Page 12 - The Insurance Times August 2025
P. 12

IRDAI Flags Gaps in Health         (CIS), appointing a product manage-  board's customer-service committee,
                                            ment panel member to its Claims Re-  and publish quarterly grievance statis-
         Insurers' Compliance with          view Committee, and establishing pro-  tics. IRDAI says the move will shorten

         Master Circular                    tocols for timely portability data sub-  resolution cycles, cut escalation to ex-
         The Insurance Regulatory and Devel-  mission to the Insurance Information  ternal forums and boost policy-holder
         opment Authority of India  (IRDAI),  Bureau.                          trust.
         during routine inspections at select                                  Stakeholders have until 17 August 2025
         health insurance companies, flagged  IRDAI Drafts Internal Om-        to comment on the proposal, which
         concerns regarding lapses in imple-  budsman Norms to Speed           complements the existing Insurance
         menting regulatory provisions under                                   Ombudsman scheme and aligns the
         the new health insurance master cir-  Up  Insurance  Grievance        sector with similar internal-ombuds-
         cular.                             Redressal                          man frameworks in banking.
         According to  a  CNBC TV18  report,  The Insurance Regulatory and Devel-
         eight insurers, including New India As-  opment Authority of India (IRDAI) has  IRDAI Cautions Insurance
         surance, ICICI Lombard, HDFC ERGO,  issued draft regulations requiring every
         Tata AIG, Star Health, Niva Bupa, Care  life, general and health insurer with at Brokers  Amid  Frenzied
         Health, and ManipalCigna, are under  least  three  years'  operations  to  Stake-Sale Activity
         scrutiny for compliance issues, particu-  appoint an Internal Insurance Ombuds-  The Insurance Regulatory and Devel-
         larly around claims settlement. The  man (IIO). Empowered to adjudicate
         regulator is reportedly assessing po-  complaints involving amounts up to  opment Authority of India (IRDAI) has
         tential enforcement action for non-  Rs.  50  lakh,  the  IIO  will  review  all  issued a stern advisory to insurance
         adherence.                         grievances that an insurer proposes  brokers after noticing a spike in hurried
                                            to  reject  or  partially  settle  and  stake-sale proposals and merger talks
         Responding to the inspection, New In-                                 within the broking fraternity. In a re-
         dia Assurance clarified that the exer-  must  give  a  binding,  time-bound  cent circular, the regulator urged bro-
                                            decision.
         cise was constructive and aimed at                                    kers to seek prior IRDAI approval for
         strengthening industry practices. The  Insurers  must  establish  the  new  any share-transfer or control change,
         insurer noted it had already acted on  mechanism within three months of  comply strictly with the 2018 Broker
         IRDAI's procedural feedback-simplify-  the final guidelines, create a dedicated  Regulations, and maintain the man-
         ing the Customer Information Sheet  ombudsman office reporting to the
                                                                               dated Rs. 75-crore net-worth thresh-
                                                                               old.
           Ajay Seth Appointed IRDAI Chairman for Three-Year                   IRDAI expressed concern that some
                                                                               brokers-lured by lofty valuations and
           Term                                                                private-equity interest-were circulat-
           The Appointments Committee of the Cabinet has named Ajay Seth, former  ing unsolicited deal pitches and signing
           Secretary of the Department of Economic Affairs, as the new chairman of  term sheets without adequate due dili-
           the Insurance Regulatory and Development Authority of India (IRDAI) for  gence or board consent. The regulator
           three years, or until he turns 65, whichever is earlier. A 1987-batch IAS of-  warned that any non-compliant trans-
           ficer from the Karnataka cadre, Seth recently led India's G20 finance-track  action  could face  cancellation and
           negotiations and oversaw the rollout of sovereign green bonds during his  monetary penalties, and reminded
           tenure at the finance ministry.
                                                                               promoters they remain liable for poli-
           He succeeds Debasish Panda, whose term ended in March 2025, and takes  cyholder interests even after exiting.
           charge at a pivotal time as IRDAI pursues its "Insurance for All by 2047"  With consolidation accelerating before
           agenda, shifts toward risk-based capital rules, and pushes digital and micro-  the proposed hike in capital and sol-
           insurance expansion. Industry observers expect Seth to accelerate product-  vency norms, IRDAI's caution aims to
           approval reforms, strengthen consumer protection, and deepen insurance  ensure orderly market conduct, pro-
           penetration, especially in rural markets. His mandate also includes closer
                                                                               tect customers, and preserve confi-
           coordination with other financial regulators to foster a unified approach to
                                                                               dence  in  the  fast-growing  broking
           emerging risks such as cyber and climate.
                                                                               sector.
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