Broad Outlines and Functions of the IRDAI in the 11th Annual Convention of Central Information Commission

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The 11th Annual Convention of Central Information Commission focused on the implementation of the RTI Act, 2005 within IRDAI and highlighted the powers and functions of the Authority in areas such as registration, policy holder interests, intermediary regulations, and insurance business efficiency. The event discussed code of conduct for surveyors, regulation of rates and conditions, investment regulations, and dispute adjudication among insurers and intermediaries.

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11th Annual Convention of Central Information Commission Implementation of RTI Act, 2005 in IRDAI H. Ananthakrishnan Joint Director (Legal) IRDAI, Hyderabad.

Broad outlines and functions of the organisations The powers and functions of the Authority shall include: - issue to the applicant a certificate of registration, renew, modify, withdraw, suspend or cancel such registration; protection of the interests of the policy holders in matters concerning assigning of policy, nomination by policy holders, insurable interest, settlement of insurance claim, surrender value of policy and other terms and conditions of contracts of insurance; specifying requisite qualifications, code of conduct and practical training for intermediary or insurance intermediaries and agents Contd..... 11th Convention of CIC 2 31/08/2016

Broad outlines and functions of the organisations specifying the code of conduct for surveyors and loss assessors; promoting efficiency in the conduct of insurance business; promoting and regulating professional organisations connected with the insurance and re-insurance business; levying fees and other charges for carrying out the purposes of this Act; calling for information from, undertaking inspection of, conducting enquiries and investigations including audit of the insurers, intermediaries, insurance intermediaries and other organisations connected with the insurance business; Contd..... 11th Convention of CIC 3 31/08/2016

Broad outlines and functions of the organisations control and regulation of the rates, advantages, terms and conditions that may be offered by insurers in respect of general insurance business not so controlled and regulated by the Tariff Advisory Committee under section 64U of the Insurance Act, 1938 (4 of 1938); specifying the form and manner in which books of account shall be maintained and statement of accounts shall be rendered by insurers and other insurance intermediaries; regulating investment of funds by insurance companies; regulating maintenance of margin of solvency; adjudication of disputes intermediaries or insurance intermediaries; 4 11th Convention of CIC between insurers and Contd..... 31/08/2016

Broad outlines and functions of the organisations supervising the functioning of the Tariff Advisory Committee; specifying the percentage of premium income of the insurer to finance schemes for promoting and regulating professional organisations referred to in clause (f); specifying the percentage of life insurance business and general insurance business to be undertaken by the insurer in the rural or social sector; and exercising such other powers as may be prescribed 11th Convention of CIC 5 31/08/2016

Broad areas/Schemes having interaction with Public IRDAI does not interact directly with public, except for facilitation of grievance redressal scheme. It interacts with its regulated entities viz., insurers, Brokers, Agents/Corporate Agents, Surveyors, etc. 11th Convention of CIC 6 31/08/2016

Various measures taken for dissemination of information to the public By frequently updating the Public Disclosures in the website of the Authority in accordance with Sec. 4(1)(a) and 4(1)(b) of RTI Act, 2005. Timely disposal of RTI applications and appeals. Following are disclosed and updated in the website of IRDAI from time to time: Acts, Regulations, Circulars, Guidelines, etc. Approved products by IRDAI Warnings & Penalties to various entities Details of regulated entities Notifications, Exposure drafts, etc. Information relating to Ombudsmen Annual Report / IRDA Journal Press Releases. 11th Convention of CIC Insurance Councils, Insurance Contd..... 7 31/08/2016

Various measures taken for dissemination of information to the public IRDAI developed and had been using its own RTI software (RAMS) to manage the RTI applications, appeals and CIC Hearings prior to adoption of RTI Online Portal. Adopted RTI Online Portal to facilitate the citizens to file online RTI applications and appeals and for quick disposals. IRDAI has put in place an Integrated Grievance Management System (IGMS), where consumers/policyholders can lodge complaints online and track the status. IRDAI also runs it s toll free Grievance Call Centre, which is another alternative channel to register the complaints of consumers / policyholders and find out the status. Contd..... 11th Convention of CIC 8 31/08/2016

Various measures taken for dissemination of information to the public Conducted training Programmes / Workshops to the CPIOs, ACPIOs and Appellate Authority in the following areas: Training Programme on RTI and important case studies. Conducted training on RTI Online Portal. Review meetings on disposal of applications. 11th Convention of CIC 9 31/08/2016

Structure of Mechanism to deal with information under RTI Applicant / Appellant Prior to the alignment of RTI Online Portal RO RO Delhi Mumbai Applications U/S 6(1) & Appeals U/S 19(1) HO Hydera bad RTI CELL RAMS Appellate Authority CPIOs Contd..... 11th Convention of CIC 10 31/08/2016

