Auditing Insurance 11
Auditing Insurance 11
Auditing &
Insurance UPSC EPFO APFC/AO/EO Exam 2023
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BY: CA DHANANJAY OJHA (FOUNDER DHAN TAX & FELLOW MEMBER OF ICA)
1 UPSC INTERVIEW | 02 UPSC MAINS
CONSULTANT IN VARIOUS GOVERNMENT DEPARTMENT
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Index
Chapter: I ..................................................................................... 5 Inspection .........................................................................16
Auditing concept ................................................................... 5 Observation .....................................................................16
Audit ......................................................................................... 5 Inquiry ................................................................................16
Objectives ............................................................................... 5 Confirmation ...................................................................17
Limitation of audit .......................................................... 6 Recalculation ...................................................................17
Independence................................................................... 7 Re performance..............................................................17
Integrity .............................................................................. 7 Analytical Procedures ..................................................17
Objectivity .......................................................................... 8 Key features of an audit notebook .........................17
Ability to express and communicate ....................... 8 Objective of Vouching .....................................................18
Tactfulness ......................................................................... 8 Objective ...............................................................................19
Aware of the latest developments............................ 8 Types of sampling technique ........................................20
Common sense ................................................................ 8 Risk Associated with Sampling .....................................21
Statuary audit ........................................................................ 8 Stages in Audit Sampling................................................21
Non statuary audit .............................................................. 9 Types.......................................................................................22
Difference between statuary and non-statuary Purpose of Analytical Procedures ................................23
audit.......................................................................................... 9 Analytical Procedures in Audit Process .....................24
Preliminary Activities ................................................... 13 Civil Liability .........................................................................25
Planning Activities ........................................................ 13 Liability for Negligence ...............................................25
Execution Activities....................................................... 13 Liability for Misfeasance .............................................25
Completion Activities .................................................. 13 Liabilities under Companies Act ...................................26
Advantages and disadvantages of audit program 13 Liability for Misstatements in the Prospectus
Nature and extent of documentation ................... 14 [Sec.35] ..............................................................................26
Timing of documentation .......................................... 14 Criminal Liability under Indian Penal Code ..............27
Form and content of documentation .................... 14 Liability under Income Tax Act [Sec.278] ..................27
Safekeeping of documentation ............................... 15 Liability for Professional Misconduct .........................28
They serve several important purposes, Liability towards Third Parties .......................................28
including ........................................................................... 15 Liability for Negligence ...............................................28
Advantages and disadvantages ................................... 15 Liability for Frauds .........................................................28
Auditor’s Judgement while Obtaining Audit Objectives of Internal Audit ...........................................29
Evidence ................................................................................ 16
Advantages of Internal Audit ........................................29
Methods of Obtaining Audit Evidence ...................... 16
Compensation audit .....................................................31
Compliance audit .......................................................... 32 Auditor not render certain services [section 144]..52
Construction audit ........................................................ 32 Signing of audit report [section 145] .........................52
Internal audit .................................................................. 32 Auditor’s right to attend general meeting [section
Cost audit ......................................................................... 32 146]..........................................................................................53
Chapter: I
Auditing concept
Introduction
Audit
Audit is the examination or inspection of various books of accounts by an auditor followed by physical
checking of inventory to make sure that all departments are following documented system of recording
transactions. It is done to ascertain the accuracy of financial statements provided by the organisation.
Audit can be done internally by employees or heads of a particular department and externally by an outside
firm or an independent auditor. The idea is to check and verify the accounts by an independent authority to
ensure that all books of accounts are done in a fair manner and there is no misrepresentation or fraud that
is being conducted.
All the public listed firms have to get their accounts audited by an independent auditor before they declare
their results for any quarter.
Objectives
Express an opinion on financial statements: The primary objective of an audit is to express an
opinion on whether the financial statements are presented fairly, in all material respects, in
accordance with the applicable financial reporting framework, such as Generally Accepted
Accounting Principles (GAAP).
Provide assurance: Auditors provide assurance to the users of financial statements that the
financial information presented in the statements is reliable, relevant, and useful for decision-
making.
Evaluate internal controls: Auditors evaluate the effectiveness of internal controls that are
designed to prevent or detect material misstatements in the financial statements. This helps to
ensure the accuracy and completeness of the financial information presented.
Identify errors and fraud: Auditors are responsible for identifying errors and fraud that may have
occurred in the financial statements. This helps to prevent and detect fraud, which can have a
significant impact on an organization's financial position.
Provide recommendations: Auditors provide recommendations for improving internal controls,
financial reporting processes, and other areas identified during the audit. These recommendations
help organizations to improve their operations and financial reporting.
Compliance with legal and regulatory requirements: Auditors ensure that financial statements
comply with legal and regulatory requirements, such as tax laws and accounting standards.
Due to inherent limitation of audit auditor is only able to get Persuasive evidence instead of Conclusive
evidence. But what’s the difference between Persuasive and Conclusive evidence.
Persuasive evidence is evidence that has the power to influence or persuade someone to believe in
its truth. For example: Your job is to check the receivable account balance, to accomplish this you
send confirmation mail to the big clients and the sum of these clients is almost 75 % of the total
percentage, if all customer replies with positive responses then you have enough persuasive
evidence to issue an opinion on the accuracy of overall receivable account.
Conclusive evidence is a solid evidence after which no further proof or inquiry is required &
evidence in itself is complete. Conclusive evidence would be if you sent confirmation letter to all
customer and pursued all customer until they respond.
Limitation of audit
The Nature of Audit There are practical and legal limitations on the auditor's ability to obtain
Procedures audit evidence. For example:
There is the possibility that management or others may not
provide, intentionally or unintentionally, the complete
information that is relevant to the preparation and presentation
of the financial statements or that has been requested by the
auditor.
Fraud may involve sophisticated and carefully organised schemes
designed to conceal it.
Therefore, audit procedures used to gather audit evidence may be
ineffective for detecting an intentional misstatement that involves, for
example, collusion to falsify documentation which may cause the auditor
to believe that audit evidence is valid when it is not. The auditor is
Qualities of an Auditor
Auditors, as we know, provide professional services to their clients.
To render these services properly, auditors not only must
possess the requisite skill and technical knowledge, but they
should also have certain personal attributes. Some
of these attributes or qualities of an auditor are given
below:
Independence
Independence lays down the most
important aspect of any audit process.
While performing a financial audit, an auditor
does not create new information but increases
the credibility of existing accounts and/or reports by
expressing his opinion thereon.
His opinion is likely to enhance the reliability of such financial reports.
Therefore, he must not be susceptible to any kind of pressure or influence from the client or a third
party.
Integrity
“Integrity” means the degree to which an auditor is honest in his work.
He should, in no circumstance, misrepresent any fact or authenticate any details under pressure.
Also, he should maintain the confidentiality of any information that is sensitive and that he comes to
know during the performance of the audit.
Objectivity
An auditor should keep an impartial behaviour when it comes to reviewing different matters under
audit.
In fact, the ability of an auditor to act with objectivity determines the level of his independence too.
For example, the auditor of a company thinks that the value of work-in-progress inventory has not
been properly evaluated but still accepts a certificate from the management in this regard and
expresses his opinion based on that certificate.
In this case, the auditor lacks objectivity as he should have examined the valuation of inventory in
detail as doubts sustained.
Tactfulness
An auditor must be tactful enough to gather all the necessary information from the client’s staff as
well as outside parties.
Unless he can obtain sufficient and appropriate audit evidence (both oral and written), he shall not
be able to form a reasonable basis for arriving at a conclusion concerned with his audit
engagement.
Common sense
It goes without saying that an auditor should possess a fair sense of evaluation.
This is required to distinguish between material and non-material matters in the client’s set of
books.
Types of audits
Statuary audit
Non statuary audit
Statuary audit
A statutory audit is an engagement of a financial statement audit between an entity and an independent
audit firm that comply with the requirement of local laws in the sector that the organisation is operating.
The financial statement audit is required by law in most countries and the auditors need to comply with the
principles of auditing when they are performing the audits. According to the requirement of law, entities
that operate in those countries need to submit their audited financial statements to the related authorities.
As an instance, the management of an insurance company needs to submit its company’s financial
statements to the relevant government department.
Among the examples of the related government bodies, the tax department is the best example in which
the entities have to submit their annual financial statements and audit report. This is for the authorities to
review and examine whether the organisations are paying their taxes properly.
The primary aim of the statutory audit is to allow the qualified auditors to assess the objectivity and
independence of the financial statements of the entities. Also, they need to identify whether there is any
material misstatements in the financial statements before expressing audit opinion on those statements.
Usually, the small or newly set up company will request the auditors to review its financial statements,
although such an action is not required by law. The companies do not have to submit the reports to the
authorities or the government bodies. Instead, they will send the report to the shareholders or the board of
directors.
The primary aim of a non-statutory audit has no difference from the statutory audit that is to allow an
independent auditor to review and express their opinion on the financial statement of a company according
to the results of their audit work.
In this type of engagement, the auditors need to determine the audit objective, audit scope and the
responsibilities of both the company and the auditors. Besides, the auditors should state the audit fee,
reporting deadline and the engagement period in the engagement letter. Also, the auditors have to state
the audit approach that they will use when they perform the financial statement review.
Definition Audit required by law or regulation Audit that is not required by law or
regulation
Purpose To ensure compliance with legal To provide assurance on specific aspects
requirements and financial of an organization's operations, systems,
reporting standards or processes
Scope of audit
Within the audit mandate, the Comptroller and Auditor General is the sole authority to decide the
scope and extent of audit to be conducted by him or on his behalf. Such authority is not limited by
any considerations other than ensuring that the objectives of audit are achieved.
In the exercise of the mandate, the Comptroller and Auditor General undertakes audits which are
broadly categorised as financial audit, compliance audit and performance audit, as elucidated in
Chapter 5, 6 and 7 respectively.
The scope of audit includes the assessment of internal controls in the auditable entities. Such an
assessment may be undertaken either as an integral component of an audit or as a distinct audit
assignment.
The Comptroller and Auditor General may, in addition, decide to undertake any other audit of a
transaction, programme or organisation in order to fulfill the mandate and to achieve the objectives
of audit.
The duty of an auditor with regard to the detection and prevention of fraud and error has been a
matter of discussion for a long time. It has been laid down by several legal decisions and has been
considered in many professional pronouncements. In this blog, we are going to throw light on some
of these decisions and discuss the meaning of the famous quote “Auditor is a watchdog, not a
bloodhound”.
The perception of auditor’s duty with regards to detection and prevention of frauds and errors was
initially based on the decision given in Kingston Cotton Mills Co. (1896) case.
The judge summed up auditor’s duty by stating, “Auditor is a watchdog, not a bloodhound.”
It was noted that the auditors were to be appointed by the shareholders, and were to report to them
directly, and not to or through the directors.
The object was to ensure that the shareholders received “independent and reliable information
respecting the true financial position of the company at the time of the audit.”
The duty of the auditor is to be honest i.e., he must not certify what he does not believe to be true,
and he must take reasonable care and skill before he believes that what he certifies is true.
What is reasonable care in any particular case must depend upon the circumstances of that case.
Where there is nothing to excite suspicion very little inquiry will be reasonably sufficient.
Where suspicion is aroused more care is obviously necessary; but still an auditor is not bound to
exercise more than reasonable care and skill, even in a case of suspicion, and he is perfectly justified
in acting on the opinion of an expert where special knowledge is required.
An auditor is not bound to be a detective, or, as was said, to approach his work with suspicion or
with a foregone conclusion that there is something wrong.
He is a watchdog, but not a bloodhound. He is justified in believing tried servants of the company in
whom confidence is placed by the company.
He is entitled to assume that they are honest, and to rely upon their representations, provided he
takes reasonable care.
Auditor’s engagement
SA 210 deals with the key considerations that Independent Auditor needs to keep in mind on the terms of
the Audit engagement with Management or ‘Those charged with Governance’.
An audit engagement is an arrangement that an auditor has with a client to perform an audit of the client's
accounting records and financial statements. The term usually applies to the contractual arrangement
between the two parties, rather than the full set of auditing tasks that the auditor will perform.
To create an engagement, the two parties meet to discuss the services needed by the client. The parties
then agree on the services to be provided, along with a price and the period during which the audit will be
conducted. This information is stated in an engagement letter, which is prepared by the auditor and sent to
the client. If the client agrees with the terms of the letter, a person authorized to do so signs the letter and
returns a copy to the auditor. By doing so, the parties indicate that an audit engagement has been initiated.
This letter is useful for setting the expectations of both parties to the arrangement.
The term may also indicate all of the work performed by an auditor for a client under the terms of an
engagement letter. In this case, an audit engagement spans the full range of audit procedures that may be
used, including the examination of the client's financial statements and the preparation of an audit report.
Objective
Auditor’s Objective is to accept or continue an audit engagement only when the basis upon which it is to be
performed has been agreed, through
Audit programme
SA 300, "Planning an Audit of Financial Statements," provides guidance on how to plan an audit
engagement of financial statements. An audit program is an important part of the planning process that
outlines the procedures to be performed by the auditor to obtain sufficient appropriate audit evidence to
support the audit opinion. Here is an outline of the audit program for SA 300
Preliminary Activities
Understand the entity and its environment, including its operations, industry, regulatory
environment, and internal control
Identify and assess the risks of material misstatement
Develop the audit strategy and audit plan
Determine the materiality level for the audit
Obtain an engagement letter and signed acceptance from the client
Planning Activities
Develop a detailed audit plan that outlines the procedures to be performed, including substantive
procedures and tests of controls
Assign audit team members to specific tasks and areas of the audit
Obtain an understanding of the accounting and internal control systems
Develop a preliminary analytical review of the financial statements
Obtain and review the client's trial balance, general ledger, and other relevant documents
Develop a preliminary assessment of the risk of material misstatement
Execution Activities
Perform tests of controls and substantive procedures to obtain sufficient appropriate audit evidence
Obtain and review the client's supporting documentation, such as invoices, bank statements, and
contracts
Perform analytical procedures to identify any unusual transactions or relationships
Perform substantive procedures for account balances and transactions
Evaluate the results of the tests of controls and substantive procedures
Assess the potential impact of any identified misstatements
Completion Activities
Perform final analytical review of the financial statements
Evaluate whether sufficient appropriate audit evidence has been obtained
Evaluate any uncorrected misstatements
Formulate the audit opinion based on the audit evidence obtained
Issue the audit report and communicate the audit results to management and the audit committee
Advantages Disadvantages
Provides a structured approach to the audit, Can be time-consuming to develop a
ensuring that all areas are covered and all audit comprehensive audit program that covers all
objectives are met. relevant areas.
Helps ensure that audit procedures are May be difficult to revise or adapt the audit program
consistent and applied uniformly across all if unexpected issues arise during the audit process.
areas of the audit.
Enables the auditor to plan the audit in May create a false sense of security if the auditor
advance, allocate resources, and meet the audit relies too heavily on the audit program and does not
objectives efficiently. exercise professional judgment or adapt to changing
circumstances.
Helps ensure that all relevant audit evidence is May be too rigid or inflexible if the auditor does not
obtained, reducing the risk of material have the flexibility to modify or adapt the audit
misstatement in the financial statements. program to meet the specific circumstances of the
audit engagement.
Helps ensure that the audit is conducted in May not capture all relevant audit risks or issues if
accordance with professional standards and the auditor does not have a comprehensive
guidelines. understanding of the client's business or industry.
Provides a clear framework for communication May not be effective if the auditor does not have the
between the auditor, the client, and other necessary skills or expertise to develop a
stakeholders. comprehensive audit program or execute the audit
procedures effectively.
Audit documentation
SA 230, "Audit Documentation," outlines the requirements for documenting the audit process and the
results of the audit. Audit documentation serves as evidence of the auditor's compliance with professional
standards and provides support for the audit opinion issued.
Timing of documentation
Audit documentation should be prepared on a timely basis, with the timing of the documentation
reflecting the timing of the audit work performed.
Audit documentation should be completed as soon as possible after the audit work has been
performed, but before the audit report is issued.
Safekeeping of documentation
Audit documentation should be safeguarded and retained for a period of time sufficient to meet
legal and professional requirements.
The auditor should maintain confidentiality and protect the integrity of the audit documentation.
Audit working papers, also known as audit documentation, are a crucial component of the audit process.
However, a disadvantage of complying with SA 230 is that it can be time-consuming to prepare and
maintain comprehensive audit documentation, and it may be difficult to balance the need for sufficient
documentation with the need for efficiency in the audit process. Additionally, if audit documentation is not
maintained properly, it may lead to legal or professional liability for the auditor.
