A provision is recognized when the Company has a present obligation as a result of past event and itis probable that an outflow of resources will be required to settle the obligation, in respect of which areliable estimate can be made. Provisions are not discounted to present value and are determined basedon best estimate required to settle the obligation at the Balance Sheet date. These are reviewed at eachBalance Sheet date and adjusted to reflect the current best estimates. Contingent assets and liabilities arenot recognized.
A disclosure for a contingent liability is made when there is a possible obligation or a present obligationthat may, but probably will not, require an outflow of resources. When there is a possible obligation ora present obligation in respect of which the likelihood of outflow of resources is remote, no provision ordisclosure is made. Contingent asset are neither recognised nor disclosed in the financial statements.
The basic earnings per share is calculated by dividing the net profit after tax by weighted average numberof equity shares outstanding during the reporting period. Number of equity shares used in computingdiluted earnings per share comprises the weighted average number of shares considered for basic earningsper share and also weighted average number equity shares which would have been issued on conversionof all dilutive potential shares. In computing diluted earnings per share only potential equity shares that aredilutive are considered. Dilutive potential equity shares are deemed to be converted as at the beginning ofthe period unless issued at a later date. The dilutive potential equity shares are adjusted for the proceedsreceivable had the shares been actually issued at fair value. Dilutive potential equity shares are determinedindependently for each period presented.
Lease of assets/software under which all the risks and benefits of ownership are effectively retained bythe lessor is classified as Operating Leases. The total lease rentals, including escalation, are recognizedin the Revenue account or/and Profit and Loss account, as the case may be, on a straight line basis overthe period of the lease. Initial direct costs incurred specifically for an operating lease are charged to theRevenue Account.
Initial recognition: Foreign currency transactions are recorded in Indian Rupees, by applying to the foreigncurrency amount the exchange rate between the Indian Rupee and the foreign currency at the date of thetransaction.
Conversion: Foreign currency monetary items are translated using the exchange rate prevailing at thereporting date. Non-monetary items, which are measured in terms of historical cost denominated in aforeign currency, are reported using the exchange rate at the date of the transaction. Non-monetaryitems, which are measured at fair value or other similar valuation denominated in a foreign currency, aretranslated using the exchange rate at the date when such value was determined.
Exchange differences: Exchange differences are recognized as income or as expenses in the period inwhich they arise.
For Operating Expenses (Schedule 4), expenses are allocated in Health, Personal Accident and Travel onthe basis of gross direct premium.
Expenses pertaining to Policyholders have been shown in Revenue Account as per the limit prescribedin Insurance Regulatory and Development Authority of India (Expenses of Management, includingCommission, of Insurers) Regulations, 2024 and excess over the limit has been debited in the Profit &Loss Account.
Share issue expenses are adjusted against share premium account.
Goods and Services Tax ("GST”) collected is considered as a liability against which GST paid for eligibleinputs services or goods, to the extent claimable, is adjusted and the net liability is remitted to theappropriate authority as stipulated. Unutilized credits, if any, are carried forward for adjustment insubsequent periods. GST paid for eligible input services not recoverable by way of credits are recognizedin the Revenue account as expense.
i. Receipts and payments account is prepared and reported as per AS-3 Cash flow statements usingthe Direct Method, in conformity with para 2(a)(i) of the Master Circular on Actuarial, Finance andInvestment Functions of Insurers dated May 17, 2024, issued by the IRDAI.
ii. Cash and cash equivalents for the purpose of statement of receipts and payments include cashand cheques in hand, deposits with banks, bank balances, liquid mutual funds and other short terminvestments with original maturity of three months or less which are subject to insignificant risk ofchanges in value.
iii. The components of cash and cash equivalents are presented with reconciliation of the amounts in itscash flow statement with the equivalent items reported in the Balance Sheet.
1. The Company has disputed the demand raised by Income Tax Authorities of W 9,879 Lakhs (previousyear W Nil Lakhs) the appeals of which are pending before the appropriate authorities. This includesincome tax demand related to Assessment Year 2020-21, 2021-22 and 2022-23. The Company does notexpect the outcome of these proceedings to have a material adverse effect on its financial statementsas at March 31, 2025.
