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SOURCE OF INFORMATION : INSURANCE REGULATORY & DEVELOPMENT AUTHORITY OF INDIA WEBSITE
PERIOD COVERED : 16-AUG-2002 TO 29-APR-2025

NAMES IN BROWN COLOUR
Names of entities/persons in brown colour denote that the regulatory order is not against them but their names have been mentioned only for association purposes.

INSURANCE THIRD PARTY ADMINISTRATOR (TPA): VIOLATED IRDAI (HEALTH INSURANCE) REGULATIONS, 2016

S.No. ENTITY  PERSONS  REGULATORY CHARGES REGULATORY ACTION(S) / DATE OF ORDER FURTHER DEVELOPMENTS
1
History of entity/person HERITAGE HEALTH INSURANCE TPA PVT.LTD.  
  DID NOT FORWARD QUERY LETTER TO POLICYHOLDER BEFORE CLOSING THE CLAIM VIOLATING REGULATION 3(1) (A) OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016

INTIMATED THAT THE CLAIMS ARE CLOSED INSTEAD OF REPUDIATED DUE TO NON–SUBMISSION OF DOCUMENTS VIOLATING REGULATION 27(V) OF IRDAI (HEALTH INSURANCE) REGULATIONS, 2016   		CENSURED/WARNED & DIRECTED/ADVISED TO BE DILIGENT IN COMPLYING WITH ALL THE ACTS, REGULATIONS ETC.

09-APR-2025 		 
The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column.

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