Corporate Medical Insurance is a highly-valued employee benefit that provides private healthcare treatment to workers when they need it the most.
If a worker falls ill the corporate health plan provides them with access to private clinics, hospitals and consultants to help get them back on their feet faster.
By utilising the company paid private healthcare your employees get to bypass potentially long NHS waiting lists for certain procedures and get the required treatment faster and more efficiently.
Corporate medical insurance is designed to treat acute conditions (i.e. those that, with treatment, will improve over time, such as having an operation to remove kidney stones).
It is not designed to cover emergencies – for that you’ll need to use your local NHS A&E department. Nor will it offer coverage for chronic conditions (i.e. those that won’t get better with time and will remain with you for life, such as diabetes).
While Corporate Health Insurance schemes won’t cover chronic conditions, there may be some leeway when it comes to diagnosis of chronic conditions and treatment of acute flareups of chronic conditions. However, this will be at your insurer’s discretion.
A ‘basic’ Corporate Health Plan will include inpatient treatment only, offering access to treatment requiring a hospital bed.
Mid-range plans tend to have some level of outpatient cover added often limited to a monetary value per year, while fully comprehensive Corporate Health Insurance will cover outpatient treatment in full. Outpatient treatment provides access to testing and diagnostic care that doesn’t need a hospital bed. This includes scans, x-rays, consultations and often therapies such as physiotherapy and osteopathy.
Without access to outpatient cover, workers will still have to wait for the NHS to be diagnosed before receiving any private inpatient treatment.
This can significantly add to waiting times for treatment. As such, at least some level of outpatient cover is recommended for a Corporate Health scheme.
Nadeem Farid
Head of Employee Benefits at Drewberry
The NHS does a fantastic job, but a decade-long funding squeeze has severely limited the amount of money available. As a result, the healthcare system is under significant and sustained pressure, which manifested itself over the 2017/18 winter with a spate of cancelled operations and overflowing A&E departments.
According to NHS data…
Waiting times are one of the most common things people grumble about when it comes to the NHS. Many people in dire need of treatment are having to wait weeks before they can be seen.
If one of your workers found themselves unable to do their job due to a painful health condition and faced an 18 week waiting list, not only would this be unpleasant for the employee but it could mean significant impact on your workplace.
You may have to find someone to cover them at your expense while also paying them sick pay, for instance, or other employees may have to work harder to pick up the slack from the absent employee.
As well as providing health cover for your employees, there are a number of benefits to the business. The major benefit has already been mentioned – potentially getting your workers back on their feet and healthy again faster than if they had to wait for the NHS.
This can reduce strain on the business, minimise periods of absenteeism due to ill health as well as hugely benefiting the employee by helping them to get back on their feet as quickly as possible.
Meanwhile, Investors in People have revealed…
The Chartered Institute of Professional Development undertook a survey which found 54% of people currently looking for a new job are looking for better pay or benefits, citing this as the main reason for their move.
For employers, a Corporate Private Health Insurance scheme has the potential to improve the quality of the business. An impressive employee benefits package can:
The overall cost to the business is determined by a variety of factors, with the major ones being:
The cost of your corporate scheme will vary considerably depending on such a wide variety of factors that it’s hard to give an estimate without knowing the ins and outs of your scheme.
As an employer, premiums for Corporate Health Insurance are typically paid from pre-tax earnings, meaning there are potential savings in corporation tax.
For employees, however, employer provided Health Insurance is a P11d benefit or a taxable benefit in kind. This refers to a benefit your employees receive that’s not counted as part of their salary but is nonetheless has a cash value and so HMRC will levy tax against it.
As such, employees have their annual income tax allowance reduced by the same amount of the premiums paid on their behalf, meaning they can earn less before becoming subject to tax.
HMRC views company paid Health Insurance as part of employees’ remuneration, which means companies usually have to pay employer’s National Insurance on the premiums, also.
As an employer, you’ll need to fill out a P11d form to declare to HMRC that you’ve provided your employees with a benefit in kind.
There’s nothing more important in terms of the options you choose for your corporate scheme than how you opt to underwrite your employees. There are four main underwriting options to choose from, although not every one will be available to you as some will only be possible for schemes over a certain size.
Full medical underwriting requires an upfront disclosure from your employees about their medical history. Once the insurer has this information, it will usually exclude any pre-existing conditions. However, this leaves employees knowing exactly what they are and aren’t covered for from the outset.
