Insurance Regulatory And Development Authority of India

Circular

Ref. No:IRDAI/HLT/REG/CIR/055/03/2020

Date: 04-03-2020

To

All General and Standalone Health Insurers (except ECGC, AIC)

Re: Modifications Guidelines on Standard Individual Health Insurance Product

1. Reference is invited to the Guidelines on Standard Individual Health Insurance Product (Ref: IRDAI/HLT/REG/CIR/001/01/2020 dated 01.01.2020) mandating all general and standalone health insurance companies offer Arogya Sanjeevani Policy. In partial modification of these guidelines, the following norms are issued.

2. In terms of the provisions of Regulation 4(iii) of IRDAI (Issuance of e-Insurance Policies) Regulations, 2016 providing policy document in physical form is mandatory when policies are issued in electronic form directly to the policyholders. Since features of Arogya sanjeevani policy are common across the industry and as the terms and conditions of the polciy are already specified by the Authority, with the objective of reducing the oprearating costs and to pass on this benefit of reduced operational cost to the policyholders by way of affordable premiums, insurers are allowed to issue the policy contract of Arogya Sanjeevani Policy in electronic / digital format. The digital form of the policy contract may be forwaded through email or a link shall be provided in the certificate of insurance. However, where policyholder specifically seeks the physical form of the policy contract, the same shall be provided by the insurer.

3. Every insurer offering Arogya Sanjevani Policy shall provide a certificate of insurance to the policyholder indicating the availability of health insuarnce coverage.The certificate shall have a reference to access detailed terms and conditions of the policy contract.

4. This has the approval of the competent authority.

D V S Ramesh,
General Manager(Health)

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