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AGREEMENTS BETWEEN TPAs AND INSURANCE COMPANIES

CIRCULAR NO. IRDA/HLT/MISC/CIR/074/04/2013, DATED 15-4-2013

The Authority has recently notified IRDA (Health Insurance) Regulations, 2013 and IRDA (Third Party Administrators – Health Services) (First Amendment) Regulations, 2013. The guidelines on ‘Standardization of Health Insurance’ have been issued by the Authority on 20th Feb., 2012. These Regulations and Guidelines contain certain provisions relating to ‘Agreements’ between Insurance companies, TPAs and/or Network Providers.

All the Life, General and Standalone Health Insurance Companies and TPAs are therefore advised:

– to review all the active agreements entered by them for providing health services in order to ensure compliance with the new Regulations/Guidelines, and

– to file the copies of revised agreements with the Authority on or before 31st July, 2013.

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