| S.No. |
ENTITY |
PERSONS |
REGULATORY CHARGES |
REGULATORY ACTION(S) / DATE OF ORDER |
FURTHER DEVELOPMENTS |
| 21 |
|
MAX BUPA HEALTH INSURANCE CO.LTD.
|
|
|
SOLD NEW VERSION OF PRODUCT, BEFORE ITS CLEARANCE FROM IRDA AND CONTINUED TO OFFER OLD VERSION OF PRODUCTS, EVEN AFTER APPROVAL OF NEW VERSION OF PRODUCTS
INVOLVED VARIOUS UNLICENSED ENTITIES TO SOLICIT INSURANCE BUSINESS AND ALSO MADE PAYMENT TO SUCH ENTITIES IN THE NAME OF REIMBURSEMENT OF MARKETING EXPENSES
USED SERVICES OF VARIOUS OUTSOURCED VENDORS TO PROCURE BUSINESS BY LOGGING IN THE NAME OF EMPLOYEES OF THE INSURER
DID NOT CAPTURE DATE OF INTIMATION OF CLAIMS IN THE SYSTEM
LACK OF PROPER INTERNAL CONTROLS AND PROCEDURES WHILE SETTLING THE CLAIMS AT INSURER’S END
DELAY IN SETTLING CLAIMS IN MAJORITY OF CASES
|
IMPOSED PENALTY RS.20,00,000
26-APR-2016
|
|
| 22 |
|
|
METLIFE-INDIA INSURANCE CO.LTD.
|
|
|
DID NOT ADHERE TO FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
DEFAULTED IN REFERRAL AGREEMENTS
DID NOT ADHERE TO OBLIGATIONS TOWARDS RURAL SECTOR IN 2008-09
DID NOT HOST INVESTMENT AND ACCOUNTING SERVERS IN INDIA
DID NOT SEND FUND STATEMENTS TO ULIP POLICYHOLDERS
DID NOT PUT IN PLACE MECHANISM REQUIRED FOR APPROPRIATE VALUATION OF ASSETS AND ARRIVING AT “AVAILABLE SOLVENCY MARGIN”
ENGAGED SERVICES OF INDIVIDUALS AND CORPORATES ON ”EXCLUSIVE BASIS” AS CONSULTANTS TO IDENTIFY,RECRUIT,TRAIN,MENTOR AND DEVELOP FINANCIAL ADVISORS
SETTLED DEATH BENEFITS TO GROUP MASTER POLICYHOLDER IN NON-EMPLOYER-EMPLOYEES CASES IN GROUP TERM INSURANCE POLICIES
|
IMPOSED PENALTY RS.76,00,000
05-OCT-2012
|
|
| 23 |
|
|
NATIONAL INSURANCE CO.LTD.,THE
|
|
|
DID NOT FOLLOW FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES AT THE TIME OF RENEWAL OF MEGA RISK POLICY FOR REFINERIES DIVISION OF INDIAN OIL CORP.LTD.
|
IMPOSED PENALTY RS.2,00,000
25-JAN-2008
|
|
| 24 |
|
|
NATIONAL INSURANCE CO.LTD.,THE
|
|
|
DID NOT ADHERE TO FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT EXERCISE DUE SKILL, CARE AND DILIGENCE WHILE SUBMITTING PRICE-BID FOR ISSUANCE OF INSURANCE POLICIES TO DELHI AND MUMBAI INTERNATIONAL AIRPORTS
|
IMPOSED PENALTY RS.5,00,000
26-JUL-2010
|
|
| 25 |
|
|
NATIONAL INSURANCE CO.LTD.,THE
|
|
|
MADE ADDITIONAL PAYOUTS TOWARDS OTHER SERVICES OVER AND ABOVE COMMISSION
ENTERED INTO AGREEMENTS TO PROVIDE INSURER SERVICES WHICH WERE REQUIRED TO BE EITHER PERFORMED BY A LICENSED INTERMEDIARY OR BY THE INSURER AND NOT PERMITTED TO BE OUTSOURCED
ALLOWED DISCOUNTS/DISCRETIONARY DISCOUNTS OVER AND ABOVE APPROVED STRUCTURE
|
IMPOSED PENALTY RS.15,00,000
06-MAY-2016
|
|
| 26 |
|
|
NEW INDIA ASSURANCE CO.LTD.,THE
|
|
|
DID NOT FOLLOW FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES AT THE TIME OF RENEWAL OF MEGA RISK POLICY FOR REFINERIES DIVISION OF INDIAN OIL CORP.LTD.
