Star Health and Allied Insurance, established in 2006, distinguishes itself as India’s first standalone health insurance provider. Headquartered in Chennai, the company focuses primarily on the health insurance segment, offering a comprehensive suite of products catering to individuals, families, senior citizens, and those with pre-existing medical conditions. Beyond individual and family plans, Star Health also provides group health insurance solutions for corporates, as well as personal accident and overseas travel insurance. The company has built a significant presence across India with a vast network of hospitals for cashless claim settlements and numerous branch offices. Star Health utilizes a multi-channel distribution network, including agents, brokers, and digital platforms, to reach a wide customer base. A key aspect of their business model is their in-house claim settlement process, which aims for efficiency and customer convenience. Star Health has established a strong market position as a leading private health insurer in India, emphasizing customer-centricity and a wide range of health-focused insurance products.

Latest News on Star Health And Allied Insurance

Two insurance firms resume cashless facility at Ahmedabad’s Ahmedabad Nursing Home Association (AHNA) hospitals.

The Ahmedabad Hospitals & Nursing Homes Association (AHNA) has reinstated the cashless facility for policyholders of Star Health Insurance and Care Health Insurance. This decision was made after both insurance companies committed to resolving outstanding issues related to claim settlements and service delays.

The suspension of cashless facilities for these insurance companies was initially announced on April 2, along with Tata AIG, due to unresolved issues. During the suspension, patients were advised to opt for reimbursement options, and hospitals were instructed to minimize inconvenience to patients. AHNA took this action as part of a broader movement against defaulting health insurance companies, aiming to protect the interests of healthcare providers.

However, following discussions with Star Health Insurance and Care Health Insurance, both companies expressed their commitment to resolving outstanding issues in a timely and constructive manner. In response to this positive development, AHNA decided to resume cashless facilities for policyholders of these two insurance companies.

This move is expected to provide relief to patients holding policies with Star Health Insurance and Care Health Insurance, who can now avail of cashless treatment at AHNA member hospitals without facing financial burdens. The resumption of cashless facilities is a significant step towards ensuring seamless healthcare services for policyholders.

The decision to suspend cashless facilities was a collective effort by AHNA to address the long-standing issues with health insurance companies. By taking a strong stance, AHNA aimed to prompt insurance companies to take responsibility for their obligations and work towards finding solutions. The successful resolution with Star Health Insurance and Care Health Insurance sets a precedent for other insurance companies to follow, promoting a more cooperative and efficient healthcare ecosystem.

Fastest Insurers to Settle Claims within 3 Months:

  1. ICICI Lombard General Insurance: 98.04% claims settled within 3 months
  2. Bajaj Allianz General Insurance: 96.45% claims settled within 3 months
  3. HDFC Ergo General Insurance: 95.52% claims settled within 3 months
  4. Apollo Munich Health Insurance: 94.95% claims settled within 3 months
  5. Max Bupa Health Insurance: 94.64% claims settled within 3 months

Slowest Insurers to Settle Claims within 3 Months:

  1. United India Insurance: 73.45% claims settled within 3 months
  2. New India Assurance: 75.13% claims settled within 3 months
  3. National Insurance: 76.23% claims settled within 3 months
  4. Oriental Insurance: 77.15% claims settled within 3 months
  5. Universal Sompo General Insurance: 78.21% claims settled within 3 months

The Insurance Regulatory and Development Authority (IRDAI) has released its handbook on Indian Insurance Statistics for 2023-24, which provides insights into the claim settlement ratios of various insurance companies in India. The claim settlement ratio helps policyholders understand the proportion of claims an insurance company honors or pays out during a certain period. A higher claim settlement ratio indicates that the insurer is more efficient in settling claims.

According to the data, Navi General Insurance has the highest claim settlement ratio of 99.97% within 3 months in FY23-24, followed by Acko (99.91%), HDFC Ergo (99.16%), Reliance General (99.57%), and Universal Sompo (98.11%). However, while these insurers have a high claim settlement ratio, their incurred claims ratio, which refers to the proportion of premiums paid out as claims, varies. For instance, Navi General Insurance has an incurred claims ratio of 52.40%, while Acko has an incurred claims ratio of 69.57%.

On the other hand, New India Assurance and National Insurance, both public insurers, have lower claim settlement ratios of 92.70% and 91.18%, respectively. However, they have higher incurred claims ratios, with National Insurance reporting an incurred claims ratio of 95.9% and New India Assurance reporting an incurred claims ratio of 97.36%.

Among stand-alone health insurers, Star Health has the lowest claim settlement ratio of 82.31% within 3 months, while Aditya Birla Health Insurance has the highest claim settlement ratio of 92.97%. Care Health has the lowest incurred claims ratio of 57.69%, while Aditya Birla Health Insurance has an incurred claims ratio of 68.31%.

When choosing an insurance policy, it’s essential to consider not just the claim settlement ratio but also other factors such as customer service, policy exclusions, benefits, and solvency ratio. Experts recommend an incurred claims ratio between 70% and 90% to be an indicator of a good insurer in terms of claim experience and sustainability. A combination of a high claim settlement ratio and an incurred claims ratio can help narrow down a good insurance policy.

In conclusion, the claim settlement ratio is an essential metric to consider when choosing an insurance policy, but it’s not the only factor. Policyholders should also look at other benefits, customer service, and financial health of the insurer to make an informed decision.

