The Import Labour Medical Scheme: A Strategic Tool for Enhanced Supplementary Labour Scheme (ESLS) Compliance and Business Continuity
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Hong Kong is facing a growing labour shortage, driven largely by its rapidly ageing population. Currently, 22% of the population is aged 65 and older, a figure that is expected to rise significantly in the coming decades.
By 2046, it is projected that 2.74 million people will be aged 65 or older, accounting for over a third of the city's total population. This demographic shift is further compounded by an anticipated shortage of 180,000 workers by 2028, placing significant pressure on industries reliant on a steady workforce. The impact of this shortage will be felt across various sectors, making it increasingly difficult for businesses to meet their staffing needs and maintain operational stability.
The role of the Enhanced Supplementary Labour Scheme (ESLS) in Hong Kong’s key sectors
To combat the looming labour crisis, the Hong Kong government introduced the Enhanced Supplementary Labour Scheme (ESLS) in September 2023. This crucial initiative allows employers to hire imported workers to fill critical roles in sectors grappling with severe manpower shortages, such as construction and transportation. The ESLS is a lifeline for industries struggling to maintain essential operations amidst a dwindling local workforce. However, this lifeline comes with a critical responsibility: employers are obligated to provide imported workers with free medical benefits equivalent to that received by local residents. This requirement is not merely a bureaucratic hurdle; it's fundamental to the ESLS and essential for compliance with government regulations.
Introducing the Import Labour Medical Scheme: A tailored insurance for ESLS employers
Recognising the formidable challenges of fulfilling the ESLS medical care obligation, At Howden, we have developed the Import Labour Medical Scheme – a specialised insurance plan meticulously designed to address the unique needs of companies employing workers under Hong Kong's ESLS. This niche policy provides comprehensive medical benefits, ensuring imported workers receive healthcare on par with local residents, thereby safeguarding both businesses and employees while significantly enhancing employee benefits.
This solution arrives at a critical juncture. With a staggering three out of four Hong Kong companies grappling with talent shortages and over 29,000 applications for imported workers approved in the past year, the demand for effective and compliant healthcare solutions has skyrocketed.
Furthermore, underscoring the importance of a robust ESLS, the Labour Department is actively monitoring its implementation and plans to conduct a thorough review before the scheme's two-year period concludes. This proactive approach demonstrates a commitment to ongoing improvements in scheme execution and application processing, signalling the evolving landscape and the profound significance of the ESLS.
The Import Labour Medical Scheme as an essential tool for ESLS compliance
The Import Labour Medical Scheme emerges as an indispensable tool for ensuring ESLS compliance. By providing comprehensive healthcare coverage, this scheme not only safeguards the wellbeing of imported workers but also fortifies operational stability within businesses. This robust solution empowers companies to navigate the challenges of workforce shortages, enhancing employee retention and fostering a more productive workforce.
Howden Hong Kong’s benefit schedule for Enhanced Supplementary Labour Scheme (ESLS) (Group Medical & Personal Accident Coverage)
Key features and benefits:
- Comprehensive inpatient hospital and clinic coverage: The Import Labour Medical Scheme offers unparalleled coverage for treatment costs at both public healthcare facilities, including Hospital Authority hospitals and clinics, and a select network of private providers. This comprehensive coverage aligns with best practices in medical insurance and provides a strong foundation for a robust employee benefits plan.
- Convenient outpatient care access: The scheme prioritises convenient and efficient healthcare access for your employees. With coverage extending to both public and private clinics, employees can select providers that best suit their individual needs and preferences. Moreover, access to a network of panel doctors and physiotherapists enables direct billing services, streamlining the claims process for both employees and your company, enhancing employee satisfaction and demonstrating a commitment to providing valuable medical insurance coverage as part of a comprehensive benefits plan.
- Personal accident coverage: The Import Labour Medical Scheme transcends basic healthcare coverage, offering comprehensive personal accident coverage. This vital component provides crucial financial support and peace of mind for your imported workers, safeguarding them from the unforeseen consequences of accidents. By mitigating the financial impact of accidents, this coverage not only enhances employee wellbeing but also minimises disruptions to your operations, ensuring seamless business continuity.
A win-win for employers and employees
The Import Labour Medical Scheme empowers businesses by offering a comprehensive and strategic solution for managing the healthcare needs of their imported workforce via this comprehensive medical insurance. This multifaceted approach yields significant benefits for both employers and employees.
- Flexibility: The scheme offers unparalleled flexibility, enabling businesses of all sizes—even those with a single imported worker—to easily enrol and comply with ESLS regulations without bureaucratic hurdles.
- Low premiums: With highly competitive premiums, the scheme provides a cost-effective solution for managing healthcare expenses while ensuring compliance with legal obligations.
- Faster recovery and return to work: By offering convenient access to private clinics for minor illnesses, the scheme prioritises employee wellbeing by helping them recover faster and return to work with minimal downtime, maximising productivity.
- Streamlined workforce management: Employers benefit from operational efficiency, with simplified healthcare management and flexible coverage options that cater to a variety of workforce needs.
- Enhanced employee wellbeing: The scheme ensures seamless access to quality outpatient care, contributing to improved overall health and wellbeing, job satisfaction, and a more productive and supportive work environment for employees.
Beyond insurance: A strategic approach to ESLS compliance
The Import Labour Medical Scheme transcends the traditional definition of insurance; it represents a strategic investment in employee wellbeing and the long-term success of businesses navigating Hong Kong's dynamic labour market.
This forward-thinking solution, meticulously crafted by our industry-leading experts, prioritises both employee wellbeing and unwavering business continuity. By offering comprehensive coverage meticulously tailored to the specific needs of imported workers, the scheme minimises workforce disruptions, ensures seamless compliance with ESLS regulations, and significantly enhances operational efficiency.
This strategic approach empowers businesses to attract and retain top talent, cultivate a healthier and more productive work environment, and ultimately secure a stronger, more resilient future in the face of evolving labour market dynamics.

Discover how the Import Labour Medical Scheme can streamline your workforce management and enhance employee wellbeing
Contact us to see how we can help you provide comprehensive coverage and ensure compliance with the Enhanced Supplementary Labour Scheme