Insurance Regulatory and Development Authority of India
Ref: IRDAI/HLT/REG/CIR/194/07/2020
22nd July, 2020
All Insurers (excluding specialized insurers) and TPAs, wherever applicable
Sub: Consolidated Guidelines on Product filing in Health Insurance Business
1. Objective:
1.1 The extant IRDAI (Health Insurance) Regulations 2016 were notified on 18th July, 2016 superseding IRDA (Health Insurance) Regulations 2013.
1.2 The Guidelines on Product Filing in Health Insurance Business were issued on 29th July, 2016.
1.3 Subsequently modification Guidelines have been issued from time to time amending aforementioned Guidelines. Further, some new Guidelines/Circulars have been issued under the provisions of the Insurance Act, 1938 and IRDAI (Health Insurance) Regulations 2016.
1.4 In consolidation of all the Guidelines/Circulars issued up to 31st March, 2020 and in force as on date, this Consolidated Guidelines on Product filing in Health Insurance Business is issued.
2. Applicability:
2. 1 These Consolidated Guidelines are applicable to all insurers (excluding specialized insurers) and the TPAs wherever applicable unless otherwise specified thereunder.
3. Legal and other provisions:
3.1 These Consolidated Guidelines are issued under the provisions of Section 34(1) of the Insurance Act, 1938, Regulation 2(i)(o), 2(i)(g), 17(iv) and Clause 16 of Schedule I of IRDAI (Health Insurance) Regulations 2016.
4. Repeal and Savings:
4.1 These Consolidated Guidelines supersede the following Guidelines/Circulars:
| Sl.
No. |
Circular Reference | Description |
| 1. | IRDA/HLT/REG/CIR/150/07/2016 dated 29.07.2016 | Guidelines on Product Filing in Health Insurance Business |
| 2. | IRDA/HLT/REG/CIR/005/01/2017 dated 10.01.2017 | Clarifications in respect of the provisions of
IRDAI (Health Insurance) Regulations 2016 and Guidelines on Product Filing in Health Insurance |
| 3. | IRDA/HLT/REG/ClR/064/03/2017 dated 24.03.2017 | Modification in premium rates due to revised Commission/Remuneration Structure and introduction of Reward System |
| 4. | IRDA/HLT/MISC/CIR/128/08/2018 dated 16.08.2018 | The Mental Healthcare Act, 2017 |
| 5. | IRDA/HLT/MISC/CIR/169/10/2018 dated 08.10.2018 | The Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (Prevention and control) Act 2017 |
| 6. | IRDA/HLT/CIR/MISC/151/09/2019 dated 20.09.2019 | Guidelines on Filing of Minor Modifications in the approved Individual Insurance Products offered by General and Stand Alone Health Insurers on Certification Basis. |
| 7. | IRDAI/HLT/CIR/MISC/174/09/2019 dated 27.09.2019 | Circular on Travel Insurance Products and operational matters |
| 8. | IRDAI/HLT/REG/CIR/175/09/2019 dated 27.09.2019 | Modification Guidelines on Product Filing in Health Insurance Business &
MODIFICATION OF EXISTING HEALTH INSURANCE PRODUCTS |
| 9. | IRDAI/HLT/REG/CIR/003/01/2020 dated 01.01.2020 | Guidelines on Migration and Portability of health insurance policies |
5. Effective date :
These Consolidated Guidelines shall come into force with immediate effect.
DVS Ramesh
General Manager (Health)
Download Full Text of Consolidated Guidelines on Product filing in Health Insurance Business
