| S.No. |
ENTITY |
PERSONS |
REGULATORY CHARGES |
REGULATORY ACTION(S) / DATE OF ORDER |
FURTHER DEVELOPMENTS |
| 1 |
|
ALANKIT INSURANCE TPA LTD.
|
|
|
DID NOT ADHERE TO MINIMUM BUSINESS REQUIREMENTS VIOLATING REGULATION 14 OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
DID NOT FULFIL CRITERIA ON AVERAGE BASIS FOR NUMBER OF POLICIES SERVICED VIOLATING REGULATION 15 (C) (6)(C) OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
|
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
DIRECTED ALL INSURER HAVING TPA AGREEMENT WITH ALANKIT TPA TO IMMEDIATELY TAKE SUCH ALTERNATIVE STEPS INCLUDING APPOINTMENT OF ANOTHER 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 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
30-JUN-2021
|
|
| 2 |
|
|
ANMOL MEDICARE INSURANCE TPA LTD.
|
|
|
DID NOT ADHERE TO MINIMUM BUSINESS REQUIREMENTS VIOLATING REGULATION 14 OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
|
ADVISED TO REMOVE WORD TPA FROM NAME OF THE COMPANY
DIRECTED ALL INSURER HAVING TPA AGREEMENT WITH ANMOL 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
REJECTED APPLICATION FILED FOR RENEWAL OF LICENCE (TPA)
04-JUL-2024
|
|
| 3 |
|
|
GRAND INSURANCE TPA PVT.LTD.
|
|
|
DID NOT FILE APPLICATION TO RENEW CERTIFICATE OF REGISTRATION VIOLATING REGULATION 19 (9) OF IRDAI (TPA-HEALTH SERVICES) REGULATIONS, 2016
DID NOT FILE ANNUAL RETURNS
|
CERTIFICATE OF REGISTRATION REVOKED
DIRECTED ALL INSURER HAVING TPA AGREEMENT WITH GRAND 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
DIRECTED TO SUBMIT DATA COLLECTION AND BOOKS, RECORDS OR DOCUMENTS ETC. RELATING TO TPA BUSINESS
ADVISED TO REMOVE WORD TPA FROM NAME OF THE COMPANY
23-JUN-2021
|
|
| 4 |
|
|
HAPPY INSURANCE TPA SERVICES PVT.LTD.
|
|
|
DID NOT MAINTAIN VALID REGISTRATION PERTAINING TO ITS DIRECTOR HAVING MEDICAL QUALIFICATION
SUBMITTED TPA-6 FORMS AFTER EXPIRY OF THREE YEARS FROM THE DATE OF APPOINTMENT OF NEW DIRECTORS ON THE BOARD OF COMPANY
DID NOT TAKE PRIOR APPROVAL FROM IRDA FOR CHANGE IN SHAREHOLDING PATTERN
DID NOT ADHERE TO WORKING CAPITAL REQUIREMENTS
|
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 HAPPY 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
19-JUL-2016
|
IRDA VIDE ITS ORDER DATED 22/01/2018 A) ADVISED TO REMOVE THE WORD TPA FROM THE NAME OT ITS COMPANY AND SHALL NOT DO TPA BUSINESS B) ALL INSURERS HAVING TPA AGREEMENT WITH HAPPY TPA, SHALL IMMEDIATELY TAKE SUCH ALTERNATIVE STEPS INCLUDING APPOINTMENT OF ANOTHER TPA, IF ANY, AS MAY BE NECESSARY TO CONTINUE TO CATER TO THE POLICY HOLDERS SERVED BY HAPPY TPA C) HAPPY TPA SHALL IMMEDIATELY SUBMIT DATA COLLECTION AND THE BOOKS, RECORDS OR DOCUMENTS ETC., RELATING TO TPA BUSINESS CARRIED ON IT TO RESPECTIVE INSURERS D) SHALL COOPERATE WITH INSURANCE COMPANIES IN MAKING SUITABLE ALTERNATE ARRAGEMENTS TO SERVICE THE POLICY HOLDERS IN RESPECT OF WHOM THE POLICIES ARE IN FORCE E) SHALL RECONCILE AND CLOSE THE ACCOUNTS WITH CONCERNED INSURANCE COMPANIES AND NETWORK PROVIDERS, IF ANY
|
| 5 |
|
|
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
|
|
| 6 |
|
|
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. |