Audit evidence
Audit evidence is the documentation collected by an auditor as part of his or her review of the financial
accounts, internal controls, and other matters needed to certify a client’s financial statements. The amount
and type of audit evidence collected varies by client, depending on the type of industry, the condition of
the client’s financial system, and the type of audit. The amount of evidence collected must provide a
reasonable basis for the auditor’s opinion. Once collected, the audit evidence is assembled into the
auditor’s working papers.
Observation
Observation consists of looking at a process or procedure being performed by others, e.g., the
auditor's observation of inventory counting by the company's personnel or the performance of
control activities.
Observation can provide audit evidence about the performance of a process or procedure, but the
evidence is limited to the point in time at which the observation takes place and also is limited by
the fact that the act of being observed may affect how the process or procedure is performed
Inquiry
Inquiry consists of seeking information from knowledgeable persons in financial or nonfinancial
roles within the company or outside the company.
Inquiry may be performed throughout the audit in addition to other audit procedures. Inquiries may
range from formal written inquiries to informal oral inquiries.
Evaluating responses to inquiries is an integral part of the inquiry process.
Note: Inquiry of company personnel, by itself, does not provide sufficient audit evidence to reduce audit
risk to an appropriately low level for a relevant assertion or to support a conclusion about the effectiveness
of a control.
Confirmation
A confirmation response represents a particular form of audit evidence obtained by the auditor from a third
party in accordance with PCAOB standards.
Recalculation
Recalculation consists of checking the mathematical accuracy of documents or records. Recalculation may
be performed manually or electronically.
Re performance
Re performance involves the independent execution of procedures or controls that were originally
performed by company personnel.
Analytical Procedures
Analytical procedures consist of evaluations of financial information made by a study of plausible
relationships among both financial and nonfinancial data.
Analytical procedures also encompass the investigation of significant differences from expected
amounts.
Vouching
Accounting entries made in the books must be supported by documentary evidence and inspection of that
evidence is called vouching. The Auditor judges the authenticity, of the accounting entries using the
technique of vouching. In case of unavailability of proper supporting documents, the Auditor may have all
reasons to doubt about errors or fraud or manipulation.
Objective of Vouching
To check whether all the business transactions are properly recorded in the books of accounts or not
To see whether recorded transactions are duly supported by documentary evidence or not.
To verify that all the documentary evidence is authenticated and related to business transactions
only.
To verify that transactions are free from errors or frauds.
To verify whether voucher is processed through all the stages of Internal Check system properly.
To verify and confirm that the entries are recorded according to the capital and the revenue nature
or not.
To check the accuracy of accounting transactions.
Verification
Verification, in the context of auditing, refers to the process of checking the accuracy and completeness of
financial statements and other financial information. It involves obtaining and evaluating evidence to
support the amounts and disclosures presented in the financial statements.
Obtaining evidence: The auditor obtains evidence to support the financial statements, including
documents such as bank statements, invoices, contracts, and other relevant records.
Evaluating evidence: The auditor evaluates the evidence obtained to determine whether it is
sufficient, reliable, and relevant. This involves considering factors such as the source of the evidence,
the controls in place over the information, and the nature and extent of the procedures performed.
Testing balances and transactions: The auditor tests individual balances and transactions to verify
their accuracy and completeness. This may involve procedures such as reconciling account balances,
verifying the existence and ownership of assets, and confirming transactions with third parties.
Assessing internal controls: The auditor assesses the effectiveness of the client's internal controls
over financial reporting, including their design and implementation. This helps to identify any
weaknesses or deficiencies in the controls that could lead to material misstatements in the financial
statements.
Forming an opinion: Based on the evidence obtained and the results of the testing and
assessment, the auditor forms an opinion on the accuracy and completeness of the financial
statements. This opinion is communicated in the auditor's report, which accompanies the financial
statements.
In July 2002, APC was converted into the Auditing and Assurance Standard Board (AASB). The composition
of the AASB is fairly broad- based and attempts to ensure participation of all interest groups in the standard
setting process. Apart from the elected members of the Council of The Institute of Chartered Accountant of
India, the Board includes members from profession, members from SEBI, RBI, IRDA, IIM, industry association
etc.
Objective
To review the existing and emerging auditing practices worldwide and identify areas in which
Standards on Quality Control, Engagement Standards and Statements on Auditing need to be
developed.
To formulate Engagement Standards, Standards on Quality Control and Statements on Auditing so
that these may be issued under the authority of the Council of the Institute.
To review the existing Standards and Statements on Auditing to assess their relevance in the
changed conditions and to undertake their revision, if necessary.
To develop Guidance Notes on issues arising out of any Standard, auditing issues pertaining to any
specific industry or on generic issues, so that those may be issued under the authority of the Council
of the Institute.
To review the existing Guidance Notesa to assess their relevance in the changed circumstances and
to undertake their revision, if necessary.
To formulate General Clarifications, where necessary, on issues arising from Standards.
To formulate and issue Technical Guides, Practice Manuals, Studies and other papers under its own
authority for guidance of professional accountants in the cases felt appropriate by the Board.
Audit Sampling
Audit sampling is the use of an audit procedure on a selection of the items within an account balance or
class of transactions. The sampling method used should yield an equal probability that each unit in the
sample could be selected. The intent behind doing so is to evaluate some aspect of the information. Audit
sampling is needed when population sizes are large, since examining the entire population would be highly
inefficient.
Block Sampling
Under block sampling, consecutive series of items are selected for review. Though this approach
may be efficient, there is a risk that a block of items will not reflect the characteristics of the entire
population.
Haphazard Sampling
Under haphazard sampling, there is no structured approach to how items are selected. However, the
person doing the selections will probably skew the selections (even if inadvertently), so the
selections are not truly random.
Personal Judgment
Under the personal judgment approach, the auditor uses her own judgment to select items, perhaps
favoring items that have larger monetary values or which appear to have a higher level of risk
associated with them.
Random Sampling
Under random sampling, a random number generator is used to make selections. This approach is
the most theoretically correct, but can require more time to make selections.
Stratified Sampling
Under stratified sampling, the auditor splits the population into different sections (such as high
value and low value) and then selects from each section.
Systematic Sampling
Under systematic sampling, selections are taken from the population at fixed intervals, such as every
20th item. This tends to be a relatively efficient sampling technique.
Sampling risk: Sampling risk is the risk that the sample selected is not representative of the entire
population, leading to incorrect conclusions. This risk can be mitigated by using appropriate
sampling techniques, ensuring the sample is sufficiently large, and testing additional items if
necessary.
Non-sampling risk: Non-sampling risk is the risk of errors or biases in the auditor's judgment or
procedures, independent of the sampling technique used. This can include errors in the selection of
the sample, incorrect interpretation of the results, or failure to perform appropriate audit
procedures. Non-sampling risk can be minimized by following appropriate audit procedures and
maintaining professional skepticism.
Detection risk: Detection risk is the risk that the auditor fails to detect material misstatements in the
financial statements. Sampling can reduce the risk of detection, but it cannot eliminate it completely.
This risk can be mitigated by using appropriate sampling techniques and performing additional
procedures as necessary.
Inherent risk: Inherent risk is the risk that material misstatements exist in the financial statements
due to factors such as the nature of the business or industry. Sampling may not adequately address
inherent risk, so additional procedures may be necessary to reduce this risk.
Confirmation bias: Confirmation bias is the risk that the auditor unconsciously selects or interprets
evidence that confirms their preconceived notions or expectations. This risk can be mitigated by
maintaining objectivity and using appropriate sampling techniques to avoid bias in the selection of
the sample.
Planning: The first stage in audit sampling is planning. This involves identifying the objective of the
audit, determining the population to be sampled, and selecting an appropriate sampling method.
The auditor should also consider factors such as the level of materiality, the risk of misstatement,
and the desired level of assurance when planning the audit sample.
Sample selection: The next stage in audit sampling is sample selection. The auditor selects a sample
of items from the population to be tested using the selected sampling method. The sample should
be representative of the population and should be selected without bias.
Performing audit procedures: The third stage in audit sampling is performing audit procedures.
The auditor performs tests of controls or substantive procedures on the sample selected to gather
evidence about the population. The results of the procedures are evaluated to draw conclusions
about the population.
Evaluation of results: The fourth stage in audit sampling is the evaluation of results. The auditor
evaluates the results of the audit procedures performed on the sample to determine the overall
reliability of the population. The auditor also considers any errors or exceptions identified during the
testing and determines their impact on the financial statements.
Documentation: The final stage in audit sampling is documentation. The auditor documents the
audit sampling procedures performed, the results obtained, and any conclusions reached. The
documentation should provide sufficient evidence to support the auditor's opinion in the audit
report.
Analytical procedure
Analytical procedures are formulas and processes that compare financial data to non-financial data in
order to determine relationships between the two. Examples of non-financial data that can affect an
organization's financial statements and taxes include contract compliance, energy consumption and the
percentage of women in leadership positions. Companies can benefit from tax breaks if they meet certain
qualifications regarding these issues, and they must follow specific protocols to maintain eligibility.
Analytical procedures also help auditors investigate variations in figures that have shown
consistency in the past or do not correlate with other values. If a long-term client, for instance, reports a
substantial change in income, the auditor may research the origin of the additional funding to make sure it
comes from a legitimate source and reflects valid information about the client's financial state. Auditors use
three types of analytical procedures, and each serves a different purpose. They include:
Preliminary analytical review: Auditors conduct risk assessments, known as preliminary analytical
reviews, to plan and time their strategies for conducting an initial analysis.
Substantive analytical procedures: Auditors use substantive analytical procedures to gather
information and determine if they need to conduct substantive testing. Sometimes, they can use
analytical methods alone to come to a conclusion.
Final analytical review: Auditors use final analytical reviews at the end of the audit to review their
work and check for inaccuracies. If they find errors, they complete the risk assessment process again.
Types
Trend Analysis: Trend analysis involves comparing financial data from one period to another to
identify trends or changes over time. This can help auditors and analysts to identify areas of concern
or to assess the reasonableness of financial statement balances.
Ratio Analysis: Ratio analysis involves the comparison of financial ratios to industry benchmarks,
prior year results, or other relevant factors. This can help auditors and analysts evaluate an
organization’s financial health and identify potential risk areas.
Regression Analysis: Regression analysis involves using statistical techniques to identify
relationships between different financial variables. This can help auditors and analysts to identify
potential areas of concern or to develop predictive models.
Variance Analysis: Variance analysis involves comparing actual financial results to budgeted or
expected results to identify areas of variance. This can help auditors and analysts identify areas of
concern or assess internal controls’ effectiveness.
Reasonableness Analysis: Reasonableness analysis involves comparing financial information to
external data sources, such as industry averages or publicly available financial information. This can
help auditors and analysts to evaluate the reasonableness of financial statement balances and to
identify potential areas of risk.
To use as risk assessment procedures to obtain an understanding of the client and the risks that the
client exposes to.
To assess the risks of material misstatements that could occur on the financial statements at the
planning stage of the audit.
To obtain audit evidence as substantive analytical procedures at the evidence-gathering stage of the
audit.
To form an overall conclusion whether the financial statements are consistent with auditors’
understanding of the client at the end of the audit.
Auditor’s liabilities
A Chartered Accountant is associated with the valuable profession. His primary duty is to present a report
on the accounts and statements submitted by him to members of the company. He is responsible not only
to the members of the company but also to the third parties of the company, i.e., creditors, bankers etc.
Normally the liability of auditor based on the work done by him as professional accountant and carry out
his work due care, caution and diligence.
Civil Liability
period of six months to ten years or with a fine, which may be three times the amount involved in
the fraud or with both.
Noncompliance by auditor [Sec. 143 and 145]:
If the auditor does not comply regarding making his report or signing or authorization of any
document and makes willful neglect on his part he shall be punishable with imprisonment up to one
year or with fine not less than ₹. 25,000 extendable to ₹. 5, 00,000.
Failure to assist investigation [Sec.217 (6)]
When Central Government appoints an Inspector to investigate the affairs of the company, it is the
duty of the auditor to produce all books, documents and to provide assistance to the inspectors. If
the auditor fails to do so he shall be punishable with imprisonment upto one year and with fine up
to ₹.1, 00,000.
Failure to assist prosecution of guilty officers [Sec.224]
An auditor is required to assist prosecution when Central Government takes any action against the
report submitted by the Inspector. If he fails to do so, he is found guilty and is punishable.
Failure to return property, books or papers [Sec.299]
When a company is wound up the auditor is supposed to be present and subject himself to a private
examination by the court and is also liable to return to the court any property, books or papers
relating to the company. If the auditor does not comply, he may be imprisoned.
Penalty for falsification of books [Sec.336]
An auditor when destroys, mutilates, alters or falsifies or secrets any books of account or document
belonging to the company. He shall be punishable with imprisonment and also be liable to fine.
Prosecution of auditor [Sec.342]
In the course of winding up of a company by the Tribunal, if it appears to the Tribunal that an
auditor of the company has been guilty of an offence, it shall be the duty of the auditor to give all
assistance in connection with the prosecution. If he fails to give assistance he shall be liable to fine
not less than ₹ 25,000 extendable upto ₹.1,00,000.
Penalty for deliberate act of commission or omission [Sec.448]
If an auditor deliberately make a statement in any report, certificate, balance sheet, prospectus, etc
which is false or which contains omission of material facts, he shall be punishable with imprisonment
for a period of six months to ten years and fine not less than amount involved in fraud extendable to
three times of such amount.
false, he shall be liable to fine and imprisonment of three months to three years. An auditor may
also be charged in case of wrong certification of account.
A Chartered Accountant can represent his clients before the Income Tax Authorities. However, if he
is guilty of misconduct he can be disqualified from practicing.
An auditor can face imprisonment upto two years for furnishing false information.
Internal auditing
Internal auditing is an independent, objective assurance and consulting activity designed to add value and
improve an organization’s operations. It helps an organization accomplish its objectives by bringing a
systematic, disciplined approach to evaluate and improve the effectiveness of risk management, control,
and governance processes.
Performed by professionals with an in-depth understanding of the business culture, systems, and processes,
the internal audit activity provides assurance that internal controls in place are adequate to mitigate the
risks, governance processes are effective and efficient, and organizational goals and objectives are met.
Evaluating emerging technologies. Analyzing opportunities. Examining global issues. Assessing risks,
controls, ethics, quality, economy, and efficiency. Assuring that controls in place are adequate to mitigate
the risks. Communicating information and opinions with clarity and accuracy. Such diversity gives internal
auditors a broad perspective on the organization. And that, in turn, makes internal auditors a valuable
resource to executive management and boards of directors in accomplishing overall goals and objectives,
as well as in strengthening internal controls and organizational governance.
Proper Control: To keep proper control over the organization is one of the main objectives of an
Internal Audit. The authenticity of the financial records and the efficiency of the firm have to be
maintained and the management needs proper assurance. The Internal Audit helps to establish
both.
Perfect Accounting System: The accounting system of the organization is thoroughly checked by
an Internal Audit. From vouchers to the authority of transactions to accuracy in mathematics all
serve the purpose of Internal Audit. All entries are verified so that the chance of mistakes or frauds
can be reduced.
Review of Business: The financial and operational aspects of a business is to be checked by the
Internal Audit. The Internal Audit process checks out the mistakes, strengths and weaknesses in the
business.
Asset Protection: Internal Audit process performs the valuation and verification of an asset. In case
of any special transactions like purchase, sale or revaluation of assets, the authorization is audited
particularly by Internal Audit.
Keep a Check on Errors: There will be mistakes in financial records and is checked at the end of a
financial year. But with Internal Audit, the mistakes are spotted and rectified immediately.
Detection of Fraud: This is another main purpose of Internal Audit. In fact, Internal Audit is helpful
to the organization because due to its presence, an employee is less likely to do any fraudulent
activity. There will be no time in making fraud and how the Internal Audit process will run and so
this will end up committing less fraud in an organization.
Improved internal controls: Internal auditing helps to identify weaknesses in the organization's
internal controls and recommend improvements to mitigate the risk of fraud, error, and non-
compliance.
Increased efficiency and effectiveness: Internal auditing identifies areas where the organization
can improve its operations, increase efficiency, and reduce costs. This can lead to better resource
utilization and improved organizational performance.
Risk management: Internal auditing helps to identify and evaluate the organization's risks, both
operational and strategic, and recommend measures to mitigate or manage these risks.
Compliance: Internal auditing helps to ensure that the organization is complying with laws,
regulations, and internal policies and procedures. This can reduce the risk of penalties, fines, and
reputational damage associated with non-compliance.
