IRDAI mandates updated, simple customer info sheet for health insurance cover from January

An updated customer information sheet (CIS) for health insurance cover providing policyholders key information in simple terms while highlighting their obligations to make transparent and fair disclosures will be issued from January.

From coverage details, waiting period, limits, exclusions, concepts like free look cancellation, migration, portability, moratorium period, guidance on procedure for claims submission and contact details for filing complaints will be available “in simple language in a snapshot”, the Insurance Regulatory and Development Authority of India (IRDAI) said, mandating the revised CIS to the insurers.

Obligations of policyholders to make transparent and fair disclosures of relevant information pertaining to

Plum presents ‘e-imburse’ to simplify the health insurance claims process. Details here

Plum, India’s leading insurtech platform, which provides group health insurance and business insurance solutions to more than 3500 corporations, has introduced ‘e-imburse’, a digital-first solution for reimbursement claims.

Historically considered a complex procedure, reimbursement claims involved employees covering medical expenses and treatments up front, and then seeking reimbursement from their insurance provider. The documentation needed for making a reimbursement claim includes:

● A filled and signed claim form

● Original hospital bills, inclusive of prescriptions, pharmacy bills, and receipts

● Diagnostic and laboratory reports

● Medical certificates authenticated by a physician

● The original discharge summary

The reimbursements constitute 40