Employee Health & Benefits Insurance

Employee Health & Benefits Insurance

Strategic employee benefits programs designed to enhance workforce wellbeing, improve retention, and optimize costs through comprehensive and scalable group health and financial protection solutions.

Overview

At Edme Insurance Brokers, we design customized employee benefits programs that balance affordability with comprehensive coverage. From health insurance to wellness initiatives, we help businesses build tailored solutions that enhance employee satisfaction, improve productivity and ensure compliance with labor laws.

Today’s employees expect more than just a salary — they seek health coverage, wellness programs and financial security. With rising medical costs and evolving workforce expectations, businesses need competitive benefits packages that align with employee well-being and corporate objectives.

EDME Edge

  • Design customized policy
  • Wellness program
  • Preplacement, placement and post placement  assistance
  • Generate survey modules
  • Benchmarking activity
  • MIS generation
  • Claims review
  • Claims audit

At Edme Insurance Brokers, we design customized employee benefits programs that balance affordability with comprehensive coverage. From health insurance to wellness initiatives, we help businesses build tailored solutions that enhance employee satisfaction, improve productivity and ensure compliance with labor laws.

Preplacement

  • Due diligence of existing benefits program
  • Analyzing existing benefits vis-a-vis program
  • Benchmarking analysis
  • Integration of existing plans (benefits and/or renewals) to bring bargaining power
  • Determine employee contribution scenarios

Placement

  • Renewal marketing and inner selection
  • Develop renewal barley infinite and insurer evaluation and selection criteria
  • Effectively negotiate service/product terms, conditions, and outlay
  • Undertake analysis of vendor proposals and make recommendations
  • Benefits plan design
  • Benefits harmonization
  • Gap analysis

Post placement

  • Ongoing support and administration
  • EDME account manager + TPA helpdesk
  • Periodic data reconciliation
  • Quarterly review meetings with Insurer & TPA
  • Analytics
  • Resolving escalated claim issues
  • Query resolutions
  • Assistance for emergency hospitalization
  • Help desk IT support
  • Wellness services & support

Survey modules

  • Benpulse survey
  • Annual H&B survey
  • Employee engagement survey
  • Client service feedback survey
  • Vendor survey

Benchmarking

A detailed comparative overview of the client against their peer group
We maintain an extensive library of benefits data of different companies in various industries

  • Benefits benchmarking
  • Claims benchmarking

MIS

MIS is provided every month and contains complete analysis of claims dot the particular month under various parameter (age wise, amount wise, relation wise etc)

Claims Review

Claim utilization review is done quarterly backed by the help desk report maintained by the implants daily. This is a detailed analysis of the claims v/s premium.

  • Quarterly utilization review
  • TAT analysis
  • Claims Trends analysis

FAQs

  • Corporations and multinational companies offering employee benefit programs
  • Small and medium enterprises (SMEs) looking for cost-effective group health solutions
  • Organizations aiming to improve employee retention and well-being
  • Companies navigating regulatory requirements for employee insurance
  • Businesses seeking to optimize healthcare costs while maintaining coverage quality

Example:
Aviation and Aerospace, Communication, Media & Technology, Construction, Energy & Power, Oil & Gas, Education, Financial Institutions, Healthcare, Hospitality, Infrastructure, Manufacturing & Automotive, Life Sciences, Marine, Mining, Public Sector, Real Estate, Retail & Wholesale, Sports, Entertainment & Events, Transportation, Shipping

Group Health Insurance: Covers medical expenses, hospitalization and preventive care for employees and their families

  • Life & Disability Insurance: Provides financial protection for employees in case of death or long-term disability
  • Wellness & Mental Health Programs: Supports employee well-being through counseling, wellness incentives and stress management initiatives
  • Retirement & Pension Plans: Helps employees secure their financial future through structured savings programs
  • Flexible Benefits & Voluntary Coverage: Customizable plans that allow employees to choose coverage based on their needs
  • Workmen Compensation
  • Group Personal Accident
  • Group Term Life
  • Group Superannuation
  • Group Gratuity
  • Group Business Travel

Talk To Us

Contact us to get in touch with an industry or risk subject matter expert, learn more about a specific solution or submit a sales/RFP inquiry.

Contact Us

Disclosure

EDME INSURANCE BROKERS LTD. (FORMERLY KNOWN AS ADITYA BIRLA INSURANCE BROKERS LTD.)

Registered Office: 2nd Floor, Privillion, East Wing, Sarkhej - Gandhinagar Highway, Vikram Nagar, Bodakdev, Ahmedabad, Gujarat 380054. IRDAI License Number: 146 | Composite Broker | License Valid till: 9th April, 2027 | CIN: U99999GJ2001PLC062239 Corporate Office: VIOS Tower, 6th floor, Off Eastern Express Highway, Sewri - Chembur Rd, Mumbai – 400037 Telephone: 1800 120 2510 | Website: www.edmeinsurance.com In case of any queries/complaints/grievances, please write to us at care@edmeinsurance.com.