- +91 80768 85539
- info@expertvuw.com
- Pan-India service available.
Home / Insurance — IRDAI / TPA Licence (Health)
Last updated: 2 October 2026
Third Party Administrators (TPAs) process health insurance claims and cashless services on behalf of insurers. Expertvuw’s team helps promoters with company set-up, capital, CEO requirements, infrastructure documentation and the IRDAI application.
Health TPAs are regulated by the IRDAI (Third Party Administrators – Health Services) Regulations, 2016, as amended. A TPA services health insurance policies for insurers — including claim processing, cashless authorisation with network hospitals and related services — under service agreements with insurers.
The applicant must be a company with TPA services as its exclusive business, with minimum paid-up equity capital of ₹4 crore, and must maintain net worth of at least ₹1 crore at all times. The CEO must meet prescribed qualifications — including an insurance qualification such as the Insurance Institute of India’s Associateship or equivalent — and complete training. The company needs adequate infrastructure, trained staff (including medical professionals) and systems to handle claims and data securely.
TPA registration is currently valid for three years and must be renewed. In June 2026 IRDAI released a draft proposing perpetual registration for TPAs with an annual fee; until that is notified, the three-year renewal cycle applies.
Basis: Insurance Act, 1938 as amended in 2025; IRDAI (Third Party Administrators – Health Services) Regulations, 2016, as amended; IRDAI exposure draft of June 2026 on TPA registration (pending). Last updated: 27 September 2026.
TPA services must be the company's exclusive business.
Minimum paid-up equity capital of ₹4 crore.
At least ₹1 crore at all times.
Must meet prescribed qualifications and training.
Currently three years, with renewal.
June 2026 draft proposes perpetual registration; not yet notified.
TPA applications are demanding on infrastructure and people.
E
l
e
TPA registration connects with these services.
Ongoing compliance for regulated entities.
Registering an insurer.
Information security management.
Company law compliance.
More in this section: Corporate Agency Licence · Insurance Marketing Firm (IMF) Registration with IRDAI · ISNP Approval from IRDAI
Check eligibility and structure.
Incorporate and infuse capital.
Appoint a qualified CEO and staff.
Build and document claims and data systems.
File the application with IRDAI.
Receive the certificate and sign insurer agreements.
TPAs have ongoing obligations.
a
i
e
r
Share your query and our team will reply during business hours.
Minimum paid-up equity capital of ₹4 crore, with net worth of at least ₹1 crore at all times.
No. TPA services must be the company’s exclusive business.
Currently three years, with renewal. A June 2026 IRDAI draft proposes perpetual registration, but it has not yet been notified.
Prescribed qualifications including an insurance qualification such as the Insurance Institute of India Associateship or equivalent, plus training.
TPAs service health policies under agreements with insurers.
ACS – Director, Expertvuw Management Pvt Ltd
IRDAI applications and filings are prepared by Expertvuw’s team. Audits and certificates required by IRDAI are issued by independent Chartered Accountants, and representation before IRDAI or other authorities is made by authorised professionals or advocates. Expertvuw is not an insurer or insurance intermediary and does not sell insurance.