Hr Advisory & Executive Coaching
Business Development, Employee Relations,
Asst Manager Hr
Group Mediclaim
Star Health & Allied Insurance Company
Gm (hr)
Agm - Hro, Compensation & Benefit Mgt,
Anurag Jain
Hr Manager
Manaer Hr & Admn, Prexus Health India
Hr Executive
Real Estate
Hr Manager
Assistant Manager - Hr
+12 Others

Can anyone tell me , about the Mediclaim policies for the employees. Let me know, as per law if this is mandatory for all the organizations to get mediclaim policies for each and every employees or its one of the benefit to the employees only.
Thanks in advance,
Best Regards
It is not mandatory. But most of the organisations are covering their employees under the mediclaim and the charges are part of CTC.
Medi-claim is to looked from the angle of welfare activity, employees drawing beyond Rs.10000 are not covered under ESI Act. To protect such group of employees and their family membets from the health and accidents (unexpected /unfortunate happenings), HR should take lead role and convince management to cover them under scheme.
Hi Dev, I m Nisha from Vantage Insurance Brokers Pvt ltd... We are an Insurance broker company having tie up with All public and Pvt Insurance company. Can I hav ur contact number and the convenient time to talk to u abt Group General insurance
My official e.mail id is nisha.grover@vantageindia.co.in
ESIC is mandatory to the ones for which it is applicable. Mediclaim is an added benefit. Saurabh
Hey Dev, Pon1965 has answered your question. It is not mandatory. We need a morcha.....and Lets enforce the government to make this mandatory. :):idea: Regards,ukmitra
dear it is not mandatory at all ,it is welfare measure company gives for the benefit of employees. regards js malik
Hi Dev,
It is not mandatory. But this mediclaim acts as a social security to the employees and their dependants. Many companies process the claims through Service provider. In our company we process the claims directly with the Insurance . Company is responsible for their admission and other formalities. Employees will be in ease and their productivity is not affected by this. Employees will also be more loyal to company.
Its not mandatory but Its befited to your employees. I have done recently. Take quotes from Insurance advisiors and Oriental Insurance are giving best rates.
Hi Dev ,
Medi claim will be provided to employees towards the employee benefits. Which you can segregate based on your needs like Group Medical Insurance, Group Personal Accident and many more related to that. This benefit is not mandatory however for an organization who want to take care of their employees should always go for medi claim policy .
if you wnat I can help you with some one references who can design good policy according to your organizations need, you can write to me at <raji dot krishna2285 atthe rate gmaildot com
malik ji,
please advise me on below mentioned.
I am working as Asst Manager HR for company .I am covering here right from recruitment to exit formalities,drafting of formats and policies related to marketing staff.i cover performance appraisals,promotion,increments,transfers etc..but i am not involve in payroll management where as am keen to get knowledge on that stream.
can u please help me with any institutes names which gives training on payroll or please suggest any book which will be helpful to get knowledge...
i want to know abt policies and procedures of PF,LTA,BONUS,MEDI CLAIM<LEAVES..
please help me
Mediclaim is an added benefit, Most of the companies o provide the same to the employees. Some Companies charge them while others give them as a benefit.
it is not mandatory. In our company the emplyee are getting this facility who are not cover Under ESI
As we give medical aid to below 10000 salary(ESI) ,more than who draws they should cover under the mediclaim policie ,bcoz of that person if he works under hazardious nature of work ,the company will not give any compensation, If the person covered under this he could be claim.
Is it mandatory for a company to register itself under ESI if it is already having a mediclaim for its employees?
Mediclaim Ploicy is not mandatory(but ESIC is compulsory for Organisation) for the employees,it is benefit given to the employees by employer.
in our company it is given seperate mediclaim policy for each employees for safety purpose.
dear sir, There are humpteen number of private as well as public sector insurance companies sell mediclaim policies. Please note that this is not a mandatory. s.koteeswaran
It is not mandatory as per law. But as a additional welfare facility one can think on this.
Mediclaim is not mandatory. However for those employees not covered under ESIC due to the exemption limit, you can think of Mediclaim or even Group Personal Accident Insurance coverage. A suggestion in this regard- to enhance the commitment of the employee, you can either think of the entire scheme on 50 : 50 basis with the employees also chipping in 50% of the premium or as decided fit by the management. The moderating aspect/ co-ordinating aspect can be with the management.

