Common Clauses Health Insurance : First Policy and subsequent renewals

New policy should be issued within 15 days of submission of proposal. (i) To keep a check that people don’t try to take a policy where they have been diagnosed with some illness and they require immediate hospitalization, a *30 day waiting period* is kept, where Insurance Company will not pay any kind of claim within the first 30 days of taking the new policy, (*exception is that if policyholder meets an accident* then the claim is payable). (ii) Customer Information Sheet must be part of the policy document, as per sec 26 of HIR, 2016. Policy can be *renewed within 15 days grace period* after expiry of the policy. However coverage is not available for the days for which the premium was not received by the Insurance Company. Premium for individual policies cannot be increased at renewals in an arbitrary way, especially after a claim is made, as per Sec 25(i) of HIR 2016. There will be no change in premiums in individual policies *for 3 years* after initial offering, as per Sec 10(c) of HIR 2016.Cannot force consumer to shift to other product as per Sec 11(c) and 17 of HIR 2016.All policies will be ordinarily renewable as per Sec 13 of HIR 2016.All disclosures as per the new regulations have to be included in the policy document, as per sec 28 of HIR, 2016For multiple policies, claims under other policy can be made after exhaustion of Sum Insured in the earlier policy, as per Sec 24 (ii) 2 of HIR 2016. The option to choose will remain with the insured.Common Clauses Health Insurance : Grace Period : Grace period means the specified period of time immediately following the premium due date during which a payment can be made to renew or continue a policy in force without loss of continuity benefits such as waiting period and coverage of pre-existing diseases. Coverage is not available for the period for which no premium is received.

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