Mandatory KYC Documents for Health insurance

Mandatory KYC Documents for Health insurance

LATEST IRDAI GUIDELINE FOR KYC FOR HEALTH, MOTOR & OTHER INSURANCE POLICIES.

The Insurance Regulatory and Development Authority of India (IRDAI) mandated KYC (know your customer) to buy or renew health, Auto and other insurance policies available in India on August 2022. This new guideline has been in effect since January 1st.

Before, policyholders had the option to get their KYC completed on a voluntary basis, but now that it is required by a recent IRDAI guideline, insurers must do so before selling and renewing policies to both new and existing customers. Due to the fact that insurance companies have access to their clients’ complete information, this change will result in a process that is much quicker, safer, and more seamless.

Let’s examine the reason why IRDAI made KYC mandatory for health insurance.

The Insurance Regulatory and Development Authority of India (IRDAI) has made KYC mandatory to defend insurance companies from fraudulent practices like money laundering.

Knowing your customer (KYC) helps a business gain a clear understanding of its clients and make a more accurate assessment of whether they are real and will continue to be dependable when using its insurance services. According to the risk percentage, it aids in classifying customers. Insurance companies can make better decisions in the long run when it comes to meeting customer needs if they have access to detailed information. Additionally, it speeds up and streamlines the processes for purchasing, renewing, and resolving claims.

To better understand how KYC assists insurance companies in determining the customer’s risk percentage: let’s look at an example.

Assume a policyholder works in a chemical manufacturing plant; chemicals are toxic and highly flammable, so there is a higher risk of illness due to excessive chemical exposure than someone working in the cooperative sector. We get detailed customer information with KYC, which helps with better categorization in terms of low, medium, and high risk of getting sick.

 

 

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List of accepted KYC methods:

  • Aadhar-based KYC ( Online Authentication process)
  • KYC Based on Aadhar Card ( Offline Authentication Process)
  • Digital KYC in line with PML rule (Prevention of Money Laundering)
  • Video-based identification procedure (VBIP)
  • The KYC Identifier provided by CKYCR (Central KYC Registry)
  • Official valid documents (OVDs), such as a passport, a driver’s licence, evidence of ownership of an Aadhaar number, voter identification cards issued by the Election Commission of India, job cards issued by NREGA attested by state government officials, letters issued by the National Population Register containing demographic information, or any other document, are notified by the central government following review by the IRDAI.
  • Form 60/Pan Cards

List of KYC documents required for health insurance customers:

  • Passport
  • Driving License
  • Evidence of ownership of an Aadhar number
  • Voter identification cards issued by the Election Commission of India
  • Job cards issued by NREGA attested by state government officials
  • Letters issued by the National Population Register containing demographic information.
  • Or any other document, are notified by the central government following review by the IRDAI.

Insurance companies are required to follow the KYC procedure in accordance with the IRDAI’s guidelines, which are as follows:

  • The insurer should make every effort to confirm the true identity of a customer.
  • Implement a successful process to distinguish between new and existing clients.
  • Verify that no fictitious or anonymous names have been provided by any insurance plan.
  • Confirm the client’s name, address, and most recent photo.
  • If the address is different from the one listed on the Aadhar card, “Self declaration” is necessary. The Aadhar card will be used as evidence of identity and address.
  • Ask customers for OVDs (Official Valid Documents) if aadhar authentication is not possible because of age, illness, or injury.
  • Gather customer details from agents, intermediaries, and relevant sources.
  • Verify that the insurance premium does not differ significantly from the customer’s income.
  • The customer has the option to submit a suspicious transaction report (STR) to the Financial Intelligence Unit-India if the insurer is unsatisfied with the customer’s claimed identity or translation (FIU-IND)
  • If the customer is a legal person, take the necessary steps to locate the customer and the legal owner.
  • Cross-check and adequately confirm the identity and authorization of the person claiming to act on behalf of a judicial person.
  • Use a variety of documents to identify and confirm the judicial person’s legal standing.
  • If the customer is a politically exposed person (PEP), the insurer must consult with senior management before making such proposals.
  • Insurers must carry out client due diligence in accordance with Rule 9 of the PML regulations.
  • Insurers must carry out client due diligence in accordance with Rule 9 of the PML regulations.

Measures taken by insurance companies prior to conducting KYC for health insurance customers:

  • Obtain PAN/Form 60 from clients.
  • All necessary sources, including agents and intermediaries, should be contacted to gather detailed information about the customer.
  • In accordance with Rule 9 of the PML regulations, insurers are also required to exercise client due diligence by performing KYC on both current and potential customers.
  • Based on risk levels and the total amount of insurance coverage for a fiscal year, they must also continuously perform due diligence on customers.
  • Do not enter into a contract with a client whose name appears on the UN Sanctions List, with Banned Parties, or with People Suspected of Having Terrorist or Terrorist Organizational Links.
  • If the customer is a politically exposed person (PEP), the insurer must seek approval from senior management before making such proposals.

