More than 50-60% of the health insurance products offered by non-life insurance companies at present would require changes in features in line with the health insurance regulations released last month by the Insurance Regulatory and Development Authority (IRDA). Many products would also require a revision in premium rates in line with the changes made.
Insurers may withdraw those products that don’t sell and make changes in their best-selling products.
According to the regulations, group health insurance policies that do not comply with the regulations will stand withdrawn by first July 2013, and first October 2013 for all individual health insurance policies.
The IRDA had revised the health insurance regulations last month to reduce ambiguity and conflicts in policy wordings and to protect the interest of policyholders. The new regulations are applicable to all kinds of health, personal accident and travel insurance products sold by any insurance company (life, non-life and standalone health insurers).
According to the health insurance regulations, insurers will have to offer lifetime coverage on all policies.
The entry age limit in health insurance policies would be 65 years.
The 30 day grace period beyond the expiry date of the policy will have to be provided by insurers to renew the policy.
Insurers cannot increase your premium if you have availed claims, but can increase the premium on the overall portfolio of customers. In case, an insurer is likely to increase the premium rates, they will have to inform their customers three months in advance so that a customer can port to another insurer.
Policies will have to offer a free-look period of 15 days from the date the documents received by the customer. An insurance company will have to pay minimum 50% of the pre-insurance medical checkup, if a proposal is accepted.
No-Claim Bonus (NCB), a discount offered by an insurer if the policyholder has not made any claim, cannot reduce to zero in case of a claim. The NCB will reduce at the same level as it increases when there are no claims.
The regulations has also provided a standard listing of 199 exclusions, standardized 46 definitions and standardized the claim form.