2. Includes GST refund of W 2,213 Lakhs (previous year W Nil) rejected by Goods & Services Tax authorities.Company is in process of evaluating necessary legal recourse against the same.
3. The Company has disputed the demand raised by Income Tax Authorities of W 1,158 Lakhs the appealsof which are pending before the appropriate authorities. This includes income tax demand related
to Assessment Year 2013-14, 2014-15 and 2016-17 in respect of which the Company has received thefavorable appellate order, which is pending for effect to be given by Assessing Authority. The Companydoes not expect the outcome of these proceedings to have a material adverse effect on its financialstatements as at March 31, 2024.
4. Includes demand of W 3,318 Lakhs from Goods & Services Tax authorities, for which show cause/demand notice has been issued by the department and the Company has filed the reply accordingly.
The Company's pending litigations comprise of claims against the Company primarily by customersand proceedings pending with Tax authorities. The Company has reviewed all its pending litigationsand proceedings and has adequately provided for where provisions are required and disclosed thecontingent liabilities where applicable, in its financial statements. The Company does not expect theoutcome of these proceedings to have a material adverse effect on its financial statements as at March31, 2025.
The appointed actuary has certified to the Company that actuarial estimates for Premium deficiencyreserve, IBNR (including IBNER) and estimate of Loss ratio for determining profit commission on re¬insurance treaties are in compliance with the Insurance Regulatory and Development Authority of India(Actuarial, Finance and Investment Functions of Insurers) Regulations, 2024 and the guidelines issued bythe Institute of Actuaries of India.
Depending upon the Business segment, a suitable actuarial method like Basic Chain Ladder Method,Bornhuetter Ferguson Method, Expected Ultimate Loss Ratio or a mixture of these have been used forIBNR/IBNER calculations.
The Company’s Appointed Actuary has determined valuation assumptions in respect of 'Claims incurredbut Not Reported’ and 'Claims incurred but Not Enough Reported’ '(IBNR including IBNER) amounting to W25,437 Lakhs (net) (Previous year W 22,393 Lakhs (net)) that conform with Regulations issued by the IRDAIand professional guidance notes issued by the Institute of Actuaries of India.
a) As at March 31, 2025, the Company has made a provision of W 11,914 Lakhs (net) (Previous year W 7,736Lakhs (net)) towards litigation reserve including incidental claims based on actuarial estimates and thesame is included as a part of IBNR/IBNER reserves.
b) As at March 31, 2025, the Company has provided appropriate IBNR/IBNER with respect to multiyearpolicies including policies exceeding 4 years.
The assets of the Company are free from all encumbrances. The Company has all assets within India.
Estimated amount of commitments pertaining to contracts remaining to be executed in respect of fixedassets (net of advances) is W 2,723 Lakhs (previous year: W 479 Lakhs).
Commitment in respect of loans as on March 31, 2025 is W Nil (previous year: W Nil) and Investment is W Nil(previous year: W Nil)
*Separate Fixed Deposits has been earmarked for payment of unclaimed amount of policyholder disclosedunder head Schedule 12- Advances and Other Assets. This amount includes Interest on unclaimed amountof Policyholders amounting to W 60 Lakhs (previous year W 58 Lakhs)
The Appointed Actuary has reviewed the Unearned premium reserve (UPR) posted in the Financialstatements against the estimated liability of the Company under unexpired obligations (including claimsand claims related expenses) towards policyholders (URR) for all business segments. The UPR provided inthe financials is sufficient to the cover the URR at the Company level thus; no premium deficiency reservehas been created.
a) There are no contracts outstanding in relation to Purchases where deliveries are pending and Saleswhere payments are overdue respectively.
b) The Company does not have any investment in Real Estate as at March 31, 2025 and March 31, 2024.
c) All investments are made in accordance with Insurance Act, 1938 and the Insurance Regulatory andDevelopment Authority of India (Actuarial, Finance and Investment Functions of Insurers) Regulations,2024, except:
1. Commercial papers issued by ILFS Ltd aggregating to W 3,000 Lakhs that remained unpaid as onMarch 31, 2025. In accordance with IRDAI regulations, the Company had made a 100% provision ofW3,000 Lakhs and presented as "Other Receivables”.
