Structuring a group health insurance plan for the employees needs a lot of groundwork. As any HR manager dealing with the subject quickly discovers, there is no template for designing or running the perfect employee health insurance plan.
In 2019, Neelam Vohra filed a claim with National Insurance Company for ₹5.4 Lakh to cover a knee replacement surgery at a network hospital. Shockingly, the insurer approved only ₹2.2 Lakh, citing R&C charges as the reason for deducting the remaining ₹3.19 Lakh. In February 2023, Mayur Parmar underwent cataract surgery in Vadodara and submitted […]
As many as 43% of insurance policyholders had difficulties processing their health insurance claims in the past three years, says a survey, by localcircles.com, a social media platform for communities, governance, and urban daily life. That is why a Third Party Administrator (TPA) for processing health insurance claims is extremely essential. However, while TPAs have […]
Group health insurance compensates the employees in case of hospitalization due to illness or accident. Group health insurance would be given to a group for which the premium would be paid by the employer of the group. Group health insurance is usually taken by employers to cover their employees as a part of employee benefits. […]
The importance of a health insurance plan is not unknown. As a start-up owner, one of the biggest questions you might be tackling is whether or not you should offer health insurance cover to your employees. A group health insurance plan, is a health insurance coverage offered to people working in the same organization. This […]
Group health insurance is a type of health insurance policy that covers the hospitalization expenses of a group of members under a single master policy in return for a nominal amount known as Premium. The group health insurance policy is usually taken by an employer for their employees and the premium is paid by the […]
Group health insurance policy is a type of health insurance policy under which the hospitalization expenses of the insured member are covered up to the sum insured mentioned under the policy. Group health insurance policy is usually taken by organizations to provide health insurance cover to their employees working in the organization. Do look at […]
Group health insurance claim is the claim raised by the members of the group health insurance policy. The claim under group health insurance policy can be raised on a cashless basis or reimbursement basis. In case of cashless claim settlement, the insurance company would directly settle the claim with the hospital whereas in case of […]
Group health insurance is a customized health insurance policy in which the coverage can be customized as per the needs and requirements of the customer. Group health insurance policy covers the hospitalization expenses of the members due to any illness or disease as mentioned in the policy copy. The premium of the group health insurance […]
It is important to know whether the group mediclaim policy for parents is available in your organization. Parents’ health insurance premiums would depend on the age of the parents and the coverage required. Parents can be added at any point of time during the policy period. The premium can be paid by the employer or the employee.
As an owner of a company with 1000+ employees, you must be paying huge amount of premiums for your group health insurance. But what if we told you that there’s a way in which it can be reduced? You can do this by making the health insurance part of your employee benefits and even consider […]
It’s an acknowledged fact that hiring for a start-up is a challenge that every entrepreneur’s (especially first-time ones’) headache is centered around. Attracting a settled and performing individual to leave all behind and jump ship (more like jump ship to the boat) is hard enough. Fortunately, there are means and instruments, such as group health […]
Covid can easily be considered a watershed moment in the Human Resource landscape. Remote work took precedence, staring death in the eyes made people realign priorities. Work was no longer the nucleus around which peoples’ lives revolved. HR Managers had to alter strategies fundamentally to attract and retain talent. Employee Benefits Insurance formed one such […]
When it comes to group health insurance premiums, the Indian market is extremely competitive. The market used to be driven by expiring premiums alone, but those days are long gone. Those were the hay days for Organizations because risk transfer was cheap. But as costs started spiralling, Insurers started getting prudent about underwriting. Today, underwriting […]
India’s healthcare system, while vast, faces challenges like affordability, accessibility, and efficiency. Artificial intelligence (AI) emerges as a potential game-changer, transforming the health insurance landscape in exciting ways. From fraud detection to personalized medicine, let’s explore how AI is reshaping the industry: Smarter and Faster Underwriting Niva Bupa, one of the larger Stand Alone Health […]
Compensation vs Benefits Compensation refers to the monetary consideration an employer provides employees in return for their work and contributions to the organization. The pre-agreed-upon remuneration forms part of an employee’s total cost to the company (CTC). Forms of Compensation Employee compensation generally includes the basic pay or salary. However, it may also encompass various […]
Group health insurance is very important for businesses, and one should be careful and mindful while selecting the provider for group health insurance. All insurance companies offer group health insurance, which one can take directly from them or through an intermediary. It is important to consider certain things before selecting the group health insurance provider, […]
