A uniform, standard health cover from April 1

maximum sum insured of Rs 5 lakh and minimum of Rs 1 lakh. So far, the only standardised insurance product had been the motor insurance.

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Insurance Medical Insurance Health policy
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A uniform, standard health cover from April 1

MUMBAI: The Insurance Regulatory and Development Authority of India (IRDAI) has made it mandatory for general and health insurers to come up with a standard individual health insurance product.

Sum insured for health claim

This can cater to the basic health needs of a customer, with a maximum sum insured of Rs 5 lakh and minimum of Rs 1 lakh. So far, the only standardised insurance product had been the motor insurance.

The insurers are mandated to offer the product from April 1, 2020, onwards and need no pre-approval from IRDAI for this.

Age Limit

The minimum entry age is fixed as 18 years and maximum 65. The policy has no exit age and has the provision of lifelong renewability.

The dependents will be covered from the age of three months to 25 years, subject to the definition of ‘family’.

If the dependent is aged above 18 years and is financially independent, s/he would be ineligible for coverage in subsequent renewals.   

According to Subramanyam  Brahmajosyula, head (underwriting & reinsurance), SBI General Insurance, with the introduction of a standardised product, the customer can confidently choose any insurer, knowing full well that they have a product with common policy wordings.

A standardised product will also make it easier for customers to exercise the option of portability.

Insurance companies will now have to distinguish themselves in the premiums they charge and their servicing capabilities, especially at the claims stage, he said.

Pallavi Roy, head (products), IFFCO Tokio General Insurance, also agreed that the easy-to-understand standard health insurance product will facilitate seamless portability and convenience of purchase.

The IRDAI guidelines have provided clarity on the definitions of portability and migration as well.

“While migration allows a policyholder to migrate from one plan to another or from group policy to individual policy of the same insurer with the credit gained for pre-existing conditions and time-bound exclusions with the previous policy.

Also allows a customer to port his or her policy from one insurer to another with the credit gained for pre-existing conditions and time-bound exclusions with the previous policy,” said Gurdeep Singh Batra, head (retail underwriting), Bajaj Allianz.

By Pradeep Pandey, Express News Service

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