A free tool for founders & HR teams
Group health insurance premium calculator
Last reviewed:
Enter your team size, the family you’d cover and the sum insured for a rough annual premium and per-employee cost. It’s a quick starting point — for an exact figure, we’re one conversation away.
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Quick estimate
Estimate your group health insurance premium
Fill in the three boxes below to see an indicative annual premium and a per-employee cost. It’s a rough starting point — not a quote.
Indicative annual premium for your team (incl. 18% GST)
₹4,34,000 – ₹5,67,000
That’s about ₹8,700 – ₹11,300 per employee, per year (including any family added).
≈ ₹730 – ₹940 per employee, per month.
Before 18% GST: ₹3,68,000 – ₹4,81,000.
Of that, roughly — is for employees and — for family, per year.
This is a rough estimate, not a quote. It’s based on broad averages. Your real premium depends on your team’s ages, your claims history, your location and hospital network, the room-rent and other sub-limits, the family you cover and the insurer — so it can differ from the figure above. GST of 18% applies. For an exact, no-obligation number, talk to us.
Advanced: adjust the assumptions
These are the averages behind the estimate. Edit them to match Ethika’s own numbers — the result updates as you type.
Pricing
Claim frequency — % who claim per year
Average claim size at ₹5L cover (₹)
Cover multiplier — scales claim size by sum insured
20 minutes with a Growth Advisor. No obligation.
How this group health premium calculator works
The estimate works the way an insurer thinks about a group — it starts from how much the group is likely to claim, then builds a premium on top.
- Expected claims. For employees and any family you add, it multiplies how often people claim by the average claim size — then adds it all up for the year.
- From claims to premium. Claims are only part of a premium; the rest covers the insurer’s running costs. So the expected claims are scaled up to a premium (here, claims are taken as about three-quarters of it).
- GST. 18% GST is added to reach the all-in cost.
- Per employee. The all-in premium is divided by the number of employees to show a cost per head.
It shows a range rather than one exact figure on purpose — real pricing moves with the details below, so a band is more honest than a single number. Treat it as a ballpark, not a price.
Want the full picture of how group health cover is built, priced and run?
Read the group health insurance guide · Talk to us about your team
What affects your group health insurance premium
A real premium reflects your team and your policy — not just headcount. These are the things that move the number most, and why a calculator can only get you close.
- Age mix. Older teams claim more often and more heavily, so age is one of the biggest levers on price.
- Claims history. What your group has claimed before strongly shapes what you’ll pay at renewal.
- Who’s covered. Adding spouses, children and especially parents adds people who claim — parents usually add the most.
- Sum insured and sub-limits. Higher cover costs more; room-rent caps, co-pay and disease sub-limits all change the price for the same headline cover.
- Location and network. Hospital costs vary by city, and the hospital network you want affects the rate.
- Add-ons. Maternity, day-care, OPD and similar benefits each add to the premium.
- Group size. Larger groups usually get better per-head rates.
- The insurer. Two insurers can price the same team differently — which is where shopping the market matters.
Because any of these can swing the figure, two companies buying “the same” cover often pay very different premiums. That’s why a real quote always beats a rule of thumb — and why every estimate here ends with the same offer: talk to us for a number built around your team.
Questions, answered
How accurate is this group health insurance premium calculator?
How is the group health premium calculated?
Does the calculator include GST?
Does adding family members change the premium?
What sum insured should we choose?
Why is my actual quote different from this estimate?
Is my data saved when I use the calculator?
How many employees do we need for a group health policy?
The exact figure is a conversation, not a calculator
The tool above gets you a ballpark. What your company will actually pay depends on your team, your claims history and the cover you choose — and that’s a short conversation, not a form to fill in blind.
What happens when you talk to us
A 20-minute video call with a Growth Advisor — no obligation, and no quote pushed. It opens with a five-minute video from our founder on how the benefits stack works and why Ethika exists; the rest is your questions. You’ll leave with an honest read on your current cover and claims experience, and a straight answer on whether we can genuinely help — even if you never become a client.
20 minutes with a Growth Advisor. No obligation.
A note on this page. This calculator is general information and a rough estimate — not insurance, legal, financial or tax advice, and nothing on it is a quote or an offer of cover. The right policy for your organisation is determined through a conversation and the formal mandate process.
How the estimate is built. The figures use Ethika’s own indicative averages for claim frequency and claim size, a standard loss-ratio loading and 18% GST — applied with the burning-cost method described above. They are illustrative and insurer-agnostic.