Definition A routine audit of financial An audit that identifies and assesses risks
statements and controls and adjusts audit procedures accordingly
Planning Based on prior audit experience Based on risk assessment and audit plan
and audit plan
Testing Emphasis on testing controls and Emphasis on testing high-risk areas and
transactions related controls
Benefits Identifies control weaknesses Provides assurance that high-risk areas are
and recommends improvements effectively managed
Limitations May miss significant risks Requires a high level of expertise and
resources
Special audit
An audit that has a narrow focus and only examines one particular aspect of an organization’s operations is
called a special audit. This kind of audit may be directed by a government body, but it may also be
authorized by any entity or even internally within an organization. In this blog, we discuss the meaning and
types of special audits.
Compensation audit
Compensation audit allows for the yearly examination or audit of employee salary, bonus, incentive, and
stock option programs in order to assess their efficiency, competitiveness, and legal compliance.
Compliance audit
A compliance audit is a type of audit in which the purpose is to evaluate whether or not an
organization is following the terms of a contract or certain rules and regulations.
Compliance audits may be used by regulatory agencies to determine if a business is in compliance
with the requirements of its operating license.
The basic objective of a compliance audit is to evaluate an organization’s conformity to laws, norms,
internal bylaws, and codes of conduct.
As far as Indian laws are concerned, an audit that checks compliance with the Companies Act is
termed a secretarial audit.
Construction audit
A construction audit, as the name implies, is performed to assess the costs of any given construction
project.
It deals with keeping track of various construction costs such as payments made to suppliers,
contractors, and so on.
To determine the authenticity of construction expenses, the costs as recorded in the books are
compared to the actual papers.
Internal audit
An internal audit can be used to evaluate an organization’s performance or the execution of a
process against a set of standards, policies, metrics, or guidelines.
These audits may include an examination of a company’s internal controls in the areas of corporate
governance, accounting, financial reporting, and IT general controls.
Cost audit
We all know that audit involves verification and examination.
When this concept of auditing is applied to cost records, it becomes a more specific and specialized
form of audit activity. It is named cost audit.
A cost audit is an audit of cost records on the utilization of materials, labor, overheads, and other
items of cost applicable to the production of goods.
It checks whether the cost accounting system followed in the company serves as a correct basis for
ascertaining the cost of production.
Fraud audit
It is a special form of investigation to identify whether or not there is any fraudulent activity in any
particular area of financial statements.
Fraud can be done in a variety of ways, including falsifying accounting records, misusing assets, and
passing fictional journal entries to conceal fraudulent activities.
As a result, if the entity finds that management or officials are involved in fraud, a special audit to
investigate such fraud can be undertaken.
A fraud audit involves checking any specific area of finance that is likely to be affected.
For example, if a cashier steals cash and escapes, a fraud audit will be conducted to determine how
much money was taken away by theft, to carry out a detailed analysis of cash records handled by
the cashier, and to investigate the tasks previously performed by the cashier, etc.
Royalty audit
A royalty audit is a financial verification that determines whether a licensee (user of a patent, license, or
franchise) is paying the licensor (owner of the patent, license, or franchise) the correct amount of fees that
have been agreed upon in the agreement they have in place for use of the patent, license, or franchise.
GST audit
In terms of indirect tax regulations in India, the Assistant Commissioner of CGST/SGST can initiate a
Special Audit under GST [Section 66 of the CGST Act 2017], taking into account the nature and
complexity of the case as well as the interest of revenue.
If the Assistant Commissioner believes that the value of the taxable supplies disclosed by the
registered person is erroneous or that the input tax credit has been improperly claimed, a special
audit can be undertaken at any stage of scrutiny/inquiry/investigation.
Questions
1. What is an audit?
b) A process of analyzing business operations to identify inefficiencies and improve overall performance
a) To detect fraud
a) Internal audits are performed by employees of the organization, while external audits are performed by
independent auditors.
b) Internal audits are focused on financial statements, while external audits are focused on business
operations.
d) Internal audits are performed annually, while external audits are performed bi-annually.
a) Segregation of duties
a) A financial audit focuses on an organization's financial statements, while a compliance audit focuses on
whether the organization is complying with laws and regulations.
b) A financial audit is conducted by internal auditors, while a compliance audit is conducted by external
auditors.
c) A financial audit is focused on identifying fraud, while a compliance audit is focused on operational
inefficiencies.
a) The amount of money, or level of significance, used to determine if a misstatement in the financial
statements is significant enough to affect the decision-making of users of those financial statements.
b) The maximum amount of money that an auditor is willing to spend on an audit engagement.
c) The minimum level of education and experience required for an auditor to perform an audit engagement.
d) The percentage of the organization's total assets that must be audited each year.
c) To develop an audit program that outlines the procedures to be performed during the audit
a) A test of controls evaluates the design and implementation of internal controls, while a substantive test
examines specific transactions and account balances for material misstatements.
b) A test of controls is performed during the planning stage of the audit, while a substantive test is
performed during the execution stage of the audit.
c) A test of controls is a more reliable way to detect fraud than a substantive test.
a) A test of controls that involves tracing a transaction through the organization's accounting system
b) An audit procedure that involves following a transaction from initiation to recording in the financial
statements
a) To provide evidence of management's acknowledgement of its responsibility for the financial statements
c) A deficiency in internal control that results in a material misstatement in the financial statements
c) To provide assurance that the financial statements are free from material misstatements
16. What is the difference between a Type 1 and a Type 2 subsequent event?
a) A Type 1 subsequent event occurs after the balance sheet date but before the audit report date, while a
Type 2 subsequent event occurs after the audit report date.
b) A Type 1 subsequent event is a known event that provides additional evidence about conditions that
existed at the balance sheet date, while a Type 2 subsequent event is a new event that occurred after the
balance sheet date.
c) A Type 1 subsequent event requires an adjustment to the financial statements, while a Type 2 subsequent
event requires only disclosure in the footnotes to the financial statements.
17. Which of the following is a responsibility of management in relation to the audit of financial
statements?
d) Preparing the financial statements in accordance with generally accepted accounting principles
b) To provide assurance that the financial statements are free from material misstatements
c) To determine whether an organization is complying with laws, regulations, and contractual agreements
Answer Keys
9. Answer: a) A test of controls evaluates the design and implementation of internal controls, while a
substantive test examines specific transactions and account balances for material misstatements.
Explanation: A test of controls is performed to evaluate the design and implementation of internal
controls, while a substantive test examines specific transactions and account balances for material
misstatements. Both types of tests are necessary to provide reasonable assurance that the financial
statements are free from material misstatements.
10. Answer: b) An audit procedure that involves following a transaction from initiation to recording in
the financial statements
Explanation: A walkthrough is an audit procedure that involves following a transaction from
initiation to recording in the financial statements to gain an understanding of the organization's
accounting system and identify potential weaknesses in internal controls.
11. Answer: d) All of the above
Explanation: A management representation letter is a letter from management that confirms its
acknowledgement of its responsibility for the financial statements, provides evidence of its
cooperation during the audit engagement, and confirms the accuracy of the financial statements.
12. Answer: b) A weakness in internal control that is less severe than a material weakness
Explanation: A significant deficiency in internal control is a weakness in internal control that is less
severe than a material weakness, but still important enough to merit attention by management and
the auditor. It may increase the risk of material misstatements in the financial statements.
13. Answer: c) A deficiency in internal control that results in a material misstatement in the financial
statements
Explanation: A material weakness in internal control is a deficiency in internal control that results in
a material misstatement in the financial statements. It is a more severe weakness than a significant
deficiency and represents a significant risk to the organization's financial reporting.
14. Answer: c) To assess the reasonableness of financial statement amounts and ratios
Explanation: An analytical review is performed to assess the reasonableness of financial statement
amounts and ratios. It involves comparing current period financial information to prior period
information, industry benchmarks, and other relevant data to identify any unusual trends or
transactions that may indicate a risk of material misstatement.
15. Answer: c) To provide assurance that the financial statements are free from material misstatements
Explanation: Substantive procedures are performed to provide assurance that the financial
statements are free from material misstatements. These procedures involve testing specific
transactions and account balances for accuracy and completeness.
16. Answer: b) A Type 1 subsequent event is a known event that provides additional evidence about
conditions that existed at the balance sheet date, while a Type 2 subsequent event is a new event
that occurred after the balance sheet date.
Explanation: A Type 1 subsequent event is a known event that provides additional evidence about
conditions that existed at the balance sheet date, while a Type 2 subsequent event is a new event
that occurred after the balance sheet date. A Type 1 subsequent event requires an adjustment to the
financial statements if the event provides additional evidence about conditions that existed at the
balance sheet date and affects the estimates used in the financial statements. A Type 2 subsequent
event requires disclosure in the footnotes to the financial statements, but does not require an
adjustment to the financial statements.
17. Answer: c) Designing and implementing effective internal controls
Chapter: II
Company audit
Eligibility, qualification and disqualification of auditor [section141]
An individual, or
In a partnership firm (a business entity of which majority of partners practicing in India are
considered qualified for such appointment), or
In a limited liability partnership (where an LLP is being appointed as a company’s auditor, then only
the partners who are qualified chartered accountants (or abbreviated as CAs) shall be accredited
with acting and signing on firm’s behalf).
Body corporate-A body corporate except LLP registered under LLP Act, 2008 shall not be considered
eligible for appointment as auditor.
A body corporate, except Limited Liability Partnership.
An officer or employee of the company;
A person who is a partner of an officer or employee of the company.
A person who is a relative or his partner of a company or holding or subsidiary company or
associate company is disqualified in the following circumstances:
When he is holding any security, or
When he is indebted in excess of Rs.5,00,000, or
When he is given a guarantee or provided any security in connection with indebtedness in excess of
Rs.1, 00,000.
A person or a firm has business relationship of such nature with a company or holding or subsidiary
company or associate company.
A person whose relative is a director or is in employment of the company as director or key
managerial personnel.
A person holding more than 20 company audit (20 company audit shall exclude one person
company, small company, dormant company, private company with paid up capital less than Rs.100
Crore).
A person who has been convicted by a court of an offence involving fraud and a period of 10 years
has not elapsed from the date of such conviction.
Any person who is engaged in consulting and specialized services.
A person having full time employment elsewhere, or a person or a partner of a firm holding
appointment as its auditor, if such person or partner is at the date of such appointment or
reappointment holding appointment as auditor of more than 20 companies then such person shall
not be eligible for appointment or reappointment as an auditor of company.
This means an auditor shall not accept audit of more than 20 companies.
However, the MCA has exempted the Dormant Company and One Person Company from this ceiling
limit. Also, the small companies and Private Limited Companies with less than 100 crores paid up
share capital are excluded from the limit.
Hence, now the ceiling limit for company audit only includes Public Limited Company and Private Limited
Company with 100 crores or more paid up share capital. However, As per Section 44AB of Income Tax Act,
1961, In order to maintain the quality of Tax Audit to be conducted by CAs, ICAI prescribed the maximum
amount of audit that an auditor can undertake is 60 in a year.
Section 139 of the Act provides, every company shall, at its annual general meeting, appoint an
individual or a firm as an auditor who shall hold office from the conclusion of that meeting till the
conclusion of sixth annual general meeting and there after till the conclusion of every sixth meeting
Section 139 also provides that before such appointment is made, the written consent of the auditor to
such appointment, and a certificate from the individual auditor or the firm that the appointment, if made,
shall be in accordance with the following conditions be obtained.
The first auditor of a company, other than a Government company, shall be appointed by the Board
of Directors (only by BOD) within 30 days from the date of registration (i.e., Date of Incorporation) of
the company.
In the case of failure of the Board to appoint such auditor, it shall inform the members of the
company, who shall appoint within 90 days at an extraordinary general meeting (EGM).
The first auditor shall hold office from the date of appointment to till the conclusion of the first
AGM.
First auditor shall be appointed by the CAG within 60 days from the date of registration of the
company.
In case the CAG does not appoint such auditor within the said period, the Board of Directors of the
company shall appoint such auditor within 30 days.
In the case of failure of the Board to appoint such auditor, it shall inform the members of the
company within the next 30 days and who shall appoint such auditor within the 60 days at an EGM.
The auditor so appointed shall hold office from the date of appointment till the conclusion of the
1st AGM.
[Section 139(1) & Rules 3 and 4 of Companies (Audit and Auditors) Rules, 2014]
(1) Every company shall, at the First AGM, appoint an individual or a firm (includes LLP) as an auditor of
the company.
Every company means ALL the companies incorporated under the Act which includes one-person
company, Sec. 8 company, etc.;
Ordinary resolution is sufficient to appoint an auditor.
(2) The auditor shall hold office from the conclusion of 1st AGM till the conclusion of its 6th AGM (i.e.,
for 5 years); Appointment takes place only for 5 years, it means – No company can appoint auditor for less
than 5 years. The AGM, in which he is appointed is counted as 1st AGM.
The competent authority to appoint auditor is Audit committee of the company (if the company has); If it
does not have audit committee, Board of directors are competent authority.
The entity should obtain written consent and a certificate before the appointment is made at
AGM. Auditor should certify that
(a) Individual/firm is eligible for appointment and is not disqualified for appointment under
(b) The proposed appointment is as per the term provided under the Act;
(c) The proposed appointment is within the limits laid down by or under the authority of the Act;
(d) The provided list of proceedings relating to professional matters of conduct against the auditor or audit
firm or any partner of the audit firm pending with respect to is true and correct.
After this
Company appoints the auditor at AGM by passing ordinary resolution and thereafter, the company should
1. Give the information of appointment to the auditor i.e., it should write a letter to the auditor by
attaching “extract of resolution in the minutes of AGM”; and
2. File Form ADT-1 of such appointment with the Registrar within 15 days of the meeting in which the
auditor is appointed. Form ADT -1 will be filed by the company only once in 5 years.
Rotation of auditors is a new topic introduced in the Companies Act, 2013. As per the section, a company
should rotate auditors after specified time. It means, the same auditor cannot continue forever. Let us get
into the details of the section.
TERM
(2) Other prescribed class of companies (except one person & small companies)
(a) An individual as auditor for more than ONE term of five consecutive years; and
(b) An audit firm as auditor for more than TWO terms of five consecutive years
Auditor shall be appointed by C&AG within 180 days from the commencement of the financial year;
Tenure of office: From the date of appointment till the conclusion of the next AGM;
It means there is no concept appointment of 5 years/10 years; Rotation is also NOT applicable for government
auditors.
a) Not less than 51% of the paid-up share capital is held by the CG or by any SG(s) or partly by the CG
and partly by one or more SG(s); and
This is an exception to the basic rule. This will not be considered as an appointment for five years as it is not
an appointment at AGM; So, the tenure will be till the conclusion of next AGM. If the auditor is not
interested to continue, he can resign and automatically power goes to the Board of directors u/s 139(8) as it
amounts to casual vacancy.
The word “Casual vacancy” has not been defined in the Act.
General reasons for such vacancy could be death, disqualification, resignation, etc.
Tenure of office: From the date of appointment to till the conclusion of next AGM
In case of a company whose accounts are subject to audit by an auditor appointed by CAG
(1) When the auditor appointed to fill up a casual vacancy but if he refuses to accept the same – this
appointment is not fully complete. It shall be deemed that the casual vacancy continues and has not been
filled up. It means filling casual vacancy will be complete after auditor accepted the appointment.
Rotation of auditor
Applicability: Rotation of auditors will be applicable on the below mentioned class of companies:
Listed company
The following classes of companies excluding one person companies and small companies:
(a) all unlisted public companies having paid up share capital of Rs. 10 crore or more
(b) all private limited companies having paid up share capital of Rs. 50 crore or more
(c) all companies having paid up share capital of below threshold limit mentioned in (a) and (b) above,
but having public borrowings from financial institutions, banks or public deposits of Rs. 50 crores or
more
Non-Applicability: Rotation of auditors will not be applicable on the below mentioned class of companies:
paid-up share capital of which does not exceed fifty lakh rupees or such higher amount as may be
prescribed which shall not be more than Rs. 5 crore; or
turnover of which as per its last profit and loss account does not exceed Rs. 2 crore or such higher
amount as may be prescribed which shall not be more than Rs. 20 crore:
Terms of Rotation: The class of companies on which this section is applicable which is prescribed above shall
not appoint or re-appoint: –
an individual as auditor for more than one term of five consecutive years (i.e. 5 years)
an audit firm as auditor for more than two terms of five consecutive years (i.e.10 years)
Removal of auditor
Section 140(1) of many Companies Acts sets out the provisions for the removal of an auditor before the
expiry of their term of office. The exact wording and requirements of Section 140(1) can vary depending on
the jurisdiction, but in general, it outlines the following:
A company may remove its auditor before the expiry of their term of office by passing a resolution
at a general meeting of the company.
The resolution must be passed by a special majority of shareholders, which is typically two-thirds or
three-quarters of the votes cast.
The auditor must be given notice of the resolution and the reasons for their proposed removal.
The auditor is entitled to attend the general meeting at which the resolution is proposed and to
make representations.
The auditor may also submit a written statement to the company, which must be circulated to all
shareholders.
