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Employee Benefits

Group Mediclaim Insurance Quote

Comprehensive health cover for your employees and their families. Submit your details and receive tailored multi-insurer quotes within 24 hours.

👥 Employees & Dependents

⏱ 24h Quote Turnaround

🏆 18 Empanelled Insurers

🔒 Confidential

🏢

Company & Contact Details

Basic information about your organisation and the primary contact person

Company / Organisation Name *

Client Type *

Corporate SME Startup Individual

Industry / Sector *

City *

State *

Contact Person Name *

Designation

Email Address *

Mobile Number *

Fresh Policy or Renewal? *

🆕 Fresh Policy 🔄 Renewal

Current Insurer

Policy Expiry Date

👥

Employee & Demography Details

Enter headcount by age bands and select who should be covered

Total Employees (Lives) *

Data Entry Method

📊 Age Band Entry 📁 Upload List

Demography — Age Band × Gender

Age Band	Male	Female	Other	Total	Distribution
Grand Total	0	0	0	0

Total Lives

Male

Female

—

Avg Age

Senior 55+

Who Should Be Covered?

📁

Document Uploads

Upload relevant documents — PDF and Excel formats accepted

📁 PDF & Excel accepted

📏 Max 10 MB per file

🔒 Secure & encrypted

Claims Dump *

🧾

Raw Claims Data

PDF or Excel · Max 10 MB

Claim-wise data: Claim No, Employee, Diagnosis, Amount, Status

Claims Analysis Report

📈

Claims Analysis / MIS

PDF or Excel · Max 10 MB

Insurer-generated summary: Incurred ratio, top diagnoses

Updated Member List *

👤

Current Member List

PDF or Excel · Max 10 MB

Active employees & dependents as on date

Previous Policy Copy

📋

Policy Schedule / Wordings

PDF or Excel · Max 10 MB

Policy schedule, endorsements & terms

📝

Preferences & Remarks

Any specific requirements, preferred insurers, or additional information

Preferred Insurers (optional — leave blank for all)

Desired Quote Date

Additional Remarks / Special Instructions

✅

Review & Submit

Please verify all information before submitting your quote request

⚠️ By submitting, you confirm the information is accurate. A Cover First advisor will contact you within 24 business hours at the email address provided.

✅

Request Submitted!

Your Group Health Insurance quote request has been received.
A Cover First advisor will review your details and reach out within 24 business hours.

CF-2026-XXXXX

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