A Small Group & Large Group Health Insurance

Employees are the most important asset of a company. Whether your company has 30 to 50 employees or more than 1000, it is important to show them that you care about them as an employer. Hence group health insurance plays a huge role in making your employees feel valued and this is where small group and large group health insurance comes in.

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How to Determine A Small Group & A Large Group

The number of employees working under you determines the small and large group. We live in the era of start-ups and when you start a company, the first and foremost thing you have to do is hire fresh talents that would help you in growing the company. However, as per the Insurance Regulatory & Development Authority of India, an employer must have at least 20 employees working in the company to be eligible to purchase a group health insurance policy.

But, insurance companies have divided  group health insurance plans into two categories. One is a small group and the other is a large group. So, if a company has up to 50 employees then it will be considered a small group, and the company will have to opt for small group health insurance. Similarly, if a company has more than 50 employees then it will be considered a large group, and the company will have to opt for large group health insurance.

 

How to Qualify for Small Group Health Insurance?

In order to purchase a small group health insurance for your company. You need to qualify by fulfilling the below-mentioned requirements:

  • As per IRDAI, the company must have at least 25 employees to purchase a group health insurance plan.
  • The company must have more than 25 and up to 50 full-time employees to purchase a small group health insurance.
  • Every insurance company has a different set of rules hence the requirements to purchase a small group health plan may vary from one insurer to another.
  • If a company has part-time employees then they will have to turn them into full-timers and then go for the small group health insurance.
 

How to Qualify for Large Group Health Insurance?

In order to purchase a large group of health insurance, you will have to fulfill the below-mentioned requirements:

  • The company must have more than 51 employees working full time.
  • Every insurance company has different terms and conditions, if the terms and conditions are in your favor then you can purchase a large group plan.
  • Every insurance company has different eligibility criteria and if you meet the specified eligibility criteria of your desired insurance company then you can purchase it.
 

Coverage Provided Under Small & Large Group Health Insurance

Coverage provided by insurance companies under small and large group health insurance plan varies from one insurer to another. However, here are some of the common coverage provided under these insurance plans:

  • Lab tests
  • Hospitalization
  • Prescribed medicine
  • Pre and post hospitalization charges
  • Preventive health care
  • Ambulatory services
 

Difference Between Small & Large Group Health Insurance

Both insurance plans have certain differences. One of the obvious differences is the kind of coverage these plans provide. Since a small group plan provides coverage to a small group of up o 50 employees whereas a large group plan provides coverage to more than 51 employees.

Apart from this, the premium amounts of both insurance plans are different. If you have a small group of employees then the premium could go higher however if you opt for a large group of health insurance then the premium amount would be lower. Again, it may vary from one insurer to another.

These are some of the primary reasons behind the difference between small group health insurance and large group health insurance. So while purchasing the insurance plan whether for a small group or large group do your research thoroughly, compare different plans, and do not settle for a lower coverage in order to pay a lower premium. Make sure that the insurance plan has some value for the employees.

 

Conclusion

Be it a small group or a large group, purchasing a group health insurance plan can be a hectic process. This is why it is advised to purchase the insurance plan online instead of offline. Also, the insurance policy you provide to your employees should serve some value and make sure it does not go in vain. You can make sure of it by educating your employees about the benefits of the insurance plan so that in case of a medical emergency they do not have to pay out of pocket.

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Written By: PolicyBazaar - Updated: 26 April 2022
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Policybazaar for Business - Group Health Insurance - Customer Reviews
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4.4/5
Based on 189 reviews
4.4
out of 5
Based on 189 reviews
38 users
136 users
15 users
0 users
0 users
3.8 April 09, 2023
Mansi
Excellent Support
It was easy to buy insurance from PolicyBazaar website and customer support was also amazing to clear all the doubts.Thankyou. Highly worth it.
Dehradun
4.3 April 01, 2023
Mahesh
Necessary Investment
It is a good and necessary investment. Thanks PB.
Lucknow
4.3 March 24, 2023
Surya
Provides Satisfactory Results
I purchased Group health insurance at policybazaar recently and i am so much satisfied with the plan. The application process was smooth and efficient, making the typically tedious task of getting insurance surprisingly hassle-free.Thanks PB.
Bareilly
3.8 March 16, 2023
Naveen
Helpful In Making Decisions
When it came to selcting the right Group Health Insurance, Policybazaar offered an impressive range of options from reputable insurers. I appreciated the comprehensive details avalable for each policy which helped me to take the better decisions. Thankyou.
Delhi
4.3 March 15, 2023
Rajesh
Increases Clients Expectations
I recently had the pleasure of securing a Group Health Insurance policy throug PolicyBazaar and I must say the Entire process exceeded my expectations! From start to finish, their service werw great. Thankyou.
Delhi
3.8 March 02, 2023
Ravi
Great Experience
I got great deals on PolicyBazaar website. Highly recommend.
Pune
4.3 February 17, 2023
Diljeet
Excellent Purchase
It was a excellent purchase at PolicyBazaaar. Thankyou team.
Coimbatore
4.3 February 04, 2023
Satya
Prompt Services
Policybazaar's efficient claims process was impressive. In case of any medical emergencies, my employees were able to get their claims settled swiftly, allowing them to focus on their health and recovery without worrying about financial aspects.Thankyou
Chennai
4.3 January 22, 2023
Abhishek
Budget Friendly Purchase
Thankyou PolicyBazaar for providing such a great plan at affordable premium rates. It was a budget-freindly purchase.
Delhi
4.3 January 09, 2023
Abhash
Multiple Range Of Benefits
I purchased Group health Insurance which offered me plans with affordable rates Thankyou PB.
Pune