CEOs of all General and
Standalone Health Insurance Companies
Sub: Modified guidelines
on product filing in health insurance business
is invited to the provisions of Chapter III of Consolidated Guidelines on
Product filing in Health Insurance Business (Ref No:
IRDAI/HLT/REG/CIR/194/07/2020 dated 22nd July, 2020 (the guidelines)
specifying the File and Use Procedure in respect of various categories of individual
Products or Add-ons or Riders of Health Insurance Business. In partial
modification of these guidelines the following norms are specified.
1. Use and File procedure for
certain categories of health insurance business:
following categories of the individual products or add-ons or riders of health
insurance business offered by General and Health Insurance Companies (hereafter
referred as insurers) are permitted to be launched through Use and File
Procedure by duly complying with the norms specified in these guidelines.
Accident insurance products
b. Overseas Travel insurance
Travel insurance products
d. Benefit Based health
Note: For the purpose of these
guidelines, benefit based health insurance products are defined as the products
under which a specified benefit, as chosen by the policyholder, is paid as a fixed
benefit, on happening of the contingency covered.
referred categories of individual products are allowed to be launched under use
and file subject to the following conditions:
respect of the personal accident, domestic and overseas travel products “use
and file” is allowed only if the coverage offered both under base covers and
add-on covers or riders is contingent upon an accident and/or travel as
combination of covers from different lines of health insurance business, is
proposed with products other than those mentioned above or with combination of
products mentioned above but not in accordance with (i.1) above, insurers should
continue to file such products under “file and use” procedure, as specified in
of the above referred products filed under “use and file” continue to be under “file
and use” procedure as specified in the guidelines.
ii. Insurers should continue
filing the products referred at Clause (1) above, using the Form –IRDAI –
FNU-HIP (Annexure -1) specified in the guidelines under Use and File Procedure
as well. UIN should be obtained before launching the product.
iii. Where any Insurer is found
to be non-compliant with the guidelines specified herein while launching the
products under use and file procedure, the Authority notwithstanding the action
that may be taken under the provisions of Insurance Act 1938, may take one or
more of the following actions.
the insurer to withdraw the product.
b. Withdraw the Use and File
facility for such insurer for a period as may be determined.
iv. These norms are applicable
in respect of products filed from 1st April, 2021 onwards.
General Manager (Health)