polis dan perhitungan kontribusi

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Polis dan Perhitungan Kontribusi Asuransi Syariah Oleh : Puji Sucia Sukmaningrum [email protected]

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Page 1: Polis Dan Perhitungan Kontribusi

Polis dan Perhitungan Kontribusi Asuransi

Syariah

Oleh : Puji Sucia [email protected]

Page 2: Polis Dan Perhitungan Kontribusi

POLIS

Page 3: Polis Dan Perhitungan Kontribusi

Polis???

• Polis adalah tanda bukti perjanjian pertanggungan yang merupakan bukti tertulis.

• Pada dasarnya, polis asuransi adalah suatu kontrak yakni suatu perjanjian yang sah antara penanggung/takaful operator (dalam hal ini perusahaan asuransi) dengan tertanggung/peserta,

• Pihak penanggung bersedia menanggung sejumlah kerugian yang mungkin timbul dimasa yang akan datang dengan imbalan pembayaran kontribusi (premi) tertentu dari tertanggung.

Page 4: Polis Dan Perhitungan Kontribusi

DOKUMEN RESMI PADA KONTRAK TAKAFUL

• Dokumen resmi pada kontrak takaful antara lain :

• Ketentuan (Provisions) – Parameter dari kontrak

• Klausa (Clauses) – kondisi spesifik atau special dari suatu peristiwa/kejadian

• Jaminan (Warranties) - Prasyarat

• Pengeluaran/Pengecualian (Exclusions) – hal-hal / kemungkinan yang tidak dapat diklaim

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Page 5: Polis Dan Perhitungan Kontribusi

(a) Provisions :

(i) General Provisions : • The contract (perjanjian)

• Incontestability (tidak bisa dibantah)

• Modification (perubahan)

• Freedom from Restrictions (kebebasan dari batasan)

• Age and Sex (umur & jenis kelamin)

• Proof of Age (bukti usia)

• Currency and Place of Payment (mata uang & tempat pembayaran)

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Page 6: Polis Dan Perhitungan Kontribusi

(ii) Contribution Provisions

– Certificate Years and Anniversaries (Tahun sertifikat)– Payment (Pembayaran)– Change (perubahan)– Grace period (periode perpanjangan)– Contribution Clause (klausa kontribusi)

(iii) Fund Provisions

– Shariah – Approved Funds (Dana yang disetujui)– Valuation of Funds (Penilaian dana)

(iv) Ownership Provisions

– The owner (Pemilik)– Change of Ownership (Perubahan pemilikan)– Assignment (Penugasan)– The Nominee (calon)– Revocation of Nomination (Penarikan kembali penunjukan)

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Page 7: Polis Dan Perhitungan Kontribusi

(b) Condition, Clauses, warranties and Exclusions

Conditions relates to what is not covered, what is covered and under what circumstances; there are numerous clauses contained in contracts of different kind; the following some of the important clauses that a takaful company should automatically incorporated :

Reinstatement Value Memorandum;Special Provision

(c) Types of Takaful Contracts

Different takaful companies in different countries use slightly different wordings for their contracts; in fact takaful companies in the same country use different contract wordings because these companies used different contract such as Mudharabah, Wakalah and others ;

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Page 8: Polis Dan Perhitungan Kontribusi

• A main contract is a contract that is a stand-alone and complete contract by itself; e.g. Takaful Education Certificate ;

• A supplementary contract does not stand by itself, it is usually attached to the main contract; e.g accident Supplementary Certificate

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Page 9: Polis Dan Perhitungan Kontribusi

PRINCIPLES OF TAKAFUL CONTRACT The basic formalities in a commercial contract there must be :

(i) The subject matter (al-Ma’qud ‘alaih);

(ii) Contracting parties (al-Muta ‘aqidayn)

(iii) Consideration (al-’Iwad al-Mutaqawwim)

(iv) Terms and conditions (Shurut)

(v) Ijab and Qabul

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Page 10: Polis Dan Perhitungan Kontribusi

CONTOH PROSES PENERBITAN POLIS

Page 11: Polis Dan Perhitungan Kontribusi
Page 12: Polis Dan Perhitungan Kontribusi
Page 13: Polis Dan Perhitungan Kontribusi

CONTOH PROPOSAL

Page 14: Polis Dan Perhitungan Kontribusi

Perhitungan Kontribusi Asuransi Syariah

Page 15: Polis Dan Perhitungan Kontribusi

KONTRIBUSI

MINIMUM KONTRIBUSI

MINIMUM TOP-UP

FREKUENSI PEMBAYARAN

Page 16: Polis Dan Perhitungan Kontribusi

ALOKASI KONTRIBUSI

Page 17: Polis Dan Perhitungan Kontribusi

CASE STUDY• Financial Authority (FA) mewajibkan operator resmi

memiliki minimum modal $2,000,000. FA juga menentukan Required Solvency Margin untuk general & family takaful funds yang memiliki durasi kontrak s/d 1 tahun :

a) $100,000 atau b) 20% dari kontribusi, mana yang lebih besar.

