Hr Consultant

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Dear HR Fraternity & Members,

Request your inputs on the subject as yesterday I experienced that the medicalim insurance even if taken from National insurance company can cause issues.

Details of policy :

-Annual Policy of family floater including parental coverage

- Bought 10 months ago. Time remaining 2 months

Yesterday National insurance company representative visited our office and said that we need to pay extra premium for each employees in current year as our claim ratio is high. My response was that I understand that due to high claim ratio you will load the Policy premium for next year so that should be taken care then. The person also did not approve one of the pending claims due to this issue. On hearing this she said that we are here to make the profit and not losses, She threatened that we will terminate the policy.

So The question here is that

a. Have any one of you experience this issue and if yes did you end up paying extra insurance in the mid of year for each employee.

b. How come in the mid of the year an agency can demand more premium on context of excess claim. No where in the policy it is written that the premium will be increased. Because I am sure that while bidding to us they would have definitely undercut their price.

c. Can they terminate the policy during mid of the year.

d. The person who came was very unprofessional (typical Babu style who is used to exploit people due to her position & really does not Know hot to talk and that long term relations are important) and was extremely rude. How do we escalate it to their higher authorities.

Thank you all in advance

What’s your location Deepak ? Also specify the kind of mediclaim policy that you have taken. Regards, A.B.
Hi my location is Gurgaon. The mediclaim policy is family floater whic also covers the parents..
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