IRDAI vide ref. No. IRDAI/HLT/CIR/MISC/59/2/2023 dated February 28, 2023 issued a Circular on ‘Modification of the terminology “sub-standard lives” mentioned in IRDAI (Health Insurance ) Regulations-2016’ (Circular).
Background:
The Circular has been issued in compliance with the directions of the Honourable High Court of Delhi in WP No. 6074/2019- Mr.Saurabh Shukla vs M/s Niva Bupa Health Insurance Co Ltd and Others dated December 13, 2023 (Order of High Court of Delhi) wherein inter-alia it was stated that the ‘sub-standard’ is not an acceptable terminology and the same shall not be used in any Regulations or any documents while referring to persons with disabilities.
Major highlights of the Circular are as follows:
- The reference to “sub-standard lives” in Regulation 8 (b) of IRDAI (Health Insurance) Regulations,2016 hereby stands deleted.
The said Regulation shall now be read as under:
8 (b): “The underwriting policy shall also cover the approach and aspects relating to offering health insurance coverage. It shall have in place various objective underwriting parameters to differentiate the various classes of risks being accepted in accordance with the respective risk categorization”.
- The above modification shall come into force with immediate effect.
Source category: IRDAI
Attachments
- /2023/159_MODIFI~11.PDF
- /2023/159_Order_of_High_Court_of_Delhi_13_12_2022.pdf
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