Group Mediclaim: A Complete Guide for HR and Finance Teams

Group health insurance is one of the most valued employee benefits. Here's how to design, implement and manage an effective corporate group mediclaim policy.

Corporate Insurance
T Ramakrishna · COO, VIRAM Brokers7 min read · 5 October 2024

For HR and Finance teams, group mediclaim is often the biggest non-salary employee benefit they manage. Getting it right has a direct impact on employee satisfaction, retention and productivity.

Why Group Mediclaim Matters

A 2023 survey found that health insurance is the #1 most valued employee benefit across all age groups in India. Companies that offer strong health coverage see 35% lower attrition among insured employees.

Designing Your Group Policy

Setting the Right Sum Insured

₹3 lakhs per family is the minimum. Best-in-class employers offer ₹5–10 lakhs per employee + family. Consider the demographic of your workforce.

Including Dependents

Most policies allow employees to add spouse, children and sometimes parents. Whether the company pays for dependent cover or employees contribute is a design choice — both models work.

Maternity Coverage

Include maternity and newborn cover. This is a significant benefit for employees and a relatively small incremental cost at a group level.

Day Care Procedures

Ensure your policy covers 500+ day-care procedures — these are same-day treatments that don't need 24-hour admission but still cost significant money.

Managing the Policy

  • Conduct annual enrollment drives
  • Provide employees with clear benefit summaries
  • Set up a claims helpline (VIRAM provides dedicated support)
  • Conduct Y2 renewal review to adjust sum insured and coverage based on claims experience

VIRAM's Corporate Insurance Platform

We offer HR teams a dedicated online portal for:

  • Employee enrollment and endorsements
  • Real-time claim tracking
  • Policy documents on demand
  • Claims analysis reports

Contact our corporate team to set up a demo.

Group MediclaimCorporate InsuranceHR Benefits
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