Group Insurance Form Template for Pakistan

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Key Requirements PROMPT example:

Group Insurance Form

"Need a Group Insurance Form for a tech startup with 250 employees, including international travel coverage and digital health services, to be implemented by March 2025; must include provisions for remote workers and mental health coverage."

Document background

The Group Insurance Form is a fundamental document used in Pakistan when an organization seeks to provide insurance coverage for a collective group, typically its employees or members. This contractual document, regulated under the Insurance Ordinance 2000 and overseen by the Securities and Exchange Commission of Pakistan (SECP), establishes the legal framework for group insurance arrangements. It is essential when companies want to provide health, life, or other insurance benefits to their employees as part of their compensation package. The form includes crucial information such as coverage terms, premium calculations, claims procedures, and benefit structures, while ensuring compliance with Pakistani insurance regulations. Organizations use this document to formalize their insurance arrangements, protect their employees' interests, and fulfill their corporate responsibilities regarding employee benefits.

Suggested Sections

1. Parties: Identification of the Insurance Company and the Group Policyholder (typically employer or organization)

2. Background: Context of the group insurance arrangement and purpose of the policy

3. Definitions: Key terms used throughout the policy including 'Insured Persons', 'Dependents', 'Coverage Period', 'Premium', etc.

4. Eligibility Criteria: Requirements for group members to be eligible for coverage, including waiting periods and age limits

5. Coverage Details: Scope of insurance coverage, including risks covered and sum assured

6. Premium Structure: Details of premium calculation, payment terms, and contribution split between group policyholder and members

7. Claims Procedure: Process for filing and settling claims, including required documentation

8. General Terms and Conditions: Standard policy conditions, including renewals, terminations, and modifications

9. Exclusions: Specific circumstances and conditions not covered under the policy

10. Obligations of Parties: Responsibilities of the insurer, group policyholder, and insured members

Optional Sections

1. Additional Benefits: Optional riders or supplementary benefits available to group members

2. International Coverage: Terms for coverage during international travel or residence, if applicable

3. Wellness Programs: Details of any associated health and wellness programs or benefits

4. Premium Holiday Provisions: Terms for temporary suspension of premium payments in specific circumstances

5. Portability Terms: Conditions for continuing coverage when leaving the group

6. Digital Services: Terms related to online claims, mobile apps, or digital health services if offered

Suggested Schedules

1. Schedule A - Premium Tables: Detailed premium rates based on age groups, coverage types, and sum assured

2. Schedule B - Member Categories: Classification of different member groups and their respective benefits

3. Schedule C - Benefit Structure: Comprehensive list of benefits and coverage limits for each category

4. Schedule D - Network Providers: List of approved healthcare providers, hospitals, and cashless facility partners

5. Appendix 1 - Claim Forms: Standard forms and formats for claim submission

6. Appendix 2 - Medical Examination Requirements: Medical testing requirements for different coverage levels and age groups

7. Appendix 3 - Documentation Checklist: List of required documents for enrollment and claims

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Financial Services

Healthcare

Manufacturing

Information Technology

Education

Retail

Construction

Professional Services

Telecommunications

Energy

Transportation

Hospitality

Relevant Teams

Human Resources

Legal

Finance

Compliance

Risk Management

Operations

Employee Benefits

Administration

Corporate Affairs

Procurement

Relevant Roles

HR Manager

Benefits Administrator

Compensation Manager

Legal Counsel

Compliance Officer

Risk Manager

Chief Financial Officer

HR Director

Insurance Coordinator

Employee Relations Manager

Corporate Secretary

Finance Manager

Operations Manager

General Manager

Chief Human Resources Officer

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Let's create your Group Insurance Form

Authors

Alex Denne

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