Structure of Mechanism to deal with information under RTI Applicant / Appellant After alignment of RTI Online Portal RO Delhi RO Mumbai HO Hyderabad RTI Online Portal Appellate Authority CPIOs 11th Convention of CIC 11 31/08/2016

Feedback received from public/success stories regarding RTI No Specific feedback from public/success stories regarding RTI. 11th Convention of CIC 12 31/08/2016

Way forward to make information dissemination more robust and public friendly IRDAI has adopted RTI Online Portal recently, for facilitating the public for filing online RTI applications and appeals. In the process of revamping the website of IRDAI, the following are some of the features contemplated for this purpose: Robust Search Making more user-friendly Bilingual Both in English and Hindi Department wise dissemination of information. Periodical Reviews on disposal of RTI applications. 11th Convention of CIC 13 31/08/2016

Inputs from IRDAI i. The type of information being sought by the information seekers: Their delineation into various categories subject wise; ii. Type of Information Details of insurance policies / claims Complaints and their status Product related information Licences Recruitment related information Inspection reports, warnings, penalties, etc. Information on financial statements, investments. Category Life Insurance / Non-life/ Health Consumer Affairs Actuarial Agents/Brokers/Surveyors HR Inspection / Enforcement F&A (Life and Non-life) Contd..... 11th Convention of CIC 14 31/08/2016

Inputs from IRDAI iii. The top 10 most frequently asked information; 1. Status/Action taken on complaints lodged with IRDAI and total number of complaints lodged against insurance companies. 2. Information and Clarification on eligibility criteria for Surveyor specific to educational qualification. 3. Clarification with regard to functioning of IIISLA and its membership. 4. Information relating to approved terms and conditions of insurance products. 5. Details of individual policies issued by the insurance companies along with related documents. 6. Information on rules and regulations relating to Motor insurance and Health Insurance. 15 11th Convention of CIC Contd..... 31/08/2016

Inputs from IRDAI iii. The top 10 most frequently asked information; 7. Statement on policies issued, premium collected and Claims paid insurer wise, channel wise. 8. Information relating to transfer of Individual Agents licence from one insurer to another. 9. Information on penalties imposed by IRDAI against insurance companies and intermediaries. 10. Information on marks obtained in written test, interview and copy of answer sheets by the candidates appeared in the recruitment process of IRDAI. Contd..... 11th Convention of CIC 16 31/08/2016

Inputs from IRDAI iv. The solution / systematic improvements that have been brought about in the governance based on (iii) above; IRDAI has made available the information in its website on point no. (iii) above, apart from that IRDAI has also launched a separate consumer www.policyholder.gov.in to educate and disclose more information on insurance to policyholders and general public. Posted the category wise FAQs and replies in IRDAIs above website to educate the public. Link furnished below for ready reference: http://www.policyholder.gov.in/FaqCategories.aspx Posted Dos & Don ts for new buyers education website viz., Contd..... 11th Convention of CIC 17 31/08/2016

Inputs from IRDAI IRDAI has brought out the following handbooks in different regional languages to disseminate maximum information and to bring awareness among the general public on insurance: Health Travel Introduction to Insurance Surveyors and Loss Assessors Motor Intermediaries Grievance Redressal System Householders & Shopkeepers Package Life Property Life insurance Riders Crop Insurance Link furnished below for ready reference: http://www.policyholder.gov.in/Life_Handbook.aspx# Contd..... 11th Convention of CIC 18 31/08/2016

Inputs from IRDAI v. The method being adopted for quick disposal of RTI applications; Deputed 20 Department wise CPIOs and 2 ACPIOs for faster disposal of RTIs. Adopted RTI Online Portal for quick disposal of RTI Applications and Appeals. No RTI Application is pending for more than 30 days. No RTI Appeal is pending beyond the stipulated time. Contd..... 11th Convention of CIC 19 31/08/2016

Inputs from IRDAI vi. The steps being taken for achieving greater transparency through voluntary disclosure as envisaged in Section 4 of the RTI Act; Updating the websites of IRDAI at least once in a month and as and when there is a change on voluntary disclosures as envisaged in Sec. 4 of the RTI Act, 2005. It has been decided to upload the statistical data on RTI applications and appeals on monthly basis in the website of IRDAI. 11th Convention of CIC 20 31/08/2016

Inputs from IRDAI vii. The year-wise number of RTI applications and first appeals received in IRDAI: Year 2015-16 2014-15 2013-14 2012-13 2011-12 Applications 893 934 966 948 921 Appeals 180 208 201 261 261 11th Convention of CIC 21 31/08/2016