Structuring a Group Health policy depends on the structure of the organization. Small organizations; i.e. those consisting less than 50 employees, will have a very different set of hierarchy than that of a large organization comprised of 10,000 employees.

Depending on the homogeneity of the group members the organization may even have to purchase different policies for different work groups in the organization.
Employee compensation structure can follow any of the three approaches give below:

Group Insurance Policy

A Case of Structuring Group Insurance for Employees

Spectrum Inc., a large service sector company, has around 20,000 employees spread across multiple group businesses and various locations in India. They currently have a group health plan which is a single policy with same benefit structures across different departments and geographies. Since the organization has multiple structures for various departments and teams, Spectrum Inc. now wants to structure the group insurance policy differently for all teams.

The primary objective of this action is to strike a balance between the costs and motivation levels among the groups. Consulting with an advisor the company decides upon a new structure of offering group insurance policy:

  1. Technical Teams: Since most of the employees in this department have similar job profiles duties and benefits, the company uses a flat structure within these teams where all the staff gets the same kind of cover of Rs. 5 lakhs.
  2. Operational Teams: The company has structured a hierarchy type of group plan for these teams. So, while the junior executives get only Rs. 1 lakh cover, the senior managers getting Rs. 5 lakhs, with the top tier managers getting a health cover as high as Rs. 25 lakhs.
  3. Creative Teams: This team has a lot of part-time workers, and they are not included in the group health plan. The rest of team’s group health plan is structured in a uniform way where all the team members are getting a cover of Rs. 5 lakhs.

While the structuring process took a lot of time, deliberation, and consultation with good health care advisors, Spectrum Inc. now with the right kind of group plan structure is able to provide an appropriate health cover to employees without increasing the expenses. The company is also able to attract better talent to the enterprise. They have also managed to cut down costs by reducing the cover in smaller cities which do not require a very high cover.