Health Insurance for Companies Under 50 Employees

Providing comprehensive health insurance for employees is no longer optional for companies in the UAE. Medical insurance is now mandatory for employees across the country, and companies with less than 50 employees must ensure they comply with local regulations by providing adequate coverage. This article explains the essential aspects of health insurance for companies under 50 employees, and what options you have available for your team. ...read more

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What is Health Insurance for Companies Under 50 Employees?

Health insurance for companies under 50 employees is typically structured as group health insurance plans. These are designed to provide comprehensive medical coverage to small groups of employees working within a business or organisation. The main benefit of group health insurance is the cost-efficiency it offers due to the shared risk among the employees.

Small businesses (with 2 to 50 employees) can benefit from tailored health plans, which offer different levels of coverage. These plans are available in three categories based on geographical coverage: international, regional, and local, ensuring you have flexible options for protecting your employees.

How Does Group Health Insurance Work for Small Companies?

In the UAE, 50 employee health insurance is a collective coverage that organisations purchase to offer their employees essential medical benefits.

Group plans have several advantages:

  • Risk Distribution: Insurers distribute the financial risk across a large pool of people, reducing the overall cost of insurance for individual employees
  • Affordable Premiums: Since the risk is shared, businesses can access affordable premiums that may not otherwise be possible with individual health plans
  • Employer-Paid Costs: The cost of the health insurance plan is typically paid by the employer, making it more manageable

Types of Group Health Insurance Plans

There are several types of group health insurance plans available for small businesses, including —

  1. Basic Coverage Plans: These plans provide fundamental medical coverage, such as hospitalisation in emergencies and basic healthcare services. These plans are generally more affordable and are suitable for businesses looking to meet the minimum legal requirements.
  2. Comprehensive Coverage Plans: These plans offer more extensive coverage that includes preventive care, regular doctor visits, and possibly even dental and optical care. While the premiums are higher, they offer stronger financial protection.
  3. Family Health Insurance Plans: Some employers offer family coverage, extending health insurance benefits to employees' spouses and dependents. This option is highly valued but may come at a higher cost.
  4. Essential Benefits Plans (EBP): Designed for employees earning less, this basic plan ensures that even employees on lower wages have access to healthcare services.

Eligibility for Group Health Insurance in UAE

In the UAE, businesses are required to provide health insurance to all employees, regardless of their salary or employment status. However, the specifics of eligibility can vary based on the insurance provider. The requirements generally include:

  • A minimum participation rate of about 70% of employees
  • Coverage must be extended to all full-time employees
  • The plans must comply with the specific health insurance regulations set by the UAE’s Dubai Health Authority (DHA) and the Abu Dhabi Health Authority (HAAD)

Benefits of 50 Employees Health Insurance

Group health insurance plans in the UAE offer a wide range of valuable benefits for employees and businesses alike:

  • Cost Efficiency: Group health insurance plans offer affordable premiums compared to individual health plans due to the shared risk
  • Comprehensive Coverage: Many group plans provide a variety of medical services, including doctor consultations, hospitalization, surgery, medication, and preventive care
  • Supplementary Benefits: In addition to medical coverage, some plans also offer benefits like dental and optical coverage, as well as mental health support

By offering comprehensive coverage, employers enhance the health and well-being of their employees. This in turn helps in boosting productivity and morale within the workplace.

Cost of Group Health Insurance for Small Businesses

The cost of 50 employees health insurance can vary significantly based on factors such as:

  • Employee Salary: Employees earning a higher salary might require a more comprehensive plan with broader coverage
  • Level of Coverage: Basic plans cost less than more comprehensive packages. However, businesses should weigh the cost against the potential benefits for employees
  • Add-On Benefits: Dental, optical, and maternity benefits can increase the overall premium cost

For businesses with fewer than 50 employees, the price of health insurance typically starts at AED 600 to AED 650 per employee for basic coverage plans.

For more comprehensive plans with added benefits, the cost can range from AED 1,500 to AED 5,000 per employee annually.

Types of Coverage Available

The following types of coverage are typically available for small business health insurance plans in the UAE:

  1. Basic Medical Coverage: This includes emergency hospitalization and general medical consultations. The benefits are typically limited to the UAE, and coverage for medical services abroad may be excluded.
  2. Hospitalisation Only Coverage: This covers the costs of hospitalization but does not include outpatient care, prescriptions, or general consultations unless they result from an emergency.
  3. Dental and Optical Coverage: Higher-tier plans may include dental and optical coverage, either as part of the base plan or as an optional add-on.
  4. Pre-Existing Conditions and Chronic Disease Cover: Most plans include a waiting period for pre-existing conditions, typically 6 months. Comprehensive plans may offer full coverage for such conditions without a co-payment.

Requirements for Employers and Employees

Under the UAE law, employers are responsible for enrolling their employees in group health insurance. However, businesses must ensure that they choose a provider and plan that meets both legal requirements and the needs of their workforce.

Here are key things to remember:

  • Registration: Employers must register their employees with the insurance provider and ensure that premiums are paid on time
  • Eligibility: Employees need to meet the eligibility criteria outlined by the insurer and the law to benefit from the group health insurance plan

For employees, it is essential to understand their coverage options, including the type of plan they are offered, the coverage limits, and whether family members are covered under the plan.

Conclusion

Providing group health insurance for companies with fewer than 50 employees in the UAE is a legal requirement and an essential part of fostering a supportive and healthy work environment. Whether you're a small business owner or an employee, understanding the different types of health insurance plans and their associated costs will help you make the best decisions for both the organisation and the workforce.

By offering affordable, comprehensive health insurance options, businesses can not only comply with the UAE law but also attract and retain top talent while ensuring the health and well-being of their employees.

Frequently Asked Questions

Q1. Is it mandatory to provide medical insurance to employees in the UAE?

Yes. Medical insurance is a legal requirement in the UAE for obtaining or renewing a residency permit. The Federal Authority for Identity, Citizenship, Customs and Port Security (ICP) ensures that workers in both the private and domestic sectors are covered before their residency can be processed.

Q2. What is the minimum insurance coverage under the Dubai Health Authority (DHA)?

According to DHA, the minimum required insurance coverage under the basic health plan includes an annual aggregate limit of at least AED 150,000. It is also mandatory to cover pre-existing medical conditions in full after a waiting period of six months.

Q3. What is the minimum number of employees required for group medical insurance in the UAE?

The number of employees required depends on the type of plan:

  • DHA Basic Plan: Minimum of 2 employees
  • For non-basic plans: Minimum group sizes vary between 5 to 50 employees, depending on the insurer

Employers should consult their insurance provider for specific eligibility and group size requirements.

Q4. What is the new insurance payment rule in the UAE starting February 2025?

Effective 15 February 2025, insurance customers in the UAE will be required to make direct payments to insurers rather than through brokers. This change aims to increase transparency, reduce misuse, and ensure customers deal directly with the provider.

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