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SOURCE OF INFORMATION : INSURANCE REGULATORY & DEVELOPMENT AUTHORITY OF INDIA WEBSITE
PERIOD COVERED : 16-AUG-2002 TO 27-NOV-2025

NAMES IN BROWN COLOUR
Names of entities/persons in brown colour denote that the regulatory order is not against them but their names have been mentioned only for association purposes.

INSURANCE COMPANY: VIOLATED IRDAI (HEALTH INSURANCE) REGULATIONS, 2016

S.No. ENTITY  PERSONS  REGULATORY CHARGES REGULATORY ACTION(S) / DATE OF ORDER FURTHER DEVELOPMENTS
1
History of entity/person ROYAL SUNDARAM GENERAL INSURANCE CO.LTD.  
  CLOSED CLAIMS DUE TO INSUFFICIENT DOCUMENTATION INDICATED A LACK OF DUE DILIGENCE OR THOROUGHNESS IN THE INITIAL CLAIMS REVIEW PROCESS

DID NOT SUBMIT EXPLANATION/ INFORMATION SOUGHT BY THE INSPECTION TEAM DURING THE INSPECTION PERIOD   		IMPOSED PENALTY RS.1,00,00,000

CENSURED/WARNED & DIRECTED/ADVISED TO BE DILIGENT IN COMPLYING WITH ALL THE ACTS, REGULATIONS ETC.

23-JAN-2025 		 
2
History of entity/person UNIVERSAL SOMPO GENERAL INSURANCE CO.LTD.  
  CLOSED CLAIMS IN THE BOOK OF INSURER WITHOUT A FINAL DECISION VIOLATING REGULATION 27(V) OF IRDAI (HEALTH INSURANCE) REGULATIONS, 2016

DELAY IN MAKING REFUND OF PROPOSAL DEPOSIT VIOLATING REGULATIONS 8(6) AND 8(7) OF THE IRDAI (PROTECTION OF POLICYHOLDERS INTEREST) REGULATIONS, 2017

DELAY IN SETTLEMENT OF MOTOR CLAIM VIOLATING REGULATION 15(8) OF IRDAI (PROTECTION OF POLICYHOLDERS’ INTEREST) REGULATIONS, 2017

DID NOT PAY PENAL INTEREST FOR DELAY IN SETTLEMENT OF CLAIMS VIOLATING REGULATION 15(10) OF IRDAI (PROTECTION OF POLICYHOLDERS’ INTEREST) REGULATIONS, 2017   		CENSURED/WARNED & DIRECTED/ADVISED TO BE DILIGENT IN COMPLYING WITH ALL THE ACTS, REGULATIONS ETC.

07-NOV-2025 		 
The regulatory charges/regulatory actions may be fully or partly applicable to the entities/persons mentioned in the second column.

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