Group Health Insurance Group health insurance for large companies can be an essential element of their employee benefits package and would benefit employees tremendously. Such policies cover hospitalization expenses incurred during an accident, illness or disease covered under their policy period – this ensures no surprise bills. Group health insurance premiums may be paid either […]
Group health insurance is a customized policy that can be designed per the insured customer’s needs and requirements. Still, the offerings vary from one insurance company to another. For instance, one insurance company might cover the robotic treatments, whereas the others might have it under exclusions. The basic covers such as sum insured, in-patient/out-patient/daycare hospitalization […]
Businesses would often be confused when deciding the health insurance for their employees. It would be difficult to decide whether to go with group health insurance or individual health insurance. Group health insurance has certain benefits, such as customization of policy, one policy for all, no sub-limits, no co-payments, no restriction on the number of […]
Group health insurance increases employee wellness and productivity to a certain extent while keeping the other factors constant. Employee productivity cannot be measured directly as it involves many factors contributing to an employee’s productivity. These factors could be organizational culture, perks and salary benefits, job role, team cohesion, reporting supervisor, and employee benefits such as […]
Group health insurance has several benefits, such as health insurance coverage in case of accidents, illness or diseases, daily cash benefits, coverage of organ donor expenses etc. In addition to these basic benefits, a group health insurance policy would also provide an additional advantage to the employers in the form of increased employee retention, new […]
Group Health Insurance The group health insurance policy is intended to pay for the medical costs of the insured in cases that they require hospitalization because of injuries, illness, or ailment within the period of the policy. You are covered up to your sum insured mentioned under the policy. Group health insurance is usually taken […]
There are numerous costs involved in conducting business in India. These include startup costs, sunk costs, and employee expenditures such as salaries, employee benefits etc. The major costs apart from the initial investment would be the operational and employee benefits costs. Any business would like to reduce its costs in one way or the other […]
Group health insurance covers the hospitalization expenses of the insured members in case of illness, disease or an accident up to the sum insured limit mentioned under the plan. In addition to basic hospitalization, the policy also covers daycare expenses, expenses incurred on alternative treatments, organ donor expenses, outpatient expenses etc. These benefits are advertised […]
Group Health Insurance covers the medical expenses of the insured members up to the sum insured mentioned under the plan in return for a premium amount that the insured customer pays. Group health insurance can be classified as employee-employer and non-employee-employer. Most group health insurance plans belong to the employee-employer segment, where the employer would […]
Group health insurance provides health insurance coverage for all the members insured under a single policy. The employer generally pays the premium for Group health insurance. Small-scale businesses form the foundation of our economy because they offer local jobs, thus contributing to our local economies. Of late, there has been a renewed thrust towards developing […]
A group health insurance policy covers a group of people under a single policy removing the need to take individual policies, in simple words group health insurance policy is a master policy which has the details of all the insured members. It is beneficial for customers to take group health insurance from an insurance broker […]
A group super top-up plan is a type of health insurance plan which can be taken in addition to the base group health insurance plan at the lowest possible premium. Cheap group health insurance in India is available online from Ethika insurance broking here.
Room rent in group health insurance is the per-day room charges or bed charges the hospital charges the insured patient in case of hospitalization.
In health insurance, a cash deposit balance account is like a bank account where the insured can put his premium money. This money will be used in the future to cover employees’ health insurance costs.
To switch from ESI to group health insurance, you need to enroll in the ESIC scheme twice a year and go through the group health insurance purchase process once a year. The minimum requirement of group health insurance is 7 lives, which is less than that of ESI.
The insurance company acts as an intermediary between a group of people who would like to hedge their risk by taking the insurance and paying the premium. A health insurance policy should be taken by healthy people as well as unhealthy people so that the loss ratio could be maintained by the insurance company.
In developed countries such as America, Canada, and Europe most employees check the health insurance coverage offered by the employer before deciding on joining. When a company has the best group health insurance plan that its competitors don’t have, it will be able to keep more of its employees.
