We have audited the accompanying financial statementsof Star Health And Allied Insurance Company Limited("the Company"), which comprise the Balance Sheet asat March 31, 2026, the Revenue Accounts, the Profit andLoss Account and the Receipts and Payments Account forthe year then ended, the schedules annexed there to andnotes to the financial statements, including a summary ofthe significant accounting policies and other explanatorynotes forming part of the financial statements (hereinafter referred to as "Financial Statements").
In our opinion and to the best of our information andaccording to the explanations given to us, the aforesaidfinancial statements give the information required byprovisions of the Insurance Act, 1938, as amended by theInsurance Laws (Amendment) Act, 2015 (the "InsuranceAct") read with Insurance Regulatory and DevelopmentAuthority Act, 1999 (the "IRDAI Act"), and other accountingprinciples generally accepted in India, to the extentconsidered relevant and appropriate for the purposeof these annual financial statements and which are notinconsistent with the accounting principles as prescribedin the Insurance Regulatory and Development Authorityof India (Actuarial, Finance and Investment Functions ofInsurers) Regulations, 2024 (the "IRDA Financial StatementRegulations") and orders/ directions / circulars issued bythe Insurance Regulatory and Development Authority ofIndia ("IRDAI"/ the "Authority"), to the extent applicableand the Companies Act, 2013, as amended, ('the Act') tothe extent applicable and in the manner so required, andgive true and fair view in conformity with the accountingprinciples generally accepted in India, as applicable toinsurance companies:
i. in the case of the Balance Sheet, of the state ofaffairs of the Company as at March 31, 2026;
ii. in the case of the Revenue Accounts, of the operatingprofit in the Miscellaneous business for year endedon that date;
iii. in the case of the Profit and Loss Account, of theprofit for the year ended on that date; and
iv. in the case of the Receipts and Payments Account,of the receipts and payments for the year ended onthat date.
Basis for Opinion
We conducted our audit of the financial statement inaccordance with the Standards on Auditing (SAs) specifiedunder section 143(10) of the Act. Our responsibilitiesunder those Standards are further described in the'Auditors' Responsibilities for the Audit of the FinancialStatements' section of our report. We are independentof the Company in accordance with the 'Code of Ethics'issued by the Institute of Chartered Accountants of India("ICAI") together with the ethical requirements that arerelevant to our audit of the financial statements underthe provisions of the Act and the Rules thereunder,and we have fulfilled our other ethical responsibilitiesin accordance with these requirements and the Codeof Ethics. We believe that the audit evidence we haveobtained is sufficient and appropriate to provide a basisfor our opinion on the financial statements.
Key Audit Matters
Key audit matters are those matters that, in ourprofessional judgement, were of most significance in ouraudit of the financial statements of the current periodand include the most significant risks identified by usthat may lead to material misstatement (whether or notdue to fraud) and assessed by us as part of the auditprocedures. These matters included those which had thegreatest effect on the overall audit strategy, the allocationof resources in the audit and directing the efforts of theengagement team.
These matters were addressed in the context of our auditof the financial statements as a whole, and in formingour opinion thereon, and we do not provide a separateopinion on these matters.
We have determined the matters described below to be the key audit matters to be communicated in our report.
Sr.
No.
Auditors' Response
Information Technology Systems and Controls (IT Controls):
1.
The Company is highly dependent onits information technology ('IT') systemsfor carrying out its operations and dueto the large volume of transactions thatare processed daily across multiple ITsystems, there exists a potential risk thatgaps in the IT control environment couldresult in the financial accounting andreporting records being misstated.
The controls implemented by theCompany in its IT environment determinethe integrity, accuracy, completeness,and validity of the data that is processedby the applications and is ultimatelyused for financial reporting. Thesecontrols contribute to mitigating riskof potential misstatements caused byfraud or error.
Introduction of new IT systems/migration from existing system in coreareas during the year.
