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Underinsured: why a ₹10 lakh fire claim paid ₹4 lakh

A godown catches fire. The damage is assessed at ₹10 lakh — nothing close to a total loss, and the policy's sum insured is ₹40 lakh, so the owner expects ₹10 lakh back. The cheque arrives for ₹4 lakh.

Nothing went wrong. No clause was hidden, no claim was rejected, the surveyor did not dispute the ₹10 lakh. This is the policy working exactly as written — and almost every business owner in India is surprised by it once, expensively.

The rule, in one line

Your sum insured has to match what it would cost to replace the property today. If it falls short, the insurer pays the same short proportion of every claim — not just a total loss.

The godown's stock would cost ₹1 crore to replace. It was insured for ₹40 lakh. That is 40% of the value, so the claim was settled at 40%.

What the stock would cost to replace ₹1 crore What it was insured for ₹40 lakh 40% covered A ₹10 lakh fire — what the policy pays ₹4 lakh ₹6 lakh you pay yourself Illustrative. The proportion applies to every claim, whatever its size.

Insurers call this the average clause. The name is unhelpful — nothing about it is average. It simply means the shortfall in your cover becomes a shortfall in every settlement.

This isn't fine print. It is Clause F of the standard MSME fire policies — Bharat Sookshma Udyam Suraksha and Bharat Laghu Udyam Suraksha — the wordings IRDAI itself publishes. The regulator's own document works through an example: stock worth ₹50 lakh is destroyed, the property carries 16.67% underinsurance, and the claim is settled at ₹41.67 lakh, being 83.33% of the loss.

Why good businesses drift into it

Nobody chooses to be underinsured. Three things do it quietly.

The policy stayed still while the business grew. A sum insured set when the unit was smaller gets renewed unchanged, year after year, because renewal is a payment rather than a review. Meanwhile a shed was extended, two machines were added, and stock levels doubled.

Book value was used instead of replacement cost. This is the most common single error. Your balance sheet depreciates a machine over its life; insurance has to replace it at today's price. Those two numbers move in opposite directions.

A machine bought eight years ago for ₹40 lakh ₹14 L value in your books after depreciation ₹70 L to buy it new today ₹56 L gap — insure the book value and you are 80% short on this item alone Illustrative. The direction is what matters: books fall, replacement cost rises.

Stock was insured at its quietest moment. A trader whose godown holds ₹40 lakh in March and ₹1.2 crore before Diwali is properly covered for one of those months and badly exposed for the other. A declaration policy exists precisely for this — you insure the peak and declare actual stock periodically, paying premium on the average.

The part that catches even careful owners

The test is applied to each item separately — building, plant and machinery, furniture, and stock are each measured against their own sum insured. Being adequately covered in total does not save you.

Building · needs ₹2 Cr, insured ₹2 Cr 100% — a building claim is paid in full Stock · needs ₹1 Cr, insured ₹40 L 40% a stock claim is still cut to 40% Across both heads the cover looks like ₹2.4 Cr against ₹3 Cr — 80%, which sounds fine. It is not fine. Fires usually damage stock, and stock is the head that was short.

There is one piece of good news, and it is worth knowing precisely. The two standard MSME policies waive underinsurance up to 15% — get within 85% of the correct value and the shortfall is ignored. But past that line the waiver stops helping altogether: the reduction then applies to the full extent of the shortfall, not merely the part beyond 15%. It is a cushion for an honest estimate, not cover for a stale one.

How the sum insured should actually be set

Building: what a builder would charge to construct it again today — not the market price of the property, which includes land that cannot burn.

Plant and machinery: the price of buying the same equipment new today, including freight and installation.

Stock: the standard wordings are specific — raw material at landed cost, stock in process at input cost, finished goods at manufacturing cost. Not selling price, and not what the books say in a slow month.

Then do the one thing almost nobody does: revisit the figures at every renewal, not every third or fourth one. Assets added mid-year are the ones most likely to be missing.

The five-minute version. Pull out your policy schedule. Find the sum insured against each head. Ask yourself what it would cost to rebuild or rebuy that item today, at current prices. If the second number is more than about 18% higher than the first, you are past the waiver — and every claim you make, of any size, will be reduced.

General insurance education, not advice on any specific policy. Figures are illustrative except where attributed to published IRDAI standard product wordings. Terms, exclusions and the excess applicable to each claim vary between insurers and products — read your own policy wording, or ask a licensed advisor to read it with you.

Related reading: Which fire policy your business is on — and its 15% line · How much life cover is enough · How much health cover you actually need

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