Less than 5% Indian Companies Offer Comprehensive Insurance Coverage
The report evaluated 2,500+ employer-sponsored health insurance plans across businesses of all sizes and inferred that Indian employers are falling short in offering comprehensive benefits
Only 5 per cent of Indian organisations offer comprehensive insurance coverage, including Health Insurance (GMC) + Accident and Disability Insurance (GPA) + Term Life Insurance and comprehensive telehealth consultations (GTL + Telehealth), as per the report by an employee health insurance platform Plum.
The report evaluated 2,500+ employer-sponsored health insurance plans across businesses of all sizes and inferred that Indian employers are falling short in offering comprehensive benefits.
Plum evaluated the policies of organisations, categorising them as early stage start-ups (having an employee strength of less than 200 employees), high-growth businesses (having 201–750 employees) and mature stage companies (having an employee strength of 751 and above).
Of the 2,500+ health insurance plans evaluated, it was observed that the median sum insured offered by India’s employers is INR 3L (startups), INR 4 lakh (high growth companies) and INR 5L (mature stage companies). Over 53 per cent of organisations offer a sum insured of less than INR 5 lakh, 43 per cent offer a sum insured of INR 5–10 lakh, and only 3 per cent offer a sum insured of INR 10 lakh or greater.
The report reveals that a majority of companies, 64 per cent provide additional health benefits beyond their health insurance plans, with telehealth consultation being the most popular at a 42 per cent adoption rate. Despite the importance of term life insurance for employees’, less than 5 per cent of companies offer it as an additional benefit.
Additionally, the report reveals that while 65 per cent of India's out-of-pocket medical expenses come from OPD (outpatient department) spending, less than 2 per cent of Indian companies offer OPD coverage with insurance.
It is alarming to see that women, who constitute a significant portion of the workforce, are not receiving adequate maternity benefits from their employers. In fact, only 56 per cent of Indian organisations offer maternity benefits to their female employees, with just 14 per cent of them having a maternity limit greater than INR 50K.
Abhishek Poddar, co-founder and CEO, Plum, said, “We launched the State of Employee Benefits report to shed light on the current state of employee health benefits in India, and the findings are concerning. At Plum, the belief is that it is crucial for all companies to holistically care for their employees and their families.”
“Amid the current environment of uncertainty, it is essential for companies to pay heed to their employees' holistic health. The costs of healthcare in India are rising and a single illness can drain a family's lifetime savings. Therefore, as employers, it is important to cover employees' and their families' healthcare costs and also any ancillary costs that can occur due to accidents or lifetime disabilities. Not only will this increase peace of mind at work, but also increase retention and create an environment of equitable benefits for all. If salaries are benchmarked, so should benefits be," Abhishek added.
The report also highlights that 69 per cent of all companies evaluated have extended coverage to employees’ families. What is concerning is that of these companies, only 25 per cent cover parents, followed by 44 per cent offering an employee-spouse-children (ESC) plan, and lastly, 30 per cent offering an employee-only plan. An extensive family coverage also helps safeguard employees’ financial well-being and makes health insurance accessible to the “missing middle” of India.