The group health insurance voluntary top-up option is one such way in which insurance companies provide flexibility in their group plans. Earlier, group plans used to be highly rigid and one-size-fits. However, these days, insurance plans have become much more sophisticated and better at solving the needs of users.
Group health insurance is slowly becoming a necessity for most companies, regardless of size. The rising cost of healthcare makes it even more important. Every company needs to look after its employees, and purchasing group health insurance is more cost-effective than asking employees to avail of their own individual health plans. The good news is […]
In this article, we’ll discuss five of the best reasons to buy group health insurance for your company:
Different types of companies have different needs from their group health insurance provider. As an IT services company, it can be confusing to find the right insurance product that meets all your needs. This can be especially difficult since there are so many insurance products to choose from. However, with the right guidance, the process […]
Purchasing group health insurance for your employees can be a complicated process. Every company is unique and its requirements and needs are different. The health insurance needs of a white-collar advertising company will be different from a primarily blue-collar manufacturing company. If you run a manufacturing company, then there are certain key aspects that you […]
The higher the risk associated with an insurance policy, the higher the premium that the insurance company will charge. For example, the premium of health insurance for a twenty-year-old will be much less than the health insurance premium for a sixty-year-old. This is because the chances of a twenty-year-old contracting a serious illness are much […]
Group health insurance refers to health insurance that can be availed by a company for its employees. Group health insurance plans can have several advantages over personal health insurance plans. Further, providing group health insurance to employees can also benefit a company in a variety of ways. Nowadays, almost every company is getting on the […]
The insurance industry has a lot of jargon that people need to know about. These terms are commonly used by industry insiders, however, most people outside the industry don’t know what it means. If you’re looking for group health insurance, then you should know about the following group health insurance glossary before deciding on a […]
Every type of company has its own requirements when it comes to health insurance. Some companies are relatively high risk when compared to other companies. A high-risk company is a company whose employees operate under less safe working conditions when compared to other companies. A construction company is considered to be relatively high-risk because accidents […]
Before you choose a group health insurance for your company, it is important to research the difference between insurance policies. Insurance policy documents contain several technical terms that a policyholder needs to understand. Two commonly used terms are “sum insured” and “sum assured”. Understanding what the two are and the difference between sum insurance and […]
As the name suggests, a group health insurance policy is a policy that covers several people. A group health insurance policy can be availed by companies for their employees or by organizations for their members. Usually, companies offer health insurance to their employees as one of the perks and benefits of working with them. Group […]
A group health insurance policy can be availed by companies for their employees. It is one of the most common benefits offered by corporates to their staff. Availing of a group policy has several benefits and advantages which are not available in an individual or family policy. The corporate buffer is one such benefit. In […]
Group health insurance is usually provided by companies as a benefit of employment to employees. Depending on the company, the employees may pay a discounted rate for their insurance or get health insurance completely free of cost from their employer. After opting for group health insurance, companies and employers can have several questions about how […]
Before opting for a group health insurance policy, employers need to be aware of and familiar with the terms and conditions of the policy. There are several details in a policy which may seem minor but can have far-reaching consequences. It is better to go through the policy document carefully so that there are no […]
An insurance policy is not set in stone. There are several circumstances in which the terms and conditions of an insurance policy may need to be changed. Some of the reasons may include a change in the relationship between the proposer and the insured, a change in the details of the nominee, an addition or […]
As an employer, you may be considering offering a group health insurance to your employees as a benefit. Why is group health insurance important? There are several advantages of offering group health insurance such as better employee retention, higher goodwill in the market, improved productivity of employees, and so on. A group health insurance is […]
If you’re a company, start-up, small business, or large organization of any kind, it is important to consider opting for group health insurance. A group health insurance, as the name suggests, is a health insurance policy that covers several people together. Hence, the entire staff or members of an organization can be covered within a […]
A group health insurance policy compensates the members up to the sum insured limit mentioned under the policy in case of hospitalization due to an accident, illness, or disease. A group health insurance policy is usually taken out by the employer for his or her employees to provide health insurance coverage in case of hospitalization. […]
Group health insurance plans can be canceled due to various reasons from the customer’s end as well as the insurance company’s end. Group health insurance cancellation can be done during the free look period, for which the insurance company would pay the complete refund of premium subject to nil claims before the cancellation of the […]
Cashless health insurance is a type of health insurance claim settlement facility provided by the health insurance companies in which the health insurance claims would be settled directly to the hospitals without any customer intervention. The claim amount would be paid directly to the hospital in which the insured is getting treated. A cashless claim […]
