Is Health Insurance Mandatory for Corporates in India | LNG Insurance (2024)

  • October 5, 2022
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Is Corporates Health Insurance Compulsory in India?

Corporate Health Insurance is an important feature considered during employment. Most companies do offer corporate health insurance, however, what they cover and how much insurance they offer depends on the size and capacity of the company. Previously, health insurance was not compulsory for companies, however, post the pandemic, it becomes mandatory. According to guidelines issued by the Indian government as part of the new consolidated guidelines by the ministry of home affairs, all employers are supposed to offer medical insurance to their staff members.

Read More: Corporate Health Insurance: Features, Types and Benefits

IRDAI Has Made It Mandatory

Before 2020, there was no established regulation requiring such a health cover. However, following the pandemic, the authorities have implemented additional rules in this area. Following the shutdown, businesses were required to reopen according to a Standard Operating Procedure, which included providing workers with insurance.

The IRDAI sent this circular to health insurance providers so they may carry with Ministry of Home Affairs orders.

1. The directions after lockdownMedical insurance would be required, according to a circular from the Insurance Regulatory and Development Authority of India (IRDAI) dated April 1, 2020.

2. IRDAI directed the insurance service providers, too:The non-life insurers were urged by the IRDAI to develop comprehensive, reasonably priced, and plainly defined policies.

Why Is Employers Required Offering Health Insurance?

The pandemic was a difficult time, and the government realised that people suffered during the pandemic due to the lack of health insurance. This led to the loss of life and loss of lifelong savings. So, to help the citizens of the country, providing health insurance to employees became a mandate.

Advantages of Group Medical Cover for Employees

Group medical cover has a lot of benefits for an employee and is also much more affordable and beneficial than individual cover. Employee advantages of group medical cover are:

1) Corporate health insurance has a wider application than individual health insurance in terms of the insurance coverage it provides for numerous illnesses. The list of ailments that group health insurance policies typically cover is limitless.

2) For the nation’s continuously expanding female workforce, the maternity benefits offered under corporate health insurance plans are of the utmost importance. It helps female employees to follow their career goals without worrying about money if they wish to start a family.

3) The minimum waiting period before insurance coverage starts to apply for a condition that the policyholder already has at the time of enrolment is specified by standard individual health insurance plans.

Read More: What Are The Benefits Of Corporate Health Insurance?

Is It Right Time To Buy Group Health Insurance?

As the world still battles the ill effects of the pandemic. Especially with the government regulations promoting and supporting health insurance, now is a good time to buy Group Health Insurance.

Should Employers Provide Group Health Insurance?

Yes, employers should provide health insurance as a part of the benefits provided by the company because many people depend on the company to take care of the employee in a return for the service provided by the employee.

Group Health Insurance FAQs

Q1. Since when is Medical Insurance made mandatory in India?

In India, medical insurance for employees is now required with the end of the nationwide lockdown in 2020.

Q2. Is Medical Insurance Mandatory For Employees In India?

Yes, medical insurance has been made mandatory by the government. It is mandatory that the company you work for provides medical insurance.

Q3. I am unemployed. Can I buy health insurance coverage for myself?

You can buy personal health insurance for yourself, yes.

Q4. What is the minimum number of employees required for group health insurance?

A company with 15 employees is allowed to offer group insurance to its workers.

Q5. When did Group Health Insurance for Employees become a legal requirement in India?

Employees in India’s organised industry have access to health insurance. The Employee State Insurance Act of 1948 permits access to it. ESI is available to workers making at least Rs. 21,000 per month.

The Bottom-Line

Buying health insurance is a legal and mandatory requirement in India and hence each employer needs to ensure that they offer one to their employees. Having said that, it is also important that employers select the right insurance to make the most of the insurance, while also being easy on their pocket. Especially after the pandemic, comprehensive health insurance is extremely important and each employee looks forward to being offered one upon being employed.

