Page 56 - Insurance Times November 2023
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          IRDAI Corner













         IRDAI advised Insurance Companies to                 Section 2 provides for a specific situation wherein a private
                                                              car owned by an employer, and used to carry employees, is
         settle Sikkim flood Claims on Fast Track
                                                              involved an accident. At present, Clause 7 of Section 2 of
                                                  18.10.2023  Motor Tariff reads as follows:
         The Floods in Sikkim have caused widespread loss to property  Clause (7)(ii) of IMT: Legal Liability to employees of the in-
         (homes and businesses) and infrastructure. The Sector Regu-  sured travelling in and / or driving the employer’s vehicle
         lator IRDAI issued instructions to all General Insurers and  Liability to the employees of the insured travelling in or driv-
         Standalone Health Insurance Companies to mobilise all re-
                                                              ing the employer’s motor vehicle, either excluding or includ-
         sources to ensure immediate service response including en-  ing paid driver may be covered on payment of additional
         gaging the services of Surveyors, Loss Adjustors and Investi-
                                                              premium @ Rs. 50/- per employee, the premium being
         gators for quick settlement of claims arising out of the havoc  chargeable on the total number of such employee’s carried
         created by the floods.
                                                              (including paid driver, if applicable) but not exceeding the
         The insurers have been advised to communicate the nomina-  maximum licensed seating capacity of the vehicle. The ad-
         tion of a Senior Executive to the Chief Secretary immediately.  ditional premium of Rs. 50/- per employee is net irrespec-
         Districts reporting large numbers of claims to oversee by a  tive of any period of insurance not exceeding 12 months
         designated District Claims Service Head. The insurers to give
                                                              In this connection, Hon’ble Madras High Court, in CMA No.
         wide publicity on the contact details of these officers in their
         websites and also in the media.                      2166 of 2019 & CMP No. 8871 of 2019 (United India Insur-
                                                              ance Co. Ltd., Vs Ilakkiyamathi & others) observed that in
         Insurers are advised to respond/assist the claimants through  cases of employees travelling in the private vehicles of the
         their 24x7 helplines, special claims desks at district level with  employers, met with an accident and got injured or faced
         delegated Claims Settlement Authorities for speedy process-  untimely death, it becomes a nightmare for the claimants
         ing and settlement of claims. Insurers have been advised to  to recover compensation from the employer. This leads to
         settle claim payments/on account payments at the earliest  claimants to suffer endlessly having lost their sole breadwin-
         and also encourage policyholders to use electronic communi-  ner or having suffered injuries.
         cation wherever possible for correspondence.
                                                              Consequently, the Hon’ble Madras High Court has issued

                                                              directions to IRDAI to make IMT-29 compulsory as an inbuilt
         Mandating of coverage, payment of pre-
                                                              coverage for employees while issuing a Private Car policy
         mium under IMT-29 compulsory as an                   for such vehicles.
         inbuilt coverage in a private car policy             In accordance with the above directions of the Hon’ble
                                                              Madras High Court, the Authority, in exercise of the pow-
                                                  18.10.2023
                                                              ers conferred by Section 14(2) of Insurance Act 1938, hereby
         Indian Motor Tariff 2002 (“Motor Tariff”) under Clause 7 of  issues the following directions:

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