Fidelity insurance safeguards businesses against financial losses arising from dishonest or fraudulent acts committed by employees. This type of insurance is particularly important in environments where the risk of employee misconduct is significant.

In India as well as other countries, fidelity insurance helps businesses protect themselves from various risks associated with employee dishonesty. This can include theft, embezzlement, forgery, or other fraudulent activities carried out by employees. These acts can have severe implications for a business, leading to financial losses, damage to reputation, and disruptions in operations.

What is Fidelity Insurance?

Fidelity insurance is a special kind of insurance that helps businesses when their employees do dishonest things that may lead to financial losses. It encompasses different types of tricky actions, like stealing, lying about money, forging documents, or using funds in the wrong way. That’s why businesses buy fidelity insurance to protect themselves from the risks of employee fraud. If something happens, the insurance pays for the losses. However, claim settlements in such cases may depend on the specific rules mentioned in the insurance policy.

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What are the Types of Fidelity Insurance?

Fidelity insurance is divided into different types to address the personalized needs for businesses. Each type helps maintain the integrity and stability of businesses in the ever-changing landscape of potential internal threats.

1. First-Party Coverage: It allows organizations to claim and recover losses suffered under the fidelity insurance policy.

2. Third-Party Coverage: This type of policies protects organizations from claims and lawsuits by external parties who suffered financial losses due to employee dishonesty.

3. Collective Policies: It plays a crucial role in helping organizations file claims for financial losses due to employee dishonesty, offering group coverage.

4. Floater Policies: Such type of policies allows protection against losses outside the organization's premises resulting from employee dishonesty.

5. Individual Policies: It is beneficial in safeguarding companies’ interests from specific employees' dishonest acts, addressing higher-risk situations.

6. Blanket Policies: They help simplify administration, allowing comprehensive protection against the risk of employee dishonesty.

What Does Fidelity Insurance Cover?

Here are the key coverages offered under Fidelity Insurance:

Fidelity insurance comes in various forms, each serving as a protective shield for businesses if any situation of employee dishonesty arises.

Let's explore some types of fidelity insurance that offer tailored coverage against different risks.

1. Fidelity Insurance: It covers financial losses when employees act dishonestly, ensuring businesses don't suffer the damage caused dueto deceitful actions of the employees.

2. Fidelity Guarantee Insurance: This type of coverage focuses on safeguarding businesses from financial losses resulting from employee dishonesty. It's like having a guardian against internal risks.

3.Crime Insurance: Acting as a vigilant protector, crime insurance covers a range of criminal activities, especially when deceitful acts by employees are involved.

4. Employee Dishonesty Insurance: This is your financial bodyguard. It steps in when employees engage in sneaky actions that could otherwise lead to significant monetary harm for the business.

5. Theft Insurance: Theft insurance is there to cover financial blow caused due to employee-induced thefts, thereby allowing businesses to recover.

However, it is important to make a note of certain limitations attached to above coverages, which include:

1. The cover is limited to the specified amount of guarantee assigned to the name of each employee or relevant group/category of employees as outlined in the policy schedule.

2. There is a cap at the total amount of guarantee specified in the overall policy, ensuring comprehensive but controlled coverage.

Please remember, claim settlements are subject to terms and conditions designated under fidelity insurance policy. You can contact BimaKavach for expert advice pertaining to fidelity insurance.

What are the Exclusions in Fidelity Insurance?

It is important to understand the exclusions related to fidelity insurance to ensure you don’t feel helpless during a loss.

Here are some common exclusions you should be aware of:

1.  Outside the Coverage Period: Incidents occurring outside the policy coverage period are typically excluded. It's essential that you know the specified timeframe to ensure incidents are eligible for coverage.

2. Prior Knowledge: If the business had prior knowledge of an employee's dishonesty before obtaining the policy, related claims may be excluded. Fidelity insurance is designed to address unforeseen events.

3.  Unapproved Acts: Acts that were not approved or known by the business may be excluded. The policy often requires that dishonest acts are unknown to the insured.

4.  Acts by Upper Management: Dishonest acts committed by upper management or those with significant control in the organization might be excluded. This ensures accountability at all levels.

5.Bodily Injury or Property Damage: Fidelity insurance typically excludes coverage for bodily injury or property damage resulting from dishonest acts. Liability for such incidents may fall under other insurance categories.

6. Contractual Liabilities: Liabilities arising from contractual agreements, unless specifically covered, may be excluded. Fidelity insurance focuses on dishonest acts rather than contractual obligations.

7.  Governmental or Regulatory Actions: Claims arising from governmental or regulatory actions may be excluded. Compliance with laws and regulations may fall under different types of insurance.

8. Unauthorized Trading: Fidelity insurance may exclude coverage for losses resulting from unauthorized trading activities. This ensures that only approved actions are considered for reimbursement.

9.  Employee Benefits Fraud: Fraudulent activities related to employee benefits, unless explicitly covered, may be excluded. Specialized coverage may be required for such scenarios.

10.  Third-Party Losses: Fidelity insurance might not cover losses suffered by third parties due to employee dishonesty. Liability for third-party claims may be addressed through other insurance avenues.

Understanding these common exclusions is vital for businesses seeking fidelity insurance. It allows for informed decision-making and ensures realistic expectations regarding the scope of coverage. Always review policy terms and conditions to gain a clear understanding of the specific exclusions applicable to your fidelity insurance.

