of the Commission.

 

PART III

STATUTORY FUNDS OF AND OTHER SPECIAL REQUIREMENTS FOR

LIFE INSURANCE COMPANIES

14.                   Statutory and other funds of life insurance companies.- (l)..An insurer carrying on the business of life insurance shall at all times maintain at least one statutory fund in respect of its life insurance business.

(2)                      An insurer that carries on life insurance business consisting of the provision of investment-linked benefits shall maintain one or more statutory funds exclusively for that business.

(3)                      An insurer that carries on life insurance business consisting of the provision of capital redemption business shall maintain one or more statutory funds exclusively for that business.

(4)                      An insurer that carries on life insurance business consisting of the provision of pension fund business shall maintain one or more statutory funds exclusively for that business.

(5)                      An insurer that carries on life insurance business consisting of the provision of accident and health insurance business shall maintain one or more statutory funds exclusively for that business.

(6)                      An insurer that carries on life insurance business outside Pakistan shall maintain one or more statutory funds exclusively in respect of that
business.

(7)                      An insurer that carries on life insurance business of such class or sub­ class as may be prescribed by the Commission for the purposes of this
sub-section shall maintain one or more statutory funds exclusively in respect of that business.

(8)                      Statutory funds may not be divided or amalgamated without the approval of the Commission.

(9)                      The Commission may direct a life insurer to amalgamate or transfer a life statutory fund where the Commission believes on reasonable grounds that amalgamation or transfer is required for the protection of the interests of policy holders.

(10)                   An insurer having a share capital and carrying on life insurance business shall maintain a shareholders' fund.

(11)                   An insurer not having a share capital and carrying on life insurance business, shall maintain in its records a permanent capital fund.


(12)         In this Ordinance, a reference to the shareholders' fund shall be deemed to include a reference to the permanent capital fund, and provisions which are applicable to the shareholders' fund shall apply mutatis mutandis to the permanent capital fund.

15.                   Establishment of statutory fund.-   Whenever an insurer establishes a statutory fund for its life insurance business, the insurer shall give the Commission, not later than thirty days prior to the establishment of the fund, written notice (in such form as may be prescribed by the Commission) of:

(a)     the establishment of the fund;

(b)     the date on which the fund was established;

(c)     the nature of the life insurance business of the company to which the fund relates; and

(d)     such other matters as are prescribed.

16.                   Policies to be referable to specific statutory funds.-(l) A life insurance policy issued by an insurer carrying on life insurance business shall be referable to one or more statutory funds:

Provided that a policy which is not investment-linked shall be referable to one statutory fund only;

Provided further that if:

(a)         a contract ("the supplementary contract") which is supplementary to the policy ("the principal policy") is of a type which would but for the preceding proviso be required by section 14 to be referable to a different statutory fund from that to which the principal policy is referable, and

(b)        the premium attributable to such supplementary contract exceeds the premium attributable to the principal policy, the supplementary contract shall be referable to that different statutory fund.

(2)                      A policy document shall specify the statutory fund or statutory funds to which the policy is referable.

(3)                      A provision in a policy document that a policy is referable to two or more statutory funds is not effective unless it specifies:

 

(a)      the benefits under the policy that are to be provided out of each fund; and

(b)     either:

(i) the proportion of the premium that is related to the benefits to be provided out of each fund and is to be credited to the fund; or

(ii) the way in which that proportion is to be calculated.

(4)                      The statutory fund or funds to which a policy is referable may be changed by endorsement to the policy document.

(5)                      If a change is made, in accordance with the foregoing sub-section, to the statutory fund or funds to which a policy is referable, the insurer shall effect such transfer of assets between the statutory funds concerned as may be determined by the appointed actuary in accordance with such principles as may be prescribed.

 

17.                   Assets, liabilities, revenues and expenses of funds.- (1) All assets, liabilities, revenues and expenses of a life insurer shall be referable to one or more funds of the insurer.

Explanation: in this section the word 'fund' means a statutory fund or the shareholders' fund.

 

           (2)                     All amounts received by a life insurer in respect of the business of a statutory fund shall be credited to that fund.

(3)                      All assets and investments related to the business of a statutory fund shall be included in that fund.

(4)                      All liabilities (including policy liabilities) of a life insurer arising out of the conduct of the business of a statutory fund shall be treated as
liabilities of that fund.

(5)                      All assets, liabilities, revenues and expenses of a life insurer which are referable to the shareholders' fund and which are not attributed to a
statutory fund shall be attributed to the shareholders' fund.

(6)                      If an asset, a liability, a revenue or an expense of a life insurer is referable to two or more statutory funds, or is referable in part to a statutory fund
or funds but is also referable to the shareholders' fund, the insurer shall
apportion such asset, liability, revenue or expense on a fair and equitable
basis between the funds to which it is referable.

(7)