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Irdai to color code health insurance based on complexity

08-Oct-2020

The insurance regulator is planning to make it easier for individuals to pick a health insurance policy. To make it simpler, the regulator wants each health insurance product to have a color code that would convey to the buyer the complexity of the plan.

In its draft guidelines, the Insurance Regulatory and Development Authority of India (Irdai), has suggested three colors—green, orange and red—that will denote product complexity.

According to the draft exposure, the green color will signify that the product offered is simple as well as easy to understand and comprehend. Orange will signify that the product is moderately complex and red to signify the plan is more complex compared with products that bear the green and the orange color code.

He further added, “while health insurance is a one-time purchase, it is important to buy the right product to meet all unexpected medical emergencies. With the color-coding initiative, Irdai aims to curb mis-selling and help customers understand the products in a better way. As the three-color patterns will define the extent of complexity of the insurance products, it will be now easier for the consumers to buy a product as per their understanding and requirement."

The regulator has also provided a mechanism for insurance companies to calculate the degree of complexity of a product.

Insurers need to give a score to a product based on seven parameters, including the number of optional covers offered, percentage of co-pay, the number of months of waiting period, the number of treatment procedures or diseases to which sub-limits are applicable, deductibles, the number of permanent exclusions and simplicity of terms and conditions.

Insurers will assign equal weight to all these seven parameters and calculate the scores based on the criteria Irdai has prescribed. The regulator has asked companies to send in their comments on the proposed concept by 15 October.

Source : Live Mint

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