This post sets out to clarify the interpretation of family in group health insurance. It also examines the implications of extending medical insurance cover to the families of employees. Key Takeaways Legal vs. Emotional Ties: As shown in Jyoti’s case study, “living together” does not equate to “insurable interest.” Insurers follow strict legal definitions of […]
What are maternity benefits available in group health insurance plans?
Contrary to individual health policies, the following maternity benefits are available under the group health insurance plans: Age-related complications in delivery No waiting period for covering pregnancy Hypertension due to pregnancy and gestational diabetes Pre-existing diabetes or hypertension Higher chances of Cesarean delivery due to uterine inertia Miscarriage occurring in the 2nd or 3rd semester […]
Should You Include Dependent Parents of Employees in Group Health Insurance?
Allowing the inclusion of parents of employees under the group health insurance policy has its own advantages and disadvantages. While including them or not should entirely be your decision, understanding the implications will help make an informed decision. Advantages of Inclusion Disadvantages of Inclusion A great relief to the employees Increased claim rate Very few […]
Additional Benefits Should You Include in Your Group Health Insurance Policies?
To ensure the ‘good health’ of your business, it is necessary to take care of your employees ‘health. By offering group health insurance policies, you can take care of the rising medical expenses which otherwise could be a major brunt on the finances of your employees. While, most of the group health insurance policies offer […]
What are waiting periods in Individual and Group Health Insurance Policies?
In the context of health insurance, the waiting period refers to the time that must elapse before ailments listed in the policy can be covered. Here you will get to know about three types of waiting periods which are typically applicable to individual health insurance. Insurance companies often waive these off for group health insurance. […]
What Are Additional Benefits Available Under Group Health Insurance?
A group health insurance policy provides standard cover to employees of a firm or members associated with a group. The employer can bear the premium cost (in the case of employer-employee relation) or the group members jointly can do so. Top-up covers are available to an employee, which then makes it a contributory plan. This […]
The 5 Health Benefits That You Can Offer to Your Employees
Health care is the most important benefit that you can offer to your employees. Employees value health benefits and consider them the second-best thing next to monetary compensation. It gives the employer the added benefit of being able to employ and retain the best talent in the organization. Further, healthy employees drive the success of […]
Multiple individual plans or one group health plan?
Multiple individual plans or one group health plan? A group health insurance plan is an effective tool to increase employee motivation. Most employers avail of a single group mediclaim policy that covers all their employees. However, you could also opt for a different approach and have multiple individual insurance plans for employees. While such a […]
Capped expenses in group health insurance
Definition: In group health insurance, capping (or sub‑limits) refers to maximum limits on reimbursements for specific expense heads (e.g., room rent, ICU charges, procedures) within an employee’s annual coverage. Key Takeaways The “Pro-Rata” Trap: Room rent capping is the most critical clause. If your cap is ₹5,000 but you choose a room costing ₹7,000, the insurer […]
Group Health Insurance Explained
What is group health insurance? Group health insurance is a medical benefit plan offered to a group of people. However, this group can be of employees working in an organization or members of a society or an association. The plan also offers coverage to this group against hospitalization expenses for medical treatment. Medical insurance policy […]