What is Group Insurance ?

What is group Insurance ?
Group insurance refers to the insurance purchased by a group, for instance the employees of a company. Group insurance is health coverage plan which groups employees or members under a “ master policy” which is owned by the employers. Group insurance is usually given at a reduced individual rate because the group insurance plan is shared by a large number of people. This also enables the group insurance plan to provide coverage for more services at a much lower cost per person.

Who is eligible for group insurance ?
Organizations and companies can opt for the group insurance plan for employees. Also service groups like labor unions and churches are also eligible for group insurance for dependants and recognized members. Individual members of a group insurance plan receive insurance certificates which guarantee their eligibility for benefits. Sometimes the employer’s master policy requires your participation in HMO (Health maintenance Organization), in which case you require to abide by the HMO policies regarding the choice of Physicians and specialists.

Procedure for group insurance
Usually a flexible deduction for group insurance is made from the payroll of the employee. However some companies deduct the entire cost of the policy as a benefit for the employees. Sometimes the cost of premiums can rise significantly without warning. If a few participants receive expensive treatments for serious medical conditions, the rest of the group may have to absorb the higher premium costs over time. Again, group insurers do not always require physical exams before issuing a master policy, so some participants may benefit from treatments for pre-existing conditions.

 

 


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Benefits of group insurance
Many employees see group insurance coverage as a major incentive for dedicated work for the organization. However the benefits of group insurance vary from company to company. Almost all group insurance policies cover emergency and routine medical procedures such as regular doctor's appointments and hospital treatment for accidents. Most cover extends care in hospitals or rehabilitation centers. Mental health needs may also be covered under group insurance.

Some offer assistance for vision care or dental work, but coverage may be limited to specific procedures. Prescription drug expenses often fall under group insurance benefits, but most likely with a co-pay provision. Under a co-pay plan, the covered individual must pay an established price out-of-pocket for name brand and generic medications. However, group insurance may or may not cover the employee's spouse or dependents

 

Why should organizations invest in group insurance ?
Group insurance is an investment in a company’s well being, rather than an expense. Group insurance plans can be cost effective in complementing the compensation structure, apart from making the company a more desirable place to work. Therefore, more and more business owners are investing in group insurance plans. The various benefits of group insurance for the organization are:
• The organization will be able to provide coverage such as dental care, medical care, life and disability insurance for your employees and their families.
• Both the organization and the employees will have immediate access to lower cost insurance than is available individually.
• The organization will be a more attractive place to work for employees, enhancing the likelihood of staff retention.
• The enhanced financial security and the benefit of corporate support will increase the employee morale and loyalty to the organization.
• The premium, as a business expense, is tax deductible.
 

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Article Contributed By: Sabina Zacharias

 

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