Business Insurance

Employee Group Coverage, Medical, Accident & Life

Comprehensive group employee benefits programmes covering Group Medical Coverage (GMC), Group Personal Accident (GPA) and Group Term Life Insurance (GTLI). Structured to meet ESIC exemption requirements, CTC mandates and sector-specific obligations.

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Three Pillars of Cover

Group Medical Coverage

Cashless hospitalisation for employees

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Group Personal Accident

24-hour accidental death & disability

Group Term Life

Lump-sum life cover for employee families

ESIC Exempt Structures

GMC + GPA + GTLI All Three Lines

18+ Lines of Cover

6h Claims Response

Coverage

Three Pillars of Employee Coverage

A complete group benefits programme addresses health, accident and life risks in a single co-ordinated programme, managed through one advisor relationship.

Group Medical Coverage (GMC)

Health insurance for employees & dependants

Cashless Hospitalisation, Employees and dependants can avail cashless treatment at network hospitals across India without upfront payment.

Pre & Post Hospitalisation, Medical expenses 30 days before and 60 days after hospitalisation are covered under the policy.

Day Care Procedures, Over 150 day care procedures requiring less than 24-hour hospitalisation are covered without overnight admission.

Maternity Benefits, Optional maternity cover for normal and caesarean deliveries, with waiting period waivers for corporate groups.

New Born Cover, Newborn babies are typically covered from day one of birth under corporate GMC policies.

Pre-existing Conditions, For corporate group policies, pre-existing condition waiting periods are typically waived from day one.

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Group Personal Accident (GPA)

24/7 worldwide accidental cover

Accidental Death, 100% of sum insured paid to the nominee in case of death due to an accident.

Permanent Total Disablement, 100% of sum insured for injuries resulting in permanent and total loss of earning capacity.

Permanent Partial Disablement, Proportionate compensation as per the policy schedule for partial permanent injuries.

Temporary Total Disablement, Weekly benefit (typically 1% of capital sum per week) during the period of temporary incapacity.

Medical Expenses, Reimbursement of hospitalisation costs arising from an accidental injury (optional extension).

Worldwide 24/7 Cover, GPA policies cover accidents globally, 24 hours a day, both during work and outside working hours.

Group Term Life (GTLI)

Life cover for all causes of death

Death Benefit, Lump-sum payment to the employee's nominated family member on death, whether by accident or natural causes.

Flexible Sum Insured, Cover can be structured as a flat amount, a multiple of annual salary or on a graded basis by seniority level.

Natural & Accidental Cover, Unlike GPA which covers only accidents, GTLI covers all causes of death including illness and natural causes.

No Medical Examination, For groups above a minimum threshold (typically 25 lives), cover is granted without individual medical underwriting.

Group Benefits Specialists

Advisory Approach

Building a Group Benefits Programme That Works

A group benefits programme is not a statutory checkbox, it is a significant operating cost that directly affects talent retention, recruitment competitiveness and employee wellbeing. We structure programmes that deliver genuine value to employees, meet regulatory thresholds and remain cost-efficient over the long term.

We benchmark your GMC structure against ESIC exemption thresholds to ensure your corporate policy qualifies, covering the employee, spouse, children and dependent parents.

We design GPA and GTLI on a salary-multiple basis aligned with your HR policy, with graded benefit structures for management and non-management grades.

At renewal, we re-tender across health and life insurers to ensure you are not on auto-renewal terms that have drifted above market rate.

Target Clients

Who Needs a Group Benefits Programme

Any employer with a workforce, from growing SMEs to large manufacturing corporates, benefits from a structured group coverage programme.

IT & Technology Companies

Mandatory health insurance for employees is required for ESIC exemption; GPA and GTLI complete the standard IT sector benefits package.

Manufacturing Employers

Workers' compensation and group accident cover are often required under factory and labour law compliance frameworks.

BPO & ITES Sector

Round-the-clock operations and high attrition environments require robust GMC with maternity, dental and vision extensions.

NBFC & Financial Services

Regulatory and HR policy requirements for GMC plus D&O liability integration for senior management grades.

Construction Companies

GPA cover for site workers aligns with project-specific requirements and principal employer obligations across sites.

SMEs Scaling Up

Growing businesses transitioning from individual to group health plans benefit from pooling effects and better premium terms.

Our Process

How We Build Your Group Benefits Programme

From needs analysis to annual renewal re-tendering, a structured process that keeps your group programme competitive and compliant every year.

Needs Analysis & Benchmarking

We assess your current benefits structure, headcount, wage bands, ESIC status and claims history to design the right GMC, GPA and GTLI programme.

Market Placement & Negotiation

We approach health insurers and life insurers separately to obtain the best terms for each line, then present a consolidated recommendation.

Enrolment & Ongoing Management

We manage employee enrolment, endorsements for joiners/leavers, cashless pre-authorisations, TPA co-ordination and annual renewal re-tendering.

Key Benefits

What Sets Our Group Programme Apart

One relationship, three lines of cover, ESIC compliance and annual re-tendering, the fundamentals of an effective group benefits strategy.

Single Advisor, All Three Lines

GMC, GPA and GTLI are arranged and managed through one advisor relationship, one renewal calendar and one point of claims contact.

ESIC Exemption Compliance

We structure GMC programmes to satisfy ESIC exemption conditions, including the requirement to cover spouses, children and dependent parents.

Premium Benchmarking

We re-tender your group health programme annually, ensuring renewal terms reflect your claims experience and current market pricing, not insurer auto-renewal assumptions.

TPA Co-ordination

We manage your relationship with the third-party administrator, resolve pre-authorisation disputes and escalate cashless denials where cover clearly applies.

FAQ

Frequently Asked Questions

Common questions about group medical, accident and life cover in India, answered plainly.

Most insurers require a minimum of 7 lives for a Group Medical Coverage policy and 10 lives for Group Term Life. Some specialist health insurers accept smaller groups. We can source cover for groups as small as 5 employees, though premium rates will be higher than for larger pools.

Yes. Standard GMC coverage includes the employee plus spouse and up to 2-3 dependent children. Dependent parents can be added as an extension, though at a higher premium. For ESIC exemption, the policy must cover at least the employee, spouse and dependent children.

Sum insured per employee depends on employee grade and salary band. We typically recommend ₹3 lakh for entry-level, ₹5 lakh for mid-management and ₹7.5-10 lakh for senior management, with parental cover at a separate sum insured.

Individual employees can port their GMC cover to an individual health policy within 30 days of leaving employment, without medical underwriting, under IRDAI portability guidelines. We co-ordinate this process for departing employees.

For corporate group policies with 50+ members, insurers typically waive the standard 3-year waiting period for pre-existing conditions from day one of the policy. For smaller groups, some exclusions may apply in the first year.

Ready to benchmark your group benefits?

We will review your current GMC, GPA and GTLI structure and identify cost savings and coverage gaps at no charge.

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