AHNA Lifts Suspension on Care and Star Insurance

The Ahmedabad Hospitals & Nursing Homes Association (AHNA) has lifted its suspension on cashless facilities for policyholders of Care Health Insurance and Star Health Insurance. The decision comes after constructive dialogue between AHNA and the two insurance companies, which resulted in a commitment to resolve pending issues related to delayed claim settlements and service inefficiencies. AHNA had initially suspended cashless services for Care, Star Health, and Tata AIG Insurance on April 2, 2025, citing unresolved concerns.

According to AHNA president Dr. Bharat Gadhvi, the association held productive meetings with senior representatives of Care Health and Star Health Insurance, who demonstrated a genuine commitment to resolving the pending issues in a timely and constructive manner. As a result, AHNA has reinstated cashless facilities for Care and Star Health policyholders with immediate effect. All AHNA-affiliated hospitals and nursing homes have been instructed to resume cashless services for clients of these two insurance companies.

However, the suspension on Tata AIG Insurance remains in place, as the insurer and AHNA have yet to reach a resolution. AHNA had suspended cashless services for Tata AIG, along with Care and Star Health, due to unresolved concerns over delayed claim settlements and service inefficiencies. The association’s decision to lift the suspension for Care and Star Health Insurance is seen as a positive development, but the ongoing standoff with Tata AIG continues to be a concern.

AHNA’s actions are part of its broader “Movement Against Defaulting Health Insurance Companies,” which aims to safeguard the interests of healthcare providers and promote accountability among insurers. The association has been urging patients to opt for reimbursement during the suspension period, assuring that member hospitals would do their best to minimize inconvenience. With the reinstatement of cashless facilities for Care and Star Health policyholders, patients can now access medical services without having to pay out-of-pocket expenses. However, the situation with Tata AIG remains unresolved, and it is unclear when the suspension will be lifted.

Best insurance company in India: 90% claims settled each by Aditya Birla, New India, HDFC ERGO; Bajaj, Star, Shriram lowest.

A recent report by the Insurance Brokers Association of India (IBAI) for the financial years 2023-24 and 2022-23 has revealed that four insurance companies in India have consistently cleared more than 90% of claims made by beneficiaries. The top performers include Aditya Birla Health, HDFC Ergo, and New India Assurance, which achieved claim clearance rates of 91.88%, 92.1%, and 93.13%, respectively.

The data shows that Aditya Birla Health received over 8.5 lakh claims in 2023 and settled 91.88% of them, up from 89.96% in 2022. HDFC Ergo handled 52 lakh claims and settled 94.32% of them in 2023, an improvement from 92.10% the previous year. New India Assurance, a public sector company, processed over 1.5 crore claims with a settlement rate of 93.13%, marginally up from 93.04% in 2022.

On the other hand, some private insurance companies, including Bajaj Allianz, Star Health, and Shriram, performed poorly in terms of claim settlement. Bajaj Allianz handled 47 lakh claims but managed to clear only 73.38%, the lowest settlement rate among the analyzed insurers. Star Health processed 19 lakh claims but settled just 74%, while Shriram’s performance was the weakest, with a clearance rate of only 70% for its 2 lakh claims.

The report highlights the disparity in claim settlement rates among insurance companies in India. While some companies have consistently demonstrated a high level of claim settlement, others have struggled to settle claims in a timely and efficient manner. The data suggests that policyholders should carefully evaluate the claim settlement record of an insurance company before purchasing a policy.

The IBAI report provides valuable insights into the performance of insurance companies in India and can help policyholders make informed decisions when choosing an insurance provider. The report’s findings also underscore the need for insurance companies to prioritize claim settlement and improve their processes to ensure that beneficiaries receive timely and fair compensation. Overall, the report highlights the importance of transparency and accountability in the insurance industry and the need for companies to prioritize the needs of their policyholders.

Star Health Insurance has now expanded its home healthcare service to 100 locations.

Star Health and Allied Insurance Company Ltd, a leading standalone health insurer, has announced the expansion of its Home Health Care initiative to 100 locations across India. Launched in July 2023, this program provides cashless doorstep medical care services to 85% of the company’s customer base. The initiative aims to make healthcare more accessible and affordable, addressing concerns such as high hospitalization costs, logistical challenges, and the stress associated with seeking medical care.

According to Anand Roy, MD and CEO of Star Health, the company’s vision is to bridge the gap between healthcare and insurance, ensuring that customers receive quality medical care in the comfort of their own homes. The program has already shown promising results, with over 15,000 patients benefiting from the service, primarily for treatments related to viral fever and dengue.

The expansion of the Home Health Care program has been made possible through partnerships with reputable healthcare providers, including Care24, Portea, Athulya, and Apollo. Cities like Mumbai, Delhi, and Pune have been at the forefront of adopting these services, demonstrating a growing demand for convenient and accessible healthcare solutions.

By bringing medical care closer to customers, Star Health aims to provide comfort and peace of mind, while also transforming the way health insurance is delivered. The company’s focus on customer-centric care and commitment to innovation has enabled it to stay ahead of the curve in the health insurance industry. With its expanded Home Health Care initiative, Star Health is poised to make a significant impact on the healthcare landscape in India, providing accessible and affordable healthcare solutions to a wider audience.