 Conclusion:

The Insurance Regulatory and Development Authority of India (IRDAI) has mandated KYC for buying and renewing general insurance, including health insurance. The article explains how to conduct KYC for new and existing customers, as well as the safety measures that insurance companies must take before conducting KYC on health insurance customers. Go through the article to learn the list of documents needed for KYC, and keep it handy when purchasing or renewing a health insurance policy.

 

 

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Best Health Insurance plans for diabetic patients, Early symptoms| When to visit a doctor?

Best Health Insurance plans for diabetic patients, Early symptoms| When to visit a doctor?

Health insurance for diabetic patients is a wise choice because it helps cover the costs associated with treating the condition and any associated diseases. Although some insurance companies exclude coverage for diabetes and related conditions from their policies there are some that provide coverage for Type 1 and Type 2 diabetes as well as the related complications.

Before we discuss health insurance for diabetes, it is important to understand that it is a chronic long-term illness that lasts a lifetime. This condition impacts how your body converts food into energy.

When your body is unable to produce enough insulin or to utilize it as well as it should, this condition occurs. As a result, too much blood is lodged in the capillaries and is unable to be used as energy. Generally, whatever you consume breaks down into glucose (sugar), which enters the blood capillaries.

Insulin is released by the pancreas in response to an increase in blood sugar levels, it aids in the transport of blood sugar into cells for energy production.

With time, diabetes can lead to major health concerns such as heart disease, renal disease, vision loss, and so on. There is no permanent cure for this disease, but there are several precautions that can help keep blood sugar levels in check.

When making lifestyle changes following adjustments can help avoid diabetes:

  • Losing extra weight
  • Be more physically active (E.g., Aerobic exercise, Resistance exercise, Limited inactivity)
  • Eat healthy plant foods (E.g., Fruits, leafy greens (broccoli and cauliflower) , Legumes (beans, chickpeas and lentils), Whole grains ( whole-wheat pasta and bread, whole-grain rice, whole oats, and quinoa)
  • Eat healthy fats (Nuts & seeds, Olive, salmon, tuna etc.)
  • No FAD diets , Go for healthier options

When a person is diagnosed with type 1 diabetes, they require a daily injection of insulin to survive since the body stops producing insulin. This is most common among children, teens, and young adults. And in type 2, insulin does not operate properly and sugar levels fluctuate; this situation can be treated with some lifestyle adjustments and prescribed medication.

 

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Early signs of diabetes and when to see a doctor for diagnosis?

Your body has its way of telling, it keeps giving you signs that you are on the radar for any illness, it is you who need to keep a close eye on and take these signs seriously and visit a doctor. The early sign of diabetes are as follow:

  • Skin problem – A dry and itchy face, a wound that isn’t healing, an ongoing skin infection, white patches, a sore mouth or lips, and armpit discoloration are all frequent skin problems.
  • Eating problems: You may be unusually hungry or thirsty, or you may have difficulties eating and swallowing meals.
  • Mood issues: You may experience excessive fatigue or irritability
  • Vision: Because of the elevated glucose levels in your blood, your vision may be blurred, and the fluid around your eyes may not be flowing properly, affecting your vision.

If you notice any of the mentioned symptoms, the first thing you should do is get a blood test, which only takes around 30 minutes presently. There are numerous signs of Type 1 and Type 2 diabetes, none of which can be pinpointed, but if you have a family history of diabetes, it is recommended that you get frequent blood sugar tests. The sooner you address the classic symptoms, the more likely you are to avoid developing the full-blown disease.

 

Advantages of Health insurance for

diabetic patients:

Having diabetes insurance has the following advantages:

Hospitalization expenses: If the situation worsens and the patient needs to be hospitalized, the admission fee along with additional treatment costs are reimbursed.

Pre and Post hospitalization expenses: Costs are covered by the insurance provider. The settlement can take place in one of two ways: cashless, where the network hospital and insurer handle it on the policyholder’s behalf; or reimbursement, where the insured had to submit the necessary paperwork, after which the claim would be handled.

Free health checkup: Companies do offer free annual health examinations to policyholders to help discover sickness early on, but according to experts, barely 20-30% of policyholders make use of it. In accordance with the health insurance plan you have purchased, you should avail of this service once every 2 or 4 years.

Doctor’s fees: This sickness requires frequent hospital visits for consultation purposes; therefore, the costs associated with these repeated appointments are covered by a diabetes insurance plan.

Diagnostic fee: Multiple tests are performed to diagnose blood sugar levels and for various other objectives, so the cost of these tests is reimbursed.

Medicine costs: With this illness, the patient is largely on medicine, and in the event of type 1 diabetes injections are also given, so medication expenses are covered under the policy.

Domicile care: The patient can choose domicile care, which will allow them to receive their treatment at home while having the costs associated covered by their insurance company, at the doctor’s recommendation.

Recovery: With the mentioned coverage, the patient can focus solely on recovery and proper care without having to worry about the cost of treatment.

Best health insurance plans for diabetic patients In India-2023

Company: Care Health Insurance

Plan: Care Supreme

Cover: ₹7 Lakhs

Premium: ₹10,993/- Or, pay @ ₹917/month for 1 year

Highlights: Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Cashless hospitals, Co-pay, Free health checkup, E-consultation, Discount on Renewal, and add on features.

