Revision of Health Insurance Regulatory Returns

IRDAI vide reference no. IRDAI/HLT/CIR/MISC/102/5/2022 has issued a Circular on ‘Revision of Health Insurance Regulatory Returns’ dated May 23, 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

  • /2022/40_2022-05-23_Revision_of_Health_Insurance_Regulatory_Returns.pdf

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