2. Bonds issued by Reliance Capital aggregating to W 1,000 Lakhs. The Company has recovered W568 Lakhs as an interim settlement. In accordance with IRDAI regulations, the Company has madeprovision for remaining amount of W 432 Lakhs, that remained unpaid as on March 31, 2025, andpresented as "Other Receivables”.
3. Bonds issued by IFIN aggregating to W 3,000 Lakhs. The Company has recovered W 1,002 Lakhs asan interim settlement. In accordance with IRDAI regulations, the Company has made provision forremaining amount of W 1,998 Lakhs, that remained unpaid as on March 31, 2025, and presented as"Other Receivables”.
i. Information relating to the composition and mandate of the nomination and remunerationcommittee: Nomination and Remuneration Committee is the Committee of Board of Directorsof the Company, constituted in accordance with the provisions of Section 178 of the CompaniesAct, 2013.
As on March, 31, 2025, the composition of Nomination and Remuneration Committee has beenas follows:
• Ms. Geeta Dutta Goel - Chairperson of NRC, Independent Director
• Mr. Mohit Gupta - Independent Director
• Mr. Chandrashekhar Bhaskar Bhave - Independent Director
• Mr. David Martin Fletcher - Non - Executive Director
ii. Information relating to the design and structure of remuneration policy and key features andobjective of the policy: The level and composition of remuneration is reasonable, marketcompetitive and sufficient to attract, retain and motivate the best talent for positions of theDirectors, Key Managerial Persons (KMPs) and Senior Managerial Persons (SMPs). The relationshipof remuneration is linked to performance. Remuneration involves a balance between Fixed andVariable pay, reflecting short and long-term performance objectives appropriate to the Measure ofSuccess (MOS) achievement by the Company.
iii. Description of the ways in which current and future risks are taken into the account in theremuneration policy.
Nomination and Remuneration Committee (NRC) include following parameters as measurementsto the annual performance evaluation of Directors, Key Managerial Persons (KMPs) and SeniorManagerial Persons (SMPs).
• Remuneration is adjusted for all types of risk
• Remuneration outcomes are symmetric with risk outcomes, and
• Remuneration payouts are sensitive to the time horizon of the risk
• The mix of cash, equity and other forms of remuneration must be consistent with risk alignment
• Credit, Market and Liquidity risks
Among other things, Nomination & Remuneration Committee and the Board also considerfollowing for assessing performance and suitable risk adjustments.
1. Persistency
2. Solvency
3. Grievance Redressal
4. Expenses of Management
5. Claim settlement
6. Claim repudiations
7. Overall Compliance status
8. Overall financial position such as Net-Worth Position of Insurer, Asset under Management(AUM) etc.
In matters related to risk and reward, the NRC also considers advice from the members of theRisk Committee of the Company, as appropriate before making its final determinations andrecommendations to the Board.
iv. Description of the ways in which the insurer seeks to link performance, during a performancemeasurement period, with levels of remuneration: Key Results Areas (KRAs) are established foreach member that will be derived from the Guidelines and overall strategy of the organizationand are incorporated as directives as provided by the Board. The performance against theseKey Results Areas (KRAs) are reviewed by the Nomination and Remuneration Committee (NRC)for MD & CEO, other executive Director if any and Key Managerial Persons (KMPs) and SeniorManagerial Persons (SMPs). Basis the above evaluation, a final rating shall be provided to theconcerned Director / Key Managerial Persons (KMPs) along with fixed pay revision and variablepay, as applicable.
During the year ended March, 31, 2025, the Independent Directors were paid sitting fees ofW 1,00,000 per meeting of the Board and committee thereof, excluding Corporate SocialResponsibility Committee. Details of remuneration of Independent Directors for the year endedMarch, 31, 2025, is given below:
Managerial remuneration amounting to W 400 lakhs (W 400 lakhs for previous year) for the year endedMarch 31, 2025 for Managing Director has been charged to Revenue Accounts and balance has beentransferred to Profit and Loss account. Perquisites are calculated as per Income Tax Rules, 1962. TheCEO is granted options pursuant to the Company’s Employee Stock Option Scheme and above figuresdoes not include perquisites calculated on exercise of such options.