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Company: Niva Health Insurance

Plan: Max Saver

Cover: ₹7 Lakhs

Premium: ₹10,993/- Or, pay @ ₹917/month for 1 year

Highlights: Room rent limit, Restoration of cover, Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Cashless hospitals,
Co-pay, Free health checkup, E-consultation, Domestic evacuation, Cover for organ donor, Alternate medicine (AYUSH), Maternity cover, Existing Illness cover, Discount on Renewal, and add on features.

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Company: Star Health Insurance

Plan: Star Comprehensive

Cover: ₹1 Cr

Premium: ₹14,844/-, or, pay @ ₹1,237/month for 1 year

Highlights: Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Existing Illness cover Cashless hospitals, Co-pay, Free health checkup, Alternate medicine (AYUSH), Discount on Renewal, Domestic evacuation, Cover for organ donor, Daily cash allowance,  and add on features.

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Company: Aditya Birla Capital

Plan: Activ Fit Plus

Cover: 5 Lakh

Premium: ₹ 8,407/-, Base Premium – 1 year

Highlights: Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Existing Illness cover Cashless hospitals, Co-pay, Free health checkup,
E-consultation, Discount on Renewal, Domestic evacuation, Cover for organ donor, Daily cash allowance, Outpatient consultation benefits  and add on features.

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Company: Manipal Cigna

Plan: Prime – Advantage

Cover: 5 Lakh

Premium: ₹12,512/-, Or, pay @ ₹1,043/month for 1 year

Highlights: Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Cashless hospitals, Co-pay, Free health checkup, E-consultation, Discount on Renewal, Worldwide coverage, Cover for organ donor, Daily cash allowance, Outpatient consultation benefits  and add on features.

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Company: Reliance General Insurance

Plan: Health Gain

Cover: 5 Lakh

Premium: ₹₹ 8,019/-, Base Premium – 1 year

Highlights: Pre-hospitalization coverage, Post-hospitalization coverage, Day care treatment, Ambulance charges, No claim bonus, Cashless hospitals, Co-pay, Free health checkup, E-consultation, Discount on Renewal, Restoration of cover, Existing Illness cover, Alternate medicine (AYUSH), Cover for organ donor, Animal bite vaccination, and add on features.

 

What is the claim request procedure for health insurance of diabetic patient?

A diabetic patient’s claim method is similar to any other health insurance claim settlement process. It could be a reimbursement or cashless mode. Under reimbursement, the insurer is required to pay their own medical bills. Once the treatment is done, the insured must submit the bills and related paperwork either in advance or after discharge. The following are the original documents required for the claim settlement process:

  • Claim application Form – Duly filled and signed
  • Doctors’ prescription
  • Treatment documents
  • Diagnostic reports/X-Ray
  • Original medical bills and scripts
  • Invoice for medicines
  • Hospital discharge card
  • Copy of FIR in case of an accidental emergency
  • Copy of Health Card
  • Canceled cheque
  • KYC – PAN card and Hospital Registration Card
  • Consultant’s certificate with diagnosis
  • Relevant Investigation reports (Radiology, Pathology, etc) Claim application Form – Duly filled and signed
  • Certificate from the attending doctor/physician stating the condition of the patient

Once the insurance provider has verified and is firmly convinced of the claim’s reason and request, you will receive the reimbursement amount in your bank account.

* If the plan provides a cashless option, the insurance provider will pay the network hospital directly. You are not required to pay anything at the hospital. All you have to do is show the TPA  (third-party administrator) your health card.

 

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Top 5 Ways to Improve Mental Health

Top 5 Ways to Improve Mental Health

Better your mental health by adding and subtracting a few habits in your Daily Routine.

Mental health is still considered a taboo subject, but the fact that many influential people are talking about undergoing therapy is piquing the interest of young people to learn more about it and raise awareness.

While thinking about how to improve your mental health is important, we should also give serious consideration to whether or not your mental health is in good shape.

Let’s examine the scientific definition of mental health before learning about methods for enhancing it. According to WHO , “Mental health is a state of mental well-being that enables people to cope with the stresses of life, realize their abilities, learn well and work well, and contribute to their community. It is an integral component of health and well-being that underpins our individual and collective abilities to make decisions, build relationships and shape the world we live in. Mental health is a basic human right. And it is crucial to personal, community, and socio-economic development. “

We have read numerous articles on the subject of how to improve your mental health, including two, five, ten, twenty, and fifty different methods. However, very few explore deeper into the significance, science, facts, and human experience after taking those measures. As a result, we’ve narrowed it down to 5 ways that, in 99.9% of cases, will both improve your mental health and your general quality of life.

Overthink less meditate more!

Have you heard the phrase, “Meditation is the best medicine? ”If not, give it a shot. Do not rush; instead, sit down in a comfortable position. It must be comfortable, to begin with otherwise you will be distracted the entire time. Consider taking back support if necessary. No rules…!

