COVID-19 Group Health plan is a health insurance policy for groups that have been designed to cover laborers and contractual workers from the risk of coronavirus pandemic. It provides coverage for any medical expenses incurred by the group members during the treatment of the COVID-19 disease. This policy can be issued to a group of people who are working for a common employer, business owner or entrepreneur. In other words, it is a group health insurance for coronavirus disease that covers contract workers and laborers working for an employer or contractor.
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Coronavirus disease or COVID-19 has created havoc in the lives of people across the globe. Several countries, including India, has been under lockdown for several weeks in an attempt to combat the spread of the virus. As India entered its Lockdown 3.0 on 4 May 2020, businesses and work activities in less infected areas have been permitted to resume operations with complete adherence to social distancing norms. As more people rejoin work, they fall under the risk of contracting the coronavirus disease.
In the light of the same, the Insurance Regulatory and Development Authority of India (IRDA) mandated all organisations and employers to provide health insurance coverage to their employees, laborers and contractual workers against the risk of the coronavirus disease. Only when this condition will be met, the organisation and businesses will be allowed to begin their operations.
While several companies cover their employees under the group health insurance, lower pay workers with a salary of RS 21,000 or less are covered by the Employee State Insurance Corporation (ESIC).
As a result, group health insurance for COVID-19 is the perfect mediclaim policy to protect laborers, contract workers and employees, who are not qualified for medical insurance under the ESIC, from the risk of the coronavirus pandemic.
The group health insurance for COVID-19 is different from the regular group health insurance policy offered by insurance companies in India. Take a look at some of the most attractive features of COVID-19 group health plan:
The following table shows the various features of different coronavirus insurance for contract workers and laborers offered by insurance providers in India:
Universal Sompo General Insurance
Group Mediclaim for Contractual Staff
18 years to 60 years
50 Thousand to 1 Lakh
No waiting period
|
Insurance Provider |
Plan Name |
Entry Age |
Sum Insured |
Initial Waiting Period for COVID-19 |
|
Care Health Insurance |
Group Mediclaim for Contractual Staff |
18 years to 60 years |
50 Thousand to 1 Lakh |
No waiting period |
|
Digit General Insurance |
Corona Policy |
Up to 60 years |
1 Lakh to 3 Lakh |
15 days |
|
ICICI Lombard General Insurance |
Group Mediclaim for Contractual Staff |
18 years to 60 years |
- |
15 days |
|
Reliance General Insurance |
Group Mediclaim for Contractual Staff |
18 years to 60 years |
50 Thousand to 1 Lakh |
No waiting period |
Buying coronavirus insurance for contract workers is quite beneficial for both the employers as well as their contractual workers, laborers and employees. Here are some of the benefits of buying a group health insurance for coronavirus:
The coronavirus insurance for contract workers provides coverage for the following expenses:
Add-on covers are the additional coverage that the employer can purchase for his contract workers and laborers paying a higher amount of premium. Some of the add-on covers available under coronavirus insurance for labor are:
The COVID -19 insurance for labor comes with the following list of exclusions:
To register a claim with your health insurance company under the coronavirus insurance for labor or contract worker, follow the below-mentioned steps:
Following are the list of documents that the insured worker or labor will have to submit at the time of filing a claim:
The entire world is living in uncertainty ever since the outbreak of the coronavirus disease. Countries are under lockdown leading to major economic losses in a bid to curb COVID-19 and its resultant fatalities. This makes it very important to keep your business manpower, including laborers and contractual workers, protected from the disease.
Buying group health insurance for COVID-19 is one of the best ways to keep your staff and workers safe. You can easily buy the policy online without the need of stepping out of your premises and risk exposing yourself to the disease. Following are the steps that you can follow to buy COVID -19 insurance for contract workers or laborers:
Generally, insurance companies in India do not provide maternity benefit under COVID-19 group insurance for contract workers. However, Reliance General Insurance offers this coverage if more than 51 employees are insured under the policy.
No. The guidelines by the IRDA does not specify that the mandatory requirement to cover all contractual workers and laborers under COVID-19 group health plan has to fulfilled only till the pandemic gets over. Therefore, this policy will be available for a policy term of at least one year.
No. The COVID -19 insurance for labor does not cover expenses incurred during quarantine before the commencement of the policy.
Most insurance providers allow an employer or business owner to purchase this policy only if they have a group of 7 or more laborers, contract workers or employees working for him.
Ancillary and disinfection charges of the hospital such as disinfection or sanitization fumigation, etc. of biomedical waste and other wearables are not covered in such policies.
Yes, for cashless COVID treatment claims, the admissible amount has to be subject to the tariff of the hospital.
Charges of a maximum of one PPE kit per day are covered, however, the cost of this PPE kit should not be more than Rs. 1500 per day and this PPE kit have to be used by the treating medical staff when the patient is undergoing treatment.
Insured group members should not be suffering from any respiratory issues such as severe cough, breathlessness, and respiratory distress continuously from the last two weeks while purchasing this policy.
If your company has MCA registration, and it has seven or more employees, it is eligible for COVID – 19 Group Health Insurance Cover. However, hospitals, hotels, personnel related to the media industry, politicians, and lawyers are not eligible.
To file a claim, it is necessary to provide a positive COVID-19 test report conducted in an ICMR or Government-authorized test center in India. The test results of Rapid Antigen and RT-PCR are accepted and charges of the COVID tests are covered as per the government-approved prices.
Isolation and quarantine in private facilities such as halls, guest houses, hotels, etc. that are converted into centers for COVID are not covered.
Standard health insurance plans have a waiting period of 15 days.
All the employees of an organization and their family members (including their kids and spouse) are covered in a group health insurance plan for COVID-19.
Some group health insurance plans provide coverage for home care treatment and some do not or they cover treatment only in the hospital for the treatment of COVID-19 or any of its strain. So, you have to check your policy beforehand for the same.
Yes. Any insured member who is suffering from COVID-19 during the expiry of the policy is covered under roll-over or renewed policy.
No. Most coronavirus insurance for contract workers and laborers cover medical expenses incurred on the treatment of diseases other than COVID-19.
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