Page 13 - The Insurance Times July 2025
P. 13

Allianz has set up a dedicated desk for  telematics, which can track real-time  This development comes amid rising
          expedited processing. HDFC Life re-  driving patterns.               complaints  related  to  cashless
          quires only proof of death from local  Digital-first insurers like ACKO General  hospitalisation issues and unjustified
          authorities to initiate claims.   Insurance are already responding to  claim rejections, especially post-COVID,
                                                                               as health insurance adoption surges.
                                            these reforms, leveraging technology
          Regulatory  Overhaul  is          to offer personalized premiums, dy-  The regulator aims to tighten over-
          Transforming Motor Insur-         namic policy features, and customer-  sight and ensure that insurers adhere
                                            friendly services. For both insurers and  to fair claims practices, prompt settle-
          ance Landscape in India           policyholders, this evolution marks a  ment timelines, and customer-centric
          The motor insurance sector in India is  move toward a smarter, fairer motor  grievance redressal systems.
          undergoing a significant transforma-  insurance ecosystem.           The move signals IRDAI’s growing fo-
          tion, driven by regulatory reforms ini-                              cus on accountability, transparency,
          tiated by the Insurance Regulatory  IRDAI  Flags  Lapses  in         and consumer trust in the fast-evolv-
          and Development Authority of India                                   ing health insurance landscape.
          (IRDAI). These changes aim to foster  Health Claim Processes at
          greater transparency, inclusivity, and  8 Insurers: Report           IRDAI Imposes Rs. 1 Crore
          digital integration, reshaping how poli-
                                            The Insurance Regulatory and Develop-
          cies are priced and delivered.                                       Penalty on Edelweiss Life
                                            ment Authority of India (IRDAI) has re-
          Traditionally, motor insurance premi-  portedly identified serious lapses in Insurance for Regulatory
          ums were calculated based on fixed  health insurance claim settlement prac-  Violations
          parameters such as vehicle type, en-  tices across eight insurance companies,  The Insurance Regulatory and Devel-
          gine capacity, geographic location, and  according to sources familiar with the  opment Authority of India (IRDAI) has
          basic driver demographics. However,  matter. These lapses include delays in
                                                                               imposed a Rs. 1 crore penalty on Edel-
          these outdated criteria fail to reflect  claim approvals, non-transparent pro-
                                                                               weiss Life Insurance for multiple viola-
          an individual's actual driving behavior  cesses, inadequate documentation, and
                                                                               tions of regulatory norms. The fine fol-
          and risk level. As a result, cautious driv-  denial of valid claims, all of which raise
                                                                               lows an inspection conducted by IRDAI,
          ers often pay the same premiums as  concerns over policyholder protection
                                                                               which revealed lapses in areas includ-
          high-risk ones, receiving no rewards  and industry credibility.      ing policy servicing, corporate gover-
          for their safe driving record.    The insurers, whose names have not  nance, and disclosure practices.
          This uniform pricing discourages safer  been officially disclosed, have been  Key issues flagged by the regulator in-
          driving and limits incentives for respon-  asked to submit detailed explanations  clude delays in claim settlement, inad-
          sible behavior behind the wheel. The  and corrective action plans. IRDAI is  equate documentation, and non-compli-
          regulatory shift seeks to address this  also considering imposing penalties or  ance with IRDAI's reporting require-
          imbalance  by  encouraging  usage-  initiating further regulatory measures  ments. The authority stated that the in-
          based  insurance  models  and     if compliance is not achieved swiftly.  surer failed to adhere to prescribed stan-
                                                                               dards, potentially impacting policyholder
           RBI Cancels 30-Year Green Bond Auction Amid Yield                   interests and overall transparency.

           Concerns                                                            Edelweiss Life Insurance has been di-
                                                                               rected to strengthen its internal systems,
           The Reserve Bank of India (RBI) has cancelled the 30-year green bond auc-
           tion despite receiving bids worth Rs 10,943 crore-more than twice the no-  improve compliance protocols, and sub-
           tified amount of Rs 5,000 crore. This marks the second cancellation of such  mit a detailed corrective action plan.
           an auction, the previous one occurring in May 2024.                 The insurer is expected to take immedi-
                                                                               ate steps to address the gaps and pre-
           Traders believe the bids demanded higher yields than acceptable to the RBI,  vent recurrence of such violations.
           possibly due to recent rupee depreciation and changing crude oil prices. "We  This penalty underscores IRDAI’s firm
           had a rate cut when crude prices were low. But with a weaker rupee, inves-  stance on enforcing regulatory disci-
           tors likely sought higher yields," said a CIO from an insurance firm.
                                                                               pline in the life insurance sector, with
           The move signals RBI's caution on long-term borrowing costs amid evolving  a clear focus on policyholder protec-
           macroeconomic pressures.                                            tion and market integrity.

         12      July 2025    The Insurance Times
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