For a relaxing experience, choose a quiet place to sit or turn on some relaxing music. Other options are the sound of birds chirping or water trickling. Just enter your preferences to find a wide range of options across numerous platforms.

Observe how you are feeling while taking regular breaths. This aids in monitoring what is happening within. After spending some time with those ideas, exhale deeply and let them go.

Bringing breathing back to normal Observe how you feel right now, then dig further into that idea to see if there is any confusion, insecurity, envy, hurt, disappointment, grief, an unresolved question, or anything else that is causing you to overthink and feel a certain way.

The key is to be completely honest with yourself and not feel bad about it. We don’t have to be perfect; nobody is. Deepen your breathing, then release that emotion. If the thought lingers, continue inhaling and exhaling until the memory begins to fade.

Now, just be. Feel the wind, listen to the music, and take note of how you’re seated. If your mind is still racing, pay attention to it. Give that thought your full attention if you find yourself thinking about it repeatedly. Examine whether it makes sense or offers some kind of theory or logic; if so, great, you have an idea; if not, take a big breath and let it go.

Meditation is more than merely pausing a thought for 10 minutes and inhaling and expelling a deep breath. When you meditate, you can examine your inner self, mend any wounds there, and find serenity. If you’re just starting, watch some guided meditation videos first. It will help you get the hang of how to do it. Keep your schedule steady; if its 10 minutes each day, do it every day. If your strategy is solid, you’ll see the change right away.

Build a Routine and stick to it!

Most people who struggle with mental health difficulties have disrupted routines. Indulging in poor eating habits, staying up late, lounging around, increased screen time, and numerous other factors.

A person who has even one or two unhealthy habits has a higher possibility of having all of the above since one habit might lead to another. A person with a routine can experience depression, but they cannot remain in it for very long, according to a medical study.

Several studies have shown that developing and sticking to a routine not only improves your mental health but also helps you manage stress, reduce substance abuse, alleviate bipolar disorder, and anxiety, promote healthy habits, and combat burnout.

How do you establish a routine?

Building a routine all at once is neither practical nor permanent. For example, say you want to make specific adjustments in your lifestyle, such as getting up in the morning, eating well, spending time with family, and so on, all at once. It’s possible, but only for a day or at the most for a week, and that too is a responsibility.

A stronger routine isn’t built that way. Add one change at a time. For example, if your priority is to get up on time, focus on that for a week or two, and then, if your body is comfortable with staying consistent, introduce the next step.

Additionally, you don’t need to be flawless every day because maintaining a schedule can be challenging on some days.

If that happens, you can always take a break and try again the following day. If you acquire this attitude, it’s guaranteed that every day will bring something new and interesting, and you’ll have plenty of time to get things done.

Weight training: Look Good Feel Good

Weightlifting, commonly referred to as strength or resistance exercise, aids in muscle growth but more importantly, it releases feel-good hormones.

According to a study, lifting heavy weights releases the body’s natural levels of the feel-good hormones dopamine, serotonin, oxytocin, and endorphins, as well as dopamine, which is also linked to learning, memory, and motor system function (a component of the nervous system that controls voluntary movement). Endorphins are the body’s natural painkiller.

Let’s explore some of the many advantages of weight training:

Boosts creativity, memory, productivity, attention, self-confidence (when you change the appearance of your body, you know it’s due to your hard work, which boosts self-confidence and a lot of mental strength), positive self-talk, better body image, boost mind and body connection, and brain capacity regardless of where your mental health journey began. According to professional research.

It removes mental fog, enhances concentration, reduces stress, and teaches the brain (when you hold a posture until your muscles give out, you know you can do anything! which reflects in your regular activities.) If you conduct the training among others, you will develop social connections too.

Eat clean 4 Days a week

Eat healthy at least four days a week; there is a difference between eating healthy and dieting. By “clean eating,” we mean eating nutritious, home-cooked food that is well-balanced and contains the recommended amounts of carbs, protein, fiber, and vitamins. The ideal diet includes the right amounts of micro and macronutrients for your body and mind to grow.

Pre Breakfast – 2 glasses of water, Coconut water, Amla aloe vera juice, soaked nuts

Breakfast – Vermicelli, Oats, Poha, Besan chilla, Eggs

Lunch – 2 wheat Roti, any vegetable (rajma, chole, paneer, spinach, tofu), lassi, salad

Evening snack – Chana chat, Roasted makhana with tea or coffee

Dinner – 2 roti, paneer, sauteed mixed veggies, dal

Post dinner – Haldi milk

The meal plan above is simply an example; there is no requirement that you follow it exactly. You should always experiment with your diet to see whether it improves your day-to-day mood and activities or has a negative impact. Keep in mind that because our bodies are so varied from one another, something that may be beneficial to you may be harmful to my body. As a result, always pay attention to what you are eating and how it affects your body.

Since our bodies are formed of protein, it is advised to consume a high-protein diet. However, in actual human experience, each body reacts differently to protein, and for some people, it might cause bloating or gastric discomfort.

