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Sr. No Annexure No. Form No. Particulars
1 Annexure - 1 TPA - 1 Application for Grant of Fresh Certificate of Registration to TPA
2 Annexure - 3 TPA - 1A Format for Certificate of Registration
3 Annexure - 4 TPA - 2 Declaration and Undertaking with respect to fit and proper criteria
4 Annexure - 5 TPA - 3 Form for Intimation of appointment or change in Director, or Key Managerial Personnel.
5 Annexure - 6 TPA - 4 Application for issue of Duplicate Certificate of Registration.
6 Annexure - 7 TPA - 4A Format for Duplicate Certificate of Registration
7 Annexure - 8 TPA - 5 Application For Change In Shareholding Pattern
8 Annexure - 10 TPA - 6A Status of Shareholding Pattern of a TPA Company
9 Annexure - 12 TPA - 7 Application for Renewal of Certificate of Registration
10 Annexure - 14 TPA - 7A Format for Certificate of Renewal of TPA Registration
11 Annexure - 16 TPA - 8 Form for Annual Report by TPA and Schedule 1 to 7 under the said form TPA-8.
12 Annexure - 17 TPA - 6B Format for Quarterly and Cumulative Claims data for TPAs
13 Annexure - 18 TPA - 6C Annual Certificate in the matter of Working Capital and income of a TPA Company.
14 Annexure - 19 TPA - 6D Annual Declaration and Undertaking by a TPA Company
15 Annexure - 20 TPA - 6E Annual Form on Service Level Agreement Details
16 Annexure - 23 TPA – 6F Periodical returns - Half-yearly information on non-insurance health schemes
17 Annexure - 25 TPA - 6G Format for Half-yearly Information on services rendered in India or in foreign jurisdictions for policies issued by Indian Insurers
18 Annexure - 26 TPA - 6H Format for Half-yearly Information on health services rendered to foreign travel policies issued by Foreign Insurers
19 Annexure - 28 TPA - 9 Form for intimation of opening and closing of the branches or change in office address.