What is Group Health Insurance? Group health insurance is a type of health insurance policy that provides health insurance coverage to a group of members under a single policy. The policy compensates the insured members of the policy up to the sum insured limit mentioned under the policy in return for a premium amount. Group […]
Group health insurance cancellation letter is the letter written to the insurance company to cancel your group health insurance policy due to any of the reasons whatsoever. The group health insurance cancellation sample letter format is provided in this article for ready reference. The same format can be used to write the group health insurance […]
Group health insurance compensates the hospitalization and other related expenses of the insured members up to the limit mentioned under the policy terms and conditions in return for an amount known as premium. The premium under the group health insurance policy is mostly paid by the employer and employee gets to avail of the health […]
Group health insurance is the best form of providing health insurance coverage to employees by any employer. The group health insurance policy would be taken by the employer of the organization to provide health insurance coverage to their employees in case of hospitalization due to the illness, disease or accidents. The maximum liability of the […]
Group health insurance is the most preferred form of health insurance policy among employers as a single policy would cover all their employees. The group health insurance policy can also be extended to cover the family members of the employees. The sum insured under the group health insurance can be offered on a floater basis […]
Group medical insurance is a form of health insurance taken by a group of members under a single master policy. The group medical insurance would compensate the members in case of any hospitalization due to illness or disease up to the limit mentioned under the policy. The eligibility for group health insurance differs from one […]
Look at the this comparison that will help you understand the difference between group and retail health insurance.
Ravi Kumar, an IT professional in his late forties walked into the office of a general insurer. He was not happy with the way his current insurer had treated his health claim; they had kept dilly-dallying the processing for a couple of months, asking for additional documents every time he submitted the previous ones, and […]
Psychometrics refers to the field of psychology devoted to testing, measurement, assessment and related activities. Psychometric testing in psychology assists doctors in evaluating a patient’s learning, social, behavioral, and personality development. The results of the tests can help in treatment of the psychometric conditions of the patients. Psychometric treatment is the treatment for mental illness […]
Surgery insurance coverage is a health insurance plan that covers the medical expenses of surgery. It is also known as operation insurance, which covers the cost Surgeries Covered Under Group Health Insuranceof surgical procedures required for the treatment of a medical condition or illness. Surgery is a medical or dental specialty that uses operative manual […]
Sinusitis is a condition in which the cavity around the nasal passage becomes inflated. Sinusitis is caused due to inflammation or swelling of the tissue lining the sinuses. Sinuses are the hollow spaces within the bones between the eyes, and behind the cheekbones in the forehead. These sinuses make mucus which helps in keeping the […]
Health Insurance Portability:: Health insurance porting refers to the process of switching the health insurance policy from one insurance company to another without losing the accrued benefits such as waiting period credit, no claim bonus, free medical check-ups etc. Health insurance porting provides the customers with freedom to switch to a better insurance company in […]
Group health insurance can be defined as a health insurance policy that provides financial compensation to the insured in case of hospitalization due to any of the illness or disease mentioned in the policy in return for a nominal amount known as a premium. The premium can be paid in one go or in installments. […]
Health insurance is an agreement between the insurance company and the insured customer in which the insurance company agrees to settle the hospital bills of the insured customer up to the sum insured limit mentioned in the policy, in return for a nominal amount known as Premium. Insurance companies provide the insured customer with health […]
Group health insurance offers health insurance coverage to a group of members under a single master health insurance policy, usually a group of employees of an organization. Group health insurance providers cashless or reimbursement claim settlement facility to the members of the policy in case of hospitalization due to any illness or disease. The major […]
Group health insurance policy provides insurance protection to the employees of an organization enrolled under the same group health insurance policy. The medical checkup is a medical examination in the prospective applicant is required to undergo to provide an understanding to the insurance company regarding the acceptance of risk. A pre-policy medical checkup is a […]
Group health insurance is a type of health insurance policy that covers the hospitalization and other related expenses of the insured members of the policy in return for a premium amount. Most of the group health insurance policies are taken by the employers to cover their employees working in their organization. Organizations provide group health […]
Do you still use telegrams when you need to deliver urgent messages? Do you use a bullock-cart pool to work? When was the last time you plugged in a cassette or backed up your laptop on floppy discs? Better still, how about a dial-up connection for all your internet needs? No no don’t worry I […]
Before we talk about Group Health Insurance for startups, let’s talk about existing times. This is both one of the best and, ironically, one of the worst times to be alive. Wealth and health are faltering and building up at alarming paces, uncertainty is widespread. But you know what else is widespread – the spirit […]
If you are looking for a group health insurance plan, we hope you have read our guide to the pros and cons of different types of health insurance plans available on the market today at Health Insurance Company (HIC).