The Company has taken on lease office premises under various agreements with various expiration datesextending up to nine years. Lease payments made under operating lease agreements have been fullyrecognized in the books of accounts. The lease rental charged under operating leases during the currentyear and maximum obligation on such leases at the balance sheet date are as follows:
The provisions of Section 71 of the Companies Act, 2013 read with Rule 18 of the Companies (ShareCapital and Debentures) Amendment Rules, 2014 are applicable to the Company. However, as perRule 18, Debenture Redemption Reserve shall be created out of profits of the Company availablefor payment of dividend, since the Company’s equity shares are listed as at March 31, 2025 and theCompany does not have profits which are available for payment of dividend, hence no DebentureRedemption Reserve is being created.
The Company’s primary reportable segments are business segments, which have been identifiedin accordance with the Regulations. Premium earned, claims incurred, commission and operatingexpenses have been disclosed at segment level in the financial statements.
Due to inherent complexities, segment assets and liabilities have been identified to the extent possible.
The gratuity liability arises on retirement, withdrawal, resignation or death of an employee. Theaforesaid liability is calculated on the basis of actuarial valuation as per the projected unit creditmethod. The Gratuity plan has been funded through a policy taken from Axis Max Life InsuranceCompany Limited. Disclosure as per AS-15 (Revised) on 'Employee Benefits’ is as under:
During the year ended March 31, 2025, the Company has received the forbearance approval for exceedingthe Expenses of Management (EOM) over the allowable limit for FY 2022-23 and FY 2023-24. TheCompany has also submitted the quarterly EOM plan with Insurance Regulatory and DevelopmentAuthority of India ("IRDAI”) on March 26, 2025 to bring the EOM within the prescribed limits by FY 2025¬26 and also submitted EOM forbearance application to GI Council on April 25, 2025. Further, on the basisof discussions with IRDAI, the Company has computed expenses of management ("EOM”) in accordancewith accounting methodology applied before Master Circular on Actuarial, Finance and InvestmentFunctions of Insurers dated May 17, 2024 read with clarification dated October 18, 2024 issued by IRDAI formulti-year policies and related commissions income and expenses was made applicable. The grant of suchforbearance is at IRDAI’s discretion and the impact of the same on the financial statements will dependon the future developments. The Company is in discussion with IRDAI and in accordance with Expense ofManagement Regulations 2024, a sum of 14,143 lakhs, which is in the excess of expenses of managementover the allowable limit, has been transferred from Revenue Account to Profit and Loss Account for theyear ended March 31, 2025. The Company’s EOM ratio for the year ended March 31, 2025 is 37.41%.
Disclosure as per Schedule II Part II Point iii (3) of the Insurance Regulatory and Development Authority ofIndia (Actuarial, Finance and Investment Functions of Insurers) Regulations, 2024
The total Gross Written Premium for the financial year is W 6,76,223 lakhs (Previous year W 5,60,757 lakhs),out of which the bifurcation of Rural and social sector business is as under:
As at March 31, 2025, there is no Micro, Small and Medium Enterprise to which the Company owes dues,which are outstanding for more than 45 days. In respect of MSME creditors, where there have been delaysin payments during the year, no interest is paid/payable as the payment was made within the agreed creditperiod. This information as required to be disclosed under Micro, Small and Medium EnterprisesDevelopment Act, 2006 has been determined to the extent such parties have been identified on the basisof information available with the Company.
As required under Section 135 of the Companies Act, 2013 and Master Circular on Corporate Governancefor Insurers, 2024, the Board of the Company has a "Corporate Social Responsibility Committee” (CSRCommittee) which comprises of three members of the Board. The CSR Committee is primarily responsiblefor formulating and recommending to the Board of Directors from time to time the CSR activities andthe amount of expenditure to be incurred on the activities pertaining and monitoring CSR Projects. TheCompany has formulated the Corporate Social Responsibility Policy which has been adopted by the CSRCommittee and Board. As the Company has registered a negative profit based on the preceding threeyears’ average net profit, the Company has no obligation towards CSR activities during year ended March
31. 2025.
The provision for Free Look period is W 159 lakhs (previous year W 86 lakhs), as certified by theAppointed Actuary.
