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Group Insurance Form Template for India

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Key Requirements PROMPT example:

Group Insurance Form

"I need a Group Insurance Form for my tech company's employee health insurance program, covering 500 employees across multiple locations in India, with special provisions for pre-existing conditions and maternity benefits, to be implemented from January 2025."

Document background
The Group Insurance Form is a crucial document used in the Indian insurance market for establishing and managing group insurance arrangements. It serves as the primary contract between an insurance provider and an organization seeking to provide insurance coverage to its members or employees. This document is essential when an organization wants to implement a group insurance program, whether for employee benefits, member protection, or other group-based insurance needs. The form must comply with IRDAI regulations, the Insurance Act of 1938, and other relevant Indian insurance laws. It typically includes detailed information about coverage terms, premium calculations, eligibility criteria, claims procedures, and policy administration. The document is designed to protect the interests of all parties involved while ensuring transparent and efficient administration of the group insurance policy.
Suggested Sections

1. Parties: Details of the Insurance Company and the Group Policyholder (organization/entity)

2. Background: Context of the group insurance arrangement and purpose

3. Definitions: Key terms used in the form including 'Group Members', 'Beneficiary', 'Sum Assured', etc.

4. Group Eligibility Criteria: Criteria defining who can be included in the group insurance policy

5. Coverage Details: Scope of insurance coverage, including risks covered and exclusions

6. Premium Payment Terms: Premium amount, payment frequency, and payment methods

7. Claims Process: Procedure for filing and processing claims

8. Policy Term and Renewal: Duration of policy and conditions for renewal

9. Member Addition and Deletion: Process for adding new members and removing existing ones

10. General Terms and Conditions: Standard policy conditions, including cancellation, modification, etc.

11. Declarations: Statements confirming understanding and acceptance of terms

Optional Sections

1. Free Look Period: For policies offering a review period - typically 15 days from receipt

2. Loan Provisions: If the policy includes loan facility against insurance

3. Rider Benefits: For additional coverage options available with the base policy

4. Grievance Redressal Mechanism: Detailed complaint resolution process - mandatory for retail but optional for corporate policies

5. Tax Benefits: Information about available tax advantages - relevant for specific policy types

6. Portability Provisions: For health insurance policies offering portability benefits

7. Profit Sharing: For participating policies with profit-sharing arrangements

Suggested Schedules

1. Schedule I - Member Details: List of insured members with their details (name, age, nomination, etc.)

2. Schedule II - Premium Calculation: Detailed premium breakdown and calculation methodology

3. Schedule III - Benefits Table: Detailed breakdown of benefits and sum assured for different categories

4. Appendix A - Claims Documentation: List of required documents for different types of claims

5. Appendix B - Excluded Services/Conditions: Detailed list of exclusions and waiting periods

6. Appendix C - Network Hospitals: For health insurance - list of network hospitals and cashless facilities

7. Appendix D - Rate Chart: Premium rates for different age groups/sum assured amounts

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions














































Clauses




































Relevant Industries

Information Technology

Manufacturing

Healthcare

Financial Services

Education

Retail

Construction

Professional Services

Non-Profit Organizations

Public Sector

Hospitality

Transportation and Logistics

Relevant Teams

Human Resources

Finance

Legal

Risk Management

Compliance

Operations

Administration

Employee Benefits

Insurance Administration

Procurement

Relevant Roles

Human Resources Manager

Benefits Administrator

Chief Financial Officer

Risk Manager

Compliance Officer

Insurance Coordinator

Employee Benefits Specialist

HR Director

Finance Manager

Operations Manager

Legal Counsel

Administrative Manager

Compensation and Benefits Manager

Group Insurance Administrator

HR Business Partner

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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