A 400-person software company and a 400-person auto components company have almost nothing in common as buyers except the headcount. Same for an HR head at 600 people and one at 12,000. The fear is different, the vocabulary is different, and the thing that goes wrong first is different. So pick the one that sounds like your week.
Founder or CEO · roughly 20 to 200 people
You built this to look after people, and now you argue with a TPA
Someone’s parent is in the ICU and the call comes to you. On a Sunday.
At this size there is no benefits function, so you are it. The first policy usually gets bought on price and a friendly quote, and nobody reads the exclusions until a real bill arrives. One badly handled hospitalisation is known to the whole company by Monday, and what breaks is your personal promise, not the premium.
What we do first: read the cover you already have against the ten moments that actually test it, then rebuild the parts that would not hold. After that, the calls come to us.
For founders and CEOs →
Stress-test your cover →
Group health insurance →
Group personal accident →
HR head or people lead · roughly 200 to 2,000
Squeezed from both directions, and holding the escalation desk alone
Upstairs wants to know why the premium jumped. Downstairs thinks you bought a cheap policy.
You are the integration layer between employees, the insurer, the TPA and a leadership team that sees one number a year. The work that eats your week is not designing benefits, it is chasing a pre-authorisation at nine at night and explaining a discharge deduction to a family that is already frightened.
What we do first: take the escalations off you, and give you the answer that satisfies both directions, with utilisation you can show rather than assume.
For HR and people teams →
Protect and Red Carpet →
Ethika Hub, one view for HR →
Premium calculator →
CHRO or rewards lead · 2,000 and above, multi-entity
At this size, benefits are a governance system, not a purchase
The problem you cannot see is variance. Averages hide the severe cases.
Several entities, several locations, and often several inherited policies that were never harmonised. Procurement, legal and the security review come before the benefit conversation does, and the failure that matters is systemic: an incident, a data question at board level, a tier that reads as unfair to one population.
What we do first: map what each entity actually holds, name the inconsistencies, and put employee health data under controls your security review can read.
For CHROs and rewards leads →
How the Hub handles data →
Ask for the security and data pack →
GCC or the India arm of a global group
You buy like a founder and report like an enterprise
The global template says one thing. India says another. You are in the middle.
The placement may be mandated by a head office and a global broker, while the part that gets judged locally is the everyday one: whether an employee’s cashless goes through, whether a parent is covered, whether anyone picks up. Talent moves fast in this market and benefits are one of the few levers you still control.
What we do first: leave the mandated placement exactly where it is and come in alongside as your claims and service partner. No disruption to the existing setup.
For GCCs and India teams →
Ethika alongside your broker →
Group health insurance →
Manufacturing, plants, sites and field teams
A benefit that lives only in an app stops at the office door
A serious accident on the floor is a human tragedy and a legal exposure in the same hour.
A dual workforce, shifts, contract labour, and statutory categories that overlap awkwardly. Cover has to line up across the interfaces rather than leave someone in the gap between two policies, and a benefit only counts if it reaches the shift that never opens email.
What we do first: line up the accident, compensation and health layers so nobody falls between them, then deliver on site rather than by notification.
For plants and field teams →
Workmen’s compensation →
Group personal accident →
Fire insurance for business →
CFO, legal or IT · the person holding the risk register
The covers nobody thinks about until a notice arrives
The claim that hurts most is usually the one nobody was asked to budget for.
Directors and officers, professional indemnity, cyber and data protection exposure, general liability, property, goods in transit. These sit outside the benefits conversation, get renewed on autopilot, and turn on wording that only gets read after the event.
For CFOs, legal and IT →
Directors & Officers →
Cyber insurance →
Professional indemnity →
Marine & transit →
Different chairs. The same thing missing, every time: someone who picks up, and stays.