Top 11 Employee Benefit Plans in Indonesia
Employee benefit (group) insurance is an insurance protection covered by employers to their employees. Employee benefit plans may include medical insurance, life insurance, and retirement benefits.
Group insurance is not only beneficial to the employees, but could certainly pay off for the company or organisation in the long run. Current employees may be enticed to stay and it will be easier to find the best new recruits.
There are several employee benefits plans available in Indonesia. Lifepal has concluded 11 best employee benefits insurance plans that can be tailored to the needs and budget of each employer:
1. Lippo Insurance – Medicare
Details and Benefits
- Inpatient benefit covers hospitalization & ICU expenses (doctor visit, surgery, lab, etc)
- Outpatient benefit covers the visit for general and specialist practitioners, dental and optical treatment, etc
- Maternity benefit covers the expenses for normal or C-section deliveries
2. FWD Insurance – Bebas Sehat
Details and Benefits
- Inpatient benefit covers per and post hospitalization expenses
- Rider or optional benefits:
- Outpatient
- Dental treatment
- Optical treatment
- Preventive care
- Prosthesis
- Buffer benefit
3. Astra Aviva – WinHealth
Details and Benefits
- Coverage extension is valid until 65 years old
- Inpatient benefit covers hospitalization and surgical expenses
- Outpatient benefit cover the visit for general practitioners, dental and optical treatment, etc
- Maternity benefit covers the expenses for normal or C-section deliveries
- Death benefit
4. Manulife Total Protection
Details and Benefits
- Term life insurance
- Accidental death and disablement benefit
- Outpatient benefit cover the visit for general practitioners, dental and optical treatment, etc
- Maternity benefit covers the expenses for normal or C-section deliveries
5. Great Eastern – Great Health Guard
Details and Benefits
- Inpatient benefit covers hospitalization expenses
- Outpatient benefit (rider):
- Visit for general practitioners
- Dental and optical treatment
- Medical check up
- Maternity benefit
6. Takaful Keluarga – Fillmedicare Gold
Details and Benefits
- Inpatient benefit covers hospitalization and surgical expenses
- Outpatient cash plan
- Maternity benefit covers the expenses for normal or C-section deliveries
- Cover the expenses of dental and optical treatment
7. Avrist Insurance – Avrist Group Health Care
Details and Benefits
- No waiting period
- Family coverage (optional)
- Inpatient benefit covers hospitalization and surgical expenses
- Outpatient benefit cover the visit for general practitioners
- Death benefit
8. Prudential – PRUWorks Medical
Details and Benefits
- Outpatient benefit cover the visit for general practitioners, dental and optical treatment, etc
- Maternity benefit covers the expenses for normal or C-section deliveries
9. Mandiri AXA General Insurance (MAGI) – Smartcare Executive
Details and Benefits
- Outpatient benefit cover the visit for general practitioners, dental and optical treatment, etc
- Inpatient benefit covers hospitalization and surgical expenses
10. AIA Insurance – Voluntary Solutions
Details and Benefits
- Entry age for Life insurance / critical illness benefit: 1 to 64 years old
- Entry age for personal accidental and death benefit: 17 to 64 years old
- Entry age for inpatient benefit: 15 days to 59 years old
- Tailored insurance plans:
- Inpatient benefit
- Death benefit
- Critical illness plan
- Accidental death benefit
11. Employee Benefit BNI Life – Optima Group Health
Details and Benefits
- Inpatient benefit covers hospitalization and surgical expenses
- Outpatient benefit (rider):
- Visit for general practitioners
- Dental and optical treatment
- Maternity benefit
Employee Benefit Plan for Expats in Indonesia
Employee benefit programs are highly recommended to all expats residing in Indonesia. In fact, it is mandatory for expats who have been residing for six months or more to obtain The Indonesia National Social Health Insurance or also known as BPJS.
The Indonesia National Social Health Insurance is a paid government social security and health system program that is implemented by Badan Penyelenggara Jaminan Sosial (BPJS).
However, BPJS cannot cover some advanced medical treatments. If you wish to have the VIP services and medical benefits, we highly recommend to join independent healthcare insurance at your own expense.
Why Are Employee Benefits Important?
Proposing the most appealing benefits can become an important stone to attract the best talents. Offering the best employee benefits program shows that the employers are invested in their overall wellbeing and also their future. Therefore an attractive benefits package can attract and retain top talent.
Tips for Choosing The Best Employee Benefit Plans in Indonesia
To be able to choose the best insurance plans, you need to understand how the most common employee benefit insurance works. Here are some tips that can help you find the best insurance for your employees:
1. Health Insurance for Employees
Please note that all employees must obtain The Indonesia National Social Health Insurance. Which means all employees are entitled for mandatory retirement and health care benefits (BPJS Kesehatan).
However, BPJS Kesehatan’s medical benefits and services are very limited. Therefore, it’s highly recommended to join independent health insurance for employees. If you have extra budget, then you can add death benefits to complete the health insurance policy.
