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Policy lapse

The state of a life insurance policy on which the premium was not paid even within the grace period, so no claim is payable — though a traditional policy may still carry a surrender or paid-up value.

In plain language

A life insurance contract only stays alive as long as the premiums keep coming. Miss a premium, and even the grace period the insurer allows runs out, the policy lapses — and the workbook's rule is blunt: no claim is payable on a lapsed policy.

That is not always the end of the story, though. A lapsed policy is not automatically a worthless one — what happens next depends on how long it had already run and what kind of policy it is.

How it works

Revival. A lapsed policy can be revived or reinstated within the timeframe the insurer allows, by paying the pending premiums along with a penalty. A lapsed ULIP specifically can be revived within 3 years from the date of lapsation.

Surrender value, for a traditional investment-cum-insurance policy. If the policy has run for at least 3 years (or 2 years, if the policy term itself is under 10 years) and full premiums have been paid, it may acquire a surrender or cash value. The minimum guaranteed surrender value is 30% of all premiums paid, rising to as much as 90% in the last two years of the term. For a single-premium policy the guaranteed surrender value starts higher — 70% if surrendered in the first three years — rising to the same 90% in the last two years.

ULIPs specifically. A ULIP can be surrendered before its 5-year lock-in ends, but a discontinuation charge, capped at Rs 6,000, is deducted, and the remaining fund value moves into a discontinuation policy fund until the lock-in period is over.

Paid-up option. Instead of surrendering, the policyholder can make the policy paid-up: the sum assured is reduced in the same proportion that the premiums actually paid bear to the total premiums due over the policy's life.

A worked example

Illustrative figures, built on the workbook's own paid-up mechanism. Surinder took a 25-year investment-cum-insurance policy with a sum assured of Rs 10,00,000, paying premiums half-yearly. He pays for 10 years (20 half-yearly premiums out of a total of 50 due) and then stops.

Instead of losing the policy, he opts for paid-up:

Paid-up sum assured = 10,00,000 x (20 premiums paid / 50 premiums due)
                     = Rs 4,00,000

His cover falls from Rs 10,00,000 to Rs 4,00,000, but the policy stays in force for its full term without any further premium — instead of lapsing to nothing had he simply stopped paying and let the grace period run out.

Why NISM asks about it

Chapter 2 (Features of Life Insurance Products), section 2.1, sets out policy lapse, revival, surrender value and the paid-up option as core policy mechanics. Expect a question on the minimum guaranteed surrender value percentages, the ULIP revival window, or a computation of the paid-up sum assured from premiums paid versus premiums due.

Common exam traps

  • No claim is payable on a lapsed policy — full stop. Revival, surrender and paid-up are all things done to a lapsed policy, not automatic entitlements of it.
  • The 3-year ULIP revival window and the 5-year ULIP lock-in are different clocks — a ULIP can be surrendered during the lock-in (with a discontinuation charge), and separately can be revived for up to 3 years after it lapses.
  • Surrender value minimums differ for single-premium policies (starting at 70%) versus regular-premium policies (starting at 30%) — do not apply one figure to both.
  • The discontinuation charge on a ULIP is capped at Rs 6,000, not a percentage of the fund.
  • Paid-up reduces the sum assured; it does not return any money to the policyholder immediately. The reduced cover simply continues without further premiums.

Where this is taught

Free preparation for NISM Series X-B

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