A. The Company periodically reviews all its long term contracts to assess for any material foreseeablelosses. Based on such review, the Company has made adequate provisions for these long-termcontracts in the books of account as required under any applicable law/ accounting standard.
B. As at March 31, 2025, the Company did not have any outstanding long-term derivative contracts(previous year W Nil).
The foreign exchange loss (net) debited to Profit and Loss Account for the year ended March 31, 2025 is W17 lakhs (previous year W 16 lakhs).
For the year ended March 31, 2025 the Company has transferred W Nil (previous year W Nil) to the InvestorEducation & Protection Fund.
No funds have been advanced or loaned or invested (either from borrowed funds or share premium or anyother sources or kind of funds) by the Company to or in any other persons or entities, including foreignentities ("Intermediaries”), with the understanding, whether recorded in writing or otherwise, that theIntermediary shall, whether, directly or indirectly lend or invest in other persons or entities identified in anymanner whatsoever by or on behalf of the Company ("Ultimate Beneficiaries”) or provide any guarantee,security or the like on behalf of the Ultimate Beneficiaries.
No funds have been received by the Company from any persons or entities, including foreign entities("Funding Parties”), with the understanding, whether recorded in writing or otherwise, that the Companyshall, whether, directly or indirectly, lend or invest in other persons or entities identified in any mannerwhatsoever by or on behalf of the Funding Party ("Ultimate Beneficiaries”) or provide any guarantee,security or the like on behalf of the Ultimate Beneficiaries.
The Company has not declared or paid any dividend during the year ended March 31, 2025 and March31, 2024.
The Company is exposed to a variety of risks associated with its insurance business operations andthe investment portfolio. To help define the level of risk that the Company is willing to take, a set ofRisk Appetite Statements have been defined which state in both quantitative and qualitative terms theCompany’s desired risk profile / overall level of risk exposure. These risk appetite statements are reviewedand approved by the Board to ensure alignment of the Company’s risk strategy to the business planapproved by the Board.
The Company has completed Initial Public Offer (IPO) of equity shares of face value W10 each at anissue price of W74 per equity share, comprising of fresh issue of 10,81,08,108 shares and offer for sale of18,91,89,188 shares by 'selling share holders'. The equity shares of the Company were listed on NationalStock Exchange of India Limited (NSE) and BSE Limited (BSE) on November 14, 2024.
During the year ended March 31, 2025, the Company has allotted 1,93,83,695 (Previous year 1,40,47,354)equity shares pursuant to exercise of employee stock options granted.
Pursuant to an inquiry by Directorate General of GST Intelligence (DGGI) relating to certain input creditavailed by the Company, it has provided all information and clarifications to DGGI. As directed by DGGIauthorities, the Company has paid W 2,500 Lakhs under Section 74(5) of the CGST Act 2017. The Companyreceived order from GST Authorities and reduced demand from W 2,928 lakhs to Rs 287 lakhs and penaltyamounting to W 287 lakhs. The Company has decided not to appeal against the same and paid the penalty/interest amount of W 237 lakhs. The Company has debited W 524 lakhs (demand including penalty/interest)to profit and loss A/c and filed application of refund of W 2,213 lakhs which is rejected by the departmentconsidering it as time barred. The Company has shown this amount in Contingent Liability.
The Company had introduced "Employee Stock Option Plan - 2020 (ESOP 2020)” in the financial year2020-21 effective from 01st June 2020 (date of grant) and "Employee Stock Option Plan - 2024 (ESOP2024)” in the financial year 2023-24 effective from December 13, 2023. Under the ESOP Scheme 2020 &2024 the Company has given options to eligible Employees to acquire equity shares in the Company. Theoptions have been granted under various tranches.
For options outstanding, the exercise price ranges between W 10 to W 67.19 and the weighted average priceof options exercised during the year ended on March 31, 2025 is W 12.96 (Previous year: W 10.93)
In accordance with the "Securities and Exchange Board of India (Share Based Employee Benefits)regulations 2014” and the "Guidance Note on Accounting for Share-based Payments”, the cost of equitysettled transactions is measured using the intrinsic value method. Compensation cost is recognized asdeferred stock option expense and is charged to Revenue Account on straight line basis over the vestingperiod of options.