Stock Market Updates for Star Health And Allied Insurance

Recent Updates

Star Health achieves highest sustainability score among Indian insurance companies

Star Health and Allied Insurance Company has achieved a significant milestone by securing the highest sustainability score among insurance companies in the Indian insurance sector. According to the S&P Global Corporate Sustainability Assessment, Star Health Insurance has been recognized as India’s most sustainable insurance company for 2024. The company achieved a score of 53, which is based on its robust Environmental, Social, and Governance (ESG) parameters.

This achievement highlights Star Health Insurance’s commitment to sustainable practices, transparency, and fostering a strong ESG culture. The company’s score reflects its focus on integrating ESG principles into its operations, which ensures long-term value for all stakeholders. The 10-point improvement in the score from the previous year demonstrates the company’s progress in key areas such as corporate governance, human capital management, and climate strategy.

The S&P Global Corporate Sustainability Assessment is a prestigious evaluation that assesses companies’ sustainability performance based on ESG criteria. The assessment provides a comprehensive view of a company’s sustainability profile, considering factors such as environmental impact, social responsibility, and governance practices. By achieving the highest score in the Indian insurance sector, Star Health Insurance has demonstrated its leadership in sustainability and its commitment to creating a positive impact on the environment and society.

This recognition is a testament to Star Health Insurance’s efforts to prioritize sustainability and ESG considerations in its business operations. The company’s focus on transparency, accountability, and stakeholder engagement has enabled it to build trust and credibility with its customers, investors, and other stakeholders. As a responsible business, Star Health Insurance is dedicated to creating long-term value and making a positive contribution to the communities it serves. With this achievement, the company has set a new benchmark for sustainability in the Indian insurance sector, inspiring others to follow its lead and prioritize ESG considerations in their operations.

Star Health becomes India’s largest Home Healthcare provider

Star Health & Allied Insurance Company, a leading health insurance provider in India, has achieved a significant milestone by expanding its Home Health Care (HHC) initiative to 100 locations across the country. Launched in July 2023, the program has made a significant impact, now serving over 85% of Star Health Insurance’s customer base with cashless doorstep medical care within a remarkably short period of 3 hours, without any out-of-pocket expenses. This expansion has improved the accessibility, availability, and affordability of healthcare in rural areas, particularly in Bharat, where healthcare services are often limited.

The HHC program offers timely medical care to patients recovering from infectious diseases, providing a comprehensive approach to healthcare. Under the program, a partner doctor visits the patient’s home to assess their condition, conduct a diagnosis, and provide necessary treatment if hospitalization is deemed unnecessary. Regular in-person follow-ups are also conducted to ensure the patient’s condition is improving. In a rare instance, less than 1% of patients have required hospitalization, indicating the effectiveness of the program.

This initiative addresses a significant gap in healthcare services in rural areas, where patients often face challenges in accessing medical care due to geographical constraints. The program provides a convenient and cost-effective solution, ensuring that patients receive timely medical attention without having to travel to hospitals or cities. Patients can now receive medical care in the comfort of their own homes, reducing the risk of disease transmission and improving overall quality of life.

Star Health Insurance’s HHC program has set a new benchmark in healthcare services, showcasing the company’s commitment to providing accessible and affordable healthcare to its customers. With over 100 locations across India, the program has reached a significant proportion of the population, demonstrating the insurer’s drive to bridge the healthcare gap in rural areas. By expanding its HHC initiative, Star Health Insurance has not only improved healthcare outcomes but also reinforced its position as a leading provider of health insurance services in India.

Star Health faces a GST demand of Rs 49 crore across multiple states.

The Star Health and Allied Insurance Co Ltd has been served with 25 tax demand notices amounting to Rs 49 crore by the Goods and Services Tax (GST) authorities across multiple states. The demands are related to alleged violations of GST laws in connection with coinsurance transactions.

The notices were received by the company from different GST authorities, including those in Delhi, Maharashtra, Kerala, and Tamil Nadu, among others. The demand includes interest and penalties, with some of the demands dating back to 2017.

Coinsurance transactions involve insurance companies partnering with other companies to provide insurance coverage to their customers. In these transactions, the two companies split the risk and premiums. However, GST authorities have raised concerns that some insurance companies, including Star Health, are misclassifying these transactions as “insurance” rather than “service” to avoid paying GST.

Star Health has reportedly filed appeals against some of the notices and is also exploring options to settle the disputed amount. The company has stated that it has always been in compliance with GST laws and has paid GST on all its transactions. However, the authorities have alleged that the company has violated the laws by misclassifying its transactions and not paying the correct amount of GST.

The development has raised concerns about the impact on the insurance industry as a whole. Industry experts have expressed concerns that the notices could lead to a increase in the cost of insurance premiums for customers. The Insurance Regulatory and Development Authority of India (IRDAI) has also been approached to intervene in the matter.

Star Health and Allied Insurance Co Ltd received 25 tax demands totaling Rs 49 crore.

Star Health and Allied Insurance Co Ltd, a health insurance company, has received 25 tax demand orders from various Goods & Services Tax (GST) and Central Excise authorities. The total demand amounts to approximately Rs 49 crore, inclusive of penalties. The tax demands relate to alleged non-compliance with GST rules, specifically regarding coinsurance transactions and failure to issue invoices for coinsurance services. The violations also include non-disclosure of coinsurance transactions in statutory returns.

