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Circular





                                                              IRDAI Circular








          Transfer of Unclaimed amount to Senior Modification of Annexure – 24 of Circular
          Citizens welfare Fund-Accounting                    Ref. No:IRDAI/HLT/REG/CIR/015/02/2018

          Procedure                                                                              Date:02-02-2018
                                                              Ref. No: IRDA/TPA/REG/CIR/059/03/2016
          Ref. No: IRDA/F&A/CIR/MISC/20/02/2018
                                                                                           dated 28th March, 2016
                                            Date: 06-02-2018
                                                              Reference is invited to the provisions of ‘Annexure – 24’ of
                                                              Authority’s circular Ref. No: IRDA/TPA/REG/CIR/059/03/2016
          This has reference to the Authority’s master circular No. IRDA  dated 28th March, 2016 where norms on Non Insurance
          / F&A / CIR / MISC / 173 / 07 / 2017 dated 25.07.2017 wherein  Services under Healthcare Schemes were specified.
          the insurers having unclaimed amounts of policyholders for a
          period of more than 10 years as on 30th September, 2017  In order to align the norms with the provisions of
          were advised to transfer the same to the Senior Citizens’  Regulation 22 (3) of IRDAI (Third Party Administrators –
          Welfare Fund (SCWF) on or before 1st March, 2018.   Health Services) Regulations, 2016, ‘Annexure – 24’ of the
                                                              above referred circular stands replaced with revised
          Insurers may note that Budget Division, Department of  ‘Annexure – 24’ attached to this circular.
          Economic Affairs, MOF has issued  Accoutning procedure
          for transfer of the funds into the Senior Citizens’ Welfare  Accordingly, ‘Annexure – 24’ of Authority’s circular Ref. No:
          Fund  (Copy enclosed). In view of the same, the Authority  IRDA/TPA/REG/CIR/059/03/2016 dated 28th March, 2016
          directs the insurers as under :                     stands superseded with revised ‘Annexure – 24’ attached
          1.  All insurers shall adhere to the accounting procedure for  to this circular.
             transfer of the funds into the Senior Citizens’ Welfare   These modified norms will come into force with immediate
             Fund issued by Department of Economic Affairs;   effect. All Insurers and Third Party Administrators are
          2.  All Insurers having unclaimed amounts of policyholders  advised to make a note of these modifications and ensure
             for a period of more than 10 years as on 30th September,  compliance.
             2017 shall transfer the same to Senior Citizens’ Welfare  Member (Non Life)
             Fund (SCWF) on or before 1st March, 2018.        Annexure – 24
          Thereafter, every financial year, the process laid down in  As per Regulations 22 (3) of IRDAI (TPA – Health Services)
          the SCWF Rules, 2016 read with the accounting procedure  Regulations, 2016
          for transfer of the funds into the Senior Citizens’ Welfare
          Fund shall be followed. The insurers shall make transfers  Norms on Non Insurance Services under Healthcare Schemes
          to the Consolidated fund of India on or before the 1st  1. A TPA may render Health Services to only those
          March, each year.                                      healthcare schemes promoted, sponsored or approved
                                                                 by Central Government or any State Government.
          All other terms and conditons of Master Circular No. IRDA
          / F&A / CIR / MISC / 173 / 07 / 2017 dated 25.07.2017  Explanation: No Public Sector Undertaking shall come
          remain the same.                                       within the ambit of the above clause.
                                                              2. A TPA may render services in wellness and Health
          The circulars come into force with immedaite effect.
                                                                 promoting programmes, only if such activities are
          (Nilesh Sathe)                                         covered under insurance policy as issued by the
          Member-Life & I/o Finance                              concerned insurer, with whom a TPA has agreement for
                                                                 rendering of such Health Services. T

          30                                           March 2018                             Life Insurance Today
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