2. Carefully Considering Rider
Rider is an extra benefit that an employer can get to add on the basic insurance policy. This usually includes dental treatment, optical, life insurance, accidental death benefit, and many more. So when purchasing riders, you have to pay extra money for the additional benefits.
There’s nothing wrong with adding riders to the policy, however before signing up make sure you carefully consider whether the benefits are worth it or not. You should weigh the pros and cons of the rider benefits carefully before deciding.
3. Find The Best Key Features
Not every employee benefits insurance plan is a one-size-fits-all solution. Therefore you need to find the best insurance broker that includes other key features, such as wellness plans and technology services.
Lifepal is a licensed insurance broker, providing the best selections of employee benefit plans with competitive price. As an insurance broker, we offer employee benefit consultants to help you create customized packages to meet the needs of employers.
Lifepal partner up with a few key providers to offer additional benefits, such as PCR test, rapid test screening, vitamin supply, and vaccination programs. We also provide technology services as part of our employee benefit programs, such as onboarding employees, alteration employees, insurance benefit view. Including employee benefit platform or HR related tools such as payroll, payroll cash advance, BPJS, and AdMedika Integration.
The Average Cost of Employee Benefits Insurance
Every insurance company has their own factors based on which they decide the premium cost. In general those factors may include things such as number of employees, type of insurance, employees’ demography, and business industry.
1. Number of Employees
Insurance companies have a minimum number of employees that can be insured, typically at least 10 employees including the owner. Mostly, the more employees insured, the lower the premium per person will be.
2. Type of Insurance Plan
Insurance type is one of the most impactful factors that can influence the premium cost. For example, if you’re choosing health employee benefits that cover international medical treatment, then the premium will surely be higher compared to the domestic one.
3. Employees’ Demography
Most insurance companies will ask for the demographic age and gender of the employee to determine the premium cost. The older the employee, the higher the premium.
4. Business Industry
Business industry plays a big role in determining the premium cost. If your business industry has a higher occupational accident rate (construction, mining, or gas), then the premium cost will most likely be more expensive.
Why Buy Employee Benefit Plan Policy From Lifepal?
Lifepal provides the best employee benefit solutions by utilizing technology services through HR programs, tools, and customizable insurance benefits. Lifepal partner up with the top insurance companies, such as AXA Mandiri, Astra Life, Lippo Insurance, Allianz, FWD, and many more.
Some of our clients include big names, such as Lazada, Lamudi, Deliveree, Happyfresh, J&T, and many more.
Learn more about Lifepal employee benefits program now!
Lifepal is operating under a registered Broker License. The License is under PT Anugrah Atma Adiguna, supervised by OJK in accordance with KEP-018 / KMK.17 / 1992 and members of APPARINDO 60-2001 / APPARINDO / 2019
Employee Benefit FAQ
What is employee benefit insurance?
Employee benefit insurance is an insurance protection covered by employers to their employees. Employe benefit plan include health insurance, life insurance, and retirement benefits.
What are the 4 major types of employee benefits?
- Health Insurance for Employee
- Life Insurance for Employee
- Retirement Plans
- Accidental & Disability Insurance
The advantage of employee benefit insurance for employers
Giving insurance for employees is not only beneficial for workers only, but also the employers or organizations. These are the advantages:
- Employee retention.
- As a motivation for the employees to do their best in performing.
- Better benefit but lower cost, because employee benefit insurance provides better benefits in lesser cost.
What is covered in the policy?
The common benefits that covered in the health insurance plans for employees are:
- Pre-exisiting diseases
- Inpatient expenses: room, doctor consultation, ICU, surgery, lab, etc
- Outpatient expenses: doctor consultation, dental treatment, optical
- Vaccination expenses
- Maternity cover with waiting period of 9 months (rider)
- Pre and post hospitalization
- Ambulance charges
What is not covered in the policy?
The common exclusions usually related to violating the law or sexual activity. Here are some of the examples:
- Complications due to abuse of alcohol or drugs
- HIV/AIDS or sexual transmited diseases (STD)
- Some policies do not cover the parents or siblings of the employee
- Cosmetic surgery procedures
How to claim for employee benefit insurance?
Employee benefit claims can be settled through cashless or reimbursement methods However, if your medical expenses go beyond the sub insured or annual limit, then you will have to settle the payment personally to the hospital.
These are the difference between cashless and reimbursement:
| Cashless | Reimbursement |
| Submit your insurance card or insurance ID to the hospital → hospital confirms to the insurer → once approved, claim is success and you get medical treatment. | Clear your hospital bills → report your claim to the insurer → make sure to submit all claim documents → the insurance company will do the claim survey → once approved, the reimbursement claim is success. |
List of documents required for making claim in Indonesia
- Hospital bills
- Pharmacy bills (if any)
- Valid ID proof
- Doctor’s report
- Claim form
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