| S.No. |
ENTITY |
PERSONS |
REGULATORY CHARGES |
REGULATORY ACTION(S) / DATE OF ORDER |
FURTHER DEVELOPMENTS |
| 1 |
|
CHOLAMANDALAM MS GENERAL INSURANCE CO.LTD.
|
|
|
DID NOT REPORT TO INSPECTION OBSERVATION ON INDIVIDUAL REFERRALS WHO ARE ALSO AGENTS OF OTHER INSURERS
MADE HIGHER DISCOUNTS IN PREMIUM IN EXCESS OF MAXIMUM DISCOUNT ALLOWED UNDER MOTOR ,ENGINEERING AND TRAVEL POLICIES
ISSUED SPECIAL CONTINGENCY POLICY WITHOUT FILING AND TAKING APPROVAL FROM AUTHORITY
DID NOT PLACE SYSTEM CONTROLS TO ENSURE COMPLIANCE VIOLATING OF SECTION 64-VB OF INSURANCE ACT, 1938
DID NOT MAKE DISCLOSURE OF INFORMATION OF ADD-ON COVERS AND PREMIUM BIFURCATION TOWARDS BASE COVER/OPTIONAL OPTED ADD-ON COVERS IN THE POLICY SCHEDULE VIOLATING PROVISIONS OF IRDA (PROTECTION OF POLICYHOLDERS’ INTERESTS) REGULATIONS, 2002
|
IMPOSED PENALTY RS.25,00,000
16-DEC-2015
|
|
| 2 |
|
|
FUTURE GENERALI INDIA INSURANCE CO.LTD.
|
|
|
MADE PAYMENTS TO INTERMEDIARIES (BROKERS) UNDER ACCOUNTING HEADS SUCH AS SUPPORT SERVICES,CONSULTANCY ETC.
ENGAGED UNLICENSED INDIVIDUALS/ENTITIES/MOTOR DEALERS/TRAVEL AGENTS/COOPERATIVE BANKS TO SOLICIT INSURANCE BUSINESS AND REMUNERATION WAS PAID IN NAME OF "REIMBURSEMENT OF SUPPORT SERVICES", "CONSULTANCY FEE"
ALLOWED INDIVIDUALS TO SOLICIT INSURANCE BUSINESS WITHOUT HOLDING VALID LICENSE
REFERRAL PARTNERS ENGAGED BY THE INSURER WERE INVOLVED IN SOLICITATION OF INSURANCE AND THE INSURER ISSUED POLICIES TO THE INSURED MENTIONING THE NAME OF THE REFERRAL PARTNER AS "INTERMEDIARY" ON POLICY SCHEDULE
ALLOWED DISCOUNTS ON PREMIUM IN EXCESS OF MAXIMUM DISCOUNT FILED UNDER FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
OFFERED CRITICAL ILLNESS COVER TO MASTER POLICYHOLDER UNDER GROUP HEALTH POLICY BUT TERMS & CONDITIONS UNDER CRITICAL ILLNESS COVER WERE NOT AS PER PRODUCT FILED WITH IRDAI UNDER FILE & USE DIRECTIVES/INSTRUCTIONS/GUIDELINES
MADE PAYMENT TO VARIOUS POLICY HOLDERS IN NAME OF SUPPORT CHARGES VIOLATING OF CLAUSE C(4) OF GROUP INSURANCE DIRECTIVES/INSTRUCTIONS/GUIDELINES, 2005
|
IMPOSED PENALTY RS.35,00,000
16-MAY-2016
|
|
| 3 |
|
|
FUTURE GENERALI INDIA LIFE INSURANCE CO.LTD.
|
|
|
PURCHASED GIFT VOUCHERS FROM ONE OF THE GROUP COMPANIES AND DISTRIBUTED IN THE NAME OF BRAND BUILDING ACTIVITY AND RECRUITMENT DRIVE OF POTENTIAL ADVISORS VIOLATING REGULATION 23 (F) OF IRDA (REGISTRATION OF INSURANCE COMPANIES) REGULATIONS, 2000
PROCURED BUSINESS THROUGH UNLICENSED ENTITIES
PAID COMMISSION TO PERSONS, WHICH WERE NOT LICENSED TO SOLICIT BUSINESS
ENGAGED IN SOLICITATION OF INSURANCE BUSINESS THROUGH MULTILEVEL MARKETING MODEL
ALLOWED AN INDIVIDUAL TO ATTEND DUBAI CONVENTION WHO WAS NEITHER TIED AS AGENT NOR APPOINTED AS A SPECIFIED PERSON BY ANY CORPORATE AGENT
DID NOT HAVE PROPER SYSTEM FOR ADMINISTRATION OF GROUP POLICIES
|
IMPOSED PENALTY RS.50,00,000
10-JUN-2015
|
|
| 4 |
|
|
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
|
|
| 5 |
|
|
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
|
|
| 6 |
|
|
RELIANCE LIFE INSURANCE CO.LTD.
