| S.No. |
ENTITY |
PERSONS |
REGULATORY CHARGES |
REGULATORY ACTION(S) / DATE OF ORDER |
FURTHER DEVELOPMENTS |
| 1 |
|
ANMOL MEDICARE INSURANCE TPA LTD.
|
|
|
DID NOT GET APPROVAL AND DID NOT INFORM IRDA ABOUT CHANGES IN SHAREHOLDING PATTERN BY WAY OF TRANSFER OF EXISTING SHARES TO EXISTING AS WELL AS NEW SHAREHOLDERS
SUBMITTED WRONG/MISLEADING UNDERTAKING WHILE PROVIDING INFORMATION ABOUT ENGAGEMENT IN ANY OTHER BUSINESS
DELAY IN SUBMISSION OF ANNUAL REPORT
|
IMPOSED PENALTY RS.5,00,000
11-JAN-2016
|
|
| 2 |
|
|
ANMOL MEDICARE INSURANCE TPA LTD.
|
|
|
GRANTED LOAN TO INDIVIDUALS OTHER THAN THE EMPLOYEES
|
IMPOSED PENALTY RS.1,00,000
09-JAN-2024
|
|
| 3 |
|
|
EAST WEST ASSIST TPA PVT.LTD.
|
|
|
SUBMITTED WRONG/MISLEADING UNDERTAKING IN THE MATTER OF ENGAGEMENT BY CEO AND DIRECTOR IN INSURANCE OR INSURANCE RELATED ACTIVITY
|
IMPOSED PENALTY RS.1,00,000
17-NOV-2015
|
|
| 4 |
|
|
E-MEDITEK (TPA) SERVICES LTD.
|
|
|
DID NOT PROVIDE INFORMATION ABOUT INVOLVEMENT OF ITS PROMOTERS AND/OR DIRECTORS IN INSURANCE & INSURANCE RELATED ACTIVITIES TO IRDA
DID NOT SUBMIT TRUE AND CORRECT STATEMENT TO IRDA
PROVIDED WRONG/MISLEADING INFORMATION THROUGH WEBSITE ABOUT SELF-FUNDED SCHEMES OF STATE GOVERNMENT AND/OR CGHS CLAIMS AUDIT
|
IMPOSED PENALTY RS.5,00,000
25-AUG-2014
|
|
| 5 |
|
|
FAMILY HEALTH PLAN (TPA) LTD.
|
|
|
RENDERED SERVICES IN THE FORM OF IT SUPPORT FOR PORTING THE MEMBER DETAILS COVERED UNDER HEALTH INSURANCE POLICIES
ENTERED INTO AGREEMENT WITH ALLIED INSURANCE CO. FOR PROVIDING SERVICES TO THEIR CLIENTS VISITING INDIA FOR MEDICAL TREATMENT
PROVIDED EMERGENCY ASSISTANCE AND OTHER ALLIED SERVIES TO CLIENTS OF FOREIGN INSURERS IN INDIA
ENGAGED IN PRINTING AND DISPATCH OF HEALTH INSURANCE POLICY KITS TO ITS CUSTOMERS AND SEPARATE CHARGES RECEIVED FOR THE SAME FROM INSURER
DID NOT MAKE DISCLOSURE OF CLAIMS OUTSTANDING FOR MORE THAN 6 MONTHS AT THE YEAR-END IN RETURN TPA 4(7) OF ANNUAL REPORT
|
IMPOSED PENALTY RS.25,00,000
CENSURED/WARNED & DIRECTED/ADVISED TO BE DILIGENT IN COMPLYING WITH ALL THE ACTS, REGULATIONS ETC.
29-JAN-2015
|
|
| 6 |
|
|
GOOD HEALTH PLAN (TPA) LTD.
|
|
|
ALLOWED TO OPERATE SINGLY ALL BANK ACCOUNTS AND ALSO INSTRUCTIONS TO BANK WHO WAS NEITHER EMPLOYEE NOR A DIRECTOR OF COMPANY AS PER BOARD APPROVED RESOLUTION
|
IMPOSED PENALTY RS.5,00,000
28-APR-2015
|
|
| 7 |
|
|
GRAND INSURANCE TPA PVT.LTD.
|
|
|
DELAY IN SUBMISSION OF ANNUAL REPORT
|
IMPOSED PENALTY RS.1,00,000
19-SEP-2017
|
|
| 8 |
|
|
MDINDIA HEALTHCARE SERVICES (TPA) PVT.LTD.
|
|
|
DID NOT PROVIDE INFORMATION ABOUT INVOLVEMENT OF ITS PROMOTERS AND/OR DIRECTORS IN INSURANCE & INSURANCE RELATED ACTIVITIES TO IRDA
DID NOT SUBMIT TRUE AND CORRECT STATEMENT TO IRDA
DID NOT MAKE DISCLOSURE RELATED TO PROMOTER TO IRDA
DID NOT SUBMIT RESIGNATION LETTER OF MR.SOUNDARAJAN RAJAN TO IRDA
CHANGED THE STATEMENT SUBMITTED TO IRDA RELATED TO APPOINTMENT OF MR.SOUNDARAJAN RAJAN
DID NOT MAKE DISCLOSURE OF PROMOTER MR.TILAK RAJ SHARMA FOR RENEWAL OF TPA LICENCE TO IRDA
|
IMPOSED PENALTY RS.5,00,000
17-JUN-2014
|
|
| 9 |
|
|
MEDICARE TPA SERVICES (I) PVT.LTD.
|
|
|
RENDERED HEALTH/TPA SERVICES WITHOUT ENTERING INTO AGREEMENT WITH INSURANCE COMPANY
DID NOT PROVIDE INFORMATION ABOUT INVOLVEMENT OF ITS PROMOTERS AND/OR DIRECTORS IN INSURANCE & INSURANCE RELATED ACTIVITIES TO IRDA
DID NOT MAKE DISCLOSURE ABOUT HOLDING OF POSITION OF DIRECTOR IN ANNUAL RETURN FORM TPA 4(1) TO IRDA
|
IMPOSED PENALTY RS.5,00,000
26-AUG-2014
|
|
| 10 |
|
|
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
|
|
| 11 |
|
|
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
|
|
| The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column. |
