Good news for health insurance policyholders
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B. Karthick
Aug 12, 2008, 1:34:10 AM8/12/08
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Good news for health insurance policyholders
August 12, 2008
In a move that will bring cheer to health insurance policyholders, non-
life insurers are finalising the contours of a new product that will
have a common minimum standard cover and will be renewable and
portable across companies.
The move being pushed by the General Insurance Council, the self-
regulatory body, will mean that insurers cannot refuse renewal of
policies on grounds of adverse claims.
Similarly, all benefits will continue to be available to an insured
person even if he or she switches to a new company.
While pre-existing diseases are only covered after four years of a
policy, an insured will be eligible to these benefits from the first
year of switching to a new company. In addition, cumulative bonus and
discounts will also be available after the change.
General Insurance Council Secretary General K N Bhandari said those
buying a health cover at an early age will not be denied renewal on
grounds of adverse claims. So, if someone buys the new cover at, say,
30, he will still get a cover at 50 years even if the he has developed
heart problems and has filed for claims.
Insurers will approach the Insurance Regulatory and Development
Authority for approval of the new product that will come with all
these features later this month. Premium is, however, yet to be
finalised, but will be affordable, Bhandari said.
"Insurance companies will not refuse renewing the health insurance
policy except on specified grounds such as moral hazards. In case the
insured has cheated the insurer or not disclosed the full facts
regarding his health or in those cases where there is no correct
exposure, we will refuse renewing the cover," he added.
Health insurance policies contain the renewability clause that
specifies the type of the contract and terms for renewal, which are of
three types. The first type is optionally renewable, where the insurer
has the option to renew the policy on its terms. This is the cheapest
policy for the insured.
The second type is guaranteed renewability, the premium rating for
which depends on the claims experience. The third type, which is the
most expensive variant, cannot be cancelled and renewal is guaranteed,
but the price can vary.
August 12, 2008
In a move that will bring cheer to health insurance policyholders, non-
life insurers are finalising the contours of a new product that will
have a common minimum standard cover and will be renewable and
portable across companies.
The move being pushed by the General Insurance Council, the self-
regulatory body, will mean that insurers cannot refuse renewal of
policies on grounds of adverse claims.
Similarly, all benefits will continue to be available to an insured
person even if he or she switches to a new company.
While pre-existing diseases are only covered after four years of a
policy, an insured will be eligible to these benefits from the first
year of switching to a new company. In addition, cumulative bonus and
discounts will also be available after the change.
General Insurance Council Secretary General K N Bhandari said those
buying a health cover at an early age will not be denied renewal on
grounds of adverse claims. So, if someone buys the new cover at, say,
30, he will still get a cover at 50 years even if the he has developed
heart problems and has filed for claims.
Insurers will approach the Insurance Regulatory and Development
Authority for approval of the new product that will come with all
these features later this month. Premium is, however, yet to be
finalised, but will be affordable, Bhandari said.
"Insurance companies will not refuse renewing the health insurance
policy except on specified grounds such as moral hazards. In case the
insured has cheated the insurer or not disclosed the full facts
regarding his health or in those cases where there is no correct
exposure, we will refuse renewing the cover," he added.
Health insurance policies contain the renewability clause that
specifies the type of the contract and terms for renewal, which are of
three types. The first type is optionally renewable, where the insurer
has the option to renew the policy on its terms. This is the cheapest
policy for the insured.
The second type is guaranteed renewability, the premium rating for
which depends on the claims experience. The third type, which is the
most expensive variant, cannot be cancelled and renewal is guaranteed,
but the price can vary.
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