Resignation by auditor
Section 140(2) of many Companies Acts sets out the provisions for the resignation of an auditor. The exact
wording and requirements of Section 140(2) can vary depending on the jurisdiction, but in general, it
outlines the following:
An auditor may resign from their office by giving notice in writing to the company.
The notice must be submitted to the company's board of directors or, if there is no board, to the
company's officers.
The auditor must also provide a copy of the notice to the company's auditor oversight body or
other regulatory authority, if required by law.
The auditor's resignation takes effect on the date specified in the notice, which must not be less
than 14 days from the date the notice is received by the company.
If the auditor's resignation is due to a disagreement with the company or its management, the
auditor may be required to provide a written statement to the company's shareholders explaining
the reasons for their resignation.
The tribunal may remove an auditor from office if it is satisfied that the auditor is incapable of
performing their duties, has acted in a manner that is contrary to the public interest, or has
breached any provision of the Companies Act or any other law.
The tribunal may also remove an auditor if it is satisfied that the auditor has been involved in any
fraud or misconduct in relation to the company or its affairs.
The tribunal may initiate proceedings to remove an auditor on its own motion or upon the
application of the company, a shareholder, or any other person with a sufficient interest in the
matter.
The auditor must be given notice of the proceedings and an opportunity to be heard.
The tribunal may make any order it considers appropriate, including the removal of the auditor from
office and the disqualification of the auditor from being appointed as an auditor of any company for
a specified period.
The section further provides that the remuneration to be paid to the auditor should be fixed by taking into
consideration several factors such as:
The remuneration payable to the auditor may be fixed either by a resolution passed at a general meeting or
by the audit committee, subject to ratification by the shareholders at the next general meeting.
It is important to note that the remuneration paid to the auditor must be reasonable and should not be
excessive, considering the factors mentioned above. The remuneration paid to the auditor must also be
disclosed in the company's financial statements.
Reporting on Financial Statements: Sub-section (2) of Section 143 requires the auditor to make a
report to the members of the company on the accounts examined by him and on every financial
statement which is required by or under this Act to be laid before the company in general meeting
during his tenure of office.
Reporting on Other Matters: Sub-section (6) of Section 143 requires the auditor to report on such
other matters as may be prescribed.
Reporting on Compliance with Accounting Standards: Section 143(10) requires the auditor to
report on whether the company has complied with the Accounting Standards specified under
Section 133 of the Act.
Reporting on Internal Financial Controls: Section 143(3)(i) requires the auditor to state in his
report whether the company has adequate internal financial controls in place and the operating
effectiveness of such controls.
Reporting on Fraud: Section 143(12) requires the auditor to report to the central government if he
has reason to believe that an offence involving fraud is being or has been committed against the
company by its officers or employees.
Prohibition on Non-Audit Services: The auditor of a company cannot provide any non-audit
services to the company. Non-audit services refer to any service other than audit or matters
incidental to the audit.
Prohibition on Certain Services: The auditor of a company or its holding company or subsidiary
company cannot provide the following services to the company:
Accounting and bookkeeping services;
Internal audit services;
Design and implementation of any financial information system;
Actuarial services;
Investment advisory services;
Investment banking services;
Rendering of outsourced financial services;
Management services; and
Any other kind of services as may be prescribed.
Exemption for Certain Services: The Central Government may provide exemptions to certain
classes of companies or auditors from the prohibition on non-audit services or the prohibition on
certain services, if it is satisfied that such services do not impair the independence of the auditor.
The purpose of Section 144 is to ensure that the auditor maintains independence and objectivity in
their role. By prohibiting the auditor from providing certain services to the company, the Act aims to
prevent any conflicts of interest that may arise from such services. This helps to maintain the
integrity and credibility of the audit process and ensures that the financial statements of the
company provide a true and fair view of its affairs.
1. Signing of Audit Report: The auditor of a company is required to sign the audit report or sign and
authenticate the same electronically.
2. Duty to Give Reasons for Reservations or Qualifications: If the auditor has any reservations or
qualifications in his report, he must provide reasons for the same.
3. Duty to State Certain Matters in the Report: The auditor is required to state the following matters
in his report:
Whether he has obtained all the information and explanations which, to the best of his
knowledge and belief, were necessary for the purposes of his audit;
Whether, in his opinion, proper books of account as required by law have been kept by the
company;
Whether, in his opinion, the financial statements of the company are in agreement with the
books of account and returns;
Whether, in his opinion, the financial statements comply with the accounting standards
specified under section 133; and
Any other matter which he considers should be brought to the notice of the members.
4. Duty to Report on Related Party Transactions: The auditor is required to report on all
transactions with related parties in the financial statements of the company.
Right to Attend General Meetings: The auditor of a company has the right to attend any general
meeting of the company, whether it is an annual general meeting or an extraordinary general
meeting.
Right to Be Heard at Meetings: The auditor also has the right to be heard at any general meeting
which he attends on any part of the business which concerns him as the company's auditor.
Notice of Attendance: The auditor must give a notice of his intention to attend the general
meeting to the company at least 14 days before the date of the meeting.
Notice of Right to Attend: The Company must give notice to the auditor of his right to attend the
general meeting. The notice must be given not less than three days before the date of the meeting.
3. Liable to refund remuneration & Pay for damages to Company/statutory bodies/ authorities/ members/
creditors of Company for their losses.
4. If Auditor is a firm
proved that partner(s) involved in fraud à liability of concerned partners & firm (joint & several)
For criminal liability in respect of liability other than fine à partners who are involved in fraud only liable.
Composition
The Audit Committee shall consist of a minimum of 3 directors with independent directors forming a
majority. The majority of members of Audit Committee including its Chairperson shall be persons with
ability to read and understand, the financial statement. The Board’s report under section 134(3) shall
disclose the composition of an Audit committee and where the Board had not accepted any
recommendation of the Audit Committee, the same shall be disclosed in such report along with the reasons
there for.
Reconstitution
Every Audit Committee of a company existing immediately before the commencement of this Act shall be
reconstituted within one year of such commencement.(i,e., on or before 31st March 2015) Functions of
Audit Committee: Every Audit Committee shall act in accordance with the terms of reference specified in
writing by the Board which shall, inter alia, include,—
Provided that statutory auditor cannot be appointed as cost auditor of the company.
Cost auditor will be appointed by the board and in case of such companies which has audit committee,
then the appointment and remuneration will be recommended by audit committee.
The remuneration of cost auditor is required to be ratified by the shareholders. Once the cost auditor is
appointed the company shall inform the Central Government by filing form CRA-2 within 30 days of passing
of board resolution or within 180 days of commencement of the financial year whichever is earlier. The cost
auditor so appointed for a financial year shall continue till 180 days from the closure of financial year or till
submission of cost audit report for that year.
Objective To determine whether the cost To provide reasonable assurance that the
accounting systems are accurate, financial statements are free from material
reliable, and efficient, and to identify misstatements and are presented fairly in
areas where cost savings can be made. accordance with the applicable financial
reporting framework.
Scope The scope of cost audit is limited to The scope of financial audit is wider and
the cost accounting records and includes the financial statements, books of
systems of an organization. accounts, and other financial records of an
organization.
Applicability Cost audit is mandatory for certain Financial audit is mandatory for all
industries as per the Companies Act, companies, irrespective of their size and
2013. nature of business.
Frequency Cost audit is conducted at least once a Financial audit is conducted annually.
year.
Report The cost auditor submits a report to The financial auditor submits an audit
the management of the organization, report to the shareholders or other
which includes observations and stakeholders of the organization, which
recommendations for improving the includes an opinion on the fairness of the
cost accounting systems. financial statements.
Auditor The cost audit can be conducted by a The financial audit can be conducted by a
qualified cost accountant or a firm of qualified chartered accountant or a firm of
cost accountants. chartered accountants.
Questions
2. Which of the following is not an example of an external user of a company's financial statements?
a) Employees
b) Shareholders
c) Regulators
d) Suppliers
c) A set of procedures designed to ensure that financial statements are accurate and complete
b) Auditor's opinion
d) Scope paragraph
6. Which of the following types of audit opinions indicates that the auditor has identified a material
misstatement in the financial statements?
a) Unqualified
b) Qualified
c) Adverse
d) Disclaimer
a) Qualified
b) Adverse
c) Disclaimer
d) Clean
a) Analytical procedures
a) Objectivity
b) Professional skepticism
c) Professional judgment
d) Confidentiality
a) Physical
b) Analytical
c) Testimonial
d) Historical
12. Which of the following is not an example of an inherent risk in an audit engagement?
Answer Keys
Explanation: Preparing financial statements is not an audit procedure. It is the responsibility of the
company's management to prepare the financial statements, while the auditor's role is to provide
assurance on the reliability of those statements.
5. Answer: a) Management's discussion and analysis
Explanation: Management's discussion and analysis is not a component of an audit report. It is a
section of the company's financial statements where management provides an overview of the
company's financial performance and future prospects.
6. Answer: b) Qualified
Explanation: A qualified audit opinion indicates that the auditor has identified a material
misstatement in the financial statements. An unqualified opinion indicates that the financial
statements are presented fairly in all material respects, while an adverse opinion indicates that the
financial statements are materially misstated and should not be relied upon. A disclaimer opinion
indicates that the auditor is unable to express an opinion on the financial statements due to a lack
of sufficient evidence.
7. Answer: d) Clean
Explanation: A clean audit report is an unqualified opinion indicating that the financial statements
are presented fairly in all material respects. The other options are all types of audit report
modifications that indicate that the auditor has identified issues with the financial statements.
8. Answer: d) Social media monitoring
Explanation: While social media monitoring can be a useful tool in certain types of audits, it is not a
common type of audit procedure. The other options are all commonly used procedures in auditing
financial statements.
9. Answer: c) Recording a transaction in the wrong period
Explanation: Recording a transaction in the wrong period may be a mistake, but it is not necessarily
a material misstatement unless it affects the financial statements in a significant way. The other
options are all examples of material misstatements that could have a significant impact on the
financial statements.
10. Answer: d) Confidentiality
Explanation: While confidentiality is an important aspect of an auditor's work, it is not a key aspect
of independence. The other options are all important aspects of an auditor's independence, as they
ensure that the auditor is able to maintain an unbiased perspective when conducting the audit.
11. Answer: d) Historical
Explanation: Historical is not a category of audit evidence. The other options are all common types
of audit evidence that auditors may use to support their findings.
12. Answer: d) Inadequate internal controls
Explanation: Inadequate internal controls are not an inherent risk in an audit engagement, as they
can be mitigated through the implementation of effective controls. The other options are all
examples of inherent risks that can affect the reliability of the financial statements.
13. Answer: a) Use of estimates in financial reporting
Explanation: The use of estimates in financial reporting is not a limitation of an audit, as auditors
can still assess the reasonableness of those estimates. The other options are all limitations that can
affect the auditor's ability to provide assurance on the reliability of the financial statements.
14. Answer: c) Minor errors in the financial statements
Explanation: While auditors may identify minor errors in the financial statements, they are typically
not considered reportable findings unless they are indicative of a larger issue. The other options are
all examples of findings that auditors would report to management and/or the audit committee.
15. Answer: b) To provide assurance on the reliability of the financial statements
Explanation: An auditor's report is intended to provide assurance to users of the financial
statements that the statements are free from material misstatement and fairly represent the
company's financial position, results of operations, and cash flows. The other options are not
typically within the scope of an auditor's report.
Chapter III
Audit of bank
Introduction
Bank audit
A bank audit is a regular activity that is performed to inspect the financial activities of institutions to make
sure that they are following the rules and regulations as prescribed by the statutes. An accounting expert,
who is also known as a bank auditor, is appointed for the audit of banking companies. Bank audits can be
either internal audits or external audits.
The emphasis on the audit of a banking company is based on compliance. The object of a bank audit is to
find out if the financial activities of the institution are fair, legal, and complete. The main aim of the bank
audit is to conduct an independent inspection of the bank’s performance, controls, and information
systems. Various examinations are carried out on the systems, the findings are generated as well and
auditors suggest some possible reformative actions that the bank should take.
After that, the new auditor will review the initial opening balance, and if he founds any material
misstatement or errors affecting financial statement, he can assert his point of view in his audit
report by way of qualified or adverse report.
Thereafter assessment of engagement risk is done, which is a difficult part of the audit procedure,
and then the engagement team gets established to manage the risks and complexities of bank
operations.
Auditor then tries to understand the working environment and internal controls of the organisation
for deciding the basis of the audit.
Thereafter, banks accounting process, risk management process and risk identification are made
along with control and monetary activities considered by the management.
At last, after reviewing all the relevant elements, an auditor prepares an audit report defining his
opinion regarding the financial condition of the bank as well as if any loopholes found in following
the mentioned regulations under Act.
Advances
Ensure the internal control is in place in relation to advances made.
Cash in hand
Ensure that the internal control is in place.
Visit the bank branch and inspects physical cash and ensure that it will tallies with the banks cash
book balance.
To verity the amount of foreign currency held by bank and its translation at make rate on the date at
which financial statement is prepared.
To examine with reference to schedule of fixed assets to find new assets acquired.
To examine sale deed in relation to sale of assets by bank.
To ensure appropriateness of basis of revaluation of fixed assets.
Ensure compliance of section 9 of banking Regulation Act.
Bills Payable
Unused forms relating to drafts, traveller’s cheques, etc., should be kept under the custody of a
responsible officer.
The bank should have a reliable private code known only to the responsible officers of its branches
coding and decoding of the telegrams should be done only by such officers.
The signatures on a demand draft should be checked by an officer with the specimen signature
book.
treasury departments that manage these operations and provide customized solutions to clients
based on their unique requirements and risk profiles.
Audit report: This report provides an overview of the auditor's findings and conclusions about the
bank's financial statements, internal controls, and compliance with laws and regulations.
Management letter: This report is addressed to the bank's management and highlights areas
where improvements can be made in the bank's operations, internal controls, and risk management
processes.
Regulatory compliance report: This report assesses the bank's compliance with various regulatory
requirements and identifies any areas of non-compliance or weakness in the bank's systems and
controls.
Special investigation report: This report is prepared when auditors identify any irregularities or
fraudulent activities in the bank's operations and provides recommendations for corrective actions.
Internal control report: This report evaluates the effectiveness of the bank's internal control
systems in preventing and detecting errors and irregularities in financial reporting.
These reports are important tools for bank management, regulators, and investors to assess the bank's
financial health and to identify areas where improvements can be made to enhance efficiency, effectiveness,
and compliance with regulations.
Non-performing Assets
A non-performing asset (NPA) is a loan or advance for which the principal or interest payment
remained overdue for a period of 90 days.
In general, loans become NPAs when they are outstanding for 90 days or more, though some
lenders use a shorter window in considering a loan or advance past due.
A loan is classified as a non-performing asset when it is not being repaid by the borrower. It results
in the asset no longer generating income for the lender or bank because the interest is not being
paid by the borrower. In such a case, the loan is considered “in arrears.”
Out of Order
An "out of order" loan is considered a red flag for banks and financial institutions, as it indicates
the borrower's inability or unwillingness to repay the loan.
Banks are required to monitor such loans closely and take corrective action to recover the
outstanding amount.
The Reserve Bank of India (RBI) has set guidelines for the classification and management of NPAs by
banks and financial institutions.
The RBI requires banks to classify loans as NPAs based on the number of days of default and to
make provisions for such loans based on their classification.
In the case of an "out of order" loan, banks are required to classify the loan as an NPA and make
provisions for it accordingly.
Banks may also take legal action to recover the outstanding amount, such as initiating recovery
proceedings, attaching the borrower's assets, or seeking the assistance of debt recovery tribunals.
Asset quality: NPAs reflect the quality of the bank's loan portfolio and can indicate the bank's risk
exposure to credit defaults. As NPAs increase, the quality of the bank's assets decreases, which can
affect the bank's ability to generate income from interest and repayments.
Profitability: NPAs can affect a bank's profitability, as interest income from NPAs is not realized and
provisions made for these loans can impact the bank's net profit. High levels of NPAs can also affect
the bank's ability to lend further and generate new business.
Liquidity: NPAs can affect a bank's liquidity, as they tie up funds that could otherwise be used for
lending or investment purposes. Banks need to make provisions for NPAs and set aside funds to
cover potential losses, which can affect the availability of funds for other purposes.
Capital adequacy: NPAs can affect a bank's capital adequacy, as provisions for these loans can
reduce the bank's capital base. Banks need to maintain a minimum capital adequacy ratio (CAR) to
meet regulatory requirements, and high levels of NPAs can reduce the CAR, leading to potential
regulatory action.
Investor confidence: High levels of NPAs can also affect investor confidence in the bank's ability to
manage risks and generate returns. This can lead to a decrease in the bank's share price, affecting its
ability to raise funds from the capital markets.