On account of the extensive use ofIT systems across varied phases ofbusiness, the testing with respect togeneral computer controls of the ITsystems used in financial reporting wasidentified to be a key audit matter.
The audit procedures performed by us included the following:
? We have involved our IT specialists in the assessment of ITsystems and controls over financial reporting
? Involved IT specialists as part of the audit for the purposeof testing the IT general controls and application controls(automated and semi-automated controls) to determine theaccuracy of the information produced by the Company's ITsystems.;
? Obtained an understanding of the Company's IT applications,databases and operating systems relevant to financial reportingand the control environment, including an understanding of theprocess, mapping of applications and understanding financialrisks posed by people-process and technology.
? Tested design and operating effectiveness of key controls overuser access management, change management, programdevelopment, computer operations;
? Performed procedures for a selected group of key controls overfinancial and reporting system to determine that these controlsremained unchanged during the year or were changedfollowing the standard change management process.
? Tested key automated and manual business cycle controlsincluding testing of alternate procedures to assess risks thatwould materially impact the financial statements.
? Tested the process followed for data migration and reviewedthe UAT performed, along with the sign-offs obtained for themigration of data from EBS to Fusion, including the final sign-off.
Claim settlement:
2.
? Claims are a significant expense forthe Company
? Provisioning of Outstanding Claimsincluding Claims Incurred butNot Reported (IBNR) and Incurredbut Not Enough Reported (IBNER)are significant in magnitudeand requires use of judgementsand estimates
? With regards to the claims provision,the Company makes a provision forclaims upon intimation, on receiptof documents, communicationfrom co-insurer leader in cases ofincoming co-insurance businessetc. The estimates undergo a revisionbased on further information andthe settlement amount could varyfrom the provision created
? The estimate of the claim involves ahigh degree of judgement
Our audit procedures included the following:
? We tested the design and operating effectiveness of controlsaround the due and intimated claims recording process.
? Assessed and tested the operating effectiveness of key controlsrelating to the claims handling process, including controls overcompleteness and accuracy of the claim outstanding recorded.
? Tested on a sample basis, claims paid, and provision createdwith payment proof, claim intimation documents andcommunication from co-insurer leader in cases of incomingco-insurance business, which are material to assess whetherclaims are appropriately paid, estimated and recorded.
? Tested the arithmetical accuracy of computation of claimsprovision performed by the Company.
? The actuarial valuation of liability in respect of Claims Incurredbut Not Reported (IBNR) and those Incurred but Not EnoughReported (IBNER) is as certified by the Company's AppointedActuary and we have relied upon on the appointed actuary'scertificate in this regard.
Information Other than the FinancialStatements and Auditors' Report Thereon
The Company's Board of Directors is responsible forthe other information. The other information comprisesthe information included in the Director's Report andAnnexures there to but does not include the FinancialStatements and our Auditors' report thereon. The otherinformation is expected to be made available to us afterthe date of this auditor's report thereon.
Our opinion on the financial statements does not coverthe other information and we do not express any form ofassurance conclusion thereon.
In connection with our audit of the financial statements,our responsibility is to read the other information whenit becomes available and, in doing so, consider whetherthe other information is materially inconsistent with thefinancial statements or our knowledge obtained in theaudit, or otherwise appears to be materially misstated. If,based on the work we have performed, we conclude thatthere is a material misstatement of this other information,we are required to report that fact. We have nothing toreport in this regard.
Responsibility of Management andThose Charged With Governance for theFinancial Statements
The Company's Board of Directors is responsible forthe matters stated in section 134(5) of the Act withrespect to the preparation of these financial statementsthat give a true and fair view of the financial position,financial performance and cash flows of the Company inaccordance with the requirements of the Insurance Act,the IRDAI Act, the IRDAI Financial Statements Regulations,the Act and in accordance with the accountingprinciples generally accepted in India, including theapplicable Accounting Standards specified underSection 133 of the Act read with relevant rules issuedthereunder. This responsibility also includes maintenanceof adequate accounting records in accordance with theprovisions of the Act for safeguarding of the assets ofthe Company and for preventing and detecting fraudsand other irregularities; selection and application ofappropriate accounting policies; making judgmentsand estimates that are reasonable and prudent; anddesign, implementation and maintenance of adequateinternal financial controls, that were operating effectivelyfor ensuring the accuracy and completeness of theaccounting records, relevant to the preparation andpresentation of the financial statements that give a trueand fair view and are free from material misstatement,whether due to fraud or error.
