Archive · 26 Jun 2025
IRDAI Finds Lapses in Health Claim Practices at Eight Insurers
Imagine your insurance company sometimes denies your claims or delays payments.
India's insurance regulator, IRDAI, checked several insurance companies and found some problems.
These companies were rejecting claims, taking out money they shouldn't, and taking too long to pay.
The regulator might make them pay money back or fine them to fix these issues.
This is happening because of consumer complaints about how the insurance companies handle claims.
IRDAI found significant lapses in health claim practices at eight insurance companies.
Inspections revealed issues with claim rejections, deductions, and delayed settlements.
The inspections were part of a compliance review of the Health Master Circular.
Insurers inspected include Niva Bupa, Star Health, Care Health, and others.
IRDAI may impose financial penalties or require refunds to affected policyholders.
- Who
- IRDAI, eight insurance companies, and policyholders.
- What
- Lapses in health claim practices at eight insurance companies.
- When
- Recent inspections
- Where
- India
- Why
- To ensure compliance with the Health Master Circular and protect policyholders.
- Regulator
- IRDAI
- Number of Insurers Inspected
- 8
- Issues Found
- Claim rejections, deductions, delays
- Affected Policyholders
- Potentially eligible for refunds
- Possible Actions
- Financial penalties or refunds