The orders were received at the company’s regional offices in six states: Haryana, Delhi, Maharashtra, Tamil Nadu, Telangana, and Karnataka. Maharashtra’s Mumbai and Andheri East offices received the highest number of tax notices, totaling Rs 19.4 crore. Tamil Nadu’s Chennai-North office received five tax demand orders worth Rs 16.2 crore, while Karnataka’s Bengaluru West office received one order worth Rs 12.8 lakh. In north India, Haryana’s Office of the Additional Commissioner of GST & Central Excise, Gurgaon (North) Ward, issued five tax demand orders worth Rs 4.9 crore, while Delhi’s South Delhi office issued four orders worth Rs 4.7 crore. Telangana’s Secunderabad office received five orders worth Rs 3.8 crore.

The company has stated that it will contest the tax demands by filing an appeal or writ petition with the relevant authorities, following legal counsel’s advice. This incident highlights the importance of strict compliance with tax regulations and the consequences of non-compliance.

Star Health Insurance awarded Best Health Insurance Company of the Year at InsureNext Global Conclave & Awards 2025.

Star Health and Allied Insurance Company Ltd., India’s largest retail health insurance provider, has been recognized as the “Best Health Insurance Company of the Year” at the InsureNext Global Conclave & Awards 2025. This prestigious award is a testament to the company’s mission to transform healthcare accessibility through innovation. Anand Roy, MD & CEO of Star Health Insurance, expressed his gratitude for the recognition, stating that it fuels their ambition to push boundaries and continue revolutionizing health insurance.

Star Health Insurance has been recognized for its groundbreaking initiatives, including Braille Insurance, the Superstar Policy, and Home Healthcare Services. These initiatives have played a pivotal role in securing this accolade, highlighting the company’s commitment to innovation, customer-centricity, and excellence in healthcare delivery.

The company has launched several transformative initiatives, driving inclusivity and enhancing customer experience. The Superstar Policy has revolutionized retail health insurance with its unique features, while the introduction of Braille Insurance has made health coverage more accessible and comprehensible for visually impaired individuals. The Home Healthcare Services have expanded the company’s reach, offering professional medical care at home and reducing hospital visits.

This recognition bears testimony to Star Health Insurance’s mission to bring quality healthcare accessible, affordable, and inclusive to all. The company remains committed to setting new benchmarks in health insurance through continuous innovation and customer-first solutions.

About Star Health and Allied Insurance Company Ltd.

Star Health Insurance (BSE: 543412) (NSE: STARHEALTH) is India’s leading standalone health insurer, operating since 2006. The company offers health, personal accident, and travel insurance, with specialized products for various demographics. Star Health has a strong distribution network, including 910 offices, 30,000+ healthcare providers, 760,000 agents, and robust bancassurance partnerships.

Toothlens Launches India’s First Cashless Dental OPD Insurance with Star Health.

Toothlens, in collaboration with Star Health, Allied Insurance Company, and Vizza Broking Services, has launched India’s first cashless Dental OPD insurance program. This innovative initiative addresses the critical healthcare gap in India by providing individuals with cashless access to preventive and essential dental care, ensuring financial protection and promoting timely intervention. The program is designed to redefine how Indians perceive and access dental care, making oral health a priority.

The World Health Organization (WHO) has urged countries to integrate essential oral health services into primary healthcare and universal health coverage (UHC). This program aligns with global efforts to make oral healthcare more accessible. The WHO has also emphasized that 80% of dental diseases are preventable with early intervention, making insurance coverage a crucial factor in improving national health metrics.

The program covers a wide range of dental services, including preventive care, basic treatments, and advanced procedures. Policyholders can avail of these services through an extensive network of clinics managed by Toothlens. The company has integrated cutting-edge digital solutions to simplify claims, appointment bookings, and provider access.

The launch of this program is expected to significantly improve oral health outcomes and reduce long-term healthcare costs. By making preventive dental care more accessible, this initiative is expected to reduce the financial burden on individuals and promote early diagnosis and cost-effective care. The program is also expected to expand across India, with plans to onboard 10,000 clinics and providers by the end of the year.

This initiative is a significant step towards making dental insurance a mainstream component of health insurance in India. Toothlens, Star Health, and Vizza are committed to expanding this model across India and exploring enhancements, including family plans and corporate partnerships, to further extend the impact of this initiative.

Star Health receives a Rs 49 crore Goods and Services Tax (GST) demand from tax authorities.

Star Health and Allied Insurance Company Limited has received 25 tax demand orders from the Goods and Services Tax (GST) authorities across various states, totaling Rs 49 crore, including penalties. These demands have been issued to the company’s zonal offices in seven states, including Haryana, Delhi, Maharashtra, Tamil Nadu, Telangana, and Karnataka. The alleged violations by the company include non-payment of GST on certain transactions related to coinsurance, non-disclosure of these transactions in statutory filings, and failure to issue invoices for such services.

The tax demand orders were issued by the Additional Commissioner of GST and Central Excise in Gurugram, and the GST authorities in Mumbai East, Andheri East, and Mumbai South-West. The orders also came from the Chennai North GST office, Telangana, and Karnataka. Star Health has stated that it will file an appeal or a writ petition to challenge these tax demands and will take appropriate legal steps to address the matter.

Ahmedabad’s Star Health and Tata AIG hospitals have been denied permission to adopt a cashless payment system.