In preparing the financial statements, managementis responsible for assessing the Company's ability tocontinue as a going concern, disclosing, as applicable,matters related to going concern and using the goingconcern basis of accounting unless management either
intends to liquidate the Company or to cease operations,or has no realistic alternative but to do so.
The Board of Directors are also responsible for overseeingthe company's financial reporting process.
Auditors' Responsibilities for the Audit of theFinancial Statements
Our objectives are to obtain reasonable assurance aboutwhether the financial statements as a whole are free frommaterial misstatement, whether due to fraud or error,and to issue an auditors' report that includes our opinion.Reasonable assurance is a high level of assurance but isnot a guarantee that an audit conducted in accordancewith SAs will always detect a material misstatementwhen it exists. Misstatements can arise from fraud orerror and are considered material if, individually or inthe aggregate, they could reasonably be expected toinfluence the economic decisions of users taken on thebasis of these financial statements.
As part of an audit in accordance with SAs, we exerciseprofessional judgment and maintain professionalskepticism throughout the audit. We also:
? Identify and assess the risks of materialmisstatement of the financial statements, whetherdue to fraud or error, design and perform auditprocedures responsive to those risks, and obtainaudit evidence that is sufficient and appropriateto provide a basis for our opinion. The risk of notdetecting a material misstatement resulting fromfraud is higher than for one resulting from error,as fraud may involve collusion, forgery, intentionalomissions, misrepresentations, or the override ofinternal control.
? Obtain an understanding of internal control relevantto the audit in order to design audit proceduresthat are appropriate in the circumstances. Undersection 143(3)(i) of the Act, we are also responsiblefor expressing our opinion on whether the Companyhas adequate internal financial controls system withreference to Financial Statements and the operatingeffectiveness of such controls.
? Evaluate the appropriateness of accounting policiesused and the reasonableness of accountingestimates and related disclosures madeby management.
? Conclude on the appropriateness of management'suse of the going concern basis of accounting and,based on the audit evidence obtained, whethera material uncertainty exists related to events orconditions that may cast significant doubt on theCompany's ability to continue as a going concern.If we conclude that a material uncertainty exists,we are required to draw attention in our auditors'report to the related disclosures in the financialstatements or, if such disclosures are inadequate, to
modify our opinion. Our conclusions are based onthe audit evidence obtained up to the date of ourauditors' report. However, future events or conditionsmay cause the Company to cease to continue as agoing concern.
? Evaluate the overall presentation, structure andcontent of the financial statements, including thedisclosures, and whether the financial statementsrepresent the underlying transactions and events ina manner that achieves fair presentation.
Materiality is the magnitude of misstatements in theFinancial Statements that, individually or in aggregate,makes it probable that the economic decisions ofa reasonably knowledgeable user of the FinancialStatements may be influenced. We consider quantitativemateriality and qualitative factors in (i) planning thescope of our audit work and in evaluating the results ofour work; and (ii) to evaluate the effect of any identifiedmisstatements in the Financial Statements.
We communicate with those charged with governanceregarding, among other matters, the planned scopeand timing of the audit and significant audit findings,including any significant deficiencies in internal controlthat we identify during our audit.
We also provide those charged with governance witha statement that we have complied with relevantethical requirements regarding independence, and tocommunicate with them all relationships and othermatters that may reasonably be thought to bear on ourindependence, and where applicable, related safeguards.
