{"id":223810,"date":"2020-01-03T17:30:56","date_gmt":"2020-01-03T12:00:56","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=223810"},"modified":"2020-01-03T17:01:22","modified_gmt":"2020-01-03T11:31:22","slug":"modification-guidelines-on-standardization-in-health-insurance","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2020\/01\/03\/modification-guidelines-on-standardization-in-health-insurance\/","title":{"rendered":"IRDAI | Modification guidelines on standardization in health insurance\u00a0"},"content":{"rendered":"<p style=\"text-align: justify;\">Reference is invited to Chapter \u2013 I of Guidelines on Standardization in Health Insurance issued vide Ref: IRDA\/HLT\/REG\/CIR\/146\/07\/2016 dated 29<sup>th<\/sup>\u00a0July, 2016, where Standard Definitions for 42 commonly used terms in health insurance policies are defined.<\/p>\n<p style=\"text-align: justify;\">The<strong> following two definitions are inserted as clause 45 and 46 into the within referred Standard Definitions with immediate effect.<\/strong><\/p>\n<blockquote>\n<p style=\"text-align: justify;\"><strong>45. Migration:<\/strong><\/p>\n<p style=\"font-weight: 400; text-align: justify;\">\u201cMigration\u201d means, the right accorded to health insurance policyholders (including all members under family cover and members of group health insurance policy), to transfer the credit gained for pre-existing conditions and time bound exclusions, with the same insurer.<\/p>\n<p style=\"font-weight: 400; text-align: justify;\"><strong>46. Portability:<\/strong><\/p>\n<p style=\"font-weight: 400; text-align: justify;\">\u201cPortability\u201d means, the right accorded to individual health insurance policyholders (including all members under family cover), to transfer the credit gained for pre-existing conditions and time bound exclusions, from one insurer to another insurer.<\/p>\n<\/blockquote>\n<p style=\"font-weight: 400; text-align: justify;\">These definitions shall be applicable in respect of all health insurance products (both Individual and Group) filed immediately after the date of issuance of this circular.<\/p>\n<p style=\"font-weight: 400; text-align: justify;\">This has the approval of the competent authority.<\/p>\n<p><strong>*Link to the document &#8212; <a href=\"https:\/\/www.irdai.gov.in\/ADMINCMS\/cms\/whatsNew_Layout.aspx?page=PageNo3986&amp;flag=1\">Modification Guidelines<\/a><\/strong><\/p>\n<hr \/>\n<p><strong>Insurance Regulatory and Development Authority of India<\/strong><\/p>\n<p style=\"text-align: right;\"><strong>[Document dt. 02-01-2020]<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reference is invited to Chapter \u2013 I of Guidelines on Standardization in Health Insurance issued vide Ref: IRDA\/HLT\/REG\/CIR\/146\/07\/2016 dated 29th\u00a0July, 2016, where <\/p>\n","protected":false},"author":8808,"featured_media":213447,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,1193],"tags":[18001,39114,39113],"class_list":["post-223810","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-legislationupdates","category-notifications","tag-migration","tag-portability","tag-standardization-in-health-insurance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.4 (Yoast SEO v26.4) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ 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16 of Schedule I of IRDAI (Health Insurance) Regulations 2016. In terms thereof, the following guidelines are issued: A: NORMS ON PORTABILITY: Portability shall be allowed under all individual indemnity health insurance policies issued by General Insurers and Health Insurers including family\u2026","rel":"","context":"In &quot;Legislation Updates&quot;","block_context":{"text":"Legislation Updates","link":"https:\/\/www.scconline.com\/blog\/post\/category\/legislationupdates\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":282883,"url":"https:\/\/www.scconline.com\/blog\/post\/2023\/02\/01\/delhi-high-court-directs-irdai-to-design-products-for-persons-with-hearing-disabilities-and-persons-with-implants\/","url_meta":{"origin":223810,"position":1},"title":"Delhi High Court directs IRDAI to design products for persons with hearing disabilities and persons with implants","author":"Editor","date":"February 1, 2023","format":false,"excerpt":"The Delhi High Court held that the denial of a health insurance policy to a minor child suffering from Bi-Lateral Hearing Loss was contrary to the provisions in favour of Persons with Disabilities under the Rights of Persons with Disabilities Act, 2016 and further directed IRDAI to design products for\u2026","rel":"","context":"In &quot;Case Briefs&quot;","block_context":{"text":"Case Briefs","link":"https:\/\/www.scconline.com\/blog\/post\/category\/casebriefs\/"},"img":{"alt_text":"Delhi High Court","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/12\/MicrosoftTeams-image-418.