This is typically the cheapest option because it excludes outright anything that pre-exists the start date of the policy. However, given the medical declaration forms involved this option will mean the most paperwork to get the policy live.
Moratorium underwriting requires far less in the way of administration than FMU. Under a moratorium, any condition the employee has had in the 5 years leading up to the policy start date will be excluded.
This does not require an upfront medical disclosure. Instead, when it comes to a claim, the insurer will check the employee’s medical history to make sure that the condition they’re claiming for hasn’t previously occurred during a period that would make it ineligible (i.e. in the past 5 years). Providing that condition hasn’t, the employee will be able to claim for it.
Medical history disregarded underwriting is the best form of Private Health Insurance underwriting available. It ignores any pre-existing conditions, no matter when your employees have suffered from them. All employees’ medical history is disregarded and they’re able to claim for any eligible condition under the policy’s terms, regardless of whether or not it’s pre-existing.
Given that it’s the best medical underwriting available, MHD underwriting is also the most expensive. It’s also available only to larger groups, usually starting with at least 20-25 people. Some insurers will require a higher number than this.
If you have employees who are already have Private Medical Insurance, or you have an existing corporate scheme in place and want to switch providers, you’ll need to look at underwriting on a continued personal medical exclusions (CPME) basis.
This will make sure that any pre-existing conditions an individual member or members has suffered from under their old policy should be covered going forward with your new insurer.
You’ll need to provide your new insurer with your current insurance certificate and possibly answer some questions about your employees and any members who’ve received treatment under the old policy. Any exclusions already on the old policy will also be copied across.
Switching a personal Health Insurance policy can be complicated enough, let alone doing it for dozens or even hundreds of scheme members!
If you have an existing Corporate Medical Insurance scheme that you are looking to review then please do not hesitate to pop us a call on 02074425880 or email help@drewberry.co.uk.
Nadeem Farid
Head of Employee Benefits at Drewberry
Corporate Health Insurance is one of the more complicated Employee Benefits in that there are a lot of options you can add to or subtract from the policy to make it fit your needs and budget.
It can be hard to know which benefits are worthwhile and which are more of a ‘nice to have’, listed below are the most common options you have to choose from.
As mentioned, the addition of outpatient cover is one of the biggest options you’ll face when setting up your corporate medical plan. It’s recommended that you add at least some level of outpatient cover to your policy – even if it’s only basic/limited cover – as this will significantly speed up the diagnosis of any health problems your employees might be facing.
Basic policies tend to include little to no outpatient cover. A mid-range policy, meanwhile, will typically cap outpatient cover at a certain monetary level such as £1,000 per policy year. This can be a good compromise between keeping costs down but still providing your employees with access to high-quality outpatient treatment when they need it most.
Setting an excess on the policy can help reduce your policy’s premiums by requiring individual employees to pay an initial amount towards their care. This is typically a nominal sum compared to the thousands of pounds treatment can cost, say around £100, but can significantly reduce the cost of cover.
Psychiatric cover is an additional option you can bolt on to most Corporate Health Plans. It can provide inpatient and outpatient treatment for mental illnesses, with a cap on the maximum number of sessions/days of treatment available per year.
It’s common to want to add mental health cover to a policy given the rise in instances of workplace stress and an employer push to improve mental health among workers.
However, mental health conditions are among the most expensive to treat, which means this is one of the most expensive additional policy options.
Another way to cut your premiums is to add the ‘6 week NHS wait’ option onto your policy. This again can reduce premiums significantly, this time because your workers will only be able to use their private healthcare if the NHS wait for treatment for their condition exceeds 6 weeks.
Some employers allow you to add spouses and dependent children to the corporate health scheme. This provides access to the same level of healthcare for workers’ families as the workers are entitled to themselves.
Health Insurance providers usually offer at least two ‘tiers’ of facilities your employees can receive treatment in. There’s typically a standard tier consisting of mid-range private health facilities and an ‘upper’ tier, which encompasses more prestigious facilities and potentially certain hospitals in Central London. (Note that some insurers separate the London hospitals out into their own tier, so check this before you take out a policy or ask a Drewberry expert about it.)
If you opt not to include the upper tier of hospitals or those in Central London, you can save on your premiums because treatment in these ‘premier’ facilities can be significantly more expensive.
While Private Medical Insurance covers procedures such as cataract surgery and oral surgery, everyday optical and dental treatment, such as checkups, fillings and glasses, don’t tend to be covered as standard. However, as an optional extra you may be able to include coverage for these on your policy to help pay for such everyday health expenses.