From the matters communicated with those chargedwith governance, we determine those matters thatwere of most significance in the audit of the financialstatements for the year ended March 31, 2026 and aretherefore, the key audit matters. We describe thesematters in our auditors' report unless law or regulationprecludes public disclosure about the matter or when,in extremely rare circumstances, we determine thata matter should not be communicated in our reportbecause the adverse consequences of doing so wouldreasonably be expected to outweigh the public interestbenefits of such communication.
Other Matter
Pursuant to IRDAI (Appointed Actuary) Regulations 2017,the actuarial valuation of liabilities in respect of claimsIncurred But Not Reported ("IBNR"), claims Incurred ButNot Enough Reported ("IBNER") and Premium DeficiencyReserve ("PDR") as at March 31, 2026, has been dulycertified by the Appointed Actuary. They have alsocertified that assumptions used for such valuation areappropriate and in accordance with the guidelines andnorms issued by the IRDAI and the Institute of Actuaries ofIndia in concurrence with the IRDAI. Accordingly, we haverelied upon the aforesaid certificate from the Appointed
Actuary while forming our opinion on the financial
statements of the Company.
Our opinion is not modified in respect of above matter.
Report on Other Legal and RegulatoryRequirements
1. As required by the IRDA Financial StatementsRegulations, we have issued a separate certificatedated April 28, 2026 certifying the matters specifiedin paragraphs 3 and 4 of Part III of Schedule II to theIRDAI Financial Statements Regulations.
2. This Report does not include a statement on thematters specified in paragraph 3 and 4 of theCompanies (Auditor's Report) Order, 2016 ("theOrder") issued by the Central Government of India interms of sub-section 11 of Section 143 of the Act, sincein our opinion and according to the informationand explanations given to us, the said Order is notapplicable to the Company.
3. As required by IRDA Financial Statements Regulations,read with Section 143 (3) of the Act, we report that:
a. We have sought and obtained all theinformation and explanations which to the bestof our knowledge and belief were necessary forthe purposes of our audit;
b. In our opinion, proper books of account asrequired by law have been kept by the Companyso far as it appears from our examination ofthose books except for the matters stated in theparagraph k (vii) below on reporting under Rule11(g);
c. As the Company's financial accounting systemis centralized at Head Office, no returns forthe purposes of our audit are prepared at thebranches of the Company;
d. The Balance Sheet, the Revenue Accounts, theProfit and Loss Account, and the Receipts andPayments Account dealt with by this Report arein agreement with the books of account;
e. In our opinion and to the best of our informationand according to the explanations given to us,investments have been valued in accordancewith the provisions of the Insurance Act theIRDA Financial Statements Regulations and / ororders / directions/circulars/guidelines issuedby the IRDAI in this behalf;
f. In our opinion and to the best of our informationand according to the explanations given to us,the aforesaid financial statements dealt withby this report comply with the AccountingStandards specified under Section 133 of the Actto the extent they are not inconsistent with the
accounting principles prescribed in the IRDAIFinancial Statements Regulations and orders/directions issued by IRDAI in this regard;
g. In our opinion and to the best of our informationand according to the explanations givento us, the accounting policies selected bythe Company are appropriate and are incompliance with the Accounting Standardsspecified under Section 133 of the Act, tothe extent they are not inconsistent with theaccounting principles prescribed in the IRDAIFinancial Statements Regulations and orders /directions issued by the IRDAI in this behalf;
h. On the basis of the written representationsreceived from the directors as on March 31,2026, taken on records by the Board of Directors,none of the directors is disqualified as on March31, 2026 from being appointed as a director interms of Section 164 (2) of the Act;
i. As required by the Companies (Amendment)Act, 2017, in our opinion, according to informationand explanations given to us, the remunerationpaid/ provided by the Company to its directorsduring the year is within the limits prescribedunder section 197 of the Act read with Section34A of the Insurance Act, 1938;
j. With respect to the adequacy of the internalfinancial controls with reference to financialstatements of the Company and the operatingeffectiveness of such controls, refer to ourseparate Report in "Annexure A" to this report.Our report expresses an unmodified opinionon the existence of internal financial controlwith reference to financial statements and itsoperating effectiveness in the company.
