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INSURANCE REGULATORY AND

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oeveLOPMENT AUTHORITY OF INDIA

+6 t03t2018 'l9th March,2018

To All Life, General and Health lnsurers,

Re: Directions of High Court of Delhi at New Delhi on Exclusions related to Genetic Disorders In the matter of Mis United lndia Insurance Company Limited Vs Jai Parkash Tayal (RFA 61 0/2016 & CM Nos. 4583212017) Hon'ble High Court of Delhi at New Delhi held that the exclusionary clause of 'Genetic Disorders', in the insurance policy, is too broad, amblguous and discriminatory - hence violative of Article 14 of the Constitution of lnd ia and directed lnsu rance Regu latory and Development Authority of lnd ia (lRDAI) to re-look the exclusionary clauses in insurance contracts and ensure that insurance companies do not reject claims on the basis of exclusions relating to genetic disorders.

Thus, in pursuance to the directions of Hon'ble High Court all insurance companies offering contracts of Health lnsurance are hereby directed that no claim in respect of any existing health insurance policy shall be rejected based on exclusions related to 'Genetic Disorder'. All insurance companies are directed not to include ,Genetic Disorders' as one of the exclusions in new health insurance policies issued in respect of all their existing health insurance products and also in the new products launched and/or filed under the provisions of Guidelines on product Filing in Health lnsurance Business (Ref. No: IRDtuHLT/REG tCtRl1S1tO7t20i6 dated 29th Juty, 2016).

I MEMBER (Non-Life)

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IRDAI-HLT-REG-CIR-046-03-2018.pdf

to re-look the exclusionary clauses in insurance contracts and ensure that insurance. companies do not reject claims on the basis of exclusions relating to genetic disorders. Thus, in pursuance to the directions of Hon'ble High Court all insurance companies. offering contracts of Health lnsurance are hereby directed that no ...

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