Mandatory Medical Insurance Coverage for Workers
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 the Ministry of Home Affairs, GOI. As per the said order, inter alia, the following are stipulated:
i. All industrial and commercial establishments, workplaces, offices, etc., shall put in place arrangements for the 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, workplaces, factories, and establishments, medical insurance for the workers is 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 to enable the listed organizations/employers/establishments to 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 organizations.
4. The above-referred organizations 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 the employee's coverage amount as per the above policy?
From India, Noida
Acknowledge(0)
Amend(0)
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 the Ministry of Home Affairs, GOI. As per the said order, inter alia, the following are stipulated:
i. All industrial and commercial establishments, workplaces, offices, etc., shall put in place arrangements for the 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, workplaces, factories, and establishments, medical insurance for the workers is 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 to enable the listed organizations/employers/establishments to 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 organizations.
4. The above-referred organizations 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 the employee's coverage amount as per the above policy?
From India, Noida
Acknowledge(0)Amend(0)
IRDAI has not specified a coverage amount yet; however, some insurance companies have started providing a minimum coverage of INR 50,000. As an employer, you should look at a couple of factors such as the profile of your employees (white collar vs. blue collar), the cost of healthcare in your location (Tier 1 vs. Tier 2 vs. Rural), and the premium budget that your company can afford!
Karan Desai
https://grouphealth.ria.insure/gmc-plan
From India, Mumbai
Acknowledge(0)Amend(0)
Karan Desai
https://grouphealth.ria.insure/gmc-plan
From India, Mumbai
Acknowledge(0)Amend(0)CiteHR is an AI-augmented HR knowledge and collaboration platform, enabling HR professionals to solve real-world challenges, validate decisions, and stay ahead through collective intelligence and machine-enhanced guidance. Join Our Platform.
Coverage of construction & contact workers under PF 22.1.2015.pdf
PF coverage for temp workers.jpg