“Happy employees are the foundation of a successful organization,” and to make the employees happier and safer, it is important to provide them with a good Group Health Insurance Policy. It provides health insurance coverage to the people who belong to the same community. For example-Employee-Employer, Bank-Customer, etc. Group Health Insurance helps to cover medical emergencies financially for the members of a company or an organisation, and housing societies. This insurance policy not only helps the members of the policy but also takes care of their family members financially. Health Insurance policies for employees not only help them in healthcare but also attract and retain the top talent in the organisation. In this blog, we know more about Group Health Insurance plans, their types, how they work, features, and key benefits, etc. So, what are you waiting for? Let’s get a full guide on the Best Group Health Insurance plans for Employees.
Types of Group Health Insurance in India:
Group Insurance Plans are usually provided by employers or organizations to take care of their employees or members. Here is a brief explanation of the various kinds of group health insurance available in India:
Group Health Insurance:
The most common type, this plan covers medical expenses like doctor visits, hospital stays, surgeries, and other treatments. It ensures that employees get the care they need without financial stress.
Group Term Life Insurance:
In the event that an employee dies, this gives the nominee or family a lump sum payment. Employers can economically provide basic life insurance.
Group Personal Accident Insurance:
Offers protection in case of accidental injuries or death, making it a useful add-on to the main health plan.
Group Travel Insurance:
Covers unexpected issues during work travel like medical emergencies, flight delays, or lost luggage.
Workmen’s Compensation Insurance:
Helps employees who suffer injuries or illnesses due to work-related incidents. It’s a must-have for physically demanding jobs.
Group Pension Scheme:
Supports long-term savings by allowing both the employer and employee to contribute regularly. It ensures financial stability after retirement.
Public Liability Insurance:
Protects the employer from legal costs if someone gets injured or harmed on company premises.
List of Group Health Insurance Companies:
The above-mentioned table gives you a clear idea of the various companies offering the Group Health Insurance for Employees:
| Group Health Insurers |
| Aditya Birla Group Health Insurance |
| Bajaj Allianz Group Health Insurance |
| Care Group Health Insurance |
| Digital Group Health Insurance |
| Future Generali |
| Royal Sundaram |
| SBI General Group Health Insurance |
| United Group Health Insurance |
Who Should Buy a Group Health Insurance Plan?
For Small Companies and New Startups
If you’ve just launched your startup and have a team of up to 15 people, you can still get group health insurance. It’s a fantastic method to save money on taxes and safeguard your staff. Worried about the cost? Don’t be, corporate health insurance plans can be tailored to match your budget and the size of your team.
For Medium-Sized Companies and Growing Startups
Your startup has grown and been around for a while; now’s the perfect time to offer health insurance. It not only keeps your team protected but also boosts morale and loyalty.
For Large Companies and Established Startups
If your company is growing or already has a large team (up to 100 people), offering health insurance is more than a perk; it’s expected. Covering your employees and their families with a good plan builds trust, shows professionalism, and strengthens your company’s reputation.
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Best Group Health Insurance Plans for Employees:
Here is a list of some Best Health Insurance Plans For Employees in 2025. Please have a look at it:
| Name of the Insurance Company | Claim Settlement | Network Hospitals |
| Aditya Birla Group | 94% | 6000 and above |
| Bajaj Allianz Group | 98% | 6500 and above |
| Care Health Insurance | 98.25% | 9500 and above |
| Cholamandalam MS General Insurance | 92% | 8100 and above |
| Digital Group Health Insurance | 96% | 5900 and above |
| ICICI Lombard Health Insurance | 94% | 9500 and above |
| Kotak Mihindra Group Health Insurance | 96% | 4800 and above |
| Magma HDI Health Insurance | 96% | 7000 and above |
| Manipal Signa Group Health Insurance | 90% | 6500 and above |
| Niva Bupa Group Health Insurance | 96% | 8500 and above |
How Group Health Insurance Works:
Group health insurance is pretty straightforward. A company or group leader purchases a group health insurance policy for all the employees or members of the group, based on the number of people that need coverage and the range of benefits required.
Once the policy is established, the employer ponies up a fixed part of the premium, and the other amount is deducted from the employees’ payroll each month. In some situations, the employer pays the entire premium cost so that employees can policy and get all the benefits with no cost to them!
Group health insurance makes healthcare more affordable and accessible to everyone in the group, and provides peace of mind and financial assistance when it’s most needed.
Key Features of Group Health Insurance Plans:
The Group Health Insurance Plans for Employees feature the following main elements:
- Preventive coverage
- Maternity costs
- Zero-cost claims
- Pre and post-patient support
- Terms and conditions tailored for you
- Daycare Procedures
- No waiting period
- Ambulance transport
- In-patient coverage
- Domiciliary Hospitalization- under the above section refers to the ‘hospital stay or convalescence of the patient, mainly owing to illness or serious injury.
Benefits of Group Health Insurance Plans:
Having a good group medical insurance program relates to more than just access to healthcare; it will strengthen your business in many ways. Some possible benefits of the Group Insurance Plans:
- Financial Protection: Unforeseen accidents, surgeries, and medical illnesses can leave you with unexpected medical bills. Group Health insurance can help cover those expenses and help you with the personal expenses of going through health issues.