Nutritionists recommend including some protein in your meals since it helps your body’s muscles grow and stay healthy. However, bodybuilders need more protein than an average person who engages in typical activities. If your daily routine involves high-intensity work, your body may respond differently than someone who engages in low to moderate-intensity activities.

The easiest approach to determine how much protein your body needs is to speak with a nutritionist and follow their advice rather than relying just on what you read or see online.

Nature – Your Best therapist

When nothing makes sense, take a walk in nature. You have no idea how everything changes the instant you step out of your house, if not! Simply be present where you are and look around, notice people, plants, animals, and whatever else is there, and leave your phone at home.

Why? Since you might receive a crucial call and pick up despite your best efforts to avoid doing so. Although you are in nature, because you are not present in the moment, you will not enjoy the soothing sense that generally follows time spent in nature.

Be honest about how much time you or your child spends in front of screens each day. Today’s generation experiences mental health issues more frequently than folks from the 1980s and the early 1990s.

Modern technology could promise to make your life simpler, but in reality, it leads to a paralyzed style of living, as this global trend of urban living forces us to spend more time indoors than outdoors. Humans frequently forget that we are a byproduct of nature, and hence exposure to nature has numerous benefits such as enhanced mood, improved focus, reduced stress, and a lower chance of mental disorders. So, when things get tough, call on Mother Nature’s healing power.

Even spending time with animals might help you feel calmer. Nature can be your finest therapist or companion. To make your life worth living, make a conscious effort to spend at least 30 minutes outside.

Research shows, those who are more in tune with nature feel positive emotions like joy, relaxation, creativity, and concentration and have incredibly low risks of suffering from poor mental health, depression, or anxiety.

 

Health Insurance Plan for women In India

Health Insurance Plan for women In India

pre and post-hospitalization coverage, maternity benefit, PCOD/PCOS!

If we compare the chances of developing a severe illness between men and women, women’s health insurance is just as crucial as men’s insurance, if not more so. With this idea in mind, insurance providers created a special “health insurance plan for women in India” to address their medical requirements and, to a certain extent, provide coverage connected to pregnancy.

This plan is intended to provide financial protection for women’s health in a medical emergency and cover illnesses that females are more likely to contract over their lives.

In the past, women’s insurance coverage was limited to family floater plans or range as a dependent under a husband’s health insurance. However, today, women are reemerging like a phoenix in every industry and are covered by both group and individual insurance.

When choosing insurance for women, it would be wiser to purchase a comprehensive coverage plan that includes coverage for illnesses that affect women.

Why health insurance is important for women?

As women get older, they have a higher chance of developing a sickness or a deficiency. Numerous factors, including stress, low bone density, fluctuating blood pressure, and conditions connected to pregnancy, can contribute to the cause. The combination of stress and an inactive lifestyle causes hormonal imbalance in women’s bodies, which becomes the cause of PCOD and PCOS.

We are all aware that a woman’s body changes frequently, and this undoubtedly throws off her bodily functions, making her more vulnerable to health problems as she ages. They have a high chance of developing serious illnesses like breast cancer, osteoporosis, osteoarthritis, diabetes, hypertension, and immune or bone disorders.

If we consider pregnancy as an example, this is provided to women during their pregnancy period in accordance with the Maternity Benefit Act of 1961. This law safeguards women’s employment during pregnancy and ensures that they receive their daily pay without deductions so they can take the necessary rest and care of themselves and their unborn child without worrying about their employment or pay.

The paid maternity leave benefit that was previously provided to a woman was for 6 weeks prior to the expected delivery date, but now, in accordance with the Maternity Benefit Act of 1961, the number of weeks has been increased to 26 weeks.

why? Simply, to protect the mother’s health and of her child. While both men and women can care for a child, only women are biologically capable of giving birth to and breastfeeding a child.

Through a variety of ways, maternity insurance protects against risks to women’s health associated with pregnancy. As a result of the unique physiological demands posed by pregnancy and childbirth, this is essential for maintaining good health.

Longer maternity breaks are linked to fewer premature births, less maternal depression, and decreased prenatal, infant, and child mortality, as per the studies. Additionally, longer nursing periods are linked to longer maternity absences, which benefit children’s development and health. You get a detailed analysis of maternity benefits’ importance through the https://mprp.itcilo.org/allegati/en/m3.pdf Pdf study.

Still, a significant number of pregnant women experience serious illnesses. According to the findings of a large-scale poll carried out throughout India, the majority of the female respondents said they experienced menstrual issues. In the respondents, menstrual issues like pain, irregularity, and excessive flow diminished as they aged. The following stats are sourced from www.statista.com a high authority website.

Let’s look at the “journals.lww.com” statistics of low bone density rates in women compared with men in India.

There are countless studies that show how important women’s health is and how females are vital in our nation’s economic development and decrease of poverty. Our top objective should be to have a health insurance plan that is specifically for women with maximum coverage.