|
|
|
PAID APART/OVER AND ABOVE PERMISSIBLE AGENCY COMMISSION/REMUNERATION TO CORPOARTE AGENTS
PAID AMOUNT FOR WHICH SERVICE PROVIDER PREMIER TRAINING PVT.LTD. (PTPL) NOT PERFORM ACTIVITIES SPECIFIED IN AGREEMENT
DID NOT PROVIDE DETAILS OF VENDORS AS SOUGHT BY INSPECTION TEAM
DID NOT INITIATE THE PROCESS OF TERMINATION AS PER TERMS & CONDITIONS LAID DOWN IN OUTSOURCING AGREEMENT
DID NOT PERFORM DUE DILIGENCE BUT CARRIED OUT ONLY PAPER WORK AND ANNUAL PERFORMANCE APPRAISAL WAS ALSO NOT CARRIED OUT
MADE SIGNIFICANT PAYOUTS TO RELIANCE MONEY INFRASTRUCTURE LTD., TOWARDS SHARING OF CUSTOMERS INFORMATION
DID NOT EXERCISE PROPER DUE DILIGENCE AND VIOLATED PROVISIONS OF CLAUSE 10 OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
ENGAGED IN REFERRAL TIE-UP WITH RELIANCE MONEY INFRASTRUCTURE LTD. WITHOUT TAKING APPROVAL OF AUTHORITY
MADE PAYMENTS TO VARIOUS ENTITIES TOWARDS MARKETING ACTIVITIES, DISSEMINATION OF INFORMATION AND GENERATION OF LEADS
|
IMPOSED PENALTY RS.85,00,000
06-AUG-2015
|
|
| 7 |
|
|
RELIANCE NIPPON LIFE INSURANCE CO.LTD.
|
|
|
DID NOT EXERCISE DUE DILIGENCE WHILE OUTSOURCING ACTIVITY TO VANS MEDICARE & BIOTECHNOLOGY PVT.LTD. VIOLATING CLAUSES 10 AND 10.1 OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT CONDUCT EFFECTIVE & MEANINGFUL COST BENEFIT ANALYSIS VIOLATING CLAUSE 9.6(II) OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT SUBMIT TIMELY INFORMATION VIOLATING CLAUSE 9.8 OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
MADE PAYMENTS WITHOUT CONSIDERING MATERIAL FACTORS VIOLATING CLAUSE 9.6 OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
DID NOT ADHERE TO REPORTING REQUIREMENTS VIOLATING CLAUSE 11.2 OF OUTSOURCING DIRECTIVES/INSTRUCTIONS/GUIDELINES
ENTERED INTO REFERRAL ARRANGEMENT WITH RMIL WITHOUT TAKING APPROVAL OF IRDA VIOLATING REGULATION 3 OF IRDA (SHARING OF DATABASE FOR DISTRIBUTION OF INSURANCE PRODUCTS) REGULATIONS, 2010
|
IMPOSED PENALTY RS.40,00,000
13-NOV-2018
|
|
| 8 |
|
|
UNIVERSAL SOMPO GENERAL INSURANCE CO.LTD.
|
|
|
PAID BROKERAGE UNDER ACCOUNTING HEAD “PROFESSIONAL FEES” INSTEAD OF “INSURANCE COMMISSION”
MADE PAYMENTS TO ENTITIES BY ENTERING INTO FRESH AGREEMENTS BEFORE GETTING APPROVAL FROM IRDA
PROCURED BUSINESS FROM CORPORATE AGENTS’ INSPITE OF NOT HAVING SINGLE SPECIFIED PERSON LICENSED TO SOLICIT GENERAL INSURANCE BUSINESS
ACCEPTED INSURANCE BUSINESS FROM INDIVIDUAL REFERRAL AGENTS WHO DO NOT HOLD VALID LICENSE TO SOLICIT AND PROCURE INSURANCE BUSINESS
PAID MOTOR DEALERS UNDER THREE DIFFERENT ACCOUNT HEADS “PAYMENTS OF CONTRACTORS & SUB-CONTRACTORS, FEES FOR PROFESSIONAL OR TECHNICAL SERVICES AND INSURANCE COMMISSION”
MADE CHANGES TO TARIFF WORDINGS WITHOUT FILING AND TAKING APPROVAL FROM IRDA
|
IMPOSED PENALTY RS.15,00,000
07-JAN-2016
|
|
| The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column. |
