IRDAI has additionally directed the insurers to guarantee that coverage wordings are easy so that policyholders can perceive them simply
New Delhi: Irdai has directed health insurance suppliers not to make any modifications to existing health policies that might lead to an increase in premium for policyholders.
The instructions are additionally relevant for private accident and journey insurance cowl.
In a round, the Insurance Regulatory and Development Authority of India (IRDAI) stated normal and standalone health insurers will not be allowed to modify existing advantages and add new advantages within the existing merchandise, which leads to imposing a rise in premium.
The watchdog additionally stated that insurers are permitted to impact minor modifications in accordance with “Consolidated Guidelines on Product filing in Health Insurance Business” issued in July final yr.
“Addition of new benefits/ up-gradation of existing benefits may be offered as add-on covers or optional covers with a standalone premium rate to ensure an informed choice to the policyholders,” IRDAI stated within the round this week.
Further, the regulator has requested appointed actuaries to evaluate the monetary viability of each health insurance product on the finish of a monetary yr.
The report of such a evaluate must be submitted to the insurer’s board together with an evaluation of beneficial or unfavourable expertise of every product in addition to advisable corrective motion so as to make sure the sustainability of the product in addition to to defend the pursuits of policyholders of the underlying product, the round stated.
The standing report wants to be submitted by 30 September of each monetary yr to the authority together with the board’s recommendations and corrective actions to be taken.
The standing report for 2020-21 must be filed by 30 September, 2021, as per the regulator.
IRDAI has additionally directed the insurers to guarantee that coverage wordings are easy so that policyholders can perceive them simply.
From 1 October this yr, all insurers have additionally been directed to observe a regular format for coverage contracts in a transparent heading in order to draw the eye of policyholders.
The contract ought to comprise particulars on the coverage schedule, preamble, definitions, advantages lined beneath the coverage, exclusions, normal phrases and clauses, amongst others.
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