{"id":86736,"date":"2026-10-13T18:27:09","date_gmt":"2026-10-13T12:57:09","guid":{"rendered":"https:\/\/www.nextias.com\/ca\/?p=86736"},"modified":"2026-10-13T18:28:29","modified_gmt":"2026-10-13T12:58:29","slug":"insurance-reforms-india","status":"publish","type":"post","link":"https:\/\/www.nextias.com\/ca\/current-affairs\/13-10-2026\/insurance-reforms-india","title":{"rendered":"Insurance Reforms: Need for a Balanced Approach"},"content":{"rendered":"\n<p><strong>Syllabus: GS3\/Economy<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Context<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Recently, the <strong>Insur\u00adance Reg\u00adu\u00adlat\u00adory and Devel\u00adop\u00adment Author\u00adity of India (IRDAI),<\/strong> in a con\u00adsulta\u00adtion paper, pro\u00adposed a slew of dis\u00adtri\u00adbu\u00adtion reforms.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Key Highlights<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Aim:<\/strong> The reg\u00adu\u00adla\u00adtion would put in place a cus\u00adtomer\u00adcent\u00adric, com\u00adpet\u00adit\u00adive, effi\u00adcient and trans\u00adpar\u00adent dis\u00adtri\u00adbu\u00adtion eco\u00adsys\u00adtem, while enabling bet\u00adter and sus\u00adtain\u00adable out\u00adcomes for poli\u00adcy\u00adhold\u00aders, insurers and dis\u00adtrib\u00adut\u00adors.<\/li>\n\n\n\n<li><strong>The key pro\u00adpos\u00adals include<\/strong> recal\u00adib\u00adra\u00adtion of expenses of man\u00adage\u00adment (EoM) through <strong>lower lim\u00adits with a phased glide path.\u00a0<\/strong>\n<ul class=\"wp-block-list\">\n<li><strong>Expenses of Management (EoM)<\/strong> refer to the total operational, administrative, and distribution costs incurred by an insurance company to run its business.\u00a0<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>For life insurers, the EoM limit<\/strong> would move to a com\u00adpany\u00ad level basis linked to Gross Direct Premium Income (GDPI), with the limit pro\u00adposed at <strong>15% within two years and 12.5% within five years.\u00a0<\/strong><\/li>\n\n\n\n<li><strong>For gen\u00aderal insurers,<\/strong> the basis would shift from <strong>Gross Writ\u00adten Premium (GWP) to domestic Gross Dir\u00adect Premium Income (GDPI), <\/strong>with the EoM limit redu\u00adcing from <strong>30% of GWP to 20% of GDPI within five years<\/strong>.<\/li>\n\n\n\n<li><strong>Other Reforms: <\/strong>The proposals include revising commission norms, easing entry and capital requirements, removing restrictions on non-insurance business opportunities for intermediaries and curbing regulatory arbitrage.<\/li>\n\n\n\n<li><strong>Simplified Distribution Structure: <\/strong>Existing arrangements would be reorganised into three categories: Insurance Distribution Entities (IDEs), Insurance Distribution Persons (IDPs) and Market Infrastructure Institutions (MIIs).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Concerns Raised by the Insurance Industry<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Insurance Companies:<\/strong> Insurers have expressed reservations about the potential adverse impact of the proposed changes on their operations and business models.<\/li>\n\n\n\n<li><strong>Employment and Competition:<\/strong> Insurance Brokers Association of India (IBAI) has warned that the proposed reforms could lead to job losses, slower industry growth and reduced competition.<\/li>\n\n\n\n<li><strong>Demand for Impact Assessment: <\/strong>IBAI has urged the government to ensure that no commission or expense-limit regulations are notified without a published impact assessment covering policyholders, employment, public-sector insurers and foreign investment.\n<ul class=\"wp-block-list\">\n<li>It has also argued that the existing 2023 framework should continue until its scheduled review in 2028.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Indian Insurance Sector (FY24)<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Market Performance:<\/strong> Total insurance premium grew by 7.7%, reaching \u20b911.2 lakh crore in FY24. Reflects continued momentum despite global and domestic economic volatility.<\/li>\n\n\n\n<li><strong>Insurance Penetration: <\/strong>Overall insurance penetration declined slightly from 4.0% in FY23 to 3.7% in FY24. Life Insurance Penetration dropped from 3.0% to 2.8%.\n<ul class=\"wp-block-list\">\n<li>Non-Life Insurance Penetration remained stable at 1.0%.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img data-dominant-color=\"93cadf\" data-has-transparency=\"false\" loading=\"lazy\" decoding=\"async\" width=\"581\" height=\"457\" src=\"https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-98.png\" alt=\"\" class=\"not-transparent wp-image-86737\" style=\"--dominant-color: #93cadf; aspect-ratio:1.2713875401764343;width:407px;height:auto\" srcset=\"https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-98.png 581w, https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-98-300x236.png 300w\" sizes=\"auto, (max-width: 581px) 100vw, 581px\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Future Outlook:<\/strong> The Swiss Re Institute has projected India\u2019s insurance sector to grow at a rate of 11.1% and is expected to become the fastest-growing market among the G20 nations over the next five years (2024-2028).