What Should We Consider When Choosing Group Health Insurance for Our Construction Team?

Hi to all HR seniors, please share the key factors that we have to consider while taking the new Group Health Insurance in a construction company. Please do reply to this as it is urgently needed as we have to finalize which Group Health Insurance is best for employees.

Regards,
Monica

Hi all seniors, please send me the checklist of group health insurance regarding the key factors.

Regards,
Monica

Factors to Consider When Shortlisting an Insurance Company

The following factors should be considered while shortlisting an insurance company:

1. The company that provides a greater number of days for intimating a claim.
2. The company that offers more days for submitting a claim from the date of discharge from the hospital.
3. The company that is willing to condone delayed submission of a claim or forgo intimation if requested by the HR/employer.
4. The company that has a larger network of hospitals to avail cashless facilities for the claimant.

Choosing Your TPA
TPA is your choice; you can demand your choice of TPA. Your insurance broker or insurance company must agree to provide your choice of TPA.

OPD Coverage in Group Health Insurance
As per my knowledge, OPD is not covered; 24 hours of hospitalization on genuine grounds is required. However, a few companies are ready to provide coverage for OPD from next year, subject to approval from the insurance regulatory authority. As of today, I don't think any company provides OPD coverage. If you come across any, please update me.

Regards,
Thribhuvan
HR Professional