Chapter IV
Government Audit
Introduction
Government audit is applicable to Government departments and departmental undertakings. Government
of India maintains a separate department known as Accounts and Audit Department. Comptroller and
Auditor General of India heads this department.
In India the President appoints the Comptroller and Auditor General of India under Article 149 of the
Constitution, which gives the powers and rights and fixes his responsibility for the audit of Government
departments and institutions.
Government audit is divided into several branches like Defense, Railways, Posts and Telegraphs audit. It
works only for government offices and departments. This department cannot undertake audit of non-
government concerns. Its working is strictly according to government rules and regulations.
Need for Preliminary Treasury officer always makes a preliminary Cashier has
Examination of Bills examination of bills be fore making a payment nothing to do with
on government account. audit or
preliminary
examination while
making a payment
of expenditure.
Rules & Regulations Government audit is subjected to the rules and It is not so in the
regulations of the concerned department. case of
commercial audits.
accounts are audited in such a manner as CAG may think fit, and the reports relating to such
accounts shall be submitted to the Governor who shall cause them to be laid before the Council.
Powers of C&AG
General Powers
He can examine any office of accounts under the control of the Union or State Government.
He may require that any accounts, books, papers, and other documents relevant to the transactions
under audit be sent to the specified place.
He can put such questions, as he may contemplate important, to the person in charge.
He can call for such information as he may need for the composing of any account or report.
Right of CAG to conduct the supplementary audit or supplementary the audit report
Within 60 days from the date of receipt of the audit report, CAG shall have the following rights
Supplementary audit
Comptroller and Auditor General may order the conduct of a supplementary audit of the financial
statement of the company
The supplementary audit shall be conducted by such person as Comptroller and Auditor General
may authorise in this behalf
Supplementary /comment
Test audit
CAG may, by an order, cause a test audit to be conducted of the accounts of a Government company.
Duties of CAG
Articles 148, 149, 150 and 151 of the Constitution of India describe the functions and powers of this office.
Article 149: Duties and Powers of the Comptroller and Auditor General: To perform such duties and
exercise such powers in relation to accounts of the Union of India and the states and of any other
bodies or authority, as may be prescribed by any law made by the Parliament.
Article 150: Form of Accounts of the Union of India and the States: To prescribe, with the approval of
the President, the form in which the account of the Union and of the States are to be kept.
Article 151: CAG Reports: To report to the President or to the Governors of the States on the
accounts of the Union or State. The constitution has also provided in Article 279(i) that the CAG has
to ascertain and certify the net proceeds of any tax or duty mentioned in Chapter I of Part XII of the
Constitution. Besides these constitutional provisions and the Duties Powers and Conditions of
Service Act of 1971, is necessary to mention that, before 1976, the CAG had a two-dimensional role,
that accounting and auditing. Due to the separation of accounts and audit in 1976, the CAG’s duty is
the auditing of accounts. Since 1976, accounting is being done by the various departments
themselves with the help of the Indian Civil Accounts Service.
Audit Reports
Reports in relation to the accounts of a Government Company or Corporation are submitted to the
Government by the C&AG under the provisions of Section 19-A, of the Comptroller and Auditor
General’s (Duties, Powers and Conditions of Service) Act, 1971.
The Annual reports on the accounts of the Central Government Companies and Corporations are
issued by the C&AG of India to the Government.
Chapter V
Audit of non-governmental organisation
The non-governmental organization (NGO) is an organization which is established by a group of
people to render service to the nation and people.
NGOs should make an audit of books of accounts every year.
NGOs, in their own interest, should get their accounts audited regularly, even if there is a negligible
transaction, every year and file income tax return.
The audit is done as per the Trust Act, Societies Act, Companies Act or Income Tax Act.
Section 12A (b) of the Income Tax Act has made audit mandatory for an NGO in case the total income of
the NGO exceeds the maximum amount that is not chargeable to Income Tax in any previous year. The
receivables of an organisation are required to be mandatorily audited according to Section 12A (b) of the
Act.
The Auditor has received all the explanations and information which as per his knowledge is
necessary for the purpose of Audit.
The books of accounts have been appropriately maintained as required by the law.
The Balance Sheet and Income & Expenditure account dealt with this report are in agreement with
the books of accounts.
According to his opinion and the best of his information, the accounts give a true and fair view:
(a) In the case of the Balance Sheet, the state of affairs of the particular NGO as of 31st March of
the particular year.
(b) In the case of Income & Expenditure Account, the surplus amount for the year ended on that
date.
(c) For receipts and payments account, payments of the society during the year ending date.
Verification of assets
Verification of Liabilities
Verification of income and
Verification of expenditure
Verification of assets
Understanding of Accounting Policies: The auditor should obtain an understanding of the
company's accounting policies related to assets, including the recognition, measurement, and
disclosure requirements. This helps to identify potential areas of risk and determine the scope of the
audit procedures.
Internal Controls: The auditor should assess the internal controls in place to safeguard the
company's assets. This involves evaluating the design and implementation of controls, and testing
their effectiveness. The objective is to ensure that the assets are properly accounted for and
adequately protected against theft, damage, or loss.
Verification of Property, Plant, and Equipment (PPE): The auditor should verify the existence,
ownership, and valuation of all PPE. This involves examining supporting documentation such as title
deeds, purchase agreements, and invoices, and performing physical inspections of the assets. The
auditor should also review depreciation schedules to ensure that the assets are being depreciated
correctly.
Verification of Investments: The auditor should verify the existence, ownership, and valuation of all
investments. This involves examining supporting documentation such as purchase agreements and
statements from brokers. The auditor should also review the financial statements of the investee
companies to ensure that they are being properly accounted for.
Verification of Inventory: The auditor should verify the existence and accuracy of the valuation of
inventory. This involves performing physical counts of inventory items and comparing them to the
inventory records. The auditor should also test the accuracy of any cost or valuation methods used
to determine the value of the inventory.
Other Asset Verification: The auditor should also verify the existence, ownership, and valuation of
other assets, such as intangible assets, prepaid expenses, and deferred charges. This involves
examining supporting documentation and performing any necessary tests to ensure that these
assets are properly accounted for in the financial statements.
Verification of Liabilities
Understanding of Accounting Policies: The auditor should obtain an understanding of the
company's accounting policies related to liabilities, including the recognition, measurement, and
disclosure requirements. This helps to identify potential areas of risk and determine the scope of the
audit procedures.
Internal Controls: The auditor should assess the internal controls in place to ensure that liabilities
are properly recorded and disclosed in the financial statements. This involves evaluating the design
and implementation of controls, and testing their effectiveness.
Verification of Accounts Payable: The auditor should verify the existence and accuracy of accounts
payable balances. This involves examining supporting documentation such as invoices, purchase
orders, and vendor statements, and confirming that the amounts owed are accurately recorded in
the financial statements.
Verification of Loans and Borrowings: The auditor should verify the existence and accuracy of
loans and borrowings. This involves examining loan agreements, bank statements, and other
documentation, and confirming that the amounts owed are accurately recorded in the financial
statements. The auditor should also review the terms and conditions of the loans and borrowings to
ensure that they are properly disclosed in the financial statements.
Verification of Other Liabilities: The auditor should also verify the existence, accuracy, and
disclosure of other liabilities, such as accrued expenses, deferred revenue, and warranty obligations.
This involves examining supporting documentation and performing any necessary tests to ensure
that these liabilities are properly accounted for in the financial statements.
Contingent Liabilities: The auditor should also evaluate any contingent liabilities, such as lawsuits
or insurance claims, and determine whether they should be disclosed in the financial statements.
This involves obtaining and reviewing documentation related to the contingent liabilities, and
assessing the likelihood and potential magnitude of any losses
Check agreements with donors and grants letters to ensure that funds received have been
accounted for.
Check that all foreign contribution receipts are deposited in the foreign contribution bank account
as notified under the Foreign Contribution (Regulation) Act, 1976.
Verification of expenditure
Programme and Project Expenses: Verify agreement with donor/contributor (s) supporting the
particular programme or project to ascertain the conditions with respect to undertaking the
programme/project and accordingly, in the case of programmes/projects involving contracts, ensure
that income tax is deducted, deposited and returns filed and verify the terms of the contract.
Establishment Expenses: Verify that provident fund, life insurance and their administrative charges
are deducted, contributed and deposited within the prescribed time. Also check other office and
administrative expenses such as postage, stationery, travelling, etc.”
Chapter VI
Audit of charitable hostel
The charitable institution may be private, public, or both of private and public or society.
In India, there are many charitable institutions providing services to needy people without any
discrimination, the company’s or firms donate a large amount of money to these charitable
institutions.
To ensure whether the money is used incorrect purpose, the conduction of the audit program in
these institutions is important.
When conducting the audit of charitable institutions the following points should be taken care of
The auditor must study about the legal status of Charitable Institutions and gather complete
information about the constitution of Institution.
The auditor must be aware of the laws of the state, Central government and other laws if any
applicable to the Charitable Institutions.
The auditor should prepare all the documents, records before conducting an audit.
To make the correct decision, the auditor should study the Minutes Book of Government rules and
regulations.
Event Organization: The Charitable institutions organize events to get the donation, the auditor should
check the vouches of receipts and cheques given to the institution during events or for organizing events.
Chapter VI
Audit of educational institute
A large number of educational institutions are registered under the India Society Registration Act, 1860. The
purpose behind the formation of educational institutions is to spread education and not just earn profits.
The following table lists out the sources for collection of amount and also the different types of expenses
incurred by the educational institutions −
Examination expenses
Stationery & printing expenses
Distribution of scholarships and stipends
Purchase and repair of furniture & fixture
Prizes
Expenses on sports and games
Festival and function expenses
Library books
Newspaper and magazines
Medical expenses
Audit fees and audit expenses
Electricity expenses
Telephone expenses
Laboratory running & maintenance
Laboratory equipment
Building Repair & maintenance
Internal Controls: The auditor would assess the institution's internal controls, including its policies
and procedures for financial reporting, compliance, and safeguarding of assets. This would involve
identifying potential areas of risk, such as fraud or misappropriation of assets, and determining the
effectiveness of the institution's internal controls in mitigating these risks.
Regulatory Compliance: The auditor would assess the institution's compliance with applicable laws
and regulations, such as tax laws, student loan regulations, and grant requirements.
Information Technology: The auditor would assess the institution's information technology
systems and controls, including its network security, data backup and recovery, and system access
controls.
Communication with Management: The auditor would meet with the educational institution's
management to gain an understanding of their roles and responsibilities, and to discuss any
concerns or issues related to the audit.
Whether internal control and internal check system is working, if yes, how effectively.
Is there is any system to physically verify the fixed assets, stores and consumables at regular interval.
An Auditor should verify the control system concerning proper authorization, obtaining quotations,
proper maintenance of accounts and record regarding purchase of fixed assets, purchase of
material, investment, etc.
Whether bank reconciliation statement is prepared at regular intervals and what kind of action is
taken for uncleared cheque which were pending since long.
Whether waiver of fees is properly sanctioned by appropriate authorities.
The person who is collecting fees and the cashier should not be the same person.
Class wise fees receivable and the actual fees received reconcile or not.
Whether collected fees is deposited in bank on a daily basis.
Fees collection register should be maintained on a daily basis.
Whether approved list of supplier of sports material, stationery, lab items are readily available.
Whether control system for payment is adequate or not.
The system of letting out conference hall and class rooms, etc. for seminars and conventions.
Whether fees structure is properly authorized along with change in fee structure if any.
Travel and Entertainment Expenses: The auditor would verify the accuracy and completeness of
the institute's travel and entertainment expenses. This would involve examining supporting
documentation, such as travel receipts and entertainment invoices, and ensuring that these
expenses are properly authorized and supported by appropriate documentation.
Capital Expenditures: The auditor would verify the accuracy and completeness of the institute's
capital expenditures, including land, buildings, furniture, and equipment. This would involve
examining supporting documentation such as purchase orders, invoices, and maintenance records.
Other Expenses: The auditor would also verify the accuracy and completeness of any other
expenses incurred by the educational institution, such as insurance, rent, utilities, and maintenance
expenses. This would involve examining supporting documentation and ensuring that these
expenses are properly authorized and supported by appropriate documentation.
Chapter VIII
Audit of insurance companies
Indian Insurance Company
The Companies Act, 2013 requires the registration of an Indian insurance company. A foreign company’s
overall holdings of equity shares, whether held directly or through subsidiary companies or nominees, shall
not exceed 26% of the insurance company’s paid-up equity capital. The major purpose of an Indian
Insurance Company is to do life insurance, general insurance, or reinsurance operations.
While conducting insurance audits, insurance auditors must evaluate policy and liability processes, tax
papers, risk appraisal, and other financial records of insurance. This is done to guarantee that suitable
insurance rates and premiums are imposed and that insurance businesses adhere to regulatory
requirements. Claims and commissions are two of the most important areas to verify during insurance
audits. Additionally, insurance auditors must maintain quality control between insurance companies and
policyholders.
An insurance company’s central and branch auditors are chosen at the annual general meeting of the
business, with the consent of the C & AG needed before the appointment is made. The Insurance Act of
1938 and the Companies Act, 2013 have recently been amended, and the Insurance Regulatory and
Development Authority of India (IRDAI) has released updated recommendations requiring insurers to
adhere to the Companies Act, 2013 provisions regarding the appointment of auditors. In addition, insurers
must follow the rules outlined in these recommendations. The Board will designate the statutory auditors by
the Audit Committee’s proposal, subject to the approval of the shareholders at the annual meeting of an
Indian insurance company.
The statutory auditors to whom they are required to submit their report have the same rights and duties as
the branch auditors authorized to undertake the audit of the divisions. However, the branch auditors at the
divisional level attested that the financial statements of the branches within the divisions were properly
included in the division’s trial balance.
An insurer cannot remove its statutory auditor without the Authority’s prior consent. More than three
insurers (life, nonlife, health, and reinsurer) cannot have their audits accepted by the same auditing
company at once. If it is discovered that the insurers’ appointment of auditors does not follow the rules, the
appointment may be canceled.
Balance Sheet
Profit and Loss Account
Different Receipts Account
Payments and Income Account
All of this must be done following IRDA rules at the end of each financial year.
An insurance audit is an independent audit of accounting records that reflects the expert’s opinion on its
accuracy.
Audit Testing
The auditor will spend time in the field of financial data testing to ensure the accuracy and completeness of
the financial statements. For example, this could include a CPA who collects a random sample of fifty
disbursements and then checks them to make sure checks are paid to the right seller and that they are
recorded at the right price. The main types of tests are:
Controlling Test: Related to the audit procedures performed based on the automated procedures and
hands that contribute to the completeness and accuracy of the financial statements. An example of such a
control is the monthly reconciliation of bank accounts. The auditor may inspect this control by examining a
reconciliation sample. The Auditor-General will assess the effectiveness of these controls and their ability to
prevent and reduce the risk of fraud.
Substantive Test: In addition to testing controls, the auditor will perform other procedures to gather valid
audit evidence. This may include inspecting or auditing assets, obtaining certificates from third parties that
conduct business with the company, or evaluating aspects of the financial statements and comparing them
with relevant external information.
Premium Verification: In a separate bank account, premium collections are credited. No withdrawals are
usually allowed on that account for general expenses.
As stated in the insurance company policy, the collection is forwarded to the Regional Office or
Head Office.
In terms of Section 64VB of the Insurance Act, 1938, the insurer will not take the risk without
receiving a premium.
The auditor needs to confirm the premium because the insurance premium is collected when the
policies are issued.
It is a consideration to bear the risk of the insurance company.
Claims Verification: The auditor of each division or branch should have access to information for all
categories of business. The Auditor-General shall determine the total number of documents to be
inspected, giving due consideration to high-value claims.
The claim account is deducted from all payments including repair costs, survey fees, photographic costs,
etc. The Auditor-General will:
The commission is paid to the agents of the purchased business and is deducted from the commission in
the Direct Business Account. Insurance agents usually ask for an insurance business. The Auditor-General
will verify:
Vouchers’ entries in respect of payment vouchers and copies of commission bills and statements.
Check that vouchers are authorized by law enforcement officers and that income tax is deducted at
the point of origin.
Check the amount of commission allowed.
Check commission calculation time.
Operating Cost verification: The auditor must assess the following operating costs:
Cost over Rs. 5 lakhs or 1% of the total amount payable, depending on the maximum. This should be shown
separately.
Costs that are not directly related to the insurance business should be shown separately, for example, costs
incurred by the investment department or bank charges, etc.