Why Does Fidelity Insurance Matter?

Fidelity insurance acts as a protection layer that extends beyond mere risk mitigation.

Check out the reasons that call for a fidelity insurance, if you are a business owner:

·  Financial Safety Net: It steps in to rescue businesses from the potential fallout of employee dishonesty, preventing significant financial losses.

· Peace of Mind: It provides business owners with peace of mind, knowing they are immune to the financial risks associated with employee fraud.

·  Regulatory Compliance: It's not merely an option but a necessity to comply with regulatory standards.

·  Building Trust: It fosters trust, signaling the organization's commitment to safeguarding their interests and maintaining a secure workplace.

How Does Fidelity Insurance Function?

To effectively leverage fidelity insurance, businesses must follow a systematic approach:

1.Employee and Departmental Assessment: Businesses seeking fidelity insurance should compile a detailed list of employees and identify various departments susceptible to potential losses from employee dishonesty or fraud.

2. Proposal Form Submission: Complete the proposal form, ensuring meticulous disclosure of all necessary information. This step is crucial to avoid complications during the claims process.

3. Premium Determination: The premium amount is determined based on factors such as the number of employees, the nature of the business, and its risk exposure.

4.Document Submission and Policy Clarification: Submit the proposal form and relevant documents once the business owner comprehensively understands the policy and premium payment terms.

5. Loss or Damage Notification: In the event of losses or damage during the policy term due to an insured event, the insured business must promptly inform the insurance company to initiate the compensation process.

6. Claim Initiation: To initiate a claim, submit relevant documents along with a duly filled claim form to the insurance company.

7.  Loss Estimation Survey: The insurance company conducts a survey to estimate the loss incurred by the insured business, ensuring a fair and accurate assessment.

8. Claim Approval and Payout: If the claim is approved, the insurance company disburses the claim amount to the insured business, adhering to policy limits, terms, and conditions.

9. Claim Rejection Process: In the event of claim rejection, the insurance company communicates the reasons to the insured business, providing clarity on the decision.

10.  Legal Recourse: If dissatisfied with the resolution, the insured business has the option to escalate the matter to the court of law.

·   Payroll Manager Fraud

A payroll manager planned a dishonest scheme for personal financial gains. First, he overpaid obligations for payroll taxes. And, when he was made aware of the same, he asked for the reimbursement checks to bring into his attention. When he got the checks, he opened a new bank account in a name similar to that of the employer and deposited the checks into the same.

This way he was able to steal the amount paid as the overpayment. The loss to the company was approximately INR 24 crore. This is a scenario where fidelity insurance can protect the employer’s interest. The similar examples follow below.

·   False Invoicing

A site manager created false invoices for companies he controlled, colluding with legitimate vendors. He arranged payment for fraudulent invoices, receiving kickbacks and using company funds for personal goods and services. The claimed loss exceeded INR 74.7 crore.

·  Inventory Fraud

A seafood wholesaler alleged that an employee engaged in a theft scheme with fishermen, paying for non-existent seafood. The employee created false inventory records to cover up the theft, with a claimed loss of over INR 99.6 crore[CS2] .

·  Outsourcing Fraud

A state-licensed money transmitter filed bankruptcy, unable to pay over INR 622.5 crore in obligations. Customers of public utilities faced uncertainty about their payments, and utilities risked absorbing the substantial loss.

·  Senior Management Fraud

A CFO embezzled money over five years, making payments for undelivered assets. The reported loss was approximately INR 642.75 crore.

FAQs

  1. What is the primary purpose of fidelity insurance for businesses?

Fidelity insurance is designed to protect businesses from potential losses or damages caused by the deliberate actions of dishonest employees. It provides coverage to mitigate the financial impact of employee fraud or dishonesty.

  1. What is the core motive covered by fidelity insurance for employee acts?

Fidelity insurance acts as a shield against the loss or damage to the business committed by an employee who is motivated by an interest to achieve a financial gain for himself or herself. This coverage addresses situations where employees act for personal financial benefit to the detriment of the business.

  1. Can fidelity insurance be tailored to specific business needs?

Yes, fidelity insurance can often be customized to suit specific business requirements. Businesses can work with insurers to adjust coverage limits and provisions based on their unique operations and risk management strategies.

  1. What factors influence the cost of fidelity insurance?

A1: The cost of fidelity insurance is influenced by various factors, including business size, operations, coverage limits, employee count, and the organization's risk profile. These elements collectively determine the premium amount you may need to pay for comprehensive coverage.

  1. Is fidelity insurance sufficient on its own, or should I consider other commercial insurance plans?

Fidelity insurance is crucial, but it's important not to overlook other commercial insurance plans. While fidelity insurance protects against employee dishonesty, additional plans are necessary to safeguard financial interests in various operational scenarios.

  1. How does fidelity insurance contribute to building trust within the organization?

Fidelity insurance sends a powerful message to employees, showcasing the organization's commitment to safeguarding their interests. It fosters trust by signaling a dedication to maintaining a secure workplace environment.

References:

https://www.aig.com/content/dam/aig/america-canada/us/documents/business/management-liability/fidelityclaimsexamples-brochure.pdf