Abstract
Purpose This paper aims to depict the ethical dilemma of an employee in an insurance company who analyzed the group health policy of a major private telecommunication company. He noticed striking discrepancies and reported the findings to his superior. Design/methodology/approach Case study methodology is used for this study. Findings This paper reported the ethical dilemma faced by the employee. Originality/value This is an original work to the best of the author’s knowledge.
Highlights
Purpose – This paper aims to depict the ethical dilemma of an employee in an insurance company who analyzed the group health policy of a major private telecommunication company
Case study methodology is used for this study
This paper reported the ethical dilemma faced by the employee
Summary
Mohan Sharma was a happy young man. As a recent graduate of a prestigious insurance school, he joined claim department of Xenic Insurance Company Limited. Established in 1940, Xenic Insurance Company in 2019 is the largest mutli-line general insurer of the India, providing a range of products for individuals, families, small businesses and mid-sized and large corporate houses and governments The company offers both standard and customized products in most areas of risk including motor, health, personal accident, shopkeeper items, household items, baggage, fidelity, fire, engineering, cash, crop, animal and events. “Group Medical Policy (Standard)” is offered to small business entities, trusts, educational institutes, cooperatives and registered associations It provides extended insurance coverage (certain riders of individual mediclaim policy are relaxed) to a group of employees at discounted rates. While analyzing one such group health policy of a major private telecommunication company, Mohan noticed striking discrepancies He observed that most of the claims pertain to maternity.
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