As the Company operates in single insurance business class viz. health insurance business, the reportingrequirements as prescribed by IRDAI with respect to presentation of Fire and Marine insurance revenueaccounts are not applicable.
In the absence of virtual certainty regarding availability of sufficient future taxable Income to set offthe taxable accumulated business losses in future, within, the deferred tax assets on account of timingdifferences as stipulated in Accounting Standard 22 on "Accounting for Taxes on Income” has not beenrecognized. Further, the Government of India on December 12, 2019 vide the Taxation Laws (Amendment)Act 2019 inserted a new section 115BAA in the Income Tax Act 1961, which provides an option to theCompany for paying Income Tax at reduced rates as per provisions/conditions defined in said section andthe Company has opted for the same.
The Indian Parliament has approved the Code on Social Security, 2020, which would impact thecontributions by the Company towards Provident Fund and Gratuity. The effective date from which thechanges are applicable is yet to be notified and the final rules are yet to be framed. The Company will carryout an evaluation of the impact and record the same in the financial statements in the period in which thecode becomes effective and related rules are published.
In accordance with the IRDAI (Actuarial, Finance and Investment Functions of Insurers) Regulation, 2024and Master circular thereon dated May 17, 2024 and subsequent clarification dated October 18, 2024, witheffect from October 1, 2024 the Company has given the effect to recognize gross written premium on a1/n basis where "n” denotes the policy duration and commission expenses paid and commission incomeaccrued on such recorded gross written premium for applicable long-term products. This has resulted in adecrease in gross written premium by ? 64,450 lakhs and net decrease in commission by ? 5,373 lakhs, andrelated effect in operating profit for the year ended March 31, 2025.
The Company has used accounting software for maintaining its books of account which has a feature ofrecording audit trail (edit log) and the same has operated throughout the year for all relevant transactionsrecorded in the software except that audit trail feature is not enabled for direct changes to data inCredence when using certain access rights. Further, no instance of audit trail feature being tampered withwas noted by the Company in respect of accounting software(s) where the audit trail has been enabled.
The Company has enabled audit trail feature from February 28, 2024 for Beacon, from March 03, 2024 forMaximus, from March 04, 2024 for Phoenix and from July 03, 2023 for Credence. The audit trail has beenpreserved by the Company as per the statutory requirements for record retention from the above dateof enablement of audit trail for the respective accounting software. The Company has effective controlmechanism with respect to access and database management which creates logs and monitors any changeto database, including direct data change and object level changes to database. Also, User Interface (UI)based access and activities on the server, including database are being monitored through PAM system(Privilege Access Management). Access to database and server are only allowed through PAM andrestricted to application administrator through strict access controls and monitoring process.
During the Year Ind AS 117-Insurance Contracts have been notified by MCA. Ind AS (including Ind AS 117)will be applicable to insurance companies once notified by the IRDAI. IRDAI through its communicationdated January 10, 2025 have asked insurers to submit proforma financial statements for FY 2023-24 andFY 2024-25 within specified phases & timelines. These proforma financial statements will facilitate theimpact assessment of Ind AS on financial statements and will assist in policy choices. As per the above-mentioned communication, the Company was in Phase-3 & need to submit these proforma financialstatements for FY 2023-24 and FY 2024-25 by December 31, 2025 and June 30, 2026 respectively. TheCompany opted for Phase-1 and ready to submit the proforma financial statements for FY 2023-24 and FY2024-25 by June 30, 2025 and December 31, 2025 respectively.
Previous year figures have been regrouped / reclassified wherever necessary and the effect of that isgiven in Underwriting balance ratio, Expenses of Management to Gross Direct Premium Ratio, Expense ofManagement to Net Written Premium Ratio, Operating Profit Ratio and Combined Ratio, while the Profitafter tax will remain same.
As per our audit report of even date.
Chartered Accountants Chartered Accountants
Partner Partner
Membership Number: 102102 Membership Number: 057986
Place: Mumbai Place: New Delhi
Date: May 07, 2025 Date: May 07, 2025
Director Company Secretary
DIN: 07240718 Membership No. FCS7069
Managing Director & Chief Executive Officer Chief Financial Officer
DIN: 08719264
Place: New DelhiDate: May 07, 2025