What is the Difference Between GMC and GPA in Corporate Insurance?
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Group Medical Coverage (GMC) and Group Personal Accident (GPA) are widely used forms of corporate insurance that employers offer to safeguard their workforce. Although both policies are designed to offer financial protection, they are used differently, and they work differently. For organisations planning employee benefits or individuals trying to understand their corporate insurance coverage, it is important to recognise how these two options differ.
Read on to explore a detailed comparison of GPA and GMC in corporate insurance plans so that you can make a well-informed decision.
What are the Key Differences Between GMC and GPA in Corporate Insurance?
The following table highlights the key differences between GMC and GPA:
Parameters | GMC | GPA |
Full Form | GMC stands for Group Medical Coverage. | GPA refers to Group Personal Accident insurance. |
People Covered | Group medical coverage works well for organisations across different industries and job roles. Employers can also extend this coverage to employees’ family members, including spouses, children, and parents in certain cases. | Group personal accident insurance suits organisations where employees face greater exposure to accident risks, such as construction, oil and gas, travel, and similar sectors. |
Other Names | It is also known as Corporate Health Insurance, Group Health Cover or Employer-Employee Insurance. | It is also known as Employee Personal Accident Cover or a 24-hour worldwide accident policy. |
Scope | This policy covers medical conditions and health emergencies faced by employees. It includes pre-hospitalisation, hospitalisation, post-hospitalisation, and daycare treatments. | This policy covers accidents involving employees. It can be used either during working hours or throughout the day, depending on the policy terms. |
Coverage Type | GMC adheres to an indemnity-based approach. It pays the actual medical expenses up to the sum insured. For example, if the sum insured is ₹6 lakh and the bill is ₹1.5 lakh, the insurer pays the full eligible amount. | GPA adheres to a benefit-based approach. It contributes a certain sum according to the severity of the injury. For example, in the case of permanent total disability, the insurer pays 100% of a ₹40 lakh cover. |
Inclusion | The policy includes benefits based on selected coverage and add-ons. It normally includes the hospitalisation expenses, maternity benefits, daycare treatments, and occasionally OPD expenses. | The benefits provided in the policy are accidental death cover, permanent and partial disability cover, temporary disability benefits, child education support, and repatriation expenses. |
Exclusion | The policy has certain terms under which some conditions are excluded. The most common exclusions are non-covered treatments, substance abuse, and self-inflicted injuries. | The policy excludes certain situations, such as attempted suicide, participation in adventure sports, and involvement in illegal activities. |
Customisation | Employers can customise the policy based on their workforce requirements. | Employers and employees usually have limited options to customise this policy. |