Oriental Insurance Company
Public sector insurer offering comprehensive health insurance with extensive coverage.
Features
Key Features
IRDAI Annual Report 2024-25
Key Statistics
Health + PA + Travel Premium
₹9,994 Cr
FY 2024-25
Claims Ratio
102.58%
FY 2024-25
Solvency Ratio
-1.03
March 2025
Policy Documents
Customer Service
Balanced View
Pros & Cons
Advantages
- ✓Government-backed PSU insurer with strong credibility
- ✓Broad geographic coverage including remote and Tier-3 locations
- ✓Affordable premiums - among the lowest in the market
- ✓Good for companies needing government hospital access
- ✓Pre-existing conditions covered under group plans
- ✓Trusted by PSU and government-sector employers for decades
Limitations
- !Manual processes - slow claim settlement vs. private insurers
- !Limited digital infrastructure - no robust online claims or mobile app
- !Negative solvency ratio (-1.03) - a significant financial concern
- !Claims ratio above 100% - indicates ongoing operational losses
- !Less suitable for fast-growing tech companies needing digital-first experience
Right Fit
Who Should Choose Oriental Insurance?
Cost-Sensitive Companies on a Tight Budget
For companies where the primary objective is regulatory compliance (mandatory employer GHI) at the lowest possible cost, Oriental Insurance's premiums are hard to beat - especially for older, larger workforce groups.
Organisations with Government Connections
Companies with PSU tie-ups, government contracts, or employees accustomed to CGHS/government hospital treatment often prefer Oriental Insurance for its institutional familiarity and alignment.
Firms with Workforce in Smaller Cities
Oriental Insurance's geographic footprint in Tier-3 and rural India means employees in locations underserved by private insurer networks still get basic cashless access.
At a Glance
Policy Highlights
| Feature | Detail |
|---|---|
| Sum Insured | ₹1L – ₹10L per employee |
| Room Rent | 1% of SI |
| Pre-existing Conditions | Covered from day 1 (group policy) |
| Maternity Benefit | Yes |
| Cashless Network | 9,000+ hospitals incl. govt hospitals |
| Claims Ratio (FY 24-25) | 102.58% |
| Solvency Ratio | -1.03 (financially stressed) |
Frequently Asked Questions
Get Oriental Insurance for Your Team
A trusted public sector insurer with comprehensive health coverage at affordable premiums.