|
IMPOSED PENALTY RS.2,00,000
25-JAN-2008
|
|
| 27 |
|
|
NEW INDIA ASSURANCE CO.LTD.,THE
|
|
|
PROCURED BUSINESS AND PAID COMMISSION TO AGENTS AFTER EXPIRY OF LICENSE
ALLOWED DISCOUNTS/DISCRETIONARY DISCOUNTS OVER AND ABOVE APPROVED STRUCTURE
DELAY IN APPOINTMENT OF SURVEYORS
DID NOT FOLLOW UP WITH SURVEYORS ON TIMELY SUBMISSION OF REPORT
DELAY IN SETTLEMENT OF CLAIMS AFTER RECEIPT OF SURVEY REPORT
|
IMPOSED PENALTY RS.15,00,000
11-MAR-2016
|
|
| 28 |
|
|
ORIENTAL INSURANCE CO.LTD.,THE
|
|
|
DID NOT ADHERE TO FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT EXERCISE DUE SKILL, CARE AND DILIGENCE WHILE SUBMITTING PRICE-BID FOR ISSUANCE OF INSURANCE POLICIES TO DELHI AND MUMBAI INTERNATIONAL AIRPORTS
|
IMPOSED PENALTY RS.5,00,000
17-AUG-2010
|
|
| 29 |
|
|
ORIENTAL INSURANCE CO.LTD.,THE
|
|
|
DID NOT FOLLOW RATING & DISCOUNTS STRUCTURE FILED WITH IRDA
SOURCED BUSINESS THROUGH MULTI LEVEL MARKETING THROUGH PERSONS WHO DID NOT POSSESS ANY CERTIFICATE/LICENSE
PAID APART/OVER AND ABOVE PERMISSIBLE AGENCY COMMISSION/REMUNERATION TO CORPOARTE AGENTS
REIMBURSED CLAIM PAYMENTS TO GROUP ORGANIZER
PAID VARIOUS CLAIMS TO INSURED PERSONS DUE TO DELAY IN PAYMENT BY TPA/OIC
|
IMPOSED PENALTY RS.20,00,000
08-FEB-2016
|
|
| 30 |
|
|
PNB METLIFE INDIA INSURANCE CO.LTD.
|
|
|
ALLOWED REINSTATEMENT OF POLICY AFTER DATE OF MATURITY VIOLATING TERMS & CONDITIONS OF THE POLICY AS FILED AND APPROVED UNDER FILE & USE
USED SERVICES OF MANY EXTERNAL SERVICE PROVIDERS FOR PURPOSE OF LEAD GENERATON VIOLATING REGULATION 8(1) OF IRDA (SHARING OF DATA BSE) REGULATIONS, 2010
|
IMPOSED PENALTY RS.10,00,000
24-MAR-2017
|
|
| 31 |
|
|
RELIANCE GENERAL INSURANCE CO.LTD.
|
|
|
CHANGED NAME OF GENERAL INSURANCE PRODUCT,TERMS & CONDITIONS AND PRICE OF PRODUCT WITHOUT GETTING CLEARANCE FROM IRDA
|
IMPOSED PENALTY RS.20,00,000
23-JUL-2008
|
|
| 32 |
|
|
ROYAL SUNDARAM ALLIANCE INSURANCE CO.LTD.
|
|
|
MADE PAYMENTS TO CORPORATE AGENTS IN ADDITION TO COMMISSION FOR VARIOUS ACTIVITIES
PAID TO AUTO DEALERS IN THE NATURE OF REMUNERATION TOWARDS OUTSOURCING OF PROMOTIONAL AND BRANDING ACTIVITIES
OUTSOURCED CORE ACTIVITIES LIKE ALLOWING THIRD PARTIES TO DECIDE PREMIUM RATES, TO DO SURVEY AND ASSESS LOSS ETC.