Several hospitals and nursing homes in Ahmedabad, India have decided to suspend cashless treatment services for Star Health and Tata AIG General Insurance, effective April 1, due to ongoing issues with claim denials, unjustified deductions, and non-renewal of tariffs. This move comes after a standoff that began in September 2023, as reported by the Economic Times. The Ahmedabad Hospitals and Nursing Homes Association, which represents the local healthcare industry, has been pushing back against what they see as unfair practices by insurers, while insurers are demanding standardization in healthcare costs.

In a letter to the insurers, the association listed their concerns, including arbitrary rejection of claims, frequent and unjustified deductions from approved claims, and the removal of some hospitals from the insurer’s network without prior discussions. According to the association, these actions are causing financial strain on hospitals and disrupting the delivery of healthcare services. Despite several rounds of discussions, the issues have remained unresolved, leading to the decision to suspend cashless treatment services.

The suspension is expected to impact thousands of patients who rely on these services. The move is also likely to put pressure on the insurers to reconsider their policies and negotiate a more equitable agreement with the hospitals. Meanwhile, the healthcare industry in Ahmedabad is bracing for potential disruption, as the suspension of cashless treatment services could lead to increased wait times and financial burdens on patients and healthcare providers alike. The standoff highlights the need for a more collaborative approach between insurers, hospitals, and the government to ensure the provision of high-quality, affordable healthcare services to patients.

Star Health must pay a Rs 49 crore goods and services tax demand issued by the tax authorities.

Star Health and Allied Insurance Company Limited has received 25 tax demand orders from the Goods and Services Tax (GST) authorities in several states, totaling Rs 49 crore, including penalties. The demands were issued to the company’s zonal offices in Haryana, Delhi, Maharashtra, Tamil Nadu, Telangana, and Karnataka. The alleged violations include non-payment of GST on certain transactions related to coinsurance, non-disclosure of transactions in statutory returns, and failure to issue invoices for services provided.

The tax demand orders are worth Rs 4.9 crore in Haryana, Rs 4.7 crore in Delhi, and Rs 19.4 crore in Maharashtra. The company’s Tamil Nadu office has received five orders totaling Rs 16.2 crore, while its Telangana office has received five orders worth Rs 3.8 crore. The Karnataka office has received a single order demanding Rs 12.8 lakh.

The company has stated that it will file an appeal or writ petition to challenge these tax demands, citing legal counsel’s advice. The company will take appropriate legal steps to address the matter. Meanwhile, the company has expanded its Home Health Care services to 100 locations across India, covering 85% of its customers, providing cashless medical care at their doorstep.

Star Health secures its position as India’s leading Home Health Care provider, setting a new standard in patient care.

Star Health & Allied Insurance Company, a leading health insurance provider in India, has expanded its Home Health Care (HHC) initiative to 100 locations across the country, making it the largest HHC provider in the country. The program, launched in July 2023, has served over 85% of Star Health Insurance’s customer base, offering cashless doorstep medical care within 3 hours with no out-of-pocket expenses. This innovative approach has significantly improved the accessibility, availability, and affordability of healthcare in India, particularly for patients who require timely medical care to recover from infectious diseases.

Under the HHC program, a partner doctor visits the patient’s home to assess their condition, conduct a diagnosis, and provide necessary treatment if hospitalization is deemed unnecessary. The program also includes regular in-person follow-ups to monitor the patient’s progress. While less than 1% of patients have required hospitalization due to the severity of their symptoms, the HHC program ensures that patients receive the medical attention they need in the comfort of their own homes.

By providing cashless doorstep medical care, the HHC program has reduced the burden on Indian healthcare resources, allowing patients to receive timely treatment without having to navigate the complexities of the healthcare system. This initiative has also helped to improve the overall health and well-being of patients, allowing them to recover more quickly and safely from infectious diseases. The success of the HHC program demonstrates Star Health & Allied Insurance Company’s commitment to improving healthcare outcomes and providing high-quality, patient-centered care in India.

Star Health Insurance collaborates with Himachal Pradesh State Cooperative Bank to increase its outreach and footprint.

Star Health and Allied Insurance Company Limited, India’s largest retail health insurance company, has announced a strategic corporate agency agreement with the Himachal Pradesh State Cooperative Bank (HPSCB). The partnership aims to increase access to health insurance in rural areas of Himachal Pradesh, where the bank has a significant presence. Anand Roy, MD & CEO of Star Health Insurance, said that the partnership with HPSCB shows their commitment to enhancing insurance penetration in rural regions and providing quality health insurance to rural areas. The bank’s extensive branch network will allow Star Health Insurance to offer its range of health insurance products to its customers, providing convenience and accessibility.

Sharwan Manta, Managing Director of HPSCB, highlighted the convenience factor, stating that the partnership will enable customers to access insurance products within their familiar banking environment. The partnership will also enable customers to access healthcare services through Star Health Insurance’s extensive hospital network and agent network.

The agreement is expected to increase insurance penetration in Himachal Pradesh, promoting financial inclusion and access to vital health insurance coverage. Star Health Insurance plans to add 10 more locations in FY25, with a focus on increasing penetration in rural and Tier 3 regions, aligning with the Indian government’s commitment to “Insurance for all by 2047”.

The top five health issues faced by people in Himachal Pradesh, based on claims, are gastroenterology, orthopedics, obstetrics, urology, and ophthalmology. The most popular health insurance products among customers are Family Health Optima, Star Health Assure Insurance Policy, and Accident Care. This partnership is a significant step towards increasing insurance penetration in Himachal Pradesh and promoting financial inclusion, ensuring that people have access to vital health insurance coverage.

