IRDAI vide reference no. 4/AD (Analysis)/HI Returns/2013 has issued a Circular on ‘Revision of Health Insurance Regulatory Returns’ dated May 5, 2022 (Circular).
Major highlights of the Circular are as follows:
IRDAI comprehensively examined the extant returns being submitted by the Insurers and has decided to dispense/modify periodicity of the returns as tabulated below. These norms are applicable to all the returns to be filed for FY 2021-22 onwards.
Form No.
Submission details
Existing frequency/
Revised frequency
Nature of change
HIR-14
Performance of Government sponsored Scheme
Half-yearly
Annually
Change in the periodicity of the submission
HIR-15
Details of Claims Handled Directly by Insurers
Half-yearly
Annually
HIR-16
TPA wise details of claims settled
Half-yearly
Annually
HIR-17
State-wise data on mode of issuing of policies
Half-yearly
Annually
HIR-18
Details of gross premium, no. of persons covered and incurred claims
Quarterly
Quarterly
Submission ‘For the quarter/period to be discontinued. However, return ‘Up to the quarter / period’ to remain in force
HIR-19
State-wise data on business & claims
Quarterly
Annually
Change in the periodicity of the submission
HIR-20
Information on Government Sponsored Health Insurance Schemes offered
Annually
NA
Return has been dispensed with
HIR-21
Data on Group Health Insurance Schemes offered
Annually
NA
Return has been dispensed with
Source category: IRDAI
Attachments
- /2022/31_Revision_of_Health_Insurance_Regulatory_Returns.pdf
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