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The regulator has introduced key reforms to make insurance coverage more accessible, write Priya Misra and Shatakshi Komal, legal experts at online insurance marketplace InsuranceDekho

Economic growth, an expanding middle class, innovation and increased awareness are driving insurance growth in India. It is predicted that 含羞草社区 insurance market will be the fastest growing among the G20 nations, with an average expected growth rate of 7.1% from 2024 to 2028.

According to the Insurance Regulatory and Development Authority of India (IRDAI), 含羞草社区 insurance penetration stands at just over 4%, with life insurance penetration even declining from 3.2% in 2021-22 to 3% in 2022-23, and non-life insurance penetration remaining stagnant at 1%.

To boost 含羞草社区 insurance sector, the IRDAI has committed itself to achieving “insurance for all” by 2047, where every citizen and enterprise of India has appropriate coverage. According to the insurance regulator, the three pillars of the Indian insurance ecosystem are: policyholders; insurance providers (insurers); and insurance distributers (intermediaries).

To achieve the IRDAI’s vision of insurance for all, insurers and insurance intermediaries will need to grow and expand, driving distribution, insurance awareness and penetration. This article reviews the reforms/amendments introduced by the IRDAI in the past year, categorising each by the intent of the regulator, and assessing their impact on insurance intermediaries.

Digitisation

Priya Misra Insurance Dekho
Priya Misra

In the past decade, the IRDAI has consistently urged industry participants to move towards digitisation. Recent changes introduced by the IRDAI seek to bolster existing norms on digitisation, with the regulator taking a firmer approach on technology integration. By introducing these changes, the IRDAI aims to enhance operational efficiency and customer satisfaction, ensuring that the insurance industry keeps pace with technological advancements and leverages digitisation to its fullest potential.

The regulator has updated the existing regulations on protection of policyholders and introduced the IRDAI (Protection of Policyholders’ Interests, Operations, and Allied Matters of Insurers) Regulations, 2024 (PPHI regulations). Pursuant to these regulations, it is now mandatory for insurers to issue digital policies, and policyholders are required to open an e-insurance account to store and access these policies digitally.

Additionally, the recent Master Circular on General Insurance, 2024 (Master Circular GI), mandates insurers adopt end-to-end technology solutions to manage the entire customer journey digitally – from policy purchase to policy servicing, grievance redressal and claims processing.

The rules applicable previously stipulated that specific products/policies that met the thresholds set out there were required to be issued electronically by insurers. The rules also provided that insurers were required to have in place systems (including IT systems) and procedures for receiving, registering and addressing grievances.

With the IRDAI mandating digitisation in policy issuance, policy servicing and grievance redressal, the regulations cannot be deemed merely as old wine in a new bottle. Efficient digital servicing of insurance is bound to bolster the policyholder experience, which will positively impact insurance intermediaries (as well as insurers). However, it is the implementation of these regulations that will ultimately determine whether the industry is effectively able to move towards complete digitisation.

Innovation

Shatakshi Komal
Shatakshi Komal

With an aim to bolster innovation in the industry, the IRDAI, through the Master Circular GI, has expressly permitted customisation of insurance products tailored to the individual’s needs. This essentially mandates insurers to strive to launch innovative products that are beneficial to customers.

For an industry that for a long time relied on tariff wordings for various lines of general insurance business (such as motor, fire, engineering and worker’s compensation), this reform marks a landmark shift in the way general insurance products have historically been designed in the country.

Interestingly, the IRDAI had previously permitted insurers and distributors to launch innovative products within a regulatory sandbox regime. This regime was effective in encouraging innovation but had its limitations, such as restricted scale and duration of testing and the need for continuous oversight.

With the introduction of Master Circular GI, insurers will now have more freedom with respect to designing general insurance products, although they will need to comply with the general principles for specific lines of insurance provided.

In today’s evolving risk landscape, customisation of insurance products coupled with enablement of the “use and file” procedure is bound to be a boon for the insurance industry. Tailoring insurance products to specific customer needs makes offerings more relevant and appealing, addressing diverse demographics and niche markets. This can also enhance satisfaction and trust, encouraging more people to purchase and retain policies designed for their unique needs.

The availability of diverse and innovative products will benefit intermediaries as well, if they can work hand-in-hand with the insurers so that there is greater insurance penetration.

Ease of business

Several regulatory changes to simplify procedures and enhance the ease of doing business for the insurance sector have been introduced. Some of these breakthrough changes have come by way of the IRDAI (Expenses of Management of Insurers Transacting General or Health Insurance Business) Regulations, 2023 (EOM-General); and the IRDAI (Expenses of Management of Insurers Transacting Life Insurance Business) Regulations, 2023 (EOM-Life); read with the IRDAI (Payment of Commission) Regulations, 2023 (Commission Regulations).

These norms amend the existing commission structures by doing away with limits on commission, remuneration and reward as previously stipulated for different policies/lines of business, and instead interlinking the payment limits with the umbrella thresholds of expenses of management stipulated for each line of business. Simplifying commission norms has been positively received by the industry as a whole. These regulatory changes allow insurers to formulate benchmarks under their respective board-approved policies on payment of commission, and push distributors to become more efficient, customer-focused and strategic in their operations. Insurers and distributors can leverage these new norms to enhance their profitability, and ultimately drive expansion and growth.

In addition, the IRDAI has taken the initiative to consolidate, repeal and amend numerous regulations, guidelines and circulars into simpler documents, bringing clarity and efficiency to the regulatory framework, including:

? The IRDAI (Expenses of Management, including Commission of Insurers) Regulations, 2024, merging the existing EOM General, EOM Life and Commission Regulations into a single comprehensive regulation;

? The IRDAI (Registration, Capital Structure, Transfer of Shares, and Amalgamation of Insurers) Regulations, 2024, consolidate and replace several previous regulations related to registration, issuance of capital, forms of capital, schemes of amalgamation for life and general insurance; and

? The PPHI regulations now incorporate, inter alia, regulations and guidelines on the receipt of premiums, opening/closing of places of business, e-insurance policies, outsourcing by insurers, norms on protection of policyholders and advertising regulations.

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