INSURANS
TOPIK PERBINCANGAN :
FORM 5 BAB 3 INSURANS
BAB INSURANS
INSURANC
CHAPTER E
A. RISIKO DAN PERLINDUNGAN INSURANS
RISK AND INSURANCE PROTECTION
4. Apakah itu prinsip indemniti? Seterunya nyatakan sama ada insurans merupakan satu jenis pelaburan.
What is indemnity principle? Hence state whether the insurance is a type of investment.
BAB 3 ( m/s 1 )
BAB 3 : INSURANS
8. Namakan beberapa jenis insurans am dan huraikan secara ringkas setiap daripadanya.
Name several types of general insurance and explain breifly each of it.
b) Mr Suresh ingin menghidupkan cukai jalan keretanya. Dia bercadang untuk menyertai konvoi
ke Hatyai, Thailand bersama rakan-rakannya.
Mr Suresh wants to renew his car road tax. He intends to join the convoy to Hatyai, Thailand with his friends.
e) Puan Hayati mengusahakan perniagaan kerepek. Dia mempunyai sebuah kilang, 4 buah
kenderaan dan 10 orang perkerja.
Puan hayati is working on a kerepek business. She has a factory, 4 vehicles and 10 workers.
BAB 3 ( m/s 3 )
BAB 3 : INSURANS
1. Huraikan setiap faktor berikut yang akan mempengaruhi kadar premium yang akan dikenakan ke
atas pemohon insurans hayat yang baru.
Describe each of the following factors that will affect the premium rates to be charged on the new applicant for life insurance.
a) Umur :
Age
b) Jantina :
Gender
2. Tandakan pada pampasan yang akan diberikan kepada pemegang polisi insurans hayat.
Mark on compesation given to the life insurance policy hoder.
3. Tandakan pada pampasan yang akan diberikan kepada pemegang polisi insurans perubatan dan kesihatan
Mark on compesation given to the medical and health insurance policy hoder.
Kematian Pendapatan hospital Bil hospital
Death Hospital income Hospital bill
Lelaki Perempuan
Male Female
Umur Bukan perokok Perokok Bukan perokok Perokok
Ages
Non-smoker Smoker Non-smoker Smoker
RM RM RM RM
28 2.05 2.66 1.95 2.35
29 2.11 2.75 2.02 2.46
30 2.25 2.89 2.15 2.55
31 2.34 3.01 2.21 2.67
32 2.40 3.17 2.30 2.86
33 2.53 3.28 2.38 2.93
Berdasarkan jadual tersebut, kirakan premium tahunan bagi setiap situasi berikut.
Based on the table, calculate the annual premium for each of the following situations.
a) En Yahya berumur 30 tahun merupakan seorang perokok. Dia ingin membeli polisi insurans
hayat bernilai RM 250 000.
En, Yahya is 30 years old and a smoker. He wants to buy life insurance policy worth RM 250 000.
b) Puan Asmida berumur 28 tahun dan tidak merokok. Dia ingin membeli polisi insurans hayat bernilai
RM 300 000.
Puan Asmida is 28 years old and did not smoke. She wants to buy life insurance policy worth RM 300 000.
c) En Othman berumur 31 tahun dan tidak merokok. Dia ingin membeli polisi insurans hayat bernilai
RM 100 000 dan menambah polisi penyakit kritikal bernilai RM 20 000 dengan kadar premium
bagi setiap RM 1000 ialah RM 1.90.
En, Othman is 31 years old and did not smoke. He wants to buy life insurance policy worth RM 100 000 and add a critical
illness policy worth RM 20 000 with premium rate for every RM 1000 is RM 1.90.
d) Puan Salmi berumur 33 tahun dan tidak merokok. Dia ingin membeli polisi insurans hayat bernilai
RM 500 000 dan menambah polisi kemalangan. Pihak syarikat menawarkan polisi kemalangan dengan
perlindungan sebanyak 50% daripada nilai muka asas dan kadar premium bagi setiap RM 1000 ialah
RM 1.45
Puan Salmi is 33 years old and did not smoke. She wants to buy life insurance policy worth RM 500 000 and add an
accident policy. The company offered the accident policy with a coverage of 50% of the basic face value with premium rate
for every RM 1000 is RM 1.45.
