| S.No. |
ENTITY |
PERSONS |
REGULATORY CHARGES |
REGULATORY ACTION(S) / DATE OF ORDER |
FURTHER DEVELOPMENTS |
| 21 |
|
MEDICARE TPA SERVICES (I) PVT.LTD.
|
|
|
SURRENDERED THIRD PARTY ADMINISTRATOR (TPA) LICENSE
|
CANCELLED CERTIFICATE OF REGISTRATION AS THIRD PARTY ADMINISTRATOR (TPA)
19-FEB-2019
|
|
| 22 |
|
|
MEDSAVE HEALTHCARE (TPA) LTD.
|
|
|
DID NOT MAKE DISCLOSURE OF HOLDING OF DIRECTRSHIP IN A COMPANY WHICH WAS IN INSURANCE OR INSURANCE RELATED ACTIVITY
ENGAGED IN OTHER BUSINESS APART FROM TPA ACTIVITY
PUBLISHED WRONG/MISLEADING INFORMATION ON ITS WEBSITE SERVICES RENDERING TO GENERAL PUBLIC
|
CENSURED/WARNED & DIRECTED/ADVISED TO BE DILIGENT IN COMPLYING WITH ALL THE ACTS, REGULATIONS ETC.
02-MAR-2016
|
|
| 23 |
|
|
ROTHSHIELD INSURANCE TPA LTD.
|
|
|
DID NOT ADHERE TO MINIMUM BUSINESS REQUIREMENTS VIOLATING REGULATIONS 14 AND 15 OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
ADVISED TO REMOVE WORD TPA FROM NAME OF THE COMPANY
DIRECTED TO SUBMIT DATA COLLECTION AND BOOKS, RECORDS OR DOCUMENTS ETC. RELATING TO TPA BUSINESS
DIRECTED ALL THE INSURERS HAVING TPA AGREEMENT WITH ROTHSHIELD TPA TO IMMEDIATELY TAKE SUCH ALTERNATIVE STEPS INCLUDING APPOINTMENT OF ANOTHER TPA
DIRECTED TO CO-OPERATE WITH INSURANCE COMPANIES IN MAKING SUITABLE ALTERNATE ARRANGEMENTS TO SERVICE POLICY HOLDERS IN RESPECT OF WHOM POLICIES ARE IN FORCE
DIRECTED TO RECONCILE AND CLOSE THE ACCOUNTS WITH CONCERNED INSURANCE COMPANIES AND NETWORK PROVIDERS
27-SEP-2022
|
|
| 24 |
|
|
SAFEWAY TPA SERVICES PVT.LTD.
|
|
|
DELAY IN SUBMISSION OF ANNUAL REPORT
SUBMITTED INCOMPLETE & MISLEADING INFORMATION TO IRDA
DID NOT SUBMIT TRUE AND CORRECT STATEMENT TO IRDA
DID NOT INTIMATE IRDA ABOUT REAPPOINTMENT OF CAPT.MAHESH SHARMA
|
IMPOSED PENALTY RS.5,00,000
22-DEC-2014
|
|
| 25 |
|
|
SPURTHI MEDITECH (TPA) SOLUTIONS PVT.LTD.
|
|
|
DID NOT ADHERE TO WORKING CAPITAL REQUIREMENTS
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
31-DEC-2015
|
|
| 26 |
|
|
SRI GOKULAM HEALTH SERVICES TPA PVT.LTD.
|
|
|
DID NOT FURNISH REQUIRED INFORMATION/DOCUMENTS TO IRDA WITHIN STIPULATED TIME
DID NOT DEAL WITH REGULATORY COMPLIANCE IN PROFESSIONAL MANNER
DID NOT ADHERE TO WORKING CAPITAL REQUIREMENTS
PROVIDED WRONG/MISREPRESENTING STATEMENT IN FORM TPA-5 (QUARTERLY) ABOUT WORKING CAPITAL
DID NOT ADHERE TO OWN UNDERTAKING OF BRINGING IN SUFFICIENT WORKING CAPITAL
|
IMPOSED PENALTY RS.2,00,000
13-APR-2015
|
|
| 27 |
|
|
SRI GOKULAM HEALTH SERVICES TPA PVT.LTD.
|
|
|
DID NOT ADHERE TO WORKING CAPITAL REQUIREMENTS
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
15-JAN-2016
|
|
| 28 |
|
|
UNIVERSAL MEDI-AID SERVICES PVT.LTD.
|
|
|
CHANGED SHAREHOLDING PATTERN WITHOUT PRIOR PERMISSION OF IRDA
MADE LOANS AND ADVANCES TO COMPANIES NOT RELATED TO TPA BUSINESS
PROCESSED CLAIMS OF SOME CORPORATES DIRECTLY AND NOT THROUGH ANY INSURER
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
DIRECTED TO SUBMIT DATA COLLECTED AND BOOKS, RECORDS OR DOCUMENTS ETC.RELATING TO BUSINESS CARRIED ON IN RELATION TO DIFFERENT INSURERS, TO RESPECTIVE INSURERS
DIRECTED TO SUPPORT INSURANCE COMPANY (IES) IN MAKING SUITABLE ALTERNATIVE ARRANGEMENTS TO SERVICE POLICYHOLDERS IN RESPECT OF WHOM POLICIES ARE STILL IN FORCE
DIRECTED TO RECONCILE AND CLOSE ACCOUNTS WITH INSURANCE COMPANIES AND SERVICE PROVIDERS
06-MAR-2009
|
DELHI HIGH COURT-DIRECTED IRDA TO RENEW TPA LICENCE AND IRDA RENEWED THE SAME FOR A PERIED OF THREE YEARS I.E.UPTO 21/03/2013,VIDE ORDER DATED 15/02/2010. FURTHER AS PER COURT ORDER DATED 07/04/2010,OPERATION OF TPA LICENCE 22/03/2010 TO 21/03/2013,STAYED WITH IMMEDIATE EFFECT UNTIL FURTHER ORDER
|
| 29 |
|
|
VISION DIGITAL INSURANCE TPA PVT.LTD.
|
|
|
DID NOT ADHERE TO MINIMUM BUSINESS REQUIREMENTS VIOLATING REGULATIONS 14 AND 15 OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
ADVISED TO REMOVE WORD TPA FROM NAME OF THE COMPANY
DIRECTED ALL INSURER HAVING TPA AGREEMENT WITH VISION TPA TO IMMEDIATELY TAKE SUCH ALTERNATIVE STEPS INCLUDING APPOINTMENT OF ANOTHER TPA
DIRECTED TO SUBMIT DATA COLLECTION AND BOOKS, RECORDS OR DOCUMENTS ETC. RELATING TO TPA BUSINESS
DIRECTED TO CO-OPERATE WITH INSURANCE COMPANIES IN MAKING SUITABLE ALTERNATE ARRANGEMENTS TO SERVICE POLICY HOLDERS IN RESPECT OF WHOM POLICIES ARE IN FORCE
DIRECTED TO RECONCILE AND CLOSE THE ACCOUNTS WITH CONCERNED INSURANCE COMPANIES AND NETWORK PROVIDERS
04-OCT-2021
|
|
| The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column. |
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