Read more of your interests, read less insurance paperwork
Ditch the paperwork with Plum's group health insurance
Click here to know how Plum helps 3000+ HRs ➝

What happens to group health insurance when the policyholder dies?

When an employee dies, it can be difficult for the employer and the family. The employer needs to know their group health insurance policy to understand their coverage and what they are responsible for. This blog discusses how to check the policy document for death benefits and what the employer should do if an employee dies. By following these steps, the employer will be able to handle the situation smoothly and professionally.

How to check the insurance policy documents for death benefits 

It can be disheartening to deal with the death of an employee, but it's important to know what to do.

So what should you do in case a worker dies, or what happens to group health insurance when the policyholder dies?

First and foremost, reach out to the group health insurance provider. They will provide you with a policy document and instructions on how to claim benefits. The first step to do is to get in contact with the insurance provider, who will then provide you with the necessary paperwork. 

If you're lucky, the insurance provider may have already sent you all the necessary paperwork. If not, gather everything and make a claim as soon as possible. Following their instructions carefully will ensure the process is as smooth as possible. In the end, don't forget to take a moment to mourn the loss of your loved one and focus on taking care of yourself. 


Personal health insurance policy 

Individual health insurance policies are essential for employees and their dependents. Depending on the policy, it can list what benefits are available to family members, including children and parents. This could include medical expenses, dental care, etc. In case of an employee's death, beneficiaries would either be the employee's spouse or life partner (if there is no spousal relationship) or any children born during the marriage or partnership. 

If none of these people qualifies as beneficiaries under individual health insurance policy rules, money from the estate may still be payable in such a case if there is a death benefit in place on your policy document. It is always best to consult your insurer before making any decisions about this insurance coverage.

Family floater health policy

Employers can provide a family floater health plan that covers employees and their families. The policy should be approved by the employee's insurer, include coverage for funeral expenses, medical expenses and lost wages, and must be kept in case of future disputes. Make sure you have a copy of the policy document just in case something happens - an unexpected illness or claim may leave you without cover. 

Group medical health insurance plan

Group health insurance policies can help cover the medical expenses of an employee and their family members in the event of hospitalization or death. It is essential to contact the insurance company as soon as possible to begin a claim process, as this will outline what coverage is included and how much money the company will be liable for. 

If an employee dies, you must check policy documents for death benefits - including coverage for funeral expenses, burial plot, etc. 

Critical illness policy 

Keeping a copy of the critical illness plan policy document is essential in case anything happens. Notifying your employee's spouse or partner about death and any benefits available is also necessary. In some cases, the policy might cover costs such as funeral expenses and medical expenses. 

Health insurance for senior citizens

Awareness of the death benefits your group health insurance policy provides is essential if an employee dies while covered. To start the claim process, you need to contact the insurer immediately. The family members entitled to claim will be listed in the policy document. If no family members are mentioned, then the deceased's estate will be responsible for any payments or claims made on behalf of your employee. 

What happens to group health insurance when the policyholder dies?

Regardless of the size of your business, death is never easy. When an employee dies, it can majorly impact the company. Sometimes, the employer may also need to file a Worker's Compensation claim. Here are some key points to remember when an employee dies: 

  • Contact your group health insurance carrier to process the death and make necessary changes. 
  • Keep documentation related to the death (e.g., medical records) for five years from death unless otherwise specified by law or policy. 
  • If there are any questions about how this event will affect company operations, speak with HR for assistance.


Frequently Asked Questions

What are the benefits of group insurance for startups/businesses? 

Having group health insurance for businesses can be a great way to protect your employees and their families. By having a policy in place, employers can limit the risk of lawsuits that may arise from employee injuries or family disputes. 

Additionally, group health insurance can help businesses save money on healthcare costs for employees and their families. In addition, group health insurance can provide coverage for funeral expenses and other associated costs in the event of an employee's death. 

How can I ensure that my employees know the benefits and policies related to group health insurance? 

To ensure that your employees know the benefits and policies related to group health insurance, you must first be prepared for any employee queries or complaints. You can appoint a team member whose sole responsibility is keeping employees up to date with policy changes, new benefits, etc. You can also distribute pamphlets or flyers about group health insurance and ensure that employees know the coverage. 

What should I do if an employee leaves the company and does not have any coverage through their employer? 

If a worker leaves the company and does not have any coverage through their employer, the company should consider enrolling them in group health insurance. Enrolling an employee can usually be done relatively quickly and without hassle. If an employee dies without coverage through their employer, the company should consider providing group health insurance for that employee and their immediate family. 

Do we need to notify all of our employees about group health insurance policies in advance? 

It is always important to notify your employees about group health insurance policies in advance. This way, everyone knows the available coverage in case one gets sick or injured. Employees should also be mindful that group health insurance policies provide benefits such as coverage for hospitalization, medical expenses, and prescription drugs. 


If an employee dies, the employer must take appropriate action to protect the company's interests. By checking policy documents for death benefits, the employer can ensure that the deceased's family is fully taken care of. In addition, the employer should document the death and notify all employees in writing. Finally, keep all employee records up-to-date and inform employees of their rights and responsibilities.