Group Health Insurance (also called a Group Mediclaim Policy or GMC) is a single health policy bought by an employer to cover all its employees, and usually their families, under one master plan. Because everyone is enrolled together, cover typically starts from day one with no individual waiting periods, and pre-existing conditions and maternity can often be included. As an IRDAI-licensed broker, Assurmate compares group plans across 15+ insurers to design the right slabs and price for your team, at no extra cost to you.
Group Health Insurance is a single "master" health policy that an employer (or any group, like an association) buys to cover a defined set of members, most commonly its employees and their dependents. Instead of each person buying an individual plan and serving their own waiting periods, the whole group is covered together under one policy with one renewal date. Because the insurer is pricing the risk across many lives at once, group cover is usually broader and more flexible than a retail policy.
A typical plan defines one or more sum insured "slabs" (for example, by grade or designation), spells out who is covered, and provides cashless hospitalisation at network hospitals. Employers can usually customise the design: family definitions, maternity benefit, room-rent limits, co-pay and whether pre-existing diseases are covered from day one. Exact features, limits and pricing vary by insurer and policy wording.
Group Health Insurance is for SMEs, startups and growing companies that want to offer a genuine medical benefit to attract and keep good people without the cost or complexity of buying individual policies for everyone. It suits any employer with a handful of staff upwards (insurers usually set a minimum member count), and is especially valuable for teams in metros where treatment costs are high or where employees have young families and ageing parents to protect. It is also used by professional bodies, societies and other affinity groups that want to extend affordable health cover to their members.
Group plans typically cover employees from the policy start date, so a new joiner is protected immediately. Pre-existing diseases and maternity can often be included from day one (varies by insurer and policy wording).
A solid health benefit is one of the most valued perks for Indian employees. Offering family cover signals that you care, and makes your offer letters more competitive.
Employees and their families get cashless treatment at network hospitals nationwide, so they are not scrambling for funds during a medical emergency.
You can set different sum insured slabs by grade, choose your family definition, and add or remove members through the year as people join or leave.
Assurmate puts your group risk in front of multiple insurers, negotiates terms and price, and recommends the best fit. You pay the same premium you would pay direct.
We help your employees intimate claims, get cashless approvals and chase reimbursements, and we escalate disputes through proper grievance channels, so your HR team is not left fighting the insurer alone.
Tell us your headcount, the family structure you want to cover, and any benefits that matter most to you, such as maternity or parental cover. A simple employee list is enough to start.
Assurmate designs slab options and gathers competitive quotes from multiple IRDAI-registered insurers, then explains the trade-offs in plain language, side by side.
You pick the design and slabs, we issue the master policy and help you collect member data and ID cards so employees are covered from day one.
We manage mid-term additions and deletions, renewals and claims, and act as your team's advocate with the insurer throughout the year.
The things people ask us most about this cover.
A group policy is one master plan bought by the employer to cover many people at once, so it usually starts from day one with no individual waiting periods and can include pre-existing diseases and maternity more easily than a retail plan. An individual policy is owned by you personally, continues even if you change jobs, and builds your own No Claim Bonus. Many people keep both: the group cover for everyday protection and a personal policy as a permanent base. Exact terms vary by insurer and policy wording.
Yes. Most group plans let you extend cover to the employee's spouse and children, and many also allow dependent parents or parents-in-law, often under a separate slab or with a small co-pay. You choose the family definition when designing the plan, and it applies consistently across the group.
Insurers set a minimum group size for a genuine group policy, commonly starting in the single digits to low double digits, though this varies by insurer. If your team is below the threshold, we can suggest alternatives such as a group plan through an aggregator arrangement or individual policies, and advise which gives better value.
Group cover is tied to employment, so a member's cover normally ends when they exit, on the date set in the policy. Some insurers offer a portability or conversion option that lets a departing employee move to an individual policy, subject to conditions. We flag these options so your people are not left suddenly uninsured.
Usually yes. Day-one cover for pre-existing diseases and maternity benefits add to the insurer's risk, so they typically raise the premium, and the extent depends on your group's profile, claims history and the limits you choose. Assurmate compares how different insurers price these features so you get the cover you want at the best available rate.
No. You pay the same premium you would pay going direct to the insurer. As an IRDAI-licensed broker, Assurmate is paid a commission by the insurance company, never by you, so you get multi-insurer comparison, plan design and full claims support at no additional cost.
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