\n<ul class=\"wp-block-list\">\n<li>An expanding middle class, technological advancements, and supportive regulatory measures will likely drive this growth.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Insurance Companies: <\/strong>At present, there are<strong> 24 life insurance companies, and 34 general insurers in the country.<\/strong>\n<ul class=\"wp-block-list\">\n<li>Among the life insurers, Life Insurance Corporation (LIC) is the sole public sector company.\u00a0<\/li>\n\n\n\n<li>In addition to these, there is a sole national re-insurer, namely General Insurance Corporation of India (GIC Re).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-group has-background\" style=\"background-color:#ebecf0\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<h3 class=\"wp-block-heading\"><strong>Insurance Regulatory and Development Authority of India (IRDAI)<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>IRDA was constituted in <strong>1999<\/strong> as an autonomous body after the recommendations of the <strong>Malhotra Committee report<\/strong> to regulate and develop the insurance industry.\n<ul class=\"wp-block-list\">\n<li>It was incorporated as a statutory body in <strong>2000.\u00a0<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>The Authority has the power to frame regulations under<strong> Section 114A of the Insurance Act, 1938.<\/strong><\/li>\n\n\n\n<li><strong>Objective:<\/strong> The main objective of the IRDA is to protect the interests of the policyholder and regulate the insurance industry.\u00a0<\/li>\n\n\n\n<li>IRDAI is under the jurisdiction of the <strong>Ministry of Finance.<\/strong><\/li>\n\n\n\n<li>It has framed regulations ranging from registration of companies for carrying on insurance business to protection of policyholders\u2019 interests.<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Challenges Faced by the Sector<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Low Penetration:<\/strong> With an overall insurance penetration rate of 3.7 per cent, below the global average of 7 per cent, there is a notable gap in coverage that presents opportunities for insurers to expand their reach.<\/li>\n\n\n\n<li><strong>Claims Settlement Issues:<\/strong> Delays, rejections, and lack of transparency in the claims process create customer dissatisfaction.<\/li>\n\n\n\n<li><strong>Distribution Limitations: <\/strong>There is limited reach in rural areas, and insurance distribution remains urban-centric, relying heavily on agents.<\/li>\n\n\n\n<li><strong>Affordability: <\/strong>High premiums and the underpricing of certain products affect accessibility for low-income groups.<\/li>\n\n\n\n<li><strong>Fraud and Mis-selling:<\/strong> Fraudulent claims and mis-selling by agents are common problems, damaging customer trust.<\/li>\n\n\n\n<li><strong>Rising Costs: <\/strong>Increasing medical and claims costs impact affordability and profitability for insurers.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Initiatives Taken by the Government of India<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sabka Bima, Sabki Raksha (Amendment of Insurance Laws) Act, 2025:<\/strong> The amendment raises the FDI limit in Indian insurance companies from 74% to 100%.\n<ul class=\"wp-block-list\">\n<li><strong>GST exemption<\/strong> is granted on all individual life insurance policies and health insurance policies (including family floater) along with reinsurance w.e.f. 2025.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Shortening of Moratorium Period: <\/strong>Moratorium period in health insurance is a fixed timeframe after which insurance companies cannot deny claims on the grounds of non-disclosure except on grounds of established fraud.\n<ul class=\"wp-block-list\">\n<li>IRDAI reduced the moratorium period from <strong>8 years to 60 months (5 years) in 2024.\u00a0<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Standardized 30-day free-look period: <\/strong>IRDAI introduced a standard 30-day free-look-period for policies with a term of one year or more. The free-look-period is the period given to a policyholder to assess and review the policy document.<\/li>\n\n\n\n<li><strong>Third-Party Administrators (TPA) Performance Monitoring: <\/strong>To increase the accountability of TPAs, performance monitoring is done by insurers to ensure efficient and effective service delivery by them.