Star Health’s insurance claim settlement practices are under scrutiny by the Insurance Regulatory and Development Authority of India (IRDAI).

The Insurance Regulatory and Development Authority of India (IRDAI) has discovered lapses in the claim settlement practices of stand-alone health insurer, Star Health and Allied Insurance. This is based on an ongoing official investigation, which is expected to result in action against the insurer. The regulator has reviewed the operations of 8-10 other general and health insurers, but no action has been taken against them as of now.

According to IRDAI’s handbook of insurance statistics, Star Health’s incurred claim ratio for the financial year 2023-24 was 66.47%, which is slightly higher than the average incurred claim ratio of stand-alone health insurers. However, it is lower than the combined general and health insurers. Star Health also recorded the lowest claim settlement ratio within three months among all stand-alone health insurers, with a settlement rate of 82.31%. It took the company between three to six months to process 2.74% of claims, while 0.35% of claims were settled between six months and one year.

Notably, Star Health rejected the highest number of claims in 2023-24, with 2,96,356 rejections, which is significantly more than other stand-alone health insurers. The company also received the highest number of customer complaints, with 797 pending complaints at the beginning of the financial year and 16,804 reported during the year, of which 16,603 were formal grievances. This is the highest number of complaints among all general and health insurers, except for the public sector insurer, National Insurance Co. Ltd.

This investigation highlights the importance of claim settlement practices in the insurance industry, and the need for regulators to ensure that insurers follow fair and transparent procedures in handling customer complaints. The action taken by IRDAI against Star Health and Allied Insurance is expected to set a precedent for the industry, promoting a culture of accountability and transparency.

Star Health Insurance ordered to pay ₹49 crore in GST to multiple states following alleged non-compliance issues.

Star Health and Allied Insurance Co. Ltd, a private insurance company, has received 25 tax demand orders from Goods & Services Tax (GST) and Central Excise authorities across six states, totaling Rs 49 crores. The tax demands are related to alleged violations, including non-payment of GST on coinsurance transactions, non-disclosure of transactions in statutory returns, and failure to issue invoices for coinsurance services.

The tax demands were issued by the authorities in Haryana, Delhi, Maharashtra, Tamil Nadu, Telangana, and Karnataka. The Maharashtra office received the highest number of tax demand orders, totaling Rs 19.4 crores, followed by Tamil Nadu’s office, which received five orders worth Rs 16.2 crores.

The alleged violations relate to the company’s coinsurance transactions, which involve the insurance company acting as a “follower” in an insurance triangle, where one insurance company insures another insurance company’s risk. The tax authorities have alleged that Star Health failed to pay GST on these transactions, did not disclose them in their statutory returns, and did not issue invoices for the services provided.

In response, Star Health has stated that it will challenge the tax demands by filing an appeal and a writ petition with the appropriate authorities, based on legal counsel’s advice. This news highlights the importance of tax compliance for businesses and the potential consequences for non-compliance.

Star Health’s offices in multiple states have received Good and Services Tax (GST) demand orders totalling Rs 49 crore.

Star Health and Allied Insurance Co Ltd has received 25 tax demand orders from various Goods & Services Tax (GST) and Central Excise authorities across six states, totalling approximately Rs 49 crore, including penalties. The alleged violations include non-payment of GST on coinsurance transactions, non-disclosure of such transactions in statutory returns, and failure to issue invoices for coinsurance services.

The tax demands were issued by authorities in Haryana, Delhi, Maharashtra, Tamil Nadu, Telangana, and Karnataka. The majority of the demands were from Maharashtra, with five orders worth Rs 19.4 crore. The Haryana office received five orders worth Rs 4.9 crore, while the Delhi office received four orders worth Rs 4.7 crore. The company’s Tamil Nadu office received five orders worth Rs 16.2 crore, and its Telangana office received five orders worth Rs 3.8 crore. The Karnataka office received a single order worth Rs 12.8 lakh.

The company plans to challenge the tax demands by filing an appeal or writ petition with the appropriate authorities based on legal counsel’s advice. This move is a response to the alleged non-compliance with tax laws, which the authorities claim has resulted in the tax demands.

The Board will make an announcement by the end of March regarding our acquisition of a significant stake in a leading health insurance company, with myself, as MD and CEO, overseeing the transaction.

Life Insurance Corporation of India (LIC) is planning to acquire a stake in a standalone health insurance company by the end of the current financial year, according to Siddhartha Mohanty, the company’s Managing Director and Chief Executive Officer. The decision is contingent on regulatory approvals, which are expected to be obtained by the end of March 31. The acquisition is a natural step for LIC to diversify its portfolio and expand its presence in the insurance market.

While discussing the details, Mr. Mohanty hinted that the company is not planning to acquire a majority stake, but rather will be open to exploring all possible options. He also emphasized that as a long-term investor, LIC has contractual obligations to manage its investments and asset-liability management, citing the example of Western countries with long-term bonds.

The acquisition is expected to be a strategic move to tap into the growing health insurance market in the country. The health insurance sector is expected to be a major priority for the Indian government, with the aim of increasing penetration and coverage.

There are currently seven standalone health insurance companies operating in the market, including Star Health & Allied Insurance, Niva Bupa Health Insurance, Care Health Insurance, Aditya Birla Health Insurance, ManipalCigna Health Insurance, Narayana Health Insurance, and Galaxy Health Insurance.