Some employers choose to implement a Health Cash Plan alongside their Private Medical Insurance. This offers cash towards certain routine health expenses, such as dental and optical treatment. It can also be used to cover any excess you implement on the plan.
The employee can claim back the cash they’ve paid upfront as an excess from the Health Cash Plan. Despite having two policies, this often works out cheaper than having just Group Health Insurance with no excess.
When you apply for corporate private health insurance, you’ll find that there’s a lot of employee data required to get the process off the ground and get the insurers to provide quotations. Relevant data we need for employees’ includes:
In addition to your staffs details we will also need to know which type of underwriting you’re planning to choose and any additional policy options you want to include.
If you choose full medical underwriting (see above), your employees will have to fill in a health declaration form declaring their past medical history and any serious medical conditions they’ve suffered previously.
Once we’ve got your data, we’ll go out to the UK’s leading Health Insurance companies to find the best group quotes for you, your employees and your business.
As the quotes come back, we compile them into a FREE, no-obligation market report for you to read through. This will contain all of our recommendations for your new Corporate Medical Insurance scheme.
We’re totally independent, so the prices you’ll find in your bespoke report will be the best available from all providers at the time we went to the market.
Yes, Corporate Health Insurance is a P11D / benefit in kind. This means there’s additional tax to pay on the employee’s part as a result of having the cover.
This is usually achieved through a HMRC adjustment to your tax code which reduces the amount you can earn before tax kicks in (this is known as your personal allowance) to the equivalent cost of the premiums each year.
Corporate Health Insurance is designed to pay for the treatment of acute medical conditions in a private hospital setting. You get to choose the facilities you’re seen in and the specialists you visit.
It’s there to pay for faster access to healthcare than the NHS can provide in many cases for problems that are treatable, such as joint pain requiring joint replacement, cancer care, a tonsillectomy, cataract removal or cardiac bypass surgery. This is opposed to chronic conditions that are only manageable, such as arthritis, asthma and diabetes, which aren’t covered.
A Corporate Health Cash Plan, on the other hand, is there to reimburse you for the cost of everyday health expenses, such as optician and dentist visits.
To use dental treatment as an example, you visit the dentist, have your treatment and pay for it. You then keep the receipt and send this off to the insurer with your completed claims form. The insurer will then reimburse you up to the limit per policy year for that type of treatment.
Yes, small businesses are eligible for Health Insurance. The above top providers all cover companies with at least two employees.
If you are a one man band, a company director, contractor or the sole employee of your own limited company, however, you still have the option to have your company pay for the policy but it would be a personal policy expensed through the business rather than a group policy.
This would mean that you’d need underwriting as an individual rather than as a group, but paying for Health Insurance through your limited company can save money over paying for it as an individual depending on your circumstances.
| AvivaAviva is the UK’s largest insurer and the world’s sixth-largest insurance company.
|
| AXA PPP HealthcareAXA PPP Healthcare was incorporated in 1940 as the London Association for Hospital Services. It is now one of the largest providers of Private Health Insurance in the UK.
|
| BupaBupa was founded in the UK in 1947 when 17 separate provident associations joined together. With 38,000 members initially, the company today has personal Health Insurance customers in markets around the world and is the largest provider of PMI in the UK.
|
| VitalityVitality is owned by the leading global insurer Discovery Holdings, based in South Africa. In 2007, Discover entered the UK market with a joint venture with PruHealth and PruProtect. This lead to Discover buying 100% of the shares in 2014 and becoming VitalityHealth and VitalityLife.
|
Not everyone has time or the expertise to do all of the work involved in setting-up an insurance policy for a large group of people.
We work with all of the UK’s leading insurers, understand all the T&Cs and have processes in place to make reviewing the corporate health insurance market as hassle free as possible.
We started Drewberry because we were tired of being treated like a number and not getting the service we all deserve when it comes to things as important as protecting our health and our finances. Below are just a few reasons why it makes sense to talk to us.
Knowing which are the best options for your company and employees can be tricky, which is where we are really able to add value.
If you need any help please don’t hesitate to pop us a call on 02074425880 or email help@drewberry.co.uk.
Nadeem Farid
Employee Benefits Consultant at Drewberry
The staff has been very knowledgeable and I have enjoyed working with Nadeem on setting up our plan.
Or call us on 0208 432 7333
Drewberry™ uses cookies to offer you the best experience online. By continuing to use our website you agree to the use of cookies. If you would like to know more about cookies and how to manage them please view our privacy & cookie policy.