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":267408,"url":"https:\/\/www.scconline.com\/blog\/post\/2022\/05\/26\/sebi-issues-circular-on-simplification-of-procedure-and-standardization-of-formats-of-documents-for-issuance-of-duplicate-securities-certificates\/","url_meta":{"origin":223810,"position":2},"title":"SEBI issues circular on simplification of procedure and standardization of formats of documents for issuance of duplicate securities certificates","author":"Bhumika Indulia","date":"May 26, 2022","format":false,"excerpt":"On May 25, 2022, SEBI has issued a circular for simplification of procedure and standardization of formats of documents for issuance of duplicate securities certificates. Key points: Submission by the security holder of copy of FIR including e-FIR\/Police complaint\/Court injunction order\/copy of plaint (where the suit filed has been accepted\u2026","rel":"","context":"In &quot;Legislation Updates&quot;","block_context":{"text":"Legislation Updates","link":"https:\/\/www.scconline.com\/blog\/post\/category\/legislationupdates\/"},"img":{"alt_text":"SEBI","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/03\/MicrosoftTeams-image-111-4.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/03\/MicrosoftTeams-image-111-4.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/03\/MicrosoftTeams-image-111-4.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/03\/MicrosoftTeams-image-111-4.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/03\/MicrosoftTeams-image-111-4.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":121911,"url":"https:\/\/www.scconline.com\/blog\/post\/2017\/04\/09\/irdai-issues-guidelines-on-insurance-e-commerce\/","url_meta":{"origin":223810,"position":3},"title":"IRDAI issues Guidelines on Insurance e-commerce","author":"Saba","date":"April 9, 2017","format":false,"excerpt":"Insurance Regulatory and Development Authority of India (IRDAI) has issued guidelines on insurance e-commerce dated 9th March, 2017. IRDAI has informed that the guidelines issued by the Authority enable insurers and insurance intermediaries to set-up Insurance Self-Network Platforms (ISNP) to sell and service insurance policies. The said guidelines lay down\u2026","rel":"","context":"In &quot;Hot Off The Press&quot;","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":267806,"url":"https:\/\/www.scconline.com\/blog\/post\/2022\/06\/02\/legislations-monthly-roundup-may-2022\/","url_meta":{"origin":223810,"position":4},"title":"Legislations | Monthly RoundUp [May, 2022]","author":"Bhumika Indulia","date":"June 2, 2022","format":false,"excerpt":"Legal Round Up for the month of May is mentioned below: \u00a0 MINISTRY OF CORPORATE AFFAIRS Companies (Share Capital and Debentures) Amendment Rules 2022 The Central Government has notified Companies (Share Capital and Debentures) Amendment Rules 2022 to amend the Companies (Share Capital and Debenture) Rules, 2014. The amendment has\u2026","rel":"","context":"In &quot;Legal RoundUp&quot;","block_context":{"text":"Legal RoundUp","link":"https:\/\/www.scconline.com\/blog\/post\/category\/columns-for-roundup\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/06\/MicrosoftTeams-image-134.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/06\/MicrosoftTeams-image-134.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/06\/MicrosoftTeams-image-134.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/06\/MicrosoftTeams-image-134.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2022\/06\/MicrosoftTeams-image-134.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]},{"id":226846,"url":"https:\/\/www.scconline.com\/blog\/post\/2020\/03\/11\/irdai-guidelines-on-handling-of-claims-reported-under-corona-virus-insurers-advised-to-design-products-covering-costs-of-treatment-for-covid-19\/","url_meta":{"origin":223810,"position":5},"title":"IRDAI | Guidelines on handling of claims reported under Corona Virus; Insurers advised to design products covering costs of treatment for COVID-19","author":"Bhumika Indulia","date":"March 11, 2020","format":false,"excerpt":"1. \u00a0 In respect of the products filed and cleared as per the provisions of Guidelines on product filing in Health Insurance Business (Ref: IRDA\/HLT\/REG\/CIR\/150\/07\/2016) dated 29th July 2016, where coverage is granted for treatment of hospitalization expenses, in order to alleviate the hardships that may be caused to the\u2026","rel":"","context":"In &quot;Hot Off The Press&quot;","block_context":{"text":"Hot Off The Press","link":"https:\/\/www.scconline.com\/blog\/post\/category\/news\/hot_off_the_press\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=700%2C400&ssl=1 2x, https:\/\/i0.wp.com\/www.scconline.com\/blog\/wp-content\/uploads\/2019\/04\/irdai.jpg?resize=1050%2C600&ssl=1 3x"},"classes":[]}],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/223810","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/users\/8808"}],"replies":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/comments?post=223810"}],"version-history":[{"count":0,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/posts\/223810\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media\/213447"}],"wp:attachment":[{"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/media?parent=223810"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/categories?post=223810"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.scconline.com\/blog\/wp-json\/wp\/v2\/tags?post=223810"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}