Meanwhile, LIC has reported a 17% year-on-year increase in net profit for the October-December quarter, but its net premium income has seen a decline of 8.6% year-on-year. Despite this, the company plans to expand its portfolio by acquiring a stake in a health insurance company, which is expected to be a significant step in the company’s growth strategy.

Prudential plc and HCL Group are collaborating on a new health insurance joint venture.

UK-based Prudential Plc has announced a plan to establish a health insurance joint venture with India’s HCL Group. The new business will have Prudential Group Holdings Limited, a UK subsidiary, holding a 70% stake, while Vama, an HCL Group company, will hold the remaining 30%. This move is part of Prudential’s expansion in the Indian insurance market, which it has been a part of since the establishment of ICICI Prudential Life Insurance in 2001.

This development comes as other players in the Indian insurance sector are making significant moves. Public sector behemoth Life Insurance Corporation of India (LIC) is in the final stages of acquiring a substantial stake in a pure health insurance company and is expected to make an announcement before March 31. There are currently seven standalone health insurance companies operating in India, including Star Health & Allied Insurance, Niva Bupa Health Insurance, and ManipalCigna Health Insurance, among others.

In another significant development, German financial services firm Allianz SE has reportedly reached a preliminary agreement with Jio Financial Services Ltd, a joint venture between Jio Platforms and a clutch of investors, to establish a joint venture covering both health and general insurance businesses. This move comes days after Bajaj Finserv and Allianz SE announced the end of their joint venture, Bajaj Allianz, in a deal worth Rs 24,180 crore. Additionally, Patanjali Ayurved has entered the insurance sector through its acquisition of Magma General Insurance from Adar Poonawalla for Rs 4,500 crore.

Will LIC Offer Health Insurance? The CEO Has Spoken

The Life Insurance Corporation of India (LIC) may acquire a stake in a health insurance company by the end of March, CEO Siddhartha Mohanty has revealed. While the CEO did not provide further details on the potential deal, he clarified that the company is not looking to take a majority stake. This marks a significant move for LIC, which currently only offers life insurance policies, pension plans, and investment-linked insurance products, but not health insurance.

The Indian insurance sector has become increasingly competitive, with private insurers expanding their offerings in the health insurance space to capitalize on growing consumer demand. If LIC enters the health insurance market, it will face competition from major players such as Star Health Insurance, Aditya Birla Health Insurance, Niva Bupa Health Insurance, and Care Health Insurance. However, the company’s reputation and brand recognition could give it an edge in the market.

In addition to exploring health insurance, LIC is also in discussions with the Reserve Bank of India (RBI) on the issuance of longer-term bonds. The company is looking to invest in bonds with maturity periods of 50 years or even 100 years, which is longer than the current range of 20-40 years. The CEO noted that the company’s people are discussing this with the RBI and considering the option. This move is likely to have a significant impact on the Indian bond market and the country’s financial landscape.

The Life Insurance Corporation (LIC) is poised to acquire a significant stake in a pure health insurer, with an announcement expected by March 31.

The Life Insurance Corporation of India (LIC) is close to acquiring a significant stake in a pure health insurance company, according to its Managing Director and CEO, Siddhartha Mohanty. Mohanty stated that the discussions are in the final stages and that he hopes a decision will be made by March 31. The acquisition will mark LIC’s entry into the health insurance market and will broaden its footprint in the sector. However, Mohanty declined to reveal the name of the company, saying that it would be made public when the deal is announced.

Currently, there are seven standalone health insurance companies in India, including Star Health & Allied Insurance, ManipalCigna Health Insurance, and others. The acquisition will be a strategic move for LIC, which is seeking to expand its presence in the health insurance market.

In a separate development, Mohanty also spoke about the need for India to issue long-term bonds with maturities of 50 years and 100 years. LIC, which offers whole life plans with a maturity period of 100 years, requires these long-term bonds to invest and manage its assets and liabilities effectively. Globally, many countries issue 100-year bonds, but India has yet to introduce them due to limited demand and low activity in the secondary market. Mohanty has requested the Reserve Bank of India to issue such bonds, which would align with LIC’s long-term investment strategy.

Overall, the developments indicate that LIC is poised to make a significant foray into the health insurance segment, while also seeking to shape the Indian bond market to better suit its investment needs.

Star Health reports a 35% surge in PAT in the second quarter of FY 2024, according to BW Healthcare World.

Star Health Insurance, a leading health insurance company in India, has reported a significant growth in its Premium AUM (Assets Under Management) in the second quarter of fiscal year 2023-24 (Q2FY24). According to the company’s Second Quarter Results for FY24, Star Health’s PAT (Profit After Tax) has surged by 35% year-on-year (YoY) to ₹434.3 crores during the quarter, ending September 30, 2023.

The company’s total health insurance premiums grew by 20% YoY to ₹5,341.1 crores during the quarter. The growth in premiums has been driven by increased demand for health insurance products, particularly individual and group health insurance policies. Additionally, the company’s Bancassurance channel has also contributed significantly to the growth, with premiums increasing by 28% YoY during the quarter.

Star Health’s gross premium prolonged to new accounts (GWP-NA) was up 24% YoY at ₹2,532.8 crores during the quarter, with the company’s new business growth led mostly by its individual and group health insurance policies. The company’s reinsurance business also witnessed significant growth, with reinsurance premiums increasing by 34% YoY during the quarter.

