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If you are an employer in India and you plan to offer your employees health insurance, you will need to consult with an insurance professional. This is because several health insurance requirements must be met before the policy can be affected. 

This article post will take you through the most critical health insurance checklist that an employer in India needs to follow. We will also provide a link to a comprehensive guide on the topic so that you can learn more about all the details involved. Finally, we will also offer a tips section so that you can effectively prepare for this critical task. So whatever steps you need to take to make your health insurance policy a reality, read on for information on how to do it.

Health Insurance Checklist in India

Review your health insurance coverage to make sure you're fully protected. Ensure you know the eligibility requirements and any benefits included in the policy. If you notice any changes or updates that may be necessary, complete a Buyer's Checklist to make sure you're on track. Doing your homework will help ensure a smooth and seamless transition when it arrives. 

Individual or Family-Floater Policies 

Individual- Floater policies are India's most popular type of health insurance. They offer you a choice of benefits from different providers and are ideal for those who want flexibility. However, they come with higher premiums and should only be used by those who can afford them. Family-floater policies are also available but cover a larger family group and come with lower premiums than individual- floaters.

Coverage Amount (Sum Insured) 

One of the things to do when purchasing group insurance for your employees is to ascertain the coverage amount it offers. This will help in calculating how much premium you would have to pay. Once you know this, it's also essential to find out if there are any exclusions in the policy and list them accordingly. For example, if you're expecting an employee whose salary exceeds the sum insured limit, ensure they are covered by additional coverages such as income replacement or death benefits. The employer group insurance buyer's checklist can help prepare all required documents for submission smoothly and quickly - making life easier for both parties involved! 


The Extent of the Coverage 

Employers in India are legally obligated to offer group health insurance to their employees. The extent of the coverage is based on the employee's job classification and weekly working hours. Employees must enrol for the coverage and claim benefits from the employer's health insurance fund. Those who work beyond 48 hours a week are also required to register for mandatory extended health coverage under the National Health Insurance Scheme (NHIS). 

Cashless Health Cover 

Health insurance is an important decision, and it's even more crucial in the current healthcare landscape in India. If you need help buying health insurance or have questions about the different policies available, read for some helpful tips. The most crucial part of buying health insurance is having enough cash to settle any dues with the insurer immediately. This will help avoid hassles down the line and save time - since settlement processes usually take a few days at best. Additionally, make sure to compare various options before settling on one - this way, you'll be able to find a policy that meets your needs precisely. Last but not least, remember that changing plans during coverage periods might result in additional charges.

Waiting Period for Pre-Existing Conditions 

If you have had a health condition in the past, you will have to wait for a certain period before applying for group insurance. This waiting period varies from state to state, so it is essential to check with your insurance company. Make sure that all your medical records are up-to-date and that you have all the Paperwork ready for the application process. You can also consult an online health insurance quote tool to get an idea of how much your premiums would be 


Employees must register with the employer group insurance buyer's portal. This will help you get access to all the benefits and discounts that are available. Once registered, your employer will send you a checklist detailing all the medical expenses that can be claimed as a tax deduction. Keep a copy of this checklist handy so you can easily reference it when filing your health insurance claims. Apart from pre-paying deductible expenses, it is also advisable to ask your employer if any other additional expenses (such as co-pays) need to be paid in advance before treatment begins. By doing so, not only do you save yourself time and effort, but you also ensure smooth sailing during treatment! 


It is always essential to keep your buyer's checklist handy to avoid misunderstandings or disputes. The list includes a variety of exclusions that need to be considered, such as age, marital status, and health conditions. If you are unsure about exclusion on the checklist, it is best to get in touch with your employer for clarification first. If all else fails and there still seems to be a problem between you and the customer, consider getting legal support.


The reputation of the Insurer in the Industry 

When choosing an insurance provider, it is vital to ensure that the insurer has a good reputation and meets the necessary standards. It is also beneficial to gather as much information about the provider before making your decision. This can be done by checking their website, Twitter profile, Facebook page, and other social media outlets for relevant information. You can also ask friends or family members who have used them for references. It is also prudent to check if this particular insurer has a satisfactory financial history and regulatory compliance rating. Doing so will help you avoid any potential problems down the line. 

Network Hospitals 

Network hospitals are the best medical facilities in the world, and you must ensure that your hospital is on the list of approved network hospitals. By doing so, you can be assured of getting quality care from highly qualified doctors. You should ask your doctor to confirm that you have visited a network hospital and mention the name of this institution if there's any discrepancy in records later. 

Option to Enhance the Sum Insured 

If you are eligible for an enhanced sum insured, it is essential to check if this option meets your needs. Several products offer different benefits, such as increased cover limits or additional rider options. Once you have selected the right product and reviewed its terms and conditions, it's time to make copies of all relevant documents so that you can keep them safe in case anything happens. It is also beneficial to contact your insurance representative annually to ensure everything remains up-to-date and covers your specific needs. 


Are you looking to purchase health insurance in India? If so, you'll want to ensure that you follow the correct steps to ensure a smooth purchase process. In this blog post, we've outlined the most critical health insurance checklist you'll need to follow to buy health insurance in India. Read through this guide and prepare yourself for a smooth insurance buying experience.



Q. How does group health insurance impact employee retention and recruitment strategies in India?
A. Group health insurance significantly boosts employee retention and recruitment in India. Offering such a benefit demonstrates an employer's investment in their workforce's well-being, making the company more attractive to potential hires. Furthermore, it instills a sense of security among current employees, encouraging them to stay with the company long-term. This is particularly effective in India, where the job market is competitive, and employees highly value health benefits.

Q. What are the legal implications for Indian employers who fail to provide group health insurance?

A. Indian employers who neglect to provide group health insurance might face legal and financial consequences, depending on the industry and applicable laws. For certain sectors, offering health insurance is mandated by law, and failure to comply can result in penalties, fines, or legal action. Moreover, it could lead to dissatisfaction and potential disputes with employees, affecting the workplace's harmony and productivity.

Q. Can employees customize their coverage within a group health insurance plan to suit their individual or family needs?
A. In many group health insurance plans in India, there is some scope for employees to customize their coverage. This might include opting for additional riders or increased coverage amounts for an extra premium. Employers often work with insurance providers to offer flexible plans that cater to the diverse needs of their workforce, allowing for adjustments such as adding family members or selecting specific benefits that align with their health requirements. It's advisable for employees to discuss their needs with their HR department to understand the available options fully.