Flexible Policies
Affordable Dependencies & Top-Up Insurance Options for Employees
Flexible Policies allow employees to extend corporate health insurance benefits to their dependents—including spouse, kids, and parents—at significantly lower premiums than retail plans. Employees can upgrade or top-up their coverage without medical checks or long waiting periods, making the process simple and cost-effective.
Key Benefits
- Lower Premiums compared to individual health insurance.
- No Medical Checkups required for dependents.
- Higher Age Coverage up to 85 years for parents.
- Waiting Period Waiver (30-day + 1/2/4-year + pre-existing).
- Maternity, Day-1 Baby Cover, Day-care, Congenital, Ambulance expenses included.
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What is Flexible Policies?
Flexible Policies are additional insurance options employees can opt for—beyond the employer-provided base coverage—to insure their dependents or enhance their personal cover. These policies are offered at corporate-negotiated rates, making them more affordable and convenient than retail insurance.
Why do you need Flexible Policies?
Family Protection
Allows employees to insure dependents—spouse, kids, & parents—at corporate rates.
Cost Advantage
Premiums are lower than retail insurance and fully paid by employees through payroll.
No Medical Checks
Dependents get coverage without medical tests or waiting periods.
Extended Coverage
Covers maternity, day-1 baby, pre/post hospitalization & chronic care support.
Why choose Insurance Manager to protect your business?
Enrollment Expertise
EB Portal + App-based enrollment makes dependent addition quick and seamless.
Comprehensive Protection for Your Workforce
Ensure employee well-being with complete health insurance coverage.
Cost-Effective Group Insurance Plans
Affordable plans with benefits like maternity, critical illness, and dependent coverage.
Pre-Underwritten Plans
Coverage and pricing are pre-approved with no underwriting hassles.
Peace of Mind for Employers and Employees
Reduce financial stress with cashless claims and reimbursement options.
Dedicated Claims Cell
Specialized health & accident claim support to employees and HR teams.
Boost Employee Productivity and Retention
Build loyalty and motivation by easing economic and mental burdens.
Awareness & Support Programs
Employee awareness, orientation sessions, and counseling for smooth adoption.
What does Flexible Policies cover and exclude?
Plan Coverage
No Medical Checkup
Dependents can enroll without any medical tests or fitness evaluation.
Lower Premiums
Significantly cheaper compared to retail health insurance rates.
High Age Coverage
Parents covered up to 85 years under the extended corporate umbrella benefits program.
Waiting Period Waivers
30-day, 1st/2nd/4th year, and pre-existing waiting periods are waived.
Pre & Post Hospitalization
30 days pre-hospitalization + 60 days post-hospitalization included.
Maternity Expenses
Covers maternity with newborn Day-1 coverage.
Ambulance Expenses
Emergency ambulance cost included.
Daycare & Congenital Conditions
Includes daycare treatment & internal congenital expenses.
- In-patient treatment 24 hours a day
- Pre-existing disease
- Pre and Post hospitalization
- Domiciliary hospitalization expenses
- Reimbursement of cost of health check-up
- All day care procedure
- Family floater to covers member’s immediate family such as a spouse, dependent children, dependent parents, etc.
- Maternity benefits
- Dental treatment
- Cost of spectacles, contact lenses
- Waiver of waiting period
- Waiver of first-year exclusions
- Reimbursement of ambulance costs
- Baby day one care
- Vaccination benefits
- Increased room rent limits
- Corporate buffer
- Out-patient treatment (OPD Card)
- Root canal surgery
- In-hospitalization expenses due to sickness or accidents
- Room and boarding expenses as provided by the hospital/nursing home.
- Nursing expenses.
- Surgeon, anesthetist, medical practitioner, consultants or specialist fees.
- Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs, diagnostic materials and X-Ray, dialysis or chemotherapy.
Major Exclusions
Premium Not Employer-Paid
Employee pays the full premium; employer does not contribute.
Minimum Enrollment Requirement
At least 30% employee participation required for policy to activate.
Sum Insured Limit Restriction
Pre-set corporate sum insured options; cannot customize beyond approved amounts
Premium Variation by Age
Premium increases based on dependent age bracket.
Only Pre-Approved Coverage
Coverage limited to benefits approved under the pre-underwritten plan.
No Mid-Term Additions
Enrollment only during the stipulated window; no mid-year additions.
Limited Claim Customization
Claims follow insurer’s group policy terms without personalization.
No Wellness Add-ons Included
Wellness benefits are separate and not part of Flexible enrollment.
- If the appropriate waiver is not opted for, then the policy will not cover
- Treatment of pre-existing illnesses.
- Any treatment for illnesses/diseases within the first 30 days of the policy, unless it is an accident.
- Treatment of specified illnesses for the first year of the policy.
- Certain diseases like hernia, cataract, piles, sinusitis, etc are excluded during the first year of operation in the cover.
- Any claim arising out of or traceable to pregnancy.
- Ayurvedic, homeopathy, naturopathy or any other form of local medication.
- Alcoholism, drug abuse, and AIDS.
- Dental treatment or surgery unless it requires hospitalization.
- Cost of spectacles.
- Vaccination and inoculation.
- Cosmetic treatment.
Your Journey to Insurance Manager
When can I Claim?
A claim under Flexible Policies Insurance can be registered in the below circumstances:
- They are hospitalized or receive daycare treatment covered in the policy.
- Pre or post-hospitalization expenses occur within the eligible period.
- Maternity or Day-1 baby care expenses arise.
- Ambulance is used for emergency transport.
- Claims are submitted within insurer-defined timelines.
Claim what’s yours with Insurance Manager
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