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information from mediclaim insurance TPAs


NKGoel

Question

Date 03/08/2013

 

Insurance companies have appointed TPAs to settle claims regarding health insurance on their behalf.They are paid

 

commission by the insurance companies.But these are private bodies.

 

I have some queries relating to their policies and procedures.

 

How can I get the information from them.

 

N.K.Goel

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G.R.Vidyaranya

Dear Member,

 

Welcome to RTI India.

 

Insurance companies are private bodies and may not directly entertain RTI applicants but they all are registered with IRDA. If it is a matter of Policy / Procedures etc., same must have been filed with IRDA. You can make an RTI application to Public Information Officer, IRDA to get the same.

 

More information is available at: I R D A Welcomes You

 

You can use Guidelines for seeking RTI information at:

 

Guidelines for seeking information under RTI - Downloads - RTI INDIA- Right to Information

 

Also read the links below your post for more information.

 

Happy information seeking.

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G.R.Vidyaranya

Yes, Other than LIC, which is wholly owned by Govt. of India, following four Insurance Cos. are in Public Sector and hence directly accessible under RTI

 

National Insurance Company

New India Assurance Co Ltd

Oriental Insurance Co Ltd

United India Insurance Co Ltd

 

Other Private Insurance Cos can be accessed through IRDA.

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jps50

In case of public sector insurance companies named in post No. 4, you may file RTI with these companies even for TPA matters by referring:

 

Central Govt. application:

http://www.rtiindia.org/forum/blogs/jps50/19-rti-application-central-govt-info.html

 

Make effective:

http://www.rtiindia.org/forum/blogs/jps50/93-how-make-rti-application-effective.html

 

Word Limit: Since there is limit of 500 total words [excluding both addresses and annexures] for Central Govt information, you may submit more than one application to cover all the queries and mail in one envelope.

 

Most of these companies have designated their branch/division heads as ACPIO under RTI hence you can submit application at any branch by paying Rs.10 in cash and amending clause 4 of RTI application to read as "Filing Fee: Paid Rs.10 in cash to ACPIO" and obtaining dated acknowledgement on photocopy of RTI application from branch head with his rubber stamp.

 

In case of private sector insurance companies you may file RTI with IRDA by referring:

 

Private entity:

http://www.rtiindia.org/forum/blogs/jps50/154-how-get-information-private-entity-under-rti.html

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