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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
B

Coverage Requirements:

Who should the insurance coverage extend to? (Select all that apply)

Who should the insurance coverage extend to? (Select all that apply)

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)

What is the preferred coverage amount per employee?

What is the preferred coverage amount per employee?
A
B
C
D
E
F
G

Employee Demographics

What is the average age group of your employees?

What is the average age group of your employees?
A
B
C
D

Distribution of employees by gender:

Distribution of employees by gender:
A
B
C

Which cities would the employees be located in?

Which cities would the employees be located in?

Additional Comments

Please share any specific requirements or concerns you have regarding the group health insurance plan: