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The Insurance Regulatory and Development Authority of India modifies the guidelines on point of sales life insurance products to include non-linked non-par health insurance products with fixed benefits and removes the upper limit of the sum assured on death for pure term life insurance products. All life insurers must follow the new product parameters for health insurance products and apply only non-medical underwriting. The upper limit for the sum assured on death under pure term life insurance products has no limit subject to non-medical underwriting. This circular comes into force with immediate effect.
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भारतीय बीमा विनियामक और विकास प्राधिकरण INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA
Ref : IRDAI/LIFE/CIR/MISC/POS / 185 /08/2017
August 4, 2017
To All the Life Insurers,
Re : Modification to Guidelines on Point of Sales (POS) – Life Insurance Products
Reference is invited to -
of the Guidelines on Point of Sales (POS) - Life Insurance Products bearing Ref. No. IRDA/LIFE/GDL/GLD/222/11/2016 dated November 7, 2016.
Based on the feedback received from the insurance industry, it has been decided by the competent Authority
Sum Assured on Death : Maximum – No Limit (subject to Non – Medical underwriting only)
This Circular is issued with the approval of the competent Authority and comes into force with immediate effect.
[Image omitted. See the official document.]
(Nilesh Sathe) Member (Life)
Encl : Annexure – A
परिश्रम भवन, तीसरा तल, बसहिरबाग, हैदराबाद-500 004. भारत (©) : 91-040-2338 1100, फैक्स: 91-040-6682 3334 वेब: www.irda.gov.in
Parisharam Bhavan, 3rd Floor, Basheer Bagh, Hyderabad-500 004. India. Ph.: 91-040-2338 1100, Fax: 91-040-6682 3334 Web.: www.irda.gov.in
ANNEXURE - A
POS -- Health Insurance product (Fixed Benefit only)
Non- Linked, Non –Par, Non- Medical Product only will be allowed
For Individual / Family Floater Policies only (Not to be sold as Group insurance)
Product Features/ Parameters / Eligibility :
| Age at entry | Min -- 90 Days
Max -- As per extant Health Regulations |
|---|---|
| Maximum Age at Maturity | As per extant Health Regulations |
| Policy Term | Min – 5 years, Max - As proposed in F&U Application and approved by the Authority |
| Sum Assured | Minimum – As proposed under the product
Maximum – Rs. 15 Lakhs (Individual) -- Rs. 20 Lakhs { Floater and Individual } ( Sum Assured would be in the multiple of Rs 5000 only ) |
| Mode of Premium | Annual / Single |
| Grace period | As per extant regulatory norms |
| Revival period | As per extant regulatory norms |
| Waiting Period (For any disease) | Allowed Not more than first 90 Days from the date of acceptance of risk |
Benefits : (On diagnosis of a Disease / contingency covered)
| During waiting Period (if any) | -- Refund of 100% of premium Paid |
|---|---|
| After expiry of waiting Period | -- Full Sum Assured |
| Maturity Benefits | As proposed in F&U application and approved by the Authority |
| Underwriting Conditions | Only Non-Medical underwriting |
| Surrender Value | As per approved F&U / Extant regulatory provisions |
| Commission | As per approved F&U application |
| Other Features / Conditions | As per extant regulatory provisions |
| Exclusions | As approved under F& U |
| Pre- existing Disease | Not Covered / as per extant regulations |
| Portability | Not Allowed |
| Change in Sum Assured (at any time during the term or at the time of Renewal) | Not allowed |
| Post Diagnosis Survival Conditions /Period | As approved under F& U |
| Reinstatement / Renewal of Sum Assured | 100% |