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Home News News and Press Release Month 7 2019 2019 (7) This

Unfair Business Practice by Insurance Companies

24-7-2019
  • Contents

The Insurance Regulatory and Development Authority of India (IRDAI) has put in place Integrated Grievance Management System (IGMS), which captures the complaints registered against all insurers. A statement showing the number of complaints received and attended to in the said system against both public and private general insurers during the last 3 years and the current year is given in Annexure.

IRDAI has notified IRDAI (Protection of Policyholders’ Interests) Regulations, 2017. Vide Regulation 5(1)(iv) of the said Regulations, the IRDAI has mandated all insurers to have in place a board approved policy which shall contain steps to be taken to prevent mis-selling and unfair business practices at point of sale and service. Further, vide Regulation 6, prescribed specific point of sale provisions to be complied with by all insurers, agents and intermediaries. In case any insurer, agent, intermediary violates the above provision the IRDAI can initiate action against them.

IRDA (Advertisement and Disclosure) Regulations, 2000 and other guidelines relating to advertisements are aimed at ensuring that any communication (including those on the internet) which directly or indirectly result in eventual sale or solicitation of policy should not be unfair or misleading. 

IRDAI has also notified various other regulations namely IRDAI (Appointment of Insurance Agents) Regulations, 2016, IRDAI (Registration of Corporate Agents) Regulations, 2015, IRDAI (Insurance Brokers) Regulations, 2018 prescribing code of conduct for agents, corporate agents and brokers so that they do not resort to mis-selling and unfair business practices at point of sale.

This was stated by Shri Anurag Singh Thakur, Minister of State for Finance & Corporate Affairs in a written reply to a question in Rajya Sabha

Annexure

Complaints received against all general insurers during last 3 years and current year 

S.No

Name of the Insurer

2016-17

 

2017-18

 

Opening Balance

Reported during the year

Attended to during the year

Pending at the end of the year

Opening Balance

Reported during the year

Attended to during the year

Pending at the end of the year

1

Agriculture Insurance*

-

-

-

-

-

-

-

-

2

ECGC of India

55

8

11

52

52

9

8

53

3

National Insurance

180

4680

4671

189

189

5571

5591

169

4

The New India Assurance

139

4208

4312

35

35

4820

4852

3

5

The Oriental Insurance

129

2673

2672

130

130

2743

2121

752

6

United India Insurance

22

7484

7394

112

112

9425

9212

325

(i)

Total - PSU insurers

525

19053

19060

518

518

22568

21784

1302

1

Acko General

 

 

 

 

 

 

 

 

2

Aditya Birla Health

0

5

4

1

1

251

145

107

3

Apollo MUNICH Health

4

1097

1081

20

20

929

918

31

4

Bajaj Allianz General 

49

917

959

7

7

914

919

2

5

Bharati Axa General

37

3579

3609

7

7

1943

1944

6

6

Cholamandalam MS General

10

1670

1677

3

3

439

440

2

7

CignaTTK Health

6

1020

1018

8

8

702

707

3

8

DHFL General

 

 

 

 

 

 

 

 

9

Edelweiss General

 

 

 

 

 

 

 

 

10

Future Generali India

1

2075

2073

3

3

1113

1113

3

11

Go Digit General

 

 

 

 

 

 

 

 

12

HDFC ERGO General

16

2900

2916

0

0

1037

1037

0

13

ICICI Lombard General

90

3587

3589

88

88

3037

3091

34

14

IFFCO Tokio General

1

1781

1781

1

1

1044

1029

16

15

Kotak General

0

25

23

2

2

63

65

0

16

L&T General

0

409

409

0

0

137

137

0

17

Liberty Videocon Genral

3

315

315

3

3

257

260

0

18

Magma HDI General

0

113

96

17

17

94

62

49

19

Max Bupa Health

0

802

802

0

0

772

772

0

20

Raheja QBE

0

0

0

0

0

1

0

1

21

Reliance General

46

1287

1324

9

9

454

456

7

22

Reliance Health

 

 

 

 

 

 

 

 

23

Religare Health

6

895

901

0

0

573

569

4

24

Royal Sundaram Alliance

22

808

824

6

6

778

782

2

25

SBI General

61

1117

1123

55

55

671

697

29

26

Shriram General

0

214

214

0

0

218

218

0

27

Star Health and Allied

93

6434

6490

37

37

4496

4486

47

28

Tata- AIG General

1

1473

1473

1

1

1050

1050

1

29

Universal Sompo General

0

528

528

0

0

454

454

0

(ii)

Total Private Insurers

446

33051

33229

268

268

21427

21351

344

 

Grand Total [ (i)+(ii)]

971

52104

52289

786

786

43995

43135

1646

 

2018-19

 

Apr 19 - May 19

Opening Balance

Reported during the year

Attended to during the year

Pending at the end of the year

Opening Balance

Reported during the year

Attended to during the year

Pending at the end of the year

0

12

12

0

0

4

2

2

53

15

68

0

0

0

0

0

169

4739

4891

17

17

856

708

165

3

5164

5137

30

30

1020

703

347

752

2634

3359

27

27

538

357

208

325

8404

8464

265

265

1600

860

1005

1302

20968

21931

339

339

4018

2630

1727

0

11

11

0

0

186

173

13

107

595

702

0

0

147

140

7

31

1211

1230

12

12

313

288

37

2

1052

1052

2

2

221

211

12

6

1350

1352

4

4

165

155

14

2

233

235

0

0

35

35

0

3

709

709

3

3

136

126

13

0

12

12

0

0

5

5

0

0

3

3

0

0

0

0

0

3

602

605

0

0

91

84

7

0

117

117

0

0

9

8

1

0

1070

1070

0

0

193

190

3

34

2929

2889

74

74

555

507

122

16

707

722

1

1

117

89

29

0

71

69

2

2

12

11

3

0

5

5

0

0

1

1

0

0

291

291

0

0

61

58

3

49

80

129

0

0

12

5

7

0

892

892

0

0

210

210

0

1

1

2

0

0

0

0

0

7

600

607

0

0

114

105

9

0

6

6

0

0

0

0

0

4

644

645

3

3

163

150

16

2

538

530

10

10

73

78

5

29

471

489

11

11

107

102

16

0

231

231

0

0

69

68

1

47

5685

5597

135

135

1100

1040

195

1

1231

1228

4

4

229

226

7

0

446

446

0

0

70

69

1

344

21793

21876

261

261

4394

4134

521

1646

42761

43807

600

600

8412

6764

2248

Source: IRDAI

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