As per Circular(IRDAI/HLT/CIR/MISC/093/04/2020): Providing mandatory medical insurance coverage to workers as part of the National Directives of MHA, GOI dated 16th April, 2020.

1. Reference is invited to Order No. 40-3/2020-DM-I (A) dated 15th April, 2020 issued as part of the Consolidated Revised Guidelines by Ministry of Home Affairs, GOI. As per the said order, inter alia; the following are stipulated:

i. All industrial and commercial establishments, work places, offices etc. shall put in place arrangements for implementation of Standard Operating Procedure (SOP) before starting their functioning.

ii. As per clause no. 5 of Annexure – II of the said SOP for social distancing for offices, workplace, factories and establishments, medical insurance for the workers to be made mandatory.

2. In light of the above, all General and Health Insurance companies may offer comprehensive health insurance policies either to individuals or groups in order to enable the listed organisations / employers / establishments comply with the above referred directions.

3. The insurers are advised to devise comprehensive Health insurance products with simple wordings, conditions and at affordable cost to be offered to the stated organisations.

4. The above referred organisations should be able to continue the Medical Insurance Policy offered by insurers not only for the present situation but for all time.

Does anyone know employee's coverage amount as per above policy?

From India, Noida

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IRDAI has not specified a coverage amount yet, however some insurance companies have started providing minimum coverage of INR 50,000. As an employer, you should look at a couple of factors such as profile of your employees (white collar vs blue collar), cost of healthcare in your location (Tier 1 vs Tier 2 vs Rural), and the premium budget that your company can afford!
Karan Desai

From India, Mumbai

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