Pada pertengahan 2012, Perusahaan takaful amanah memiliki modal $2,000,000. Shareholders memperkirakan perusahaan memperoleh pendapatan 15% dari modal shareholders.

Page 18: Polis Dan Perhitungan Kontribusi

• Takaful Amanah akan mengambil 25% dari surplus underwriting untuk risk manager incentive

• Budget takaful amanah pada 2012/2013 (juli 2012 – juni 2013) :

BUDGET TOTAL ($)

Staff Salaries & Benefits 250,000

Marketing Agency Comission 500,000

Administration Expenses 125,000

Fixed Asset Depreciation 100,000

Miscellaneous 25,000

Total Management Cost 1,000,000

Page 19: Polis Dan Perhitungan Kontribusi

• Hitung wakalah fee (%) jika target gross contribution pada tahun 2012 adalah $5,000,000.

Solusi :Total Marketing & Management Costs = $1,000,000Target Gross Contribution = $5,000,000%Wakalah fee *Gross Contribution = Total Marketing &

Management Costs %Wakalah fee = Total Marketing & Management

Costs / Gross Contribution %Wakalah fee = $1,000,000 / $5,000,000

= 20%

Page 20: Polis Dan Perhitungan Kontribusi

• Takaful Amanah mencover 10,000 tentara dengan umur 22 tahun. Takaful benefit flat $100,000 jika terjadi kematian

• Diasumsikan probabilitas kematian umur 22 tahun adalah 0.002, wakalah fee 20%, tidak ada safety loading.Gross Contribution ?

Solusi :Risk Contribution = 0.002 * 100,000 * 10,000

= $2,000,000Gross Contribution = Risk Contribution

(1-wakalah fee) = $2,000,000/0.8 = $2,500,000

Page 21: Polis Dan Perhitungan Kontribusi

(VI) THE ESSENTIALS OF PRODUCT PRICING(a) Introduction• Product costs should not just reflect the ‘raw material’ cost of the risk

exposures to be covered in the contract but consideration of everything else that goes with the product. The various factors that need to be considered include:– The risk contribution required to cover actual risk exposure only;– Marketing expenses;– Opportunity cost of capital needed to be retained in the takaful fund

to support the risks covered in the proposed product;– Profit expectations of takaful operator;– Retakaful expenses;– Anticipated investment profit rate of return to be earned from

investment of takaful fund assets;

• The last factor is especially important for long term takaful contracts; it will effect the takaful contribution amount due to the greater effect the opportunity cost of capital will have on evaluating cash flows a long time horizon. l21

Page 22: Polis Dan Perhitungan Kontribusi

• The actual contribution amount that will be required from the participant is called the gross contribution (GC) where;

GC = RC + λ +E• Where;

– GC = Gross contribution– RC = Risk Contribution– λ = Safety loading– E = Expense Margin

• The formula is generic, regardless of operational model used;

• Example:– If the expense margin could 25% of the gross contribution (10%

provision for agency commission and 15% for management expenses) and assume not safely margin, λ = 0

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Page 23: Polis Dan Perhitungan Kontribusi

Therefore;G = RC + λ + E

= RC + 0 + 0.25 GC 0.75GC = RC GC = RC / 0.75

If safety loading is placed at 10% of gross contribution;

Then;GC = RC + 0.1GC + 0.25GCTherefore; GC = RC/ 0.65

Example : A takaful scheme is proposed to cover a group of construction workers. The risk contribution is set for RM150,000. Calculate the gross contribution, where the safety loading is 5% of gross contribution and marketing and management expenses is 15% of gross premium.

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Page 24: Polis Dan Perhitungan Kontribusi

GC = RC + λ + E= RC + 0.05GC + 0.15GC= RC + 0.20GC

Therefore; GC = RC / 0.8

Since RC = 150,000 GC = 150,000 / 0.8 = RM187,500

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