5. Maklumat di bawah menunjukkan kadar premium tahunan yang ditawarkan oleh sebuah syarikat
insurans berdasarkan polisi tertentu.
The information below shows the annual premium rate offered by an insurance company according to certain policy
Berdasarkan maklumat tersebut, kirakan premium bulanan bagi setiap situasi berikut.
Based on the information, calculate the monthly premium for each of the following situations.
a) Mr. Wong ingin membeli polisi sebanyak RM 100 000 bagi insurans hayat, RM 100 000
bagi insurans kemalangan, RM 200 000 insurans penyakit kritikal dan RM 800 000 bagi
insurans perubatan & kesihatan.
Mr. Wong wants to buy policy worth RM 100 000 for life insurance, RM 100 000 for accident insurance, RM 200
000 for critical illnesses insurance and RM 800 000 for medical & health.
b) Puan Komala ingin membeli polisi sebanyak RM 1 000 000 bagi insurans hayat dan menambah polisi
penyakit kritikal dan polisi perubatan & kesihatan. Syarikat menawarkan perlidungan sebanyak 50%
daripada nilai muka untuk polisi penyakit kritikal dan perlindungan 80% daripada nilai muka untuk
polisi perubatan & kesihatan.
Puan Komala wants to buy policy worth RM 1 000 000 for life insurance and wants to add on critical illnesses policy
and medical & health policy. The company offered the coverage of 50% of face value for critical illnesses policy and
coverage of 80% of face value for medical & health policy.
6. Tandakan pada pampasan yang akan diberikan kepada pemegang polisi insurans perjalanan
semasa mereka mengembara.
Mark on compesation given to the travel insurance policy hoder during their travels..
7. Jadual menunjukkan harga premium bagi insurans perjalanan yang ditawarkan oleh sebuah syarikat
ke negara-negara Asia dan Eropah.
The table shows the premium of travel insurance offered by a company to the Asian & Europe countries
Berdasarkan maklumat tersebut, kirakan jumlah premium yang paling rendah bagi setiap situasi berikut.
Based on the information, calculate the lowest total premium for each of the following situations.
a) En. Daniel akan melakukan perjalanan berikut
En. Daniel will make a travel as the following
i) Seorang diri ke Pakistan selama 4 hari
Alone to Pakistan for 4 days
ii) Bersama isteri ke Arab Saudi selama 2 minggu
With his wife to Suadi Arabia for 2 weeks
iii) Bersama isteri dan seorang anak ke Turki selama 10 hari
With his wife and a child to Turkey for 10 days
Kelas 1 : Pekerjaan dalam industri tidak berbahaya dan bekerja dalam pejabat
Class 1 : Occupation in low risk industries and in office
Kelas 2 : Pekerjaan yang melibatkan tugas-tugas bukan manual dalam industri separa bahaya
Class 2 : Occupation involving non-manual works with semi-hazardous industry
Kelas 3 : Pekerjaan yang melibatkan tugas-tugas manual dan penggunaan peralatan atau mesin jentera
Class 3 : Occupation involving manual works and use of tools or machinery
10. Kirakan jumlah pampasan yang diberi oleh syarikat insurans bagi setiap kondisi berikut.
Calculate the amount of compensation given by the insurance company for each of the following conditions.
a) Bil perubatan = RM 5 760
Medical bills
Deduktibel = RM 700
Deductible
Ko-insurans = 80/20
Co-insurance
11. Puan Rahimah mempunyai polisi insuran perubatan dengan peruntukan deduktibel sebanyak RM 300
dan fasal penyertaan peratusan ko-insurans 80/20 dalam polisinya. Dia baharu sahaja keluar dari wad dan
perlu menanggung sebanyak RM 1 140 daripada keseluruhan bil hospitalnya. Hitungkan nilai bil tersebut.
Puan Rahimah has a medical insurance policy with a deductible provision of RM 300 and a 80/20 co-insurance percentage
participation clause in its policy. She just discharge from the ward and needs to borne RM 1 140 of the total hospital bill.
Calculate the value of the bill.
