20 smart questions HRs must ask their brokers before buying group health insurance
Hidden Costs? Ask These 20 Questions Before Buying Group Health Insurance
By Pazcare
May 5, 2025
Group Health Insurance - For the health, wellness and fitness industry
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Health, wellness, and fitness industry - Overview
Coronavirus made sure that people give more importance to their health and wellness like never before. With immunity systems going for a toss, many people succumbed to the deadly virus. But on the other hand, those who survived through covid-19 have now become focused on their health and fitness.
The health, wellness, and fitness industry are booming now more than ever because individuals have now finally started to take their health seriously and work on it religiously. The need to build stamina, have a proper and balanced diet, work out and practice yoga have been realized by people at large. 2.03 Lac companies are invested in making sure that people take their health and fitness journey seriously.
About 3.41 Lac people are engaged with companies having 0 - 100 employees. Meanwhile, 2.53 Lac and 2.41 Lac individuals are engaged with companies having 100 - 1000 and 1000+ employees respectively.
Why buy group health insurance for the health, wellness, and fitness industry?
Group health insurance is not a benefit anymore but a necessity. With critical illnesses being witnessed in young adults, the need to have insurance becomes two-fold. There are many pre-existing and recurring diseases, treatment of which can result in a huge financial dip. To ensure your employees do not have to go through with that, you should invest in a group health insurance policy.
- Tax exemption
The amount spent on premiums is not taxable according to the Income Tax Act of 1961.
- Tailor-made policy
Your group health insurance can easily be customized according to your requirements.
- Retain employees
In the competitive job market, providing a salary is not enough. Employees look for incentives in addition to their salary package.
- Job satisfaction
Employees’ efficiency and productivity increase when they have a sense of belonging to their organization. Your employees’ job satisfaction will improve knowing that they are covered under any medical urgency.
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Things to know before buying group health insurance for the health, wellness, and fitness industry
There are some basic parameters that need to be adhered to while investing in a group health insurance policy for your employees.
- Claims experience
The claims experience should be seamless as manually settling claims could be a cumbersome process.
- Claim settlement ratio
The claim settlement ratio should be on the higher end as it ensures the credibility of the insurer.
- Ease of endorsements
You can choose to opt for an insurer that has an in-house TPA or no TPA at all to make the endorsement process simpler and more efficient.
- Add-on benefits
Look at all the add-on benefits that you can avail in your group health insurance policy at a nominal additional increase in premium.
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Group health insurance for health, wellness, and fitness employees FAQs
How is the insurance premium calculated?
The group health insurance premium is calculated on various parameters such as the age of employees, number of employees, location, family members, add-on benefits, etc.
How is the claim settlement ratio calculated?
The claim settlement ratio is calculated by a simple method - the number of claims settled/number of claims made*100.
How many add-on benefits can I include in my policy?
You can choose to add as many add-on benefits as you like by paying some additional charges in your premium.
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