- Attract and retain great talent: A solid health plan can make your company appear more attractive to potential employees and can retain your current employees longer.
- Improve employee productivity: Employees who feel safe in knowing they have health coverage can work with less stress and fewer sick days and be more productive.
- Tax benefits: When you pay premiums as an employer, the money you use can be claimed as a business expense that results in tax savings.
- Create a culture of caring: Providing health insurance can help ensure that employees feel supported by you as an employer. It can establish trust and loyalty and create a more positive workplace environment.
- Coverage for the entire family: A number of health insurance plans cover extensive expenses for hospitalization, serious illness, doctor visits, and more. In many comprehensive health insurance plans, they may even extend coverage for family members of employees.
Coverage under the Group Health Insurance For Employees:
- Illness-related hospitalization
- Daily Hospital Cash Cover
- Psychiatric Benefit
- Covered Critical Illness
- Accidental health admission
- Others – Organ donation expenses, infertility treatment, and bariatric surgeries are just a couple of the other available benefits.
All of this is provided under the Group Health Insurance for Employees.
Eligibility for Group Health Insurance:
To get a group health insurance plan, certain basic conditions need to be met. They are mentioned above:
- To start, the group must be a registered organization; the group could be a corporation, a professional association, a cooperative society, or, in general, any group of people with a common interest.
- Insurers usually require a minimum number of members, commonly 20, although there are some plans available for large groups starting at 5 people. Additionally, some insurers will allow family members to be added under one plan.
- There must be an actual employer-employee relationship, which requires a registered business and payroll records.
- Members should be between the ages of 18 and 65 years of age, and they must be residentially domiciled in India. A significant advantage of group plans is that they typically cover pre-existing health conditions from day one, and most individual plans will not cover pre-existing health conditions. Additionally, spouses and children can also be added depending on the plan.
These are some of the eligibility criteria to legally satisfy the employee or the employer to obtain the best Group Insurance Plan.
Documents required for Insurance Claim:
There are certain documents required for the claim settlement process of the Group Health Insurance that are mentioned above:
- Claim Form (Part A and B)
- Medical Reports
- Doctor’s Prescription
- Form filled with the doctor’s or hospital’s Signature
- Hospital Bills
- Police report summary in case of an Accident
- Discharge Report
- Valid ID Proof (Aadhar Card, Pan Card)
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Factors to be Considered While Purchasing the Group Health Insurance Plan:
Health insurance is a valuable employee benefit a company can provide; however, in order to maximize the value of the health insurance plan selection does require some consideration is required. Here are a few considerations one should think about before choosing a policy:
1. Meaningful Benefits:
The entire purpose of health insurance is to help your employees when they need it the most. So when selecting a plan, look for meaningful benefits (i.e., maternity cover, mental health support, annual checkups, etc.), not just those benefits that are easiest or least expensive to include in the policy.
Premium Cost:
Cost is a factor, but it’s not the only factor. Look beyond the premium payment when determining the plan. Rather than go straight for the lowest premium available, check what you are getting for the premium. In some instances, paying a little more will provide your team with significantly better coverage options and comfort levels.
Easy Communication:
In the event of a medical emergency, clear communication with the insurance provider is essential. Choose a provider known for being responsive, helpful, and easy to work with.
Quality of Service:
A good insurer isn’t just a nuisance when it comes time to pay your claim. They manage your team’s care by employing care, patience, and professionalism. When comparing insurers, use their customer service reputation as the basis for your comparison and refrain from solely using the plans on offer.
Nationwide Coverage
Health emergencies do not wait for the right time or place. That is precisely why you must check if the insurance plan covers your employees in all parts of India, as well as how many network hospitals are available to your employees and in which cities your team is located.
Cost Saving Tips for Employees:
Here are some cost-saving tips for Employees that can help you choose the right health insurance plan:
- Pick the Right Plan: Select a group health plan that has a good balance of price and benefits. A basic plan may have an upfront lower price, but your employees may end up feeling dissatisfied or undercovered.
- Encourage Preventive Care: Promote wellness programs and regular check-ups to keep the team healthy. This gives employees a chance to identify issues early and can lead to fewer large claims under your insurance plan over time.
- Review Annually: Circumstances around your employees change, your employees’ needs change, and new plans come to market. This is why it makes sense to review your insurance policy annually and to make any necessary changes.
- Speak with Your Insurer: If your business has many employees or a positive claim history, don’t be afraid to negotiate. You can sometimes get better rates or plan benefits simply by having the discussion.
FAQs:
1. What is Group Health Insurance for Employees?
Group Health Insurance for Employees refers to the basic financial coverage for employees’ accidental, major illness needs provided by an organisation.
2. What is the age limit for Group Health Insurance?
Employees are covered up to the age of 65 years, and their children are covered up to the age of 25 years.
3. A group of how many employees are eligible for the Group Health Insurance?
A minimum of 20 employees is required for the Group Health Insurance.
4. Can an individual opt for the Group Health Insurance Plans?
No, an individual cannot opt for the Group Health Insurance plans.
