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The government said 13 insurance companies had violated health insurance regulations and action was being taken on the complaints received.
In the written response during Question Hour in the Lok Sabha on Friday, Finance Minister Arun Jaitley said these companies had violated health insurance regulations, circulars and file-and-use guidelines.
These include New India Assurance, Bharati AXA General Insurance, Bajaj Allianz General Insurance, Future Generali Insurance, L&T General Insurance, Shriram General Insurance, Max Bupa Health Insurance, United India Insurance, Cholamandalam M S General Insurance, ICICI Lombard and Reliance General Insurance
Responding to a supplementary by Rahul Shewale (Shiv Sena) on an alleged health insurance scam worth ₹500 crore under Rajiv Arogya Yojana in Maharashtra, the Minister of State for Finance, Santosh Gangwar, said the government was vigilant towards such acts by certain companies and investigations were on in some cases.
“We take steps to ensure that complaints are disposed of within 15 days. So far, the biggest complaint has been against Reliance General Insurance, which has been fined ₹20 lakh,” he said.
Earlier, Udit Raj of BJP wanted to know whether any probe had been ordered against alleged irregularities by private and public insurance firms, such as the one estimated at ₹1,000 crore by Lombard General Insurance (on which he had written to the Finance Minister in 2013).
In response to Raj’s allegations that under the Rajiv Gandhi Shilpi Swasthya Yojana for artisans, 11,455 claims out of 30,000 were found to be bogus, Gangwar said a probe was under way.
The Minister informed the House that now people were availing insurance schemes such as Pradhan Mantri Suraksha Bima Yojana, and Pradhan Mantri Jeevan Jyoti Bima Yojana which provide insurance cover at very low premiums.
So far, 9.6 crore people had enrolled themselves under the Prime Minister’s ₹12 per annum accident insurance scheme, and 4,711 claims had been settled, he added.
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