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Group Health Insurance coverage requirement questionnaire
Company Information:
Company Name:
*
Current number of employees in India:
*
Estimated number of employees by the end of 1 year
*
Current Insurance Coverage
Do you currently offer group health insurance to your employees?
*
Do you currently offer group health insurance to your employees?
A
Yes
B
No
Coverage Requirements:
Who should the insurance coverage extend to? (Select all that apply)
*
Who should the insurance coverage extend to? (Select all that apply)
Employee only
Spouse
Kids
Parents
Other Dependents
What are the key features you are looking for in a group health insurance plan? (Select all that apply)
*
What are the key features you are looking for in a group health insurance plan? (Select all that apply)
Hospitalization Cover
Pre and Post Hospitalization
Maternity Benefits
Mental Health Support
Dental and Optical Care
Wellness Programs
COVID-19 Coverage
Other
What is the preferred coverage amount per employee?
*
What is the preferred coverage amount per employee?
A
INR 0 to 1 Lac
B
INR 1 Lacs to 2 Lacs
C
INR 2 Lacs to 3 Lacs
D
INR 3 Lacs to 5 Lacs
E
INR 5 Lacs to 10 Lacs
F
INR 10 Lacs - 50 Lacs
G
Above 50 Lacs
Employee Demographics
What is the average age group of your employees?
*
What is the average age group of your employees?
A
Below 25
B
25-35
C
36-50
D
Above 50
Distribution of employees by gender:
*
Distribution of employees by gender:
A
Predominantly Male
B
Predominantly Female
C
Balanced
Which cities would the employees be located in?
*
Which cities would the employees be located in?
Bengaluru
Delhi and NCR
Hyderabad
Mumbai
Chennai
All across India (remote work)
Other cities
Additional Comments
Please share any specific requirements or concerns you have regarding the group health insurance plan:
Submit