DID NOT MAINTAIN SPECIMEN COPIES OF ADVERTISEMENTS
PROCURED BUSINESS THROUGH UNLICENSED ENTITIES
PAID COMMISSION TO OTHER THAN LICENSED AGENTS
MADE CHANGES TO TARIFF WORDINGS WITHOUT FILING AND TAKING APPROVAL FROM IRDA
ALLOWED DISCOUNTS UP TO 90% UNDER ENGINEERING & FIRE SEGMENTS EVEN THOUGH THE MAXIMUM DISCOUNT ALLOWED WAS 60%
ISSUED GROUP PERSONAL ACCIDENT INSURANCE POLICY (GPA) TO PRIMARY CARD HOLDERS WHICH WAS NOT AS PER FILED VERSION OF THE PRODUCT
DID NOT FILE “SUNDARAM CREDIT PROTECT” WITH IRDA AS PER FILE AND USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
ISSUED UNNAMED POLICY COVERING MEMBERS OF INSURED
|
IMPOSED PENALTY RS.40,00,000
06-MAY-2016
|
|
| 33 |
|
|
ROYAL SUNDARAM GENERAL INSURANCE CO.LTD.
|
|
|
DID NOT ADHERE TO FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT ADHERE TO MOTOR VEHICLE ACT RELATED TO TOTAL LOSS/CONSTRUCTIVE TOTAL LOSS VIOLATING REGULATION 9(5) OF IRDA (PROTECTION OF POLICYHOLDERS’ INTERESTS) REGULATIONS, 2002
|
IMPOSED PENALTY RS.5,00,000
19-DEC-2018
|
|
| 34 |
|
|
SAHARA INDIA LIFE INSURANCE CO.LTD.
|
|
|
DELAY IN DESPATCH OF POLICY BONDS
PERMITTED VARIOUS UNLICENSED INDIVIDUALS TO SOLICIT AND PROCURE BUSINESS
DELAY IN DEATH CLAIM PAYMENTS AND SETTLED WITHOUT PENAL INTEREST
ALLOWED GRACE PERIOD OF 90 DAYS IN CASE OF POLICIES WITH GROUP BILLING INSTEAD OF 30 DAYS
DID NOT GET APPROVAL OF ACTUARY FOR PREMIUM QUOTATIONS IN GROUP SCHEMES
DID NOT SHOW PAYMENTS MADE TO SAHARA CARE IN RELATED PARTY TRANSACTIONS
|
IMPOSED PENALTY RS.12,00,000
27-FEB-2012
|
IRDA VIDE ITS PUBLIC NOTICE DATED 23/06/2017 DIRECTED SAHARA TO NOT TO PROCURE / COLLECT PROPOSAL DEPOSITS / UNDERWRITE NEW BUSINESS WITH IMMEDIATE EFFECT, I.E., CLOSE OF BUSINESS ON 23/06/2017. DIRECTED SAHARA INDIA LIFE INSURANCE CO.LTD. TO INFORM ALL CONCERNED AGENTS / INTERMEDIARIES OF THE ABOVE DIRECTION AND ENSURE THAT THEY DO NOT PROCURE / COLLECT PROPOSAL DEPOSITS TOWARDS NEW INSURANCE BUSINESS IMMEDIATELY ON RECEIPT OF THIS ORDER. FURTHER, DIRECTED TO CONTINUE TO COLLECT AND ACCOUNT FOR THE RENEWAL PREMIUM AND SERVICE THE EXISTING BUSINESS AND POLICYHOLDERS, UNHINDERED
IRDA VIDE ITS NOTICE DATED 12/06/2017 APPOINTED MR.R.K.SHARMA, GM (F&A-NL), IRDAI AS ADMINISTRATOR FOR MANAGING THE AFFAIRS OF SAHARA INDIA LIFE INSURANCE CO.LTD., WITH IMMEDIATE EFFECT
|
| 35 |
|
|
SBI LIFE INSURANCE CO.LTD.
