Rs 21,718 Crore in Unclaimed Insurance Money — Because Families Didn’t Know a Policy Existed
A high claim settlement ratio means nothing if your family never finds out the policy exists. What actually…

Your insurance agent calling you back within the hour isn’t a coincidence, and it isn’t great customer service either. It’s math. On a ₹1 lakh first-year premium, a commission of even 30-35% is ₹30,000-₹35,000 in their pocket, for one signature, in one meeting. Compare that to a term insurance policy at ₹10,000/year, where the same commission rate pays a few thousand rupees. The product that’s “better for you” and the product that’s “better for the person selling it” are very often two different policies — and the sales conversation you get is shaped by that gap, whether or not it’s ever said out loud.
Kaustubh Rane runs a small auto-rickshaw spare-parts counter in Ratnagiri — a composite standing in for the shopkeepers and small traders who make up a large share of first-time endowment buyers in small-town Maharashtra. When his agent quoted him ₹80,000/year for an endowment-cum-insurance plan, Kaustubh did what any sharp trader does: he tried to negotiate. “Give me back half your commission as a discount on the premium, and we both still come out ahead,” he offered, certain he’d found a clever workaround. The agent said no — not because he didn’t want to, but because doing so would have been illegal for both of them.
Until March 2023, insurance agent commissions were capped under the old Insurance Act rules — broadly around 35% of the first-year premium for individual life products, tapering in later years. From 1 April 2023, the IRDAI (Payment of Commission) Regulations, 2023 came into force and removed that hard cap entirely. In its place, IRDAI introduced an “Expense of Management” (EoM) framework: insurers now have an overall cap on what they can spend on managing the business (commissions plus other expenses), but within that envelope, there is no longer a fixed ceiling on any individual agent’s commission. In practice, this means if an insurer’s EoM allows it, a product can be structured so that effectively the entire first-year premium funds distribution costs including commission. The intent, per IRDAI, was to give insurers flexibility to reward performance and expand rural distribution — but for a retail buyer sitting across the table, it means the commission incentive on a high-premium investment-linked product can now be larger, not smaller, than before the “reform.”
Illustrative, based on pre-2023 commission-cap percentages applied to each premium; actual commission on any specific product now depends on that insurer’s IRDAI-approved Expense of Management structure.
This isn’t necessarily about bad-faith advice — most agents believe in what they sell. But incentive structures shape behaviour even for well-meaning people; that’s precisely why regulators everywhere try to align commission with the customer’s interest, not just the insurer’s. When one product pays ten times more than another for the same effort, the agent’s default recommendation will skew toward the higher-paying product over time, even without anyone consciously deciding to mislead you. It’s the same reason a doctor paid per procedure orders more procedures than one on a flat salary — not because of malice, but because of what the incentive quietly rewards.
Section 41 of the Insurance Act, 1938 makes it an offence for anyone to allow, offer, or accept a rebate of premium or commission as an inducement to buy, renew, or continue a policy — not just the insurer, the agent is caught by the same clause, and so, technically, is the customer who knowingly accepts one. The provision reads: no person shall “allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance…any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy.” This is what stopped Kaustubh’s negotiation cold — it doesn’t matter that he understood the commission size, wanted a discount funded by it, and was fully willing on both sides. The law bans the transaction itself, regardless of consent, because IRDAI’s underlying worry is that letting commission become negotiable turns every sale into a haggling contest over rebate size rather than a comparison of which product actually suits the buyer. Violating Section 41 carries a monetary penalty, and repeated or serious violations can affect an agent’s IRDAI licence.
The one carve-out: an agent can accept commission on a policy taken out on their own life, provided they meet the conditions for being treated as a bona fide agent of that insurer. That’s a narrow exception for agents insuring themselves, not a loophole a customer can use to get a rupee back.
Under IRDAI rules, every insurer must disclose the commission structure in the policy’s Benefit Illustration — the number is there, it’s just rarely explained out loud. Ask your agent directly: “What is your commission on this policy, in rupees, in year one?” You are entitled to ask, and a straight answer (or a refusal to give one) tells you a lot. Separately, run the product’s own quoted maturity value through an XIRR calculation — most retail buyers never do this, and the effective annual return on a bundled endowment plan is often surprisingly close to a savings account, once decades of premium payments are accounted for against the eventual payout.
Not automatically, but it’s a reliable red flag to ask harder questions. High-commission products are disproportionately the bundled savings-plus-insurance kind (endowment, ULIP, money-back plans) rather than pure term cover — worth knowing before you agree to anything.
Yes — most insurers sell term plans directly online at a lower premium than the agent-sold version, precisely because there’s no commission layered in. For a pure protection need, this is usually the more honest route.
Kaustubh’s mistake wasn’t trying to negotiate a rebate — it was never comparing the ₹80,000/year endowment quote against what pure protection actually costs for someone in his position. YOU ENTER his income, his two outstanding loans, and how many years his family would need support. IT TELLS YOU the term cover that actually matches that need, and the premium for it — typically a small fraction of ₹80,000/year. The calculator settles the only negotiation that was ever worth having: not “can I get a rebate,” but “am I even buying the right product.”
This is not a claim that Kaustubh’s agent was cheating him, or that commission-paid agents are dishonest by default — the agent correctly refused an illegal rebate, which is exactly what the law asks of him. It’s also not a claim that every high-commission product is bad value for every buyer; some people genuinely want the forced-savings discipline of an endowment plan and know exactly what they’re trading away for it. And it isn’t an argument that asking about commission is rude or improper — IRDAI’s own disclosure rules exist so buyers can ask. The point is narrower: a customer cannot fix a misaligned-incentive product by demanding a slice of the incentive back, because that specific workaround is the one thing the law explicitly closes off.
No — he is a composite drawn from common patterns among small-town traders who are first-time buyers of bundled insurance-savings products, used here to make the arithmetic and the law concrete.
Disclaimer: This article is for general information only and is not financial or insurance advice. Commission structures vary by insurer and product; always ask for the specific figures in your policy’s Benefit Illustration before deciding. Kaustubh Rane is a composite character, not a real person, used to illustrate a common pattern.
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