Have you ever noticed how inadvertently the word ‘Group’ and all its applied implications, connotations, make such a huge part of our lives? No matter how you look at things whether you identify as an individualist or a conformist. We are all at the end of the day a part of something or the other […]
What, according to you, is the most valuable thing that is secured by banks? The answer surprisingly is “our Health”. Other than securing our valuables, banks also secure our health. But does this bank health insurance policy provide enough features and coverage? Let’s understand this, through a real-life incident that happened with Mr. Prateek and […]
With employment opportunities galore and an open war for talent, employers are trying to find innovative ways to win over the 60% of the population that is under the age of 25. Indian companies historically have provided employee benefits such as health coverage, leave benefits and statutory retirement programmes. These were fairly standard in old […]
Cost-cutting is a hard reality, especially in the post-pandemic era. As an employer, you want to do what is best for your employees while not losing sight of your company’s long-term goals. For your company to run smoothly and have a sustainable future, you must look at all possible ways to reduce your costs. Your […]
This is the most frequently asked question by startup founders. Though it is not mandatory to offer Group Health Insurance to the Employees for white-collar Employees, the organizations provide this as a benefit to the Employees as every other organization is doing so. Employees expect to get Health Insurance benefits from the Employer, as it […]
A Group Health Insurance policy is a single umbrella policy that is offered to Companies and covers the health insurance needs of their employees. Most often this policy is offered as a benefit to the Employees by the Employer. The policy can be extended to the Employees’ Spouses, Dependent children & Dependent Parents / In-laws […]
With rapid advancements in the field of medicine, every year, we see many new and modern methods of treatment being made available for the benefit of the people. Listed below are a few such Modern Treatment Methods: A. Uterine Artery Embolization and HIFU B. Balloon Sinuplasty C. Deep Brain stimulation D. Oral chemotherapy E. Immunotherapy- […]
Better alternatives for optional coverage in insurance policies: Term Life Insurance-Return of Premium policies:The return received as a survival benefit is less when compared to the return under FD for the same term for the extra premium paid under this policy. PA is covered as a rider in various policies: It is good to buy […]
Covering Employees’ Parents under group health insurance- 3 different cases The premium payable is decided based on many factors and the most important among those is the previous year’s claims. With people who are aged and with a pre-existing disease it is very natural that the frequency of claims will be high and most of […]
Framework for Structuring the Group Health Insurance Plan for your Employees Let’s see the basic point to consider when designing an efficient plan: Focus on preventive health checks: Healthy employees make for a healthy workplace. Timely health screenings of employees are important not just for the wellness of the employees but also for the growth […]
How to exercise claim control measures in group health insurance Group Health Insurance premiums in the Indian market are very competitive compared to the world market and have been driven more by prior year premiums than claims experience. As a result, organizations and employers have had a good ride, as they were able to pass […]
Finding a well-planned and comprehensive Employee Benefits Program for the employees can be a real challenge and that’s why insurance helps in designing a well-structured benefits program so that the right people continue to work for an organization. Furthermore, the whole customer experience in group health insurance or group mediclaim is driven by a triad […]