Unlike in the yesteryears, for some years now, the
policyholder of a health insurance policy can move his or her existing policy
to another health insurance provider. In the process, they do not have to lose
any benefits accumulated with the existing insurer. This is also known as
porting a policy.
Insurance regulator, Insurance Regulatory and
Development Authority (IRDA) has made rules which state that when porting a
policy, the new insurer will give you credit relating to the waiting period
that you have already accumulated with the old insurer and ensure you at least
to the sum insured under the old policy. Of course, porting is only allowed for
health insurance plans.
Let us take a quick look at the various aspects
related to porting a health insurance plan or as some call it, medical
insurance policy.
Select
the new insurance company and product When you
decide to port your policy, you need to start doing your home work on the various
health insurance policies offered by different insurance companies. Visit the
websites of these health insurance and general insurance companies, study the
various policies and select a medical insurance policy that will very well
cover your anticipated healthcare costs and medical expenses.
As you are doing your research, you need to go
through all the details f medical insurance plans like exclusions, co-payment
and other policy terms. Remember that the product you choose should be similar to
the one you have. This means you can port from a hospitalisation policy to
another hospitalisation policy, one top up plan to another, and so on.
Notify
and apply Notify your decision to your current insurance
company in writing and also inform them about the company you wish to port your
policy to. Simultaneously, you should also make an application to the new
insurer. These must be made at least 45 days before your policy is due to
expire or it is likely to be rejected. The new insurer needs to acknowledge the
application for portability within 3 days. You are then provided with a
proposal form and a portability form.
Submit
relevant documents At this stage you would require
certain documents from the old insurer which includes policy certificates of all
the previous years, latest renewal notice received, self declaration in no
claim cases and additional documents like discharge summary and investigation
reports, if claims have been made. Next, you need to select a suitable product,
fill up the proposal form and portability form and submit it to the new
insurer. Ensure that all the details are filled up correctly.
Due
diligence by insurer After the new insurance company
receives the forms with the details, they will either approach the old insurer
or request the same information from the IRDA portal to do a check on your claim
history, medical records and so on. The old insurer has to furnish all this
information through IRDA’s data sharing portal within seven working days. On
receiving the data, the new insurer will process the proposal and inform the
decision to you within 15 working days. In certain cases, the new insurer may
require you to undergo medical tests again about which you will be informed.
It is important for you to remember that the new insurance
company has several grounds to reject your application. These would include
inadequate information, delay in submission or non-availability of documents;
break in policy renewal and so on.