12. Carol mempunyai polisi insuran perubatan dengan deduktibel sebanyak RM 5 000 dengan had tahunan
bernilai RM 80 000. Polisinya juga menyatakan terdapat ko-insurans adalah pada kadar 75/25. Pada tahun
pertama dalam tempoh insuransnya, Carol telah dimasukkan ke hospital akibat demam denggi dan dikena-
kan kos rawatan sebanyak RM 8 000. Pada tahun berikutnya, Carol melakukan pembedahan jantung dan
dikenakan kos rawatan sebanyak RM 125 000. Nyatakan jumlah pampasan yang dibayar oleh syarikat
insurans bagi tahun pertama dan kedua tempoh insuransnya.
Carol has a medical insurance policy with a deductible of RM 5 000 with an annual limit of RM 80 000. The policy also states
that co-insurance is at the rate of 75/25. In the first year of her insured period, Carol was hospitalized due to dengue fever with
cost of RM 4 000. The following year, Carol had a heart surgery and cost another RM 125 000. Specify the compensation
paid by the insurance company for the first and second year of her insurance period.
13. En. Mustafa mempunyai polisi insurans dengan peruntukkan deduktibel sebanyak RM 450 dan penyertaan
ko-insurans 80/20. Dia mengalami musibah dan kos perubatannya berjumlah RM 12 800. Hitungkan
bayaran yang perlu ditanggung oleh En Mustafa dan bayaran pampasan yang akan diterimanya.
En. Mustafa has an insurance policy with deductible allocation of RM 450 and participation co-insurance 80/20. He suffered a
misfortune and his medical costs amounted to RM 12 800. Calculate the payment to be borne by En. Mustafa and the compensation
he will receive.
BAB 3 ( m/s 11 )
14. Siew Hock mempunyai polisi insuran perubatan dengan deduktibel sebanyak RM 300 per rawatan
dengan had tahunan bernilai RM 50 000. Lengkapkan jadual di bawah.
Siew Hock has a medical insurance policy with a deductible of RM 300 per treatment with an annual limit of RM 50 000.
Complete the table below.
Baki had tahunan Kos rawatan Tanggungan
Bulan Annual limit balance Medical cost Dependents
Month
RM RM RM
Syarikat
Company
Jan 2020 450
Pemegang polisi
Policy holder
Syarikat
Company
Mac 2020 150
Pemegang polisi
Policy holder
Syarikat
Company
Jun 2020 35 000
Pemegang polisi
Policy holder
Syarikat
Company
Julai 2020 16 000
Pemegang polisi
Policy holder
Syarikat
Company
Okt 2020 450
Pemegang polisi
Policy holder
Syarikat
Company
Jan 2021 700
Pemegang polisi
Policy holder
Syarikat
Company
Mac 2021 280
Pemegang polisi
Policy holder
Syarikat
Company
Ogos 2021 2 500
Pemegang polisi
Policy holder
BAB 3 : INSURANS
15. Mr. Jason ialah seoarang pesakit kanser paru-paru yang memerlukan rawatan secara berkala.
Jadual menunjukkan jumlah kos rawatannya setiap tahun. Jika insuransnya menetapkan had
perlindungan keseluruhan RM 200 000 dengan maksimum RM 70 000 setahun. Lengkapkan jadual
berikut.
Mr. Jason is a lung cancer patients who need treatment periodically. Table shows the total cost of treatment each year. If
insurance sets the limits of overall coverage of RM 200 000 with a maximum of RM 70 000 per year. Complete the table.
Syarikat
Company
2017 35 000
Pemegang polisi
Policy holder
Syarikat
Company
2018 80 000
Pemegang polisi
Policy holder
Syarikat
Company
Syarikat
Company
2020 53 000
Pemegang polisi
Policy holder
Syarikat
Company
BAB 3 ( m/s 12 )
BAB 3 : INSURANS
2021 87 000
Pemegang polisi
Policy holder
BAB 3 ( m/s 13 )
C. INSURANS MOTOR & PAKEJNYA
MOTOR INSURANCE & ITS PAKAGE
Berdasarkan jadual di atas, tandakan pada perkara yang Cik Ani boleh tuntut kepada syarikat insurans
jika berlaku kemalangan, sekiranya dia membeli polisi berikut,
Based on above the table, mark on the item that Cik Ani can claims to the insurance company if accident occurred, if
she bought the following policy,
a) Akta b) Pihak ketiga,
Act Third party
Kerosakan kereta Ani Kerosakan kereta Abu Kerosakan kereta Ani Kerosakan kereta Abu
Ani’s car damage Ani’s car damage Ani’s car damage Ani’s car damage
c) Pihak ketiga, kebakaran & kecurian d) Komprehensif
Third party, fire & theft Comprehensive
Kerosakan kereta Ani Kerosakan kereta Abu Kerosakan kereta Ani Kerosakan kereta Abu
Ani’s car damage Ani’s car damage Ani’s car damage Ani’s car damage
2. Jadual menunjukkan jumlah kerugian dalam kemalangan yang disebabkan oleh kecuaian En. Danial.
The table shows the total number of losses in an accident caused by En, Danial’s negligent.