The company’s growth has been driven by its strong distribution network, which has expanded to over 50,000 channels across the country. The company’s distribution agents, consisting of banks, brokers, and agents, have played a crucial role in driving growth, with the top 10 agents contributing 25% to the overall GWP-NA.

Star Health’s cost-to-income ratio (CR) improved to 67.3% as of September 30, 2023, compared to 72.1% as of September 30, 2022. The company’s solvency margin as of September 30, 2023, stood at 223.4%, indicating its robust financial health.

Overall, Star Health’s strong financial performance is a testament to its operational efficiency, diversified product portfolio, and robust distribution network. The company’s growth in health insurance premiums and increased profitability are expected to continue, driving its future prospects.

Introducing Toothlens’ pioneering initiative: the first ever cashless dental OPD insurance in India, in partnership with Star Health.

Toothlens, in collaboration with Star Health and Vizza Broking Services, has launched India’s first cashless Dental OPD insurance program, making dental care more accessible and affordable for millions of Indians. Oral diseases are a significant global health concern, with over 3.5 billion people worldwide suffering from oral diseases, disproportionately affecting low and middle-income populations. This initiative aims to address the dearth of affordable dental care in India, where millions of people lack access to routine dental check-ups and treatments.

The insurance program covers preventive and essential dental care, including tele-dental consultations, regular check-ups, and X-rays, as well as basic treatments like tooth-colored fillings, extractions, and scaling, and advanced procedures like root canals, crowns, and tooth replacements. With this coverage, policyholders can receive cashless access to a network of clinics, streamlining the process of finding and scheduling appointments, and addressing financial barriers to dental care.

The World Health Organization (WHO) has emphasized the importance of integrating oral health services into primary healthcare systems, and this initiative aligns with this goal. By making dental care more accessible, the program aims to reduce the financial burden of oral health issues and promote early intervention and cost-effective care.

Toothlens, Star Health, and Vizza Broking Services plan to onboard 10,000 clinics and providers by the end of the year and are exploring enhancements, including family plans and corporate partnerships, to further expand the initiative’s reach. This innovative insurance product has the potential to improve oral health outcomes, reduce long-term healthcare costs, and promote timely intervention, ultimately benefiting millions of Indians.

From April 1, Tata AIG’s Star Health policyholders will no longer have access to cashless services at Ahmedabad hospitals.

From April 1, 2025, hospitals and nursing homes in Ahmedabad will no longer offer cashless services to patients with Star Health and Tata AIG General Insurance policies. This decision was made due to growing tensions between healthcare providers and insurance companies, resulting from unjustified deductions, low reimbursement rates, non-renewal of tariff rates, and insurance companies’ tendency to blacklisting hospitals. Hospitals have reported difficulties in continuing cashless services due to delayed and reduced payments from insurance companies.

The Ahmedabad Hospital and Nursing Association (AHNA) has expressed concerns about non-transparent pricing policies and the financial strain it puts on healthcare providers due to arbitrary tariff structures. As a result, starting April 1, patients with Star Health and Tata AIG policies will need to pay medical expenses upfront and then claim reimbursements, which could be a significant challenge for policyholders who rely on cashless services for convenient treatment.

This move may disproportionately affect policyholders in Ahmedabad, where medicial treatment is already a significant expense. The suspension of cashless services may lead to added financial stress for patients, especially those who rely on health insurance to cover healthcare costs. However, insurance companies’ policies towards healthcare providers seem to be a major factor in this decision, highlighting the need for a more collaborative approach between the two to ensure seamless access to medical care for patients.

According to IRDA’s 2025 report, Navi, Acko, and Reliance General Insurance topped the list with the highest claim settlement ratio among health and general insurance companies.

In today’s world, having a solid health insurance policy is crucial to bear the burden of medical expenses. General insurance companies also offer health insurance coverage, among other types of insurance. However, it’s essential to evaluate the effectiveness of your health or general insurer in settling claims on time. One way to do this is by checking the claim settlement ratio, which refers to the proportion of claims paid out of the total number of claims received. According to the Insurance Regulatory and Development Authority of India (IRDAI), the claim settlement ratio is a significant indicator of an insurer’s credibility. For instance, a health insurer with a claim settlement ratio of 93% means it typically pays around 93 out of every 100 claims it receives.

IRDAI releases a list of claim settlements done by all health and general insurers every year. In 2023-2024, over 71,200,854 claims were paid out, with 81.13% of these paid within 3 months of claim intimation. Among private general insurers, Acko General Insurance led the pack with a claim settlement ratio of 99.91%, while Navi General Insurance Ltd. was close behind with 99.97%. Public sector insurers like National Insurance Co. Ltd. and The New India Assurance Co. Ltd. also performed well, with settlement ratios of 91.18% and 92.70%, respectively.

Amongstand-alone health insurers, Aditya Birla Health Insurance Company had the highest claim settlement ratio within 3 months at 92.97%. Care Health Insurance and Niva Bupa Health Insurance also performed well, with settlement ratios of 92.77% and 92.02%, respectively. On the other hand, Star Health and Allied Insurance Co. Ltd. had the lowest claim settlement ratio within 3 months, but it paid out the most claims (16,80,171) in less than 3 months. Overall, it’s essential to evaluate an insurer’s claim settlement ratio, as well as other factors such as sum insured, waiting period, and network of hospitals, before finalizing a health insurance policy.