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img data-dominant-color=\"b9d5df\" data-has-transparency=\"false\" loading=\"lazy\" decoding=\"async\" width=\"602\" height=\"539\" src=\"https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-99.png\" alt=\"\" class=\"not-transparent wp-image-86738\" style=\"--dominant-color: #b9d5df; aspect-ratio:1.1168865052906218;width:563px;height:auto\" srcset=\"https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-99.png 602w, https:\/\/wp-images.nextias.com\/cdn-cgi\/image\/format=auto\/ca\/uploads\/2026\/10\/image-99-300x269.png 300w\" sizes=\"auto, (max-width: 602px) 100vw, 602px\" \/><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Bima Sugam initiative: <\/strong>It aims to empower all insurance stakeholders by connecting them all through a single platform.\n<ul class=\"wp-block-list\">\n<li>The platform uses advanced technology to simplify processes for insurance companies, policy holders&#8217;, intermediaries, insurance repositories and external data sources etc.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Bima Vahak: <\/strong>Focus on last-mile delivery of insurance in rural areas through trained agents (Bima Vahaks).<\/li>\n\n\n\n<li><strong>Mandatory e-insurance:<\/strong> IRDAI mandated the digitisation of insurance policies across all categories to streamline processes, enhance efficiency, and improve accessibility for policyholders.<\/li>\n\n\n\n<li><strong>IRDAI has decreased the health insurance waiting period<\/strong> from 48 months to 36 months.\n<ul class=\"wp-block-list\">\n<li>The waiting period refers to the duration during which policyholders are not eligible to claim benefits for any pre-existing health conditions they might have during the purchase of the insurance policy.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Way Ahead<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>By targeting tier 2 and 3 cities and rural areas <\/strong>where awareness and accessibility are limited, insurers can tap into new customer segments and stimulate growth.<\/li>\n\n\n\n<li><strong>Increase Financial Literacy: <\/strong>Conduct educational programs to enhance understanding of insurance products among the population.<\/li>\n\n\n\n<li><strong>Simplify Regulations: <\/strong>Streamline regulatory processes to make product approvals faster and less complex, while ensuring consumer protection.<\/li>\n\n\n\n<li><strong>Improve Claims Settlement: <\/strong>Ensure faster, transparent, and more efficient claims processing to build trust and reduce disputes.<\/li>\n\n\n\n<li><strong>Expand Distribution Networks: <\/strong>Leverage digital platforms and mobile technology to reach underserved rural and semi-urban areas.<\/li>\n\n\n\n<li><strong>Enhance Health Coverage: <\/strong>Expand coverage to include critical illnesses, hospitalization, and post-treatment care.<\/li>\n<\/ul>\n\n\n\n<p><strong>Source: TH<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p><strong> Context <\/strong><\/p>\n<li class=\"ms-5\"> Recently, the Insur\u00adance Reg\u00adu\u00adlat\u00adory and Devel\u00adop\u00adment Author\u00adity of India (IRDAI), in a con\u00adsulta\u00adtion paper, pro\u00adposed a slew of dis\u00adtri\u00adbu\u00adtion reforms. <\/li>\n<p><\/p>\n<p><strong> Key Highlights <\/strong><\/p>\n<li class=\"ms-5\"> Aim: The reg\u00adu\u00adla\u00adtion would put in place a cus\u00adtomer\u00adcent\u00adric, com\u00adpet\u00adit\u00adive, effi\u00adcient and trans\u00adpar\u00adent dis\u00adtri\u00adbu\u00adtion eco\u00adsys\u00adtem, while enabling bet\u00adter and sus\u00adtain\u00adable out\u00adcomes for poli\u00adcy\u00adhold\u00aders, insurers and dis\u00adtrib\u00adut\u00adors.\u00a0 <\/li>\n<li class=\"ms-5\"> The key pro\u00adpos\u00adals include recal\u00adib\u00adra\u00adtion of expenses of man\u00adage\u00adment (EoM) through lower lim\u00adits with a phased glide path.\u00a0 <\/li>\n<p><a href=\"https:\/\/www.nextias.com\/ca\/current-affairs\/13-10-2026\/insurance-reforms-india\" class=\"btn btn-primary btn-sm float-end\">Read More<\/a><\/p>\n","protected":false},"author":15,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[21],"tags":[],"class_list":["post-86736","post","type-post","status-publish","format-standard","hentry","category-current-affairs"],"acf":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/posts\/86736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/comments?post=86736"}],"version-history":[{"count":2,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/posts\/86736\/revisions"}],"predecessor-version":[{"id":86740,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/posts\/86736\/revisions\/86740"}],"wp:attachment":[{"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/media?parent=86736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/categories?post=86736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nextias.com\/ca\/wp-json\/wp\/v2\/tags?post=86736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}