Reference to ur querry the coverage of mediclaim is not mandatory. But however if employees covered under ESI (Employees State Insurance)

The Employees’ State Insurance Scheme provides full medical care in the form of medical attendance, treatment, drugs and injections, specialist consultation and hospitalization to insured persons and also to members of their families where the facility for Specialist consultation, hospitalization has been extended to the families

If the employees are out of ESI (Drawing salary/wages Rs.10000/- +) we have to take care of their health.

It is a human right to secure good health by acquiring adequate coverage against the financial risks and medical emergencies of employees and their family members. Mediclaim serves the purpose of protecting valuable health of employees and their family members. Healthcare involves the services developed to safeguard health, including medical facilities, professional and financial services such as medical insurance. We are exposed to various hazards that can damage not just our physical health, but also our finances. Thus, Mediclaim or Health Insurance becomes significant as it provides monetary protection in case of such unforeseen situations.

Tks & Regards
Even though mediclaim policy is not a mandatory requirement in any organisation, it is better for any organisation to have mediclaim policy for their employees including dependents in the interest of any unpleasant happenings. There are various categories of mediclaim i.e. Family floater scheme, Group mediclaim policy. If you are intersted, you may contact the nearest insurance agency for further details.
Officer - HR & Admn
Dear Dev,
As you have by now come to know that it is not mandatory. I would suggest to keep a medical reimbursement component in the CTC Structure which is Tax exempted upto 15000 per annum. Only if the original medical bill are submitted. This reimbursement is widely accepted amongst the employees. & apart from this you can also avail for a Group insurance plan that best suits your organisations need.
Hi, Could any one help me about balanced scorecard. What is balanced scorecard why we use it?
hi mr dev it is not mandatory . it is the system used to employer employee relationship to to be the best. but there is a provision in income tax exemptions to the companies to acct. in to staff welfare. please mail your id and phone no. to me i will give in detail the best ob its coverages. I am being the agent advisor for cholamandalan ms general insurance co ltd can advise and give you the besr quotes. my id; .
s. nagarajan 9884396009
Dear Mr. Dev Not compulsary but is good to have one But do not fail to cover employees under ESIC if they are eligible Regards Asit
Dear Dev ,
As all have been mentioning so far , Medical benefit is not a mandatory option. This is a privilege given by the company as a security towards health issues
At times companies have options where the premium amount is shared by both the employer and employee. Medical Benefit can be provided for the employee only or for the family , this would differ company to company.
In any case mandatory or not it is always advisable for companies to have this options of benefit as one of the first to provide.
Thanks & Regards
Gargi V Shetty
Dear Dev, Please find attached Med Claim PPT. Regards, Dilip

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File Type: pps Group Medi Claim Insurance Policy.pps (218.0 KB, 1003 views)

Group Mediclaim is not mandatory. It helps to employees and their family members .
We have to study which type of mediclaim is useful to your employees like pre-existing
, Out-patient, maternity , coverage for parents up to what age etc. It is one of the welfare measure to the employees. We can call quotations of premium from the various the insurance companies according to our requirement.
Dear Friends
I have one question, X Company has 100 employee's factory licence, in company at works 80 employees working. Company have many different marketing offices in all over india, their 30 employees working and company paid P.F. 130 employees my question is that company has requrired to change factory licence or not pl.relply and get sugestion.
This is mandatory to cover employees under the group mediclaim insurance. If the establishment covered under ESI Act, additional insurance cover is not required for the employee under ESI. And where the establishment is covered under EPF; employer have option to go for EDLI or group medical insurance from LIC of India. If the contribution to EDLI are not being made then the intimation to EPFO shall be given that the insurance cover has been provided to all the employees through the insurance company and there is no need to contribute in the EDLI with EPFO.
Dear Dev,
Its not mandatory, but majority of the company today opt for group mediclaim benefits to their employees. The main benefit in group mediclaim policies are that you can get all pre-existing disease covered from day 1 along with common exclusions.
Star Health & Allied Insurance Company Limited
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