Top Women’s Health Insurance Plan In India 2022

CompaniesWomen Insurance Plans Descriptionfeatures
Star HealthStar Women Care  PlanWomen can avail multifold benefits along with whole family coverage.Modern treatment, Pregnancy coverage, preventive health checkup
HDFC ErgoMy: Health Women SurakshaWomen-oriented health plans provide comprehensive coverage for a major illnesses such as cancer. Covered under a single plan but with different variants.pregnancy and newborn coverage, sum insured upto 3 lac to 5 cr, free preventive health checkup
Chola Insurancecholamandaram sarv shakti planWomen’s health insurance plan is designed for offering protection against cancer and 39 other illnesses.SI upto 2cr, children education coverage, vehicle loan protection
The New India AssuranceIndia new asha kiran Mediclaim policyPolicy for parents with girl child only. Two dependent daughters are covered with 8 lakhs sum insured.Avail 50% discount, Hospital cash available, Avail ayush treatment

 

Let’s now examine the advantages that the women’s health insurance plan in India provides:

Cancer coverage: Cancer is a serious sickness for which the insured is provided with a guaranteed sum insured as soon as the listed illness is identified. It covers conditions including breast cancer, ovarian cancer, cervical cancer, uterine cancer, paralysis, burns, etc.

Congenital disorder: Up to 50% of the total sum insured is covered for congenital disorders, often known as birth defects. The ailment may manifest prior to birth or may be discovered after or during delivery.

Cashless hospitalization: The network hospital and the insurance provider will make the payment in the case of cashless hospitalization.

Recovery period cover: The time period during which a patient is recovering from a condition is referred to as the recovery phase. Many people overlook their right to claim the same thing due to ignorance.

Post-hospitalization: After being discharged from the hospital, any costs associated with subsequent treatment for the same condition are covered.

Coverage for job loss: In the event that a working woman loses her job 3 months after receiving a diagnosis of illness. They are presented with a special sum of money.

Cosmetic surgery: It provides financial assistance for surgeries required as a result of unintentional injuries.

Income tax benefit: This health insurance’s premiums are not deductible and have income tax benefits under Income Tax Act Section 80D.

 

What is third party insurance and how it works in India?

Benefits, coverage, and an online claim process!

Third-party insurance for cars/bikes often covers the third person’s liabilities that arise from damaging a third party’s property, person, or vehicle. According to the Motor Insurance Act of 1988, every vehicle operating on Indian roads must carry third-party insurance. Regardless of whether it is a personal car, a two-wheeler, or a commercial vehicle, each should have its own third-party liability insurance.

 

 

You are aware that there are typically two parties involved when insurance is purchased: the insurance provider and you. And, it goes without saying that you get insurance for your family or yourself. Since the third person is the beneficiary in the case of third-party insurance, you are not protected. However, you are insured for both under comprehensive car insurance, which we’ll discuss later in this article.

With a third-party policy, the insurance company will handle your liability to any third person who may be injured as a result of an accident involving your vehicle.

 

 Is third-party insurance mandatory? If Yes, Then why?

Setting the legal clause aside, no one can anticipate an unpredictable event, especially when the vehicle is on the road. There will always be a risk associated, not just for you but also for pedestrians and drivers. This is where third-party insurance comes into play.

If your insured car is involved in an accident, there is a chance that someone could die or suffer physical harm that could leave them permanently or partially disabled. In such a situation, the victim is entitled to compensation for which he can file an FIR.

Here, third-party insurance will take over and fulfill your obligation to the victim by providing compensation; the amount depends on the victim’s age, profession, income, and status of the third party.

How do I make a third-party insurance claim?

The first step in a third-party insurance claim is to file a complaint or record an FIR at the local police station. Following the completion of this step, the court records the case, and the process of determining who is at fault among the parties proceeds. There is a special court that hears cases involving traffic accidents because civil courts do not have the authority to render judgments in these cases.

When the victim files a claim for an injury, such as physical hurt, a permanent or partial disability, death, property damage, etc., he is allowed to request any amount as compensation for physical harm or death. However When property damage is caused, the limit is raised up to 7.5 Lacs.

Your responsibility to the victim may exceed any limit; the company will offer coverage in accordance with the contract. You are in charge of the remaining balance.

The insurance provider won’t settle a claim if it’s determined that your car is at fault. Third-party insurance includes and excludes a few things. Make sure to read them once.

“ Still intend to pursue legal action? ”

The following documents are needed in order to request a third-party insurance claim.

– Signed and filed FIR

– Copy of Police FIR

– Driving license copy

– Policy documents

– Vehicle registration certificate

The court’s decision will determine whether or not you receive compensation. You must demonstrate the opposing party’s negligence in order to settle the claim. You may receive the claim settlement if the judge finds that the other party was a mistake. You cannot collect compensation twice for the same incident, even if the amount you expected to receive is less than what you actually did. Your insurance company is not obligated to make up the difference.

 

What are the advantages of having third-party insurance for cars/bikes?

Third-party insurance is required by law, as you are aware; nevertheless, it also has its own set of benefits, which are discussed here:

Legal protection: You are only allowed to operate a car/bike on public roads if you have third-party insurance, if not a comprehensive plan. According to the Motor Vehicle Act of 1988, a vehicle owner must have third-party insurance for a car or bike in order to avoid legal repercussions.

