IRDA Proposes Amendments in Health Insurance

The Insurance Regulatory and Development of India (IRDAI) has recently proposed amendments to health insurance regulations in the country. From lifelong renewals under personal accident insurance to discount on renewal premiums, the proposed amendments are pro-policyholders. The insurance regulator has invited comments from different stakeholders until March 6, 2022.

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    Health Insurance Amendments by IRDAI

    In the amendment draft issued on February 16, 2022, the IRDAI has proposed lifelong renewals under personal accident cover if the policy was previously renewed without any breaks. With this amendment, health insurance companies will be unable to deny lifetime renewals to personal accident policyholders due to an increase in their age.

    The insurance regulator has also proposed a discount on renewal premiums if the risk profile of a policyholder is low. At present, insurance companies offer loading on health insurance premiums that could be removed once the risk lowers.

    Further, the amendment also proposes revision in the health insurance portability. It proposes a fixed time of five working days for insurance companies to obtain all essential details on the medical history and claim history of a policyholder from the existing insurance provider. This amendment will ensure that no insurance company rejects any claims in future related to an already made claim on the grounds of non-disclosure after portability. It is also expected to prevent the refusal of porting of a policy by insurance companies.

    The IRDAI has also proposed revision in the cashless facility clause so that the onus of ensuring the cashless facility is shifted by the insurer. However, no specific guidelines have been mentioned to do so.

    Besides, IRDAI has also proposed other amendments relating to the operations of a health insurance company.

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