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Understanding Free Cover Limit in Group Insurance

When businesses consider offering benefits to their employees, group insurance schemes stand out for their role in enhancing employee welfare and satisfaction. A crucial yet often overlooked aspect of such schemes is the Free Cover Limit (FCL), a feature that simplifies the insurance process both for employers and employees. At, where the focus is on democratizing access to comprehensive insurance solutions, understanding the nuances of Free Cover Limit can empower businesses to make informed decisions about their group insurance policies.

The Free Cover Limit is essentially the maximum amount of cover provided to employees under a group insurance policy without the need for individual health assessments or medical evidence. This threshold is determined by the insurer based on factors like the size of the group, the overall risk profile, and the type of coverage being provided. For companies, this means a more streamlined enrolment process for their staff, reducing administrative burdens and making it easier to extend insurance benefits to the whole team.

This concept originated as a means to balance the insurer's risk while making insurance more accessible and hassle-free for large groups. In the context of Plum's offerings, where the emphasis is on ensuring the well-being of employees through products like group health insurance, understanding the Free Cover Limit is pivotal. It not only aids in attracting and retaining talent by offering substantial insurance benefits without the rigmarole of medical tests but also aligns with Plum's mission to provide health and financial security to millions.

How Does Free Cover Limit Work?

The Free Cover Limit works under a simple yet effective principle: it offers a specific level of insurance cover to all members of a group policy without requiring them to undergo medical examinations or provide any medical history. This feature is particularly beneficial for large groups where it's impractical to assess each individual's health status.

In practice, once an employer decides to purchase a group insurance policy from Plum, they agree on a Free Cover Limit with the insurer. This limit is set based on various criteria, including the nature of the business, the demographic profile of the employees, and the policy's total insured sum. If an employee's required coverage falls within this limit, they are automatically insured under the group policy, no questions asked. This expedited process significantly enhances the employee onboarding experience, making it seamless for companies to manage their benefits program.

Furthermore, the Free Cover Limit encourages higher participation rates in group insurance schemes, as it removes potential barriers for employees concerned about the insurance application process. For businesses, this means an increase in the perceived value of their benefits package, directly contributing to employee satisfaction and loyalty.


Benefits and Advantages of Free Cover Limit

The Free Cover Limit (FCL) in group insurance policies offers a myriad of benefits and advantages for both employers and employees, making it a key feature of comprehensive insurance plans like those provided by This aspect of group insurance significantly contributes to the attractiveness of an employer's benefits package, enhancing employee satisfaction and well-being.

For Employers:

  • Simplified Administration: The FCL facilitates a streamlined insurance enrolment process, significantly reducing paperwork and administrative overhead. By eliminating the need for individual medical assessments, companies can efficiently manage their employee benefits program.
  • Attract and Retain Talent: Offering a robust insurance package that includes an FCL can be a strong selling point in talent acquisition and retention strategies. It signals a commitment to employee welfare, making the company more attractive to current and prospective employees.
  • Enhanced Employee Well-being: By ensuring employees have access to insurance without the stress of medical underwriting, employers contribute positively to the overall well-being and financial security of their workforce.

For Employees:

  • Ease of Access: Employees benefit from the FCL as it grants them insurance coverage up to a certain limit without undergoing medical tests or providing detailed health histories, ensuring privacy and convenience.
  • Immediate Coverage: The FCL often allows for immediate coverage upon employment, offering peace of mind to employees who may otherwise be concerned about the waiting periods typically associated with individual insurance plans.
  • Inclusive Benefit: This feature is particularly advantageous for those who might have pre-existing conditions or health concerns that could otherwise complicate obtaining insurance coverage or result in higher premiums.

Comparison: Free Cover Limit vs Traditional Insurance Coverage

The FCL provides a distinct contrast to traditional insurance coverage mechanisms, particularly in how risk is assessed and managed.

  • Underwriting Process: Traditional insurance policies often require individual health assessments to determine eligibility and premium rates. In contrast, the FCL bypasses this need for group policy members, offering a predefined coverage limit without personal health scrutiny.
  • Coverage Speed and Ease: While traditional insurance can involve lengthy application processes, the FCL ensures immediate and hassle-free coverage for employees, enhancing the employee experience.
  • Cost-Effectiveness: For employers, the FCL can be more cost-effective than managing individual insurance policies. The collective bargaining power of group insurance often results in lower premiums for the coverage provided.


Maximizing the Benefits of Free Cover Limit

To fully leverage the advantages of the FCL, employers and HR managers should:

  • Communicate Clearly: Ensure employees understand the benefits and limits of their coverage. Clear communication can enhance the perceived value of the benefits package.
  • Review Regularly: Business needs and workforce demographics evolve. Regularly reviewing the FCL and coverage options with providers like Plum can ensure the benefits package remains competitive and meets the needs of the workforce.
  • Leverage Technology: Utilising digital platforms for benefits management can further streamline the enrolment and administration process, making it easier for employees to access and understand their benefits.

By integrating these strategies, companies can not only enhance the appeal of their insurance offerings but also bolster their position as employers of choice, committed to the welfare of their employees.


Q. What is no evidence limit?

A. The no evidence limit, also known as the Free Cover Limit (FCL), is the maximum coverage amount employees can receive under a group insurance policy without needing to provide medical evidence or undergo health assessments. This feature is designed to simplify the process of obtaining insurance coverage, making it more accessible and efficient for employees.

Q. What is the free cover level?

A. The free cover level is the predetermined limit up to which employees are automatically eligible for insurance coverage under a group policy, without the need for individual medical examinations. This level is set by the insurance provider and varies based on several factors, including the group's size and risk profile.

Q. How do you calculate free cover limit?

A. Calculating the free cover limit involves assessing various factors such as the size of the employee group, the nature of their employment, the company's industry, and historical claims data. Insurers, including those like Plum, use this information to establish a limit that balances the insurer's risk with the goal of providing comprehensive coverage.

Q. What is the FCL limit?

A. The FCL limit denotes the maximum insurance coverage amount that an employee can avail of under the Free Cover Limit, without the need to submit any medical documentation. This limit varies across different group insurance policies and insurers.

Q. What are the benefits of group term life insurance?

A. Group term life insurance in India offers several advantages, such as financial security for the beneficiaries of the insured employees in the event of their demise, a simplified and streamlined enrolment process, and more affordable premiums compared to individual life insurance policies. It plays a crucial role in enhancing employee benefits packages, contributing to employee satisfaction and loyalty.

Q. How Do I Value A Key Employee for Key Person Insurance Cover?

A. Valuing a key employee for Key Person Insurance cover involves evaluating their direct and indirect contributions to the company's profits, the costs associated with replacing them, and the potential financial impact on the company in their absence. This valuation can help determine the appropriate level of cover needed.

Q. How often do you need to re-enrol employees into a workplace pension?

A. The concept of automatic re-enrolment into workplace pensions is more applicable to countries like the UK. In India, similar concepts may apply to provident fund contributions, where employees are typically enrolled by their employers as part of the Employees' Provident Fund (EPF) scheme, a mandatory saving and social security measure for Indian workers.

Q. How is Group Critical Illness Insurance Taxed?

A. In India, the taxation of benefits from Group Critical Illness Insurance depends on the specific terms of the policy and the manner in which the payout is made. Generally, lump-sum payments received from such insurance policies are not taxable in the hands of the employee under Section 10(10D) of the Income Tax Act, 1961, provided certain conditions are met.