If you are looking to find the right insurance for your employee, let us help you choose from the plethora of options present in the market. Get in touch with us today.

Is Health Insurance Mandatory for Corporates in India | LNG Insurance (2024)

FAQs

Is Health Insurance Mandatory for Corporates in India | LNG Insurance? ›

No specified rule mandated group health cover before 2020. After the Covid-19 lockdown, IRDAI introduced new rules and regulations. The updates are as follows: IRDAI on April 1, 2020, issued a circular and made medical insurance mandatory for the employees.

Is company health insurance compulsory in India? ›

Yes, coverage for employees, also known as group health insurance policy, is compulsory in India post COVID-19.

Can I opt out of employer health insurance in India? ›

Either you can speak to the Human Resources (HR) department or you can simply submit a written application for the same. However, it might not be wise to forfeit your employer's mediclaim policy as it carries a lot more benefits and features than individual/floater mediclaim policies.

Which insurance is mandatory in India? ›

What is the Motor Vehicles Act? In India, as per the Motor Vehicles Act, it is mandatory that all vehicles that operate in any public space must have a motor vehicle insurance cover.

Does India require health insurance? ›

India does not require tourists to have travel insurance. However, traveling in India can come with a significant amount of risk. A travel insurance policy covers medical care and medical evacuation, so you can move around the country with peace of mind.

What is the law of health insurance in India? ›

Section 2 (6C) of Insurance Act, 1938 defines Health Insurance Business as under: "health insurance business" means the effecting of contracts which provide for sickness benefits or medical, surgical or hospital expense benefits, whether in-patient or out-patient travel cover and personal accident cover.

How does corporate health insurance work in India? ›

Usually, the employees do not have to pay the premium to avail of standard Corporate Health Insurance coverage as it is paid by the employer. Employees just have to bear the cost of any additional cover that they voluntarily opt for.

Why do individuals who are employed opt out of health insurance? ›

Lack of inclusive options

Employer-sponsored plans are often designed for the general population rather than each person's unique needs. If employees don't see benefits that align with their healthcare needs, they may decline to participate in your health plan.

What happens if a health insurance company closes in India? ›

If any insurance company is declared bankrupt then the role of IRDA becomes significant and the authority will decide whether they should transfer the policies of the insurer to another insurance company or will continue to provide coverage for the policyholders themselves.

Is company health insurance worth it? ›

Choosing group health insurance can save you money

With group health insurance, you'll generally see that there are cost-saving benefits such as: A larger risk pool for the plan. An employer contribution toward your premium (often 50%) Employer-based tax incentives.

How much health insurance is required in India? ›

How Much Health Insurance Should You Buy? If you want to buy health insurance for yourself, then you must opt for a coverage amount equivalent to at least half of your annual income. For instance, if your annual income is Rs 8 lakh, then you must opt for a health insurance cover of at least Rs 4 lakh.

What is the penalty for no insurance in India? ›

Penalty for Driving without a Motor Insurance

If you are caught driving without holding motor insurance, you will be charged a penalty. According to Indian law, a fine of Rs. 2,000 will be incurred and imprisonment of up to three months.

What are the insurance laws in India? ›

Law of Insurance in India is governed by Insurance Act, 1938. In 1968, the Insurance Act was amended to regulate investments and set minimum solvency margins. The Tariff Advisory Committee was also set up then.

Is employee state insurance mandatory in India? ›

Yes. All the establishments covered under the ESI Act and all factories that employ more than 10 employees and pay wages below or upto Rs.21,000 per month (Rs.25,000 for employees with disability) must register with the ESIC and contribute towards the ESI scheme.

How much does health insurance cost for employees in India? ›

On average, it can range from INR 10,000 to INR 25,000 per person annually. To make sense of this, think of it like dining out. As dining costs vary based on the restaurant's type, food quality, and location, employee insurance policy expenses depend on coverage levels and the company's budget.

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