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GullySystem
Finance and insurance · Software for health insurance agents

Keep each family’s policies, renewals and claims in one clear record.

Health insurance agents look after families and employee groups whose cover depends on renewal dates, waiting periods, sub-limits and claims paperwork. The health insurance agent software keeps each member, plan, premium and claim on one client record, and renewal reminders, cashless pre-authorisation follow-up and commission statements all read from it.

At a glance

A health policy is a long relationship. The client buys once, renews every year, adds a newborn or a parent through an endorsement, and calls at the worst moment about a hospital admission. The agent must recall every waiting period, maternity clause and room-rent limit.

Health insurance agent software keeps that knowledge on a record instead of in a phone and a diary. Whoever picks up the call can see the members, the plan, the sum insured, the no-claim bonus and the last conversation. No one has to guess.

How the work runs today

An agent meets a family or a company and asks about ages, pre-existing conditions, preferred network hospitals and budget. Quotations are compared across insurers on sum insured, co-payment, sub-limits and waiting periods. The client picks a plan. Proposal forms, proposer and nominee details, identity papers and medical declarations are collected and sent to the insurer, and the policy schedule arrives days later by email or post. Premiums go to the insurer, and the agent files a copy of each receipt.

Renewals fall every month across hundreds of clients, each with its own date and grace period. Calls and messages go out before each one. Some clients want to raise the sum insured, port to another insurer or add a family member, and each change needs a form. When someone is admitted to hospital, the agent helps with intimation, pre-authorisation, document lists and follow-up with the insurer or its third-party administrator. Commission statements arrive later. New leads come from referrals, employer groups and enquiries.

Where it breaks

What goes wrong for health insurance agents without a proper system.

Renewal dates live in a diary

Each policy has its own due date and grace period. A missed date costs cover. A missed call means a lapsed policy, a restarted waiting period and a lost no-claim bonus, and the client remembers whose job it was to remind them.

Family cover is split across files

Parents, children and siblings hold separate floater and individual policies with different insurers, taken in different years, and nobody sees the household’s total sum insured or its gaps at once. Cover is patchy.

Claim papers are chased by chat

Hospital bills, discharge summaries, investigation reports, pharmacy invoices and claim forms travel through messages and email, and which document is still missing is known only to whoever read the last message. Claims stall.

Quotations are rebuilt every time

Plan features, waiting periods, co-payment terms and premiums change by insurer and age band, and a comparison sent last year cannot be found. Its figures are out of date. Clients ask again.

Commission is hard to match

Statements from several insurers list policies in different layouts, with first-year and renewal rates mixed together on the same page. Checking them against what was sold takes a day each month.

What the software does

What we would build for health insurance agents.

Named the way your team already talks about the work. We start with whichever part the audit shows is costing you most.

Leads, referrals and follow-up

Every enquiry keeps its source, whether a referral, an employer contact or a walk-in. Renewal and callback dates are set. The overdue ones show first.

Families, members and plans

Keep every household together with proposer, nominee, member ages, pre-existing conditions, floater or individual policies and sums insured, so that a caller can be answered from a single screen without any search.

Plan comparison and quotations

Record plan features, sub-limits, co-payment and premiums for each insurer. Build a comparison for the client’s family, and keep every version sent so that last year’s figures are easy to find.

Policy register and renewals

Track every policy with its dates, grace period, no-claim bonus and premium. Clients are called before each renewal falls due, so no policy lapses unnoticed.

Claims assistance tracker

Open a case for each hospital admission, cashless or reimbursement. List the documents needed, record what has been sent, and note what the insurer or its third-party administrator has asked for next.

Documents and proposals

Store identity papers, proposal forms, medical declarations, endorsements and policy schedules against the member. Each is ready to send when an insurer asks.

Commission and premium records

Record premiums collected and commission due by insurer and by first-year or renewal rate. Check each statement against the policies you sold. A short payment is spotted in the month it happens.

Before you talk to a supplier

A requirements checklist for health insurance agents.

What to cover, which reports to ask for and what to put to every vendor, ready to print or save as a PDF.

Open the checklist
Ready product

A product already built for health insurance agents.

It is adapted to how your business works before it goes live, and anything your trade needs that it lacks is added then.

Health Insurance Agency Management Software

Leads, family records, plan comparison, policies, renewals, claims assistance, documents and commission for health insurance agencies.

See the product
Solutions inside

The business modules health insurance agents use most.

Each one is also available on its own, or inside a system built for you.

How it works

How the work runs from Bengaluru for your city.

  1. 1

    The audit, by call

    A screen-share and a look at the sheets, Tally reports and WhatsApp groups your team uses. No travel needed.

  2. 2

    A written proposal

    Scope, what we build first and the cost, agreed in writing before anything starts.

  3. 3

    Build in short rounds

    Working screens shared every few weeks. Your team tests them from your own office.

  4. 4

    Go-live, in person when it helps

    For data migration and training we can come to your city. Travel is agreed in advance.

  5. 5

    Support online

    Fixes, changes and hosting handled remotely by the same team that built it.

Common questions

Questions health insurance agents ask before they call.

Can one record hold a whole family with different insurers?

Yes. Each member and each policy sits under the household, whichever insurer issued it, so you see total sum insured and renewal dates for the family together. Gaps show up fast.

Does it connect to insurer portals?

Not directly. Staff key in policy details or load files from the insurer. Links to specific insurer systems or TPA portals are scoped separately and depend on what each insurer offers.

Can it handle employer group policies?

Yes. A group is held as a client with its member list, additions, deletions and renewal date. Terms vary by insurer, and your set-up is reviewed during implementation before any group goes live.

Is client health information kept private?

Each user sees only what their role needs. Medical declarations stay shut to everyone else. How long data is kept and who may see it follow your local rules, which are reviewed during implementation.

What happens in the free technology audit?

We look at the software, spreadsheets and WhatsApp groups your business runs on today and write down what works, what slows your team down and what is missing. A demo login, a screen-share or a few screenshots are enough to start. You get a report ordered by priority, and there is no obligation to hire us afterwards.

How much will the software cost?

We don’t publish a price, because it depends on what the system has to do. The audit settles the scope, and the cost goes into a written proposal before any work starts.

Category

Part of a wider group.

Talk to us

Tell us how your business runs today.

A few lines on your spreadsheets, software and WhatsApp groups is enough. We reply the same working day.

  • No obligation
  • A reply within one business day
  • Your details stay private

Start with your requirements

Seven short steps that tell us what you need. An engineer reads them before getting in touch.

Share your requirements