IRDA guidelines issued also make it clear that the renewal of a health insurance policy cannot be rejected on arbitrary grounds. As per IRDA, the only exception for rejection of a health policy renewal could be fraud or misrepresentation of facts.
NEW GUIDELINES issued by the Insurance Regulatory and
Development Authority (IRDA), on Thursday (April 2), made it mandatory
for an insurance company to renew a
Health Insurance
Plans, irrespective of the payments already made out in
claims.
These new rules will come in handy for the
old and those with medical conditions as they faced a lot of problem
while renewing their health policies.The Bill amends three Acts: the
Insurance Act, 1938; the General Insurance Business (Nationalisation)
Act, 1972 and the Insurance Regulatory and Development Authority (IRDA)
Act, 1999.
IRDA has made it clear that delays of up
to 15 days from the renewal date will also need to be condoned by the
insurers and they have to cover benefits given for pre-existing
diseases. The new guidelines shall be applicable from June 1,
2009.
The Insurance Regulatory and Development
Authority (IRDA) has made it mandatory for an insurance company to
renew a health insurance policy, irrespective of the payments already
made out in claims. IRDA has made it clear that delays of up to 15 days
from the renewal date should be condoned by the insurers and they have
to cover benefits given for pre-existing
diseases.
Sometimes a policy relapses because you
were late by 3 days. You get no reminder from the agent and when you
call him up, his excuse is, there were many holidays that week and he
was out of town! But, the same guy was happy calling us 5 times a day
to sign up. This is the other problem in insurance - the agents lose
interest the minute you sign that cheque.
IRDA
guidelines issued today also make it clear that the renewal of a health
insurance policy cannot be rejected on arbitrary grounds. As per IRDA,
the only exception for rejection of a health policy renewal could be
fraud or misrepresentation of facts.
IRDA also
stated that a customer should not be compelled or forced to shift from
one
Health Insurance
Plans to another insurance product, except where the policy
was being upgraded or discontinued with permission from the
authority.
It has also asked the insurance companies
to provide complete details about terms of renewing a health policy.
IRDA said that the purpose of these guidelines was to enable the
consumer to take an informed decision.
The
regulatory body also told the insurance companies to state in clear
terms if there are any changes in the payment of premium by the
consumer.
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