News Life and Health06 Apr 2018

India:Significant ratio of consumers omit details in health insurance applications

06 Apr 2018

Consumers tend to omit or incorrectly report information while filling out health insurance application and claim forms, finds a LexisNexis study. Income, marital status, gender, age, family medical history, employment status, and health claims history are more likely to be excluded or misreported.

The survey findings include:

  • 36% of respondents feel it is acceptable to misreport income details.
  • 31% would suppress family medical history.
  • 34% would be okay with not reporting marital status.
  • 29% may fail to mention health claims history.
  • About 64% said they took the help of the agent or broker or the bank to fill the application form. Only about a third, 35%, said they filled the form themselves.

What is also alarming to health insurers is the finding that 7 in 10 consumers would find it acceptable to consciously omit or incorrectly report information while lodging claims. 52% think the information could be misused to negatively impact them. 47% fear it may call for more medical tests. 42% feel the insurer does not really need the information.

The study covered 601 Indian consumers who said they had purchased new health insurance policies in the past five years. Respondents included only those who made the final decision and purchased their health insurance policy themselves. 

About 30% in the 25-34 years age group said they bought their health insurance policies online—insurer’s website, bank’s website or through an online aggregator. This is not very far from the most common traditional way of buying—through an offline agent or broker (33% for this age group).


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