Page 11 - The Insurance Times July 2020
P. 11

IRDAI sets up panel to             March 25 in view of the Covid-19 pan-  The letter suggested that the premium
                                            demic and lockdown, which enabled  for such a scheme be shared by the
         draft standard indemnity           registered medical practitioners to  employer, employee, and government.

         policy                             provide healthcare over the tele-  "Insurance cover for retention re-
                                            phone.                             trenchment will add to social security
         IRDAI has set up a panel to frame stan-
                                                                               available for employees through the
         dard professional indemnity policy for  "In the above background, insurers are
         insurance intermediaries that can be  advised to allow telemedicine wher-  EPFO (Employee Provident Fund
         issued by all the insurers. The develop-  ever consultation with a medical prac-  Organisation) and ESIC (Employees'
         ment came after IRDAI witnessed sev-  titioner is allowed in the terms and  State Insurance Corporation)," the let-
         eral instances where policies taken by  conditions of the policy contract,"  ter said.
         insurance intermediaries did not com-  IRDAI said in a circular.      "The reference has come from the
         ply with the regulatory provisions.                                   ministry to the GI Council, to check on
                                            The provision to allow telemedicine
                                                                               the feasibility on a cover against re-
         Professional indemnity policy offers  should be a part of the claim settle-  trenchment. It will be discussed on the
         protection to professionals against po-  ment policy of the insurer and need not
                                                                               council level, and then sent to the
         tential claims for injury or loss result-  be filed separately with the authority  regulator for approval," said the CEO
         ing from their advice action for failure  for any modification, the regulator  of a private non-life insurer.
         to fulfil their duties.            said.
                                                                               It had recommended coverage of loss
         Insurance intermediaries such as insur-  However, the norms of sub-limits,  of income, due to involuntary loss of
         ance brokers, insurance web        monthly and annual limits of the prod-  employment, for a maximum of 6
         aggregators, and corporate agent are  uct would apply without any relax-  months - with a limit of Rs 1 lakh per
         required to take professional indem-  ation.
                                                                               month or 60 per cent of the last four
         nity insurance policies governed by dif-  This would mean that those who al-  months' average income, whichever is
         ferent regulations.
                                            ready have health cover that covers  lower. The proposed product also in-
         The insurance regulator said that  consultation, and those who buy health  cluded life cover of Rs 5 lakh and per-
         while the existing regulations clearly  insurance in future, can include  sonal accident cover, covering perma-
         stipulate the indemnity limit, cover-  telemedicine expenses in their claims.  nent total disability of Rs 5 lakh.
         age, excess, and retroactive date, it
         has come across a number of instances  Finance Ministry seeks IRDAI allows short-term
         where the policies taken by interme-
         diaries did not comply with regulatory  regulators view on re-        Covid policies
         provisions.                        trenchment cover                   IRDAI has allowed health and general
                                                                               insurers to offer short-term health in-
         The panel has been asked to prepare  The Central government has sought  surance policies of three months to 11
         a standard professional indemnity  suggestions from IRDAI and General  months that will give coverage against
         policy "which covers all the contingen-  Insurance Council on the feasibility of  the Covid-19 disease.
         cies and conditions (retroactive date,  an insurance cover for dealing with
         indemnity limits, excess, etc) men-  retrenchment, according to sources.  "Short-term policies may be issued for
         tioned in the Regulations" that can be  This comes in the wake of a large num-  a minimum term of three months to a
         issued by all insurers.            ber of individuals losing their jobs due  maximum term of eleven months. In
                                            to Covid.                          between three months and eleven
         IRDAI asks Insurers to in-         In a recent letter to the Prime Minis-  months, the policy term shall be in
                                                                               multiples of completed months," it said
         clude telemedicine in              ter, Union Minister for Road, Trans-  while issuing the guidelines. However,
                                            port, and Highways Nitin Gadkari had  a policy term less than three months
         health policies
                                            suggested the need for an insurance  is not permitted. IRDAI asked the in-
         IRDAI has asked insurers to allow  product that gives subsistence salary  surers to devise inclusive short-term
         telemedicine consultation in the terms  for a limited period of time in case of  health insurance products "where
         and conditions of the policy contract.  job losses due to technological ad-  waiting periods are part of the prod-

         The Medical Council of India issued  vancement, act of nature, or change  uct, such waiting period shall not ex-
         Telemedicine Practice Guidelines on  in the economic structure.       ceed 15 days".

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