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Benefits administration for American employers 5 companies

These companies run the yearly choice of health plans, the enrolment of each employee and their family, and the accounts from which medical costs are paid back.

Alegeus logoAlegeusAlegeus, in Bengaluru, runs the accounts from which American employees pay medical costs with pre-tax money.BengaluruHiring now
Alight Solutions logoAlight SolutionsAlight, with engineers in Delhi and Chennai, is the largest benefits administrator in the United States. It runs enrolment and payroll for the largest employers.Delhi NCR · ChennaiHired recently
bswift logobswiftbswift, with engineers in Bengaluru, sells an enrolment platform that helps each employee choose between plans.BengaluruHiring now
ThrivePass logoThrivePassThrivePass, with engineers in Delhi, sells enrolment and administration to mid-sized employers, with a wellbeing platform attached.
Sequoia logoSequoiaSequoia, with engineers in Bengaluru, advises technology companies on their benefits and has built its own software to run them.
The tech, explainedBenefits administration
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Employee wellbeing and support 3 companies

Employers also pay for health check-ups, wellness programmes, perks and confidential counselling for their staff.

Workplace Options logoWorkplace OptionsWorkplace Options, with engineers in Bengaluru, is the largest independent provider of confidential counselling and support lines that employers offer their staff.
healthi.in logohealthi.inhealthi.in sells a corporate wellness platform that includes preventive health check-ups.
Plum Benefits logoPlum BenefitsPlum Benefits presents itself as a benefits and perks platform. It is a different company from Plum, the health insurer.
The tech, explainedEmployee wellbeing platform
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Employer health cover in India 4 companies

In India, many employers buy group health insurance for their staff. These companies sell it, some with their own clinics.

Onsurity logoOnsurityOnsurity, with engineers in Bengaluru, sells group health cover by monthly subscription to small businesses, even for teams of a few people.BengaluruHired recentlySee alsoInsurance aggregators and online brokers
Plum logoPlumPlum, from Bengaluru, sells group health insurance to Indian start-ups and companies.See alsoInsurance aggregators and online brokers
Loop logoLoopLoop, with engineers in Bengaluru, sells group insurance with its own network of doctors' clinics.See alsoHealth plan claims and care management
XO Health logoXO HealthXO Health sells employers health plans that are paid for keeping people healthy, not for each treatment.See alsoHealth plan claims and care management
How it all worksHR technologyFrom job ad to six-month survey, each on different software.
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What's changing

AI models are starting to help employees choose a plan.

Most employees pick a health plan once a year with little idea which is best for them. Benefits companies are adding AI tools that read a person's past claims and recommend a plan.

Companies: ingrid's company map. Hiring signals: postings feed of 5 Nov 2026.