SME Employee Benefits Risk Check
A self-check to give you a bird’s-eye view, not make decisions for you.
Who this is for
This risk check is designed for Singapore SMEs with 5 to 30 employees who already have an employee medical insurance program, or are seriously reviewing one.
It is intended for HR teams, founders, and finance leaders who want clarity on how their program behaves in real medical situations, not a product comparison or quotations.
What this risk check does (and does not do)
This self-check is designed to surface areas of uncertainty that commonly only show up during hospitalisation, follow-up treatment, or renewal discussions.
It does not provide advice, recommend insurers, or replace a formal review. Its purpose is simply to help you reflect on how clearly your current employee medical insurance program is understood.
Risk Check Questions
Please answer each question based on your current understanding of your company’s employee medical insurance program.
Question 1
Do you clearly understand your annual and per-disability limits, and how they apply during a hospitalisation?
Question 2
If an employee requires an MRI or CT scan without hospitalisation, do you know how this would be covered under your plan?
Question 3
Are post-hospitalisation treatments time-limited under your plan, and do you know what happens once that limit ends?
Question 4
Do employees clearly understand which hospitals and ward classes are fully covered without pro-ration?
Question 5
If a claim exceeds S$20,000, are you confident how the payout would work from admission to final settlement?
Question 6
Has anyone walked HR or management through a real claim scenario, step by step, using your current plan?
Question 7
Do you understand why your last renewal premium changed, beyond general explanations such as “pricing” or “medical inflation”?
Question 8
If an employee is scheduled for hospital admission, would HR know what needs to be done before admission to avoid claim issues?
Reflection
If some of these questions were difficult to answer confidently, that uncertainty usually only becomes visible during hospitalization, follow-up treatment, or renewal discussions. Many SMEs only realize this after a claim happens or when employees escalate concerns.
The purpose of this self-check is not to label your program, but to help you see where assumptions may exist.
If you are reviewing your insurance structure, we are available for a conversation.
No obligation. Just clarity.