Chapter IX
Audit of trust
Trusts are formed under the Indian Trusts Act for charitable and religious purposes. Trustee is a person who
manages trust property and executes the business of the trust. His duty is to work for the benefit of
beneficiary and distribute income of the trust to the beneficiaries. The operations of trusts are governed by
a Trust Deed. Very commonly it is found that beneficiaries are being defrauded by the trustee. Hence audit
of trust accounts helps to protect the beneficiaries against unscrupulous trustees. The provisions of the
Public Trust Act and Trust Deed provide that accounts of trusts should be audited by a qualified auditor.
It is the duty of the auditor to verify the transactions and books of accounts of trusts and certify the
truthness and fairness of the working of the trusts. When trusts are audited by a qualified auditor, it will
help both the trustees as well as the beneficiaries. Trustees will be benefited because there will be no
unnecessary criticisms against them. The beneficiaries will also be benefited because they will be assured
that the accounts have been properly maintained and that there has been no misappropriation of trust
money or fraud.
Scope of audit
Areas to be covered in the scope of the audit shall be approved by the board of directors using an analysis
of the risks associated with fiduciary products and services provided by each individual financial institution.
Such analysis should consider the effectivene ss of management, policies, procedures, information systems,
controls, and other relevant factors.
Audit report
The audit report shall be communicated to the board of directors.
Indicate the results of the audit procedures performed with any exceptions noted; and
Report on department internal control weaknesses identified, as the tests and procedures of the
audit are completed.
External and internal auditors shall retain a documented record of their work to substantiate procedures
followed, tests performed, information obtained, and conclusions reached in the audit report.
Procedure
The following items provide a list of audit procedures to be considered in determining the scope of the
audit to be performed. The uniqueness of each trust department or company should be taken into
consideration when determining whether procedures should be performed. It is not contemplated that the
audit procedures described below will be applied to all accounts or transactions, but rather to selected
accounts and transactions on a test basis. Items marked with an (*) asterisk indicate those functions to be
performed on a quarterly basis when the audit is completed internally. All other functions may be
performed annually.
Test proceeds or payment from sales and purchases of assets to brokers' invoices, purchasers'
receipts, or other evidence of sale and purchase prices.
Test accuracy of amounts and receipt of income from investments.*
Test payments for services, such as brokerage fees, real estate management fees, maintenance
charges, and other similar disbursements to source documents.
Test to determine that securities transactions are completed in a timely manner and that written
trade security confirmations or broker advices are received.*
Operational Compliance
Test that cash receipts are promptly invested or distributed in compliance with the governing
document and applicable law.
Test to determine that real estate is insured, is subject to periodic appraisals and inspections that are
documented, that property taxes are paid and that real estate loan documentation is sufficient.
Test account transactions for accuracy to source documents.*
Inquire and observe whether dual control over fiduciary assets and accounts is exercised.*
Review closed accounts to ascertain that documentation such as discharges, releases, receipts and
accountings are obtained.
Administrative Compliance
Test to determine that original or certified copies of the governing instrument are on file.
Determine that a procedure is in place to create synoptic and account records, and test that such
records are maintained and updated periodically.*
Determine the existence of an annual audit of any bank or trust company collective investment fund,
if applicable.
Test that tax returns are prepared and filed by the appropriate filing dates.
Review the department's or company's policies for avoiding and clearing, overdrafts and test
selected transactions for compliance therewith.*
Chapter X
Forensic audit & accounting
Forensic Accounting and Audit
Forensic accounting and audit are specialized fields that involve the application of accounting,
auditing, and investigative skills to legal matters.
The term "forensic" means "related to or used in courts of law," and therefore, forensic accounting
and audit deal with the examination of financial information to detect and prevent fraud, identify
financial misconduct, and provide evidence for legal proceedings.
Forensic accountants and auditors are trained to investigate and analyze financial transactions and
records in order to uncover any irregularities, inconsistencies, or discrepancies.
They may be called upon to assist in a variety of legal matters, such as litigation, disputes,
investigations, or regulatory compliance.
Their work may involve interviewing witnesses, analyzing financial statements and documents,
reviewing contracts and agreements, and providing expert testimony in court.
Forensic accounting and audit are important tools in the fight against financial crimes and
misconduct.
They can help organizations detect and prevent fraudulent activities, protect their assets, and
maintain financial integrity.
Forensic accounting and audit also play a critical role in ensuring that justice is served in legal
proceedings by providing accurate and reliable financial evidence.
Forensic accounting is the process of using accounting, auditing, and investigative skills to detect, analyze,
and prevent financial fraud. This includes identifying fraudulent transactions, tracing funds, and analyzing
financial statements to determine if there has been any fraudulent activity. Forensic accountants may be
called upon to provide expert testimony in court cases, and they often work closely with law enforcement
and legal professionals.
Auditing, on the other hand, is a systematic process of examining financial statements and records to
determine their accuracy, completeness, and compliance with relevant laws and regulations. Auditors are
responsible for evaluating the internal controls of an organization and ensuring that financial statements
are free from material misstatements.
In a forensic accounting and auditing framework, the two fields work together to investigate financial fraud
and misconduct. The framework typically involves the following steps:
Identify the fraud or misconduct: This involves gathering information about the suspected fraud,
including the nature of the fraud, the individuals involved, and the amount of money involved.
Preserve evidence: It is important to preserve all relevant evidence to support the investigation,
including financial records, documents, and electronic data.
Analyze financial data: Forensic accountants and auditors will analyze financial data to identify
patterns or irregularities that may indicate fraud or misconduct.
Investigate: The investigation may involve interviewing witnesses, reviewing contracts, and
conducting background checks on individuals involved.
Report findings: Once the investigation is complete, the forensic accounting and auditing team will
provide a report outlining their findings and recommendations.
Testify: If the case goes to court, forensic accountants may be called upon to provide expert
testimony and explain their findings to the judge and jury.
Interviewing in detail
Interviewing is an integral part of generating valuable information from an unwilling person. This step aids
in gaining a complete understanding of the situation. To conduct an effective interview, one must
determine the gravity of the situation and prepare questions accordingly. The discussion should consider
every detail and consider the overall picture to determine the scope of the illegal activity and the
perpetrators.
Performing surveillance
One of the conventional methods of uncovering fraud involves conducting physical or electronic checks.
One way of doing this is to monitor all official emails and messages.
Working undercover
A measure of this magnitude should be employed only when all other options are exhausted. Professionals
should investigate since they know how and where to conduct it. Even minor mistakes may alert the
offender that something is amiss and may disappear.
Economic conditions are becoming increasingly severe today, and each country’s government is enforcing
stricter laws to govern its businesses. As businesses’ sophistication increases, so do fraud. Consequently, it
has led to heightened sensitivity to fraud, resulting in a massive demand for forensic accounting services by
all businesses.
As a result, it can be understood that forensic auditing is a task best left to professional auditors who can
offer you solutions to business problems that are tailored to your requirements.
Chapter XI
Audit of charitable institution
Audit of Charitable Institutions
An auditor may evaluate the internal control system in general, to ensure that the procedure is reliable. He
may study the nature of the constitution of the charitable institution, which may be a society, private or
public trust or a company limited by guarantee. He should ensure that the institution complies with all the
requirements of law under which it is set up. He should also verify the effectiveness of the internal checks
relating to receipts and payments and ensure that the amounts received are duly deposited into the bank.
The following are the various receipts that a charitable institution may receive:
An insurance is a legal agreement between an insurer (insurance company) and an insured (individual), in
which an insured receives financial protection from an insurer for the losses he may suffer under specific
circumstances.
Under an insurance policy, the insured needs to pay regular amount of premiums to the insurer. The insurer
pays a predetermined sum assured to the insured if an unfortunate event occurs, such as death of the life
insured, or damage to the insured or his property.
For example, you met with an accident on your way to the office in your car and the car suffers damage.
Your insurer can reimburse the repair expenses in this case. However, the insurer will not reimburse normal
wear and tear like a headlamp stopped working.
Legally insurance has been defined as a contract where the insurer agrees to compensate the insured
against the losses incurred due to any unforeseen contingency. The contract also involves a consideration
which is called a premium. The maximum available benefit amount is called sum assured or sum insured.
According to George E. Rejda, "Insurance is the pooling of fortuitous losses by transfer of such
risks to insurers, who agree to indemnify insureds for such losses, to provide other pecuniary
benefits on their occurrence, or to render services connected with the risk."
William F. Bluhm defines insurance as "a social device providing financial compensation for the
effects of misfortunes, the payment being made from the accumulated contributions of all
parties participating in the scheme."
In the words of Robert E. Hoyt and David B. Smith, "Insurance is the promise of compensation
for specific potential future losses in exchange for a periodic payment. Insurance is designed to
protect the financial well-being of an individual, company or other entity in the case of
unexpected loss."
According to Kenneth Black Jr. and Harold D. Skipper Jr., "Insurance is a mechanism for
transferring the financial consequences of risks from an individual or entity to a larger group or
entity in order to reduce the impact of the potential loss."
In the words of Michael A. Smith and John E. Trenerry, "Insurance is a risk management tool
that involves the transfer of financial risk from an individual or entity to an insurance company in
exchange for the payment of a premium."
Evolution of Insurance
The first known insurance company in India was the Oriental Life Insurance Company, founded in
1818 in Kolkata by British traders.
In 1870, the first Indian life insurance company, Bombay Mutual Life Assurance Society, was
established in Mumbai.
The Indian Mercantile Insurance Ltd. was the first Indian general insurance company, founded in
1907 in Chennai.
The Insurance Act of 1912 laid the foundation for the regulation of insurance companies in India.
In 1956, the government of India nationalized the life insurance sector, creating the Life Insurance
Corporation (LIC) of India, which absorbed all existing life insurance companies in the country.
In 1972, the general insurance sector was also nationalized, leading to the creation of four public
sector general insurance companies: National Insurance Company, New India Assurance Company,
Oriental Insurance Company, and United India Insurance Company.
In 1999, the Insurance Regulatory and Development Authority (IRDA) was established as the
regulatory body for the insurance sector in India.
In 2000, the government of India allowed private sector companies to enter the insurance market,
leading to the entry of several private players in both the life and general insurance sectors.
Today, the insurance industry in India is a thriving sector, with a mix of public and private companies
offering a wide range of insurance products and services to individuals and businesses.
Life Insurance
1818: The Oriental Life Insurance Company, the first life insurance company in India, was established
in Kolkata by British traders.
1870: The Bombay Mutual Life Assurance Society, the first Indian life insurance company, was
established in Mumbai.
1912: The Insurance Act of 1912 was passed, laying the foundation for the regulation of insurance
companies in India.
1938: The Insurance Act of 1938 was passed, which introduced comprehensive regulation of the
insurance industry, including licensing and solvency requirements for insurance companies.
1956: The government of India nationalized the life insurance sector and established the Life
Insurance Corporation (LIC) of India, which absorbed all existing life insurance companies in the
country. The LIC Act was passed to govern the operations of the LIC.
1991: The government of India initiated economic reforms, liberalizing the economy and allowing
for private sector participation in various industries, including insurance.
1999: The Insurance Regulatory and Development Authority (IRDA) was established as the
regulatory body for the insurance sector in India.
2000: The Insurance Regulatory and Development Authority Act of 2000 was passed, strengthening
the regulatory framework for the insurance industry and allowing private sector companies to enter
the market.
2015: The Insurance Laws (Amendment) Act of 2015 was passed, increasing the foreign direct
investment limit in insurance companies from 26% to 49%, and introducing other reforms to
enhance the regulatory framework and improve consumer protection.
General Insurance
1907: The Indian Mercantile Insurance Ltd. was the first Indian general insurance company, founded
in Chennai.
1956: The general insurance sector was nationalized by the government of India, leading to the
creation of four public sector general insurance companies: National Insurance Company, New India
Assurance Company, Oriental Insurance Company, and United India Insurance Company.
1972: The General Insurance Business (Nationalization) Act of 1972 was passed, which vested the
ownership and control of the four public sector general insurance companies in the government of
India. The act also allowed for the creation of the General Insurance Corporation of India (GIC),
which acted as the holding company for the four companies.
1991: The government of India initiated economic reforms, liberalizing the economy and allowing
for private sector participation in various industries, including insurance.
1999: The Insurance Regulatory and Development Authority (IRDA) was established as the
regulatory body for the insurance sector in India, covering both life and general insurance.
2000: The Insurance Regulatory and Development Authority Act of 2000 was passed, strengthening
the regulatory framework for the insurance industry and allowing private sector companies to enter
the market.
2015: The Insurance Laws (Amendment) Act of 2015 was passed, increasing the foreign direct
investment limit in insurance companies from 26% to 49%, and introducing other reforms to
enhance the regulatory framework and improve consumer protection.
2017: The government of India merged the National Insurance Company, United India Insurance
Company, and Oriental Insurance Company into a single entity called the National Insurance
Company Limited (NICL), and the New India Assurance Company and GIC Re into a single entity
called the New India Assurance Company Limited (NIACL).
Insurance works by pooling together the risks of many individuals or organizations and charging premiums
to cover the potential losses. In the event of a covered loss, the insurance company pays out a claim to the
policyholder to help mitigate the financial impact of the loss.
For example, a homeowner may purchase home insurance to protect against the risk of damage to their
property from fire, theft, or other perils. By paying a premium, the homeowner transfers the risk of a
potential loss to the insurance company. If a covered event occurs, such as a fire damaging the home, the
insurance company will pay out a claim to help cover the costs of repairing or rebuilding the damaged
property.
Insurance can also help businesses manage their risks, by providing coverage for property damage, liability
claims, and other potential losses. In some cases, insurance may even be required by law, such as in the
case of auto insurance for drivers.
External and internal risks can have a significant impact on insurance firms, potentially leading to financial
losses, reputational damage, or other negative consequences. Here are some examples of external and
internal risks that may affect insurance firms:
External Risks
Catastrophic events: Natural disasters such as hurricanes, earthquakes, and floods can lead to
significant insurance claims payouts, which may exceed the firm's capacity to pay and impact its
financial stability.
Changes in regulatory environment: Changes in government regulations or legal requirements
can increase compliance costs or limit the firm's ability to offer certain types of insurance products.
Competitive pressure: New competitors entering the market or existing competitors offering more
attractive products or pricing can impact the firm's market share and profitability.
Economic conditions: Economic downturns, recessions, or fluctuations in interest rates or currency
exchange rates can affect the firm's investment portfolio and profitability.
Cybersecurity threats: Cyberattacks, data breaches, or other cybersecurity threats can compromise
the confidentiality or integrity of the firm's data, leading to reputational damage or financial losses.
Internal Risks
Fraud and embezzlement: Employees or agents committing fraud, embezzlement, or other illegal
activities can result in financial losses or reputational damage for the firm.
Inadequate underwriting: Poor underwriting practices, such as failure to properly assess risk, can
lead to high claims payouts or underpricing of insurance products, impacting the firm's financial
stability.
Poor investment decisions: Poor investment decisions or lack of diversification in the investment
portfolio can expose the firm to financial risks or losses.
Inefficient operations: Inefficient or outdated processes, systems, or technology can impact the
firm's ability to deliver products or services efficiently, leading to higher costs or loss of customers.
Talent management: Failure to attract or retain talented employees or agents can impact the firm's
ability to innovate, deliver quality services, or compete effectively in the market.
Insurance terminologies
Policyholder
The policyholder is the one who proposes the purchase of the life insurance policy and pays the premium.
The policyholder is the owner of the policy and s/he may or may not be the life assured
Life assured
Life assured is the insured person. Life assured is the one for whom the life insurance plan is
purchased to cover the risk of untimely death. Primarily, the breadwinner of the family is the life
assured.
Life assured may or may not be the policyholder. For instance, a husband buys a life insurance plan
for his wife. As the wife is a homemaker, husband pays the premium, thus the husband is the
policyholder, and wife is the life assured.
Nominee
The ‘nominee’ is the person (legal heir) nominated by the policyholder to whom the sum assured and other
benefits will be paid by the life insurance company in case of an unfortunate eventuality. The nominee
could be the wife, child, parents, etc. of the policyholder. The nominee needs to claim life insurance, if the
life assured dies during the policy tenure.
Policy tenure
The ‘policy tenure’ is the duration for which the policy provides life insurance coverage. The policy
tenure can be any period ranging from 1 year to 100 years or whole life, depending on the types of
life insurance plan and its terms and conditions. Many a times, it is also referred to as policy term or
policy duration.
The policy tenure decides for how long the company is providing the risk coverage. However, in the
case of whole life insurance plans, the life coverage is till the time life assured is alive.
Maturity age
Maturity age is the age of the life assured at which the policy ends or terminates. This is similar to policy
tenure, but a different way to say how long the plan will be in force. Basically, the life insurance company
declares up front the maximum age till which the life insurance coverage will be provided to the life insured.
For instance, you are 30 years old, you opt for a term plan with a maturity age of 65 years. That means the
policy will have a coverage till you are 65 years old, which also means, the maximum policy tenure for a 30-
year-old is 35 years.