Third-party coverage: This type of insurance covers your legal responsibility for any damage to a third party’s car. It also provides compensation in the event that an accident results in a person’s death, disability, or bodily harm.

Cost-effective policy: This insurance, whether acquired alone or as an add-on benefit to a plan, has full benefits for you. This seems to be cost-effective if we take the premium rates and the cost of the policy into account. However, your yearly income is considered before approving the claim and providing the compensation.

Financial support: Whenever you have a liability, it can be financially draining and lead to a major loss, making it impossible for you to endure the loss of damaged property belonging to a third party. However, with third-party insurance, you are fully supported financially.

Peace of mind: Because the insurance company has everything covered financially, you are free to carry on with your daily routines without worrying about raising the money you need to cover the cost of the incident’s compensation.

Third-party insurance vs comprehensive

The distinction between comprehensive car insurance and third-party insurance is that comprehensive vehicle insurance covers both the insured’s own vehicle and third-party liabilities, whereas third-party insurance solely protects the third party.

A comprehensive plan can be strengthened even further by adding extra protections like zero depreciation, engine protector, accessories cover, medical expense, etc. The majority of car owners prefer comprehensive insurance because it provides complete protection and relieves their stress.

Comprehensive vehicle insurance is a type of motor insurance for private car owners that provides total financial protection against car damage, personal accidents, third-party responsibility, theft, natural disasters, and other calamities. Comprehensive car insurance is essentially a broad policy that covers both personal vehicles and third-party liabilities.

 

Inclusion and Exclusion of third party insurance for car/ bike

When purchasing a plan, it’s critical to understand what is covered and what isn’t:

Inclusion

Exclusion

Property damage

Personal damage

Car Damage

Drunk and Drive

Bodily Injury caused by accident

Invalid License

Accidental death

Exceed geographical limit

 

Undesignated driver

 

War

 

Car Insurance Explained!

Types, Coverage & Best Car Insurance Companies in 2022

Car insurance covers the cost of damage to your car caused by an accident, theft, natural disasters, and so on. It also provides third-party liability coverage, which ensures that if your vehicle is involved in causing harm to another person, vehicle, or its property, it is well taken care of.

It includes protection against unwanted costs for medical care, unintentional damage, and legal responsibility. Insurance of a car must be purchased in accordance with the Motor Vehicle Act of 1988.

Types of Motor Insurance In India

Private car insurance:  Buying insurance for your own car is referred to as private car insurance. The government requires third-party liability coverage as soon as you purchase a vehicle, thus having private car insurance guarantees that third-party responsibility and any damage to your own vehicle that results from an accident, theft, natural disaster, etc. are also covered.

Additionally, you can add other features to your current personal car insurance, such as zero depreciation coverage, engine and gearbox protection, and others.

Two-Wheeler/Bike Insurance: Insurance for a bike is a sort of agreement between the owner of the vehicle and the insurance company, wherein the company is responsible for paying for losses and damages that happen to the vehicle and through the vehicle.

For vehicles operating on Indian roads, the Motor Vehicle Act of 1988 mandates third-party bike insurance. The cost of the loss and damage from an accident, theft, natural disaster, or third-party liability is covered under bike insurance. All two-wheeled vehicles, including bicycles, scooties, scooters, and mopeds, are financially covered by this insurance.

Commercial car insurance: Commercial car insurance provides financial security for vehicles used for business purposes, including cars, rickshaws, buses, lorries, taxis, coaches, vans, tractors, cranes, and bulldozers. These vehicles are mostly employed for moving items from one location to another. It also covers harm to a third party’s person, car, or property.

5 Types of Car Insurance in India

Following are the Five different categories of car insurance coverage to choose from:

Liability coverage: Also known as third-party liability, this policy protects you from being held liable for losses caused by your negligence.

The insurance provider will pay for your expenses, including medical care, property repair or replacement costs, third-party injuries, deaths, total or partial disabilities, etc. According to the legislation, this coverage is required.

Collision coverage: Under this, the insurance provider will pay for the cost of repairing the car in the event that damage was brought on by an accident. Even if the cost of repairs surpasses the vehicle’s current market worth, the company will cover the expense at the going rate.

Uninsured motorized protection: If you are hit by a car without third-party liability insurance, you can get uninsured motorized protection coverage rather than paying for repairs and replacement out of pocket. It aids in reducing the costs of medical care and damage repair.

Personal injury protection: As implied by the name, this insurance protects against accidents and their associated costs, including hospital expenses. No matter who is charged, the corporation pays the expenses. The plan can include involving the owner, the driver, and the passengers.

Comprehensive Coverage: Under this coverage, the insurance company covers every type of risk associated with a car, including third-party liability, theft, natural disasters, vehicle damage, and personal accidents.

Note* Purchasing insurance for a car might be confusing because there are so many firms on the market that sell plans, but you should always consider a number of criteria depending on your specific needs.

These considerations may be vehicle-specific, third-party-specific, etc. Keep in mind that excessive coverage entails expensive premiums, so you should think about tailoring your plan to your needs.