e) Ingin membeli insurans pada 2021 di mana f) Ingin membeli insurans pada 2021 di mana
insurans pertama pada 2015 tetapi pernah insurans pertama pada 2010 tetapi pernah
membuat tuntutan insurans pada 2017 membuat tuntutan insurans pada 2019
Would like to buy insurance on 2021 where the 1st Would like to buy insurance on 2021 where the 1st
insurance is on 2015 but have made a claim on 2017 insurance is on 2010 but have made a claim on 2019
4. Jadual di bawah yang menunjukan nilai perlindungan untuk cermin bagi beberapa jenis model
kereta. Kirakan nilai premiumnya.
The schedule below shows the protection value for windscreen for some types of car models. Calculate the premium.
Model kereta Jumlah perlindungan Premium tahunan
Car model Protection value Annual premium
a) Kirakan premium kasar bagi polisi komprehensif, polisi pihak ketiga, kebakaran dan kecurian, dan
polisi pihak ketiga bagi kereta baru dibeli iaitu Toyota Vios 1.5(A) yang bernilai RM 64 800 di Selangor.
Calculate gross premiums for comprehensive policies, third party, fire and theft policies, and third party policies for newly
purchased cars, Toyota Vios 1.5(A) worth RM64 800 in Selangor.
b) Berdasarkan jadual, kirakan jumlah premium bagi setiap kenderaan berikut.
Based on the table, calculate the total premium for each of the following vehicles.
i) Kenderaan
Vehicle
Audi A4
Kapasiti enjin
Engine capacity
2 000 cc
Jumlah perlindungan
Sum insured
RM 319 700
NCD -
Polisi yang dipohon Komprehensif
Policy applied for comprehensive
Lokasi Kelantan
Location
Jumlah perlindungan cermin RM 4 000
windscreen caverage
ii) Kenderaan
Vehicle
Toyota Velfire
Kapasiti enjin 3 456 cc
Engine capacity
Jumlah perlindungan RM 225 300
Sum insured
NCD 30 %
Polisi yang dipohon Komprehensif
Policy applied for comprehensive
Lokasi Sarawak
Location
Jumlah perlindungan cermin RM 3 500
windscreen caverage
i) Kenderaan
Vehicle
Honda City
Kapasiti enjin 1 497 cc
Engine capacity
Jumlah perlindungan RM 36 888
Sum insured
NCD 45 %
Pihak ketiga,
Polisi yang dipohon
Policy applied for
kebakaran & kecurian
Third party, fire & theft
Lokasi Perlis
Location
ii) iv) Kenderaan
Vehicle
Nissan X-Trial
Kapasiti enjin 2 488 cc
Engine capacity
Jumlah perlindungan
Sum insured
RM 78 600
NCD 25 %
Polisi yang dipohon Komprehensif
Policy applied for comprehensive
Lokasi Johor
Location
Jumlah perlindungan cermin RM 1 200
windscreen caverage
7. En. Amin mempunyai sebuah kereta Perodua Kancil. Dia membeli insurans dengan polisi komprehensif
bernilai RM 8 000. Selepas itu dia telah mengalami kemalangan dengan sebuah kereta Perodua Myvi.
Kerosakan kereta Perodua Kancilnya dan kereta Perodua Myvi tersebut masing- masing bernilai RM 5 500
dan RM 11 300. Berapakah pampasan yang akan diberikan oleh syarikat insurans kepadanya? Seterusnya
apakah pengajaran yang boleh dibuat berdasarkan situasi ini?
