“(I am) clearly getting the feeling that IRDAI is not taking action against insurance companies and only taking steps once court issues notice,” Justice Singh said.
“It is very unfair what is going on. IRDAI cannot become blind to what is happening. You (IRDAI) cannot be blind,” the court said and added “the day is not far when action will have to be taken against IRDAI”.
The court’s observations came while hearing a woman’s plea whose claim for reimbursement of costs for treatment of schizophrenia were rejected by the National Insurance Company Ltd (NICL) on the ground that psychiatric disorders were excluded from medical cover.
The court said the Act came into effect from 2018 and it provides that insurance companies cannot make a distinction between mental and physical illnesses.
Therefore, it was the duty of IRDAI to ensure the insurance companies’ products or policies are in line with the Act, the court said.
“IRDAI cannot turn a blind eye to the non-implementation of the Act by the insurance companies,” the court said and asked the regulator to call for reports from other insurers regarding any such claims as made in the instant case.