 

Key Features of Car insurance

– Cashless Repair is covered by the policy.

– Third-party damage includes both property damage and injuries to third parties.

– Under the personalized and comprehensive plan, personal damage coverage is offered.

– Up to 15 lakhs in personal accident insurance is provided.

– No-claim bonuses are granted up to 50%

– More than ten add-on coverages as specified in the plan.

How are car insurance premiums calculated?

Every time a car insurance policy is acquired, three parties are involved:

First party: This referred to the individual who bought the insurance.

Second party: The organization that offers the service is referred to as the second party.

Third-party: A third party is referred to when a third party suffers damage as a result of the first party’s negligence.

The cost of premiums is determined by a variety of factors. One can check the premium for the same by using an online car insurance calculator. Before setting the cost of car insurance, insurance companies typically take the following into account:

  • Insured declared value (IDV) of the vehicle
  • Age and car type
  • Geographical zone
  • Engine’s cubic capacity

Calculating IDV is done using the following formula:

IDV = Car’s Showroom Price + Accessories Cost – Depreciation Value

Own damage premium is calculated using the following formula:

IDV X (Car premium as determined by the insurer) + Any Additional Benefits – NCB/ Discount

 

Frequently Asked Questions

Is commercial auto insurance less expensive than personal?

No, the costs for commercial car insurance are higher than those for personal cars, and there are also a number of other distinctions, including the following:

Risk element: Since private cars are often used occasionally, they have lower accidental risk and liability. However, commercial vehicles are frequently used to transport big products, which exposes them to significant danger, accidental damage, and third-party liability. This affects how their premium rates are calculated. High risk entails high premiums, while low risk entails a reduced premium.

Personal Accidental Coverage: Under the insurance of a personal car, accidental benefits are provided to the vehicle’s owner or driver in the event of injury, fatality, or temporary or permanent disability resulting from an accident. Additionally, drivers who are employed and their passengers are provided with accidental coverage under commercial insurance, and the owner is shielded from any legal responsibility resulting from an accident.

Legal requirements: In accordance with the law, third-party liability insurance is required for private vehicles, and third-party, legal liability, and personal accident insurance are required for commercial vehicles.

What is comprehensive insurance for cars?

Under a comprehensive car insurance plan, the policyholder is financially protected from losses brought on by theft, fire, war, strikes, personal injury, damage, and other calamities that are either natural or man-made. Comprehensive insurance, as opposed to third-party liability, covers the insured’s own vehicle as well as third-party liabilities, whereas third-party insurance only provides coverage for third parties.

A comprehensive plan can be strengthened even further by adding extra protections like zero depreciation, engine protector, accessories cover, medical expense, etc. Vehicle owners typically pick a comprehensive plan since it provides total coverage, which keeps them stress-free.

What advantages do insurance for a bike offer?

The following are just a few of the many advantages of bike insurance:

Financial safety: Having insurance for a bike protects you financially in the event of an accident, theft, or other incident involving a vehicle. Otherwise, minor damage could result in exorbitant costs that would be compensated without becoming a financial strain.

Accidental protection: The cost of unintentional injuries caused by an accident is also covered, in addition to the cost of damaged property.

On-the-road assistance:  When necessary, on-the-road help is provided, including towing, minor repairs, and flat tires.

All two-wheel vehicles: This motor insurance covers all two-wheel vehicles, including bikes, scooters, mopeds, and scootys.

Peace of mind: As we all know, damage to a vehicle can be extremely expensive. With two-wheeler insurance, the owner can relax knowing that the expense will be covered by an insurance provider.

What is covered by third-party insurance?

Companies provide third-party insurance to pay for harm that a policyholder’s car causes to a third party’s person, vehicle, or property. All personal and commercial vehicles must have third-party liability insurance in accordance with the Motor Insurance Act of 1988. Prior to anything else, understand who is involved in insurance:

– First party: The policyholder/individual who acquired the insurance

– Second party: A company that sells insurance to a policyholder is referred to as a second party.

– Third Party: An individual who claims liability for the loss and damage the first party caused.

If the policyholder/first party is responsible for any harm to a third party resulting from an accident, the insurance company will be responsible for paying any liabilities. The policyholder of this insurance is not provided with any coverage. Prior to making a claim, the policyholder must also notify the insurance company right away so that the necessary survey may be conducted. Once the verification is finished, the insurer will settle the claim.

As previously mentioned, this insurance gives protection against harm to third parties’ physical injuries, partial or permanent disabilities, vehicle damage, property damage, death, etc. The owner of the car should be covered by this insurance to avoid unexpected costs resulting from medical care, financial loss, accidents, or legal liability to third parties.

What does commercial car insurance include and exclude?

The following examples are just a few of the inclusions and exclusions that come with commercial car insurance:

InclusionExclusion
Loss and damage to commercial vehicleIntentional damage
Theft, self-ignitionDrunk and drive
Strikes, riotPrivate car as a taxi
Natural calamitiesMechanical breakdown
Landslide, rock slideDriving with an invalid license
terrorist attackContractual liability
accident etc.Policy not active at the time of the accident