A demand for a special audit by CAG into the third-party administrator (TPA) rejecting or slashing medical insurance claims of policy holders in contravention of law, was made in Rajya Sabha today.
Raising the issue during Zero Hour, Sukhendu Sekhar Roy (TMC) said as per insurance regulator rules, TPAs cannot slash or reject a claim. "It is the right of insurance company."
But thousands of mediclaim insurances are rejected or slashed by TPAs, he said alleging a nexus between TPAs and the insurance companies.
He demanded a special CAG audit into the medical claims accepted and rejected to bust the racket.
A third-party administrator (TPA) is an organisation that processes insurance claims or certain aspects of employee benefit plans for the insurer.
Javed Ali Khan (SP) raised the issue of Railways deciding to terminate 16 passenger train services and curtail service of three others in the Moradabad division of Uttar Pradesh.
Terming the step as 'anti-people and anti-poor', he said when the Rail Budget was presented, it was dubbed as 'janta ka budget' or people's budget. But the actions are anti-people, Khan said.
He sought to know when the full services will be resumed as the order issued says these have been put off indefinitely.
Viplove Thakur (Cong) raised the issue of a school girl committing suicide in Ghaziabad when teachers of a private school she studied in, allegedly harassed her parents for non-payment of school fee.
The new education policy, she said, should check private schools and not merely pay lip-service.
Md Nadimul Haque (TMC) raised the issue of adulterants being used in food articles including fruits and vegetables, that caused cancer and other diseases.
Stating that healthy people led to a healthy nation, he said alarming levels of pesticide residues were being found in food articles and steps should be taken to check adulteration.
He then went on to mention about the recent controversy surrounding instant noodles Maggi saying it was banned in several parts of the country but his party-ruled West Bengal gave it a clean chit.
Later the ban was lifted, he said. "You should be strict but you should not go on a witch hunt. Genuine manufacturers have to be protected," he said.
This drew a remark from Deputy Chairman P J Kurien which he himself later expunged it saying it was an off-the-cuff remark.
