
Meena’s Story – She Consented to Track Her Health. She Did Not Consent to Losing Her Insurance.
Meena is a 38-year-old marketing professional. Health-conscious, financially aware, and careful about her choices.
She uses a health tracking wearable — diligently logging her steps, sleep, heart rate, and diet. She consented to the health app processing this data to help her monitor her own wellbeing. That felt like a fair exchange.
What she did not know is that her health app shares data with an insurance aggregator platform. That aggregator’s AI model analyses her sleep patterns, exercise consistency, dietary choices, and heart rate variability — and produces a health risk score. When Meena applies for health insurance, she is offered a premium three times higher than her colleague who does not use a wearable.
She tracked her health to take care of herself. The algorithm used that data to price her out of coverage.
The consent problem — specific purpose, specific basis
The DPDP Act, 2023 draws a hard line on this. Section 6(1) requires consent to be specific — each processing purpose requires its own distinct consent. Meena consented to health monitoring for her personal wellness. She did not consent to health risk profiling for insurance underwriting by a third party.
The telemedicine app illustration in the DPDP Act itself makes this principle concrete: when a telemedicine app asks for consent to access the user’s mobile contact list along with health services consent, the Act declares that second element invalid because it is not necessary for the stated purpose. The principle extends directly to Meena’s situation — health data collected for personal monitoring cannot be repurposed for insurance risk scoring without a separate, specific consent for that distinct purpose.
Section 6(6) reinforces this: once consent is withdrawn, the Data Fiduciary must within a reasonable time cease — and cause its Data Processors to cease — processing that personal data. The insurance aggregator is a Data Processor. If Meena withdraws her consent from the health app, that cessation must cascade downstream.
The Puttaswamy warning — AI creates knowledge people never gave
The Supreme Court’s landmark judgment in Justice K.S. Puttaswamy (Retd.) vs Union of India (2018) contains a prescient warning, referenced in the project knowledge base: the creation of new knowledge complicates data privacy law as it involves information the individual did not possess and could not disclose, knowingly or otherwise.
Meena’s health risk score is new knowledge — created by the AI from her data, about her, that she never produced or shared. She shared step counts. The algorithm inferred cardiovascular risk. She shared sleep data. The algorithm inferred stress patterns. She shared dietary logs. The algorithm inferred metabolic risk. None of these inferences are what she consented to share. Yet each is personal data under Section 2(t) of the DPDP Act — data about an identifiable individual — and the creation and commercial use of that inferred data requires a valid processing basis.
The data security dimension — what the AI pipeline holds is a high-value target
IS Audit Module 6 of the ICAI IS Audit 3.0 Course identifies this clearly: most AI applications are based on massive volumes of data to learn and make intelligent decisions. Machine learning systems depend on data which is often sensitive and personal in nature. Due to this systematic learning, these ML systems can become prone to data breach and identity theft.
The aggregated health data pipeline that feeds Meena’s risk score — wearable data, app analytics, insurance scoring parameters — is not just a compliance liability. It is a high-value breach target. If that pipeline is compromised, the personal data of thousands of health-conscious users is exposed, along with the inferred health risk scores that the algorithm produced from it. Under Rule 6(1) of the DPDP Rules, every layer of this pipeline — encryption, access control, logs, breach detection — must be implemented. Under Rule 7, a breach must be reported to the Data Protection Board within 72 hours.
The CERT-In Guidelines on Secure Adoption and Governance of AI Systems (Version 1.0, 25 May 2026) specifically require organisations to ensure secure and compliant handling of data processed by AI systems — classifying and protecting sensitive data, defining retention and deletion policies, and monitoring AI-related data movement and third-party handling. A health data pipeline shared with an insurance aggregator, without documented data handling obligations, fails this standard.
What Meena is entitled to — and what the platform must build
Under Section 11 of the DPDP Act, Meena has the right to access a summary of all personal data being processed about her, and the identities of all Data Fiduciaries and Processors with whom it was shared. She has the right to know that her wearable data reached an insurance aggregator. She was never told.
Under Section 12, she has the right to request erasure of her personal data. That erasure must cascade to the aggregator. The health app cannot fulfil the erasure obligation without a contractual mechanism to cause downstream processors to delete as well — which Rule 6(1)(f) requires to be built into the Data Processor contract.
Under Section 13, she has the right to grieve the processing. The Data Fiduciary must respond within the prescribed period. If the platform cannot explain how her health data reached an insurance pricing model — it cannot respond to that grievance.
The question every health tech and insurtech organisation must answer
Does your data-sharing agreement with downstream AI platforms define, in writing, the specific purposes for which shared personal data may be used? Does it prohibit repurposing of health data for insurance risk scoring without separate user consent? Does it require the downstream processor to honour erasure requests? Does it include security safeguards aligned with Rule 6?
If the answer to any of these is no — Meena’s situation is not a story. It is your organisation’s next compliance exposure.
Series 2, Episode 1 — Post 3 of 3 | DPDP Meets Emerging Technologies.
Sources: DPDP Act 2023 (Sections 2(t), 6(1), 6(6), 8, 11, 12, 13) | DPDP Rules 2025 (Rules 6(1), 6(1)(f), 7) | ICAI IS Audit 3.0 Course Materials | CERT-In Guidelines on Secure Adoption and Governance of AI Systems (Version 1.0, 25 May 2026) | Justice K.S. Puttaswamy (Retd.) vs Union of India (2018)
Disclaimer
The contents of this post are intended for general awareness and informational purposes only. They do not constitute legal opinion, professional advice, consultancy, statutory interpretation, or a recommendation to act in any particular manner.
The Digital Personal Data Protection Act, 2023, related rules, notifications, regulatory guidance and judicial interpretations may evolve from time to time. The applicability of the law may also vary depending on the facts, sector, nature of data processing, organisational role, contractual terms and compliance framework.
Readers should not rely solely on this post for making legal, business, HR, technology, data-processing or compliance decisions. Specific advice from a qualified legal, privacy, cybersecurity, governance or compliance professional should be obtained before acting on any matter discussed.
The author / publisher shall not be responsible for any loss, liability, claim, penalty or consequence arising from reliance on the contents of this post without independent professional advice.
Authors:
This article has been co-authored by CA. Sunil Elayadath and CA. Karthik Narayanan S, Partners of Karthik & Sunil, together with Mr. Dhanesh P. K., Designated Partner, DSK Sustainability Tech.


