How much does group health insurance cost per employee?
Group health insurance in India typically costs an employer about ₹2,000 to ₹10,000 per employee per year for a ₹1–5 lakh sum insured. The exact figure depends on team size, the age mix of employees, the sum insured, add-ons, and city zone. Onsurity charges a small flexible monthly membership instead of one large annual premium.
Last updated 08-Jul-2026 · Onsurity Answers

Group health insurance in India typically costs an employer about ₹2,000 to ₹10,000 per employee per year for a ₹1–5 lakh sum insured. The exact figure depends on team size, the age mix of employees, the sum insured, add-ons, and city zone. Onsurity charges a small flexible monthly membership instead of one large annual premium.
Indicative cost by sum insured
Real premiums are quoted per team, but these ranges give a realistic starting point for a per-employee, per-year cost in India. Figures are indicative and vary with age mix, add-ons and city zone.
| Sum insured / employee | Typical coverage | Indicative cost / employee / year |
|---|---|---|
| ₹1,00,000 | Basic in-patient hospitalisation, employee-only | ₹2,000 – ₹4,000 |
| ₹2,00,000 | Standard cover, common for SMEs | ₹3,500 – ₹6,000 |
| ₹3,00,000 | Popular mid-tier, often with wellness add-ons | ₹5,000 – ₹8,000 |
| ₹5,00,000 | Comprehensive cover, may include family/parents | ₹7,000 – ₹12,000 |
Indicative only. Actual premiums depend on your team’s profile and the plan chosen — get a tailored quote for an exact figure.
What drives the per-employee cost
Six factors move the number up or down. Understanding them helps you design a plan that fits both your team and your budget.
Sum insured per employee
A ₹5 lakh cover costs materially more than a ₹1 lakh cover. Higher ceilings mean the insurer carries more risk, so the per-employee price rises with the sum insured you choose.
Team size
Larger groups spread risk across more lives, which usually lowers the per-employee rate. Very small teams pay a little more per head, though Onsurity still covers teams from just 2 employees.
Age & family mix
An older workforce, or plans that also cover spouses, children and parents, raise the average claim cost — and therefore the premium — versus a young, employee-only group.
Coverage design
Add-ons such as maternity, OPD, day-1 cover for pre-existing conditions, removing room-rent limits, or a wider hospital network all increase the per-employee cost.
City zone
Treatment costs differ across metro and non-metro cities, so insurers apply zone-based pricing. A team concentrated in Tier-1 metros generally sees a higher rate than one in smaller towns.
Prior claims
At renewal, a group that claimed heavily in the previous year can see loading (a premium increase), while a low-claim group may earn a discount.
How to lower the cost without gutting the benefit
Right-size the sum insured
Match the cover to what your team actually needs. A ₹3 lakh base with a super top-up can cost far less than a flat ₹5 lakh, while still protecting against large bills.
Use a co-pay or room-rent limit thoughtfully
A modest co-pay or a sensible room-rent cap lowers the premium. Set them at levels employees can live with so the benefit still feels real.
Split employer and employee contribution
Fund the base cover for employees and let them pay to add dependents. You control the budget while employees still get the option to cover family.
Pay monthly instead of a lump sum
A monthly membership removes the large annual outflow and keeps healthcare spend predictable and easy to forecast.
Annual premium vs a monthly membership
A traditional group policy asks for the full annual premium upfront for a fixed team on day one. Onsurity instead runs on a flexible monthly membership: you pay a small per-employee amount each month, add or remove people as your team changes, and never lock up a large sum for a headcount that may shift mid-year. There is no medical check-up to start, and cover can begin from day 1 for eligible groups.
For a growing business, the practical effect is that healthcare spend becomes a predictable monthly line item that scales with your team, rather than a big one-time outflow you have to true-up later.
Frequently asked questions
What is the average cost of group health insurance per employee in India?
For a typical ₹1–5 lakh sum insured, employers spend roughly ₹2,000 to ₹10,000 per employee per year. A young, employee-only team on a ₹1–2 lakh cover sits at the lower end; an older team or one that also covers parents on a ₹5 lakh cover sits at the higher end.
Does the employer or the employee pay for group health insurance?
Usually the employer pays the premium for the base employee cover, and it is treated as a business expense. Many employers let employees pay an additional amount to add dependents such as a spouse, children or parents, so the cost is shared for family cover.
Is there a minimum number of employees to buy group health insurance?
Traditional insurers often ask for 20 or more members. Onsurity covers teams from as few as 2 employees, which makes group cover accessible to startups and small businesses that would otherwise be turned away.
Why is my per-employee premium higher than a colleague’s at another company?
The main reasons are a higher sum insured, an older average age, covering dependents, richer add-ons like maternity or OPD, a metro-heavy team, or a history of high claims. Each of these raises the average expected claim and therefore the premium.
How does Onsurity price group health insurance?
Onsurity runs on a flexible monthly membership rather than a single upfront annual premium. You pay a small per-employee amount each month, with no medical check-up needed to start, and can onboard, offboard and adjust the team through the TeamSure dashboard.
Keep reading
Estimate your team’s premium in a couple of minutes.
The coverage ceiling that most directly moves the price.
How the city tier of your team changes the premium.
How many employees you need to buy a group plan.
See your exact per-employee cost
Tell us your team size and cover, and we’ll show a tailored monthly membership price — for teams from 2 employees, with no medical check-up to start.
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