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YOUR HEALTH. OUR GUIDANCE.

Business Health Insurance

Whole-of-market corporate and SME health insurance solutions. Protect your people, reduce absenteeism, and benefit from Corporation Tax relief, with expert independent advice.

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Understanding Business Cover

What is Business Health Insurance?

Business health insurance, also known as corporate PMI or group private medical insurance, allows employers to provide private healthcare for their employees under a single group policy.

It covers the cost of private medical treatment for acute conditions that develop after the policy begins. By giving employees faster access to diagnosis, specialist consultations and treatment, it significantly reduces time off work and demonstrates a genuine commitment to their wellbeing.

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How It Works

How Corporate Health Insurance Works

Your business takes out a single group policy that covers all eligible employees. Here's the typical journey.

1

Group Setup

Your business selects the level of cover, excess, and benefits. Employees are added to a single group scheme.

2

Underwriting

Depending on group size, schemes may qualify for Medical History Disregarded (MHD) underwriting, meaning no individual health assessments.

3

Claims & Treatment

When an employee needs treatment, they contact the insurer directly. Private consultations, diagnostics and treatment are arranged quickly.

Flexible Cover

Choose from core inpatient to comprehensive outpatient cover for your team.

Single Scheme

One policy, one renewal date, one point of contact for your entire workforce.

Family Extension

Employees can extend cover to include partners and children.

The Business Case

Why Invest in Employee Health Insurance?

Faster Return to Work

Reduce long-term sickness by giving staff fast access to private diagnosis and treatment.

Protect Key People

Safeguard the health of directors, senior managers and key revenue generators.

Corporation Tax Relief

Premiums are typically an allowable business expense, reducing your corporation tax bill.

Attract & Retain Talent

A compelling employee benefit that helps you recruit and keep the best people.

Reduce Absenteeism

On average, employees with PMI return to work 4× faster than those relying on NHS waiting lists.

Flexibility & Control

Tailor cover levels, excesses and benefits to suit your budget and workforce.

Understanding Costs

How Business Health Insurance Premiums Work

Business health insurance premiums are rated differently from individual policies. Group schemes are assessed on the overall demographics of the workforce, not individual medical histories.

Premiums often become more competitive as employee numbers increase. Leading insurers like AXA Health offer reduced rates at specific membership bands (e.g. 3+, 6+, 9+ employees).

Key factors that influence your costs include:

  • The age profile of your workforce
  • The level of cover chosen (e.g., outpatient benefits)
  • Your chosen excess amounts
  • The past claims history of the group (if switching providers)
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Whole-of-Market Comparison

Leading UK Business Health Insurers

As independent advisers, we compare every major UK insurer to find the right fit for your business. Below are the minimum employees required for Business & SME schemes.

AXA Health

Min 1 employee

Competitive group rates with comprehensive mental health support

Vitality

Min 1 employee

Rewards-based programme that incentivises healthier lifestyles

Aviva

Min 1 employee

Flexible schemes with strong digital GP and wellbeing services

WPA

Min 2 employees

Not-for-profit insurer reinvesting in member benefits

UNDERWRITING OPTIONS

How Business Health Insurance is Underwritten

When setting up a new business health insurance scheme, how your employees' medical histories are assessed depends on the size of the group, whether they are already insured, and your preference. Below are the main underwriting methods available.

Suitable for: New groups and individuals

Moratorium Underwriting

  • Quick SetupNo medical reports or GP involvement needed. Cover is arranged quickly and simply.
  • Minimal QuestionsEmployees answer a few basic lifestyle and eligibility questions.
  • Assessed at Claim StageWhen a claim is made, the insurer reviews medical records to check whether the condition existed before the policy began. Pre-existing conditions are typically excluded for the first two years.
Suitable for: New groups and individuals

Full Medical Underwriting (FMU)

  • Detailed Health QuestionnaireEach employee provides their full medical history at application, including conditions, medications, operations and investigations.
  • Exclusions Confirmed UpfrontThe insurer confirms in writing exactly what is and is not covered before the policy starts. No surprises later.
  • Greater Certainty When ClaimingBecause everything is agreed at the outset, claims are processed faster with no unexpected exclusions based on past health.
Suitable for: Groups switching insurer / already insured

Continued Personal Medical Exclusions (CPME)

  • For Existing GroupsAvailable when transferring from one insurer to another, CPME carries across any personal exclusions from the previous policy.
  • Seamless TransitionEmployees retain any conditions that were previously covered and any existing exclusions remain. No need to re-underwrite from scratch.
  • Protects Established CoverEnsures that employees who already have cover do not lose benefits simply because the employer switches provider.
Suitable for: Groups switching insurer (moratorium-based)

Continued Moratorium Underwriting (CMORI)

  • Preserves Time ServedWhen switching provider, CMORI carries across the time your employees have already served under a moratorium policy, so they don't have to start the qualifying period again from scratch.
  • Seamless Provider SwitchEmployees transferring from a moratorium-based policy retain their progress. Conditions that have already cleared the moratorium period remain covered with the new insurer.
  • Protects Your EmployeesWithout CMORI, moving to a new insurer on moratorium terms would reset the clock on pre-existing condition exclusions. CMORI ensures continuity and avoids unnecessary gaps in cover.
Suitable for: Larger groups (typically 15+ employees)

Medical History Disregarded (MHD)

  • No Individual AssessmentThe insurer does not evaluate any employee's personal medical history. Everyone is covered from day one.
  • Pre-Existing Conditions CoveredEmployees with existing health conditions receive full cover immediately, making this the most inclusive underwriting method.
  • AvailabilityMHD thresholds vary by insurer, typically requiring between 15 and 25 employees. Our specialists will advise whether your business qualifies.
  • High-Risk Filters ApplyMHD does not mean all conditions are automatically covered without question. Ongoing conditions and serious illnesses such as heart conditions and cancer typically need to be referred to the insurer and are subject to high-risk filters. MHD removes individual medical underwriting, but insurers still apply certain safeguards.

Not sure which underwriting method is right for your business? Our specialists will recommend the best approach based on your group size, budget and employees' needs. For a full guide to each underwriting method, visit our underwriting explained page.

Tailored Solutions

Who Benefits from Business Health Insurance?

SMEs & Growing Businesses

Group health insurance schemes designed for small and medium-sized businesses. Competitive rates from just 2 employees.

Company Directors

Tax-efficient private healthcare for directors and business owners. Protect your health and your business continuity.

Contractors & Self-Employed

Flexible health cover tailored to self-employed professionals and contractors. Minimise downtime and protect your income.

Large Corporates

Enterprise-level health insurance programmes with dedicated account management and flexible benefit structures.

Face-to-Face Product Launches

Once your provider and plan have been agreed, Kingsley or Louis will visit your workplace in person to launch the scheme with your employees. It's a chance to walk your team through their new cover, answer any questions, and make sure everyone understands the benefits available to them. It's a personal touch that we're proud to offer.

Your Independent Adviser

Why Choose Elective Health?

We understand that every business is unique. We take the time to understand your workforce, your budget, and your goals before recommending the right health insurance solution.

  • Whole-of-market comparison across every major UK insurer
  • Specialist expertise in business, director and contractor cover
  • Free advice. No cost, no obligation
  • Ongoing support through renewals and scheme changes
  • Deal directly with Kingsley and Louis. No call centres
  • 5.0 stars on Google from 42 independent reviews
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What Our Clients Say

Don't just take our word for it. Here's what our clients have to say about their experience.

Common Questions

Frequently Asked Questions

Ready to protect your team?

Get a free, no-obligation business health insurance consultation.

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