Page 554 - Insurance Statistics 2021

HANDBOOK ON INDIAN INSURANCE STATISTICS 2019-20

(Amount in r Lakh) Benefit Based Amount Number Amount 5571 6179 3484 393 216 289 475 52 24 6 11 2 2 1 0 0 0 0 6447 6459 3800 Benefit Based Amount Number Amount 6049 2469 3208 1056 325 74 397 36 36 225 41 4 11 8 0 216 98 0 7952 2977 3321

TABLE 83: DETAILS OF CLAIMS DEVELOPMENT & AGING - HEALTH INSURANCE BUSINESS EXCLUDING TRAVEL

(DOMESTIC/OVERSEAS) AND PERSONAL ACCIDENT INSURANCE BUSINESS (2016-17)
For Claims handled directly Both Cashless Only & Reimbursement Reimbursement Number Amount 52 309779 0 45368 0 8486 0 2971 0 958 623 0 505 252 52 368065 For Claims handled directly Both Cashless Only & Reimbursement Reimbursement Number Amount 1 43398 0 11321 0 2534 6159 0 899 2164 0 104 228 0 47 172 1 58303

Amount Number 1467483 279176 97336 15427 24909 1137 35722 530 141 21 1626326 296433 Number Amount 95913 57812 38505 5231 337 160 12 6 143141 63558

Only Cashless Number 969646 27319 731 240 135 26 998098 Only Cashless Number 115776 12299 950 582 25 11 129643

Amount 588 0 0 0 0 0 588 Amount 294 54 51 16 0 0 414
Benefit Based 4 0 0 0 0 Benefit Based 46 7 0 0
Number Amount 2452 228346 75764 38500 2571 6468 0 2456 351650 Number Amount 1055 29049 151 10066 7242 336 0 1 1259 46694

For Claims Handled through TPAs Both Cashless Only & Reimbursement Reimbursement Number Amount 865144 652609 208749 173391 85037 65533 22640 16418 2258 8723 0 3183 649 1183828 919857 For Claims Handled through TPAs Both Cashless Only & Reimbursement Reimbursement Number Amount 47186 79157 16625 32885 11558 11190 567 3691 1 632 1 246 357 75938 127800

Amount Number 3305776 633245 557570 134375 144730 26981 35385 8567 3440 2119 243 4047549 805531 Number Amount 293902 88619 173087 14718 96068 5344 18856 1552 1835 529 108 584104 110870
Cashless Cashless
Only Only
Number 2653089 376349 124899 18004 1494 467 3174302 Number 356310 45269 17376 7150 2954 860 429919

Ageing of settled claims** Less than 1 month More than 1 month and less than 3 months More than 3 months and less than 6 months More than 6 months and less than 12 months More than 1 year and less than 2 years More than 2 years Total ** Reckoned from date of receipt of last requirement Ageing of repudiated claims*** Less than 1 month More than 1 month and less than 3 months More than 3 months and less than 6 months More than 6 month

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