The Insurance Regulatory and Development Authority of India
(“IRDAI”) has issued the IRDAI
(Insurance Fraud Monitoring Framework) Guidelines, 2025
(“Guidelines”) which will be in effect
from April 1, 2026. The Guidelines repeal the IRDAI circular on
Fraud Monitoring Framework, dated January 21, 2013
(“Erstwhile 2013 Circular”).
The Guidelines provide a robust governance and operational
framework to foster resilience against fraud within the insurance
ecosystem and introduces a comprehensive, risk-based, and proactive
framework focused on prevention, detection, and governance. The
Guidelines also recognise growing threat of digital and
technology-enabled fraud.
Key aspects of the Guidelines