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Health insurance change from corporate to individual what can be done


15-Jan-2023 (In Insurance Law)
After my son resigned and left for USA I have changed my health insurance from my son's Corporate Plan to Individual Plan of the same insurance company by paying extra premium. However, the insurance company says the Policy Holder will continue to be my son even though he is not insured and medical reimbursement etc. will go to his bank account. Is this rule correct and what is the remedy?
Answers (1)

Answer #1
939 votes
There are certain rules laid down by the Insurance Regulatory and Development Authority of India which must be kept in mind before opting for health insurance portability.

Like-to-like health policies – Policyholders need to keep in mind that only like-to-like or similar health policies are portable, i.e. they can migrate from one basic reimbursement plan to another basic reimbursement plan or from one top-up plan to another top-up plan.
General/Specialised portability – Policyholders can port their policies from any general/ specialised insurance company to any specialised/general insurance company.
Policy types – Individual or family policies can be ported.
Renewal – Health insurance portability is permitted only during the renewal stages of a current policy. Individuals cannot port their policies during other times.
Notice – Individuals opting for health insurance portability need to notify their current insurance company in writing about the same, stating the company they wish to port their policy to. This should be done 45 days before their policy is due for renewal.
Renewal – Policyholders should renew their policies without any break. A discontinuity in the policy due to delays by an insurer will not be treated as discontinuity and portability can continue.
Acknowledgement – Insurers need to acknowledge applications for portability within three days.
Thus, you can apply for change in policy holder's name by an application in the office of your insurer.

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