Premium
The premium is the amount you pay to keep the life insurance plan active and enjoy continued
coverage. If you are unable to pay the premium before the payment due date and even during the
grace period, the policy terminates.
There are various options on how you can pay the premium – regular payment, limited payment
term, single payment.
Riders
Riders are an additional paid-up feature to widen up the scope of the base life insurance policy.
Riders are bought at the time of purchase or on policy anniversary. There are different types of
riders that can be bought along with the base plan. However, number and type of riders will differ
from insurer to insurer.
Plus, the terms and conditions may differ from one insurance to another. However, here’s the list of
some well-known riders offered by life insurance companies.
Accidental Death Benefit Rider
Accidental Total and Permanent Disability Benefit Rider
Critical illness Cover
Hospital Cash
Waiver of Premiums
For more in-depth guide read – life insurance riders and how to choose one.
Death Benefit
You will come across ‘Death Benefit’ quite frequently whenever you are either planning to buy a life
insurance plan or comparing different insurance plans online.
The ‘Death Benefit’ is what life insurance company pays to the nominee in case the life assured dies
during the policy tenure. If you are thinking whether the sum assured and death benefit are one and
the same, then do not be confused. Because the death benefit can be sum assured or even higher
than that, which may include rider benefit (if any), and/or other benefits. Except in the case of term
insurance – where there is no accrued bonus or guaranteed additions.
Survival/Maturity Benefit
Maturity benefit is the amount that the life insurance company pays when the life assured outlives
the policy tenure. Survival benefit is paid when the life assured completes the pre-defined number
of years under the policy.
There is no survival or maturity benefit in term plans. However, in other life insurance policies you
may find survival benefit or the maturity benefit paid under the plan.
Free-look Period
It is applicable to all new life insurance policies purchased. Free-look period is a time frame during
which one may choose to return the purchased policy.
If you are not comfortable with the terms and conditions, you can return the policy within the Free-
look period. The insurance company after deducting the expenses incurred on medical examination,
stamp duty charges and other charges will refund the remaining premium. IRDA specifies free-look
period in life insurance is 15 or 30 days after receiving the policy document.
Grace Period
If you couldn’t pay the renewal premium for your policy on time, life insurance company gives you
an extension in the number of days after the premium payment due date. A ‘Grace Period’ can be
period of 15 days in case of monthly premium payment mode, and 30 days in case of annual
premium payment mode.
If the policyholder does not pay the premiums even before the end of grace period, the policy gets
lapsed.
Surrender Value
If the policyholder decides to discontinue the plan before the maturity age, the life insurance
company pays an amount to the policyholder, this is called Surrender Value.
But you must clearly read the terms and conditions whether a plan offers any surrender value or not.
And if there is a surrender value, how much it will be. Not all life insurance plans have surrender
value.
Paid-up Value
In case the policyholder discontinues to pay the premium after a specified period of time, Insurance
companies will offer the policyholder an option to convert his policy into a reduced paid-up policy. Under
this option the sum insured is reduced in proportion to the number of premiums paid. If other benefits
related to the sum insured are payable, these benefits will now be related to the reduced sum insured,
which is the paid-up value.
Revival Period
If the policyholder does not pay the premium even during the grace period, the policy lapses.
However, if the policyholder still wants to continue, the insurance company provides an option of
re-activating the lapsed policy. This must be done within a specific period of time after the grace
period ends. This specified period is known as a revival period. To reinstate the lapsed policy, the life
insurance company will put forward the request to the team of Underwriters for approval.
Underwriters
Underwriters evaluate the risk involved in insurance. The process of risk evaluation starts before the
issuance of insurance policy, and ends with settlement of the claim
Only with the approval of Underwriters, policy is issued to the policyholder. And only after clearance
from the Underwriter, the company pays the claim benefit to the nominee.
Tax benefits
All the premiums paid towards the life insurance plan are eligible for deductions under Section 80
(C) of Income Tax Act, 1961. The maximum amount that one can claim as deductible is Rs.1.5 lakh.
The benefits paid to the policyholder/nominee are tax-free under Section 10 (10D) of Income Tax
Act, 1961.
Exclusions
Before you buy any life insurance, read ‘Exclusions’ carefully. These are things that are not covered
under a life insurance policy, and against which if claimed, insurance company wouldn’t pay any
benefit.
For instance, Suicide, is an exclusion in any life insurance plan.
Claim Process
In case, the life assured passes away during the policy tenure, the nominee needs to lodge a claim to
receive the death benefit as mentioned in the policy.
Insurance intermediaries
Insurance intermediaries facilitate the placement and purchase of insurance, and provide services to
insurance companies and consumers that complement the insurance placement process.
Traditionally, insurance intermediaries have been categorized as either insurance agents or insurance
brokers. The distinction between the two relates to the manner in which they function in the marketplace.
Role
As players with both broad knowledge of the insurance marketplace, including products, prices and
providers, and an acute sense of the needs of insurance purchasers, intermediaries have a unique role –
indeed many roles – to play in the insurance markets in particular and, more generally, in the functioning of
national and international economies.
Intermediary activity benefits the overall economy at both the national and international levels: The role of
insurance in the overall health of the economy is well-understood.
Types
Insurance intermediaries can be classified into two main categories: insurance agents and insurance brokers.
Insurance agents are individuals or entities that are appointed by an insurance company to sell and service
insurance policies. They are typically paid on a commission basis, and their main role is to act on behalf of
the insurer.
Insurance brokers, on the other hand, are independent intermediaries who work for the policyholder. They
provide advice and consultation to help the policyholder choose the right insurance policy, and they
negotiate with insurance companies to get the best terms and prices for the policyholder. Insurance brokers
are paid on a commission basis, and they have a fiduciary duty to act in the best interests of their clients.
Insurance contract
Many uncertain events can occur in a person’s life causing damage to his life and property. This incites a
need to protect oneself from the losses incurred from such events. This is what the concept of insurance is
based on.
Section 2(8) of the Insurance Act, 1938, defines an “Insurance Company’ as any company, association or
partnership that can be wound up under the Companies Act, 1956, or the Indian Partnership Act, 1932.
Section 2(9) of the Act defines an ‘insurer’ as any individual, body of individuals or any corporated body that
carries on an insurance business.
A proposal, cover note, and policy are all important documents used in the insurance industry.
A proposal is a detailed document that outlines the terms and conditions of an insurance policy. It provides
information on the type of coverage being offered, the premium amount, and any exclusions or limitations.
A proposal is typically presented to a prospective client as a way to outline the terms of the insurance
coverage being offered and to provide a basis for negotiation.
A cover note is a document that accompanies a proposal and provides a brief summary of its main points.
It serves as an introduction to the proposal and helps to set the tone for the rest of the document. The
cover note should be concise and persuasive, highlighting the key benefits of the proposal and encouraging
the recipient to read on.
Once a proposal and cover note have been accepted by the recipient, a policy can be issued. An insurance
policy is a formal agreement between the insurer and the insured, outlining the terms and conditions of the
insurance coverage being provided. The policy will typically include the following information:
The name and contact information of the insurance company and the insured.
The type of insurance coverage being provided, including any exclusions or limitations.
The premium amount and payment terms.
The policy period, or the length of time the policy will be in effect.
The deductible amount, or the amount that the insured must pay out of pocket before the insurance
coverage kicks in.
Proposal form: This is the document that the insured fills out when applying for insurance. It
includes personal and financial information that helps the insurer determine the appropriate
premium amount and coverage.
Premium: This is the amount paid by the insured to the insurer in exchange for the coverage
provided. The premium amount is determined based on factors such as the insured's age, health,
and lifestyle habits.
Policy document: This is the formal agreement between the insurer and the insured, outlining the
terms and conditions of the insurance coverage being provided.
Insured value: This is the amount that the insurer will pay out in the event of a covered loss or
damage. The insured value is typically based on the current market value of the insured item or the
cost of replacing it.
Exclusions and limitations: These are specific conditions or circumstances that are not covered by
the insurance policy. For example, a health insurance policy may not cover pre-existing medical
conditions.
Renewal terms: This outlines the process for renewing the insurance policy, including any changes
to the premium amount or coverage.
Claims process: This outlines the steps that the insured must follow in order to file a claim in the
event of a covered loss or damage.
The insurance contract involves—(A) the elements of the general contract, and (B) the element of special
contract relating to insurance.
Insurable Interest.
Utmost Good Faith.
Indemnity.
Subrogation.
Warranties.
Proximate Cause.
Assignment and Nomination.
Return of Premium.
Insurable Interest
For an insurance contract to be valid, the insured must possess an insurable interest in the subject matter of
insurance.
The insurable interest is the pecuniary interest whereby the policy-holder is benefited by the existence of
the subject-matter and is prejudiced death or damage of the subject- matter. The essentials of a valid
insurable interest are the following:
Insurable interest is essentially a pecuniary interest, i.e., the loss caused by fire happening of the insured risk
must be capable of financial valuation.
No emotional or sentimental loss, as an expectation or anxiety, would be the ground of the insurable
interest. The event insured should be one that if it happens, the party suffers financially and if it does not
happen, the party is benefited by the existence.
But a mere hope or expectation, which may be frustrated by the happening to some extent, is not an
insurable interest.
Principle of Indemnity
As a rule, all insurance contracts except personal insurance are contracts of indemnity.
According to this principle, the insurer undertakes to put the insured, in the event of loss, in the
same position that he occupied immediately before the happening of the event insured against, in a
certain form of insurance, the principle of indemnity is modified to apply.
For example, in marine or fire insurance, sometimes, a certain profit margin which would have
earned in the absence of the event, is also included in the loss. In a true sense of the indemnity, the
insured is not entitled to make a profit from his loss.
To discourse over insurance the principle of indemnifying it an essential feature of an insurance
contract, in the absence of which this industry would have the hue of gambling, and the insured
would tend to affect over-insurance and then intentionally cause a loss to occur so that a financial
gain could be achieved. So, to avoid this international loss, only the actual loss becomes payable
and not the assured sum (which is higher in over-insurance). If the property is under-insured, i.e., the
insured amount is less than the actual value of the property insured, the insured is regarded his
insurer for the amount if under insurance and in case of loss one shall share the loss himself.
To avoid an Anti-social Act; if the assured is allowed to gain more than the actual loss, which is
against the principle of indemnity, he will be tempted to gain by the destruction of his property after
getting it insured against risk. He will be under constant temptation to destroy the property. Thus,
the whole society will be doing only anti-social acts, i.e., the persons would be interested in gaining
after the destruction of the property. So, the principle of indemnity has been applied where only the
cash-value of his loss and nothing more than this, though he might have insured for a greater
amount, will be compensated.
To maintain the Premium at Low-level; if the principle of indemnity is not applied, the larger amount
will be paid for a smaller loss, and this will increase the cost of insurance, and the premium of
insurance will have to be raised. If the premium is raised two things may happen first, persons may
not be inclined to ensure and second, unscrupulous persons would get insurance to destroy the
property to gain from such an act. Both things would defeat the purpose of insurance. So, a
principle of indemnity is here to help them because such temptation’ is eliminated when only actual
loss and not more than the actual financial loss is compensated provided there is insurance up to
that amount.
Doctrine of Subrogation
The doctrine of subrogation refers to the right of the insurer to stand in the place of the insured,
after the settlement of a claim, in so far as the insured’s right of recovery from an alternative source
is involved.
If the insured is in a position to recover the loss in full or in part from a third party due to whose
negligence the loss may have been precipitated, his right of recovery is subrogated to the insurer on
the settlement of the claim.
The insurers, after that, recover the claim from the third party. The right of subrogation may be
exercised by the insurer before payment of loss.
Personal Insurance
The doctrine of subrogation does riot apply to personal insurance because the doctrine of indemnity does
not apply to such insurance. The insurers have no right of action against the third party in respect of the
damage.
For example, if an insured dies due to. the negligence of a third party his dependent has the right to recover
the amount of the loss from the third party along with the policy amount No amount of the policy would be
subrogated by the insurer.
Warranties
There are certain conditions and promises in the insurance contract which are called warranties.
According to Marine Insurance Act, “A warranty is that by which the assured undertakes that some
particular thing shall or shall not be done, or that some conditions shall be fulfilled, or whereby he
affirms or negatives the existence of a particular state of facts.”
Warranties that are mentioned in the policy are called express warranties. Certain warranties are not
mentioned in the policy.
These warranties are called implied warranties. Warranties which are answers to the question arc
called affirmative warranties. The warranties fulfilling certain conditions or promises are called
promissory warranties.
Warranty is a very important condition in the insurance contract which is to be fulfilled by the
insured. On the breach of warranty, the insurer becomes free from his liability.
Therefore insured must have to fulfill the conditions and promises of the insurance contract whether
it is important or not in connection with the risk. The contract can continue only when warranties are
fulfilled.
If warranties are riot followed, the contract may be canceled by the other party whether the risk has
occurred or not or the loss has occurred due to other reasons than the waiving of warranties.
However, when the warrant is declared illegal, and there is no reverse effect on the contract, the
warranty can be waived.
Proximate Cause
The rule; is that immediate and not the remote cause is to be regarded. The maxim is “sed causa
proximo non-remold-spectator”; see the proximate cause and not, the distant cause.
The real cause must be seen while payment of the loss. If the real cause of loss is insured, the insurer
is liable to compensate for the loss; otherwise, the insurer may not be responsible for a loss.
Proximate cause is not a device to avoid the trouble of discovering the real ease or the common
sense cause.
Proximate cause means the actual efficient cause that sets in motion a train of events which brings
about result, without the intervention of any force started and worked actively from a new and
independent source.
The determination of real cause depends upon the working and practice of insurance and
circumstances to losses. A loss may not be occasioned merely by one event.
There may be concurrent causes or chain of causes. They may occur in a sequence or broken chain.
Sometimes, certain causes arc excepted by (the insurance contract and the insurer is not liable for
the accepted peril.
The efficient cause of a loss is called the proximate cause of the loss.
For the policy to cover the loss must have an insured peril as the proximate cause of the loss or also
the insured peril must occur in the chain of causation that links the proximate cause with the loss.
The proximate cause is not necessarily, the cause that was nearest to the damage either in time or
place but is rather the cause that was responsible for the loss.
Return of Premium
Ordinarily, the premium once paid cannot be refunded. However, in the following cases, the refund is
allowed.
Types of Insurance
General Insurance
General insurance plans are one of the types of policies that provide coverage in the form of sum assured
against damages besides the policyholder's demise. In general, general insurance refers to a variety of
insurance plans that provide financial protection against losses caused as a result of liabilities such as a bike,
automobile, house, or health. The following are examples of several types of general insurance policies :
Inpatient care
Critical illness treatment
post-hospitalization medical bills
Procedures for day-care
A few types of health insurance policies also cover resident care and pre-hospitalization costs. The following
are some of the several types of health insurance policies available in India
This type of insurance allows your complete family to be covered under one policy, which often includes the
husband, wife, and two children.
A sort of health insurance that covers a variety of life-threatening illnesses such as stroke, heart attack, renal
failure, cancer, and other comparable conditions. When a policyholder is diagnosed with a serious illness,
they get a lump sum payment.
These insurance policies are designed for people over the age of 60.
Automobile Insurance
Motor insurances are forms of insurance that provide financial help in the event that your automobile is
involved in a crash. In India, there are several types of motor insurance coverage available, including :
1) Car Insurance
This plan covers privately owned four-wheelers. There are two kinds of automobile insurance plans: third-
party insurance and extended coverage policies.
2) Bike Insurance
These are forms of automobile insurance that protect privately-owned two-wheelers in the event of an
accident.
A sort of automobile insurance that covers any vehicle utilized for commercial purposes.
Homeowners' Insurance
A homeowner’s insurance, as the name implies, provides full coverage for the belongings and infrastructure
of your property against physical destruction or damage. In other words, house insurance protects you from
both natural and man-made disasters such as fire, earthquake, tornado, burglary, and robbery.
Serves to protect the house's foundation from destruction in the event of a disaster.
Protects the insured residential property from any harm caused by a visitor or third-party while on the
premises.
Protection against fires, natural disasters (e.g., earthquakes, landslides, and storms, and floods), and anti-
social human-caused activities (e.g., strikes, and riots)
Life Insurance
Life Insurance provides financial coverage for the most uncertain part of human life: Life itself! Thus, it offers
financial protection to the Life Assured's family in case of unfortunate events like the death or disability of
the policyholder. In addition to the life coverage, some policies also provide a savings component and can
be used as a prudent investment option.
Term Insurance
Term Insurance is the most basic type of Life Insurance that provides Life Cover for a predetermined
period called the 'term' of the policy.
