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Grameen Koota (GK) operates as a division of the Grameen Financial Sevices. Pvt. Ltd. (GFSPL), a Non Banking Financial Company (NBFC) based out of Bangalore, India, offering microfinance services to the poor using the Grameen model. Over the years, Grameen Koota (GK) has moved beyond microcredit lending to offer insurance services to its clients. This paper documents its journey in health microinsurance and draws learnings from its experience.