k. With respect to the other matters to be includedin the Auditors' Report in accordance withRule 11 of the Companies (Audit and Auditors)Rules, 2014, in our opinion and to the best of ourinformation and according to the explanationsgiven to us:
i. The Company has disclosed the impact ofpending litigations on its financial positionin its financial statements - Refer Note 5.1.1of Schedule 16 to the financial statements;
ii. Liability for insurance contracts, isdetermined by the Company's Actuaryreferred to in Other Matter paragraphabove, on which we have placed reliance;and the Company did not have any otherlong-term contracts including derivativecontracts for which there were any material
foreseeable losses - Refer Note 5.2.16 ofSchedule 16 to the financial statements;
iii. There are no amounts which are requiredto be transferred, to the Investor Educationand Protection Fund by the Company.
iv. (a) The Management has represented
that, to the best of its knowledgeand belief, other than as disclosedin the Note 5.2.22 of Schedule 16 tothe Financial Statements, no funds(which are material either individuallyor in the aggregate) have beenadvanced or loaned or invested(either from borrowed funds or sharepremium or any other sources or kindof funds) by the Company to or inany other person or entity, includingforeign entity ("Intermediaries"),with the understanding, whetherrecorded in writing or otherwise,that the Intermediary shall, whether,directly or indirectly lend or invest inother persons or entities identifiedin any manner whatsoever by or onbehalf of the Company ("UltimateBeneficiaries") or provide anyguarantee, security or the like onbehalf of the Ultimate Beneficiaries;
(b) The Management has represented,that, to the best of its knowledgeand belief, other than as disclosed inthe Note 5.2.23 of Schedule 16 to theFinancial Statements, no funds (whichare material either individually or in theaggregate) have been received by theCompany from any person or entity,including foreign entity ("FundingParties"), with the understanding,whether recorded in writing orotherwise, that the Company shall,whether, directly or indirectly, lendor invest in other persons or entitiesidentified in any manner whatsoeverby or on behalf of the Funding Party("Ultimate Beneficiaries") or provideany guarantee, security or the like onbehalf of the Ultimate Beneficiaries;
(c) Based on the audit procedures thathave been considered reasonableand appropriate in the circumstances,nothing has come to our notice thathas caused us to believe that therepresentations under sub-clause(i) and (ii) of Rule 11(e), as providedunder (a) and (b) above, contain anymaterial misstatement.
v. The Company has not declared or paid anydividend during the year and accordinglyno compliance with respect to section 123of the Act is required to be followed.
vi. The reservation relating to the maintenanceof accounts and other matters connectedtherewith are as stated in paragraph 3(b)above on reporting under Section 143(3)(b) and paragraph 3(k)(vii) below onreporting under Rule 11(g).
vii. Based on our examination, which includedtest checks, the Company has usedaccounting software for maintaining itsbooks of account which has a featureof recording audit trail (edit log) facilityand the same has operated throughoutthe year for all relevant transactionsrecorded in the software. Further, duringthe course of our audit, we did not comeacross any instance of audit trail featurebeing tampered with. Additionally, theaudit trail of prior year has been preservedby the Company as per the statutoryrequirements for record retention, exceptfor SAP HANA where there is no SOC Type IIreport available to provide us comfort as towhether the Audit trail feature is available,enabled and preserved throughoutthe year.
For M S K A & Associates LLP For T R Chadha & Co LLP
(formerly known as M S K A & Associates) Chartered Accountants
Chartered Accountants ICAI Firm Registration No: 006711N/N500028
ICAI Firm Registration No: 105047W/W101187
Vaibhav Naik Sheshu Samudrala
Partner Partner
Membership No: 138302 Membership No: 235031
UDIN: 26138302JWWLTF6737 UDIN: 26235031OTKWTW8130
Chennai Chennai
April 28, 2026 April 28, 2026