Since they do not offer any cash value, they are generally available at a much lower premium than
other products for the same amount of coverage. If the Life Assured dies during the policy term, the
nominee receives the Sum Assured, and there is no maturity value if the Life Assured survives the
policy term. However, certain Term Plans offer the option of Return of Premium which is paid to the
policyholder if Life Assured survives the policy term.
Endowment Policy
A perfect mix of Investment and Insurance, Endowment Plans provide Life Coverage and help build a
corpus for major life goals.
A portion of the premium goes towards Sum Assured while the other portion is invested in certain
low-risk investments. In case of the policyholder's demise during the policy term, the Sum Assured is
paid to the nominee. However, if the policyholder survives the term, they receive a maturity amount
along with the accrued bonuses.
Thus, Endowment Plans serve the dual purpose of Insurance and Investment.
Pension Plan
Also known as Retirement Plan, Pension Plan helps to accumulate wealth for the golden years of
one's life and helps you deal with the financial uncertainties of the post-retirement phase.
Thus, a pension plan allows you to contribute a specific portion of your income as a premium during
your earning years. Subsequently, in your retirement phase, this accumulated amount is paid back to
you in the form of an annuity or pension at regular intervals.
Child Plans
These are specially designed endowment plans meant to financially secure a child's future in case
any mishap occurs with their parents or, more importantly, the sole earning parent.
In the event of the policyholder's death, the child receives a certain sum assured. However, the
policy does not end there. Future premiums are waived off/paid by the insurer, and the child also
keeps receiving some amount at regular intervals. This plan ensures the demise of the earning
parent does not impact the child's education.
Role of IRDAI
The insurance industry in India dates back to the early 1800s and has grown over the years with better
transparency and focus on protecting the interest of the policyholder. The IRDA plays an integral role in
emphasizing the importance of policyholders and their interest while framing rules and regulations. Here
are the important roles of the IRDA:
To take adequate action where such high standards are not maintained.
To ensure the optimum amount of self-regulation of the industry.
Working of IRDAI
Issues certificate of registration to new insurance companies.
Sets rules and regulations to ensure the interests of the policyholder are taken care of.
Monitors all claims are settled in all fairness and that no insurer will deny any claim on their own free
will.
Regulates the code of conduct of the insurance companies, insurance intermediaries, and others
associated with the insurance industry.
Provides solutions in case of disputes through the IRDA ombudsman
Controls and regulates the rates of insurance to prevent unwanted price hikes in the insurance
premium.
The apex body is responsible for setting the minimum percentage limit of insurance companies for
General and Life Insurance, thereby developing both urban and rural sectors.
In addition to the Chairman and Vice Chairman, the Council also has several other members who are
elected or nominated from the life insurance industry, including representatives from the Life Insurance
Corporation of India, private life insurance companies, and other stakeholders. These members play a
crucial role in shaping the policies and initiatives of the Council, and in representing the interests of the life
insurance industry in India.
As per Section 64L (1) of the Insurance Act, 1938 the GI Council has the following functions:
To aid and advise insurers, carrying on general insurance business, in the matter of setting up
standards of conduct and sound practice and in the matter of rendering efficient service to holders
of policies of general insurance
To render advise to IRDAI in the matter of controlling the expenses of such insurers carrying on
business in India in the matter of commission and other expenses
To bring to the notice of IRDAI the case of any such insurer acting in a manner prejudicial to the
interests of holders of general insurance policies.
As per the rules, the Central Government may establish one or more offices of the Insurance Ombudsman in
each state, or such other regions as it deems necessary. The Ombudsman may be appointed by the Central
Government, in consultation with the Insurance Regulatory and Development Authority of India (IRDAI), and
should have the following qualifications:
He/she should have held a judicial or legal post not below the rank of District Judge, or should have
been a member of the Indian Legal Service.
He/she should have experience in the insurance sector or in consumer affairs.
He/she should not have any financial interest in any insurance company or brokerage firm.
The Ombudsman should also be a person of integrity and impartiality, and should not hold any other office
of profit or engage in any other profession or vocation while serving as an Ombudsman.
Once appointed, the Ombudsman should assume office for a term of three years, and may be re-appointed
for another term. The Central Government may also remove an Ombudsman from office for reasons such as
misconduct, incapacity, or violation of rules or guidelines.
Complaints to Ombudsman
The section "Complaints to Ombudsman" in the Insurance Ombudsman Rules 2017 describes the types of
complaints that can be filed with the Insurance Ombudsman and the procedure for filing a complaint.
As per the rules, a complaint can be filed with the Ombudsman by any person who has an insurance policy
or has a claim arising out of an insurance policy, including the legal heirs or representatives of such persons.
The complaint should be filed in writing, either by post or by email, and should include the following
details:
The complaint should be filed within one year from the date of rejection of the claim by the insurance
company or the date of settlement of the claim, whichever is later. The complaint should also be filed after
the complainant has exhausted all the remedies available with the insurance company, such as internal
grievance redressal mechanisms.
Once a complaint is received by the Ombudsman, he/she may require the complainant to provide
additional information or documents, and may also seek the response of the insurance company. The
Ombudsman may also hold hearings or call for an inspection of documents as part of the investigation.
The Ombudsman is required to dispose of the complaint within three months from the date of receipt of
the complaint, unless an extension is granted by the complainant. The decision of the Ombudsman is
binding on the insurance company, but the complainant has the option to approach a court of law if he/she
is not satisfied with the decision.
Receipt of complaint: The Ombudsman receives the complaint in writing, either by post or email,
along with all the necessary documents and information.
Examination of complaint: The Ombudsman examines the complaint and may seek additional
information or documents from the complainant or the insurance company.
Mediation: The Ombudsman may attempt to resolve the complaint through mediation, where
he/she acts as a neutral third party to facilitate a settlement between the complainant and the
insurance company.
Investigation: If mediation fails, the Ombudsman may conduct an investigation by calling for
documents or evidence from the insurance company, conducting hearings, and examining
witnesses.
Decision: Based on the findings of the investigation, the Ombudsman makes a decision on the
complaint, which is binding on the insurance company. The Ombudsman may direct the insurance
company to pay compensation or take other remedial action.
Communication of decision: The Ombudsman communicates the decision to the complainant and
the insurance company, and may also publish the decision on the website of the Ombudsman's
office.
Implementation of decision: The insurance company is required to implement the decision of the
Ombudsman within 15 days of receiving the communication of the decision.
Receive and investigate complaints: The Ombudsman is authorized to receive and investigate
complaints from policyholders, claimants, or their legal representatives, relating to disputes arising
out of insurance contracts.
Mediation and conciliation: The Ombudsman may attempt to resolve disputes through mediation
or conciliation, by acting as a neutral third party to facilitate a settlement between the parties.
Issuing directions: The Ombudsman has the power to issue directions to the insurance company to
pay compensation or take other remedial action as deemed necessary.
Summoning and examining witnesses: The Ombudsman has the power to summon and examine
witnesses, and to require the production of documents or other evidence relevant to the dispute.
Making recommendations: The Ombudsman may make recommendations to the insurance
company regarding changes to its policies or practices to avoid similar disputes in the future.
Conducting inspections: The Ombudsman may conduct inspections of the premises of the
insurance company or its agents, and examine its books and records, if necessary.
Communicating decisions: The Ombudsman is required to communicate his/her decisions to the
complainant and the insurance company, and may also publish the decisions on the website of the
Ombudsman's office.
Enforcing decisions: The decisions of the Ombudsman are binding on the insurance company, and
the company is required to implement the decisions within 15 days of receiving the communication
of the decision.
Award by Ombudsman
An award by the Insurance Ombudsman is a binding decision issued by the Ombudsman to resolve
disputes between policyholders and insurance companies. The award may direct the insurance
company to pay compensation, take other remedial action, or make recommendations for changes
in its policies or practices. The award is binding on the insurance company and is required to be
implemented within 15 days of receiving the communication of the decision.
The award by the Ombudsman is based on the findings of an investigation conducted by the
Ombudsman, which may involve calling for documents or evidence from the insurance company,
conducting hearings, and examining witnesses. The Ombudsman may also attempt to resolve the
dispute through mediation or conciliation.
The award by the Ombudsman is communicated to the complainant and the insurance company in
writing, and may also be published on the website of the Ombudsman's office. The award sets out
the decision of the Ombudsman, the reasons for the decision, and any directions or
recommendations issued to the insurance company.
The award by the Ombudsman is a quick and efficient mechanism for resolving disputes, and helps
to enhance public trust and confidence in the insurance sector. It provides policyholders with a level
of protection and ensures that they are treated fairly and transparently by insurance companies.
In case the complainant is not satisfied with the award by the Ombudsman, he/she may approach a
civil court or consumer forum for further redressal. However, the insurance company is bound to
implement the decision of the Ombudsman, regardless of whether the complainant decides to
pursue further legal action.
It is important to note that the award by the Ombudsman is not a substitute for legal proceedings,
and does not preclude the complainant from pursuing legal action against the insurance company.
However, the award by the Ombudsman is a quick and cost-effective alternative to litigation, and
helps to reduce the burden on the courts.
The Insurance Ombudsman Rules 2017 provide for the constitution of an appellate authority, to
which an appeal may be made against the award of the Ombudsman. The appellate authority is
headed by a retired judge of the High Court, and its decision is final and binding on the parties.
Jurisdiction of Ombudsman
The Insurance Ombudsman has a specific jurisdiction over the complaints related to insurance policies, and
has the power to investigate and resolve disputes between policyholders and insurance companies. The
jurisdiction of the Ombudsman is determined by the territorial limits of the office of the Ombudsman, and
extends to the following:
Complaints related to life insurance policies, including group policies and annuities.
Complaints related to general insurance policies, including motor, health, travel, fire, marine, and
other types of policies.
Complaints related to the services provided by insurance companies, including delays in claim
settlement, non-issuance of policy documents, and other grievances related to the functioning of
insurance companies.
However, there are certain limitations to the jurisdiction of the Ombudsman. The Ombudsman cannot
investigate complaints related to the following:
It is important to note that the jurisdiction of the Ombudsman is limited to the settlement of disputes
between policyholders and insurance companies, and does not extend to regulatory functions or policy
formulation. The Ombudsman is an independent body that works towards the resolution of disputes in a
fair, transparent, and impartial manner, and helps to promote public trust and confidence in the insurance
sector.
Charity, on the other hand, could be a demeaning and unreliable resource since you are completely
at the mercy of the provider. Thus, insurance remains the only viable option to fall back upon
whenever crisis strikes.
Life Insurance is one of the most effective social security tools in use across the globe. It is especially
important in India where social security is offered in the form of Employee Provident Fund and
Public Provident Fund, which are available only to the working classes.
Unlike any socialist or developed capitalist society, where states are responsible for the deprived and
destitute, India is unfortunately not yet equipped to handle social security for such a large populace.
In the absence of a bread winner in a family, there is little that the government or other social
agencies can do to look after the welfare of those left behind. Thus, in order to ensure that a family
continues to enjoy the same financial status as before, insurance is probably the best social security
tool that can help in case of unforeseen eventualities.
It not only provides peace of mind, but also helps secure the future of the entire family. The
government is also encouraging people to take up Life Insurance policies by giving policyholders tax
benefits under Section 80C of the Income Tax Act.
The concept of Life Insurance has come a long way from its inception and today provides a smart
avenue for investment where policyholders can not only secure themselves against unforeseen
contingencies but are also able to create wealth over a period of time by allowing the money paid
towards insurance to be invested in market oriented instruments.
Pradhan Mantri Suraksha Bima Yojana (PMSBY): This scheme provides accidental death and disability
insurance coverage of Rs. 2 lakhs (approximately USD 2,700) at a premium of Rs. 12 (approximately USD
0.16) per annum. The scheme is available to individuals between the ages of 18 and 70 years and is also
administered by the LIC.
Rashtriya Swasthya Bima Yojana (RSBY): This scheme provides health insurance coverage of up to Rs.
30,000 (approximately USD 400) per annum to below-poverty-line families and other vulnerable groups,
such as unorganized workers, street vendors, and domestic workers. The scheme is funded by the central
and state governments and is implemented through public and private insurance companies.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY): This scheme, also known as the
National Health Protection Scheme, provides health insurance coverage of up to Rs. 5 lakhs (approximately
USD 6,700) per family per annum to over 10 crore (100 million) families, covering around 50 crore (500
million) individuals. The scheme covers secondary and tertiary hospitalization expenses and is available to
eligible families identified through the Socio-Economic Caste Census.
Pradhan Mantri Fasal Bima Yojana (PMFBY): This scheme provides crop insurance coverage to farmers
against yield losses due to natural calamities, pests, and diseases. The scheme is implemented by public and
private insurance companies and is available to all farmers, with a premium subsidy ranging from 50% to
90% depending on the type of crop and region.
Atal Pension Yojana (APY): This scheme is aimed at providing a guaranteed monthly pension of Rs. 1,000
to Rs. 5,000 (approximately USD 13 to USD 67) to individuals in the unorganized sector who are not
covered by any other social security scheme. The scheme is available to individuals between the ages of 18
and 40 years and offers different pension amounts based on the contribution amount and the age at which
the individual joins the scheme.
National Social Assistance Programme (NSAP): This scheme provides financial assistance to destitute,
elderly, and disabled individuals in the form of a monthly pension ranging from Rs. 300 to Rs. 500
(approximately USD 4 to USD 7) depending on the age and category of the beneficiary. The scheme is
implemented through the Ministry of Rural Development and is available to individuals aged 60 years or
above and belonging to below-poverty-line households.
National Crop Insurance Programme (NCIP): This scheme is aimed at providing crop insurance coverage
to farmers against crop losses due to natural calamities, pests, and diseases. The scheme is implemented by
the Ministry of Agriculture and Farmers' Welfare and provides coverage for both kharif and rabi crops. The
premium subsidy under the scheme ranges from 50% to 80%, depending on the type of crop and region.
Aam Aadmi Bima Yojana (AABY): This scheme provides life insurance coverage of Rs. 30,000
(approximately USD 400) to the family of the insured in case of the insured's death due to natural or
accidental causes. The scheme is available to individuals between the ages of 18 and 59 years and
belonging to below-poverty-line households. The premium under the scheme is subsidized by the
government and is Rs. 200 (approximately USD 2.70) per annum.
Pension
“Pension” is a payment made by an employer to his retired or ex-employee in consideration of the services
rendered by him in the past during his employment with the employer or in his organization.
Webster's new international Dictionary defines pension as "a stated allowance or stipend made in
consideration of past services."
Employee's Provident Fund (EPF): EPF is a government-sponsored pension scheme that is available to all
salaried employees in India. Under this scheme, a portion of the employee's salary is deducted and
deposited in a retirement account, which earns interest. The employer also contributes to the employee's
retirement account. On retirement, the employee can withdraw the accumulated amount as a lump sum or
receive a monthly pension.
National Pension System (NPS): NPS is a government-sponsored pension scheme that is available to all
Indian citizens between the ages of 18 and 65 years. Under this scheme, individuals can open a retirement
account and contribute towards it on a regular basis. The contributions are invested in various financial
instruments and earn interest. On retirement, the individual can withdraw a portion of the accumulated
amount as a lump sum and receive the remaining amount as a monthly pension.
Atal Pension Yojana (APY): APY is a government-sponsored pension scheme that is aimed at providing a
guaranteed monthly pension to individuals in the unorganized sector who are not covered by any other
social security scheme. Under this scheme, individuals can contribute towards a retirement account and
receive a fixed pension amount after they retire. The pension amount depends on the contribution amount
and the age at which the individual joins the scheme.
Indira Gandhi National Old Age Pension Scheme (IGNOAPS): IGNOAPS is a government-sponsored
pension scheme that is aimed at providing financial assistance to individuals in their old age. Under this
scheme, eligible individuals aged 60 years or above receive a monthly pension amount ranging from Rs.
300 to Rs. 500 (approximately USD 4 to USD 7) depending on their age and category.
Parametric insurance: Parametric insurance is a type of insurance where the payout is triggered by
predefined parameters, such as a specific weather event or a certain level of seismic activity. This type of
insurance is useful for covering losses that are difficult to quantify, such as crop damage due to a drought.
Cyber insurance: Cyber insurance is a type of insurance that provides coverage against losses or damages
resulting from cyber attacks, such as data breaches, hacking, or ransomware attacks. With the increasing
reliance on technology and the growing threat of cyber attacks, cyber insurance is becoming more
important for businesses and individuals.
typically offers low premiums and simplified coverage options, such as health or life insurance for a specific
period.
Peer-to-peer insurance: Peer-to-peer insurance is a model where individuals pool their premiums together
to cover each other's losses. This type of insurance offers lower premiums and greater transparency
compared to traditional insurance models, but also involves greater risk sharing among the members of the
pool.