IRDAI Annual Reports
The page lists IRDAI annual reports, including 2024-25 and 2023-24.
Data & Reports
Official sources for health insurance analysis.
Use this page as the BenefitNest research library for claims benchmarking, insurer disclosures, PM-JAY analysis, and AI-in-insurance reports.
9
source routes
Public + restricted
access clearly marked
CSV
opens directly in Excel
Source Index
Where to collect health insurance data.
Raw anonymized claim-level health insurance data is generally not public in India. For public analysis, start with IRDAI reports, insurer disclosures, data.gov.in datasets, and PM-JAY dashboards.
| Priority | Source | Access | What You Get | Usefulness | Next Step |
|---|---|---|---|---|---|
| 1 | IIB - Health Insurance Data Claim-level ecosystem data | Restricted | IIB collects policy, member, and claim data from insurers for health insurance. The raw claim-level data exists in the ecosystem, but it is not a normal public download. | Best route for formal institutional or research requests where anonymized claim-level data is needed. | Use this as a formal data-access lead, not as an immediate download source. |
| 2 | IRDAI Annual Reports Official annual performance | Public | Year-wise annual reports with health insurance premium, claims paid, insurer-level and industry-level statistics, ratios, and regulatory commentary. | Strong official source for benchmarking and long-term trend analysis. | Download the latest annual report and the previous 3-5 years for trend tables. |
| 3 | IRDAI Handbook on Indian Insurance Statistics Insurance statistics | Public | Year-wise insurance statistics. The IRDAI page lists the 2024-25 handbook and earlier editions. | Very useful for health insurance market size, claims, premium, product mix, and industry trend analysis. | Use the latest handbook as the main market-statistics source. |
| 4 | IRDAI Claims Page Claims reports | Public | Claims-related downloadable files under IRDAI Reports & Statistics. Some visible files are life death-claim workbooks. | Useful as an official navigation point for claim statistics and downloadable files. | Check whether new health/general claims files are added over time. |
| 5 | IRDAI Public Disclosures - General and Health Insurers Company-wise disclosures | Public | IRDAI lists insurer-wise public disclosure links for general and health insurers such as Acko, Aditya Birla Health, HDFC ERGO, ICICI Lombard, Niva Bupa, and others. | Useful for company-wise claim settlement information, financial disclosures, solvency, and public-disclosure reports. | Build an insurer disclosure tracker from the listed insurer URLs. |
| 6 | data.gov.in - Health Insurance Claims Amount Disbursed Open government dataset | Public search | Company-wise aggregated data on claims amount disbursed under health insurance business by general and health insurers, if available through the portal search. | Direct public dataset for insurer-wise aggregated claim amounts, useful for demo dashboards and benchmarking. | Search the exact title on data.gov.in and download CSV/API output when available. |
| 7 | NHA / PM-JAY Public Dashboard Government health scheme dashboard | Public dashboard | Ayushman cards, authorized hospital admissions, empanelled hospitals, and state/UT dashboard indicators. | Useful for benchmarking government health scheme claims and hospital admission trends. | Use dashboard views for high-level indicators and screenshots; use data.gov.in for downloadable PM-JAY datasets. |
| 8 | data.gov.in - PM-JAY Claims Submitted, Paid and Pending Open government dataset | Public search | State/UT and district-wise PM-JAY claims submitted, paid, and pending datasets when listed on the portal. | Useful for state-wise and district-level claim-count benchmarking. | Download CSV/API output for state and district datasets after confirming the latest record on data.gov.in. |
| 9 | Synthetic Indian Health Claims Dataset Internal modelling dataset | To be created | A safe demo dataset with disease, claim type, hospital tier, city, room rent cap, co-pay, deductions, cashless/reimbursement flag, maternity, daycare, pre/post hospitalization, and settlement amount. | Best starting point for model training demos, product testing, dashboards, and claims-audit prototypes without exposing real patient data. | Create this after deciding dashboard columns and analysis goals. |
Reports
Priority downloads and reading list.
IRDAI Handbook on Indian Insurance Statistics
The page lists the 2024-25 handbook and earlier editions.
IRDAI Claims
Official claim-related files under Reports & Statistics.
EIOPA Generative AI Market Survey
Primary source used in the AI benefits article.
NAIC Artificial Intelligence Topic Page
U.S. insurance AI principles, surveys, and model governance references.
EU AI Act
Relevant because life and health insurance risk assessment/pricing can be high-risk AI in the EU.
Analysis Plan
How BenefitNest can use this data next.
Once you decide the direction, this can become a dashboard for claim ratios, settlement timing, insurer comparisons, PM-JAY state patterns, hospital-cost benchmarks, and synthetic claim simulations.
- Collect yearly IRDAI premium and claims numbers.
- Track insurer public-disclosure links and claim metrics.
- Build a synthetic Indian health claims dataset for safe demos.
- Compare private health insurance trends with PM-JAY indicators.