|
|
|
INSERTED CLAUSES INTO POLICY DOCUMENT WITHOUT SEEKING APPROVAL OF IRDA
|
IMPOSED PENALTY RS.10,00,000
28-JUL-2010
|
|
| 36 |
|
|
SBI LIFE INSURANCE CO.LTD.
|
|
|
REIMBURSED GROUP ADMINISTRATIVE EXPENSES TO CORPORATE AGENTS AND GROUP MASTER POLICYHOLDERS WITHOUT PRIOR APPROVAL OF IRDA
|
IMPOSED PENALTY RS.70,00,000
08-JUL-2011
|
REPRESENTATION PREFERRED UNDER SECTION 34(2) IS REJECTED AND ACCORDINGLY DISPOSED OFF. DIRECTED SBI LIFE INSURANCE CO.LTD. TO IMMEDIATELY IMPLEMENT THE DIRECTIONS ISSUED VIDE ORDER DATED 05/10/2012 AND SUBMIT A COMPLIANCE REPORT WITHIN THIRTY DAYS FROM THE DATE OF THIS ORDER
IRDA VIDE ITS 05/10/2012 PASSED CERTAIN DIRECTIONS
|
| 37 |
|
|
SBI LIFE INSURANCE CO.LTD.
|
|
|
PAID CLAIM CHEQUES TO MASTER POLICY HOLDER
SOLD TWO YEAR POLICIES AS SINGLE PREMIUM POLICY AND DID NOT GIVE INFORMED CHOICE TO MEMBERS OF GROUP INSURANCE POLICIES VIOLATING FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
PAID EXCESS COMMISSION TO CORPORATE AGENTS OVER AND ABOVE THE ELIGIBLE 2% COMMISSION ON SINGLE INSURANCE POLICIES
|
IMPOSED PENALTY RS.6,00,000
18-SEP-2012
|
|
| 38 |
|
|
SHRIRAM GENERAL INSURANCE CO.LTD.
|
|
|
PROCURED BUSINESS THROUGH UNLICENSED ENTITIES
ALLOWED DISCOUNTS/DISCRETIONARY DISCOUNTS OVER AND ABOVE APPROVED STRUCTURE
DID NOT DOCUMENT STANDARD PROCEDURE IN CONSIDERING CLAIMS ON NON STANDARD/SUBSTANDARD BASIS
|
IMPOSED PENALTY RS.15,00,000
25-JUL-2016
|
|
| 39 |
|
|
SHRIRAM GENERAL INSURANCE CO.LTD.
|
|
|
DID NOT ADHERE TO BOARD APPROVED UNDERWRITING DIRECTIVES/INSTRUCTIONS/GUIDELINES AND DID NOT FOLLOW THE RATE ALLOWED UNDER PRODUCT FILING FOR THE GROUP POLICIES ISSUED VIOLATING FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
|
IMPOSED PENALTY RS.6,00,000
04-MAY-2021
|
|
| 40 |
|
|
SHRIRAM LIFE INSURANCE CO.LTD.
|
|
|
SETTLED DEATH CLAIMS IN FAVOUR OF GROUP MASTER POLICYHOLDER
DID NOT OBTAIN CONFIRMATION OF RECEIPT OF CLAIM PAYMENT FROM THE BENEFICIARIES
AUTOMATED SETTLEMENT OPTION (WITHOUT OPTION/CONSENT BY POLICY HOLDER) ON MATURITY DATE, IF POLICYHOLDER DOES NOT REVERT FOR THE COMMUNICATION SENT
SETTLED DEATH CLAIMS IN FAVOUR OF MASTER POLICYHOLDERS UNDER NON-EMPLOYER/EMPLOYEE GROUP POLICIES
|
IMPOSED PENALTY RS.6,00,000
17-OCT-2016
|
|
| The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column. |
| |
|
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| Page 2 of 3
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