Group Health Insurance

Group health insurance is a type of health insurance plan that provides coverage to a specific group of people — usually employees of a company or members of an organization. Instead of individuals purchasing their own policies, the organization or employer arranges a single policy that covers all eligible members under one plan.

Key Features of Group Health Insurance:

Single Policy, Multiple People

  1. One policy covers all employees/members and sometimes their dependents (spouse, children, parents).

Lower Premiums

  1. The risk is spread across a large group, so premiums are usually cheaper compared to individual health insurance.

Employer Contribution

  1. Employers often pay a significant portion (sometimes 100%) of the premium, making it affordable for employees.

Comprehensive Coverage

  1. Covers hospitalization expenses, surgeries, maternity benefits, day-care procedures, pre & post-hospitalization, and more.
  2. Some plans also cover OPD (outpatient) expenses, annual health checkups, and wellness benefits.

No Medical Check-up Required (Mostly)

  1. Unlike individual policies, group plans typically don’t require medical tests for enrollment.

Tax Benefits

  1. Employers can claim tax deductions for premiums paid under Section 37(1) of the Income Tax Act (India).

Easy Portability

  1. Employees leaving the organization may be given an option to convert to an individual health policy.

Benefits for Employers

  1. Improves employee satisfaction and retention.

Enhances organizational goodwill

  1. Provides financial protection to employees in case of medical emergencies, reducing productivity loss.

Benefits for Employees

  1. Affordable or free health coverage.

Coverage for family members

  1. Immediate coverage from Day 1 (no waiting periods for pre-existing diseases in many plans).