Employee Medical Insurance Benefits Policy
The purpose of this form is to gain insights into various health insurance policies offered by companies to their employees. Your personal information will remain confidential and will be shown only at an aggregate level. Your inputs will be highly appreciated to help me with my internship.

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Organization Name *
What kind of Healthcare benefits does your organization offer? *
Yes
No
Group Medical Policy/Mediclaim
Critical Illness Insurance
Group Personal Accident
Group Term Life
Who all are covered in the basic plan offered by the organization? *
Required
Does your organization have a top-up option over their basic plan? *
How much yearly premium are you willing to pay in case you choose to opt for a top-up plan? *
INR 2,000
INR 60,000
Annual Claim of Group Mediclaim Policy *
Details of Group Personal Accident Insurance (Write NA if your organization doesn't offer the policy)
Details of Group Term Life Insurance (Write NA if your organization doesn't offer the policy)
How much Maternity Benefit is given by your organization? *
Are you satisfied with the employee health insurance benefits offered by your firm? *
Rank in order of importance to you regarding your health insurance *
(Rank 1 through 5, 1 being the most important to you, 5 being the least)
1
2
3
4
5
Health Insurance Coverage ammount
Out-of-pocket costs (deductible, office co-pays, co-insurance, prescription co-pays)
Network of doctors/hospitals
Customer service support on claims questions
Timeliness of claims processing
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