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Insurers may issue the policy contract of Arogya Sanjeevani Policy in electronic or digital format to reduce operational costs and offer affordable premiums. General and standalone health insurers must provide a certificate of insurance to the policyholder. The certificate indicates the availability of health insurance coverage and contains a reference to access detailed terms and conditions of the policy contract. Insurers must forward the digital form of the policy contract through email or provide a link in the certificate of insurance. Insurers must provide the policy contract in physical form when the policyholder specifically requests it.
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[Image omitted. See the official document.] भारतीय बीमा विनियामक और विकास प्राधिकरण INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA
परिपत्र Circular
संदर्भ सं. आईआरडीएआई/एचएलटी/आरईजी/सीआईआर/055/03/2020
दिनांक: 04-03-2020
Ref. No: IRDAI/HLT/REG/CIR/055/03/2020
Date: 04-03-2020
प्रति / To,
सभी साधारण और स्टैंड-अलोन स्वास्थ्य बीमाकर्ता (ईसीजीसी, एआईसी को छोड़कर)
All General and Standalone Health Insurers (except ECGC, AIC)
विषय: मानक वैयक्तिक स्वास्थ्य बीमा उत्पाद संबंधी आशोधन दिशानिर्देश
Re: Modifications Guidelines on Standard Individual Health Insurance Product
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.
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.
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.
This has the approval of the competent authority.
[Image omitted. See the official document.]
(डी वी एस रमेश / D V S Ramesh)
महाप्रबंधक (स्वास्थ्य) / General Manager(Health)
सर्वे नं. 115/1, फाइनेंशियल डिस्ट्रिक्ट, नानकरामगुडा, हैदराबाद-500 032, भारत
[Image omitted. See the official document.]: +91-40-2020 4000 वेबसाइट : www.irdai.gov.in
Survey No. 115/1, Financial District, Nanakramguda, Hyderabad-500 032, India
[Image omitted. See the official document.]: +91-40-2020 4000 Website : www.irdai.gov.in