En. Amin has a Perodua Kancil car. He purchased an insurance with a comprehensive policy worth RM 8 000. After that he
had suffered an accident with a Perodua Myvi car. The damage to his Perodua Kancil car and the Perodua Myvi car were
worth RM 5 500 and RM 11 300 respectively. How much compensation will the insurance company give to him? Hence what
lessons can be made based on this situation?
8. Puan Mariam mempunyai NCD maksimum untuk kereta BMWnya. Setelah ditolak NCD tersebut,
dia hanya membayar premium insurans sebanyak RM 1 575. Semasa dia hendak meletakkan
keretanya di lot pakir, dia telah terlanggar tembok penghadang. Nilai kerosakan akibat daripada
kejadian itu
ialah RM 2 800. Wajarkah dia menuntut pampasan insuransnya?
Puan Mariam has the maximum NCD for her BMW car. After deducted the NCD, she only pay an insurance premium of
RM 1 575. When she want to place her car in the parking lot, she had hit a barrier wall. The value of the damage from
from the incident is RM 2 800. Should she claim his insurance compensation?
9. Dalam insurans motor, pemegang polisi bertanggungjawab menanggung deduktibel wajib
berjumlah RM 400 sekiranya kereta dipandu oleh,
In motor insurance, the policyholder is responsible for compulsory deductions amounting to RM 400 if the car is driven by,
a)
b)
c)
10. En. Johari telah membeli insurans motor bernilai RM 25 000 untuk keretanya yang mempunyai peruntukan
deduktibel sebanyak RM 250. Sepanjang tempoh insurans tersebut, keretanya telah mengalami lima kali
kemalangan dengan kerugian seperti yang ditunjukkan dalam jadual di bawah. Lengkapkan jadual tersebut.
En. Johari purchased motor insurance worth RM 25 000 for his car with a deductible allocation of RM 250. During the period
of insurance, his car has suffered five times accident with losses as shown in the table below. Complete the table.
Kerugian Pampasan
Bulan Pemandu Loss Compensation
Month Driver
RM RM
Isteri (Penama)
April Wife (Nominee) 680
Anak (Lesen L)
Jun Son (L license )
2 300
Deduktibel
Deductible
Ko-insurans
Co-insurance
2. En Idris ingin membeli insurans kebakaran untuk rumahnya. Nilai boleh insurans rumah itu ialah
RM 450 000. Kirakan jumlah insurans yang harus dibeli olehnya jika polisi insurans kebakaran
yang ingin dibelinya itu mempunyai peruntukan ko-insurans seperti yang berikut.
Mr Idris would like to buy fire insurance for his home. The insurable value of the house is RM 450 000. Calculate the amount
of insurance that he should purchase if the fire insurance policy have the co-insurance allocation as the following.
a) 80/20
b) 75/25
c) 50/50
BAB 3 ( m/s 20 )
3. Apakah dimaksudkan dengan penalti ko-insurans?
What is the meaning of co-insurance penalty?
4. Miss Jenny membeli insurans kebakaran untuk kedainya. Nilai boleh insurans ialah RM 750 000 dan
mempunyai peruntukan ko-insurans sebanyak 70/30 serta deduktibel sebanyak RM 15 000. Jika berlaku
kebakaran yang menyebab kerugian sejumlah RM 250 000, kirakan nilai pampasan yang syarikat akan
berikan jika dia membeli insurans dengan nilai yang diberikan. Seterusnya nyatakan nilai penalti ko-insurans.
Miss Jenny bought fire insurance for her store. The insurable value is RM 750 000 and has a co-insurance allocation of 70/30
plus a deductible of RM 15 000. If the fire was occurred and caused a loss of RM 250 000, calculate the value of the compensation
that the company will provide if she purchases insurance at the given value. Hence state the value of co-insurance penalty.
a) nilai yang harus dibeli
b) RM 450 000
c) RM 300 000
5. En. Yahya ingin membeli insurans kebakaran untuk rumahnya. Nilai boleh insurans ialah RM 350 000 dan
mempunyai peruntukan ko-insurans sebanyak 85/15 serta deduktibel sebanyak RM 10 000. Jika rumahnya
mengalami kebakaran menyeluruh, berapakah nilai pampasan yang akan dia terima?
En. Yahya wanted to buy fire insurance for his house. The insurance value is RM 350 000 and has a co-insurance provision of
85/15 and deductible of RM 10 000. If the house suffered a total burn, how much compensation would he receive?